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 - 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 - Lichan, Sophia A1 - Michel, Sven A1 - Prill, Robert A1 - Martin, Titus A1 - Kirschner, Jana T1 - Focus prevention: Performance-determining coordinative and conditional abilities in the fire brigade sport discipline "100m obstacle course" within elite female athletes T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Fire brigade sport is a sport with increasing in popularity. Till now, there are hardly any scientific approaches for recording performance-determining factors to be foung. For develop training-, but also prevention- and rehabilitation strategies, an analysis of the performance determining factors is required. The aim of the present study is to gain initial insights into condition and coordination. At this point we focus on female fire fighters in the discipline "100m obstacle course". Due to the lack of basic research, the research approaches were logically validated. By using the Purdue Pegboard Test, a 23m sprint and a backward balancing test, insights about the influence of the ability to differentiate, the dynamic ability to balance and the basic speed on the best performance in competition (PiC) are to be investigated. The PiC of the test persons of the discipline "100m obstacle course" is 20.58s ± 1.39s in average. The fastest time is 18,68s and the slowest time 23,87s. This results in a span (d) of 5.19s. When testing the motor differentiation ability, the test persons require an average of 8.70s ± 1.00s. The fastest test result is 7.29s and the slowest is 10.50s. This results in a range of 3.21s for the test results. When testing the dynamic balance ability, the test persons required an average of 11.30s ± 1.50s. The minimum of the values and thus the fastest time is 9.50s. The maximum is 14.28s. The span is 4.78s. The test persons needed an average of 4.47s ± 0.26s for running the "23m Sprint". The fastest time was 4.23s and the slowest time 5.30s. The range (d) between the fastest and slowest time is 1.07s. All test results are in a monotonous connection with the PiC of the test persons. The basic speed has the highest correlation (r=0.81). The dynamic equilibrium ability correlates with r=0.63 with PiC. There is hardly any correlation to the motor differentiation ability (r=0.18). It should be noted that in the training-, prevention- and rehabilitation process, particular attention must be paid to the creation and restoration of sprinting ability and dynamic balance ability. Y1 - 2019 SN - 978-83-88380-77-8 SP - 71 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Kirschner, Jana A1 - Michel, Sven A1 - Becker, Roland A1 - Stiebitz, Olaf A1 - Hommel, Hagen A1 - Schulz, Robert A1 - Daszkiewicz, Maciej A1 - Krolikowska, Aleksandra A1 - Prill, Robert T1 - Determination of Relationships between Symmetry-Based, Performance-Based, and Functional Outcome Measures in Patients Undergoing Total Hip Arthroplasty T2 - Journal of Personalized Medicine N2 - Due to the high heterogeneity in outcome measures after total hip arthroplasty (THA), the prospective observational study investigated the relationships between symmetry-based (SBMs), performance-based (PBMs), and functional outcome measures in THA patients to determine necessary or redundant categories of tests. The study material consisted of 24 patients with end-stage hip osteoarthritis scheduled for THA. The patients were examined one day before surgery and consecutively on the 4th day, 9th day, and 10th week postoperatively using the SBMs (weight-bearing chair-rising test, measurements of the maximal isometric torque of the quadriceps muscle); the PBMs (10-m walk, timed up-and-go, and stair-climbing tests); and the functional outcome measure (Harris Hip Score). The results obtained in a given category of tests at different time points were compared, and the correlations between the tests were determined. The reliability of the outcome measures was determined. The results of tests in the studied categories statistically significantly (p < 0.05) improved at the 10th week postoperatively compared to preoperative results. No strong correlations were revealed between the three studied types of outcome measures in THA patients. Therefore, none of them can be considered redundant. It also means that the relevance of symmetry for a core measurement set to describe the domain function in THA patients must be further clarified. Y1 - 2023 U6 - https://doi.org/10.3390/jpm13071046 SN - 2075-4426 VL - 13 IS - 7 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 - Prill, Robert A1 - Michel, Sven A1 - Schulz, Robert A1 - Kirschner, Jana A1 - Hommel, Hagen T1 - Quality criteria of common measurement methods in the description of the domain physical functional function after endoprosthetic treatment of the knee joint T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Total Joint Replacement (TJR) is the gold standard for the treatment of end‐stage osteoarthritis of the knee joint. The added value of prosthetic treatment is largely undisputed. The comparability of clinical studies to quantify this added value, on the other hand, is hardly given. The initiative "Outcome Measures in Rheumatolgy" (OMERACT) achieved consensus between different actors in the research process regarding the core domain sets to be applied. Pain, function, patient satisfaction, revision rate, adverse effects and Death were identified as mandatory domains. However, the so‐called core measurement sets, which are used to describe a domain, are still controversial. For example, the domain function can be recorded using questionnaires or with physically functional test procedures. Symmetry, walking ability and leg strength are accepted subdomains of this domain. This study was conducted in an acute clinical setting. Included were twenty‐four volunteers who received TJR there. All patients completed the questionnaires KOOS and WOMAC. A test supported by two piezoelectric force plates to measure symmetry during five transfers from the seat to the stand serves to describe this subdomain. The common test methods Timed up and go, Ten Meter Walking Test and