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Publication Open Access ปัจจัยที่มีอิทธิพลต่อพฤติกรรมการสูบบุหรี่ของผู้หญิงในชุมชนเมือง(2556) สุวรรณี จรูงจิตรอารี; วัฒนารี อัมมวรรธน์; จตุพร วิชิตสระน้อย; Suwannee Jarungjitaree; Watthanaree Ammawat; Jatuporn Wichitsranoi; มหาวิทยาลัยมหิดล. คณะกายภาพบำบัด; มหาวิทยาลัยเกษตรศาสตร์ วิทยาเขตกำแพงแสน. คณะวิทยาศาสตร์การกีฬาการศึกษาเชิงสำรวจภาคตัดขวางนี้มีวัตถุประสงค์เพื่อศึกษาปัจจัยที่มีอิทธิพลต่อพฤติกรรมการสูบบุหรี่ของผู้หญิงอายุ 15 ปี ขึ้นไป โดยสุ่มตัวอย่างแบบแบ่งกลุ่มชั้นภูมิหลายขั้นตอนในพื้นที่เขตกรุงเทพมหานครและปริมณฑล เก็บรวบรวมข้อมูลจำนวน 400 คน ด้วยแบบสอบถามซึ่งผ่านการทดสอบความตรงตามเนื้อหาโดยผู้ทรงคุณวุฒิ 3 ท่าน วิเคราะห์ข้อมูลด้วยสถิติไคสแควร์และความเสี่ยงสัมพัทธ์ ผลการศึกษาพบว่า จำนวนผู้หญิงที่สูบบุหรี่ เคยสูบบุหรี่ และไม่เคยสูบบุหรี่ มีร้อยละ 27, 8 และ 65 ตามลำดับ ส่วนใหญ่ร้อยละ 42.6 มีอายุระหว่าง 19–24 ปี อายุเริ่มสูบต่ำสุด คือ 11ปี เริ่มสูบบุหรี่เพราะอยากลอง สูบบุหรี่วันละ 6–10 มวน สูบมานาน 5–10 ปี ปัจจัยที่มีอิทธิพลต่อพฤติกรรมการสูบบุหรี่ของผู้หญิง พบว่า การมีเพื่อนสนิทและสมาชิกในครอบครัวสูบบุหรี่มีอิทธิพลต่อการสูบบุหรี่สูงถึง 15 เท่า และ 3.5 เท่า ตามลำดับการเห็นโฆษณาและส่งเสริมการขายของบริษัทบุหรี่มีอิทธิพลต่อการสูบบุหรี่ 3 เท่า การมีทัศนคติเชิงบวกต่อการสูบบุหรี่มีอิทธิพลต่อการสูบบุหรี่สูงถึง 26 เท่า นอกจากนี้ปัจจัยด้านเศรษฐกิจและสังคม เช่น ระดับการศึกษาและรายได้ของครอบครัวต่ำมีอิทธิพลต่อการสูบบุหรี่ 5 เท่า สิ่งที่น่าสนใจคือ ความรู้เกี่ยวกับอันตรายจากการสูบบุหรี่ไม่มีความแตกต่างระหว่างผู้หญิงที่สูบและไม่สูบบุหรี่ ผลการศึกษานี้เรียกร้องให้หน่วยงานที่รับผิดชอบด้านการบังคับใช้กฎหมายในด้านโฆษณาและส่งเสริมการขาย ควรหมั่นตรวจตราเพื่อไม่ให้เกิดการละเมิดกฎหมายควบคุมยาสูบโดยเฉพาะเด็กอายุต่ำกว่า 18 ปีอย่างเคร่งครัด อีกทั้งสถาบันการศึกษาและครอบครัวต้องช่วยพัฒนาทักษะชีวิตให้ห่างไกลจากการสูบบุหรี่Publication Metadata only ผลการใช้โปรแกรมสำหรับตรวจนับหนังสือในห้องสมุดต่อประสิทธิภาพการทำงานในห้องสมุด คณะกายภาพบำบัด มหาวิทยาลัยมหิดล(2562) พลอยชนกภรณ์ เพิ่มแสงสุวรรณ; ขจรยศ อนุรักษ์ธรรม; ชุติมา ชลายนเดชะ; มหาวิทยาลัยมหิดล. คณะกายภาพบำบัดการศึกษานี้มีวัตถุประสงค์คือ 1) เพื่อเปรียบเทียบระยะเวลา และปริมาณกระดาษที่ใช้ ในการสำรวจหนังสือ ระหว่างการใช้และไม่ใช้โปรแกรมการตรวจหนังสือ 2) เพื่อศึกษาความถูกต้องของข้อมูลสำรวจหนังสือเมื่อใช้หรือไม่ใช้โปรแกรมการตรวจนับหนังสือ และ 3) เพื่อศึกษาความพึงพอใจต่อการใช้โปรแกรมการตรวจนับหนังสือ ณ ห้องสมุดคณะกายภาพบำบัด มหาวิทยาลัยมหิดล ผู้เข้าร่วมวิจัยจำนวน 20 คน มีช่วงอายุตั้ง 18 ถึง 30 ปี เป็นเพศหญิงร้อยละ 80 และเพศชายร้อยละ 20 ผู้เข้าร่วมวิจัยทุกคนถูกสุ่มเลือกให้สำรวจทั้งสองโปรแกรมและตอบแบบสอบถาม วิเคราะห์ข้อมูลทางสถิติด้วยการเปรียบเทียบระหว่างกลุ่มที่ไม่เป็นอิสระต่อกัน (paired t-test) การทดสอบไคสแควร (chi-square test) และการวิเคราะห์เชิงพรรณนาของข้อมูลในแบบสอบถาม และกำหนดค่านัยสำคัญทางสถิติ (p) เท่ากับ 0.05 ผลการศึกษา พบว่าด้านเวลาการใช้โปรแกรมและไม่ใช้โปรแรกมในการสำรวจหนังสือนั้น ไม่มีความแตกต่างกันอย่างมีนัยสำคัญทางสถิติ (p < 0.05) ของการจัดเตรียมข้อมูล การจัดเตรียมเอกสาร และสรุปผลการสำรวจ แต่ในการสำรวจหนังสือบนชั้น พบว่าเวลาการสำรวจหนังสือโดยใช้โปรแกรมจะน้อยกว่าการไม่ใช้โปรแกรม 6.42 วินาทีต่อเล่มอย่างมีนัยสำคัญทางสถิติ (p=0.04) และด้านการใช้ทรัพยากรกระดาษ การใช้โปรแกรมสำรวจหนังสือจะไม่ใช้กระดาษ ในขณะที่การไม่ใช้โปรแกรมสำรวจหนังสือใช้กระดาษจำนวน 3 แผ่น ด้านความถูกต้องของข้อมูลในการสำรวจหนังสือพบว่าการใช้โปรแกรมในการสำรวจหนังสือมีความถูกต้องของข้อมูล ไม่แตกต่างกันอย่างมีนัยสำคัญทางสถิติ (p < 0.05) ยกเว้นการตรวจความถูกต้องของหนังสือชำรุด ไม่ใช้โปรแกรมมีความถูกต้องมากกว่าการใช้โปรแกรมอย่างมีนัยสำคัญทางสถิติ (p<0.001) และพบระดับความพึงพอใจมากที่สุดในทุกด้านของผู้ที่ใช้โปรแกรมการสำรวจหนังสือ การศึกษานี้สรุปได้ว่าโปรแกรมการสำรวจหนังสือสามารถช่วยลดเวลา ทรัพยากรกระดาษ และมีความถูกต้องของการตรวจเลขหนังสือและพบเล่มหนังสือPublication Open Access การทดสอบความเที่ยงตรงของโปรแกรมการทดสอบเวลาปฏิกิริยาบนระบบแอนดรอยด์(2560) นติยากร ชนเก่าน้อย; เพชรรัตน์ ภูอนันตานนท์; คีรินท์ เมฆโหรา; วรรธนะ ชลายน; Natiyagorn Chongaonoy; Petcharatana Bhuanantanondh; Keerin Mekhora; Wattana Jalayondeja; มหาวิทยาลัยมหิดล.