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 - Schulz, Robert A1 - Michel, Sven T1 - Tissue flossing: a new short-duration compression therapy for reducing exercise-induced delayed-onset muscle soreness. A randomized, controlled and double-blind pilot cross-over trial T2 - The Journal of Sports Medicine and Physical Fitness N2 - OBJECTIVES: The symptomatic reduction of exercise-induced delayed onset muscle soreness (DOMS) is of great interest in the fields of Sports Medicine and Physical Therapy. At this time, few therapeutic interventions have proven their effectiveness. One of the most promising interventions is Compression Therapy. The object of this study is Tissue Flossing, a therapeutic short-term compression method and whether its post-exercise application can reduce the extent of perceived DOMS. DESIGN: randomized, controlled, and double-blind pilot cross-over trial. METHODS: Participants (n = 17) without any musculoskeletal injuries were recruited from university students. Participants performed an exercise protocol and obtained the intervention subsequently on one of both arms. Participants had to return for a second day to perform the whole procedure again, this time receiving the flossing intervention on the other arm. At both time points their opposite arms served as the control. The primary outcome measure was a patient reported visual analogue scale 100mm. RESULTS: The mean value of DOMS of the flossed arm was 42mm compared to the non-flossed arm with 48mm. Differences were found to be statistically significant at 24 hours- (p=0,036; α=0.05), as well as at 48 hours post-intervention (p=0,035; α=0.05). Effect sizes were dz=0,408 at 24 hours-and dz=0,411 at 48 hours post-intervention. The clean language effect size was 0.66. CONCLUSIONS: Tissue flossing appears to be an effective method for treating DOMS which is slightly less effective but much more practicable than gold standard treatment. KW - DOMS KW - Muscle KW - Treatment KW - Physiotherapy Y1 - 2018 U6 - https://doi.org/10.23736/S0022-4707.18.08701-7 SN - 1827-1928 SN - 0022-4707 VL - 59 IS - 5 SP - 861 EP - 867 ER - TY - GEN A1 - Prill, Robert A1 - Michel, Sven A1 - Schulz, Robert A1 - Appell Coriolano, Hans-Joachim T1 - Body Composition and Strength Parameters in Elite Judo Athletes 5 Years after Anterior Cruciate Ligament Reconstruction T2 - International Journal of Sports Medicine N2 - The purpose of this study was to investigate if there are still deficits in muscle mass or strength capabilities in elite judo athletes with a history of anterior cruciate ligament reconstruction (ACLR) after their return to the sport. Therefore, bioimpedance analysis, 3D-laser thigh circumference measurement and isokinetic dynamometry in a closed kinetic chain were used. The side-to-side differences were investigated in a group of judo athletes 5 years after ACLR (n=17) and compared with a group of healthy judo athletes (n=27). Neither thigh circumferences, nor muscle masses of the lower extremities differed in formerly injured judo athletes compared to healthy judo athletes. In contrast, isokinetic strength testing showed a significantly larger side-to-side difference of peak muscle force in formerly injured judo athletes (p=0.021). They provided significantly lower peak forces with the formerly injured leg than with the non-injured leg (p<0.001). The authors conclude that strength capabilities, but not body composition, remains altered in recovered judo athletes in mean 5 years after ACLR and definitely after their return to sports. This indicates that the focus of rehabilitation protocols and return to sports assessments should focus more on maximum strength capabilities. KW - ACLR KW - back to competition KW - strength KW - body composition Y1 - 2019 U6 - https://doi.org/10.1055/a-0787-1420 SN - 1439-3964 SN - 0172-4622 VL - 40 IS - 1 SP - 38 EP - 42 ER - TY - GEN A1 - Prill, Robert A1 - Singh, Jasvinder A. A1 - Seeber, Gesine H. A1 - Mai Nielsen, Sabrina A1 - Goodman, Susan A1 - Michel, Sven A1 - Kopkow, Christian A1 - Schulz, Robert A1 - Choong, Peter A1 - Hommel, Hagen T1 - Patient, physiotherapist and surgeon endorsement of the core