@misc{SchaeferBittmann2018,
  author    = {Schaefer, Laura and Bittmann, Frank},
  title     = {Muscular Pre-Activation Can Boost the Maximal Explosive Eccentric Adaptive Force},
  series = {Postprints der Universit{\"a}t Potsdam Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam Humanwissenschaftliche Reihe},
  number    = {582},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-43918},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-439189},
  pages     = {14},
  year      = {2018},
  abstract  = {The improvement of power is an objective in training of athletes. In order to detect effective methods of exercise, basic research is required regarding the mechanisms of muscular activity. The purpose of this study is to investigate whether or not a muscular pre-activation prior to an external impulse-like force impact has an effect on the maximal explosive eccentric Adaptive Force (xpAFeccmax). This power capability combines different probable power enhancing mechanisms. To measure the xpAFeccmax an innovative pneumatic device was used. During measuring, the subject tries to hold an isometric position as long as possible. In the moment in which the subjects' maximal isometric holding strength is exceeded, it merges into eccentric muscle action. This process is very close to motions in sports, where an adaptation of the neuromuscular system is required, e.g., force impacts caused by uneven surfaces during skiing. For investigating the effect of pre-activation on the xpAFeccmax of the quadriceps femoris muscle, n = 20 subjects had to pass three different pre-activation levels in a randomized order (level 1: 0.4 bar, level 2: 0.8 bar, level 3: 1.2 bar). After adjusting the standardized pre-pressure by pushing against the interface, an impulse-like load impacted on the distal tibia of the subject. During this, the xpAFeccmax was detected. The maximal voluntary isometric contraction (MVIC) was also measured. The torque values of the xpAFeccmax were compared with regard to the pre-activation levels. The results show a significant positive relation between the pre-activation of the quadriceps femoris muscle and the xpAFeccmax (male: p = 0.000, η2= 0.683; female: p = 0.000, η2= 0.907). The average percentage increase of torque amounted +28.15 ± 25.4\% between MVIC and xpAFeccmax with pre-pressure level 1, +12.09 ± 7.9\% for the xpAFeccmax comparing pre-pressure levels 1 vs. 2 and +2.98 ± 4.2\% comparing levels 2 and 3. A higher but not maximal muscular activation prior to a fast impacting eccentric load seems to produce an immediate increase of force outcome. Different possible physiological explanatory approaches and the use as a potential training method are discussed.},
  language  = {en}
}
@misc{SchaeferBittmann2021,
  author    = {Schaefer, Laura and Bittmann, Frank},
  title     = {Mechanotendography: description and evaluation of a novel method for investigating the physiological mechanical oscillations of tendons using a piezo-based measurement system},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {737},
  publisher = {Universit{\"a}t Potsdam},
  address   = {Potsdam},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-53650},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-536500},
  pages     = {1 -- 10},
  year      = {2021},
  abstract  = {The mechanotendography (MTG) is a method for analyzing the mechanical oscillations of tendons during muscular actions. The aim of this investigation was to evaluate the technical reliability of a piezo-based measurement system used for MTG. The reliability measurements were performed by using audio samples played by a subwoofer. The thereby generated pressure waves were recorded by a piezo-based measurement system. An audio of 40 Hz sine oscillations and four different formerly in vivo recorded MTG-signals were converted into audio files and were used as test signals. Five trials with each audio were performed and one audio was used for repetition trials on another day. The signals' correlation was estimated by Spearman (MCC) and intraclass correlation coefficients (ICC(3,1)), Cronbach's alpha (CA) and by mean distances (MD). All parameters were compared between repetition and randomized matched signals. The repetition trials show high correlations (MCC: 0.86 ± 0.13, ICC: 0.89 ± 0.12, CA: 0.98 ± 0.03), low MD (0.03 ± 0.03V) and differ significantly from the randomized matched signals (MCC: 0.15 ± 0.10, ICC: 0.17 ± 0.09, CA: 0.37 ± 0.16, MD: 0.19 ± 0.01V) (p = 0.001 - 0.043). This speaks for an excellent reliability of the measurement system. Presuming the skin above superficial tendons oscillates adequately, we estimate this tool as valid for the application in musculoskeletal system.},
  language  = {en}
}
@misc{SchaeferBittmann2023,
  author    = {Schaefer, Laura and Bittmann, Frank},
