@article{LesinskiPrieskeBeurskensetal.2017, author = {Lesinski, Melanie and Prieske, Olaf and Beurskens, Rainer and Behm, David George and Granacher, Urs}, title = {Effects of Drop-height and Surface Instability on Jump Performance and Knee Kinematics}, series = {International journal of sports medicine}, volume = {39}, journal = {International journal of sports medicine}, number = {1}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0043-117610}, pages = {50 -- 57}, year = {2017}, abstract = {The purpose of this study was to examine the combined effects of drop-height and surface condition on drop jump (DJ) performance and knee joint kinematics. DJ performance, sagittal and frontal plane knee joint kinematics were measured in jump experienced young male and female adults during DJs on stable, unstable and highly unstable surfaces using different drop-heights (20, 40, 60 cm). Findings revealed impaired DJ performance (Δ5-16\%; p<0.05; 1.43≤d≤2.82), reduced knee valgus motion (Δ33-52\%; p<0.001; 2.70≤d≤3.59), and larger maximum knee flexion angles (Δ13-19\%; p<0.01; 1.74≤d≤1.75) when using higher (60 cm) compared to lower drop-heights (≤40 cm). Further, lower knee flexion angles and velocity were found (Δ8-16\%; p<0.01; 1.49≤d≤2.38) with increasing surface instability. When performing DJs from high (60 cm) compared to moderate drop-heights (40 cm) on highly unstable surfaces, higher knee flexion velocity and maximum knee valgus angles were found (Δ15-19\%; p<0.01; 1.50≤d≤1.53). No significant main and/or interaction effects were observed for the factor sex. In conclusion, knee motion strategies were modified by the factors 'drop-height' and/or 'surface instability'. The combination of high drop-heights (>40 cm) together with highly unstable surfaces should be used cautiously during plyometrics because this may increase the risk of injury due to higher knee valgus stress.}, language = {en} } @misc{BeurskensSteinbergAntoniewiczetal.2016, author = {Beurskens, Rainer and Steinberg, Fabian and Antoniewicz, Franziska and Wolff, Wanja and Granacher, Urs}, title = {Neural Correlates of Dual-Task Walking}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-90742}, pages = {1 -- 9}, year = {2016}, abstract = {Walking while concurrently performing cognitive and/or motor interference tasks is the norm rather than the exception during everyday life and there is evidence from behavioral studies that it negatively affects human locomotion. However, there is hardly any information available regarding the underlying neural correlates of single- and dual-task walking. We had 12 young adults (23.8 ± 2.8 years) walk while concurrently performing a cognitive interference (CI) or a motor interference (MI) task. Simultaneously, neural activation in frontal, central, and parietal brain areas was registered using a mobile EEG system. Results showed that the MI task but not the CI task affected walking performance in terms of significantly decreased gait velocity and stride length and significantly increased stride time and tempo-spatial variability. Average activity in alpha and beta frequencies was significantly modulated during both CI and MI walking conditions in frontal and central brain regions, indicating an increased cognitive load during dual-task walking. Our results suggest that impaired motor performance during dual-task walking is mirrored in neural activation patterns of the brain. This finding is in line with established cognitive theories arguing that dual-task situations overstrain cognitive capabilities resulting in motor performance decrements.}, language = {en} } @article{BeurskensSteinbergAntoniewiczetal.2016, author = {Beurskens, Rainer and Steinberg, Fabian and Antoniewicz, Franziska and Wolff, Wanja and Granacher, Urs}, title = {Neural Correlates of Dual-Task Walking}, series = {Neural plasticity}, volume = {2016}, journal = {Neural plasticity}, publisher = {Hindawi}, address = {New York}, doi = {10.1155/2016/8032180}, pages = {1 -- 9}, year = {2016}, abstract = {Walking while concurrently performing cognitive and/or motor interference tasks is the norm rather than the exception during everyday life and there is evidence from behavioral studies that it negatively affects human locomotion. However, there is hardly any information available regarding the