@article{BurkartAlslebenLachmuthetal.2010,
  author    = {Burkart, Michael and Alsleben, Katja and Lachmuth, Susanne and Schumacher, Juliane and Hofmann, Ralf and Jeltsch, Florian and Schurr, Frank Martin},
  title     = {Recruitment requirements of the rare and threatened Juncus atratus},
  issn      = {0367-2530},
  doi       = {10.1016/j.flora.2009.08.003},
  year      = {2010},
  abstract  = {The long-term persistence of populations and species depends on the successful recruitment of individuals. The generative recruitment of plants may be limited by a lack of suitable germination and establishment conditions. Establishment limitation may especially be caused by the competitive effect of surrounding dense vegetation, which is believed to restrict the recruitment success of many plant species to small open patches ('safe sites'). We conducted experiments to clarify the roles of germination and seedling establishment as limiting processes in the recruitment of Juncus atratus Krock., a rare and threatened herbaceous perennial river corridor plant in Central Europe. Light intensity had a positive effect on germination. However, some seedlings emerged even in total darkness and the germination rate at 1\% light intensity was more than half of that at 60\% light intensity. Seedling establishment in the field after 10 weeks was 30\% on bare ground, but it was close to zero in grassland. Establishment in the growth chamber after 8 weeks was close to 75\% for seedlings that germinated underwater, but only about 35\% for seedlings that germinated afloat. Furthermore, establishment decreased with flooding duration on bare ground, but increased with flooding duration in grassland. These data indicate that establishment, rather than germination, is a critical life stage in Central European populations off. atratus. They furthermore indicate that the competition of surrounding vegetation for water limits seedling establishment under field conditions without flooding, largely restricting establishment success to bare ground habitats. In contrast, grassland is more suitable for the recruitment off. atratus than bare ground under prolonged flooding. Grassland may facilitate the establishment off. atratus seedlings during long- lasting floods by supplying oxygen to the soil through aerenchyma. The shift from competition to facilitation in grassland occurred after 30 days of flooding, i.e. within the ontogeny of individual plants. The specific recruitment requirements off. arrows may be a main cause of its rarity in modern Central Europe. In order to prevent regional extinction off. atratus, we suggest maintaining or re-establishing natural hydrodynamics in the species' habitats.},
  language  = {en}
}
@inproceedings{CasselCarlsohnFroehlichetal.2013,
  author    = {Cassel, Michael and Carlsohn, Anja and Froehlich, Katja and Mayer, Frank},
  title     = {Achilles tendinopathy in adolescent athletes using ultrasound and clinical examination},
  series = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  volume    = {45},
  booktitle = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  number    = {5},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia},
  issn      = {0195-9131},
  pages     = {350 -- 350},
  year      = {2013},
  language  = {en}
}
@inproceedings{WochatzCasselKoenigetal.2013,
  author    = {Wochatz, Monique and Cassel, Michael and K{\"o}nig, Niklas and Fr{\"o}hlich, Katja and Mayer, Frank},
  title     = {Intra- and inter-observer variability of a retrospective analysis of achilles tendon ultrasound scans},
  series = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  volume    = {45},
  booktitle = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  number    = {5},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia},
  issn      = {0195-9131},
  pages     = {239 -- 239},
  year      = {2013},
  language  = {en}
}
@article{CasselCarlsohnFroehlichetal.2016,
  author    = {Cassel, Michael and Carlsohn, Anja and Fr{\"o}hlich, Katja and John, Mareike and Riegels, N. and Mayer, Frank},
  title     = {Tendon Adaptation to Sport-specific Loading in Adolescent Athletes},
  series = {International journal of sports medicine},
  volume    = {37},
  journal   = {International journal of sports medicine},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0172-4622},
