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  <doc>
    <id>318</id>
    <completedYear/>
    <publishedYear>2012</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>1493</pageFirst>
    <pageLast>1499</pageLast>
    <pageNumber/>
    <edition/>
    <issue>7</issue>
    <volume>36</volume>
    <type>article</type>
    <publisherName>Springer</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2020-02-18</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Cartilage labelling for mechanical testing in T-peel configuration</title>
    <abstract language="eng">PURPOSE:&#13;
The purpose of this study was to find a suitable method of labelling cartilage samples for the measurement of distraction distances in biomechanical testing.&#13;
&#13;
METHODS:&#13;
Samples of bovine cartilage were labelled using five different methods: hydroquinone and silver nitrate (AgNO3), potassium permanganate (KMnO4) with sodium thiosulphate (Na2S2O3), India ink, heat, and laser energy. After the labelling, we analysed the cartilage samples with regard to cytotoxity by histochemical staining with ethidiumbromide homodimer (EthD-1) and calcein AM. Furthermore, we tested cartilages labelled with India ink and heat in a T-peel test configuration to analyse possible changes in the mechanical behaviour between marked and unlabelled samples.&#13;
&#13;
RESULTS:&#13;
Only the labelling methods with Indian ink or a heated needle showed acceptable results in the cytotoxity test with regard to labelling persistence, accuracy, and the influence on consistency and viability of the chondrocytes. In the biomechanical T-peel configuration, heat-labelled samples collapsed significantly earlier than unlabelled samples.&#13;
&#13;
CONCLUSION:&#13;
Labelling bovine cartilage samples with Indian ink in biomechanical testing is a reliable, accurate, inexpensive, and easy-to-perform method. This labelling method influenced neither the biomechanical behaviour nor the viability of the tissue compared to untreated bovine cartilage.</abstract>
    <parentTitle language="eng">International Orthopaedics</parentTitle>
    <identifier type="doi">10.1007/s00264-011-1468-3</identifier>
    <author>Christian Pfeifer</author>
    <author>Michael Müller</author>
    <author>Lukas Prantl</author>
    <author>Arne Berner</author>
    <author>Sebastian Dendorfer</author>
    <author>Carsten Englert</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Bovine cartilage</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Cartilage samples</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Indian ink</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>T-peel configuration</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Method labeling</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Knorpel</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Rind</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Kennzeichnung</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Tinte</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Biomechanik</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Prüfung</value>
    </subject>
    <collection role="ddc" number="617">Chirurgie und verwandte medizinische Fachrichtungen</collection>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="persons" number="dendorferlbm">Dendorfer, Sebastian (Prof. Dr.), Zeitschriftenbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>7321</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue>12</issue>
    <volume>24</volume>
    <type>article</type>
    <publisherName>MDPI</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-06-21</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Technologies for Evaluation of Pelvic Floor Functionality: A Systematic Review</title>
    <abstract language="eng">Pelvic floor dysfunction is a common problem in women and has a negative impact on their quality of life. The aim of this review was to provide a general overview of the current state of technology used to assess pelvic floor functionality. It also provides literature research of the physiological and anatomical factors that correlate with pelvic floor health. This systematic review was conducted according to the PRISMA guidelines. The PubMed, ScienceDirect, Cochrane Library, and IEEE databases were searched for publications on sensor technology for the assessment of pelvic floor functionality. Anatomical and physiological parameters were identified through a manual search. In the systematic review, 114 publications were included. Twelve different sensor technologies were identified. Information on the obtained parameters, sensor position, test activities, and subject characteristics was prepared in tabular form from each publication. A total of 16 anatomical and physiological parameters influencing pelvic floor health were identified in 17 published studies and ranked for their statistical significance. Taken together, this review could serve as a basis for the development of novel sensors which could allow for quantifiable prevention and diagnosis, as well as particularized documentation of rehabilitation processes related to pelvic floor dysfunctions.</abstract>