underlying neural correlates of single- and dual-task walking. We had 12 young adults (23.8 ± 2.8 years) walk while concurrently performing a cognitive interference (CI) or a motor interference (MI) task. Simultaneously, neural activation in frontal, central, and parietal brain areas was registered using a mobile EEG system. Results showed that the MI task but not the CI task affected walking performance in terms of significantly decreased gait velocity and stride length and significantly increased stride time and tempo-spatial variability. Average activity in alpha and beta frequencies was significantly modulated during both CI and MI walking conditions in frontal and central brain regions, indicating an increased cognitive load during dual-task walking. Our results suggest that impaired motor performance during dual-task walking is mirrored in neural activation patterns of the brain. This finding is in line with established cognitive theories arguing that dual-task situations overstrain cognitive capabilities resulting in motor performance decrements.}, language = {en} } @article{BeurskensMuehlbauerGrabowetal.2016, author = {Beurskens, Rainer and M{\"u}hlbauer, Thomas and Grabow, Lena and Kliegl, Reinhold and Granacher, Urs}, title = {Effects of Backpack Carriage on Dual-Task Performance in Children During Standing and Walking}, series = {Journal of motor behavior}, volume = {48}, journal = {Journal of motor behavior}, publisher = {Wiley-VCH}, address = {Abingdon}, issn = {0022-2895}, doi = {10.1080/00222895.2016.1152137}, pages = {500 -- 508}, year = {2016}, language = {en} } @article{LesinskiPrieskeBordeetal.2018, author = {Lesinski, Melanie and Prieske, Olaf and Borde, Ron and Beurskens, Rainer and Granacher, Urs}, title = {Effects of Different Footwear Properties and Surface Instability on Neuromuscular Activity and Kinematics During Jumping}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {32}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, number = {11}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000002556}, pages = {3246 -- 3257}, year = {2018}, abstract = {The purpose of this study was to examine sex-specific effects of different footwear properties vs. barefoot condition during the performance of drop jumps (DJs) on stable and unstable surfaces on measures of jump performance, electromyographic (EMG) activity, and knee joint kinematics. Drop jump performance, EMG activity of lower-extremity muscles, as well as sagittal and frontal knee joint kinematics were tested in 28 healthy male (n = 14) and female (n = 14) physically active sports science students (23 6 2 years) during the performance of DJs on stable and unstable surfaces using different footwear properties (elastic vs. minimal shoes) vs. barefoot condition. Analysis revealed a significantly lower jump height and performance index (Delta 7-12\%; p < 0.001; 2.22 <= d = 2.90) during DJs on unstable compared with stable surfaces. This was accompanied by lower thigh/shank muscle activities (Delta 11-28\%; p < 0.05; 0.99 <= d = 2.16) and knee flexion angles (Delta 5-8\%; p < 0.05; 1.02 <= d = 2.09). Furthermore, knee valgus angles during DJs were significantly lower when wearing shoes compared with barefoot condition (Delta 22-32\%; p < 0.01; 1.38 <= d = 3.31). Sex-specific analyses indicated higher knee flexion angles in females compared with males during DJs, irrespective of the examined surface and footwear conditions (Delta 29\%; p < 0.05; d = 0.92). Finally, hardly any significant footwear-surface interactions were detected. Our findings revealed that surface instability had an impact on DJ performance, thigh/shank muscle activity, and knee joint kinematics. In addition, the single factors "footwear" and "sex" modulated knee joint kinematics during DJs. However, hardly any significant interaction effects were found. Thus, additional footwear-related effects can be neglected when performing DJs during training on different surfaces.