Stair Climbing Test were used to measure the subdomain walking ability. A manual extension torque test, using a Micro Fed 2 dynamometer, was used to determine the force of the Quadricps femoris muscle. The test retest design was applied preoperatively, 5 and 10 days postoperatively and 10 weeks postoperatively with complete breaks within a test day. The test procedures used here to determine symmetry and walking ability at all measurement times impress reliable (r>0.80). The reliability of the force measurement is insufficient. Disturbances are the constitution of the tester and the pain condition of the patient. The test procedures for determining walking ability have a high degree of redundancy over time, so that only one has to be used in a Core Measurement Set. Since the correspondence between the physically functional tests performed and the questionnaires for recording the function is insufficient, the thesis is supported that procedures must be used from both areas to describe the domain function accurate. Y1 - 2019 SN - 978-83-88380-77-8 SP - 116 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Müske, Carina A1 - Kirschner, Jana A1 - Scheffler, Bettina A1 - Michel, Sven A1 - Prill, Robert T1 - Effects of treadmill training compared to conventional physiotherapy, other treadmilltraining or no intervention on gait cycle parameters stride length and walking speed, gait capacity and fatigue of patients with multiple sclerosis T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Multiple sclerosis is the most common neurological disease of young adults leading to permanent disability and early retirement. There are currently about 224,000 people affected in Germany. The disease is an inflammatory autoimmune disease with a broad spectrum of symptoms. The most common symptoms are fatigue and walking disabilities. Approximately 75% of patients suffer from difficulties in movement and balance, which lead to postural stability, walking ability and an increased risk of falling. 80 - 97% of those affected also suffer from fatigue symptoms. Both gait disorders and fatigue have the greatest negative effects on the quality of life and activities of daily life. The review shows, how treadmill training of different types affects the gait parameters stride length and walking speed; gait capacity and fatigue in patients with multiple sclerosis of all types and disability rates compared to no intervention, other treadmill training or conventional physiotherapy and how it should be dosed. Nine studies with a total of 294 participants will be evaluated in this systematic review. The study results are categorized according to their type of training. Compared to no intervention, conventional treadmill training shows significant improvements in walking speed and partial in fatigue and gait capacity. Furthermore, it indicates that treadmill training with negative slope achieves significantly better results in gait capacity and fatigue. The comparison of treadmill training with Virtual Reality shows no advantage over conventional treadmill training and a robot-supported treadmill training does not show any superiority over conventional gait training. Treadmill training is an adequate alternative to conventional gait training in physiotherapy. The study situation is very rare and is not sufficient to completely determine the effects of treadmill training in multiple sclerosis. Further high-quality studies will be needed to investigate the effects of treadmill training on a larger sample size compared to conventional gait training or other treadmill training in patients with impaired walking ability and to examine the effects of training on a more homogeneous group of participants. Thus, possible interindividual differences between the different types of MS and disabilities could be identified and more specific conclusions could be drawn. Y1 - 2019 SN - 978-83-88380-77-8 SP - S. 51 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Schulz, Robert A1 - Prill, Robert A1 - Kirschner, Jana A1 - Jensen, Leif A1 - Michel, Sven T1 - Symmetry of Ground Reaction Forces during the Deadlift Exercise in dependency of different Gripping Techniques T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Unspecific low back pain (ULBP) is related to symmetry, morphology and strength of the back muscles. For the treatment of ULBP, exercise therapy is the treatment of choice. The deadlift exercise is commonly used in athletes to develop basic strength of the trunk muscles but lately it is also suggested to be used in patients with ULBP. Until now, there is no data available how the different gripping techniques affect symmetry during the deadlift and therefore the safety of this exercise in a rehabilitative or preventive setting. The aim of thisstudy wasto investigate whether different gripping techniques during the deadlift exercise affect the symmetry of the ground reaction forces during the exercise. Sixteen healthy participants were asked to perform a deadlift on a ground reaction force plate three times with three different gripping techniques each time. The different gripping techniques were double pronated (DP), handed supinated (HS) and non‐handed supinated (NHS). All participants were randomly assigned to three different chronologies of the gripping techniques. The main outcome measurement was the symmetry of the ground reaction forces during the deadlift exercise. Therefore, the maximum side to side differences and the mean side to side differences during the performance of the deadlift were analysed with a repeated measures ANOVA. Post‐hoc testing was done with the Bonferroni‐test. The three different gripping techniques show significant differences between the groups for the maximal differences (F(1.2)=7.523, p=0.01) and the mean differences (F(1.419)= 6.347, p=0.013). Posthoc testing revealed significant differences between DP and HS for the maximum asymmetry (p=0.009) and for mean asymmetry (p=0.035). Between DP and NHS there were significant differencesfor maxiumum asymmetry (p=0.003) and a tendency for differences for mean asymmetry (p=0.051). No significant differences were found between HS and NHS (p>0.05). The