@phdthesis{AppiahDwomoh2019,
  author    = {Appiah-Dwomoh, Edem Korkor},
  title     = {Postural control and back pain in adolescent athletes},
  doi       = {10.25932/publishup-44269},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-442692},
  school      = {Universit{\"a}t Potsdam},
  pages     = {VI, 77, X},
  year      = {2019},
  abstract  = {Back pain is a problem in adolescent athletes affecting postural control which is an important requirement for physical and daily activities whether under static or dynamic conditions. One leg stance and star excursion balance postural control tests are effective in measuring static and dynamic postural control respectively. These tests have been used in individuals with back pain, athletes and non-athletes without first establishing their reliabilities. In addition to this, there is no published literature investigating dynamic posture in adolescent athletes with back pain using the star excursion balance test. Therefore, the aim of the thesis was to assess deficit in postural control in adolescent athletes with and without back pain using static (one leg stance test) and dynamic postural (SEBT) control tests. Adolescent athletes with and without back pain participated in the study. Static and dynamic postural control tests were performed using one leg stance and SEBT respectively. The reproducibility of both tests was established. Afterwards, it was determined whether there was an association between static and dynamic posture using the measure of displacement of the centre pressure and reach distance respectively. Finally, it was investigated whether there was a difference in postural control in adolescent athletes with and without back pain using the one leg stance test and the SEBT. Fair to excellent reliabilities was recorded for the static (one leg stance) and dynamic (star excursion balance) postural control tests in the subjects of interest. No association was found between variables of the static and dynamic tests for the adolescent athletes with and without back pain. Also, no statistically significant difference was obtained between adolescent athletics with and without back pain using the static and dynamic postural control test. One leg stance test and SEBT can be used as measures of postural control in adolescent athletes with and without back pain. Although static and dynamic postural control might be related, adolescent athletes with and without back pain might be using different mechanisms in controlling their static and dynamic posture. Consequently, static and dynamic postural control in adolescent athletes with back pain was not different from those without back pain. These outcome measures might not be challenging enough to detect deficit in postural control in our study group of interest.},
  language  = {en}
}
@phdthesis{Fliesser2018,
  author    = {Fließer, Michael},
  title     = {Der Einfluss unterschiedlicher Indikatoren des sozio{\"o}konomischen Status auf R{\"u}ckenschmerz},
  doi       = {10.25932/publishup-42345},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-423455},
  school      = {Universit{\"a}t Potsdam},
  pages     = {84},
  year      = {2018},
  abstract  = {Obwohl der sozio{\"o}konomische Status (SES) eine in der Sozialepidemiologie h{\"a}ufig gebrauchte Variable darstellt, ist seine Verwendung mit methodischen Problemen verkn{\"u}pft: Seine latente Struktur f{\"u}hrt dazu, dass sich verschiedene M{\"o}glichkeiten der Operationalisierung er{\"o}ffnen. Diese reichen von klassischen Ungleichheitsindikatoren wie Bildung, Einkommen oder Berufsposition, {\"u}ber multidimensionale oder {\"u}ber Nachbarschaftsmerkmale konstruierte Indizes, bis hin zu subjektiven Statuseinsch{\"a}tzungen. Problematisch ist dies insofern, als verschiedene Indikatoren auf unterschiedlichen theoretischen Konstrukten beruhen und unterschiedliche Schlussfolgerungen erlauben. In dieser Arbeit wird deshalb in einem ersten Schritt anhand eines systematischen Reviews zum Zusammenhang von SES und R{\"u}ckenschmerzen {\"u}berpr{\"u}ft, welche Indikatoren in wissenschaftlichen Publikationen eingesetzt werden und wie die Auswahl begr{\"u}ndet wird. Das Ergebnis zeigt eine klare Pr{\"a}ferenz f{\"u}r klassische Indikatoren (Bildung, Einkommen und Berufsposition). Erl{\"a}utert wurde die jeweilige Auswahl allerdings nur in einem geringen Prozentsatz der untersuchten Artikel, obwohl die unterschiedlichen Studienergebnisse nahelegen, dass der gew{\"a}hlte Indikator einen Einfluss auf den gefundenen Zusammenhang aus{\"u}ben k{\"o}nnte. Deshalb wurde in einem weiteren Schritt {\"u}berpr{\"u}ft, wie unterschiedliche SES-Indikatoren mit der Verbesserung von R{\"u}ckenschmerzen nach einer Rehabilitation (Studie 1) und der Neuentstehung von R{\"u}ckenschmerzen (Studie 2) zusammenh{\"a}ngen. Außerdem wurde untersucht, ob ein einfaches Modell den Zusammenhang von SES und Gesundheit so darstellen kann, dass a priori abzusch{\"a}tzen ist, wie hoch der Einfluss unterschiedlicher Indikatoren auf einen bestimmten Gesundheitsoutput sein k{\"o}nnte. Es zeigt sich, dass sich der errechnete Zusammenhang zwischen den verschiedenen Indikatoren und chronischen R{\"u}ckenschmerzen erheblich unterscheidet: F{\"u}r Menschen, die bereits wegen R{\"u}ckenschmerzen in Rehabilitation waren, erwiesen sich Bildung und Berufsposition als {\"a}hnlich einflussreiche Einflussfaktoren, w{\"a}hrend f{\"u}r das Einkommen kein bedeutender Zusammenhang festgestellt werden konnte. F{\"u}r die Neuentstehung chronischer R{\"u}ckenschmerzen zeigte sich die Berufsposition als wichtigster Indikator, gefolgt von Bildung, w{\"a}hrend f{\"u}r Einkommen kein signifikanter Zusammenhang gefunden werden konnte. Folglich bestimmt die Wahl des Indikators die H{\"o}he des festgestellten Zusammenhangs stark mit. Unterschiedliche Indikatoren d{\"u}rfen deshalb nicht als austauschbar betrachtet werden und es muss bei jeder Forschungsfrage genau {\"u}berlegt werden, welcher Indikator f{\"u}r die jeweilige Fragestellung am besten verwendet werden kann. Das vorgeschlagene theoretische Modell kann dabei als Unterst{\"u}tzung dienen.},
