Background The plantar intrinsic foot muscles (PIFMs) have a role in dynamic functions, such as balance and propulsion, which are vital to walking. These muscles atrophy in older adults and therefore this population, which is at high risk to falling, may benefit from strengthening these muscles in order to improve or retain their gait performance. Therefore, the aim was to provide insight in the evidence for the effect of interventions anticipated to improve PIFM strength on dynamic balance control and foot function during gait in adults. Methods A systematic literature search was performed in five electronic databases. The eligibility of peer-reviewed papers, published between January 1, 2010 and July 8, 2020, reporting controlled trials and pre-post interventional studies was assessed by two reviewers independently. Results from moderate- and high-quality studies were extracted for data synthesis by summarizing the standardized mean differences (SMD). The GRADE approach was used to assess the certainty of evidence. Results Screening of 9199 records resulted in the inclusion of 11 articles of which five were included for data synthesis. Included studies were mainly performed in younger populations. Low-certainty evidence revealed the beneficial effect of PIFM strengthening exercises on vertical ground reaction force (SMD: − 0.31-0.37). Very low-certainty evidence showed that PIFM strength training improved the performance on dynamic balance testing (SMD: 0.41–1.43). There was no evidence for the effect of PIFM strengthening exercises on medial longitudinal foot arch kinematics. Conclusions This review revealed at best low-certainty evidence that PIFM strengthening exercises improve foot function during gait and very low-certainty evidence for its favorable effect on dynamic balance control. There is a need for high-quality studies that aim to investigate the effect of functional PIFM strengthening exercises in large samples of older adults. The outcome measures should be related to both fall risk and the role of the PIFMs such as propulsive forces and balance during locomotion in addition to PIFM strength measures.
MULTIFILE
Large cities in the West respond to an ever-increasing shortage of affordable housing by accelerating the process of urban densification. Amsterdam, for instance, aims to increase its housing stock by 10 percent in the next 15 years as its population is expected to grow by 20 percent. As in other cities, it seems inevitable that high-rise buildings with higher skyscrapers than in the past will be built within the existing urban fabric. Such large-scale (re)development projects shape the conditions for inhabitants’ eye-level experiences, perception of place and overall well-being. The new hybrid field of neuroarchitecture offers promising eye-tracking technology and theories for measuring inhabitants’ visual experiences of the city and rethinking the effectiveness of applied design principles across the globe. In this paper, the ‘classic’ design solutions for creating streetscapes on a human scale in densified areas have been assessed by eye-tracking 31 participants in a laboratory setting, all of whom viewed photographs of 15 existing streetscapes in high-rise environments. The study drew on theories from the field of neuroarchitecture and used input from a panel of (landscape) architects and urban designers to design the research and analyze the eye-tracked patterns. The results indicate that the classic design principles (horizontal–vertical rhythms and variety; active ground floor; tactile materials) play a significant role in people’s appreciation of the streetscape and that their attention is unconsciously captured by the presence of these principles. The absence of the design principles seems to result in a scattered ‘searching’ eye movement pattern. This also suggests that a coherent design of streetscapes in high-rise environments may contribute to a human scale at eye-level.
MULTIFILE
Schepen in moeilijkheden op zee leveren vaak besluitvormingsproblemen op tussen de scheepseigenaar/kapitein en de kuststaat. Kuststaten en met name de lokale overheden willen een probleem schip graag zo ver mogelijk weg sturen van hun gebied terwijl de eigenaar/kapitein zijn schip graag zo snel mogelijk naar de kust, een beschutte locatie of haven wil brengen. Het onderzoek geeft onderbouwing voor de besluitvorming rond schepen in moeilijkheden, zowel voor de zeescheepvaart als de betrokken besluitvormers van oeverstaten. Het product van het project is: een, op uitgewerkte scenario’s per scheepstype en lading gebaseerde besluitvormingsprocedure voor zeeschepen in moeilijkheden
