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 - 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 - 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 - 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 - 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 - GEN A1 - Otto, Gesine A1 - Kirschner, Jana A1 - Braun, Alexander A1 - Martin, Titus A1 - Michel, Sven T1 - The relationship between the physical self-concept and the motor performance level T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe Y1 - 2019 SN - 978-83-88380-77-8 VL - 2019 SP - 23 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Koch, Daniel A1 - Braun, Alexander A1 - Martin, Titus A1 - Michel, Sven A1 - Kirschner, Jana T1 - Physiotherapeutic workplace analysis: The Gathering of the eye-hand-coordination with the Purdue Pegboard-Test in Context with the work-related performance diagnostics T2 - The International Disabled People`s Day - XXIIIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - 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. KW - Physiotherapeutic workplace analysis Y1 - 2017 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2017.pdf SN - 978-83-88380-75-4 SP - 45 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Kirschner, Jana A1 - Looks, Peggy A1 - Michel, Sven A1 - Prill, Robert A1 - Meisinger, Matthias A1 - Martin, Titus A1 - Braun, Alexander T1 - Status und Entwicklung der Sprache von Dresdner Kindern im frühen Kindesalter und die Notwendigkeit therapeutischer Interventionen T2 - The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Die Sprache gilt als wesentliche Schlüsselkompetenz, welche sich auf nahezu alle anderen Entwicklungsbereiche eines Kindes auswirkt. Vor diesem Hintergrund ist es nicht verwunderlich, dass die kindliche Sprachentwicklung unter besonderer elterlicher, erzieherischer und ärztlicher Beobachtung steht. In der nationalen Fachliteratur wird immer wieder zur Diskussion gestellt, dass die Zahl von Sprachentwicklungsstörungen einschließlich der daraus resultierenden Lern- und Verhaltensstörungen in den letzten Jahren drastisch angestiegen sei. Um dieser Frage nachzugehen, wurden die vollständigen Datensätze des Kinder- und Jugendärztlichen Dienstes (KJÄD) der Einschulungsuntersuchungen der Jahre 2008/2009, 2009/2010 und 2010/2011 des Gesundheitsamtes Dresden ausgewertet. Für die Erfassung von Sprachentwicklungsauffälligkeiten kommt seit dem Schuljahr 2004/05 das Screening des Entwicklungsstandes S-ENS zum Einsatz. Ziel dieser Arbeit war es, die aktuellen Prävalenzraten kindlicher Sprachentwicklungsauffälligkeiten in Dresden zu ermitteln. Für die Beurteilung möglicher sozialer Einflüsse auf die Sprachentwicklung wurde ein weiterer unabhängiger Datensatz der Kommunalen Bürgerumfrage aus dem Jahr 2010 hinzugezogen. Die Ergebnisse bestätigten im Untersuchungszeitraum einen leichten Anstieg der auffälligen Testergebnisse des KJÄD von insgesamt 2,8 Prozent, welcher zwischen den einzelnen Ortsämtern sehr stark divergiert. Der Extremgruppenvergleich zeigte anhand der Daten der KBU mögliche Hinweise für soziale Einflüsse auf die Sprachentwicklung des Kindes auf. Die Ergebnisse unterscheiden sich mit 12,5 Prozent zwischen den Punktwertresultaten des S-ENS und der Gesamtbeurteilung des Sprachergebnisses der Ärzte deutlich. Die Ergebnisse dieser Arbeit bestätigen keinen eindeutigen Anstieg der kindlichen Sprachauffälligkeiten in Dresden. Eine weitere Erfassung des Sprachstandes mit Hilfe des S-ENS sollte kritisch überdacht werden. Ein kausaler Einfluss sozioökonomischer Faktoren auf die Sprachentwicklung war anhand der Datensätze nicht beurteilbar und sollte in weiteren Studien untersucht werden. Y1 - 2015 SN - 978-83-88380-73-0 SP - 21 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Prill, Robert A1 - Michel, Sven A1 - Kirschner, Jana A1 - Vorwerg, Susan A1 - Meisinger, Matthias A1 - Braun, Alexander A1 - Martin, Titus T1 - Concerning the evidence of therapeutic assessments: The determination of the range of motion of the knee joint extension T2 - The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - 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. KW - range of motion, knee joint Y1 - 2015 UR - https://www.researchgate.net/publication/273004428_Concerning_the_evidence_of_therapeutic_assessments_The_determination_of_the_range_of_motion_of_the_knee_joint_in_sagittal_plane SN - 978-83-88380-73-0 SP - 77 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Vorwerg, Susan A1 - Michel, Sven A1 - Martin, Titus A1 - Braun, Alexander A1 - Prill, Robert A1 - Kirschner, Jana A1 - Meisinger, Matthias T1 - Influencing parameters on intensity control for cold applications to the knee joint T2 - The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - 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. Y1 - 2015 UR - https://www.researchgate.net/publication/273004421_Influencing_parameters_on_intensity_control_for_cold_applications_to_the_knee_joint SN - 978-83-88380-73-0 SP - 78 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER -