TY - GEN A1 - Michel, Sven A1 - Bachmann, Jana A1 - Meisinger, Matthias A1 - Braun, Alexander A1 - Martin, Titus A1 - Prill, Robert A1 - Kirschner, Jana A1 - Vorwerg, Susan T1 - Die konditionellen Fähigkeiten im Kontext der Betreuungsart und die Notwendigkeit physiotherapeutischer Interventionen im Kindergarten T2 - The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Aktuelle Studien und populärwissenschaftliche Veröffentlichungen weisen auf einen Rückgang motorischer Fähigkeiten bei Kindern und Jugendlichen hin. Dadurch ist, forciert durch die Verfolgung unterschiedlicher Interessen, ein Bild des generellen motorischen Leistungsverlustes entstanden, das mit Blick auf die gesellschaftliche Leistungsfähigkeit unter anderem physiotherapeutische Interventionen im Vorschulbereich postuliert. Die hier vorliegende Studie widmet sich dieser Thematik und untersucht den Status konditioneller Fähigkeiten von Vorschulkindern. Dabei wurden ausgewählte Kindergärten des Großraumes Dresden mittels Deutschem Motorik – Test unter weitestgehend standardisierten Feldbedingungen analysiert. Im Ergebnis zeigt sich, dass im Bereich der konditionellen Fähigkeiten nur die Kraftausdauer der Bauchmuskulatur und die aerobe Ausdauerleistungsfähigkeit Defizite aufweisen. Letzteres verdeutlicht sich signifikant bei 6-jährigen Vorschulkindern, die in altersgemischten Gruppen betreut werden. Insgesamt ist zu schlussfolgern, dass ein weit angelegter Einsatz physiotherapeutischer Interventionen für die gezogene Stichprobe im Bereich der Dimension „konditionelle Fähigkeiten“ nicht notwendig ist. Unter primärpräventivem Charakter ist aber die Kräftigung der Bauchmuskulatur (hier Kraftausdauer) und die Verbesserung der aeroben Ausdauerleistungsfähigkeit nachzusteuern. KW - konditionelle Fähigkeiten; Kinder Y1 - 2015 SN - 978-83-88380-73-0 SP - 17 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Prill, Robert A1 - Kirschner, Jana A1 - Michel, Sven A1 - Schulz, Robert A1 - Hommel, Hagen T1 - Study protocol of a multi-stage randomised controlled study for the assessment of postoperative therapeutic procedures after total knee arthroplasty T2 - International Journal of Physiotherapy N2 - Background There continues to be a lack of evidence to support physiotherapeutic rehabilitation measures after total knee arthroplasty (TKA), especially in the area of functional test procedures, which are indispensable for assessing perioperative physiotherapeutic interventions, including their efficacy. Objective A multi-stage, randomised, controlled study design is concerned with the establishment of an evidence-based perioperative physiotherapeutic treatment programme to evaluate physical functional test procedures with regard to their predictive value and the efficacy of physiotherapeutic interventions. Setting The RCT will be realised in a medical clinic in the department of orthopaedics, sports medicine and rehabilitation. Participants A first stage will include young, healthy subjects (Group A) and subjects who are due to undergo TKA and are then to be treated with a standard rehabilitation programme (Group B). Design Selected promising physical functional test procedures will be tested for their reliability. Inter-tester reliability will be determined in Group A. The test-retest reliability at different perioperative timepoints will be determined in Group B. Measurements The following test procedures will be investigated for reliability: 10-m walk test, timed up and go, three times sit to stand, isometric maximal force of knee extension, stair climbing and the cumulative leg circumference. In addition, these test procedures will be correlated among each other and with the WOMAC and KSS for selected aspects of validity. In a second stage, the reliable test procedures will be applied to investigate selected promising physiotherapeutic interventions. Conclusions The investigation could change perioperative assessments and physiotherapeutic treatment in patients who have undergone TKA. Y1 - 2018 U6 - https://doi.org/10.15621/ijphy/2018/v5i1/167194 SN - 2348-8336 VL - 6 IS - 1 SP - 13 EP - 17 ER - TY - GEN A1 - Prill, Robert A1 - Michel, Sven A1 - Kirschner, Jana A1 - Martin, Titus A1 - Braun, Alexander A1 - Vorwerg, Susan T1 - Arthritis and sports in old age - challenges and opportunities for physiotherapy in amateur sport - approaches to prevention and activity design using the example of a single case study in Judo T2 - The International Disabled People`s Day - XXth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Arthritis is an illness, which is usually frequently due to degenerative or traumatic causes and can in almost all joints of the human body occur. Joints frequently concerned are for example the hip, knee and shoulder joint. Triggering factors are apart from immobilization also overload and micro traumas. Thus it does not surprise that in the individual kinds of sport some joints are affected by arthritis more frequently than others. The promotion of the public health represents an important task of the popular sport. In order to be able to manage