  title     = {The adaptive force as a potential biomechanical parameter in the recovery process of patients with long COVID},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {823},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-58518},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-585187},
  pages     = {25},
  year      = {2023},
  abstract  = {Long COVID patients show symptoms, such as fatigue, muscle weakness and pain. Adequate diagnostics are still lacking. Investigating muscle function might be a beneficial approach. The holding capacity (maximal isometric Adaptive Force; AFisomax) was previously suggested to be especially sensitive for impairments. This longitudinal, non-clinical study aimed to investigate the AF in long COVID patients and their recovery process. AF parameters of elbow and hip flexors were assessed in 17 patients at three time points (pre: long COVID state, post: immediately after first treatment, end: recovery) by an objectified manual muscle test. The tester applied an increasing force on the limb of the patient, who had to resist isometrically for as long as possible. The intensity of 13 common symptoms were queried. At pre, patients started to lengthen their muscles at ~50\% of the maximal AF (AFmax), which was then reached during eccentric motion, indicating unstable adaptation. At post and end, AFisomax increased significantly to ~99\% and 100\% of AFmax, respectively, reflecting stable adaptation. AFmax was statistically similar for all three time points. Symptom intensity decreased significantly from pre to end. The findings revealed a substantially impaired maximal holding capacity in long COVID patients, which returned to normal function with substantial health improvement. AFisomax might be a suitable sensitive functional parameter to assess long COVID patients and to support therapy process},
  language  = {en}
}
@misc{DechBittmannSchaefer2022,
  author    = {Dech, Silas and Bittmann, Frank and Schaefer, Laura},
  title     = {Muscle oxygenation and time to task failure of submaximal holding and pulling isometric muscle actions and influence of intermittent voluntary muscle twitches},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  publisher = {Universit{\"a}tsverlag Potsdam},
  address   = {Potsdam},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-56687},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-566878},
  pages     = {1 -- 10},
  year      = {2022},
  abstract  = {Background Isometric muscle actions can be performed either by initiating the action, e.g., pulling on an immovable resistance (PIMA), or by reacting to an external load, e.g., holding a weight (HIMA). In the present study, it was mainly examined if these modalities could be differentiated by oxygenation variables as well as by time to task failure (TTF). Furthermore, it was analyzed if variables are changed by intermittent voluntary muscle twitches during weight holding (Twitch). It was assumed that twitches during a weight holding task change the character of the isometric muscle action from reacting (≙ HIMA) to acting (≙ PIMA). Methods Twelve subjects (two drop outs) randomly performed two tasks (HIMA vs. PIMA or HIMA vs. Twitch, n = 5 each) with the elbow flexors at 60\% of maximal torque maintained until muscle failure with each arm. Local capillary venous oxygen saturation (SvO2) and relative hemoglobin amount (rHb) were measured by light spectrometry. Results Within subjects, no significant differences were found between tasks regarding the behavior of SvO2 and rHb, the slope and extent of deoxygenation (max. SvO2 decrease), SvO2 level at global rHb minimum, and time to SvO2 steady states. The TTF was significantly longer during Twitch and PIMA (incl. Twitch) compared to HIMA (p = 0.043 and 0.047, respectively). There was no substantial correlation between TTF and maximal deoxygenation independently of the task (r = - 0.13). Conclusions HIMA and PIMA seem to have a similar microvascular oxygen and blood supply. The supply might be sufficient, which is expressed by homeostatic steady states of SvO2 in all trials and increases in rHb in most of the trials. Intermittent voluntary muscle twitches might not serve as a further support but extend the TTF. A changed neuromuscular control is discussed as possible explanation.},
  language  = {en}
}
@article{SchaeferDechWolffetal.2022,
  author    = {Schaefer, Laura and Dech, Silas and Wolff, Lara L. and Bittmann, Frank},
  title     = {Emotional Imagery Influences the Adaptive Force in Young Women},
  series = {Brain Sciences},
  volume    = {12},
  journal   = {Brain Sciences},
  number    = {10},
  publisher = {MDPI},
  address   = {Basel, Schweiz},
  issn      = {2076-3425},
  doi       = {10.3390/brainsci12101318},
  pages     = {23},
  year      = {2022},
