TY - JOUR A1 - Lin, Chiao-I A1 - Mayer, Frank A1 - Wippert, Pia-Maria T1 - The prevalence of chronic ankle instability in basketball athletes BT - a cross-sectional study JF - BMC sports science, medicine & rehabilitation N2 - Background Ankle sprain is the most common injury in basketball. Chronic ankle instability develops from an acute ankle sprain may cause negative effects on quality of life, ankle functionality or on increasing risk for recurrent ankle sprains and post-traumatic osteoarthritis. To facilitate a preventative strategy of chronic ankle instability (CAI) in the basketball population, gathering epidemiological data is essential. However, the epidemiological data of CAI in basketball is limited. Therefore, this study aims to investigate the prevalence of CAI in basketball athletes and to determine whether gender, competitive level, and basketball playing position influence this prevalence. Methods In a cross-sectional study, in total 391 Taiwanese basketball athletes from universities and sports clubs participated. Besides non-standardized questions about demographics and their history of ankle sprains, participants further filled out the standard Cumberland Ankle Instability Tool applied to determine the presence of ankle instability. Questionnaires from 255 collegiate and 133 semi-professional basketball athletes (male = 243, female = 145, 22.3 +/- 3.8 years, 23.3 +/- 2.2 kg/m(2)) were analyzed. Differences in prevalence between gender, competitive level and playing position were determined using the Chi-square test. Results In the surveyed cohort, 26% had unilateral CAI while 50% of them had bilateral CAI. Women had a higher prevalence than men in the whole surveyed cohort (X-2(1) = 0.515, p = 0.003). This gender disparity also showed from sub-analyses, that the collegiate female athletes had a higher prevalence than collegiate men athletes (X-2(1) = 0.203, p = 0.001). Prevalence showed no difference between competitive levels (p > 0.05) and among playing positions (p > 0.05). Conclusions CAI is highly prevalent in the basketball population. Gender affects the prevalence of CAI. Regardless of the competitive level and playing position the prevalence of CAI is similar. The characteristic of basketball contributes to the high prevalence. Prevention of CAI should be a focus in basketball. When applying the CAI prevention measures, gender should be taken into consideration. KW - Functional ankle instability KW - Perceived ankle instability KW - Ankle sprain; KW - Ankle injury KW - Survey KW - Basketball Y1 - 2022 U6 - https://doi.org/10.1186/s13102-022-00418-0 SN - 2052-1847 VL - 14 IS - 1 PB - BMC CY - London ER - TY - JOUR A1 - Busch, Aglaja A1 - Blasimann, Angela A1 - Mayer, Frank A1 - Baur, Heiner T1 - Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review JF - PLOS ONE N2 - Background The anterior cruciate ligament (ACL) rupture can lead to impaired knee function. Reconstruction decreases the mechanical instability but might not have an impact on sensorimotor alterations. Objective Evaluation of the sensorimotor function measured with the active joint position sense (JPS) test in anterior cruciate ligament (ACL) reconstructed patients compared to the contralateral side and a healthy control group. Methods The databases MEDLINE, CINAHL, EMBASE, PEDro, Cochrane Library and SPORTDiscus were systematically searched from origin until April 2020. Studies published in English, German, French, Spanish or Italian language were included. Evaluation of the sensorimotor performance was restricted to the active joint position sense test in ACL reconstructed participants or healthy controls. The Preferred Items for Systematic Reviews and Meta-Analyses guidelines were followed. Study quality was evaluated using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data was descriptively synthesized. Results Ten studies were included after application of the selective criteria. Higher angular deviation, reaching significant difference (p < 0.001) in one study, was shown up to three months after surgery in the affected limb. Six months post-operative significantly less error (p < 0.01) was