this task fairly, it is compellingly necessary to analyze the factors taking influence on the activity ratio. The frequent occurrence of pain affects the activity ratio negatively. The popular sport sees itself with an increasing obsolescence of the population and all the same with older sportsman and club members confronted. Therefore individual kinds of sport must, in order to be arranged attractive for older sportsmen it, be examined on their pain and arthritis of promoting elements. These are to be reduced then and be supplemented by jointcareful exercise and training programs, which make a pain reduced sport exercising possible. Since there are senior groups in many associations, these programs are relevant not only for the individual sportsman to be implement but wide range of importance. Here a close co-operation of coaches and physiotherapists is in demand, in order to become fair to the complex requirements on such a training. A Brandenburgian Judoka, who trains active for over fifty years, suffers for many years under arthritis in the hip joint. By the implementation of some physical therapy relevant training contents and a regular goal agreement, is it possible to merge the sportsman actively, despite hip joint total endoprosthesis, into the training happening. To be able to make a representative statement on the relevance of the physical therapy support in the club sport, further investigations are necessary. Y1 - 2014 UR - https://www.researchgate.net/publication/273004283_Arthritis_and_sports_in_old_age_-_challenges_and_opportunities_for_physiotherapy_in_amateur_sport_-_approaches_to_prevention_and_activity_design_using_the_example_of_a_single_case_study_in_Judo SN - 978-83-88380-72-3 SP - 25 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Braun, Alexander A1 - Martin, Titus A1 - Vorwerg, Susan A1 - Michel, Sven A1 - Prill, Robert A1 - Kirschner, Jana T1 - Activ 50plus: insight in a movement-intensive health promotion program to improve the general and occupational performance T2 - The International Disabled People`s Day - XXth edition - Life without Pain / Healthy Children - Healthy Europe N2 - The concept of health has several possible definitions. One approach offers the (common) definition of health by the WHO, which distinguishes the physical, 2 psychological and social field. In their connection to the concept of salutogenesis by Aaron Antonovsky and the core objectives of the Health Sports by Klaus Bös and Walter Brehm health promotion programs aim the focus movement to improve the physical health of the human resource. Consequently, the resulting physical core objective focused physical performance factors, such as the mobility, endurance, strength and coordination. In the study presented here were in the first Phase by means of a multidimensional test battery several basic motor skills of more than 500 non-physically active subjects of advanced middle-aged adults in more than 20 locations detected extending oriented. This was possible on one hand the assessment of achievements for each measurement time point and on the other hand their development as a result of a movement-intensive health promotion program. In addition to the general performance of the working life requires a job-specific performance or the job-specific specialization of general skills. For the assessment of work-related performance is the Functional Assessment Instrument Capacity Evaluation (FCE) is available. With the aid of standard simulations, the FCE follows the requirements in the work environment as realistically replicate. In the second Phase (from 2014) the job-specific performance of the subjects is investigated by means of the FCE to build on the test results of the existing health care funding needs-based to expand. The increasing mental and physiosche stress in everyday life and at work leads to increased stress on the job-specific performance and health. Therefore get multidimensional health support programs, such as the program presented here, a growing importance. Y1 - 2014 UR - https://www.researchgate.net/publication/273004524_Activ_50plus_insight_in_a_movement-intensive_health_promotion_program_to_improve_the_general_and_occupational_performance SN - 978-83-88380-72-3 SP - 27 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Kirschner, Jana A1 - Prill, Robert A1 - Michel, Sven A1 - Martin, Titus A1 - Braun, Alexander A1 - Vorwerg, Susan T1 - Status of depression risk in urban areas and its influence on quality of life T2 - The International Disabled People`s Day - XXth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Recent studies of the "male depression" deal among other things with the question of whether men classic depression symptoms are compensated or covered by masked stress symptoms. Symptoms, which may not capture a classic diagnosis of depression are, for example an increased alcohol consumption, increased irritability or increased aggressiveness. This question is strengthened by a simultaneous consideration of the risk of illness and the suicide rate in relation to women. Furthermore, the