  doi       = {10.1055/s-0035-1559772},
  pages     = {159 -- 164},
  year      = {2016},
  abstract  = {Tendon adaptation due to mechanical loading is controversially discussed. However, data concerning the development of tendon thickness in adolescent athletes is sparse. The purpose of this study was to examine possible differences in Achilles (AT) and patellar tendon (PT) thickness in adolescent athletes while considering age, gender and sport-specific loading. In 500 adolescent competitive athletes of 16 different sports and 40 recreational controls both ATs and PTs were sonographically measured. Subjects were divided into 2 age groups (< 13; \&\#8805; 13 years) and 6 sport type categories (ball, combat, and water sports, combined disciplines, cycling, controls). In addition, 3 risk groups (low, moderate, high) were created according to the athlete's risk of developing tendinopathy. AT and PT thickness did not significantly differ between age groups (AT/PT:<13: 5.4±0.7 mm/3.6±0.5 mm;\&\#8805;13: 5.3±0.7 mm/3.6±0.5 mm). In both age groups males presented higher tendon thickness than females (p<0.001). AT thickness was highest in ball sports/cyclists and lowest in controls (p\&\#8804;0.002). PT thickness was greatest in water sports and lowest in controls (p=0.02). High risk athletes presented slightly higher AT thickness compared to the low risk group (p=0.03). Increased AT and PT thickness in certain sport types compared to controls supports the hypothesis of structural tendon adaptation due to sport-specific loading.},
  language  = {en}
}
@inproceedings{IntziegianniCasselHainetal.2014,
  author    = {Intziegianni, Konstantina and Cassel, Michael and Hain, Gerrit and Fr{\"o}hlic, Katja and Mayer, Frank},
  title     = {Reliability of sonographic assessment of Achilles tendon cross-sectional area at rest and maximal voluntary contraction},
  series = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  volume    = {46},
  booktitle = {Medicine and science in sports and exercise : official journal of the American College of Sports Medicine},
  number    = {5},
  publisher = {Lippincott Williams \& Wilkins},
  address   = {Philadelphia},
  issn      = {0195-9131},
  pages     = {47 -- 47},
  year      = {2014},
  language  = {en}
}
@article{CasselBaurHirschmuelleretal.2015,
  author    = {Cassel, Michael and Baur, Heiner and Hirschmueller, Anja and Carlsohn, Anja and Fr{\"o}hlich, Katja and Mayer, Frank},
  title     = {Prevalence of Achilles and patellar tendinopathy and their association to intratendinous changes in adolescent athletes},
  series = {Scandinavian journal of medicine \& science in sports},
  volume    = {25},
  journal   = {Scandinavian journal of medicine \& science in sports},
  number    = {3},
  publisher = {Wiley-Blackwell},
  address   = {Hoboken},
  issn      = {0905-7188},
  doi       = {10.1111/sms.12318},
  pages     = {e310 -- e318},
  year      = {2015},
  abstract  = {Achilles (AT) and patellar tendons (PT) are commonly affected by tendinopathy in adult athletes but prevalence of symptoms and morphological changes in adolescents is unclear. The study aimed to determine prevalence of tendinopathy and intratendinous changes in ATs and PTs of adolescent athletes. A total of 760 adolescent athletes (13.0 +/- 1.9 years; 160 +/- 13cm; 50 +/- 14kg) were examined. History, local clinical examination, and longitudinal Doppler ultrasound analysis for both ATs and PTs were performed including identification of intratendinous echoic changes and vascularization. Diagnosis of tendinopathy was complied clinically in case of positive history of tendon pain and tendon pain on palpation. Achilles tendinopathy was diagnosed in 1.8\% and patellar tendinopathy in 5.8\%. Vascularizations were visible in 3.0\% of ATs and 11.4\% of PTs, hypoechogenicities in 0.7\% and 3.2\% as well as hyperechogenicities in 0\% and 0.3\%, respectively. Vascularizations and hypoechogenicities were statistically significantly more often in males than in females (P0.02). Subjects with patellar tendinopathy had higher prevalence of structural intratendinous changes than those without PT symptoms (P0.001). In adolescent athletes, patellar tendinopathy is three times more frequent compared with Achilles tendinopathy. Longitudinal studies are necessary to investigate physiological or pathological origin of vascularizations and its predictive value in development of tendinopathy.},
