TY - GEN A1 - Schliermann, Rainer A1 - Heydenreich, Patrick A1 - Bungter, Tanja A1 - Anneken, Volker T1 - Physical Activity and Quality of Life in People with Visual Impairments T2 - Journal of Rehabilitation Medicine / Supplement Y1 - 2015 SN - 1650-1969 IS - Supplement 54 SP - 26 EP - 26 PB - Taylor & Francis CY - Stockholm ER - TY - JOUR A1 - Knoedler, Samuel A1 - Schliermann, Rainer A1 - Knödler, Leonard A1 - Wu, Mengfan A1 - Hansen, Frederik J. A1 - Matar, Dany Y. A1 - Obed, Doha A1 - Vervoort, Dominique A1 - Haug, Valentin A1 - Hundeshagen, Gabriel A1 - Paik, Angie A1 - Kauke-Navarro, Martin A1 - Kneser, Ulrich A1 - Pomahac, Bohdan A1 - Orgill, Dennis P. A1 - Panayi, Adriana C. T1 - Impact of sarcopenia on outcomes in surgical patients: A systematic review and meta-analysis JF - International journal of surgery N2 - BACKGROUND Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties. METHODS We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design. RESULTS A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P<0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P<0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P<0.00001), cardiovascular (both P<0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P<0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P<0.00001). CONCLUSION Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties. KW - Sarcopenia KW - Aging KW - Muscle Loss KW - Muscle KW - Surgical Outcomes KW - Surgery Y1 - 2023 U6 - https://doi.org/10.1097/JS9.0000000000000688 PB - Wolters Kluwer ET - accepted ER - TY - CHAP A1 - Schliermann, Rainer A1 - Anneken, Volker ED - Woll, A. ED - Bös, K. ED - Huber, G. ED - Kemper, Reinhild ED - Knoll, Michaela Beate ED - Pahmeier, I. ED - Sudeck, R. ED - Vogt, L. ED - Spengler, S. ED - Peterhans, E. T1 - Einfach Fußball – ein inklusionsbezogenes und gesundheitspädagogisches Gemeinschaftsprojekt von Bayer und Deutschem Fußball-Bund T2 - Kinder bewegen – wissenschaftliche Energien bündeln, 16.-17.02.2011, Karlsruhe Y1 - 2011 SP - 52 PB - KIT CY - Karlsruhe ER - TY - CHAP A1 - Schliermann, Rainer ED - Wegner, Manfred ED - Scheid, Volker ED - Knoll, Michaela Beate T1 - Leistungssport von Athletinnen und Athleten mit Behinderungen T2 - Handbuch Behinderung und Sport Y1 - 2015 SN - 978-3-7780-4880-1 SP - 238 EP - 247 PB - Hofmann CY - Schorndorf ER - TY - JOUR A1 - Knödler, Leonard A1 - Dean, Jillian A1 - Knoedler, Samuel A1 - Kauke-Navarro, Martin A1 - Hollmann, Katharina A1 - Alfertshofer, Michael A1 - Helm, Sabrina A1 - Prantl, Lukas A1 - Schliermann, Rainer T1 - Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons JF - Frontiers in Surgery N2 - Background: With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being. Methods: Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors. Results: The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness. Conclusion: Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs. KW - mental toughness KW - mental health KW - resilience KW - robustness KW - psychology KW - surgery Y1 - 2024 U6 - https://doi.org/10.3389/fsurg.2024.1361406 N1 - Correspondign author der OTH Regensburg: Rainer Schliermann (und Leonard Knoedler) VL - 11 PB - Frontiers ER - TY - JOUR A1 - Markov-Glazer, Alon A1 - Elbe, Anne-Marie A1 - Schliermann, Rainer T1 - From their eyes: Deaflympic athletes' and coaches' perspectives on mental training JF - Frontiers in sports and active living N2 - INTRODUCTION Sport psychology research has largely overlooked athletes with hearing impairments competing in Deaflympic sports, the designated elite sporting movement for this population. This study therefore explored Deaflympic athletes' and coaches' perspectives on mental training in the elite Deaf sports. METHODS A qualitative approach was used, involving six focus group interviews with 23 athletes (Mage = 33.09; 26.1% female) and four coaches from individual and team Deaf sports. Data were analyzed using reflexive thematic analysis. RESULTS Three themes emerged: sport psychology consultation, the influence of visual orientation on psychological skills and demands, and Deaf sport culture and communication. While participants expressed strong interest in sport psychology, engagement with professionals was limited by accessibility issues, lack of sign language-fluent consultants, and structural barriers. Deaf athletes reported adapting some techniques to match their visual-spatial orientation and both advantages and challenges of visual reliance in sports. Distinct communication dynamics between native signers and spoken-language users within Deaf teams were also revealed. DISCUSSION These findings highlight the importance of culturally sensitive sport psychology frameworks that support the needs and preferences of Deaflympic athletes and promote equitable access to effective mental training resources. Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-84183 N1 - Corresponding author der OTH Regensburg: Alon Markov-Glazer VL - 7 PB - Frontiers ER - TY - GEN A1 - Schliermann, Rainer A1 - Saad, Amr Mohamed Roushdy ED - Ohlert, Jeannine ED - Kleinert, Jens T1 - Evaluation einer von Trainern durchgeführten psychologischen Intervention am Beispiel der Sportart Rollstuhlbasketball T2 - Sport vereinT : Psychologie und Bewegung in Gesellschaft ; 43. Jahrestagung der Arbeitsgemeinschaft für Sportpsychologie (asp) vom 2.-4. Juni 2011 in Köln ; Abstractband KW - Vereinssport KW - Sportpsychologie Y1 - 2011 SN - 978-3-88020-566-6 SN - 3880205663 PB - Feldhaus, Edition Czwalina CY - Hamburg ER - TY - JOUR A1 - Markov-Glazer, Alon A1 - Elbe, Anne-Marie A1 - Schliermann, Rainer T1 - The use of psychological skills in deaflympic sport JF - European Journal of Adapted Physical Activity N2 - This study explores the use of psychological skills among Deaflympic athletes and aims to provide initial insights into sport psychology practices in this overlooked population. To this end, the frequency of psychological skills’ usage, usage patterns, and differences between subgroups were examined within this population. The Test of Performance Strategies (TOPS) was administered to 84 German Deaflympic athletes (mean age = 28; 27% female) along with biographical questions (e.g., hearing status). The findings indicate that Deaflympic athletes regularly utilize psychological skills in training and competition, displaying similar usage to that of Olympic athletes. However, only a minority of Deaflympic athletes train their skills with professional consultants. Additionally, relaxation techniques were employed rarely in comparison to the other investigated skills. This study’s findings contribute to the foundation of sport psychology research with Deaflympic athletes and underscore the need for a differentiated approach in tailoring interventions for this population. KW - Deaf culture KW - Deaflympian KW - psychological skills training KW - TOPS Y1 - 2024 U6 - https://doi.org/10.5507/euj.2024.012 VL - 17 IS - 15 PB - European Federation of Adapted Physical Activity CY - Olomouc ER - TY - JOUR A1 - Schliermann, Rainer A1 - Klein, Petra A1 - Schulze, Annette T1 - Deaflympischer Sport – die unbekannte Sportbewegung JF - Leistungssport : Zeitschrift für die Fortbildung von Trainern, Übungsleitern und Sportlehrern N2 - Der deaflympische Sport (Syn.: Gehörlosensport) ist sowohl in der medialen als auch in der sportaktiven Öffentlichkeit weithin unbekannt. Der paralympische Behindertensport wird zunehmend stärker beachtet, der deaflympische hingegen insgesamt wenig. Im vorliegenden Beitrag wird deshalb ein Überblick gegeben. Es wird zunächst dessen geschichtliche Entwicklung näher beschrieben und verdeutlicht, dass der institutionalisierte Sport von Athleten mit Hörbeeinträchtigungen die längste Tradition im Behindertensport aufweist. Außerdem erfolgt eine Beschreibung der institutionellen Rahmenbedingungen dieser Sportbewegung. Dabei ist hervorzuheben, dass für die Belange des Leistungssports von Menschen mit Hörbeeinträchtigungen der Deutsche GehörlosenSportverband (DGS) und nicht der Deutsche Behindertensportverband (DBS) zuständig ist, da es sich beim deaflympischen Sport um eine historisch gewachsene, eigenständige Sportbewegung handelt. Die weiteren Ausführungen betreffen Aspekte zum Training und Wettkampf von Athleten mit Hörschädigungen. Um an Wettkämpfen im Gehörlosensport teilnehmen zu dürfen, muss ein Mindestmaß an Hörminderung vorliegen. Die Teilnahme an hochrangigen (internationalen) Wettkämpfen (z. B. Deaflympics) erfordert dann – wie im Spitzensport generell – ein systematisches und regelmäßiges Training. In Bezug auf Athleten mit Hörminderungen bedeutet dies insbesondere eine bestimmte Art der Kommunikation, des Vermittelns bzw. Erlernens (neuer) Bewegungen sowie die Beachtung etwaiger Einschränkungen der Gleichgewichtsfähigkeit. Auf diese Aspekte wird in diesem Übersichtsbeitrag ausführlich eingegangen. Es wird unter anderem verdeutlicht, dass „gehörlose“ Sportler häufig durchaus noch über ein Resthörvermögen verfügen. Außerdem erfordert das Training eine bestimmte Art der Kommunikation zwischen Trainer und Athlet, um effektiv im Sinne einer Leistungsentwicklung sein zu können. Schließlich gehen mit Höreinschränkungen häufig auch Defizite der Gleichgewichtsfähigkeit einher, die jedoch nicht a priori vorhanden sind und sich durch Training verbessern lassen. Im Resümee wird nochmals herausgestellt, weshalb Grundkenntnisse über den deaflympischen Sport nicht nur zur Leistungsentwicklung hörgeschädigter Spitzenathleten beitragen, sondern auch Trainern und Vereinen des Regelsportsystems des Deutschen Olympischen Sportbundes (DOSB) nützlich sein können. Y1 - 2016 UR - https://www.iat.uni-leipzig.de/datenbanken/iks/open_archive/ls/lsp16_04_39_44.pdf? SN - 0341-7387 VL - 46 IS - 4 SP - 39 EP - 44 PB - Philippka-Verlag CY - Münster ER - TY - JOUR A1 - Schliermann, Rainer A1 - Schulze, Annette A1 - Saad, Amr Mohamed Roushdy T1 - Inklusion im Leistungssport: Deaflympischer Sport in der Wahrnehmung von Funktionsträgern des Regelsport-Systems JF - Leipziger Sportwissenschaftliche Beiträge N2 - Inklusion von Spitzenathleten mit Hörbeeinträchtigungen im Leistungssport kann nur gelingen, wenn zentrale Funktionsträger des Regelsportsystems diesbezüglich eine positive Einstellung aufweisen. Auch ist ein ausreichender Kenntnisstand zum sogenannten deaflympischen Behindertensport (Syn.: Gehörlosensport) inklusive der speziellen Bedürfnisse und Besonderheiten von Spitzenathleten mit Höreinschränkungen unabdingbar. Die vorliegende explorative Studie analysiert den Wissensstand von Funktionsträgern des Deutschen Olympischen Sportbundes (DOSB) hinsichtlich dieser Aspekte. Im Ergebnis ist eine insgesamt lückenhafte Wissensgrundlage sowie positive Einstellung zur Inklusion zu konstatieren. N2 - The inclusion of peak performance athletes with hearing disabilities in competitive sports needs official of mainstream sports to possess positive attitudes towards people with disabilities. Further, they need to have sufficient knowledge about deaflympic sports (syn.: deaf sports) as well as the special needs and features of these athletes. This exploratory study analyses the knowledge base of officials of German Olympic Sports Association (DOSB) addressing the mentioned aspects. In summary, the official have fragmentary knowledge and positive attitudes about inclusion. (Autor) KW - Behindertenpädagogik KW - Behinderter KW - Behinderung KW - Deutscher Olympischer Sportbund KW - Entwicklungsstand KW - Explorative Studie KW - Fachwissen KW - Funktionär KW - Gehörlosigkeit KW - Heterogenität KW - Hörbehinderung KW - Inklusion KW - Integration KW - Leistungssport KW - Soziale Integration KW - Sport KW - Sportpädagogik KW - Sportsoziologie KW - Sportwissenschaft KW - Wettkampfsport KW - Wissen Y1 - 2018 UR - https://www.spowi.uni-leipzig.de/forschung/leipziger-sportwissenschaftliche-beitraege VL - 59 IS - 1 SP - 241 EP - 253 PB - Verlag Lehmanns Media ER - TY - GEN A1 - Markov-Glazer, Alon A1 - Schliermann, Rainer T1 - Qualitative Exploration of Applied Sport Psychology Practices in Deaflympic Sports N2 - Introduction Athletes competing in elite Deaf sports, known as Deaflympic sports, display unique sociocultural characteristics (Clark & Mesch, 2018). Yet, sport psychology research has largely overlooked this group of athletes for decades (Markov-Glazer et al., 2023). This study therefore aimed to examine sport psychology practices in Deaflympic sport, focusing on identifying distinctive characteristics, needs, and preferences of this athlete group. Methodology To achieve this goal, six in-depth focus group interviews were conducted with 23 active Deaflympic athletes (26.1% female) and four coaches from individual sports (e.g., tennis) and team sports (e.g., handball). Participants discussed their use of psychological skills and communication strategies, the role of hearing aids in training and competition, and their experiences with sport psychology consultants. We analyzed the interviews’ contents using thematic content analysis (Braun et al., 2016). Results The results showed participants largely apply psychological skills intuitively. Additionally, several distinctive features emerged in their use of techniques such as self-talk and relaxation. Moreover, athletes relying on visual cues for processing information described unique cognitive challenges during competition under certain conditions. Conclusions In conclusion, Deaflympic athletes use psychological skills similarly to Paralympic and Olympic athletes but may apply them in distinct ways under specific circumstances. These and other unique characteristics should be considered when working with Deaflympic athletes. Moreover, Deaflympic athletes, particularly in team sports, may face additional cognitive demands that merit further attention in sport psychology practice and research. Y1 - 2025 U6 - https://doi.org/10.34719/BSKI3568 PB - Munster Technological University ER -