TY - JOUR A1 - Aichert, Ingrid A1 - Staiger, Anja A1 - Schulte-Mäter, Anne A1 - Becker-Redding, Ulrike A1 - Stahn, Corinna A1 - Peschke, Claudia A1 - Heide, Judith A1 - Ott, Susan A1 - Herrmann, Heike A1 - Völsch, Juliane A1 - Mayer, Jörg A1 - Rohnke, Lucie A1 - Frank, Ulrike A1 - Stadie, Nicole A1 - Jentsch, Nadine A1 - Blech, Anke A1 - Kurtenbach, Stephanie A1 - Thieke, Johanna A1 - Schröder, Astrid A1 - Stahn, Corinna A1 - Hörnig, Robin A1 - Burchert, Frank A1 - De Bleser, Ria A1 - Heister, Julian A1 - Bartels, Luise A1 - Würzner, Kay-Michael A1 - Böhme, Romy A1 - Burmester, Juliane A1 - Krajewski, Melanie A1 - Nager, Wido A1 - Jungehülsing, Gerhard Jan A1 - Wartenburger, Isabell A1 - Jöbges, Michael A1 - Schwilling, Eleonore A1 - Lidzba, Karen A1 - Winkler, Susanne A1 - Konietzko, Andreas A1 - Krägeloh-Mann, Ingeborg A1 - Rilling, Eva A1 - Wilken, Rainer A1 - Wismann, Kathrin A1 - Glandorf, Birte A1 - Hoffmann, Hannah A1 - Hinnenkamp, Christiane A1 - Rohlmann, Insa A1 - Ludewigt, Jacqueline A1 - Bittner, Christian A1 - Orlov, Tatjana A1 - Claus, Katrin A1 - Ehemann, Christine A1 - Winnecken, Andreas A1 - Hummel, Katja A1 - Breitenstein, Sarah ED - Wahl, Michael ED - Stahn, Corinna ED - Hanne, Sandra ED - Fritzsche, Tom T1 - Spektrum Patholinguistik = Schwerpunktthema: Von der Programmierung zur Artikulation : Sprechapraxie bei Kindern und Erwachsenen N2 - Das 3. Herbsttreffen Patholinguistik fand am 21. November 2009 an der Universität Potsdam statt. Der vorliegende Tagungsband enthält die drei Hauptvorträge zum Schwerpunktthema „Von der Programmierung zu Artikulation: Sprechapraxie bei Kindern und Erwachsenen“. Darüber hinaus enthält der Band die Beiträge aus dem Spektrum Patholinguistik, sowie die Abstracts der Posterpräsentationen. N2 - The 3rd Herbsttreffen Patholinguistik was held on November 21st, 2009 at the University of Potsdam. These proceedings contain the three main lectures of the central topic „From programming to articulation: Apraxia of speech of children and adults “. Additionally this volume contains the contributions of Spektrum Patholinguistik, as well as the abstracts of the poster presentations. T3 - Spektrum Patholinguistik - 3 KW - Patholinguistik KW - Sprechapraxie KW - Sprachtherapie KW - patholinguistics KW - apraxia of speech KW - speech and language therapy Y1 - 2010 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-45470 SN - 978-3-86956-079-3 SN - 1869-3822 SN - 1866-9433 IS - 3 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Müller, Steffen A1 - Baur, Heiner A1 - Hirschmueller, Anja A1 - Mayer, Frank T1 - Validität des COP-Verlaufes zur Quantifizierung der funktionalen Gangentwicklung bei Kindern N2 - Functional gait development in children is discussed controversially. Differentiated information about the roll- over process of the foot, represented by the "Center of Pressure" (COP), are still missing. The purpose of the study was the validation of the COP-path to quantify the functional gait development of children. Plantar pressure distribution was measured barefoot with an individual speed on a walkway (tartan) - in 255 children aged between 2 and 15 years. The medial and lateral area enclosed between the COP-path and the bisection of plantar angle (A(med), A(lat), Sigma: A(ml)) was calculated from plantar pressure data. Furthermore, the duration of the COP-path in the heel (COPtimeF), midfoot (COPtimeM) and forefoot (COPtimeV) was analysed. The load distribution under the medial and lateral forefoot was also calculated. The variation coefficient (VC) was calculated as a measure of interindividual variability. The medio-lateral divergency of the COP (Aml) initially decreases with advancing age (-20.2%), followed by a continuous increase (+27.2%). No changes in VC (A(med), A(lat), and A(ml)) appeared during age-related development. COPtimeM remains constant in all children over time. In contrast to COPtimeM, Cop(time)F decreases from youngest to oldest children (-31.0%), and COPtimeV increases (+41.7%). After initial descent up to 8 years of age, VC (COPtimeF, COPtimeM, COPtimeV) remains constant. The mediolateral load under the forefoot did not change. The COP-Path is able to characterise the functional gait development of children. VC values indicate high individual variability of gait pattern. In this context, age-based standard values should be critically discussed Y1 - 2006 ER - TY - JOUR A1 - Cassel, Michael A1 - Müller, Steffen A1 - Carlsohn, Anja A1 - Baur, Heiner A1 - Jerusel, N. A1 - Mayer, Frank T1 - Intra- and interrater variability of sonographic investigations of patella and achilles tendons JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Clinical examinations of tendon disorders routinely include ultrasound examinations, despite the fact that availability of data concerning validity criteria of these measurements are limited. The present study therefore aims to evaluate the reliability of measurements of Achilles- and Patella tendon diameter and in the detection of structural adaptations. Materials and Methods: In 14 healthy, recreationally active subjects both asymptomatic Achilles (AT) and patella tendons (PT) were measured twice by two examiners in a test-retest design. Besides the detection of anteroposterior (a.p.