คณะกายภาพบำบัดการทำงานติดต่อกันเป็นระยะเวลานาน ก่อให้เกิด ความล้าทั้งทางกายและจิตใจ ส่งผลให้การตอบสนอง ของร่างกายช้าลง ตัวแปรที่สะท้อนถึงภาวะดังกล่าว คือ เวลาปฏิกิริยาในการตอบสนองต่อสิ่งเร้า จึงพัฒนา โปรแกรมทดสอบเวลาปฏิกิริยาบนระบบแอนดรอยด์ ที่ใช้งานง่าย และสะดวกในการพกพา โดยการศึกษา มีวัตถุประสงค์เพื่อทดสอบหาความเที่ยงตรงเชิง โครงสร้างและความเที่ยงตรงเชิงสภาพของโปรแกรม ในการวัดอาการล้าทางกาย ผู้เข้าร่วมการศึกษามีอายุ ระหว่าง 20-30 ปี จำานวน 30 คน ผู้เข้าร่วม การศึกษาได้รับการประเมินระดับความล้าก่อนและ หลังการกระตุ้นให้เกิดอาการล้าทางกาย โดยโปรแกรม ทดสอบเวลาปฏิกิริยาที่พัฒนาขึ้น และแบบวัดระดับ ความล้า ผลการศึกษาพบว่า เวลาปฏิกิริยาทั้งแบบง่าย และแบบซับซ้อนมีค่าเพิ่มขึ้นอย่างมีนัยสำคัญทาง สถิติหลังการกระตุ้นอาการล้าทางกายเมื่อเทียบกับ ขณะพักแสดงให้เห็นถึงความเที่ยงตรงเชิงโครงสร้าง ในการจำแนกความแตกต่างระหว่างก่อนและหลัง การเกิดอาการล้าทางกาย สำาหรับความเที่ยงตรงเชิง สภาพ ผลการศึกษาพบว่า โปรแกรมการทดสอบเวลา ปฏิกิริยาบนระบบแอนดรอยด์มีความสัมพันธ์เชิงบวก ระดับปานกลางกับแบบวัดระดับความล้า โปรแกรม ที่พัฒนาขึ้นมานี้เป็นเครื่องมือที่ยอมรับได้ในการวัด อาการล้าทางกายในวัยผู้ใหญ่ตอนต้น ควรศึกษาการวัด อาการล้าทางใจ ศึกษาในสถานการณ์จริงในชีวิต ประจำวัน และศึกษาในวัยอื่น ๆ เพิ่มเติมPublication Open Access Immediate Effect of Stress-induced Computer Typing on EMG Activity of Accessory Breathing Muscles and Respiratory Rate(2019) Kaveepong Jaturongkhasumrit; Keerin Mekhora; Sirikarn Somprasong; กวีพงศ์ จตุรงคสัมฤทธิ์; คีรินท์ เมฆโหรา; สิริกาญจน์ สมประสงค์; Mahidol University. Faculty of Physical TherapyStress-induced computer work has been reported to be a factor affecting work-related musculoskeletal disorders (WMSDs). Limited studies have been conducted concerning stress-induced work, compared with physical related factors. The aim of this study was to determine the effects of stress-induced computer work on changes in accessory breathing muscle activity and respiratory rate. Ten healthy volunteer computer users with 20-40 years of age performed 30 minutes of computer typing with a 10-minute induced stress in the middle period. During the first and last 10 minutes they were allowed to type at a comfortable pace and speed. Electromyography (EMG) activity of the upper trapezius and anterior scalene muscles and the respiratory rate were recorded throughout 30 minutes. EMG activity of accessory breathing muscles and respiratory rate were significantly increased during computer typing with a 10-minute induced stress. No significant difference of both accessory breathing muscles activity and respiratory rate were found during the first and the last 10-minute periods. This study’s findings suggested that psychosocial stress during computer work results in increased accessory breathing muscles activity, change breathing patterns, and may lead to increased tendency of WMSDs.Publication Open Access Validity and application of the international classification of functioning, disability and health core set for stroke in Thailand(2019) Mantana Vongsirinavarat; Khanitha Jitaree; มัณฑนา วงศ์ศิรินวรัตน์; ขนิษฐา จิตรอารี; Mahidol University. Faculty of Physical Therapyth (ICF) has been adopted by rehabilitation professionals for presenting health status of patients with stroke. The objective of this study was to explore the content validity of the comprehensive ICF stroke core set in Thai patients. The responsive patterns in different rehabilitation settings were also compared. The participants were 80 individuals affected by stroke with variety of chronicity and severity. These patients were receiving rehabilitation program in two physical therapy clinics and two communities. Four physical therapists evaluated the patients by performing interview and physical examination. These evaluators received a specific training session to use the ICF core set in patients with stroke. Standard evaluation form with description of assessment guideline was also provided. The results showed that 36 and 26 categories of the “Body Functions” domain and 50 and 39 categories of the “Activity and Participation” domain were validated with responses of having problem in more than 10% and 20% of participants respectively. All of eight categories of “Body Function” and five of “Activity and Participation” were movement and mobility related, reported as having problem in more than half of participants. The response patterns of 12 categories of “Body Function” and 13 “Activity and Participation’were different between clinic and community groups. The set of validated categories was similar to ones previously validated in other four countries. With Thai cultural concern, two items related with sexual function and intimate relationship were largely unresponsive. Some items were also very specific to sub -groups of sex and working status. Authors recommended more emphasis on more effective treatment plan for stroke patients to be move-ment related in impairment level and mobility related in activity and participation level. The different sets of ICF categories are recommended in