@misc{KochBraunMartinetal., author = {Koch, Daniel and Braun, Alexander and Martin, Titus and Michel, Sven and Kirschner, Jana}, title = {Physiotherapeutic workplace analysis: The Gathering of the eye-hand-coordination with the Purdue Pegboard-Test in Context with the work-related performance diagnostics}, series = {The International Disabled People`s Day - XXIIIth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIIIth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-75-4}, pages = {45}, abstract = {A good eye-hand-coordination is always needed to effectively manage the professional requirements. The Purdue Pegboard-Test gathers the quality of the neuromuscular interaction and is since over 60 years one of the test instruments for the labourmarket performance diagnostics. In this study the test persons levels were compared with job specific norms. The ivenstigation team includes 19 persons from Brandenburg.The performance were measured for each hand, both hands and a combination task. The results from the test persons show significant below-avarage performances. Therefore we can conclude, that the improvement of eye-hand-coordination is necessary.}, language = {en} } @misc{OttoMartinBraunetal., author = {Otto, Gesine and Martin, Titus and Braun, Alexander and Michel, Sven}, title = {Bimanual working in the physical therapy - An investigation of possible disbalance of the hand grip strength and eye-hand coordination of physical therapists}, series = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorcelec}, isbn = {978-83-88380-76-1}, pages = {128}, abstract = {Apart from widespread medical and therapeutic expertise a physical therapists needs occupation specific physical resources. Concerning the upper limb a distinct hand grip strength as well as a precise eye-hand coordination are of vital importance. Furthermore the therapists outcome of executed standardized grip settings of manual techniques and power impulses, i.e. the strength testing according to Janda, both handed or mirrored should be nearly identical. Potential individual disbalances could distort the medical findings of the patient or even influence the therapy in a negative matter. Therefore the balanced bimanual working should already be learned during the vocational training and should then be kept during the years of work. The aim of this study about physical therapists was to gain knowledge about possible disbalances of the observed skills. The sample consists of 47 test persons, including 27 pupils of physical therapy (M = 22.2 years, SD = 4.7) and 20 working physical therapists (M = 38.9 years, SD = 9.7). In an elicitation the status of the handgrip strength was acquired with a hand dynamometer whereas the status of the eye-hand coordination and of the finger skillfulness was acquired with the pegboard. There were no statistical significant disbalances found within cohorts. In contrast to that the group of pupils showed side differences regarding the finger skillfulness and the eye-hand coordination. Those differences didn't occur in the group of working physical therapists. Therefore two conclusions could be made: (1.) either the former side differences of working physical therapists are equalized by the daily work or (2.) the disbalances show a trend regarding the regressive skills of new pupils. Finally it is recommended to execute a larger longitudinal study to evaluate the regression of both handed, sensomotoric skills of future physical therapists and to counteract this development- if necessary - with a bimanual subject area embedded in the curriculum of the vocational education.}, language = {en} } @misc{SchulteWestenbergMartinBraunetal., author = {Schulte-Westenberg, Niklas and Martin, Titus and Braun, Alexander and Michel, Sven}, title = {The virtual reality in physiotherapeutic performance diagnostics - A study of the reliability and validity of the virtually supported upper limb plate tapping test}, series = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-76-1}, pages = {127}, abstract = {Digitalization is the central challenge of the modern working environment. Some professions were always in need of digital skills, other professions now gain the need for these skills as well. With the importance of visumotor skills on the rise, the significance of conditional abilities will keep decrea-sing. Exact accuracy at top speed is increasingly needed in occupations like control tower operator, train conductor or in a control room of emergency services. New challenges in physiotherapeutic performance diagnostics and treatments continue to develop throughout this megatrend. It is also important not to limit the performance diagnostics due to age. Firstly, digital skills get crammed by children already at young age, useful for the modern working environment. These recent develpoments show the need for performance diagnostics of all ages. One approach are techniques with infrared LEDs and vertical lasers. Business and free time chal-lenges can be transformed and measured precisely in virtual reality. We developed the plate tap-ping test to test the upper body reaction time in a virtual environment. As in the first steps in the VR performance diagnostic we plan to test 300 probands of different age. Furthermore, a VR Test-ing battery will be developed, in order to simulate realistic requirements for an individual perfor-mance profile.