    <parentTitle language="eng">Sensors</parentTitle>
    <identifier type="doi">10.3390/s24124001</identifier>
    <note>Die Preprint-Version ist ebenfalls in diesem Repositorium verzeichnet unter: https://opus4.kobv.de/opus4-oth-regensburg/frontdoor/index/index/docId/7306</note>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Creative Commons - CC BY - Namensnennung 4.0 International</licence>
    <author>Nikolas Förstl</author>
    <author>Ina Adler</author>
    <author>Franz Süß</author>
    <author>Sebastian Dendorfer</author>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="dendorferlbm">Dendorfer, Sebastian (Prof. Dr.), Zeitschriftenbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>2937</id>
    <completedYear/>
    <publishedYear>2022</publishedYear>
    <thesisYearAccepted/>
    <language>deu</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferencesummary</type>
    <publisherName/>
    <publisherPlace>Marburg</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2022-02-15</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="deu">Einfluss der Rotatorenmanschette auf die glenohumerale Stabilität</title>
    <parentTitle language="deu">20. Intensivkurs Schulterendoprothetik Marburg</parentTitle>
    <enrichment key="opus.source">publish</enrichment>
    <author>Carsten Englert</author>
    <author>Sebastian Dendorfer</author>
    <subject>
      <language>deu</language>
      <type>uncontrolled</type>
      <value>Biomechanik</value>
    </subject>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="persons" number="dendorferlbmconf">Dendorfer, Sebastian (Prof. Dr.), Konferenzbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>7676</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferencesummary</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-07-03</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Workflow for the development of a non-invasive feedback device to assess pelvic floor contractions</title>
    <abstract language="eng">Introduction&#13;
Pelvic floor disorders affect about 40% of women worldwide [1]. Pelvic floor muscle (PFM) training is both a preventive and a therapeutic intervention. Current PFM training devices are invasive and have little scientific evidence. The idea is to develop a noninvasive feedback device to assess adequate PFM contraction. Therefore, evidence-based female musculoskeletal models, non-invasive data acquisition, sensor technology and artificial intelligence (AI) will be combined. This work presents the workflow to achieve such a feedback device and describes the interaction of the technologies used.&#13;
Methods&#13;
Exercises that induce PFM contractions have been evaluated and defined. Motion capture of these exercises will provide input for female musculoskeletal models. A combination of biomechanical rigid body and FEM simulations will be used to estimate PFM contractions. In addition, a non-invasive sensor will measure pelvic floor activity. The simulated and measured data will be used to develop an AI model that provides feedback on PFM contractions based on non-invasive data collection.&#13;
Results&#13;
The AMMR (AnyBody Managed Model Repository) of the AnyBody modelling system (AMS, Aalborg, Denmark) serves as the initial model for performing inverse dynamic simulations of the exercises. To calculate the PFM forces, the full-body model must be supplemented with the relevant pelvic floor structures and a mass model of the internal organs. A modified abdominal pressure model must also be incorporated. The AMS calculates the PFM activities caused by the internal organ loads and the generated abdominal pressure during the exercises. The muscle activities are transferred to a FEM model of the female pelvic floor (SfePy, simple finite elements in Python). The identical pelvic floor structures were integrated into the FEM model as in the AMS. Active PFM contractions can be simulated using the FEM model. Movement of the coccyx due to PFM contractions has been reported in the literature [2,3]. Therefore, a noninvasive coccyx motion sensor will be developed to provide additional information on PFM contractions. The measured data (coccyx motion sensor, motion capture) and the simulation results of the models will be combined to create an AI feedback model using Python. The final feedback device will consist of the AI model and the developed coccyx motion sensor, which can reproduce the resulting PFM contractions based on the sensor data and simplified motion tracking.&#13;
Discussion&#13;
The creation of the AMS and the FEM model is a prerequisite for the development of the feedback device. The relevant structures in the models are located inside the body. This limits the ability to observe the structures during the exercises, which can lead to difficulties in model validation. The development of a user-friendly sensor with sufficient measuring accuracy of the coccyx motion is another challenge. Nevertheless, the workflow represents a promising approach to develop a noninvasive feedback system to assess PFM contraction.&#13;
References&#13;
1. Wang et al, Front Public Health, 10:975829, 2022.&#13;
2. Bø et al, Neurourol Urodyn, 20:167–174, 2001.&#13;
3. Fujisaki et al, J Phys Ther Sci, 30:544–548, 2018.&#13;
Acknowledgements&#13;
This work was supported by the project no. BYCZ01-014 of the Program INTERREG Bavaria – Czechia 2021–2027.</abstract>
    <parentTitle language="eng">ESB 2024, 29th Congress of the European Society of Biomechanics, 30 June-3 July 2024, Edinburgh, Scotland</parentTitle>
    <enrichment key="opus.source">publish</enrichment>
    <author>Nikolas Förstl</author>
    <author>Ina Adler</author>
    <author>Franz Suess</author>
    <author>Hana Čechová</author>
    <author>Magdalena Jansová</author>
    <author>Robert Cimrman</author>
    <author>Jan Vychytil</author>
    <author>Sebastian Dendorfer</author>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="dendorferlbmconf">Dendorfer, Sebastian (Prof. Dr.), Konferenzbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>7677</id>
    <completedYear/>
    <publishedYear>2023</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferencepresentation</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2023-07-10</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Design of a reverse shoulder implant to measure shoulder stiffness during implant component positioning</title>
    <abstract language="eng">Introduction&#13;
Dislocation of the shoulder joint is one of the more common complications after reverse total shoulder arthroplasty [1], which is often associated with malposition of the prosthetic components [2]. Therefore, achieving sufficient shoulder stability should not be neglected when positioning the implant components. One parameter for assessing shoulder stability can be shoulder stiffness. The aim of this work is to develop a reverse shoulder implant prototype that allows intraoperative measurement of shoulder stiffness while varying the position of the implant components. The measured stiffness could provide a quantitative statement regarding the optimal positioning of the implant components, which can be adjusted accordingly in the final reverse shoulder prosthesis.&#13;
Methods&#13;
To measure the stiffness of the shoulder joint, it is necessary to record the joint angles and the torques generated during movement. The changes in the rotation angles were measured using 3D hall sensors and magnets. The magnets were placed under the humerosocket, and the hall sensors were integrated into the glenosphere. The strength of the magnetic field was used to determine the position of the humerosocket in relation to the glenosphere. The accuracies of the angle measurements were tested using a test bench.&#13;
Three thin film pressure sensors were used to record forces at different points under the humerosocket. To obtain a force value from the sensor signal, the sensors were calibrated using a load cell. The variation of the implant components positions was integrated into the prototype implant through different constructive mechanisms to adjust the stiffness of the shoulder joint.&#13;
Results&#13;
In the range of ±45° flexion/extension combined with ±15° adduction/abduction, the joint position could be determined with sufficient accuracy (error e ≤ 5°). The areas near the combined maximum deflections of ±45° flexion/extension and ±45° adduction/abduction indicate the greatest deviation from the target angle. The force values of the thin film sensors enable the calculation of moments around two axes. As variable component position parameters, the tray offset, the neck-shaft angle and the humerus version were integrated into the implant prototype.&#13;
Discussion&#13;