domain set for total hip and total knee replacement in Germany: a study protocol for an OMERACT initiative T2 - BMJ open Y1 - 2020 U6 - https://doi.org/10.1136/bmjopen-2019-035207 SN - 2044-6055 VL - 10 IS - 6 ER - TY - GEN A1 - Prill, Robert A1 - Becker, Roland A1 - Schulz, Robert A1 - Michel, Sven A1 - Hommel, Hagen T1 - No correlation between symmetry based performance measures and patient related outcome prior to and after total knee arthroplasty T2 - Knee surgery, sports traumatology, arthroscopy N2 - Standardized outcome measures are crucial for the evaluation of different treatment and rehabilitation regimes in patients after total knee arthroplasty (TKA). Performance-based measures are necessary to capture different aspects of physical function. High reliability and agreement of five performance-based measures were hypothesized to differentiate between measurement error and change in test performance. Secondary outcomes are the correlation of performance-based measurements to KSS and WOMAC prior to surgery (baseline) and 10 weeks thereafter (t3). Methods The test–retest reliabilities and agreements of the 1-m walk test, the stair-climbing test, the timed-up-and-go test, the weight-balanced-chair-rising test and the isometric maximum knee extension force in patients undergoing total knee replacements were studied. The intraclass correlation coefficient was calculated and a Bland–Altman analysis performed. The weight-balanced-chair-rising test showed a symmetry at baseline = 0.77, 5 ± 1 days after surgery (t1) = 0.50, 9 ± 1 days (t2)= 0.59 and (t3)= 0.80. All performance tests showed high intraclass correlation coefficients (ICC= 0.81–0.99). The 10-m walk test, stair climbing test, and the timed-up-and-go test showed high agreement in the Bland–Altman analysis. The Bland–Altman analysis for the weight-balanced-chair-rising test and isometric knee extension force indicated high agreement at 5 and 9 days postoperatively, but the relative measurement error increased pre- and 10 weeks postoperatively. In conclusion, symmetry, as an important outcome after TKA, is a reliable and rather unique item that should unquestionably be added to established measurements like walking tests or survey-based function assessment. The implementation of standardized performance-based measures to assess physical function in rehabilitation procedures will help to improve the more objectively based assessment of different rehabilitation protocols. KW - Osteoarthritis KW - Outcome assessment KW - Functional tests KW - Total knee replacement KW - Total knee arthroplasty KW - Outcome set Y1 - 2021 U6 - https://doi.org/10.1007/s00167-021-06570-3 SN - 1433-7347 VL - Vol. 30 (2022) IS - 9 SP - 3155 EP - 3161 ER - TY - CHAP A1 - Prill, Robert A1 - Schulz, Robert A1 - Kowal, Cindy A1 - Vorwerg, Susan A1 - Michel, Sven T1 - Measurement of the hydration-status of the lumbar discs. Reliability of the measurement of the spinal height with the VITRONIC 3D-Bodyscanner T2 - Międzynarodowy Dzień Inwalidy, XXIV- Edycja, Życie bez bólu, Zdrowe Dzieci-Zdrowa Europa, Wielka nauka dla małych pacjentów, Zgorzelec, 15-17 marca 2018 N2 - Low back pain is one of the most common diseases in industrial society with a major impact on quality of life. It is suggested that approximately 40% of chronic low back pain (CLBP) is disc related in form of internal disc disruptions. Dehydration of the disc leads to stress concentrations in the disc itself and apophyseal joints. Upright-MRI is likely to become the ‘gold-standard’-measurement for determination of IVD heights, its practical usability will remain limited because of its high cost and its low availability. The aim of this study is to investigate the accuracy and reliability of the measurement of the height of the spine with the 3D-Bodyscanner. Therefore, the reliability of different measurement settings (S) had to be investigated. S1: At first it was investigated, if the length of the spine can be measured reliable with the 3D-Bodyscanner when the same person is measured twice without moving between the measurements. The reliability and the first tester influenced bias is estimated. S2: The same person was measured after the person moved from the chair in between both measurements. S3: The participants were measured twice and the markers were renewed between both measurements. Furthermore, the standard error of measurement (SEm) was estimated to compare the accuracy of this measurement with expectable changes in spinal height in daily live and different research tasks . 