different stages of stroke as well as different rehabilitation settings.Publication Open Access Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial(2019) Suthasinee Thong-On; Sunee Bovonsunthonchai; Roongtiwa Vachalathiti; Warinda Intiravoranont; Sarawut Suwannarat; Smith, Richard; Mahidol University. Faculty of Physical Therapy; Mahidol University. Faculty of Physical Therapy. Physical Therapy Center; The University of Sydney. Faculty of Health Science. Discipline of Exercise and Sport ScienceObjective: To investigate the effects of physical therapy interventions using strengthening and stretching exercise programs on pain and temporospatial gait parameters in patients with plantar fasciitis (PF). Methods: Eighty-four patients with PF participated in the study and were randomly assigned to the strengthening or stretching exercise groups. All patients received 8 physical therapy interventions two times per week in the first 4 weeks and performed daily strengthening or stretching exercises three times per day. After 4 weeks, they continued the assigned exercise programs every day for 8 weeks. Pain visual analogue scale (VAS) scores at the worst and in the morning and temporospatial gait parameters were evaluated at the baseline, intermediate of the intervention, end of the intervention, and the first and second month follow-up. Results: There were significant effects of the time on the worst pain, morning pain, cadence, stride time, stride length, total double support, and gait speed, but there was no effect on step width. In addition, the main effect of the group and the interaction effects of the time and the group were not found in any parameters. For intra-group comparisons, there were significant differences in worst pain, morning pain, cadence, and stride time among the assessment times in both groups. For inter-group comparisons, there were no significant differences in all parameters. Conclusion: Both strengthening and stretching exercise programs significantly reduced pain and improved gait in patients with PF.Publication Metadata only A pilot study of a 12-week leg exercise and a 6- and 12-month follow-up in community-dwelling diabetic elders: effect on dynamic standing balance(2015) Vimonwan Hiengkaew; Sasithorn Saengrueangrob; Kornkamon Cheawthamai; Mahidol University. Faculty of Physical TherapyObjective: To determine the effects of 12-week leg exercise and follow-up on fasting blood glucose (FBG), blood pressure, static and dynamic standing balance time, leg muscle strength, and leg exercise behaviors in type 2 diabetic elderly. Material and Method: Four females, completing 12-week leg exercise group and 6- and 12-month follow-up were examined for FBG, blood pressure, standing on firm and foam surfaces, single leg stance, Five-Times-Sit-to-Stand Test (FTSST), alternated stepping, and leg muscle strength at before leg exercise, week 12 of exercise, and months 6 and 12 follow-up after exercise. Friedman’s ANOVA was used to compare these variables among 4 periods. Exercise behaviors were asked at months 6 and 12 follow-up. Results: Significant decreased time was observed in FTSST between before and at week 12, and alternated stepping between before and at month 6. For one year follow-up, two participants performed leg exercise regularly. According to patients’ interviews, they continued leg exercise because of reduced leg pain and stiffness, compliance to physiotherapist’s suggestions, and exercise addiction. Conclusion: Leg exercise enhanced FTSST and alternated stepping produced good quality feeling in leg in diabetic elderly. Physiotherapists may be a key for continuing leg exercise in community-dwelling diabetic elderly.Publication Metadata only Thai version of the Kujala patellofemoral questionnaire in knee pain patients: cross-cultural validation and test-retest reliability(2015) Sutida Sakunkaruna; Yosawin Sakunkaruna; Prasert Sakulsriprasert; Mahidol University. Faculty of Physical TherapyObjective: To conduct a cross-cultural adaptation and determine the test-retest reliability of the Thai version of the Kujala Patellofemoral questionnaire (KPQ). Material and Method: The present study comprised two phases: cross-cultural adaptation and test-retest reliability. The KPQ was first translated and cross-culturally adapted from English to Thai. The content validity test was conducted, and the final version of the Thai version of Kujala Patellofemoral Questionnaire was developed. Forty