unipolar depression with a prevalence of 10,4% in Germany is the leading cause of impairments of life. Subject of this study was to survey a population sample of 100 healthy physically and mentally male volunteers aged between 15 and 65 Years of age (mean age 29,64 years) in the Dresden area. Most of the respondents were laborers (46,8%), 29,2% were in training, and the remaining subjects were divided into 17,7% students and 6,3% of college graduates. The survey was conducted by means of two questionnaires in January 2012 the Gotland Scale of Male Depression for detection of depression risk and the SF-12 as a disease cross-measuring instrument of subjective health-related quality of life. Exclusion factors were already diagnosed depression, mental and neurological disorders. The response rate was 96%. The results of the Gotland Scale documented a reduced well-being with a possible risk of depression of 13,5%. In evaluation of the FS-12, the results were in the range of gender-specific physical health score was 21,9% and the mental summary scale at 24% outside of the normal range. In the comparison of the two questionnaires was a whole are obtained only a weak negative correlation slightly. This corresponds to a significantly higher risk of depression for men as it occurs clinically in appearance and suggests that an approximately 50% likelihood of underdiagnosis is. Therefore, further activities in the early detection of stress symptoms in the diagnosis of depression and burn-out should be made. Y1 - 2014 UR - https://www.researchgate.net/publication/273004470_Status_of_depression_risk_in_urban_areas_and_its_influence_on_quality_of_life SN - 978-83-88380-72-3 SP - 31 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Michel, Sven A1 - Vorwerg, Susan A1 - Braun, Alexander A1 - Martin, Titus A1 - Prill, Robert A1 - Kirschner, Jana T1 - Effect of a moderate cold application during a 8-minute going load on selected parameters among aged patients with total knee joint endoprosthesis T2 - The International Disabled People`s Day - XXth edition - Life without Pain / Healthy Children - Healthy Europe N2 - One of the most commonly performed orthopedic and trauma surgical intervention is, beneath the joint arthroscopic intervention and the implantation of hip prostheses, the endoprosthetic knee replacement. The early postoperative rehabilitation takes place usually in the hospital. Due to the enormous reduction of waiting times it has an even more important role. Currently, therefore, the process guidelines on the content and 2 orientation of therapies are optimized on the basis of current research. A starting point is the application of moderate cooling and their coupling with elements of movement therapy. In contrast to the previous application (before and after a movement of intervention), we apply cold refrigerant during the movement. The aim of this pilot study was the clinical testing of a specially developed and based on Peltier technology sensor-based cooling system, including its assessment of efficacy. This 8 very elderly patients (Age 78±2,8 years; body height 169±3,7 cm, body mass 84,9±9,4 kg, no other diseases) were divided into two groups and subjected to gait therapy. The treatment group also received a moderate cooling application of 17°C, which was permanently on the o perated knee, while walking. With those results there is intended to be a completely positive effective influence of cooling within the applied temperature range. As much drug-free pain relief and improvement of physical-motor performance (thus option of load increase and higher adaptation rate, shorten the rehabilitation time) in lack of contraindications are noted. For final representative statements, further studies are necessary due to the small sample size. There is tend to both, excellent suitability, such as a clinical need of the constructed cooling system to be discerned. Y1 - 2014 UR - https://www.researchgate.net/publication/273004528_Effect_of_a_moderate_cold_application_during_a_8-minute_going_load_on_selected_parameters_among_aged_patients_with_total_knee_joint_endoprosthesis SN - 978-83-88380-72-3 SP - 33 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Vorwerg, Susan A1 - Michel, Sven A1 - Martin, Titus A1 - Braun, Alexander A1 - Kirschner, Jana A1 - Prill, Robert T1 - Effect of endurance power oriented back training on selected subjective and objective health parameters in long term unemployed over 50 years of age T2 - The International Disabled People`s Day - XXth edition - Life without Pain / Healthy Children - Healthy Europe N2 - In the last 20 years it could be occupied at numerous studies and researches that unemployed persons exhibit a significantly worse state of health compared with working persons. From this it can be derived that an increase of the unemployment duration leads to an increase of the illnesses. Due to different illnesses by unemployment, can develop effects on physical, psychological and social level. In order to work against this process and keep health consequences of long-term unemployment as small as possible (not least for reasons of the reintegration into the job market), the health promotion stands increasingly in the focus. A goal of the following study was to find out the effects of a strength-perseveranceoriented back training in regard to physical, psychological and social level. 