14 healthy men and 14 healthy women participated in this study. The following pearson correlation coefficients (r) and SEms resulted from the different measurement settings: S1: The measurement of the spinal length in humans that did not move in between the two measurements correlated with r=0.99. This resulted in a SEm of 3.5mm. S2: The measurement of the spinal length in humans that moved in between the measurements but kept the same markers on their spine correlated with r=0.98. This resulted in a SEm of 4.1mm. S3: The measurement of the spinal length in humans that moved in between the measurements and got new markers applied on their spine correlated with r=0.95. This resulted in a SEm of 7.1mm. The measurement of the spinal height with the VITRONIC 3D-Bodyscanner appears to be highly reliable, especially if the markers do not have to be renewed for the retest (S1 and S2). The accuracy of this measurement method seems to be high enough to measure the exercise- or traction induced height changes in the spine. In the case of measuring the height change that is induced by 10 minutes of different types of positioning, the change is maybe to small to be detected. Even if the markers have to be renewed, the accuracy is still discussable to measure diurnal height changes. In conclusion, the 3D-Bodayscanner appears to be a more cost-effective alternative for the measurement of specific segments of the spine than MRI and a practicable alternative for science in the field of de- and rehydration. KW - Reliability KW - VITRONIC KW - lumbar disc Y1 - 2018 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2018_WEB.pdf SN - 978-83-88380-76-1 U6 - https://doi.org/10.13140/RG.2.2.15781.81122/1 SP - S. 215 PB - Obrzeża Oficyna Wydawnicza CY - Zgorzelec ER - TY - GEN A1 - Prill, Robert A1 - Krolikowska, Aleksandra A1 - Schulz, Robert A1 - Oleksy, Lukasz A1 - Michel, Sven A1 - Becker, Roland T1 - Verletzungen im Judo – Risikosportart oder Risikosportler? T2 - Sports Orthopaedics and Traumatology Y1 - 2023 U6 - https://doi.org/10.1016/j.orthtr.2023.03.008 SN - 0949-328X VL - 2 IS - 39 SP - 185 PB - Elsevier CY - Amsterdam ER - TY - GEN A1 - Prill, Robert A1 - Singh, Jasvinder A. A1 - Seeber, Gesine H. A1 - Mai Nielsen, Sabrina A1 - Goodman, Susan A1 - Michel, Sven A1 - Kopkow, Christian A1 - Schulz, Robert A1 - Choong, Peter A1 - Hommel, Hagen T1 - Endorsement des OMERACT Core Domain Sets für Hüft- und Kniegelenkersatz: ein Survey unter Patienten, Physiotherapeuten und Orthopäden in Deutschland – ein Studienprotokoll T2 - 4. Forschungssymposium Physiotherapie, FSPT2019 Abstractband Y1 - 2019 UR - http://www.dgptw.org/symposien/fspt-2019/fspt2019-abstractband SP - 45 EP - 46 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 - 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 - 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 - Prill, Robert A1 - Michel, Sven A1 - Schulz, Robert A1 - Zirr, Matthias A1 - Seeber, Gesine H. T1 - PO-N-12-SAT2 the influence of an anterior cruciate ligament reconstruction on selected strength parameters five years after injury in competitive Judo athletes KW - return to sport, knee injuries, performance tests Y1 - 2019 UR - https://www.abstractstosubmit.com/wcpt2019/archive/#/viewer/abstract/614 CY - World Confederation for Physical Therapy (WCPT) Congress Geneva ER - TY - GEN A1 - Zirr, Matthias A1 - Prill, Robert A1 - Schulz, Robert A1 - Michel, Sven T1 - PO-J-27-MON1 investigation of the reliability of antrophrometric length measurements with a three-dimensional full-body scanner KW - Reliability, length measurements, full-body scan Y1 - 2019 UR - https://www.abstractstosubmit.com/wcpt2019/archive/#/viewer/abstract/2474 CY - World Confederation for Physical Therapy (WCPT) Congress Geneva ER - TY - GEN A1 - Prill, Robert A1 - Schulz, Robert A1 - Michel, Sven A1 - Becker, Roland T1 - P20-1308 Lower limb strength and power in competitive Judokas five years after ACLR Y1 - 2021 UR - https://www.researchgate.net/publication/351479254_P20-1308_Lower_limb_strength_and_power_in_competitive_Judokas_five_years_after_ACLR 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 - Schulz, Robert A1 - Prill, Robert A1 - Kirschner, Jana A1 - Zirr, Matthias A1 - Michel, Sven T1 - PO-G-10-SUN2 eccentric training for rotator cuff tendinopathies: a systematic review of randomized controlled trials T2 - World Confederation for Physical Therapy (WCPT) Congress Geneva KW - eccentric, 'rotator cuff', tendinopathy Y1 - 2019 UR - https://www.abstractstosubmit.com/wcpt2019/archive/#/viewer/abstract/3107 ER - TY - GEN A1 - Prill, Robert A1 - Appell Coriolano, Hans-Joachim A1 - Michel, Sven A1 - Alfuth, Martin T1 - The Influence of the Special Throwing Technique on the Prevalence of Knee Joint Injuries in Judo T2 - Archives of Budo KW - Injury KW - Judo KW - knee joint Y1 - 2014 SN - 1643-8698 VL - 10 SP - 211 EP - 216 ER - TY - GEN A1 - Lichan, Sophia A1 - Prill, Robert A1 - Michel, Sven T1 - Performance-determining coordinative and conditional abilities in the fire brigade sport discipline "100m obstacle course" within elite female athletes T2 - International Journal of Sports and Exercise Medicine N2 - Fire brigade sport is a common sport in parts of Europe, with a growing body of popularity. In sports science, no research has been carried out in this field up to date. In consequence, there are no structures for talent scouting in firefighting sports. "100 m obstacle course" is one out of the four disciplines in this sport. For an efficient scouting of talents and training in general the necessary conditional and coordinative abilities must be identified. Dynamic balance, short sprint and motor differentiation ability seem to be promising abilities for determining completion performance. In 16 elite female fire brigade athletes the Purdue Pegboard Test for motor differentiation ability, a 23 m sprint for basic speed and Backward balancing, representing dynamic balance, were performed. Those results were correlated to the completion performance of those athletes to identify the highest influencing factors on performance in this discipline. In 16 elite female fire brigade athletes the Purdue Pegboard Test for motor differentiation ability, a 23 m sprint for basic speed and Backward balancing, representing dynamic balance, were performed. Those results were correlated to the completion performance of those athletes to identify the highest influencing factors on performance in this discipline. KW - Fire fighter sport KW - Fire brigade sport KW - Conditional abilities KW - Talent scouting Y1 - 2019 U6 - https://doi.org/10.23937/2469-5718/1510124 SN - 2469-5718 VL - 5 IS - 3 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 - GEN A1 - Prill, Robert A1 - Becker, Roland A1 - Michel, Sven T1 - Kraftindex deutet bei Judoka 5 Jahre nach Kreuzbandruptur auf Muskelfaserspektrumsänderung hin T2 - Sports Orthopaedics and Traumatology Y1 - 2022 U6 - https://doi.org/10.1016/j.orthtr.2022.02.025 SN - 1876-4339 VL - 38 IS - 2 SP - 198 EP - 199 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 - CHAP A1 - Ehses, Jella A1 - Neuser, Johanna A1 - Braun, Alexander A1 - Martin, Titus A1 - Michel, Sven A1 - Prill, Robert T1 - Physiotherapeutic performance diagnsotic as a preventive element in training control. An insight in the diagnostic of speed strength of the handball players T2 - The International Disabled People's Day - XXIII edition - Life without Pain/Healthy Children - Healthy Europe N2 - An important performance perequisites in men handball are the conditional abilities. Especially the sprinting skills and the bounce and reactive capacities of the handball players are convenient. Increasingly performance diagnostic is transferred to the supporting physiotherapists so as, in case of motoric malformation, targeted adjustments affecting the training contants can be made from a physiotherapeutic perspective. This study takes up the aspect of