TY - JOUR A1 - Mühlbauer, Thomas A1 - Granacher, Urs A1 - Jockel, Björn A1 - Kittel, Réne T1 - Analyse der Muskelaktivität therapeutischer Kletterübungen JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Therapeutic climbing exercises are employed for the treatment of shoulder-and knee-joint injuries. However, there is a void in the literature regarding muscle activation levels during the performance of these exercises. Thus, the purpose of this study was to investigate differences in muscle activation during therapeutic climbing exercises depending on the degree of task difficulty. Participants/Material and Methods: A sample of 10 healthy subjects (sex: 4 females, 6 males; age: 27 +/- 3 years; climbing experience: 5 +/- 3 years) performed three shoulder girdle (i.e., wide shoulder pull, narrow shoulder pull, shoulder row) and two leg extensor (i.e., ascending frontal, ascending sidewards) exercises. Electromyographic (EMG) data were recorded on the right side for eleven muscles and then normalised using the maximum voluntary contractions for each muscle. Results: With increasing task difficulty, muscle activity in all but one muscle (i.e., m. trapezius ascendens) increased significantly for the three shoulder girdle exercises. For the two leg extensor exercises, an increase in task difficulty produced a tendency towards yet not significantly higher muscle activity. Conclusion: Shoulder row was the most effective therapeutic climbing exercise in the ability to activate muscles while showing the highest EMG signals. The absence of significant differences in muscle activity between the two leg extensor exercises indicates their equivalent use for muscle activation during therapy. KW - therapy KW - climbing KW - electromyography KW - shoulder girdle KW - leg extensors KW - musculature Y1 - 2013 U6 - https://doi.org/10.1055/s-0033-1335595 SN - 0932-0555 SN - 1439-1236 VL - 27 IS - 3 SP - 162 EP - 168 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Meyer, Ursina A1 - Ernst, Dominique A1 - Schott, Silvia A1 - Riera, Claudia A1 - Hattendorf, Jan A1 - Romkes, Jacqueline A1 - Granacher, Urs A1 - Göpfert, Beat A1 - Kriemler, Susi T1 - Validation of two accelerometers to determine mechanical loading of physical activities in children JF - Journal of sports sciences N2 - The purpose of this study was to assess the validity of accelerometers using force plates (i.e., ground reaction force (GRF)) during the performance of different tasks of daily physical activity in children. Thirteen children (10.1 (range 5.4-15.7)years, 3 girls) wore two accelerometers (ActiGraph GT3X+ (ACT), GENEA (GEN)) at the hip that provide raw acceleration signals at 100Hz. Participants completed different tasks (walking, jogging, running, landings from boxes of different height, rope skipping, dancing) on a force plate. GRF was collected for one step per trial (10 trials) for ambulatory movements and for all landings (10 trials), rope skips and dance procedures. Accelerometer outputs as peak loading (g) per activity were averaged. ANOVA, correlation analyses and Bland-Altman plots were computed to determine validity of accelerometers using GRF. There was a main effect of task with increasing acceleration values in tasks with increasing locomotion speed and landing height (P<0.001). Data from ACT and GEN correlated with GRF (r=0.90 and 0.89, respectively) and between each other (r=0.98), but both accelerometers consistently overestimated GRF. The new generation of accelerometer models that allow raw signal detection are reasonably accurate to measure impact loading of bone in children, although they systematically overestimate GRF. KW - bone KW - impact loading KW - children KW - physical activity KW - ground reaction force Y1 - 2015 U6 - https://doi.org/10.1080/02640414.2015.1004638 SN - 0264-0414 SN - 1466-447X VL - 33 IS - 16 SP - 1702 EP - 1709 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Mettler, Claude A1 - Roth, Ralf A1 - Granacher, Urs T1 - One-leg standing performance and muscle activity: Are there limb differences? JF - Journal of applied biomechanics N2 - The purpose of this study was to compare static balance performance and muscle activity during one-leg standing on the dominant and nondominant leg under various sensory conditions with increased levels of task difficulty. Thirty healthy young adults (age: 23 +/- 2 years) performed one-leg standing tests for 30 s under three sensory conditions (ie, eyes open/firm ground; eyes open/foam ground [elastic pad on top of the balance plate]; eyes closed/firm ground). Center of pressure