Ideally, the accuracy of the angle measurements should only depend on the amount of deflection and not on the direction of deflection. The asymmetric behavior indicates a deviation from the correct positioning of the hall sensors. The application of a calibration matrix could compensate for the measurement errors and could demonstrate the potential of the new method for joint angle measurements. The accuracy of the torque measurements and the functionality of the mechanical arresting mechanisms must be investigated in further studies. Overall, the developed measurement method can help to avoid malpositioning of the implant components in reverse total shoulder arthroplasty.&#13;
References&#13;
1. Clark et al, J Shoulder and elbow surgery, 21:36-41 2012.&#13;
2. Randelli et al, J Musculoskeletal surgery, 98:15-18, 2014.</abstract>
    <parentTitle language="eng">Book of abstracts / ESB 2023, 28th Congress of the European Society of Biomechanics, 9-12 July 2023, Maastricht, The Netherlands.</parentTitle>
    <identifier type="url">https://esbiomech.org/conference/archive/2023maastricht/332.pdf</identifier>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Nikolas Förstl</author>
    <author>Franz Süß</author>
    <author>Carsten Englert</author>
    <author>Sebastian Dendorfer</author>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="dendorferlbmconf">Dendorfer, Sebastian (Prof. Dr.), Konferenzbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>2020</id>
    <completedYear/>
    <publishedYear>2021</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferencepresentation</type>
    <publisherName/>
    <publisherPlace>Milan</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2021-07-13</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Musculoskeletal Lower Back Load of Accoucheurs During Delivery</title>
    <abstract language="eng">With the progress in modern medicine, it was possible to significantly reduce the risks of birth for mother and child. One aspect that has received less attention so far is the risk of injury to the accoucheurs (obstetricians and midwives) during the birth process. Indeed, studies indicate that 92% of midwives suffer from musculoskeletal disorders, with the lower back being the main cause of complaints (72%). The aim of this study was to investigate two commonly used postural techniques used by accoucheurs during childbirth and to analyze the resulting load on the lower back using the AnyBodyTM musculoskeletal simulation software.</abstract>
    <parentTitle language="eng">26th Congress of the European Society of Biomechanics, July 11-14, 2021, Milan, Italy</parentTitle>
    <identifier type="urn">urn:nbn:de:bvb:898-opus4-20208</identifier>
    <enrichment key="opus.source">publish</enrichment>
    <author>Maximilian Melzner</author>
    <author>Khaled M. Ismail</author>
    <author>Zdeněk Rušavý</author>
    <author>Vladimír Kališ</author>
    <author>Franz Süß</author>
    <author>Sebastian Dendorfer</author>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="persons" number="dendorferlbmconf">Dendorfer, Sebastian (Prof. Dr.), Konferenzbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
    <thesisPublisher>Ostbayerische Technische Hochschule Regensburg</thesisPublisher>
    <file>https://opus4.kobv.de/opus4-oth-regensburg/files/2020/Abstract_MPP_ESB_21.pdf</file>
  </doc>
  <doc>
    <id>2027</id>
    <completedYear/>
    <publishedYear>2021</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>306</pageFirst>
    <pageLast>313</pageLast>
    <pageNumber/>
    <edition/>
    <issue>264</issue>
    <volume/>
    <type>article</type>
    <publisherName>Elsevier</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2021-07-29</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Musculoskeletal lower back load of accoucheurs during childbirth – A pilot and feasibility study</title>
    <abstract language="eng">Introduction: Back problems represent one of the leading causes of accouchers' work-related musculoskeletal morbidities. The correct execution of birth-related maneuvers including manual perineal protection is crucial not only for the mother and child but also for obstetricians and midwives to reduce any strain on their musculoskeletal system. Therefore, the overall aim of this study was to test the feasibility of determining the effect of different accouchers' postures (standing and kneeling) on their musculoskeletal system.&#13;
&#13;
Methods: The biomechanical analysis is based on musculoskeletal simulations that included motion recordings of real deliveries as well as deliveries conducted on a birthing simulator. These simulations were then used to determine individual joints' loads.&#13;
&#13;
Results: In the kneeling posture, both a low intra-operator variability and a lower average maximum load of the lower back was observed. For the standing position the spine load was reduced by pivoting the elbow on the accouchers' thigh, which in turn was associated with a significantly greater load on the shoulder joint.&#13;