found in the reconstructed leg compared to the contralateral side and healthy controls. One or more years after ACL reconstruction significant differences were inconsistent along the studies. Conclusions Altered sensorimotor function was present after ACL reconstruction. Due to inconsistencies and small magnitudes, clinical relevance might be questionable. JPS testing can be performed in acute injured persons and prospective studies could enhance knowledge of sensorimotor function throughout the rehabilitative processes. KW - Body limbs KW - Knees KW - Sensory perception KW - Anterior cruciate ligament reconstruction KW - Legs KW - Tendons KW - Surgical and invasive medical procedures KW - Systematic reviews Y1 - 2021 U6 - https://doi.org/10.1371/journal.pone.0253503 SN - 1932-6203 VL - 16 IS - 6 PB - PLOS CY - San Francisco ER - TY - JOUR A1 - Risch, Lucie A1 - Mayer, Frank A1 - Cassel, Michael T1 - Doppler flow response following running exercise differs between healthy and tendinopathic Achilles tendons JF - Frontiers in Physiology N2 - Background: The relationship between exercise-induced intratendinous blood flow (IBF) and tendon pathology or training exposure is unclear. Objective: This study investigates the acute effect of running exercise on sonographic detectable IBF in healthy and tendinopathic Achilles tendons (ATs) of runners and recreational participants. Methods: 48 participants (43 ± 13 years, 176 ± 9 cm, 75 ± 11 kg) performed a standardized submaximal 30-min constant load treadmill run with Doppler ultrasound “Advanced dynamic flow” examinations before (Upre) and 5, 30, 60, and 120 min (U5-U120) afterward. Included were runners (>30 km/week) and recreational participants (<10 km/week) with healthy (Hrun, n = 10; Hrec, n = 15) or tendinopathic (Trun, n = 13; Trec, n = 10) ATs. IBF was assessed by counting number [n] of intratendinous vessels. IBF data are presented descriptively (%, median [minimum to maximum range] for baseline-IBF and IBF-difference post-exercise). Statistical differences for group and time point IBF and IBF changes were analyzed with Friedman and Kruskal-Wallis ANOVA (α = 0.05). Results: At baseline, IBF was detected in 40% (3 [1–6]) of Hrun, in 53% (4 [1–5]) of Hrec, in 85% (3 [1–25]) of Trun, and 70% (10 [2–30]) of Trec. At U5 IBF responded to exercise in 30% (3 [−1–9]) of Hrun, in 53% (4 [−2–6]) of Hrec, in 70% (4 [−10–10]) of Trun, and in 80% (5 [1–10]) of Trec. While IBF in 80% of healthy responding ATs returned to baseline at U30, IBF remained elevated until U120 in 60% of tendinopathic ATs. Within groups, IBF changes from Upre-U120 were significant for Hrec (p < 0.01), Trun (p = 0.05), and Trec (p < 0.01). Between groups, IBF changes in consecutive examinations were not significantly different (p > 0.05) but IBF-level was significantly higher at all measurement time points in tendinopathic versus healthy ATs (p < 0.05). Conclusion: Irrespective of training status and tendon pathology, running leads to an immediate increase of IBF in responding tendons. This increase occurs shortly in healthy and prolonged in tendinopathic ATs. Training exposure does not alter IBF occurrence, but IBF level is elevated in tendon pathology. While an immediate exercise-induced IBF increase is a physiological response, prolonged IBF is considered a pathological finding associated with Achilles tendinopathy. KW - neovascularization KW - tendinopathy KW - Doppler ultrasound KW - Advanced Dynamic Flow KW - athlete KW - sonography Y1 - 2021 U6 - https://doi.org/10.3389/fphys.2021.650507 SN - 1664-042X VL - 12 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Henschke, Jakob A1 - Zecher, Mahli Megan A1 - Mayer, Frank A1 - Engel, Tilman T1 - Contralateral repeated bout effect following preconditioning exercises BT - a systematic review JF - Sport sciences for health N2 - Background Recent studies indicate the existence of a repeated bout effect on the contralateral untrained limb following eccentric and isometric contractions. Aims This review aims to summarize the evidence for magnitude, duration and differences of this effect following isometric and eccentric preconditioning