}, language = {en} } @misc{JoostMartinBraunetal., author = {Joost, Theresa and Martin, Titus and Braun, Alexander and Michel, Sven}, title = {Comparison of the curve of the lactate concentration in the medium sweat an blood at constand load}, series = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-76-1}, pages = {95}, abstract = {Lactate acts not only as a metabolic indicator for aerobic capacity, but also as a marker for an increased mortality risk. Therefore, its determination is of vital importance in intensive medical care, physical therapy rehabilitation of cardiological and other internal patients as well as in mass and competitive sports. Currant invasive diagnostic procedures utilize the carrier medium blood. However, this valide and reliable method bears a great number of drawbacks, i.e. a higher risk of infection and expenses through the mandatory presence of healthcare professionals. The determination of sweat lactate is a promising approach. The aim of this study is to investigate the transferability of metabolic-physiological processes of lactate accumulation from blood to sweat, based on the comparison of the lactate curves with constant exposure over a defined period of time. The research group consists of 50 healthy volunteers in early adulthood at equal sexual proportions. The measurement regime initially provides for a test procedure on the treadmill ergometer at a constant speed of 10 km / h. In five measurements, both sweat and blood samples are taken after every three-minute exercise periods, which are used to determine the respective lactate concentration. As a result, an alternative non-invasive lactate diagnosis should be developed in real time, which meets the high quality criteria of the bloody determination. Welding lactate diagnostics means a reduction in costs, time and staff, as well as being more patient-friendly and allowing use in field studies.}, language = {en} } @misc{FreyMartinBraunetal., author = {Frey, Sebastian and Martin, Titus and Braun, Alexander and Michel, Sven}, title = {The Virtual reality in physiotherapeutic performance diagnostics - Programming and validation of the VR Reach test to assess eye-hand coordination}, series = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-76-1}, pages = {129}, abstract = {Digitization is increasingly shifting the manpower from the primary and secondary to the tertiary sector. According to the World Bank, 70.92\% of the German workforce was employed in the service sector in 2015, compared with almost two thirds in Poland (57.75\%). Therefore, the developed "Labor Market 4.0" demands a new motor requirement profile. Here, the coordinative skills become increasingly important, whereas the conditional skills slide in the background. The resulting "Physiotherapy 4.0" will be defined by a closer interlock between therapy and information and communication technologies. Thus, in neurological rehabilitation, e.g. of stroke patients, Virtual Reality (VR) has already been successfully used as therapy support. In addition, there are promising opportunities for VR in the field of diagnostics. With that in mind, a virtual test battery for the assessment of occupation-specific motor skills will be developed, which focalizes on the coordinative abilities. One of its components is the "VR Reach Test". It is based on the Method-Time Measurement (MTM) system and diagnoses the "Reach" skill. The productivity (in Time Measurement Units) and the reaction rate are measured. Those parameters provide information about the level of eye-hand coordination under time pressure. The programming and validation will take place in several steps.}, language = {en} } @misc{BartschBraunMartinetal., author = {Bartsch, Carolin and Braun, Alexander and Martin, Titus and Michel, Sven}, title = {An investigation of different body sweat areas to analyze blood lactate and sweat lactate with constat load}, series = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-76-1}, pages = {95}, abstract = {Sweat is essential for the hydrologic and electrolytic regulation. Additionally it includes important information about the personal efficiency. Consequently, sweat is diverse in diagnostics for example pediatrics, internal medicine or sports diagnostic. At first, the medium sweat is only associate with blood samples on the ear. But sweat has lactate molecule in the eccrine gland which to take and analyze with modern filter systems. The method is patient- friendly, fast and non- invasive. Therefore lactate analyze in sweat is a simple, practicable method which could be testing in field studies. Although there are any information about sweat as a blood and lactate analyze but the science research is exciting more than ever before. For example, it could be interesting which body area is the ideal application point. In first studies, we found a number of measurement areas. Secondary, we want to testing twenty test persons on a treadmill with a speed about 10 km/ h. Afterwards three minutes, we want to take blood lactate and sweat lactate at the mess areas. That could be mess points on the upper and lower extremities, the front and back side as soon as including the head. Consequently, the results is to compare with central and peripheral points in association with core body temperature and time delay. In the end, it could be compare blood lactate and sweat lactate.}, language = {en} } @misc{BergmannKirschnerMicheletal., author = {Bergmann, Lena and Kirschner, Jana and Michel, Sven and Geiß, Michaela and Braun, Alexander and Prill, Robert}, title = {Reliability of CTT Pegasus and Back-Check®}, series = {The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-77-8}, pages = {75}, abstract = {Isometric maximum strength measurement of the trunk is a common tool to investigate performance of athletes and patients. The current study aims to evaluate the parallel test reliability of two systems: the CTT Pegasus and the Back-Check®. Maximum isometric force of the trunk musculature in sitting and standing position for flexion and extension is analyzed and compared. Also the ratio of extension/flexion is examined. 19 healthy subjects, 23.1 ± 2.1 years old participated in this study. Inclusion criteria consisted of voluntary participation, physical and psychological health, athletic activity and an age between 21 and 30 years. Exclusion criteria were acute pain, inadequate physical condition, claustrophobia, respiratory disorder such as asthma, age under 21 or above 30 years, as well as the manufacturers' specifications. After a general and specific warm-up, the participants performed 6 seconds of maximum isometric contraction in both systems in randomized order including a one-minute break between each test. Between systems, a three-minute break was ensured. Spearman correlation and the Wilcoxon Signed Rank test for differences is used. The significance level is set to 0.05. Both systems showed significant correlations for the measurement of the flexion.