knee pain patients were enrolled in this study to determine test-retest reliability of the final version of this questionnaire. All 40 subjects were patients from the Physical Therapy Center, Faculty of Physical Therapy, Mahidol University with a diagnosis of anterior knee pain by physical therapists. They were asked to complete the questionnaires; the 1st session after registration and 2nd session 30 minutes after finishing the first administration. For statistical analysis, the intraclass correlation coefficient (ICC(2,1)) method was used to determine test-retest reliability. Results: All 40 subjects (36 women, 4 men; with age range 18-56 years) were assessed twice with 30-minute time interval. Thirteen questions indicated strong reliability, ranging from ICC2,1 0.8 to 1.0 and the total score was ICC2,1 0.98. Conclusion: The Thai version of the Kujala Patellofemoral Questionnaire was cross-culturally adapted, validated, and presented with excellent test-retest reliability. Regarding clinical implication, this questionnaire is now available for Thai physical therapists in evaluating Thai knee pain patients.Publication Metadata only Thai version of the functional rating index for patients with back and neck pain: part 1 cross-cultural adaptation, reliability and validity(2015) Wunpen Chansirinukor; Mahidol University. Faculty of Physical TherapyObjective: To conduct the cross-cultural adaptation of the Functional Rating Index (FRI) and to test the reliability and validity of the Thai version of FRI (Thai FRI). Material and Method: The cross-cultural adaptation process was used to develop the Thai FRI. The two groups of patients comprised low back pain (LBP) and neck pain (NP). Each patient was asked to complete the questionnaires twice: at the first and second visits. The patients with LBP completed the Thai FRI, Roland-Morris Disability, modified Oswestry Low Back Pain Disability and multi-level Roland-Morris Disability, while the patients with NP completed the Thai FRI and Thai Neck Disability Index. Each patient was also asked to rate a Global Perceived Effect Scale at the second visit. Reliability and crosssectional construct validity of the Thai FRI were evaluated. Minimal detectable change (MDC95%) was calculated. Results: The FRI was cross-culturally adapted to Thai and the adapted version was validated. In total, 161 patients with LBP and 84 patients with NP completed the questionnaires. Cronbach’s alpha for the Thai FRI equaled 0.86 for LBP and 0.83 for NP, ICC2,1 equaled 0.82 for LBP and 0.89 for NP, correlations between the Thai FRI and other questionnaires ranged from 0.68 to 0.78 for both groups. The MDC95% equaled 2.5 for LBP and 2.3 for NP. Conclusion: The Thai FRI was developed and validated. Its measurement properties demonstrated acceptable internal consistency, good test-retest reliability and moderate to high cross-sectional construct validity.Publication Metadata only Muscle activity of abdominal and back muscles during six starting positions in untrained individuals(2015) Prasert Sakulsriprasert; Penpailin Eak-udchariya; Wattana Jalayondeja; Mahidol University. Faculty of Physical TherapyObjective: This study aimed to investigate the electromyography (EMG) activity among five abdominal and back muscles at six starting positions in untrained individuals. Material and Method: Twenty-five healthy individuals aged 20.9+3.9 years, who were inexperienced with lumbar stabilization exercise, were recruited. They were asked to perform maximum voluntary isometric contraction (MVIC), and then six starting positions in random order. EMG data of each starting position were normalized as a percentage of MVIC. Friedman two-way analysis of variance (ANOVA) and Wilcoxon signed-ranks tests were used for data analysis. Results: Significant differences in EMG activity of five abdominal and back muscles were found in all six starting positions (p < 0.001). The highest EMG activity of the transversus abdominis/internal abdominal oblique (TrA/IO) was found in crook lying, with right leg lifted (CLR), and of multifidus (MF) in four-point kneeling with straight right leg lifted horizontally (4p-SRL). Conclusion: The results suggested that CLR and sitting on a gym ball (SG) were able to facilitate TrA/IO activity with minimal activity from the rectus abdominis (RA), while CL, 4p-SRL, and SG were able to facilitate MF activity with minimal activity from erector spinae (ES).Publication