}, language = {en} } @article{BeurskensGollhoferMuehlbaueretal.2015, author = {Beurskens, Rainer and Gollhofer, Albert and M{\"u}hlbauer, Thomas and Cardinale, Marco and Granacher, Urs}, title = {Effects of Heavy-Resistance Strength and Balance Training on Unilateral and Bilateral Leg Strength Performance in Old Adults}, series = {PLoS one}, volume = {10}, journal = {PLoS one}, number = {2}, publisher = {PLoS}, address = {San Fransisco}, issn = {1932-6203}, doi = {10.1371/journal.pone.0118535}, pages = {13}, year = {2015}, abstract = {The term "bilateral deficit" (BLD) has been used to describe a reduction in performance during bilateral contractions when compared to the sum of identical unilateral contractions. In old age, maximal isometric force production (MIF) decreases and BLD increases indicating the need for training interventions to mitigate this impact in seniors. In a cross-sectional approach, we examined age-related differences in MIF and BLD in young (age: 20-30 years) and old adults (age: > 65 years). In addition, a randomized-controlled trial was conducted to investigate training-specific effects of resistance vs. balance training on MIF and BLD of the leg extensors in old adults. Subjects were randomly assigned to resistance training (n = 19), balance training (n = 14), or a control group (n = 20). Bilateral heavy-resistance training for the lower extremities was performed for 13 weeks (3 x /week) at 80\% of the one repetition maximum. Balance training was conducted using predominately unilateral exercises on wobble boards, soft mats, and uneven surfaces for the same duration. Pre-and post-tests included uni-and bilateral measurements of maximal isometric leg extension force. At baseline, young subjects outperformed older adults in uni-and bilateral MIF (all p < .001; d = 2.61-3.37) and in measures of BLD (p < .001; d = 2.04). We also found significant increases in uni-and bilateral MIF after resistance training (all p < .001, d = 1.8-5.7) and balance training (all p < .05, d = 1.3-3.2). In addition, BLD decreased following resistance (p < .001, d = 3.4) and balance training (p < .001, d = 2.6). It can be concluded that both training regimens resulted in increased MIF and decreased BLD of the leg extensors (HRT-group more than BAL-group), almost reaching the levels of young adults.}, language = {en} } @misc{LacroixHortobagyiBeurskensetal.2017, author = {Lacroix, Andre and Hortobagyi, Tibor and Beurskens, Rainer and Granacher, Urs}, title = {Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis}, series = {Sports medicine}, volume = {47}, journal = {Sports medicine}, publisher = {Springer}, address = {Northcote}, issn = {0112-1642}, doi = {10.1007/s40279-017-0747-6}, pages = {2341 -- 2361}, year = {2017}, abstract = {Objectives The objective of this systematic review and meta-analysis was to quantify the effectiveness of supervised vs. unsupervised balance and/or resistance training programs on measures of balance and muscle strength/ power in healthy older adults. In addition, the impact of supervision on training-induced adaptive processes was evaluated in the form of dose-response relationships by analyzing randomized controlled trials that compared supervised with unsupervised trials. Data Sources A computerized systematic literature search was performed in the electronic databases PubMed, Web of Science, and SportDiscus to detect articles examining the role of supervision in balance and/or resistance training in older adults. Study Eligibility Criteria The initially identified 6041 articles were systematically screened. Studies were included if they examined balance and/or resistance training in adults aged >= 65 years with no relevant diseases and registered at least one behavioral balance (e.g., time during single leg stance) and/or muscle strength/ power outcome (e.g., time for 5-Times-Chair-Rise-Test). Finally, 11 studies were eligible for inclusion in this meta-analysis. Study Appraisal Weighted mean standardized mean differences between subjects (SMDbs) of supervised vs. unsupervised balance/resistance training studies were calculated. The included studies were coded for the following variables: number of participants, sex, age, number and type of interventions, type of balance/strength tests, and change (\%) from pre- to post-intervention values. Additionally, we coded training according to the following modalities: period, frequency, volume, modalities of supervision (i.e., number of supervised/unsupervised sessions within the supervised or unsupervised training groups, respectively). Heterogeneity was computed using I 2 and chi(2) statistics. The methodological quality