  abstract  = {The link between emotions and motor function has been known for decades but is still not clarified. The Adaptive Force (AF) describes the neuromuscular capability to adapt to increasing forces and was suggested to be especially vulnerable to interfering inputs. This study investigated the influence of pleasant an unpleasant food imagery on the manually assessed AF of elbow and hip flexors objectified by a handheld device in 12 healthy women. The maximal isometric AF was significantly reduced during unpleasant vs. pleasant imagery and baseline (p < 0.001, dz = 0.98-1.61). During unpleasant imagery, muscle lengthening started at 59.00 ± 22.50\% of maximal AF, in contrast to baseline and pleasant imagery, during which the isometric position could be maintained mostly during the entire force increase up to ~97.90 ± 5.00\% of maximal AF. Healthy participants showed an immediately impaired holding function triggered by unpleasant imagery, presumably related to negative emotions. Hence, AF seems to be suitable to test instantaneously the effect of emotions on motor function. Since musculoskeletal complaints can result from muscular instability, the findings provide insights into the understanding of the causal chain of linked musculoskeletal pain and mental stress. A case example (current stress vs. positive imagery) suggests that the approach presented in this study might have future implications for psychomotor diagnostics and therapeutics.},
  language  = {en}
}
@phdthesis{Schaefer2021,
  author    = {Schaefer, Laura},
  title     = {Oszillation und Adaptation als Mechanismen neuromuskul{\"a}rer Steuer- und Regelprozesse},
  school      = {Universit{\"a}t Potsdam},
  year      = {2021},
  language  = {de}
}
@misc{SchaeferBittmann2018,
  author    = {Schaefer, Laura and Bittmann, Frank},
  title     = {Coherent behavior of neuromuscular oscillations between isometrically interacting subjects},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {480},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-419864},
  pages     = {10},
  year      = {2018},
  abstract  = {Previous research has shown that electrical muscle activity is able to synchronize between muscles of one subject. The ability to synchronize the mechanical muscle oscillations measured by Mechanomyography (MMG) is not described sufficiently. Likewise, the behavior of myofascial oscillations was not considered yet during muscular interaction of two human subjects. The purpose of this study is to investigate the myofascial oscillations intra- and interpersonally. For this the mechanical muscle oscillations of the triceps and the abdominal external oblique muscles were measured by MMG and the triceps tendon was measured by mechanotendography (MTG) during isometric interaction of two subjects (n = 20) performed at 80\% of the MVC using their arm extensors. The coherence of MMG/MTG-signals was analyzed with coherence wavelet transform and was compared with randomly matched signal pairs. Each signal pairing shows significant coherent behavior. Averagely, the coherent phases of n = 485 real pairings last over 82 ± 39 \% of the total duration time of the isometric interaction. Coherent phases of randomly matched signal pairs take 21 ± 12 \% of the total duration time (n = 39). The difference between real vs. randomly matched pairs is significant (U = 113.0, p = 0.000, r = 0.73). The results show that the neuromuscular system seems to be able to synchronize to another neuromuscular system during muscular interaction and generate a coherent behavior of the mechanical muscular oscillations. Potential explanatory approaches are discussed.},
  language  = {en}
}
@article{SchaeferLoefflerKleinetal.2021,
  author    = {Schaefer, Laura and L{\"o}ffler, Nils and Klein, Julia and Bittmann, Frank},
  title     = {Mechanomyography and acceleration show interlimb asymmetries in Parkinson patients without tremor compared to controls during a unilateral motor task},
  series = {Scientific reports},
  volume    = {11},
  journal   = {Scientific reports},
  number    = {1},
  publisher = {Macmillan},
  address   = {London},
  issn      = {2045-2322},
  doi       = {10.1038/s41598-021-81672-z},
  pages     = {15},
  year      = {2021},
  abstract  = {The mechanical muscular oscillations are rarely the objective of investigations regarding the identification of a biomarker for Parkinson's disease (PD). Therefore, the aim of this study was to investigate whether or not this specific motor output differs between PD patients and controls. The novelty is that patients without tremor are investigated performing a unilateral isometric motor task. The force of armflexors and the forearm acceleration (ACC) were recorded as well as the mechanomyography of the biceps brachii (MMGbi), brachioradialis (MMGbra) and pectoralis major (MMGpect) muscles using a piezoelectric-sensor-based system during a unilateral motor task at 70\% of the MVIC. The frequency, a power-frequency-ratio, the amplitude variation, the slope of amplitudes and their interlimb asymmetries were analysed. The