TY - JOUR A1 - Schaefer, Laura A1 - Dech, Silas A1 - Bittmann, Frank T1 - Adaptive force and emotionally related imaginations BT - Preliminary results suggest a reduction of the maximal holding capacity as reaction to disgusting food imagination JF - Heliyon N2 - The link between emotions and motor control has been discussed for years. The measurement of the Adaptive Force (AF) provides the possibility to get insights into the adaptive control of the neuromuscular system in reaction to external forces. It was hypothesized that the holding isometric AF is especially vulnerable to disturbing inputs. Here, the behavior of the AF under the influence of positive (tasty) vs. negative (disgusting) food imaginations was investigated. The AF was examined in n = 12 cases using an objectified manual muscle test of the hip flexors, elbow flexors or pectoralis major muscle, performed by one of two experienced testers while the participants imagined their most tasty or most disgusting food. The reaction force and the limb position were measured by a handheld device. While the slope of force rises and the maximal AF did not differ significantly between tasty and disgusting imaginations (p > 0.05), the maximal isometric AF was significantly lower and the AF at the onset of oscillations was significantly higher under disgusting vs. tasty imaginations (both p = 0.001). A proper length tension control of muscles seems to be a crucial functional parameter of the neuromuscular system which can be impaired instantaneously by emotionally related negative imaginations. This might be a potential approach to evaluate somatic reactions to emotions. KW - Adaptive Force KW - Isometric Adaptive Force KW - Holding capacity KW - Holding KW - isometric muscle action KW - Imaginations KW - Emotions KW - Motor control KW - Functional weakness KW - Manual muscle test Y1 - 2021 U6 - https://doi.org/10.1016/j.heliyon.2021.e07827 SN - 2405-8440 VL - 7 IS - 8 PB - Elsevier CY - London ER - TY - GEN A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Assessment of the Adaptive Force of Elbow Extensors in Healthy Subjects Quantified by a Novel Pneumatically Driven Measurement System with Considerations of Its Quality Criteria T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Adaptive Force (AF) reflects the capability of the neuromuscular system to adapt adequately to external forces with the intention of maintaining a position or motion. One specific approach to assessing AF is to measure force and limb position during a pneumatically applied increasing external force. Through this method, the highest (AFmax), the maximal isometric (AFisomax) and the maximal eccentric Adaptive Force (AFeccmax) can be determined. The main question of the study was whether the AFisomax is a specific and independent parameter of muscle function compared to other maximal forces. In 13 healthy subjects (9 male and 4 female), the maximal voluntary isometric contraction (pre- and post-MVIC), the three AF parameters and the MVIC with a prior concentric contraction (MVICpri-con) of the elbow extensors were measured 4 times on two days. Arithmetic mean (M) and maximal (Max) torques of all force types were analyzed. Regarding the reliability of the AF parameters between days, the mean changes were 0.31–1.98 Nm (0.61%–5.47%, p = 0.175–0.552), the standard errors of measurements (SEM) were 1.29–5.68 Nm (2.53%–15.70%) and the ICCs(3,1) = 0.896–0.996. M and Max of AFisomax, AFmax and pre-MVIC correlated highly (r = 0.85–0.98). The M and Max of AFisomax were significantly lower (6.12–14.93 Nm; p ≤ 0.001–0.009) and more variable between trials (coefficient of variation (CVs) ≥ 21.95%) compared to those of pre-MVIC and AFmax (CVs ≤ 5.4%). The results suggest the novel measuring procedure is suitable to reliably quantify the AF, whereby the presented measurement errors should be taken into consideration. The AFisomax seems to reflect its own strength capacity and should be detected separately. It is suggested its normalization to the MVIC or AFmax could serve as an indicator of a neuromuscular function. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 710 KW - adaptive force KW - neuromuscular functionality KW - sensorimotor control KW - isometric muscle action KW - eccentric muscle action KW - maximal voluntary contraction KW - adaptive holding capacity KW - reliability KW - validity Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-510950 SN - 1866-8364 IS - 710 ER - TY - JOUR A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Assessment of the adaptive force of Elbow extensors in healthy subjects quantified by a novel pneumatically driven measurement system with considerations of its quality criteria JF - Diagnostics : open access journal N2 - Adaptive Force (AF) reflects the capability of the neuromuscular system to adapt adequately to external forces with the intention of maintaining a position or motion. One specific approach to assessing AF is to measure force and limb position during a pneumatically applied increasing external force. Through this method, the highest (AFmax), the maximal isometric (AFisomax) and the maximal eccentric Adaptive Force (AFeccmax) can be determined. The main question of the study was whether the AFisomax is a specific and independent parameter of muscle function compared to other maximal forces. In 13 healthy subjects (9 male and 4 female), the maximal voluntary isometric contraction (pre- and post-MVIC), the three AF parameters and the MVIC with a prior concentric contraction (MVICpri-con) of the elbow extensors were measured 4 times on two days. Arithmetic mean (M) and maximal (Max) torques of all force types were analyzed. Regarding the reliability of the AF parameters between days, the mean changes were 0.31–1.98 Nm (0.61%–5.47%, p = 0.175–0.552), the standard errors of measurements (SEM) were 1.29–5.68 Nm (2.53%–15.70%) and the ICCs(3,1) = 0.896–0.996. M and Max of AFisomax, AFmax and pre-MVIC correlated highly (r = 0.85–0.98). The M and Max of AFisomax were significantly lower (6.12–14.93 Nm; p ≤ 0.001–0.009) and more variable between trials (coefficient of variation (CVs) ≥ 21.95%) compared to those of pre-MVIC and AFmax (CVs ≤ 5.4%). The results suggest the novel measuring procedure is suitable to reliably quantify the AF, whereby the presented measurement errors should be taken into consideration. The AFisomax seems to reflect its own strength capacity and should be detected separately. It is suggested its normalization to the MVIC or AFmax could serve as an indicator of a neuromuscular function. KW - adaptive force KW - sensorimotor control KW - isometric muscle action KW - eccentric muscle action KW - maximal voluntary contraction KW - adaptive holding capacity KW - reliability KW - validity KW - neuromuscular functionality Y1 - 2021 U6 - https://doi.org/10.3390/diagnostics11060923 SN - 2075-4418 VL - 11 IS - 6 PB - MDPI CY - Basel ER - TY - GEN A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Behavior of oxygen saturation and blood filling in the venous capillary system of the biceps brachii muscle during a fatiguing isometric action T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe 618 N2 - The objective of the study is to develop a better understanding of the capillary circulation in contracting muscles. Ten subjects were measured during a submaximal fatiguing isometric muscle action by use of the O2C spectrophotometer. In all measurements the capillary-venous oxygen saturation of hemoglobin (SvO2) decreases immediately after the start of loading and levels off into a steady state. However, two different patterns (type I and type II) emerged. They differ in the extent of deoxygenation (–10.37 ±2.59 percent points (pp) vs. –33.86 ±17.35 pp, P = .008) and the behavior of the relative hemoglobin amount (rHb). Type I reveals a positive rank correlation of SvO2 and rHb (? = 0.735, P <.001), whereas a negative rank correlation (? = –0.522, P <.001) occurred in type II, since rHb decreases until a reversal point, then increases averagely 13% above the baseline value and levels off into a steady state. The results reveal that a homeostasis of oxygen delivery and consumption during isometric muscle actions is possible. A rough distinction in two types of regulation is suggested. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 618 KW - muscle oxygenation KW - hemoglobin amount KW - isometric muscle action KW - O2C spectrophotometer Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-460166 SN - 1866-8364 IS - 618 SP - 79 EP - 87 ER - TY - JOUR A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Behavior of oxygen saturation and blood filling in the venous capillary system of the biceps brachii muscle during a fatiguing isometric action JF - European Journal of Translational Myology N2 - The objective of the study is to develop a better understanding of the capillary circulation in contracting muscles. Ten subjects were measured during a submaximal fatiguing isometric muscle action by use of the O2C spectrophotometer. In all measurements the capillary-venous oxygen saturation of hemoglobin (SvO2) decreases immediately after the start of loading and levels off into a steady state. However, two different patterns (type I and type II) emerged. They differ in the extent of deoxygenation (–10.37 ±2.59 percent points (pp) vs. –33.86 ±17.35 pp, P = .008) and the behavior of the relative hemoglobin amount (rHb). Type I reveals a positive rank correlation of SvO2 and rHb (? = 0.735, P <.001), whereas a negative rank correlation (? = –0.522, P <.001) occurred in type II, since rHb decreases until a reversal point, then increases averagely 13% above the baseline value and levels off into a steady state. The results reveal that a homeostasis of oxygen delivery and consumption during isometric muscle actions is possible. A rough distinction in two types of regulation is suggested. KW - muscle oxygenation KW - hemoglobin amount KW - isometric muscle action KW - O2C spectrophotometer Y1 - 2020 U6 - https://doi.org/10.4081/ejtm.2019.8800 SN - 2037-7460 VL - 30 IS - 1 SP - 79 EP - 87 PB - Unipress CY - Padova ER - TY - GEN A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Muscle oxygenation level might trigger the regulation of capillary venous blood filling during fatiguing isometric muscle actions T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - The regulation of oxygen and blood supply during isometric muscle actions is still unclear. Recently, two behavioral types of oxygen saturation (SvO2) and relative hemoglobin amount (rHb) in venous microvessels were described during a fatiguing holding isometric muscle action (HIMA) (type I: nearly parallel behavior of SvO2 and rHb; type II: partly inverse behavior). The study aimed to ascertain an explanation of these two regulative behaviors. Twelve subjects performed one fatiguing HIMA trial with each arm by weight holding at 60% of the maximal voluntary isometric contraction (MVIC) in a 90° elbow flexion. Six subjects additionally executed one fatiguing PIMA trial by pulling on an immovable resistance with 60% of the MVIC with each side and same position. Both regulative types mentioned were found during HIMA (I: n = 7, II: n = 17) and PIMA (I: n = 3, II: n = 9). During the fatiguing measurements, rHb decreased initially and started to increase in type II at an average SvO2-level of 58.75 ± 2.14%. In type I, SvO2 never reached that specific value during loading. This might indicate the existence of a threshold around 59% which seems to trigger the increase in rHb and could explain the two behavioral types. An approach is discussed to meet the apparent incompatibility of an increased capillary blood filling (rHb) despite high intramuscular pressures which were found by other research groups during isometric muscle actions. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 723 KW - muscle oxygen saturation KW - hemoglobin amount KW - isometric muscle action KW - O2C spectrophotometer KW - capillary recruitment KW - blood flow KW - holding isometric muscle action (HIMA) KW - pulling isometric muscle action (PIMA) Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-524078 SN - 1866-8364 IS - 11 ER - TY - JOUR A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Muscle oxygenation level might trigger the regulation of capillary venous blood filling during fatiguing isometric muscle actions JF - Diagnostics : open access journal N2 - The regulation of oxygen and blood supply during isometric muscle actions is still unclear. Recently, two behavioral types of oxygen saturation (SvO(2)) and relative hemoglobin amount (rHb) in venous microvessels were described during a fatiguing holding isometric muscle action (HIMA) (type I: nearly parallel behavior of SvO(2) and rHb; type II: partly inverse behavior). The study aimed to ascertain an explanation of these two regulative behaviors. Twelve subjects performed one fatiguing HIMA trial with each arm by weight holding at 60% of the maximal voluntary isometric contraction (MVIC) in a 90 & DEG; elbow flexion. Six subjects additionally executed one fatiguing PIMA trial by pulling on an immovable resistance with 60% of the MVIC with each side and same position. Both regulative types mentioned were found during HIMA (I: n = 7, II: n = 17) and PIMA (I: n = 3, II: n = 9). During the fatiguing measurements, rHb decreased initially and started to increase in type II at an average SvO(2)-level of 58.75 & PLUSMN; 2.14%. In type I, SvO(2) never reached that specific value during loading. This might indicate the existence of a threshold around 59% which seems to trigger the increase in rHb and could explain the two behavioral types. An approach is discussed to meet the apparent incompatibility of an increased capillary blood filling (rHb) despite high intramuscular pressures which were found by other research groups during isometric muscle actions. KW - muscle oxygen saturation KW - hemoglobin amount KW - isometric muscle action KW - O2C spectrophotometer KW - capillary recruitment KW - blood flow KW - holding KW - isometric muscle action (HIMA) KW - pulling isometric muscle action (PIMA) Y1 - 2021 U6 - https://doi.org/10.3390/diagnostics11111973 SN - 2075-4418 VL - 11 IS - 11 PB - MDPI CY - Basel ER - TY - JOUR A1 - Dech, Silas A1 - Bittmann, Frank A1 - Schaefer, Laura T1 - Muscle oxygenation level might trigger the regulation of capillary venous blood filling during fatiguing isometric muscle actions JF - Diagnostics N2 - The regulation of oxygen and blood supply during isometric muscle actions is still unclear. Recently, two behavioral types of oxygen saturation (SvO2) and relative hemoglobin amount (rHb) in venous microvessels were described during a fatiguing holding isometric muscle action (HIMA) (type I: nearly parallel behavior of SvO2 and rHb; type II: partly inverse behavior). The study aimed to ascertain an explanation of these two regulative behaviors. Twelve subjects performed one fatiguing HIMA trial with each arm by weight holding at 60% of the maximal voluntary isometric contraction (MVIC) in a 90° elbow flexion. Six subjects additionally executed one fatiguing PIMA trial by pulling on an immovable resistance with 60% of the MVIC with each side and same position. Both regulative types mentioned were found during HIMA (I: n = 7, II: n = 17) and PIMA (I: n = 3, II: n = 9). During the fatiguing measurements, rHb decreased initially and started to increase in type II at an average SvO2-level of 58.75 ± 2.14%. In type I, SvO2 never reached that specific value during loading. This might indicate the existence of a threshold around 59% which seems to trigger the increase in rHb and could explain the two behavioral types. An approach is discussed to meet the apparent incompatibility of an increased capillary blood filling (rHb) despite high intramuscular pressures which were found by other research groups during isometric muscle actions. KW - muscle oxygen saturation KW - hemoglobin amount KW - isometric muscle action KW - O2C spectrophotometer KW - capillary recruitment KW - blood flow KW - holding isometric muscle action (HIMA) KW - pulling isometric muscle action (PIMA) Y1 - 2021 SN - 2075-4418 VL - 11 IS - 11 PB - MDPI CY - Basel ER - TY - THES A1 - Schaefer, Laura T1 - Synchronisationsphänomene myotendinöser Oszillationen interagierender neuromuskulärer Systeme T1 - Synchronization phenomena of myotendinal oscillations during interaction of neuromuscular systems BT - mit Betrachtung einer Hypothese bezüglich unterschiedlicher Qualitäten isometrischer Muskelaktion BT - considering a hypothesis regarding different qualities of isometric muscle action N2 - Muskeln oszillieren nachgewiesener Weise mit einer Frequenz um 10 Hz. Doch was geschieht mit myofaszialen Oszillationen, wenn zwei neuromuskuläre Systeme interagieren? Die Dissertation widmet sich dieser Fragestellung bei isometrischer Interaktion. Während der Testmessungen ergaben sich Hinweise für das Vorhandensein von möglicherweise zwei verschiedenen Formen der Isometrie. Arbeiten zwei Personen isometrisch gegeneinander, können subjektiv zwei Modi eingenommen werden: man kann entweder isometrisch halten – der Kraft des Partners widerstehen – oder isometrisch drücken – gegen den isometrischen Widerstand des Partners arbeiten. Daher wurde zusätzlich zu den Messungen zur Interaktion zweier Personen an einzelnen