displacements and activity of four lower leg muscles (ie, m. tibialis anterior [TA], m. soleus [SOL], m. gastrocnemius medialis [GAS], m. peroneus longus [PER]) were analyzed. An increase in sensory task difficulty resulted in deteriorated balance performance (P < .001, effect size [ES] = .57-2.54) and increased muscle activity (P < .001, ES = .50-1.11) for all but two muscles (ie, GAS, PER). However, regardless of the sensory condition, one-leg standing on the dominant as compared with the nondominant limb did not produce statistically significant differences in various balance (P > .05, ES = .06-.22) and electromyographic (P > .05, ES = .03-.13) measures. This indicates that the dominant and the nondominant leg can be used interchangeably during static one-leg balance testing in healthy young adults. KW - postural control KW - electromyography KW - sensory input KW - task difficulty Y1 - 2014 U6 - https://doi.org/10.1123/jab.2013-0230 SN - 1065-8483 SN - 1543-2688 VL - 30 IS - 3 SP - 407 EP - 414 PB - Human Kinetics Publ. CY - Champaign ER - TY - JOUR A1 - Howard, Joshua A1 - Granacher, Urs A1 - Behm, David George T1 - Trunk extensor fatigue decreases jump height similarly under stable and unstable conditions with experienced jumpers JF - European journal of applied physiology N2 - The purpose of this study was to investigate the effects of back extensor fatigue on performance measures and electromyographic (EMG) activity of leg and trunk muscles during jumping on stable and unstable surfaces. Before and after a modified Biering-Sorensen fatigue protocol for the back extensors, countermovement (CMJ) and lateral jumps (LJ) were performed on a force plate under stable and unstable (balance pad on the force plate) conditions. Performance measures for LJ (contact time) and CMJ height and leg and trunk muscles EMG activity were tested in 14 male experienced jumpers during 2 time intervals for CMJ (braking phase, push-off phase) and 5 intervals for LJ (-30 to 0, 0-30, 30-60, 60-90, and 90-120 ms) in non-fatigued and fatigued conditions. A significant main effect of test (fatigue) (p = 0.007, f = 0.57) was observed for CMJ height. EMG analysis showed a significant fatigue-induced decrease in biceps femoris and gastrocnemius activity with CMJ (p = 0.008, f = 0.58 andp = 0.04, f = 0.422, respectively). LJ contact time was not affected by fatigue or surface interaction. EMG activity was significantly lower in the tibialis anterior with LJ following fatigue (p = 0.05, f = 0.405). A test x surface (p = 0.04, f = 0.438) interaction revealed that the non-fatigued unstable CMJ gastrocnemius EMG activity was lower than the non-fatigued stable condition during the onset-of-force phase. The findings revealed that fatiguing the trunk negatively impacts CMJ height and muscle activity during the performance of CMJs. However, skilled jumpers are not additionally affected by a moderately unstable surface as compared to a stable surface. KW - Countermovement jump KW - Instability KW - Balance KW - Crossover fatigue KW - Lateral jumps Y1 - 2015 U6 - https://doi.org/10.1007/s00421-014-3011-x SN - 1439-6319 SN - 1439-6327 VL - 115 IS - 2 SP - 285 EP - 294 PB - Springer CY - New York ER - TY - JOUR A1 - Hortobagyi, Tibor A1 - Lesinski, Melanie A1 - Fernandez-del-Olmo, Miguel A1 - Granacher, Urs T1 - Small and inconsistent effects of whole body vibration on athletic performance: a systematic review and meta-analysis JF - European journal of applied physiology N2 - We quantified the acute and chronic effects of whole body vibration on athletic performance or its proxy measures in competitive and/or elite athletes. Systematic literature review and meta-analysis. Whole body vibration combined with exercise had an overall 0.3 % acute effect on maximal voluntary leg force (-6.4 %, effect size = -0.43, 1 study), leg power (4.7 %, weighted mean effect size = 0.30, 6 studies), flexibility (4.6 %, effect size = -0.12 to 0.22, 2 studies), and athletic performance (-1.9 %, weighted mean effect size = 0.26, 6 studies) in 191 (103 male, 88 female) athletes representing eight sports (overall effect size = 0.28). Whole body vibration combined with exercise had an overall 10.2 % chronic effect on maximal voluntary leg force (14.6 %, weighted mean effect size = 0.44, 5 studies), leg power (10.7 %, weighted mean effect size = 0.42, 9 studies), flexibility (16.5 %, effect size = 0.57 to 0.61, 2 studies), and athletic performance (-1.2 %, weighted mean effect size = 0.45, 5 studies) in 437 (169 male, 268 female) athletes (overall effect size = 0.44). Whole body vibration has small and inconsistent acute and chronic effects on athletic performance in competitive and/or elite athletes. These findings lead to the hypothesis that neuromuscular adaptive processes following whole body vibration are not specific enough to enhance athletic performance. Thus, other types of exercise programs (e.g., resistance training) are recommended if the goal is to improve athletic performance. KW - Exercise KW - Muscle KW - Force KW - Power KW - Skill KW - Reflex KW - Endocrine KW - Metabolism Y1 - 2015 U6 - https://doi.org/10.1007/s00421-015-3194-9 SN - 1439-6319 SN - 1439-6327 VL - 115 IS - 8 SP - 1605 EP - 1625 PB - Springer CY - New York ER - TY - JOUR A1 - Gschwind, Yves J. A1 - Kressig, Reto W. A1 - Lacroix, Andre A1 - Mühlbauer, Thomas A1 - Pfenninger, Barbara A1 - Granacher, Urs T1 - A best practice fall prevention exercise program to improve balance, strength/power, and psychosocial health in older adults - study protocol for a randomized controlled trial JF - BMC geriatrics N2 - Background: With increasing age neuromuscular deficits (e.g., sarcopenia) may result in impaired physical performance and an increased risk for falls. Prominent intrinsic fall-risk factors are age-related decreases in balance and strength / power performance as well as cognitive decline. Additional studies are needed to develop specifically tailored exercise programs for older adults that can easily be implemented into clinical practice. Thus, the objective of the present trial is to assess the effects of a fall prevention program that was developed by an interdisciplinary expert panel on measures of balance, strength / power, body composition, cognition, psychosocial well-being, and falls self-efficacy in healthy older adults. Additionally, the time-related effects of detraining are tested. Methods/Design: Healthy old people (n = 54) between the age of 65 to 80 years will participate in this trial. The testing protocol comprises tests for the assessment of static / dynamic steady-state balance (i.e., Sharpened Romberg Test, instrumented gait analysis), proactive balance (i.e., Functional Reach Test; Timed Up and Go Test), reactive balance (i.e., perturbation test during bipedal stance; Push and Release Test), strength (i.e., hand grip strength test; Chair Stand Test), and power (i.e., Stair Climb Power Test; countermovement jump). Further, body composition will be analysed using a bioelectrical impedance analysis system. In addition, questionnaires for the assessment of psychosocial (i.e., World Health Organisation Quality of Life Assessment-Bref), cognitive (i.e., Mini Mental State Examination), and fall risk determinants (i.e., Fall Efficacy Scale -International) will be included in the study protocol. Participants will be randomized into two intervention groups or the control / waiting group. After baseline measures, participants in the intervention groups will conduct a 12-week balance and strength / power exercise intervention 3 times per week, with each training session lasting 30 min. (actual training time). One intervention group will complete an extensive supervised training program, while the other intervention group will complete a short version (` 3 times 3') that is home-based and controlled by weekly phone calls. Post-tests will be conducted right after the intervention period. Additionally, detraining effects will be measured 12 weeks after program cessation. The control group / waiting group will not participate in any specific intervention during the experimental period, but will receive the extensive supervised program after the experimental period. Discussion: It is expected that particularly the supervised combination of balance and strength / power training will improve performance in variables of balance, strength / power, body composition, cognitive function, psychosocial well-being, and falls self-efficacy of older adults. In addition, information regarding fall risk assessment, dose-response-relations, detraining effects, and supervision of training will be provided. Further, training-induced health-relevant changes, such as improved performance in activities of daily living, cognitive function, and quality of life, as well as a reduced risk for falls may help to lower costs in the health care system. Finally, practitioners, therapists, and instructors will be provided with a scientifically evaluated feasible, safe, and easy-to-administer exercise program for fall prevention. KW - Seniors KW - Fall risk assessment KW - Resistance training KW - Postural stability Y1 - 2013 U6 - https://doi.org/10.1186/1471-2318-13-105 SN - 1471-2318 VL - 13 IS - 4 PB - BioMed Central CY - London ER - TY - JOUR A1 - Lesinski, Melanie A1 - Mühlbauer, Thomas A1 - Buesch, Dirk A1 - Granacher, Urs T1 - Acute Effects of Postactivation Potentiation on Strength and Speed Performance in Athletes JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: The contractile history of a muscle or a muscle group can result in an acute enhancement of subsequent muscle force output. This phenomenon is referred to as postactivation potentiation (PAP) and it was frequently substantiated in original research manuscripts, systematic literature reviews, and meta-analyses. However, there is a lack in the literature regarding precise dose-response relations. This literature review describes the main determinants of PAP effects and additionally presents the state of the art regarding the acute effects of PAP protocols on measures of strength, power, and speed in subelite and elite athletes of different sport disciplines. Furthermore, an attempt is made to demonstrate evidence-based information concerning the design of effective PAP protocols. Methods: Our literature search included the electronic databases Pubmed, SportDiscus, and Google Scholar (1995 - March 2013). In total, 23 studies met the inclusionary criteria for review. Results: Findings from our literature review indicate that various conditioning activities produce acute PAP effects in subelite and particularly elite athletes. More specifically, conditioning activities that are characterised by multiple sets, moderate to high intensities (60 - 84 % of the one repetition maximum), and rest intervals of 7 - 10 min. following the conditioning activity have the potential to induce short-term improvements in muscle force output and sports performance. Conclusion: It is recommended that subelite and particularly elite athletes from strength, power, and speed disciplines apply specifically tailored conditioning activities during the acute preparation process for competition to induce performance enhancing PAP effects. KW - conditioning stimulus KW - dose-response relationship KW - athletic performance Y1 - 2013 U6 - https://doi.org/10.1055/s-0033-1335414 SN - 0932-0555 SN - 1439-1236 VL - 27 IS - 3 SP - 147 EP - 155 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Gollhofer, Albert A1 - Granacher, Urs T1 - Association of balance, strength, and power measures in young adults JF - Journal of strength and conditioning research : the research journal of the NSCA N2 - Muehlbauer, T, Gollhofer, A, and Granacher, U. Association of balance, strength, and power measures in young adults. J Strength Cond Res 27(3): 582-589, 2013-The purpose of this study was to investigate the relationship between variables of static/dynamic balance, isometric strength, and power. Twenty-seven young healthy adults (mean age: 23 6 4 years) performed measurements of static (unperturbed)/dynamic (perturbed) balance, isometric strength (i.e., maximal isometric torque [MIT]; rate of torque development [RTD] of the plantar flexor), and power (i.e., countermovement jump [CMJ] height and power). No significant associations were found between variables of static and dynamic balance (r = -0.090 to + 0.329, p > 0.05) and between measures of static/dynamic balance and isometric strength (r = +0.041 to +0.387, p > 0.05) and static/dynamic balance and power (r = -0.076 to + 0.218, p > 0.05). Significant positive correlations (r) were detected between variables of power and isometric strength ranging from +0.458 to +0.689 (p, 0.05). Furthermore, simple regression analyses revealed that a 10% increase in mean CMJ height (4.1 cm) was associated with 22.9 N.m and 128.4 N.m.s(-1) better MIT and RTD, respectively. The nonsignificant correlation between static and dynamic balance measures and between static/dynamic balance, isometric strength, and power variables implies that these capacities may be independent of each other and may have to be tested and trained complementarily. KW - static/dynamic postural control KW - maximal isometric torque KW - rate of torque development KW - jump height/power Y1 - 2013 U6 - https://doi.org/10.1097/JSC.0b013e31825c2bab SN - 1064-8011 VL - 27 IS - 3 SP - 582 EP - 589 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Lesinski, Melanie A1 - Mühlbauer, Thomas A1 - Buesch, Dirk A1 - Granacher, Urs T1 - Effects of complex training on strength and speed performance in athletes: A systematic review effects of complex training on athletic performance JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Post-activation