exercises. Methods Medline, Cochrane, and Web of science were searched from January 1971 until September 2020. Randomized controlled trials, case-control studies and cross-sectional studies were identified by combining keywords and synonyms (e.g., "contralateral", "exercise", "preconditioning", "protective effect"). At least two of the following outcome parameters were mandatory for study inclusion: strength, muscle soreness, muscle swelling, limb circumference, inflammatory blood markers or protective index (relative change of aforementioned measures). Results After identifying 1979 articles, 13 studies were included. Most investigations examined elbow flexors and utilized eccentric isokinetic protocols to induce the contralateral repeated bout effect. The magnitude of protection was observed in four studies, smaller values of the contralateral when compared to the ipsilateral repeated bout effect were noted in three studies. The potential mechanism is thought to be of neural central nature since no differences in peripheral muscle activity were observed. Time course was examined in three investigations. One study showed a smaller protective effect following isometric preconditioning when compared to eccentric preconditioning exercises. Conclusions The contralateral repeated bout effect demonstrates a smaller magnitude and lasts shorter than the ipsilateral repeated bout effect. Future research should incorporate long-term controlled trials including larger populations to identify central mechanisms. This knowledge should be used in clinical practice to prepare immobilized limbs prospectively for an incremental load. KW - musculoskeletal physiological phenomena KW - muscle damage KW - adaptation KW - Crossover KW - muscle soreness KW - isometric contraction Y1 - 2021 U6 - https://doi.org/10.1007/s11332-021-00804-0 SN - 1824-7490 SN - 1825-1234 VL - 18 IS - 1 SP - 1 EP - 10 PB - Soringer Italia CY - Milan ER - TY - GEN A1 - Busch, Aglaja A1 - Blasimann, Angela A1 - Mayer, Frank A1 - Baur, Heiner T1 - Alterations in sensorimotor function after ACL reconstruction during active joint position sense testing. A systematic review T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Background The anterior cruciate ligament (ACL) rupture can lead to impaired knee function. Reconstruction decreases the mechanical instability but might not have an impact on sensorimotor alterations. Objective Evaluation of the sensorimotor function measured with the active joint position sense (JPS) test in anterior cruciate ligament (ACL) reconstructed patients compared to the contralateral side and a healthy control group. Methods The databases MEDLINE, CINAHL, EMBASE, PEDro, Cochrane Library and SPORTDiscus were systematically searched from origin until April 2020. Studies published in English, German, French, Spanish or Italian language were included. Evaluation of the sensorimotor performance was restricted to the active joint position sense test in ACL reconstructed participants or healthy controls. The Preferred Items for Systematic Reviews and Meta-Analyses guidelines were followed. Study quality was evaluated using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data was descriptively synthesized. Results Ten studies were included after application of the selective criteria. Higher angular deviation, reaching significant difference (p < 0.001) in one study, was shown up to three months after surgery in the affected limb. Six months post-operative significantly less error (p < 0.01) was found in the reconstructed leg compared to the contralateral side and healthy controls. One or more years after ACL reconstruction significant differences were inconsistent along the studies. Conclusions Altered sensorimotor function was present after ACL reconstruction. Due to inconsistencies and small magnitudes, clinical relevance might be questionable. JPS testing can be performed in acute injured persons and prospective studies could enhance knowledge of sensorimotor function throughout the rehabilitative processes. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 717 KW - Body limbs KW - Knees KW - Sensory perception KW - Anterior cruciate ligament reconstruction KW - Legs KW - Tendons KW - Surgical and invasive medical procedures KW - Systematic reviews Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-521775 SN - 1866-8364 ER - TY - GEN A1 - Risch, Lucie A1 - Mayer, Frank A1 - Cassel, Michael T1 - Doppler flow response following running exercise differs between healthy and tendinopathic Achilles tendons T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Background: The relationship between exercise-induced intratendinous blood flow (IBF) and tendon pathology or training exposure is unclear. Objective: This study investigates the acute effect of running exercise on sonographic detectable IBF in healthy and tendinopathic Achilles tendons (ATs) of runners and recreational participants. Methods: 48 participants (43 ± 13 years, 176 ± 9 cm, 75 ± 11 kg) performed a standardized submaximal 30-min constant load treadmill run with Doppler ultrasound “Advanced dynamic flow” examinations before (Upre) and 5, 30, 60, and 120 min (U5-U120) afterward. Included were runners (>30 km/week) and recreational participants (<10 km/week) with healthy (Hrun, n = 10; Hrec, n = 15) or tendinopathic (Trun, n = 13; Trec, n = 10) ATs. IBF was assessed by counting number [n] of intratendinous vessels. IBF data are presented descriptively (%, median [minimum to maximum range] for baseline-IBF and IBF-difference post-exercise). Statistical differences for group and time point IBF and IBF changes were analyzed with Friedman and Kruskal-Wallis ANOVA (α = 0.05). Results: At baseline, IBF was detected in 40% (3 [1–6]) of Hrun, in 53% (4 [1–5]) of Hrec, in 85% (3 [1–25]) of Trun, and 70% (10 [2–30]) of Trec. At U5 IBF responded to exercise in 30% (3 [−1–9]) of Hrun, in 53% (4 [−2–6]) of Hrec, in 70% (4 [−10–10]) of Trun, and in 80% (5 [1–10]) of Trec. While IBF in 80% of healthy responding ATs returned to baseline at U30, IBF remained elevated until U120 in 60% of tendinopathic ATs. Within groups, IBF changes from Upre-U120 were significant for Hrec (p < 0.01), Trun (p = 0.05), and Trec (p < 0.01). Between groups, IBF changes in consecutive examinations were not significantly different (p > 0.05) but IBF-level was significantly higher at all measurement time points in tendinopathic versus healthy ATs (p < 0.05). Conclusion: Irrespective of training status and tendon pathology, running leads to an immediate increase of IBF in responding tendons. This increase occurs shortly in healthy and prolonged in tendinopathic ATs. Training exposure does not alter IBF occurrence, but IBF level is elevated in tendon pathology. While an immediate exercise-induced IBF increase is a physiological response, prolonged IBF is considered a pathological finding associated with Achilles tendinopathy. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 715 KW - neovascularization KW - tendinopathy KW - Doppler ultrasound KW - Advanced Dynamic Flow KW - athlete KW - sonography Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-521367 SN - 1866-8364 ER - TY - THES A1 - Cassel, Michael T1 - Klinische Analyse der physiologischen und pathologischen Sehnenadaptation an sportliche Belastung BT - belastungsabhängige Veränderungen und diagnostische Abgrenzbarkeit Y1 - 2021 ER - TY - JOUR A1 - Wochatz, Monique A1 - Engel, Tilman A1 - Müller, Steffen A1 - Mayer, Frank T1 - Alterations in scapular kinematics and scapular muscle activity after fatiguing shoulder flexion and extension movements JF - Medicine and science in sports and exercise : MSSE N2 - Repetitive overhead motions in combination with heavy loading were identified as risk factors for the development of shoulder pain. However, the underlying mechanism is not fully understood. Altered scapular kinematics as a result of muscle fatigue is suspected to be a contributor. PURPOSE: To determine scapular kinematics and scapular muscle activity at the beginning and end of constant shoulder flexion and extension loading in asymptomatic individuals. METHODS: Eleven asymptomatic adults (28±4yrs; 1.74±0.13m; 74±16kg) underwent maximum isokinetic loading of shoulder flexion (FLX) and extension (EXT) in