results of this study show that the use of different gripping techniques significantly affect the side to side asymmetry during the deadlift. The DP grip results in lower asymmetry the switch grips HS and NHS. Therefore, this study indicates that the DP gripping style should be used in patients with ULBP. Y1 - 2019 SN - 978-83-88380-77-8 SP - 100 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Vorwerg, Susan A1 - Michel, Sven A1 - Kirschner, Jana A1 - Braun, Alexander A1 - Martin, Titus T1 - The meaning of the work intensity when capturing the work related capacity in the context of the “professional life of the future”. T2 - The International Disabled People`s Day - XXIVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Nowadays, employment takes a central role in the society, the work-related performance diagnostics are increasingly becoming the focus of attention. In consideration of the changing professional life, by mega trends like digitization, globalization and demographic change, there is a need to adapt these procedures to future-relevant conditions. Because of that, the aim of this investigation is to fathom the importance of the work intensity for the future job market. The sample consists of 86 persons. The first group (N = 36) encloses employed person of the first job market. The second group (N = 50) exists of people of the federal program „Social Participation in the labor market“. About a cross section elevation both groups were compared with each other as well as standard value comparisons were drawn. The upraised parameters are the state of health and the work intensity on the example of lifting force (lifting ground to waist height). The health situation of these both groups showed significant differences in almost all parameters. The central result is the missing significance between the groups in the maximum force values while lifting. Also the standard value comparison of lifting did not produce a significant association to the group and less than half of all study participants reached the norm. Despite differences in the health status of the two groups, due to the approximate force values of lifting, a decreasing importance of this ability to participation in the future labor market can be noted. In conclusion, the existing work-related diagnostic procedures which still move the working intensity in the center of all assessments, should be reconsidered. However this results reflects initial tendencies, this has to be proven by further investigations. Y1 - 2018 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2018_WEB.pdf SN - 978-83-88380-76-1 SP - 106 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Prill, Robert A1 - Schulz, Robert A1 - Kirschner, Jana A1 - Michel, Sven A1 - Becker, Roland A1 - Hommel, Hagen T1 - Reliability, feasibility and performance development of the weight balanced chair rising test in patients before and after total knee arthroplasty T2 - World Physiotherapy Congress 2021 N2 - Knee osteoarthritis is the most prevalent joint disease worldwide and total knee arthroplasty (TKA) is often the only evidence-based treatment option left for patients with endstage osteoarthritis. The postoperative outcomes as well as the different rehabilitation procedures are most commonly evaluated by patient-reported outcome measurements (PROMs). However, in acute clinical-stage stages, performance-based measures were shown to yield greater responsiveness than PROMs, which failed to capture functional declines and may overestimate long-term functional improvements. Moreover, these tests represent a variety of daily life activities which helps to estimate whether a patient is functioning adequately prior to discharge from hospital and in the following rehabilitation. The ability to rise from a sitting position is one of those activities which is important for an elderly person to maintain an independent life. Also, it was shown that chair rising test performance is highly correlated with deviations in gait patterns. However, there is no data available yet if this test can be used at perioperative time-points in patients undergoing TKA and how reliable this test is. Therefore, this study investigates the reliability and the minimal detectable change and the development of the performance of the weight-balanced chair rising test in patients before and after TKA. This study was designed as a test-retest reliability study. Participants were recruited in an orthopedic hospital after they were scheduled for total knee arthroplasty. The participants performed two chair rising tests (five-times-sit-to-stand) on a ground reaction force plate at one-day preoperatively (M0), five days- (M1), ten days (M2)- and ten weeks postoperatively (M3). The test-retest reliability of the weight balanced asymmetry measured as ground reaction force in Newton was analyzed for each of the four time-points. Therefore, the minimal detectable change within a confidence interval of 95% (MDC95) and the ICC were calculated. 16 male and 8 female subjects (N=24) with a mean age of age 63,93 (±9,59) were included. The mean side-to-side difference in N was 138(±104) at M0, 319(±125) at M1, 254(±109) at M2 and 116(±74) at M3. The test-retest reliability ranged between ICC=.84-.96 at all four time points, indicating good to excellent reliability. The MDC95 ranges from 79–113 N. No adverse events were recorded after the performance of the test and no participants dropped out because of study-related reasons. The weight-balanced chair rising test shows good- to excellent reliability. After an initial decrease of loading symmetry at M1 and M2 preoperative levels are reached as early as at M3. The weight-balanced chair rising test provides objective data about loading symmetry during an activity of daily living. It is reliable and feasible to use in as well in-patient as out- patient rehabilitation of patients with TKA. Y1 - 2021 UR - https://www.researchgate.net/publication/350759868_PL-01055_RELIABILITY_FEASIBILITY_AND_PERFORMANCE_DEVELOPMENT_OF_THE_WEIGHT_BALANCED_CHAIR_RISING_TEST_IN_PATIENTS_BEFORE_AND_AFTER_TOTAL_KNEE_ARTHROPLASTY 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 -