}, language = {en} } @misc{PrillMichelKirschneretal., author = {Prill, Robert and Michel, Sven and Kirschner, Jana and Vorwerg, Susan and Meisinger, Matthias and Braun, Alexander and Martin, Titus}, title = {Concerning the evidence of therapeutic assessments: The determination of the range of motion of the knee joint extension}, series = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-73-0}, pages = {77}, abstract = {A standardization lacking and the insufficient attention to quality criteria analysis when using therapeutic assessments lead to not loadable intervention results. Therefore these investigations must represent the basis for any uses of assessment. The goniometry is inevitable for the documentation of the mobility of joints. The kind of test procedures and their quality are however most contentious. The present study examined in a three-way blinded, randomized test-retest design, with for each n=10 test person and k=20 examiners, the intertester reliability (IER) and Intratester reliability (IAR) of the measuring procedures: "short and long goniometer", "visual estimation", "electrical goniometer" and "Vitronic Body Scanner with and without localization markers". For the test procedures short, long and electrical goniometer weak IER and IAR (ICC 0,05). A diffuse international data situation makes a closing classification of the results more difficult and suggests the necessity for a high-quality meta-analysis to the topic.}, language = {en} } @misc{VorwergMichelMartinetal., author = {Vorwerg, Susan and Michel, Sven and Martin, Titus and Braun, Alexander and Prill, Robert and Kirschner, Jana and Meisinger, Matthias}, title = {Influencing parameters on intensity control for cold applications to the knee joint}, series = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-73-0}, pages = {78}, abstract = {Cold therapy is a common postoperative treatment that is applied in different forms. Many studies reported which influence different refrigerant have on lowering the skin temperature, to the sensation of pain and the reabsorbing edema. In conclusion it can be stated that a lack of quality and low number of available studies, the efficacy of cryotherapy do not assign and the application after hip and knee arthroplasty is even contradictory. Striking are the various types of information with regard to the duration of application, shape and intensity. Because of the missing evidence for sensibility of application intensity this study aimed to determine influential parameters with moderate cold (11°C) for improving the intensity control. 15 healthy subjects aged 23.2±1.26 were tested. The parameters BMI, fat mass and muscle mass were recorded. All subjects received a cold application by the invented and developed IceCube at the right knee joint for 15 minutes. The temperature was measured for six times with an infrared thermometer at five standardized points of the knee joint. During application and till the last measurement subjects were immobilized. The applied cold application resulted in a significant decrease of temperature in all measuring points concerning the pre-post-comparison. 20 minutes after removing the cuff significant temperature increases in 3 measurement points, still keeping below starting level, were remarked. Furthermore it is evident that the temperature differences of the muscular measuring points are significantly higher than those of the not muscular measuring points. Besides a higher fat portion leads due to the isolation effect in relation to musculature to significantly fewer variations in temperature. This realization is to be considered for an adequate intensity regulation. In order to confirm the force of expression of the results, it requires further investigations with higher test person numbers.}, language = {en} } @misc{MartinBraunMicheletal., author = {Martin, Titus and Braun, Alexander and Michel, Sven and Meisinger, Matthias and Prill, Robert and Kirschner, Jana and Vorwerg, Susan}, title = {The objective measurement of individual work-related functional performance in the context of medical rehabilitation - First results of a case study with the ERGOS - Work Simulator}, series = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-73-0}, pages = {17}, abstract = {In the context with the high meaning of work for the human, the enormous job-specific demands on psychophysical performance and the need for a rapid return to working life in case of injury or disease, the importance of the diagnosis of occupational performance in therapy is high. Diagnostically and therapeutically challenging to workers are mainly the biomechanical, the sensomotoric and psychosocial strain in the workplace. In case of illness with rehabilitative requirements should therefore medical therapy be dovetailed with work and work-related activities. That connection is a necessary development of rehabilitative care system in Germany, not least in view of the legal order of the German Pension Insurance to help injured patients and to support their return to work. In the work-related orientation of medical rehabilitation is the professional life of rehabilitation involved in all phases of therapy. The instruments for the diagnosis of occupational problems are both objectively and subjectively oriented Questionnaires with external and self-assessment, FCE systems (functional capacity evaluation) and medical documentation systems. The Ergos® Work Simulator is a psychophysical FCE system, which captures the individual motor skills in relation to the performance of job-specific requirement profiles. The evaluation of job performance is based on a profile pool of about 14,000 professional activities. The tests are standardized and analyze frequent physical aspects of the work (eg lifting, carrying) to ensure a realistic assessment.}, language = {en} }