  language  = {de}
}
@article{MuellerMuellerStolletal.2017,
  author    = {M{\"u}ller, Juliane and M{\"u}ller, Steffen and Stoll, Josefine and Fr{\"o}hlich, K. and Otto, Christoph and Mayer, Frank},
  title     = {Back pain prevalence in adolescent athletes},
  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.12664},
  pages     = {448 -- 454},
  year      = {2017},
  abstract  = {The research aimed to investigate back pain (BP) prevalence in a large cohort of young athletes with respect to age, gender, and sport discipline. BP (within the last 7days) was assessed with a face scale (face 1-2=no pain; face 3-5=pain) in 2116 athletes (m/f 61\%/39\%; 13.3 +/- 1.7years; 163.0 +/- 11.8cm; 52.6 +/- 13.9kg; 4.9 +/- 2.7 training years; 8.4 +/- 5.7 training h/week). Four different sports categories were devised (a: combat sports, b: game sports; c: explosive strength sport; d: endurance sport). Analysis was described descriptively, regarding age, gender, and sport. In addition, 95\% confidence intervals (CI) were calculated. About 168 (8\%) athletes were allocated into the BP group. About 9\% of females and 7\% of males reported BP. Athletes, 11-13years, showed a prevalence of 2-4\%; while prevalence increased to 12-20\% in 14- to 17-year olds. Considering sport discipline, prevalence ranged from 3\% (soccer) to 14\% (canoeing). Prevalences in weight lifting, judo, wrestling, rowing, and shooting were 10\%; in boxing, soccer, handball, cycling, and horse riding, 6\%. 95\% CI ranged between 0.08-0.11. BP exists in adolescent athletes, but is uncommon and shows no gender differences. A prevalence increase after age 14 is obvious. Differentiated prevention programs in daily training routines might address sport discipline-specific BP prevalence.},
  language  = {en}
}
@article{MuellerStollMuelleretal.2017,
  author    = {M{\"u}ller, Steffen and Stoll, Josefine and Mueller, Juliane and Cassel, Michael and Mayer, Frank},
  title     = {Trunk Muscle Activity during Drop Jump Performance in Adolescent Athletes with Back Pain},
  series = {Frontiers in physiology},
  volume    = {8},
  journal   = {Frontiers in physiology},
  publisher = {Frontiers Research Foundation},
  address   = {Lausanne},
  issn      = {1664-042X},
  doi       = {10.3389/fphys.2017.00274},
  pages     = {124 -- 132},
  year      = {2017},
  abstract  = {In the context of back pain, great emphasis has been placed on the importance of trunk stability, especially in situations requiring compensation of repetitive, intense loading induced during high-performance activities, e.g., jumping or landing. This study aims to evaluate trunk muscle activity during drop jump in adolescent athletes with back pain (BP) compared to athletes without back pain (NBP). Eleven adolescent athletes suffering back pain (BP: m/f: n = 4/7; 15.9 +/- 1.3 y; 176 +/- 11 cm; 68 +/- 11 kg; 12.4 +/- 10.5 h/we training) and 11 matched athletes without back pain (NBP: m/f: n = 4/7; 15.5 +/- 1.3 y; 174 +/- 7 cm; 67 +/- 8 kg; 14.9 +/- 9.5 h/we training) were evaluated. Subjects conducted 3 drop jumps onto a force plate (ground reaction force). Bilateral 12-lead SEMG (surface Electromyography) was applied to assess trunk muscle activity. Ground contact time [ms], maximum vertical jump force [N], jump time [ms] and the jump performance index [m/s] were calculated for drop jumps. SEMG amplitudes (RMS: root mean square [\%]) for all 12 single muscles were normalized toMIVC (maximum isometric voluntary contraction) and analyzed in 4 time windows (100 ms pre- and 200 ms post-initial ground contact, 100 ms pre- and 200 ms post-landing) as outcome variables. In addition, muscles were grouped and analyzed in ventral and dorsal muscles, as well as straight and transverse trunk muscles. Drop jump ground reaction force variables did not differ between NBP and BP (p > 0.05). Mm obliquus externus and internus abdominis presented higher SEMG amplitudes (1.3-1.9-fold) for BP (p < 0.05). Mm rectus abdominis, erector spinae thoracic/lumbar and latissimus dorsi did not differ (p > 0.05). The muscle group analysis over the whole jumping cycle showed statistically significantly higher SEMG amplitudes for BP in the ventral (p = 0.031) and transverse muscles (p = 0.020) compared to NBP. Higher activity of transverse, but not straight, trunk muscles might indicate a specific compensation strategy to support trunk stability in athletes with back pain during drop jumps. Therefore, exercises favoring the transverse trunk muscles could be recommended for back pain treatment.},
  language  = {en}
}