performance diagnostic in the range of speed and reactive strength and pusues their comperance of the 1st and 2nd team of the handball club Elbflorenz Desden (HCE, N=23). Both teams completed a standardized warm up. Based on a light barrier system the speed strength was measured during a 20 meter sprint. The measurement of the reactive strength followed as drop jump, whereby the ground contact time of the players was collected by using the Opto jump next. The outcome showed significantly higher results in speed and reactive strength of the 1st team. Due to the performance differences of the two teams, players of the 2nd team should not be playing in the 1st team without acomplishing a specific training of speed strength. On the one hand it would lead to a poorer overall performance and on the other hand increase the susceptibility to injury. KW - performance diagnostic Y1 - 2017 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2017.pdf SN - 978-83-88380-75-4 SP - S. 164 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - CHAP A1 - Raband, Konrad A1 - Martin, Titus A1 - Braun, Alexander A1 - Michel, Sven A1 - Prill, Robert T1 - Handgripstrength as central criterion in employment capacity-diagnostics – a study from the perspective of T2 - The International Disabled People's Day - XXIII edition - Life without Pain/Healthy Children - Healthy Europe N2 - Handgripstrength is used as highlighter for muscural capacity. Also it is capable to predict a healthy aging process and the future morbidity. Because of these facts the handgripstrength is used in the capacity-diagnostics for employment. Aim of this study was to examine the deficits of people from the second labour market comparative to people out of the first labour market. To expose these deficits the handgripstrength of 19 people(nmale=14; nfemale=5) out of the second labour market was measured with an handdynamometer and compared to the average of 28000 people from the first labour market. The results have shown that there is no lack of perfomance in the handgripstrength of people from the second labour market. Conclusively the handgripstrength as an important requirement for work and reference of the muscural capacity, is not the limiting factor for an employment in the first labour market. KW - employment capacity Y1 - 2017 UR - http://mdi-online.net/MDI/images/Streszczenia_Abstracts_MDI_2017.pdf SN - 978-83-88380-75-4 SP - S. 44 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 - 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 - 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 - Prill, Robert A1 - Michel, Sven T1 - Beweglichkeit der sagittalen Kniegelenkbeweglichkeit T2 - Manuelle Medizin KW - Reliabilität KW - Kniegelenk Y1 - 2015 U6 - https://doi.org/10.1007/s00337-015-1257-y SN - 0025-2514 SN - 1433-0466 VL - 53 IS - 4 SP - 290 EP - 294 ER - TY - GEN A1 - Prill, Robert A1 - Michel, Sven T1 - Wissenschaft lernen T2 - PT Zeitschrift für Physiotherapeuten Y1 - 2013 SN - 0023-4494 SN - 1614-0397 VL - 65 IS - 9 SP - 76 EP - 79 ER - TY - GEN A1 - Jahnke, Sonja A1 - Cruysen, Caren A1 - Prill, Robert A1 - Kittmann, Fabian A1 - Pflug, Nicola A1 - Albert, Justin Amadeus A1 - Camargo, Tibor de A1 - Arnrich, Bert A1 - Krolikowska, Aleksandra A1 - Kolcz, Anna A1 - Reichert, Pawel A1 - Oleksy, Lukasz A1 - Michel, Sven A1 - Kopf, Sebastian A1 - Wagner, Michael A1 - Scheffler, Sven A1 - Becker, Roland T1 - Protocol for a Randomized Crossover Trial to Evaluate the Effect of Soft Brace and Rigid Orthosis on Performance and Readiness to Return to Sport Six Months Post‑ACL‑Reconstruction T2 - Healthcare N2 - A randomized crossover trial was designed to investigate the influence of muscle activation and strength on functional stability/control of the knee joint, to determine whether bilateral imbalances still occur six months after successful anterior cruciate ligament reconstruction (ACLR), and to analyze whether the use of orthotic devices changes the activity onset of these muscles. Furthermore, conclusions on the feedforward and feedback mechanisms are highlighted. Therefore, twenty‑eight patients will take part in a modified Back in Action (BIA) test battery at an average of six months after a primary unilateral ACLR, which used an autologous ipsilateral semitendinosus tendon graft. This includes double‑leg and single‑leg stability tests, double‑leg and single‑leg countermovement jumps, double‑leg and single‑leg drop jumps, a speedy jump test, and a quick feet test. During the tests, gluteus medius and semitendinosus muscle activity are analyzed using surface electromyography (sEMG). Motion analysis is conducted using Microsoft Azure DK and 3D force plates. The tests are performed while wearing knee rigid orthosis, soft brace, and with no aid, in random order. Additionally, the range of hip and knee motion and hip abductor muscle strength under isometric conditions are measured. Furthermore, patient‑rated outcomes will be assessed. Y1 - 2023 U6 - https://doi.org/10.3390/healthcare11040513 SN - 2227-9032 VL - 11 IS - 4 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 - Stablo, Inga A1 - Martin, Titus A1 - Zirr, Matthias A1 - Prill, Robert T1 - PL-00675 the effect of the nordic hamstring exercise on hamstring injuries in professional football players: a systematic review and meta-analysis T2 - Conference: World Physiotherapy Congress 2021 N2 - Background: The most common individual diagnosis among professional football players is hamstring strain or rupture of the hamstring muscle fibres. This kind of injury is mainly based on intrinsic factors such as structural overload which accounts for 17% of all moderate and severe competition injuries. Following knee and ankle joint, hamstrings are the third most common structure to suffer from injuries. As previous reviews show, eccentric training, such as the Nordic Hamstring Exercise (NHE), can reduce hamstring injuries. However, in those reviews other sports in addition to soccer were also examined in one sample. Purpose: The aim of this review is to synthesize the best available evidence on the effectiveness of the NHE as an intervention in the prevention of hamstring injuries in soccer players. Methods: The search for the studies was done in the PubMed, PEDro, Cochrane Library and EB-SCO databases. There was no language or time restrictions. Titles, abstracts and full texts of the respective studies were verified by two independent reviewers and selected using the inclusion criteria. In addition, critical evaluation tools were used to assess the methodological qualities of the respective studies followed by data extraction in JBI SUMARI. Meta-analysis was performed. Results: Four studies were included in this systematic review. Three studies compared NHE as an intervention with conventional football training and one study conducted hamstring curls as a control intervention. The duration of the studies ranged from 2.5 to 6.75 months, with a total of 28312 NHE sessions and 25918 training sessions in the control groups. The intervention groups showed a total of 30 hamstring injuries and the control groups developed a total of 80 injuries. A sample of 1780 soccer players were examined, 909 in the intervention groups and 871 in the control groups. The overall mean odds' ratio was significantly below one (95% CI, P= 0.335). The probability of suffering a hamstring injury was between 0.22 and 0.53 times lower in the intervention group than in the control group. The test for heterogeneity showed no significance (I² = 9). Conclusion(s): The NHE can help to reduce hamstring injuries in football players. However, due to the small number of studies included, the result should be interpreted with caution and more clinical studies should be conducted in the future. Implications: Looking at the total number of days lost per player in a season, professional football has a total of approximately 25,900 days lost, which is three times more than in other sports. Every injury is associated with lost time and additional costs. This review aimed to examine a cost-efficient exercise for its preventive effect. To counteract injuries in soccer and the factors associated with them,. showing chances to reach those goals. Y1 - 2021 UR - https://www.researchgate.net/publication/350811009_PL-00675_THE_EFFECT_OF_THE_NORDIC_HAMSTRING_EXERCISE_ON_HAMSTRING_INJURIES_IN_PROFESSIONAL_FOOTBALL_PLAYERS_A_SYSTEMATIC_REVIEW_AND_META-ANALYSIS_Type_Platform_classic_PL_I ER - TY - GEN A1 - Bergmann, Lena A1 - Kirschner, Jana A1 - Michel, Sven A1 - Geiß, Michaela A1 - Braun, Alexander A1 - Prill, Robert T1 - Reliability of CTT Pegasus and Back-Check® T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Isometric maximum strength measurement of the trunk is a common tool to investigate performance of athletes and patients. The current study aims to evaluate the parallel test reliability of two systems: the CTT Pegasus and the Back-Check®. Maximum isometric force of the trunk musculature in sitting and standing position for flexion and extension is analyzed and compared. Also the ratio of extension/flexion is examined. 19 healthy subjects, 23.1 ± 2.1 years old participated in this study. Inclusion criteria consisted of voluntary participation, physical and psychological health, athletic activity and an age between 21 and 30 years. Exclusion criteria were acute pain, inadequate physical condition, claustrophobia, respiratory disorder such as asthma, age under 21 or above 30 years, as well as the manufacturers’ specifications. After a general and specific warm-up, the participants performed 6 seconds of maximum isometric contraction in both systems in randomized order including a one-minute break between each test. Between systems, a three-minute break was ensured. Spearman correlation and the Wilcoxon Signed Rank test for differences is used. The significance level is set to 0.05. Both systems showed significant correlations for the measurement of the flexion. Y1 - 2019 SN - 978-83-88380-77-8 SP - 75 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 - TY - GEN A1 - Martin, Titus A1 - Braun, Alexander A1 - Michel, Sven A1 - Meisinger, Matthias A1 - Prill, Robert A1 - Kirschner, Jana A1 - Vorwerg, Susan T1 - The objective measurement of individual work-related functional performance in the context of medical rehabilitation - First results of a case study with the ERGOS - Work Simulator T2 - The International Disabled People`s Day - XXIth edition - Life without Pain / Healthy Children - Healthy Europe N2 - In the context with the high meaning of work for the human, the enormous job-specific demands on psychophysical performance and the need for a rapid return to working life in case of injury or disease, the importance of the diagnosis of occupational performance in therapy is high. Diagnostically and therapeutically challenging to workers are mainly the biomechanical, the sensomotoric and psychosocial strain in the workplace. In case of illness with rehabilitative requirements should therefore medical therapy be dovetailed with work and work-related activities. That connection is a necessary development of rehabilitative care system in Germany, not least in view of the legal order of the German Pension Insurance to help injured patients and to support their return to work. In the work-related orientation of medical rehabilitation is the professional life of rehabilitation involved in all phases of therapy. The instruments for the diagnosis of occupational problems are both objectively and subjectively oriented Questionnaires with external and self-assessment, FCE systems (functional capacity evaluation) and medical documentation systems. The Ergos® Work Simulator is a psychophysical FCE system, which captures the individual motor skills in relation to the performance of job-specific requirement profiles. The evaluation of job performance is based on a profile pool of about 14,000 professional activities. The tests are standardized and analyze frequent physical aspects of the work (eg lifting, carrying) to ensure a realistic assessment. KW - individual work - related functional performance; work simulator Y1 - 2015 UR - https://www.researchgate.net/publication/273004385_The_objective_measurement_of_individual_work_-_related_functional_performance_in_the_context_of_medical_rehabilitation_-_First_results_of_a_case_study_with_the_ERGOS_-_Work_Simulator SN - 978-83-88380-73-0 SP - 17 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER -