Refine
Year of publication
Document Type
- Article (23)
- Part of Periodical (5)
- Postprint (5)
- Monograph/Edited Volume (3)
- Other (2)
- Review (1)
Keywords
- Patholinguistik (6)
- Sprachtherapie (6)
- patholinguistics (6)
- Exercise (3)
- Back pain diagnosis (2)
- Back pain prognosis (2)
- Body waves (2)
- Lehrerbildung (2)
- MiSpEx (2)
- PROGRESS/TRIPOD (2)
Institute
- Institut für Geowissenschaften (11)
- Department Linguistik (8)
- Department Sport- und Gesundheitswissenschaften (4)
- Institut für Biochemie und Biologie (3)
- Strukturbereich Kognitionswissenschaften (3)
- Verband für Patholinguistik e. V. (vpl) (3)
- dbs Deutscher Bundesverband für akademische Sprachtherapie und Logopädie e.V. (3)
- Humanwissenschaftliche Fakultät (2)
- Zentrum für Lehrerbildung und Bildungsforschung (ZeLB) (2)
- Department Erziehungswissenschaft (1)
Alles auf Anfang!
(2019)
Im Zuge der Bologna-Reform ist an Hochschulen vieles in Bewegung gekommen. Studium und Lehre sind stärker ins Blickfeld gerückt. Dabei kommt der Studieneingangsphase besondere Bedeutung zu, werden doch hier die Weichen für ein erfolgreiches Studium gestellt. Deshalb ist es verständlich, dass die Hauptanstrengungen der Hochschulen auf den Studieneingang gerichtet sind – ganz nach dem Motto: „Auf den Anfang kommt es an!“. Konsens herrscht dahingehend, dass der Studieneingang neu zu gestalten ist, doch beim „Wie?“ gibt es unterschiedliche Antworten. Zugleich wird immer deutlicher, dass eine wirksame Neugestaltung der Eingangsphase nur mit einer umfassenden Reform des Studiums gelingen kann.
Ziel des vierten Bandes der Potsdamer Beiträge zur Hochschulforschung ist es, eine Zwischenbilanz der Debatte zum Studieneingang zu ziehen. Auf der Basis empirischer Studien werden unterschiedliche Perspektiven auf den Studieneingang eingenommen und Empfehlungen zur Optimierung des Studieneingangs abgeleitet. Die zahlreichen Untersuchungsergebnisse Potsdamer Forschergruppen werden durch weitere nationale sowie internationale Perspektiven ergänzt. Der Band richtet sich an alle, die sich für die Entwicklung an Hochschulen interessieren.
Epigenetic modulations are a hypothesized link between environmental factors and the development of psychiatric disorders. Research has suggested that patients with depression or bipolar disorder exhibit higher methylation levels in the glucocorticoid receptor gene NR3C1. We aimed to investigate whether NR3C1 methylation changes are similarly associated with externalizing disorders such as aggressive behavior and conduct disorder. NR3C1 exon 1F methylation was analyzed in young adults with a lifetime diagnosis of an externalizing disorder (N = 68) or a depressive disorder (N = 27) and healthy controls (N = 124) from the Mannheim Study of Children at Risk. The externalizing disorders group had significantly lower NR3C1 methylation levels than the lifetime depressive disorder group (p = 0.009) and healthy controls (p = 0.001) This report of lower methylation levels in NR3C1 in externalizing disorders may indicate a mechanism through which the differential development of externalizing disorders as opposed to depressive disorders might occur.
BACK PAIN: THE STUDY OF MECHANISMS AND THE TRANSLATION IN INTERVENTIONS WITHIN THE MISPEX NETWORK
(2016)
COVID-19
(2022)
Eine COVID-19-Erkrankung kann zu schweren Krankheitsverläufen mit multiplen Organbeteiligungen und respiratorischen und neurologischen Funktionseinschränkungen führen. Schluckstörungen (Dysphagien) können in dieser Patientengruppe durch primäre Schädigungen des zentralen und peripheren neuronalen Netzwerkes der Schluckfunktion entstehen, aber auch bedingt durch die häufig längere intensivmedizinische Behandlung und Beatmung. Erste klinische Befunde zeigen persistierende Dysphagien im Rahmen des Post-COVID-Syndroms („Long-COVID“), sodass die Patienten auch längerfristige Maßnahmen zur Rehabilitation einer sicheren und suffizienten oralen Nahrungsaufnahme benötigen. Daher sollte in die Behandlung von COVID-19-Patienten ein strukturiertes erkrankungsspezifisches Monitoring in Bezug auf Dysphagiesymptome integriert werden, und atemtherapeutische Maßnahmen zur Regulation von Husteneffektivität und Atem-Schluck-Koordination sollten auch bei diesen Patienten essenzieller Bestandteil des Dysphagiemanagements sein. Herausforderungen ergeben sich dabei einerseits durch die erforderlichen Anpassungen etablierter Behandlungsstandards an den Infektionsschutz. Zudem müssen Auswahl und Durchführungsintensität therapeutischer Maßnahmen an die Kapazitäten und die spezifische Pathophysiologie der COVID-19- und Long-COVID-Patienten angepasst werden, um weitere funktionelle Verschlechterungen zu vermindern.
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges.
Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S).
Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP). The greatest prognostic predictors of 4 flag domains ("pain," "distress," "social-environment," "medical care-environment") were determined using least absolute shrinkage and selection operator regression analysis. Internal validity and prognosis error were evaluated after 1-year follow-up. Receiver operating characteristic curves for discrimination (area under the curve) and cutoff values were determined.
Results: The risk stratification index identified persons with increased risk of chronic LBP and accurately estimated expected pain intensity and disability on the Pain Grade Questionnaire (0-100 points) up to 1 year later with an average prognosis error of 15 points. In addition, 3-risk classes were discerned with an accuracy of area under the curve = 0.74 (95% confidence interval 0.63-0.85). The RPI-S also distinguished persons with potentially modifiable prognostic indicators from 4 flag domains and stratified allocation to biopsychosocial treatments accordingly.
Conclusion: The screening tools, developed in compliance with the PROGRESS and TRIPOD statements, revealed good validation and prognostic strength. These tools improve on existing screening tools because of their utility for secondary preventions, incorporation of exercise effect modifiers, exact pain estimations, and personalized allocation to multimodal treatments.
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges.
Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S).
Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP). The greatest prognostic predictors of 4 flag domains ("pain," "distress," "social-environment," "medical care-environment") were determined using least absolute shrinkage and selection operator regression analysis. Internal validity and prognosis error were evaluated after 1-year follow-up. Receiver operating characteristic curves for discrimination (area under the curve) and cutoff values were determined.
Results: The risk stratification index identified persons with increased risk of chronic LBP and accurately estimated expected pain intensity and disability on the Pain Grade Questionnaire (0-100 points) up to 1 year later with an average prognosis error of 15 points. In addition, 3-risk classes were discerned with an accuracy of area under the curve = 0.74 (95% confidence interval 0.63-0.85). The RPI-S also distinguished persons with potentially modifiable prognostic indicators from 4 flag domains and stratified allocation to biopsychosocial treatments accordingly.
Conclusion: The screening tools, developed in compliance with the PROGRESS and TRIPOD statements, revealed good validation and prognostic strength. These tools improve on existing screening tools because of their utility for secondary preventions, incorporation of exercise effect modifiers, exact pain estimations, and personalized allocation to multimodal treatments.
Background Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds.
Methods Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves.
Results Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)).
Conclusions Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
Background Low back pain (LBP) is a common pain syndrome in athletes, responsible for 28% of missed training days/year. Psychosocial factors contribute to chronic pain development. This study aims to investigate the transferability of psychosocial screening tools developed in the general population to athletes and to define athlete-specific thresholds.
Methods Data from a prospective multicentre study on LBP were collected at baseline and 1-year follow-up (n=52 athletes, n=289 recreational athletes and n=246 non-athletes). Pain was assessed using the Chronic Pain Grade questionnaire. The psychosocial Risk Stratification Index (RSI) was used to obtain prognostic information regarding the risk of chronic LBP (CLBP). Individual psychosocial risk profile was gained with the Risk Prevention Index – Social (RPI-S). Differences between groups were calculated using general linear models and planned contrasts. Discrimination thresholds for athletes were defined with receiver operating characteristics (ROC) curves.
Results Athletes and recreational athletes showed significantly lower psychosocial risk profiles and prognostic risk for CLBP than non-athletes. ROC curves suggested discrimination thresholds for athletes were different compared with non-athletes. Both screenings demonstrated very good sensitivity (RSI=100%; RPI-S: 75%–100%) and specificity (RSI: 76%–93%; RPI-S: 71%–93%). RSI revealed two risk classes for pain intensity (area under the curve (AUC) 0.92(95% CI 0.85 to 1.0)) and pain disability (AUC 0.88(95% CI 0.71 to 1.0)).
Conclusions Both screening tools can be used for athletes. Athlete-specific thresholds will improve physicians’ decision making and allow stratified treatment and prevention.
Question: How can we disentangle facilitation and seed dispersal from environmental heterogeneity as mechanisms causing spatial associations of plant species?
Location: Semi-arid savanna in the Kimberley Thorn Bushveld, South Africa.
Methods: We developed a two-step protocol for the statistical differentiation of association-promoting mechanisms in plants based on the Acacia erioloba-Grewia flava association. Individuals of the savanna shrub G. flava and the tree A. erioloba were mapped on four study plots. Disentangling the mechanism causing the association of G. flava and A. erioloba involved tests of three spatial and one non-spatial null model. The spatial null models include homogeneous and heterogeneous Poisson processes for spatial randomness based on the bivariate spatial point patterns of the four plots. With the non-spatial analysis, we determined the relationship between the canopy diameter of A. erioloba trees and presence or absence of G. flava shrubs in the tree understorey to find whether shrub presence requires a minimum tree canopy diameter.
Results: We first showed a significant positive spatial association of the two species. Thereafter, the non-spatial analysis supported an exclusion of environmental heterogeneity as the sole cause of this positive association. We found a minimum tree size under which no G. flava shrubs occurred.
Conclusions: Our two-step analysis showed that it is unlikely that heterogeneous environmental conditions caused the spatial association of A. erioloba and G. flava. Instead, this association may have been caused by seed dispersal and/or facilitation (e.g. caused by hydraulic lift and/or nitrogen fixation by the host tree).
Objective: Tracheotomized patients often suffer from impairments in mucociliary clearance and limited capacities for active expectoration of secretions. We investigated the effects of a specific respiratory intervention method (bagging) for tracheotomized patients on respiratory parameters (pO(2), pCO(2), SpO(2), respiratory rates), swallowing frequency, vigilance and secretion viscosity. Methods: The bagging method supports enforced mobilization and expectoration of secretions by application of a series of manual hyperinflations with a resuscitation bag during active inspiration and manual cough support on the chest. 30 tracheotomized neurological patients participated in a multiple-baseline study including a three-weeks intervention period and a follow-up measurement three weeks after termination of the treatment. Results: Most outcome parameters improved significantly during the intervention period: pO(2) (p<.01), SpO(2) (p<.01), respiratory rates (p<.01), swallowing rates (p<.01), and vigilance scores (p<.01). The quality of bronchial secretions improved in all participants. All effects were sustained up to the follow-up measurements. Conclusion: This preliminary data indicates positive effects for a respiratory intervention method (bagging) on respiratory function and additional respiration-related functions in tracheotomized neurological patients. This easy-to-learn and inexpensive method might expand the range of treatment options for tracheotomized and non-responsive patients.
Climate change will increasingly affect the natural habitat and diet of polar bears (Ursus maritimus). Understanding the energetic needs of polar bears is therefore important. We developed a theoretical method for estimating polar bear food consumption based on using the highly recalcitrant polychlorinated biphenyl (PCB) congener, 2,2',4,4',55-hexaCB (CB153) in bear adipose tissue as an indicator of food intake. By comparing the CB153 tissue concentrations in wild polar bears with estimates from a purposely designed individual-based model, we identified the possible combinations of field metabolic rates (FMR) and CB153 deposition efficiencies in East Greenland polar bears. Our simulations indicate that if 30% of the CB153 consumed by polar bear individuals were deposited into their adipose tissue, the corresponding FMR would be only two times the basal metabolic rate. In contrast, if the modelled CB153 deposition efficiency were 10%, adult polar bears would require six times more energy than that needed to cover basal metabolism. This is considerably higher than what has been assumed for polar bears in previous studies though it is similar to FMRs found in other marine mammals. An implication of this result is that even relatively small reductions in future feeding opportunities could impact the survival of East Greenland polar bears.
Improving our understanding of biodiversity and ecosystem functioning and our capacity to inform ecosystem management requires an integrated framework for functional biodiversity research (FBR). However, adequate integration among empirical approaches (monitoring and experimental) and modelling has rarely been achieved in FBR. We offer an appraisal of the issues involved and chart a course towards enhanced integration. A major element of this path is the joint orientation towards the continuous refinement of a theoretical framework for FBR that links theory testing and generalization with applied research oriented towards the conservation of biodiversity and ecosystem functioning. We further emphasize existing decision-making frameworks as suitable instruments to practically merge these different aims of FBR and bring them into application. This integrated framework requires joint research planning, and should improve communication and stimulate collaboration between modellers and empiricists, thereby overcoming existing reservations and prejudices. The implementation of this integrative research agenda for FBR requires an adaptation in most national and international funding schemes in order to accommodate such joint teams and their more complex structures and data needs.
The new in situ geodynamic laboratory established in the framework of the ICDP Eger project aims to develop the most modern, comprehensive, multiparameter laboratory at depth for studying earthquake swarms, crustal fluid flow, mantle-derived CO2 and helium degassing, and processes of the deep biosphere. In order to reach a new level of high-frequency, near-source and multiparameter observation of earthquake swarms and related phenomena, such a laboratory comprises a set of shallow boreholes with high-frequency 3-D seismic arrays as well as modern continuous real-time fluid monitoring at depth and the study of the deep biosphere.
This laboratory is located in the western part of the Eger Rift at the border of the Czech Republic and Germany (in the West Bohemia–Vogtland geodynamic region) and comprises a set of five boreholes around the seismoactive zone. To date, all monitoring boreholes have been drilled. This includes the seismic monitoring boreholes S1, S2 and S3 in the crystalline units north and east of the major Nový Kostel seismogenic zone, borehole F3 in the Hartoušov mofette field and borehole S4 in the newly discovered Bažina maar near Libá. Supplementary borehole P1 is being prepared in the Neualbenreuth maar for paleoclimate and biological research. At each of these sites, a borehole broadband seismometer will be installed, and sites S1, S2 and S3 will also host a 3-D seismic array composed of a vertical geophone chain and surface seismic array. Seismic instrumenting has been completed in the S1 borehole and is in preparation in the remaining four monitoring boreholes. The continuous fluid monitoring site of Hartoušov includes three boreholes, F1, F2 and F3, and a pilot monitoring phase is underway. The laboratory also enables one to analyze microbial activity at CO2 mofettes and maar structures in the context of changes in habitats. The drillings into the maar volcanoes contribute to a better understanding of the Quaternary paleoclimate and volcanic activity.
The new in situ geodynamic laboratory established in the framework of the ICDP Eger project aims to develop the most modern, comprehensive, multiparameter laboratory at depth for studying earthquake swarms, crustal fluid flow, mantle-derived CO2 and helium degassing, and processes of the deep biosphere. In order to reach a new level of high-frequency, near-source and multiparameter observation of earthquake swarms and related phenomena, such a laboratory comprises a set of shallow boreholes with high-frequency 3-D seismic arrays as well as modern continuous real-time fluid monitoring at depth and the study of the deep biosphere.
This laboratory is located in the western part of the Eger Rift at the border of the Czech Republic and Germany (in the West Bohemia-Vogtland geodynamic region) and comprises a set of five boreholes around the seismoactive zone. To date, all monitoring boreholes have been drilled. This includes the seismic monitoring boreholes S1, S2 and S3 in the crystalline units north and east of the major Novy Kostel seismogenic zone, borehole F3 in the Hartousov mofette field and borehole S4 in the newly discovered Bazina maar near Liba. Supplementary borehole P1 is being prepared in the Neualbenreuth maar for paleoclimate and biological research. At each of these sites, a borehole broadband seismometer will be installed, and sites S1, S2 and S3 will also host a 3-D seismic array composed of a vertical geophone chain and surface seismic array. Seismic instrumenting has been completed in the S1 borehole and is in preparation in the remaining four monitoring boreholes. The continuous fluid monitoring site of Hartousov includes three boreholes, F1, F2 and F3, and a pilot monitoring phase is underway. The laboratory also enables one to analyze microbial activity at CO2 mofettes and maar structures in the context of changes in habitats. The drillings into the maar volcanoes contribute to a better understanding of the Quaternary paleoclimate and volcanic activity.
The functionality of organic semiconductor devices crucially depends on molecular energies, namely the ionisation energy and the electron affinity. Ionisation energy and electron affinity values of thin films are, however, sensitive to film morphology and composition, making their prediction challenging. In a combined experimental and simulation study on zinc-phthalocyanine and its fluorinated derivatives, we show that changes in ionisation energy as a function of molecular orientation in neat films or mixing ratio in blends are proportional to the molecular quadrupole component along the p-p-stacking direction. We apply these findings to organic solar cells and demonstrate how the electrostatic interactions can be tuned to optimise the energy of the charge-transfer state at the donor-acceptor interface and the dissociation barrier for free charge carrier generation. The confirmation of the correlation between interfacial energies and quadrupole moments for other materials indicates its relevance for small molecules and polymers.