of the included studies was evaluated using the Physiotherapy Evidence Database scale. Results Our analyses revealed that in older adults, supervised balance/resistance training was superior compared with unsupervised balance/resistance training in improving measures of static steady-state balance (mean SMDbs = 0.28, p = 0.39), dynamic steady-state balance (mean SMDbs = 0.35, p = 0.02), proactive balance (mean SMDbs = 0.24, p = 0.05), balance test batteries (mean SMDbs = 0.53, p = 0.02), and measures of muscle strength/power (mean SMDbs = 0.51, p = 0.04). Regarding the examined dose-response relationships, our analyses showed that a number of 10-29 additional supervised sessions in the supervised training groups compared with the unsupervised training groups resulted in the largest effects for static steady-state balance (mean SMDbs = 0.35), dynamic steady-state balance (mean SMDbs = 0.37), and muscle strength/power (mean SMDbs = 1.12). Further, >= 30 additional supervised sessions in the supervised training groups were needed to produce the largest effects on proactive balance (mean SMDbs = 0.30) and balance test batteries (mean SMDbs = 0.77). Effects in favor of supervised programs were larger for studies that did not include any supervised sessions in their unsupervised programs (mean SMDbs: 0.28-1.24) compared with studies that implemented a few supervised sessions in their unsupervised programs (e.g., three supervised sessions throughout the entire intervention program; SMDbs: -0.06 to 0.41). Limitations The present findings have to be interpreted with caution because of the low number of eligible studies and the moderate methodological quality of the included studies, which is indicated by a median Physiotherapy Evidence Database scale score of 5. Furthermore, we indirectly compared dose-response relationships across studies and not from single controlled studies. Conclusions Our analyses suggest that supervised balance and/or resistance training improved measures of balance and muscle strength/power to a greater extent than unsupervised programs in older adults. Owing to the small number of available studies, we were unable to establish a clear dose-response relationship with regard to the impact of supervision. However, the positive effects of supervised training are particularly prominent when compared with completely unsupervised training programs. It is therefore recommended to include supervised sessions (i.e., two out of three sessions/week) in balance/resistance training programs to effectively improve balance and muscle strength/power in older adults.}, language = {en} } @article{LesinskiPrieskeBeurskensetal.2017, author = {Lesinski, Melanie and Prieske, Olaf and Beurskens, Rainer and Behm, David George and Granacher, Urs}, title = {Effects of drop height and surface instability on neuromuscular activation during drop jumps}, series = {Scandinavian journal of medicine \& science in sports}, volume = {27}, journal = {Scandinavian journal of medicine \& science in sports}, publisher = {Wiley}, address = {Hoboken}, issn = {0905-7188}, doi = {10.1111/sms.12732}, pages = {1090 -- 1098}, year = {2017}, abstract = {The purpose of this study was to examine whether drop height-induced changes in leg muscle activity during drop jumps (DJ) are additionally modulated by surface condition. Twenty-four healthy participants (23.7 +/- 1.8years) performed DJs on a force plate on stable, unstable, and highly unstable surfaces using different drop heights (i.e., 20cm, 40cm, 60cm). Electromyographic (EMG) activity of soleus (SOL), gastrocnemius (GM), tibialis anterior (TA) muscles and coactivation of TA/SOL and TA/GM were analyzed for time intervals 100ms prior to ground contact (preactivation) and 30-60ms after ground contact [short latency response (SLR)]. Increasing drop heights resulted in progressively increased SOL and GM activity during preactivation and SLR (P<0.01; 1.01 d 5.34) while TA/SOL coactivation decreased (P<0.05; 0.51 d 3.01). Increasing surface instability produced decreased activities during preactivation (GM) and SLR (GM, SOL) (P<0.05; 1.36 d 4.30). Coactivation increased during SLR (P<0.05; 1.50 d 2.58). A significant drop heightxsurface interaction was observed for SOL during SLR. Lower SOL activity was found on unstable compared to stable surfaces for drop heights 40cm (P<0.05; 1.25 d 2.12). Findings revealed that instability-related changes in activity of selected leg muscles are minimally affected by drop height.