the sagittal plane (ROM: 20- 180°; concentric mode; 180°/s) until individual peak torque was reduced by 50%. Simultaneously 3D scapular kinematics were assessed with a motion capture system and scapular muscle activity with a 3-lead sEMG of upper and lower trapezius (UT, LT) and serratus anterior (SA). Scapular position angles were calculated for every 20° increment between 20-120° humerothoracic positions. Muscle activity was quantified by amplitudes (RMS) of the total ROM. Descriptive analyses (mean±SD) of kinematics and muscle activity at begin (taskB) and end (taskE) of the loading task was followed by ANOVA and paired t-tests. RESULTS: At taskB activity ranged from 589±343mV to 605±250mV during FLX and from 105±41mV to 164±73mV during EXT across muscles. At taskE activity ranged from 594±304mV to 875±276mV during FLX and from 97±33mV to 147±57mV during EXT. Differences with increased muscle activity were seen for LT and UT during FLX (meandiff= 141±113mV for LT, p<0.01; 191±153mV for UT, p<0.01). Scapula position angles continuously increased in upward rotation, posterior tilt and external rotation during FLX and reversed during EXT both at taskB and taskE. At taskE scapula showed greater external rotation (meandiff= 3.6±3.7°, p<0.05) during FLX and decreased upward rotation (meandiff= 1.9±2.3°, p<0.05) and posterior tilt (meandiff= 1.0±2.1°, p<0.05) during EXT across humeral positions. CONCLUSIONS: Force reduction in consequence of fatiguing shoulder loading results in increased scapular muscle activity and minor alterations in scapula motion. Whether even small changes have a clinical impact by creating unfavorable subacromial conditions potentially initiating pain remains unclear. Y1 - 2020 U6 - https://doi.org/10.1249/01.mss.0000676540.02017.2c SN - 0195-9131 SN - 1530-0315 VL - 52 IS - 17 SP - 274 EP - 274 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Kellis, Eleftherios A1 - Ellinoudis, Athanasios A1 - Intziegianni, Konstantina A1 - Kofotolis, Nikolaos T1 - Muscle thickness during core stability exercises in children and adults JF - Journal of human kinetics N2 - Core stability exercises are regular part of exercise programs for asymptomatic individuals across ages. The purpose of this study was to examine deep abdominal and multifidus muscle thickness in children and adults and to determine reliability of the rehabilitative ultrasound (RUSI) imaging. Transversus abdominis and lumbar multifidus thickness at rest and during core stability exercise were examined in pre-pubertal children (N = 23), adolescents (N = 20), young adults (N = 21) and middle-aged adults (N = 22). Thirty-nine participants were re-tested one week after to establish reliability. Muscle thickness at rest was lower in children and adolescents compared with young and middle-aged adults (p < 0.008). Young adults displayed the highest relative transversus abdominis thickness upon contraction (p < 0.008). Lumbar multfidus contraction thickness was greater in young-adults than middle-aged adults and prepubertal children (p < 0.008), but it was similar between young-adults and adolescents (p > 0.008). Reliability was high for both muscles (ICC3,3 = 0.76 - 0.99). The age-related differences in muscle thickness indicate that core stability exercises may be beneficial for children and middle-aged adults. KW - childhood KW - musculoskeletal ultrasound KW - repeatability KW - core exercise KW - core stability Y1 - 2020 U6 - https://doi.org/10.2478/hukin-2019-0079 SN - 1640-5544 SN - 1899-7562 VL - 71 IS - 1 SP - 131 EP - 144 PB - Academy of Physical Education CY - Katowice ER - TY - CHAP A1 - Risch, Lucie A1 - Bashford, Greg A1 - Kulig, Kornelia A1 - Kaplick, Hannes A1 - Mayer, Frank A1 - Cassel, Michael T1 - Spatial frequency analysis identifies altered local Micromorphology in adolescent athletes with Achilles tendinopathy T2 - Medicine and science in sports and exercise : MSSE ; official journal of the American College of Sports Medicine Y1 - 2020 U6 - https://doi.org/10.1249/01.mss.0000670932.99564.57 SN - 0195-9131 SN - 1530-0315 VL - 52 SP - 82 EP - 82 PB - Lippincott Williams & Wilkins CY - Philadelphia ER -