13 longterm unemployed women (age 56.08 ± 3.17 years) were examined and trained 5 weeks. The state of health and the movement behavior was assessed with an anamnesis. The admission of the objective health parameters was carried out by the determination of the anthropometrics values by means of BIA balance, as well as by the determination of the strength impact from belly and back muscles using Total Trunk. The subjective health parameters were seized over a sensibility to pain scale and a questionnaire to the general habitual well-being. On this basis the obtained results, regarding the anthropometric values and the sensibility to pain, there could not be determined significant changes, but emphasized positive tendencies. Significant changes showed up with some parameters of the general habitual wellbeing (Well-Being-Score, psychological miss-being), as well as with the strength impact, which took the main meaning regarding the training program. Therefore it can be said that a 5-week strength-perseverance-oriented back training, improve on the one hand to the physical health, accompanies in view to the strength perseverance ability of belly and back muscules and on the other hand the psychological health, by a significant decrease of the psychological miss-being. Due to the open questions resulting from it further investigations are necessary, in order to confirm the force of expression of the results. Y1 - 2014 UR - https://www.researchgate.net/publication/273004480_Effect_of_endurance_power_oriented_back_training_on_selected_subjective_and_objective_health_parameters_in_long_term_unemployed_over_50_years_of_age SN - 978-83-88380-72-3 SP - 133 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - CHAP A1 - Kirschner, Jana A1 - Michel, Sven A1 - Nitscher, Annegret A1 - Martin, Titus A1 - Braun, Alexander A1 - Prill, Robert T1 - Three dimensional influence factors on standard values and standard value deviations of one dimensional isometric trunk strength measurements T2 - Międzynarodowy Dzień Inwalidy, XXII-edycja "Życie bez bólu, Zdrowe dzieci - zdrowa Europa", Zgorzelec, 18-20 marca 2016 N2 - The question of connections between pain and strength development and the influence of muscular imbalances on the development of pain and strength deficits has been of interest for therapy scientists for decades. During the examination period from June until December 2014, one-dimensional isometric trunk strength measurements were carried out on healthy, middle-aged probands using the biofeedback device "Pegasus". The aim was to check out the predefined standard values of the company BfMC and generate standard value ranges for muscular imbalances. Furthermore, these examinations were used to capture occurring forces on other levels to assess their impact on one-dimensional measurements. A standardized warm up was followed by the determination of the maximum trunk strength in flexion, extension, rotation and lateral inclination. Two measurements on 54 probands at the age of 22.8 ± 3.3 years and an average BMI of 28.9 ± 3.2 were conducted. In addition, the deviating forces were determined. In target-actual value comparison, the probands were about 17.1% above the normal range of their respective age groups, with an average isometric trunk strength development in all six directions of movement of 835Nm. For the male probands it was also found out that they positioned themselves 63.6% above (average?). The female probands in total were also within the normal range, but 200Nm less power was generated and 34% did not reach the normal range. Looking at the deviating forces, it is noticeable that 549.1 Nm (54%) were also applied in the other anatomic plains. Here, there were clear differences between the deviating forces in the isometric testing in the sagittal and frontal plain. In the measurement results of the sagittal plain (Ext; Flex), the deviating forces were 45.8Nm (29.9%) on average in the frontal and transverse direction. In the measurement results of lateral inclination and rotation, the deviating forces were 95.3% and 110% in sagittal and transverse direction. As a result, it can be noted that, despite the absence of pain, postural imbalances and diseases of the spine, more than half of the forces cannot be generated according to the axis. At this, synergistic functions seem to be physiological in this scope, in order to produce maximum plain equitable forces which basically questions one-dimensional measurements. The test results show significant deviations from the normal range, which raises the issue of the relevance of the defined standard values based on the evaluation of isometric force development. Further studies will have to prove the relevance of three-dimensional maximum force measurements. KW - isometric KW - trunk strenght Y1 - 2016 UR - http://mdi-online.net/cms/images/Streszczenia_Abstracts_MDI2016_web.pdf SN - 978-83-88380-74-7 SP - 66 EP - 67 PB - Obrzeża Oficyna Wydawnicza CY - Zgorzelec ER - TY - CHAP A1 - Prill, Robert A1 - Michel, Sven A1 - Martin, Titus A1 - Braun, Alexander A1 - Kirschner, Jana T1 - The validity and reliability of a single-leg hop test to assess the postural control of Judokas 5 years after anterior cruciate ligament rupture T2 - Międzynarodowy Dzień Inwalidy, XXIV- Edycja, Życie bez bólu, Zdrowe Dzieci-Zdrowa Europa, Zgorzelec, 15-17 marca 2018 N2 - Anterior cruciate ligament rupture with subsequent reconstruction (ACLR) is a common and serious injury in Judo. Athletes rarely return to the peak of performance or are limited in their ability to perform their sport. Performance tests for ACLR are still immature and often unspecific. In Judo, the ability to stand on one's feet is an essential prerequisite for many situations. An unstable standing position also promotes knee injuries. In order to check the stability of the single leg stand, a controlled test-re-test design is used in the present study. Two groups are included: A (n=27): Judoka without anamnestically relevant injuries of the lower extremities or the back and B (n=17): Judoka 5.06 ± 1.06 years after ACLR. A one-legged hop test up on a piezoelectric force plate is examined for reliability with respect to the test repetition and validity with regard to the predicted identification of deficits in a side-by-side comparison. In this test, the test person jumps with one leg on the force plate at a defined distance and tries to stand as still as possible, which means that hardly any horizontal force is generated. Both tests are carried out one after the other with both legs and with sufficient break twice each. In group A, there were no significant differences (p>0.05) between the subjectively better leg and the subjectively worse leg, or the leg in the front and rear of the kumi-kata in Judo. In group B, in the first experiment with the ACLR leg, the test persons generate a significantly higher horizontal force in a 95% confidence interval of the bilateral coefficient of CI=[0.16-0.76] compared to the side not affected (p=0.017). In the test repetition, Group B generates with the affected leg significantly less horizontal force surges than in the first attempt. No significant differences in lateral comparison could be measured, although there is a reliability coefficient of r=0.89 for the ACLR leg, but only r=0.35 for the unaffected leg and r=0.53 for group A. It is concluded that the test for asymptomatic judokas cannot be regarded as sufficiently selective due to the low requirement. In group B, in the second experiment, a feed-forward model including pre-activation based on empirical values from the first experiment could explain the improvement, which has led to no significant differences between legs. KW - Validty KW - back to competition KW - knee KW - Anterior cruciate ligament Y1 - 2018 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2018_WEB.pdf SN - 978-83-88380-76-1 SP - S. 81 PB - Obrzeża Oficyna Wydawnicza CY - Zgorzelec ER - TY - CHAP A1 - Kirschner, Jana A1 - Vorwerg, Susan A1 - Michel, Sven A1 - Braun, Alexander A1 - Martin, Titus A1 - Prill, Robert T1 - Effect of a manual-therapeutic segmental mobilization on the mobility of the thoracic spine T2 - The International Disabled People's Day - XXIII edition - Life without Pain/Healthy Children - Healthy Europe N2 - An important aim of the manual therapy is to improve the joint mobility and the functionality to reduce pains in the area of treatment. In the individual manual-therapeutic treatment mobilizing techniques are mainly used in the spinal column. The target of this study is to demonstrate the change in segmental mobility of the thoracic spine with asymptomatic subjects. For that an anterior mobilization of the Evjenth/Kaltenborn concept was used. 15 subjects were examined concerning segmental limitations. 11 subjects were included in the study. The subjects had no complaints or preexisting diseases in the spinal column. Their limited segments in area of the thoracic spine were mobilized on two days of treatment with 5 repetitions and a duration of 50 seconds. In the first treatment a steady pressure of 100 N was applied by using a mobilization wedge. In the second the pressure increased to 140 N. The measurement of the mobility was carried out with the MediMouse method. In the functional tests of the lateral and frontal finger-to-ground distance as well as the thoracic respiratory mobility, the results of both treatments confirmed a significant practical relevance of the manual-therapeutic mobilization treatment of the thoracic spine. Segmental mobility improvements were also seen, but they need further investigation with regard to the sustainability of the measurement results. KW - thoracic spine Y1 - 2017 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2017.pdf SN - 978-83-88380-75-4 SP - S. 123 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorcelec ER -