  language  = {en}
}
@article{IntziegianniCasselKoenigetal.2015,
  author    = {Intziegianni, Konstantina and Cassel, Michael and K{\"o}nig, Niklas and M{\"u}ller, Steffen and Fr{\"o}hlich, Katja and Mayer, Frank},
  title     = {Ultrasonography for the assessment of the structural properties of the Achilles tendon in asymptomatic individuals: An intra-rater reproducibility study},
  series = {Isokinetics and exercise science : official journal of the European Isokinetic Society},
  volume    = {23},
  journal   = {Isokinetics and exercise science : official journal of the European Isokinetic Society},
  number    = {4},
  publisher = {IOS Press},
  address   = {Amsterdam},
  issn      = {0959-3020},
  doi       = {10.3233/IES-150586},
  pages     = {263 -- 270},
  year      = {2015},
  abstract  = {BACKGROUND: Reproducible measurements of tendon structural properties are a prerequisite for accurate diagnosis of tendon disorders and for determination of their mechanical properties. Despite the widely used application of Ultrasonography (US) in musculoskeletal assessment, its operator dependency and lack of standardization influences the consistency of the measurement. OBJECTIVE: To evaluate the intra-rater reproducibility of a standardized US method assessing the structural properties of the Achilles tendon (AT). METHODS: Sixteen asymptomatic participants were positioned prone on an isokinetic dynamometer with the knee extended and ankle at 90. flexion. US was used to assess AT-length, cross-sectional area (CSA), and AT-elongation during isometric plantarflexion contraction. The intra-rater reproducibility was assessed by ICC (2.1), Test-Retest Variability (TRV, \%), Bland-Altman analyses (Bias +/- LoA [1.96*SD]), and Standard-Error of Measurement (SEM). RESULTS: Measurements of AT-length demonstrated an ICC of 0.93, TRV of 4.5 +/- 3.9\%, Bias +/- LoA of -2.8 +/- 25.0 mm and SEM of 6.6 mm. AT-CSA showed an ICC of 0.79, TRV of 8.7 +/- 9.6\%, Bias +/- LoA of 1.7 +/- 19.4 mm(2) and SEM of 5.3 mm(2). AT-elongation revealed an ICC of 0.92, TRV of 12.9 +/- 8.9\%, Bias +/- LoA of 0.3 +/- 5.7 mm and SEM of 1.5 mm. CONCLUSIONS: The presented methodology allows a reproducible assessment of Achilles tendon structural properties when performed by a single rater.},
  language  = {en}
}
@article{KopinskiEngelCasseletal.2015,
  author    = {Kopinski, Stephan and Engel, Tilman and Cassel, Michael and Fr{\"o}hlich, Katja and Mayer, Frank and Carlsohn, Anja},
  title     = {Ultrasound Applied to Subcutaneous Fat Tissue Measurements in International Elite Canoeists},
  series = {International journal of sports medicine},
  volume    = {36},
  journal   = {International journal of sports medicine},
  number    = {14},
  publisher = {Thieme},
  address   = {Stuttgart},
  issn      = {0172-4622},
  doi       = {10.1055/s-0035-1555857},
  pages     = {1134 -- 1141},
  year      = {2015},
  abstract  = {Subcutaneous adipose tissue (SAT) measurements with ultrasound have recently been introduced to assess body fat in elite athletes. However, appropriate protocols and data on various groups of athletes are missing. We investigated intra-rater reliability of SAT measurements using ultrasound in elite canoe athletes. 25 international level canoeists (18 male, 7 female; 23 +/- 4 years; 81 +/- 11 kg; 1.83 +/- 0.09 m; 20 +/- 3 training h/wk) were measured on 2 consecutive days. SAT was assessed with B-mode ultrasound at 8 sites (ISAK): triceps, subscapular, biceps, iliac crest, supraspinal, abdominal, front thigh, medial calf, and quantified using image analysis software. Data was analyzed descriptively (mean +/- SD, [range]). Coefficient of variation (CV \%), intraclass correlation coefficient (ICC, 2.1) and absolute (LoA) and ratio limits of agreement (RLoA) were calculated for day-to-day reliability. Mean sum of SAT thickness was 30.0 +/- 19.4 mm [8.0, 80.1 mm], with 3.9 +/- 1.8 mm [1.2 mm subscapular, 8.0 mm abdominal] for individual sites. CV for the sum of sites was 4.7 \%, ICC 0.99, LoA 1.7 +/- 3.6 mm, RLoA 0.940 (*/divided by 1.155). Measuring SAT with ultrasound has proved to have excellent day-to-day reliability in elite canoe athletes. Recommendations for standardization of the method will further increase accuracy and reproducibility.},
  language  = {en}
}