Individuen geprüft, ob möglicherweise zwei Formen der Isometrie existieren. Die Promotion besteht demnach aus zwei inhaltlich und methodisch getrennten Teilen: I „Single-Isometrie“ und II „Paar-Isometrie“. Für Teil I wurden mithilfe eines pneumatisch betriebenen Systems die hypothetischen Messmodi Halten und Drücken während isometrischer Aktion untersucht. Bei n = 10 Probanden erfolgte parallel zur Aufzeichnung des Drucksignals während der Messungen die Erfassung der Kraft (DMS) und der Beschleunigung sowie die Aufnahme der mechanischen Muskeloszillationen folgender myotendinöser Strukturen via Mechanomyo- (MMG) bzw. Mechanotendografie (MTG): M. triceps brachii (MMGtri), Trizepssehne (MTGtri), M. obliquus externus abdominis (MMGobl). Pro Proband wurden bei 80 % der MVC sowohl sechs 15-Sekunden-Messungen (jeweils drei im haltenden bzw. drückenden Modus; Pause: 1 Minute) als auch vier Ermüdungsmessungen (jeweils zwei im haltenden bzw. drückenden Modus; Pause: 2 Minuten) durchgeführt. Zum Vergleich der Messmodi Halten und Drücken wurden die Amplituden der myofaszialen Oszillationen sowie die Kraftausdauer herangezogen. Signifikante Unterschiede zwischen dem haltenden und dem drückenden Modus zeigten sich insbesondere im Bereich der Ermüdungscharakteristik. So lassen Probanden im haltenden Modus signifikant früher nach als im drückenden Modus (t(9) = 3,716; p = .005). Im drückenden Modus macht das längste isometrische Plateau durchschnittlich 59,4 % der Gesamtdauer aus, im haltenden sind es 31,6 % (t(19) = 5,265, p = .000). Die Amplituden der Single-Isometrie-Messungen unterscheiden sich nicht signifikant. Allerdings variieren die Amplituden des MMGobl zwischen den Messungen im drückenden Modus signifikant stärker als im haltenden Modus. Aufgrund dieser teils signifikanten Unterschiede zwischen den beiden Messmodi wurde dieses Setting auch im zweiten Teil „Paar-Isometrie“ berücksichtigt. Dort wurden n = 20 Probanden – eingeteilt in zehn gleichgeschlechtliche Paare – während isometrischer Interaktion untersucht. Die Sensorplatzierung erfolgte analog zu Teil I. Die Oszillationen der erfassten MTG- sowie MMG-Signale wurden u.a. mit Algorithmen der Nichtlinearen Dynamik auf ihre Kohärenz hin untersucht. Durch die Paar-Isometrie-Messungen zeigte sich, dass die Muskeln und die Sehnen beider neuromuskulärer Systeme bei Interaktion im bekannten Frequenzbereich von 10 Hz oszillieren. Außerdem waren sie in der Lage, sich bei Interaktion so aufeinander abzustimmen, dass sich eine signifikante Kohärenz entwickelte, die sich von Zufallspaarungen signifikant unterscheidet (Patchanzahl: t(29) = 3,477; p = .002; Summe der 4 längsten Patches: t(29) = 7,505; p = .000). Es wird der Schluss gezogen, dass neuromuskuläre Komplementärpartner in der Lage sind, sich im Sinne kohärenten Verhaltens zu synchronisieren. Bezüglich der Parameter zur Untersuchung der möglicherweise vorhandenen zwei Formen der Isometrie zeigte sich bei den Paar-Isometrie-Messungen zwischen Halten und Drücken ein signifikanter Unterschied bei der Ermüdungscharakteristik sowie bezüglich der Amplitude der MMGobl. Die Ergebnisse beider Teilstudien bestärken die Hypothese, dass zwei Formen der Isometrie existieren. Fraglich ist, ob man überhaupt von Isometrie sprechen kann, da jede isometrische Muskelaktion aus feinen Oszillationen besteht, die eine per Definition postulierte Isometrie ausschließen. Es wird der Vorschlag unterbreitet, die Isometrie durch den Begriff der Homöometrie auszutauschen. Die Ergebnisse der Paar-Isometrie-Messungen zeigen u.a., dass neuromuskuläre Systeme in der Lage sind, ihre myotendinösen Oszillationen so aufeinander abzustimmen, dass kohärentes Verhalten entsteht. Es wird angenommen, dass hierzu beide neuromuskulären Systeme funktionell intakt sein müssen. Das Verfahren könnte für die Diagnostik funktioneller Störungen relevant werden. N2 - Muscles oscillate with a frequency of about 10 Hz. But what happens with myofascial oscillations if two neuromuscular systems interact? The dissertation is devoted to this question during isometric interaction. The test measurements provide hints for the presence of possibly two different forms of isometric muscle action. When two persons work against each other, each individual can subjectively choose to take up one of two modes: one can either hold isometrically – thus resist