Metadata only Improvement of gait symmetry in patients with stroke by motor imagery(2015) Anuchai Pheung-phrarattanatrai; Sunee Bovonsunthonchai; Vimonwan Heingkaew; Naraporn Prayoonwiwat; Songkram Chotik-anuchit; Mahidol University. Faculty of Physical Therapy; Mahidol Univesity. Faculty of Medicine Siriraj HospitalObjective: To investigate effect of gait training with motor imagery (MI) on gait symmetry and self-efficacy of falling in stroke patients. Material and Method: Fourteen stroke patients were categorized in the MI (n = 7) and control (n = 7) groups. They were matched by age range, stroke type, paretic side, time since stroke, and severity. All participants received physical therapy and only the MI group received additional MI training. Both groups were trained for 12 sessions over 1 month. Outcome measurements comprised gait symmetry detecting by the force distribution measurement platform and self-efficacy of falling testing by the Fall Efficacy Scale-International (FES-I). Both groups were assessed three times: pre-, intermediate- and posttrainings. Comparisons of all variables between and within groups were tested by Mann-Whitney U test and Friedman ANOVA test, respectively. Results: No significant difference was observed of gait symmetry between MI and control groups. Within group comparison, tendencies of improvement were found in step length and step time symmetry for the MI group. Significant improvements in step length symmetry and FES-I score were found among assessments for the MI group (p < 0.05). Conclusion: Gait training with MI enhanced ability of step length symmetry and decreased fear of falling in patients with stroke.Publication Metadata only Effects of Thai dancing on median neurodynamic response during 4-hour computer use(2015) Keerin Mekhora; Chatdao Septham; Wattana Jalayondeja; Mahidol University. Faculty of Physical TherapyObjective: To investigate the effects of Thai dancing on median neurodynamic response during 4-hour computer use. Material and Method: Twenty-four healthy participants aged 20-30 years performed 5 minutes of Thai dancing including Prom See Na, Yoong Fon Hang, Sod Soy Mala, Lor Keaw and Cha Nee Rai Mai during a 10-minute break of 4-hour computer use. All participants were assessed for nerve tension by elbow range of motion of upper limb neurodynamic test 1 (ULNT1) and components of quick test. The discomfort was measured by visual analogue discomfort scale (VADS). These measurements were assessed before and after computer work. The statistical analyses employed paired t-test for continuous outcome and Friedman’s test. Results: The median nerve tension (indicated by elbow range of motion) was significantly reduced at before and after work, when 5 minutes of Thai dancing was introduced during the break. While components of the quick test emphasized that Thai dance immediately helped reduce the median nerve tension. The VADS in eight body areas increased over the period of 4 hours, but decreased after performing Thai dancing (p < 0.05). Conclusion: Thai dancing helped relieve median nerve tension and body discomfort. It may be recommended as an exercise during break for computer users who continuously work to prevent WMSDs.Publication Metadata only The adaptive patterns of pelvic alignment in individuals with adolescent idiopathic scoliosis(2015) Laddawan Saetang; Prasert Sakulsriprasert; Mantana Vongsirinavarat; Mahidol University. Faculty of Physical TherapyObjective: To investigate the adaptive pattern of pelvic alignment and to determine the correlations between pelvic alignment and Angle of Trunk Rotation (ATR) of each curve type in individuals with Adolescent Idiopathic Scoliosis (AIS). Material and Method: This cross-sectional study of 31 AIS subjects was divided according to single or double curve patterns. Demographic data and ATR were collected. Five-view photos were shot before using Scion Image Software to calculate pelvic alignment. Independent t-test was used to compare pelvic alignment between groups. Pearson’s correlation coefficient was used to identify the correlation between pelvic alignment and ATR. Results: The subjects with single and double curves, showed significant difference in the right sagittal and transverse planes (p = 0.021). The double-curve group showed significant negative correlation of anterior-pelvic-obliquity and ATR (p = 0.037), significant positive correlations of left-pelvic-tilt and ATR (p = 0.021), and