potentiation (PAP) can elicit acute performance enhancements in variables of strength, power, and speed. However, it is unresolved whether the frequent integration of PAP eliciting conditioning activities in training (i.e., complex training) results in long-term adaptations. In this regard, it is of interest to know whether complex training results in larger performance enhancements as compared to more traditional and isolated training regimens (e. g., resistance training). Thus, this systematic literature review summarises the current state of the art regarding the effects of complex training on measures of strength, power, and speed in recreational, subelite, and elite athletes. Further, it provides information on training volume and intensities that proved to be effective. Methods: Our literature search included the electronic databases Pubmed, SportDiscus, and Web of Science (1995 to September 2013). In total, 17 studies met the inclusionary criteria for review. Ten studies examined alternating complex training and 7 studies sequenced complex training. Results: Our findings indicated small to large effects for both alternating complex training (countermovement jump height: +7.4 % [ESd = -0.43]; squat jump height: +9.8 % [ESd = -0.66]; sprint time: -2.4% [ESd = 0.63]) and sequenced complex training (countermovement jump height: +6.0 % [ESd = -0.83]; squat jump height: +11.9% [ESd = -0.97], sprint time: -0.7% [ESd = 0.52]) in measures of power and speed. As compared to more traditional training regimens, alternating and sequenced complex training showed only small effects in measures of strength, power, and speed. A more detailed analysis of alternating complex training revealed larger effects in countermovement jump height in recreational athletes (+9.7% [ESd = -0.57]) as compared to subelite and elite athletes (+2.7% [ESd = -0.15]). Based on the relevant and currently available literature, missing data (e.g., time for rest interval) and diverse information regarding training volume and intensity do not allow us to establish evidence-based dose-response relations for complex training. Conclusion: Complex training represents an effective training regimen for athletes if the goal is to enhance strength, power, and speed. Studies with high methodological quality have to be conducted in the future to elucidate whether complex training is less, similar, or even more effective compared to more traditional training regimens. Finally, it should be clarified whether alternated and/or sequenced conditioning activities implemented in complex training actually elicit acute PAP effects. KW - resistance training KW - plyometric training KW - dose-response relation KW - athletic performance KW - elite sport Y1 - 2014 U6 - https://doi.org/10.1055/s-0034-1366145 SN - 0932-0555 SN - 1439-1236 VL - 28 IS - 2 SP - 85 EP - 107 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Granacher, Urs A1 - Mühlbauer, Thomas A1 - Gschwind, Y. J. A1 - Pfenninger, B. A1 - Kressig, R. W. T1 - Assessment and training of strength and balance for fall prevention in the elderly. Recommendations of an interdisciplinary expert panel JF - Zeitschrift für Gerontologie und Geriatrie N2 - The proportion of elderly people in societies of western industrialized countries is continuously rising. Biologic aging induces deficits in balance and muscle strength/power in old age, which is responsible for an increased prevalence of falls. Therefore, nationwide and easy-to-administer fall prevention programs have to be developed in order to contribute to the autonomy and quality of life in old age and to help reduce the financial burden on the public health care system due to the treatment of fall-related injuries. This narrative (qualitative) literature review deals with a) the reasons for an increased prevalence of falls in old age, b) important clinical tests for fall-risk assessment, and c) evidence-based intervention/training programs for fall prevention in old age. The findings of this literature review are based on a cost-free practice guide that is available to the public (via the internet) and that was created by an expert panel (i.e., geriatricians, exercise scientists, physiotherapists, geriatric therapists). The present review provides the scientific foundation of the practice guide. KW - Fall risk KW - Resistance training KW - Preventive therapy KW - Exercise therapy KW - Frail elderly Y1 - 2014 U6 - https://doi.org/10.1007/s00391-013-0509-5 SN - 0948-6704 SN - 1435-1269 VL - 47 IS - 6 SP - 513 EP - 525 PB - Springer CY - Heidelberg ER -