results indicate that the oscillatory behavior of muscular output in PD without tremor deviates from controls in some parameters: Significant differences appeared for the power-frequency-ratio (p=0.001, r=0.43) and for the amplitude variation (p=0.003, r=0.34) of MMGpect. The interlimb asymmetries differed significantly concerning the power-frequency-ratio of MMGbi (p=0.013, r=0.42) and MMGbra (p=0.048, r=0.39) as well as regarding the mean frequency (p=0.004, r=0.48) and amplitude variation of MMGpect (p=0.033, r=0.37). The mean (M) and variation coefficient (CV) of slope of ACC differed significantly (M: p=0.022, r=0.33; CV: p=0.004, r=0.43). All other parameters showed no significant differences between PD and controls. It remains open, if this altered mechanical muscular output is reproducible and specific for PD.},
  language  = {en}
}
@article{SchaeferBittmann2021,
  author    = {Schaefer, Laura and Bittmann, Frank},
  title     = {Mechanotendography},
  series = {European journal of translational myology : European journal ; basic applied myology ; BAM online ; myology reviews},
  journal   = {European journal of translational myology : European journal ; basic applied myology ; BAM online ; myology reviews},
  number    = {31},
  publisher = {Unipress},
  address   = {Padova, Italien},
  issn      = {2037-7460},
  doi       = {10.4081/ejtm.2021.9553},
  pages     = {10},
  year      = {2021},
  abstract  = {The mechanotendography (MTG) is a method for analyzing the mechanical oscillations of tendons during muscular actions. The aim of this investigation was to evaluate the technical reliability of a piezo-based measurement system used for MTG. The reliability measurements were performed by using audio samples played by a subwoofer. The thereby generated pressure waves were recorded by a piezo-based measurement system. An audio of 40 Hz sine oscillations and four different formerly in vivo recorded MTG-signals were converted into audio files and were used as test signals. Five trials with each audio were performed and one audio was used for repetition trials on another day. The signals' correlation was estimated by Spearman (MCC) and intraclass correlation coefficients (ICC(3,1)), Cronbach's alpha (CA) and by mean distances (MD). All parameters were compared between repetition and randomized matched signals. The repetition trials show high correlations (MCC: 0.86 ± 0.13, ICC: 0.89 ± 0.12, CA: 0.98 ± 0.03), low MD (0.03 ± 0.03V) and differ significantly from the randomized matched signals (MCC: 0.15 ± 0.10, ICC: 0.17 ± 0.09, CA: 0.37 ± 0.16, MD: 0.19 ± 0.01V) (p = 0.001 - 0.043). This speaks for an excellent reliability of the measurement system. Presuming the skin above superficial tendons oscillates adequately, we estimate this tool as valid for the application in musculoskeletal system.},
  language  = {en}
}
@article{SchaeferDechAehleetal.2021,
  author    = {Schaefer, Laura and Dech, Silas and Aehle, Markus and Bittmann, Frank},
  title     = {Disgusting odours affect the characteristics of the adaptive force in contrast to neutral and pleasant odours},
  series = {Scientific Reports},
  volume    = {11},
  journal   = {Scientific Reports},
  publisher = {Springer Nature},
  address   = {London},
  issn      = {2045-2322},
  doi       = {10.1038/s41598-021-95759-0},
  pages     = {1 -- 16},
  year      = {2021},
  abstract  = {The olfactomotor system is especially investigated by examining the sniffing in reaction to olfactory stimuli. The motor output of respiratory-independent muscles was seldomly considered regarding possible influences of smells. The Adaptive Force (AF) characterizes the capability of the neuromuscular system to adapt to external forces in a holding manner and was suggested to be more vulnerable to possible interfering stimuli due to the underlying complex control processes. The aim of this pilot study was to measure the effects of olfactory inputs on the AF of the hip and elbow flexors, respectively. The AF of 10 subjects was examined manually by experienced testers while smelling at sniffing sticks with neutral, pleasant or disgusting odours. The reaction force and the limb position were recorded by a handheld device. The results show, inter alia, a significantly lower maximal isometric AF and a significantly higher AF at the onset of oscillations by perceiving disgusting odours compared to pleasant or neutral odours (p < 0.001). The adaptive holding capacity seems to reflect the functionality of the neuromuscular control, which can be impaired by disgusting olfactory inputs. An undisturbed functioning neuromuscular system appears to be characterized by a proper length tension control and by an earlier onset of mutual oscillations during an external force increase. This highlights the strong connection of olfaction and motor control also regarding respiratory-independent muscles.},
  language  = {en}
}