the force of the partner – or one can push isometrically – and therefore work against the resistance of the partner. In addition to the measurements to determine the interaction of neuromuscular systems, measurements with single individuals were done to evaluate the question, if probably two forms of isometric muscle action exist. The doctoral thesis consists of two separate parts concerning the content and methodology: I “Single Isometric” and II “Coupled Isometric”. For part I the hypothetical measurement modes - “holding” and “pushing” during isometric muscle action - were examined using a pneumatic system. During the measurements of n = 10 subjects the signal of pressure, force (strain gauge) and acceleration were recorded. Furthermore, the detection of the mechanic muscle oscillations of the following myotendinal structures occurred via Mechanomyo- (MMG) and Mechanotendography (MTG), respectively: triceps brachii muscle (MMGtri), tendon of triceps brachii muscle (MTGtri) and obliquus externus abdominis muscle (MMGobl). Each test person performed at 80 % of MVC six 15-seconds-measurements (three at holding and three at pushing mode, respectively; break: 1 min.) as well as four fatigue measurements (two at holding and two at pushing mode, respectively; break: 2 min.). In order to compare the two measurement modes holding and pushing, the amplitude of the myofascial oscillations as well as the force endurance were used. Significant differences between the holding and the pushing mode appeared especially when looking at the characteristics of fatigue. Subjects in the holding mode yielded earlier than during the pushing one (t(9) = 3.716; p = .005). In the pushing mode the longest isometric plateau amounts 59.4 % of the overall duration of the measurement. During holding it lasted 31.6 % (t(19) = 5.265, p = .000). The amplitudes of the single-isometric-measurements did not differ significantly. But the amplitude of the MMGobl varied significantly stronger during the pushing mode comparing to the holding one. Due to these partly significant differences between both measurement modes, this setting was considered for the second part „Coupled-Isometric“, too. For the coupled-isometric-measurements n = 20 subjects – divided into same-sex couples – were investigated during isometric interaction. The placement of the sensors is analogous to part I. The oscillations of the recorded MMG- and MTG-signals were analyzed regarding their coherence inter alia by algorithms of non-linear dynamics. Through the coupled-isometric-measurements it was shown, that also during isometric interaction the muscles and the tendons of both neuromuscular systems oscillate at the known frequency range of 10 Hz. Moreover, the systems are able to coordinate them in such a manner, that a significant coherence appears. This differed significantly from random pairings (number of patches: t(29) = 3.477; p = .002; Sum of 4 longest patches: t(29) = 7.505; p = .000). Thus it is concluded that neuromuscular complementary partners are able to synchronize themselves in the sense of coherent behavior. Regarding the parameters concerning the possibly existing forms of isometric muscle action, a significant difference at the coupled-isometric-measurements between holding and pushing appeared with respect to the characteristics of fatigue as well as the amplitudes of the MMGobl. The results of both sub studies strengthen the hypothesis that two forms of isometric muscle action exist. It is questionable whether one can talk of isometry at all, since each isometric muscle action consists of fine oscillations. This excludes a by definition postulated isometry. It is proposed to exchange this term with homeometry. The results of the coupled-isometric-measurements show inter alia, that neuromuscular systems are able to coordinate their myotendinal oscillations, so that coherent behavior arises. It is supposed that for this both systems have to be functionally intact. This procedure could become relevant for diagnostics of functional disorders. KW - Mechanomyografie KW - myofasziale Oszillationen KW - Isometrie KW - Interaktion KW - Synchronisation KW - mechanomyography KW - myofascial oscillations KW - isometric muscle action KW - interaction KW - synchronization Y1 - 2014 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-72445 ER -