}, language = {en} } @misc{BeurskensHaegerKliegletal.2016, author = {Beurskens, Rainer and Haeger, Matthias and Kliegl, Reinhold and Roecker, Kai and Granacher, Urs}, title = {Postural Control in Dual-Task Situations}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-96638}, pages = {1 -- 15}, year = {2016}, abstract = {Postural control is important to cope with demands of everyday life. It has been shown that both attentional demand (i.e., cognitive processing) and fatigue affect postural control in young adults. However, their combined effect is still unresolved. Therefore, we investigated the effects of fatigue on single- (ST) and dual-task (DT) postural control. Twenty young subjects (age: 23.7 ± 2.7) performed an all-out incremental treadmill protocol. After each completed stage, one-legged-stance performance on a force platform under ST (i.e., one-legged-stance only) and DT conditions (i.e., one-legged-stance while subtracting serial 3s) was registered. On a second test day, subjects conducted the same balance tasks for the control condition (i.e., non-fatigued). Results showed that heart rate, lactate, and ventilation increased following fatigue (all p < 0.001; d = 4.2-21). Postural sway and sway velocity increased during DT compared to ST (all p < 0.001; d = 1.9-2.0) and fatigued compared to non-fatigued condition (all p < 0.001; d = 3.3-4.2). In addition, postural control deteriorated with each completed stage during the treadmill protocol (all p < 0.01; d = 1.9-3.3). The addition of an attention-demanding interference task did not further impede one-legged-stance performance. Although both additional attentional demand and physical fatigue affected postural control in healthy young adults, there was no evidence for an overadditive effect (i.e., fatigue-related performance decrements in postural control were similar under ST and DT conditions). Thus, attentional resources were sufficient to cope with the DT situations in the fatigue condition of this experiment.}, language = {en} } @article{BeurskensHaegerKliegletal.2016, author = {Beurskens, Rainer and Haeger, Matthias and Kliegl, Reinhold and Roecker, Kai and Granacher, Urs}, title = {Postural Control in Dual-Task Situations}, series = {PLoS one}, volume = {11}, journal = {PLoS one}, number = {1}, publisher = {PLoS}, address = {Lawrence, Kan.}, issn = {1932-6203}, doi = {10.1371/journal.pone.0147392}, pages = {1 -- 15}, year = {2016}, abstract = {Postural control is important to cope with demands of everyday life. It has been shown that both attentional demand (i.e., cognitive processing) and fatigue affect postural control in young adults. However, their combined effect is still unresolved. Therefore, we investigated the effects of fatigue on single- (ST) and dual-task (DT) postural control. Twenty young subjects (age: 23.7 ± 2.7) performed an all-out incremental treadmill protocol. After each completed stage, one-legged-stance performance on a force platform under ST (i.e., one-legged-stance only) and DT conditions (i.e., one-legged-stance while subtracting serial 3s) was registered. On a second test day, subjects conducted the same balance tasks for the control condition (i.e., non-fatigued). Results showed that heart rate, lactate, and ventilation increased following fatigue (all p < 0.001; d = 4.2-21). Postural sway and sway velocity increased during DT compared to ST (all p < 0.001; d = 1.9-2.0) and fatigued compared to non-fatigued condition (all p < 0.001; d = 3.3-4.2). In addition, postural control deteriorated with each completed stage during the treadmill protocol (all p < 0.01; d = 1.9-3.3). The addition of an attention-demanding interference task did not further impede one-legged-stance performance. Although both additional attentional demand and physical fatigue affected postural control in healthy young adults, there was no evidence for an overadditive effect (i.e., fatigue-related performance decrements in postural control were similar under ST and DT conditions). Thus, attentional resources were sufficient to cope with the DT situations in the fatigue condition of this experiment.}, language = {en} }