right-pelvic-tilt and ATR (p = 0.005). The major-curve group showed significant negative correlation of anterior-pelvic-obliquity and ATR (p = 0.014), significant positive correlation of right-pelvic-tilt and ATR (p = 0.021), and top-pelvic-rotation and ATR (p = 0.032). The near-pelviscurve group showed only significant negative correlation of anterior-pelvic-obliquity and ATR (p = 0.032). Conclusion: Both AIS groups showed different pelvic tilt and rotation. ATR showed the correlation with pelvic tilt and obliquity in double-curve group only. A larger curve influenced the pelvic-spinal rotation relationship more than the nearpelvic-curve. Thus, awareness of pelvic alignment in AIS assessment and treatment is recommendedPublication Metadata only Dyad training protocol on learning of bimanual cup stacking in individuals with stroke: effects of observation duration(2015) Jarugool Tretriluxana; Jintana Taptong; Pakaratee Chaiyawat; Mahidol University. Faculty of Physical TherapyObjective: To examine the effects of dyad training protocol with different observation-durations on the learning of bimanual cup stacking in individuals with chronic stroke Material and Method: Participants (experimental and control groups) completed the task in pairs. On the first day (acquisition phase: AP), the experimental group observed their partner 6 minutes and alternately performed the task 6 minutes for 4 sessions. The control group underwent 1 minute of observing alternated with 1 minute of performing the task for 24 sessions. On the following day (retention phase: RP), both groups performed the task individually first without feedback, followed by with feedback. The dependent measures were movement time (MT), a measure of motor execution, and reaction time (RT), a measure of motor planning. Results: In the AP, both groups completed the task with decreased MT. The experimental group showed significantly greater improvement of MT than the control group. As for RP, only the experimental group performed the task with less MT when compared with the last block of AP. Additionally, this group significantly decreased MT when compared with the first block. Although, a similar pattern was observed of decreased RT for both groups, in the RP, the experiment group had shorter RT compared with that of the control group. Conclusion: For individuals with chronic stroke, compared with the 1-minute observation alternating with physical practice, the 6-minute duration resulted in greater persistent learning. Moreover, the 6-minute duration greatly enhanced the planning of bimanual cup stacking.Publication Metadata only Concurrent validity of the pediatric clinical test of sensory interaction for balance to quantify postural sway and movement strategies of children aged 7-12 years(2015) Raweewan Lekskulchai; Supannikar Kadli; Mahidol University. Faculty of Physical TherapyObjective: To investigate the concurrent validity of the Pediatric Clinical Test of Sensory Interaction for Balance (P-CTSIB), to quantify anterior-posterior sway and movement strategies using a motion analysis system as the gold standard. Material and Method: Protocol of the six conditions of P-CTSIB was used. For each condition, data were simultaneously collected from the standard measure and a motion analysis system and analyzed using Intraclass Correlation Coefficients and validity indexes. Results: Seventeen children with a mean age of 9.34 years (SD = 1.61) performed the test. For anterior-posterior sway data, highly significant agreements were found between the two measurement systems (ICC (2,1) = 0.945-0.986, p < 0.05). Sensitivities of the standard measure to detect immature movement strategy varied from 62.96 to 75.71%, while specificities ranged between 68.12 and 97.22%. Positive and negative predictive values ranged from 46.43 to 94.74%. Conclusion: The standard protocol of P-CTSIB has strong concurrent validity to measure anterior-posterior sway and acceptable levels of validity indexes to detect immature movement strategy, in addition to being a portable and simple clinical tool for objective assessment of standing balance in children.Publication Metadata only Correlation between pressure pain threshold and soft tissue displacement in muscle pain conditions(2015) Sirikarn Somprasong; Keerin Mekhora; Roongtiwa Vachalathiti; Sopa Pichaiyongwongdee; Mahidol University. Faculty of Physical TherapyObjective: To determine the correlation between pressure pain threshold (PPT), displacement pain threshold (DPT) and pain visual analog scale (VAS) in patients with delayed onset muscle soreness (DOMS) and myofascial pain syndrome (MPS). Material and Method: PPT and DPT were measured in the same time by modified Algometertm commander. This study used the algometer for measuring PPT (N/cm2), in three groups of subjects, including DOMS (n = 10), MPS (n = 10), and asymptomatic (n = 10). The DPT represented the displacement of the algometer probe on the skin in millimeters, while measuring PPT. The DOMS was induced in the non-dominant biceps brachii muscle. The subjects with active myofascial trigger point (MTrP) at the upper trapezius muscle were recruited into the MPS group. DOMS group rated pain by VAS during elbow movement, while the MPS group rated at resting. Spearman’s rank coefficient of correlation was used for data analysis. Results: The results showed correlation between PPT and DPT in the asymptomatic biceps brachii muscle (rs = 0.77, p = 0.001) and DOMS group (rs = 0.65, p = 0.04). No correlation was found between MPS and the asymptomatic upper trapezius muscle. Conclusion: A correlation was found between PPT and DPT in biceps brachii muscles. This finding suggested that to assess the DOMS, the PPT and DPT accurately are required for identifying pain and tissue softness.Publication Metadata only Metabolic equivalent of exercise stress test explained by six-minute walk test in post coronary artery bypass graft and post percutaneous coronary intervention patients(2014) Watesinee Khuangsirikul; Wattana Jalayondeja; Rungchai Chuanchaiyakul; Rungroj Krittayaphong; Chunhakasem Chotinaiwattarakul; Pansak Laksanabunsong; Mahidol University. Faculty of Physical Therapy; Mahidol University. College of Sports Science and Technology; Mahidol University. Faculty of Medicine Siriraj HospitalObjective: To investigate the relationship among metabolic equivalents of an exercise stress test (METs of EST), demographic parameters (age, body weight, height, BMI), peak oxygen consumption (VO2 peak), and six-minute walk distances (6MWD) determined from a six-minute walk test (6MWT). Material and Method: Exercise capacity was estimated by a 6MWT and EST at the sixth week post operation in post coronary artery bypass graft (post CABG, n = 17) and post percutaneous coronary intervention (post PCI, n = 13) patients. Results: METs of EST showed: high correlation (p < 0.01) with VO2 peak of 6MWT (r = 0.94), 6MWD (r = 0.92); muscle strength (r = 0.78), moderate correlation (p < 0.01) with height (r = 0.53); negative correlation with age (r = -0.50). Low correlation was found (p < 0.05) with step length (r = 0.43), and weight (r = 0.38). No correlation was found among METs of EST and rating perceived exertion (RPE) of EST and 6MWT. The multiple linear regression equation for explaining METs of EST is as follows: METs of EST = -2.94+0.02 (6MWD), (r = 0.923, R2 = 0.85, p < 0.001). Conclusion: The 6MWT may possibly be used as an alternative choice for estimating energy expenditure to design exercise programs for these post operation groups.Publication Metadata only Postural Balance, Visual Verticality Perception, and its association in individuals with and without neck pain(2014) Vimonwan Hiengkaew; Wanvisa Panichaporn; Sumethee Thanungkul; Mahidol University. Faculty of Physical Therapy; Mahidol University. Institute of Molecular Biosciences. Center of Biomedical Instrument Research and DevelopmentObjective: To compare postural balance and visual verticality perception between neck pain and asymptomatic subjects; to determine its association within groups. Material and Method: Fourteen neck pain and 14 asymptomatic subjects participated in the study. Subjects stood on a force platform to measure the displacement of the center of pressure in the medial-lateral and anterior-posterior directions, total path length, and sway velocity. Subjects performed 10 patterns of the rod and frame test in the sitting position to measure absolute errors of visual verticality perception. Postural balance variables between neck pain and asymptomatic participants were determined by Independent t-test. Two-way analysis of variance determined the effect of absolute errors of visual verticality perception, groups and its interaction. The association between postural balance variables and absolute errors of visual verticality perception was determined by Pearson’s correlation. Results: Neck pain patients showed greater total path length and sway velocity than asymptomatic subjects. Similar absolute errors of visual verticality perception between groups were shown. No correlation between postural balance variables and absolute errors of visual verticality perception within groups was demonstrated. Conclusion: Postural balance, not visual verticality perception was disturbed in individuals with neck pain. Postural balance was not associated with visual verticality perception in individuals with and without neck pain.Publication Metadata only Substrate utilization during and after high intensity exercise in healthy lean and obese men(2014) Anoma Santiworakul; Benjamas Chuaychoo; Wantanee Kriengsinyos; Vitoon Saengsirisuwan; Wattana Jalayondeja; Mahidol University. Faculty of Physical Therapy; Mahidol University. Faculty of Medicine Siriraj Hospital; Mahidol University. Institute of Nutrition; Mahidol University. Faculty of Science. Department of PhysiologyObjective: To compare lipid and carbohydrate use during and after a high-intensity endurance exercise bout between lean and obese subjects. Material and Method: Lean and obese healthy male subjects with energetic physical activity and stable body weight were recruited to participate in the present study. The respiratory exchange ratio (RER), lipid and carbohydrate oxidation, and lipid and carbohydrate energy expenditure during resting condition, high-intensity exercise and 180 min after exercise were determined by indirect calorimetry. Results: Ten lean and ten obese healthy male subjects, aged 26+4 years, completed a 300-kcal high-intensity exercise session. Resting energy expenditure and lipid energy expenditure in the obese group were significantly higher than those of the lean group. The RER, lipid oxidation, and carbohydrate oxidation were not significantly different between groups throughout the exercise period. The total energy expenditure and total lipid and carbohydrate energy expenditure were also not significantly different between lean and obese groups. During the 180-minute post exercise period, both lean and obese subjects showed a declination in RER and carbohydrate oxidation and an increase in lipid oxidation. Conclusion: Substrate use during and after high-intensity exercise between healthy lean and obese subjects was not significantly different. Both groups used carbohydrates and lipids as the main substrate sources during and after high-intensity exercise, respectively.Publication Metadata only Correlation between weight transfer on paretic limb while standing in three directions and Fugl-Meyer assessment for lower extremities in individuals with stroke(2015) Areerat Satjanitikun; Sopa Pichaiyongwongdee; Chutima Jalayondeja; Mahidol University. Faculty of Physical TherapyObjective: To determine the correlation between percent weight transfer on paretic limb while standing and the Fugl-Meyer lower extremity motor assessment scale (FMA_LE) in individuals after stroke. Material and Method: Individuals after stroke who had limited community ambulation and walking speed less than 0.8 m/s were included in the study. Lower extremity motor control was measured in all participants by the FMA_LE and weight transfer on paretic limb while standing on bathroom scales in three directions (lateral, forward and backward). The percent weight transfer on the paretic limb (%WTpar) was the maximum of weight transfer in each direction divided by total body weight. Pearson’s correlation coefficient was used for statistical analysis. Results: Forty-four individuals after stroke aged 61.27+12.09 years volunteered to participate in the present study. Their walking speed and FMA_LE were 0.37+0.21 m/s and 18.95+4.11 scores. The %WTpar scores while standing in each direction were 64.15+13.30% for lateral, 58.20+13.35% for forward and 61.10+10.52% for backward. A significant correlation was found between %WTpar in backward direction and FMA_LE (r = 0.38, p = 0.001). Conclusion: The weight transfer on the paretic leg in backward direction could be used as a clinical assessment tool to identify lower extremity performance in individuals after stroke. To minimize the gap of the ordinal scale in FMA_LE, assessment with metric units should be added. Weight transfer assessment while standing on bathroom scales in different directions provided continuous data and should be added to determine lower extremity motor assessment in individuals after stroke.