A mid-aperture broad-band test array (OBS array DOCTAR) was deployed from June 2011 to April 2012 about 100 km north of the Gloria fault in the Eastern North Atlantic in about 5000 m water depth. In addition arrays were installed on Madeira Island and in western Portugal mainland. For the first time in the Eastern North Atlantic, we recorded a large number of high frequency Po and So waves from local and regional small and moderate earthquakes (M-L < 4). An incoherent beamforming method was adapted to scan continuous data for such Po and So arrivals applying a sliding window waveform migration and frequency-wavenumber technique. We identify about 320 Po and 1550 So arrivals and compare the phase onsets with the ISC catalogue (ISC 2015) for the same time span. Up to a distance of 6 degrees to the DOCTAR stations all events listed in the ISC catalogue could be associated to Po and So phases. Arrivals from events in more than 10 degrees distance could be identified only in some cases. Only few Po and/or So arrivals were detected for earthquakes from the European and African continental area, the continental shelf regions and for earthquakes within or northwest of the Azores plateau. Unexpectedly, earthquake clusters are detected within the oceanic plates north and south of the Gloria fault and far from plate boundaries, indicating active intraplate structures. We also observe and locate numerous small magnitude earthquakes on the segment of the Gloria fault directly south of DOCTAR, which likely coincides with the rupture of the 25 November 1941 event. Local small magnitude earthquakes located beneath DOCTAR show hypocentres up to 30 km depth and strike-slip focal mechanisms. A comparison with detections at temporary mid-aperture arrays on Madeira and in western Portugal shows that the deep ocean array performs much better than the island and the continental array regarding the detection threshold for events in the oceanic plates.
We conclude that sparsely distributed mid-aperture seismic arrays in the deep ocean could decrease the detection and location threshold for seismicity with M-L < 4 in the oceanic plate and might constitute a valuable tool to monitor oceanic plate seismicity.
Marine seismology usually relies on temporary deployments of stand alone seismic ocean bottom stations (OBS), which are initialized and synchronized on ship before deployment and re-synchronized and stopped on ship after recovery several months later. In between, the recorder clocks may drift and float at unknown rates. If the clock drifts are large or not linear and cannot be corrected for, seismological applications will be limited to methods not requiring precise common timing. Therefore, for example, array seismological methods, which need very accurate timing between individual stations, would not be applicable for such deployments.
We use an OBS test-array of 12 stations and 75 km aperture, deployed for 10 months in the deep sea (4.5-5.5 km) of the mid-eastern Atlantic. The experiment was designed to analyse the potential of broad-band array seismology at the seafloor. After recovery, we identified some stations which either show unusual large clock drifts and/or static time offsets by having a large difference between the internal clock and the GPS-signal (skew).
We test the approach of ambient noise cross-correlation to synchronize clocks of a deep water OBS array with km-scale interstation distances. We show that small drift rates and static time offsets can be resolved on vertical components with a standard technique. Larger clock drifts (several seconds per day) can only be accurately recovered if time windows of one input trace are shifted according to the expected drift between a station pair before the cross-correlation. We validate that the drifts extracted from the seismometer data are linear to first order. The same is valid for most of the hydrophones. Moreover, we were able to determine the clock drift at a station where no skew could be measured. Furthermore, we find that instable apparent drift rates at some hydrophones, which are uncorrelated to the seismometer drift recorded at the same digitizer, indicate a malfunction of the hydrophone.
Background:
Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain.
Methods and study design:
A multicentre, single-blind two-armed randomized controlled trial to evaluate the
effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires – clinical examination – biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing.
Discussion:
The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.
Trial registration:
Identification number DRKS00010129. German Clinical Trial registered on 3 March 2016.
Background: Arising from the relevance of sensorimotor training in the therapy of nonspecific low back pain patients and from the value of individualized therapy, the present trial aims to test the feasibility and efficacy of individualized sensorimotor training interventions in patients suffering from nonspecific low back pain. Methods and study design: A multicentre, single-blind two-armed randomized controlled trial to evaluate the effects of a 12-week (3 weeks supervised centre-based and 9 weeks home-based) individualized sensorimotor exercise program is performed. The control group stays inactive during this period. Outcomes are pain, and pain-associated function as well as motor function in adults with nonspecific low back pain. Each participant is scheduled to five measurement dates: baseline (M1), following centre-based training (M2), following home-based training (M3) and at two follow-up time points 6 months (M4) and 12 months (M5) after M1. All investigations and the assessment of the primary and secondary outcomes are performed in a standardized order: questionnaires - clinical examination biomechanics (motor function). Subsequent statistical procedures are executed after the examination of underlying assumptions for parametric or rather non-parametric testing. Discussion: The results and practical relevance of the study will be of clinical and practical relevance not only for researchers and policy makers but also for the general population suffering from nonspecific low back pain.