&#13;
Conclusion: The study demonstrated the feasibility of our technique to assess joints loads. It also provided initial data indicating that a posture that reduces spinal flexion and tilt, achieved in this study by the kneeling, can significantly reduce the strain on the practitioner's musculoskeletal system.</abstract>
    <parentTitle language="deu">European Journal of Obstetrics &amp; Gynecology and Reproductive Biology</parentTitle>
    <identifier type="doi">10.1016/j.ejogrb.2021.07.042</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Maximilian Melzner</author>
    <author>Khaled M. Ismail</author>
    <author>Zdenek Rušavy</author>
    <author>Vladimír Kališ</author>
    <author>Franz Süß</author>
    <author>Sebastian Dendorfer</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>lower back load</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Accoucheur</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Musculoskeletal simulation</value>
    </subject>
    <collection role="ddc" number="618">Gynäkologie, Geburtsmedizin, Pädiatrie, Geriatrie</collection>
    <collection role="institutes" number="FAKMB">Fakultät Maschinenbau</collection>
    <collection role="institutes" number="RCBE">Regensburg Center of Biomedical Engineering - RCBE</collection>
    <collection role="persons" number="dendorferlbm">Dendorfer, Sebastian (Prof. Dr.), Zeitschriftenbeiträge - Labor Biomechanik</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Biomechanik (LBM)</collection>
  </doc>
  <doc>
    <id>7735</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>deu</language>
    <pageFirst>668</pageFirst>
    <pageLast>675</pageLast>
    <pageNumber/>
    <edition/>
    <issue>10</issue>
    <volume>73</volume>
    <type>article</type>
    <publisherName>Springer Nature</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-09-25</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="deu">Transport von schwer verletzten Traumapatienten im Rettungswagen mit und ohne starre Halsorthese: vergleichende biomechanische Messungen</title>
    <abstract language="deu">Hintergrund: &#13;
Der tatsächliche Stellenwert der prähospitalen Immobilisation der&#13;
Halswirbelsäule (HWS) bei schwer verletzten Traumapatienten ist weiterhin unklar.&#13;
In Anbetracht möglicher negativer Implikationen durch das Anbringen einer starren&#13;
HWS-Orthese muss deren Anwendung während der gesamten prähospitalen Phase&#13;
kritisch hinterfragt werden.&#13;
Ziel der Arbeit: &#13;
Es sollten vergleichende biomechanische Messungen zur Beweglichkeit&#13;
der HWS bei Immobilisation mittels Vakuummatratze mit und ohne zusätzliches&#13;
Anbringen einer starren HWS-Orthese nach Lagerung auf der Trage durchgeführt&#13;
werden.&#13;
Material und Methoden: &#13;
Die Bewegungen der HWS beim Ein- und Ausladeprozess&#13;
in einen modernen RTW sowie während der Fahrt entlang eines vordefinierten&#13;
Parkours wurden mit einem Motion-Capture-System aufgezeichnet. Die Probandin,&#13;
an der die Messungen durchgeführt wurden, wurde auf einer Vakuummatratze mit&#13;
der Möglichkeit zur seitlichen Fixierung des Kopfes sowie Kinn- und Stirngurt auf&#13;
einer elektrohydraulischen Fahrtrage immobilisiert. Bei der einen Hälfte der Versuche&#13;
erfolgte die zusätzliche Immobilisation der HWS mittels starrer Orthese, bei der&#13;
anderen wurde auf die Anwendung einer HWS-Orthese verzichtet.&#13;
Ergebnisse: &#13;
Statistisch signifikante Unterschiede ergaben sich nur bei einigen&#13;
biomechanischen Parametern in der sagittalen Ebene (Flexion und Extension). Für&#13;
die anderen Bewegungsrichtungen (axiale Rotation, laterale Beugung) wurden keine&#13;
signifikanten Unterschiede für die gemessenen Parameter ermittelt. Generell wurden&#13;
sowohl bei den Versuchen mit HWS-Orthese als auch ohne HWS-Orthese nur sehr&#13;
geringe Winkelauslenkungen (im Mittel bei axialer Rotation und Flexion/Extension im&#13;
Bereich von einem bis 2 Grad, bei der lateralen Beugung höchstens 3 Grad) gemessen.&#13;
Schlussfolgerung: Bei einer korrekt durchgeführten Immobilisation mittels einer&#13;
Vakuummatratze mit der Möglichkeit zur seitlichen Stabilisierung des Kopfes sowie&#13;
Kinn- und Stirngurt auf einer elektrohydraulischen Fahrtrage mit Beladesystem&#13;
ergeben sich für den Ein- und Ausladeprozess sowie während der Fahrt in einem&#13;
modernen RTW mit luftgefederter Tragenlagerung und Luftfederung der Hinterachse&#13;
keine relevanten Vorteile bezüglich der Einschränkung der Bewegung der HWS durch&#13;
die zusätzliche Verwendung einer starren HWS-Orthese.</abstract>
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