Noriyuki Ogawa

Objectives: The purpose of this study was to investigate the relationship of any error (delta; ∆) between the image of one’s own walking rhythm and the actual walking rhythm and physical activity, as a new motor imagery assessment. Methods: The subjects were classified into two groups: a high activity group (HA-Group) having high physical activity with less than four hours of sitting time per day, and a low activity group (LA-Group) having low physical activity with more than four hours of daily sitting time. Visual rhythm, auditory rhythm, mental comfortable walking rhythm, and mental maximum walking rhythm were used to assess new motor imagery. Their beats per minute were measured and any error (delta; ∆) from the actual rhythm was calculated: ∆ visual rhythm, ∆ auditory rhythm, ∆ mental normal gait rhythm, and ∆ mental maximal gait rhythm. Results: When comparing the two groups, the HA-Group had significantly higher ∆ visual rhythm, lower ∆ auditory rhythm, higher ∆ mental comfortable walking rhythm, and lower ∆ mental maximum walking rhythm ability than the LA-Group. Furthermore, in an ANCOVA with age, ∆visual rhythm, and ∆auditory rhythm as adjustment factors, the HA-Group had significantly lower ∆mental maximum walking rhythm than the LA-Group. Conclusions: These results showed that the rhythmic assessment of the imagery of maximum walking was associated with stationery time. It is possible that the more inaccurate the imagery of maximum walking, the longer the sitting or lying time.

Motor imagery is often used as a training method to improve physical performance. Previous studies have often reported that reduced motor imagery is more likely to occur in older adults and stroke patients. However, it has also been reported that it is difficult to imagine exercises that cannot be performed. Therefore, we hypothesized that this may also have occurred in young people who were physically able to exercise but who were restricted by COVID-19 lockdowns, however, we could find no studies that investigated the impact of restricting outings. In this study, 83 healthy young people were measured for physical performance (maximum walking speed, grasp strength, Timed Up and Go test, imagined Timed Up and Go test, functional reach test, and five chair stand test). It was found that, while restricting outings did not influence physical performance in the subjects, it did influence motor imagery. Therefore, it should be borne in mind that training with motor imagery may not generate adequate actual motor imagery when restrictions are imposed on activities.

This study aims to clarify the dynamics of information provision and human interaction to satisfy the needs of family caregivers. A questionnaire survey consisting of items on information received at and after diagnosis, persons and resources consulted, needs, and caregiver-oriented outcomes was conducted. Among the respondents, 2295 individuals who were caring for people with dementia were divided into quartiles by the time after diagnosis, and differences were statistically analyzed. The time after diagnosis in the first to fourth quartiles was 0.73 ± 0.4, 2.52 ± 0.49, 4.89 ± 0.73, and 10.82 ± 3.7 years, respectively. The number of persons consulted by family caregivers increased significantly from the first to the fourth quartiles (p < 0.001). During this time, attributes of professionals and informal supporters changed depending on the quartile. As time progressed, acceptance of the diagnosis increased, but so did its impact on the lives of family caregivers. These findings revealed differences over time in what family caregivers wanted and the dynamics of interactions that filled their needs. Informal supporters accounted for a significant proportion of the total resources. However, many family caregivers thought the information and support were insufficient. Thus, continuous reform of the care pathway is needed.

Subjective memory complaints (SMCs) may predict the onset of dementia. The purpose of this study was to clarify characteristics of performance of activities of daily living (ADL) for older adults with SMCs and to offer support options that enable them to maintain their community-based lifestyle. A self-administered questionnaire was sent to 2000 randomly selected members of CO-OP Kagoshima, and 621 responded. 270 responders answered all questions were categorized into SMC (+) group and SMC (−) group (n = 133). Participants were evaluated the Process Analysis of Daily Activity for Dementia. A 2-sample t-test or the Chi-square test were used to compare the averages of continuous variables or the proportions of categorical variables. The results showed the SMC (+) group ranked significantly lower in ability to use the telephone, shop, cook, do housekeeping, manage finances, and manage medications compared with the SMC (−) group. In addition, the SMC (+) group was significantly less independent than the SMC (−) group in many processes requiring the use of tools, operation of machines, management of goods, selection of tools, and monitoring. To enable continued independence of older adults’ experiencing SMCs, it may be important to analyze their performance of ADL and to develop plans for supporting their strengths.