-) and mediolateral (m.l.-) diameters, areas of hypoechogenicity and neovascularisation were registered. Data were analysed descriptively with calculation of test-retest variability (TRV), intraclass-correlation coefficient (ICC) and Bland and Altman's plots with bias and 95% limits of agreement (LOA). Results: Intra- and interrater differences of AT- and PT-a.p.-diameter varied from 0.2 - 1.2 mm, those of AT- and PT-m.l-diameter from 0.7-5.1 mm. Areas of hypoechogenicity were visible in 24% of the tendons, while 15% showed neovascularisations. Intrarater AT-a.p.-diameters showed sparse deviations (TRV 4.5-7.4%; ICC 0.60-0.84; bias -0.05-0.07 mm; LOA-0.6-0.5 to -1.1 - 1.0 mm), while interrater AT- and PT-m.l.-diameters were highly variable (TRV 13.7-19.7%; ICC 0.11-0.20; bias -1.4-4.3 mm; LOA-5.5-2.7 to -10.5 - 1.9 mm). Conclusion: Our results suggest that the measurement of AT- and PT-a.p.-diameters is a reliable parameter. In contrast, reproducibility of AT- and PT-m.l.-diameters is questionable. The study corroborates the presence of hypoechogenicity and neovascularisation in asymptomatic tendons. KW - ultrasound KW - Achilles tendon KW - Patella tendon KW - intra- and inter-rater variability KW - tendon diameter Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1281839 SN - 0932-0555 VL - 26 IS - 1 SP - 21 EP - 26 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Cassel, Michael A1 - Stoll, Josefine A1 - Mayer, Frank T1 - Tendinopathies of the Lower Extremities in Sport - Diagnostics and Therapy JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Tendinopathies are frequently the cause of chronic, load-dependent complaints of the lower extremity. Commonly, the large tendons of the ankle and knee joints are affected, especially the Achilles and patellar tendons. Repeated overuse in sports and/or daily activities is assumed as the aetiology. Besides the clinical examination including a comprehensive anamnesis of pain and training/loading, sonographic imaging has a high training/loading relevance for the diagnosis of tendon pathologies of the lower extremity. Training concepts are considered in first line as the treatment of choice. A combination with physical therapy interventions can be useful. In cases of a more severe pathology and long-standing complaints multimodal therapeutic options should be employed. The use of surgical treatment procedures should only be taken into account in case of failed response to conservative treatment. KW - Tendinopathy KW - sonography KW - principles of therapy Y1 - 2015 U6 - https://doi.org/10.1055/s-0034-1399668 SN - 0932-0555 SN - 1439-1236 VL - 29 IS - 2 SP - 87 EP - 98 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Wippert, Pia-Maria A1 - De Witt Huberts, Jessie A1 - Klipker, Kathrin A1 - Gantz, Simone A1 - Schiltenwolf, Marcus A1 - Mayer, Frank T1 - Development and content of the behavioral therapy module of the MiSpEx intervention. Randomized, controlled trial on chronic nonspecific low back pain JF - Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie N2 - Back pain is a complex phenomenon that goes beyond a simple medical diagnosis. The aetiology and chronification of back pain can be best described as an interaction between biological, psychological, and social processes. However, to date, multimodal prevention and intervention programs for back pain that target all three aetiological factors have demonstrated limited effectiveness. This lack of supportive evidence for multimodal programmes in the treatment of back pain could be due to the fact that few programs are suitable for long-term and unsupervised use in everyday life. Moreover, in combining the elements from various therapies, little attention has been paid to the mechanisms underlying the synergistic effects of the separate components. In this contribution, we will describe the development of a new multimodal intervention for back pain that set out to address these limitations. To this end, the biological elements of neuromuscular adaptation is supplemented with cognitive behavioral and psychophysiological techniques in an intervention that can be followed at home as well as in clinics, and that is suitable for all grades of pain. The efficacy of this intervention will be tested in a multicentric randomized controlled longitudinal trial (n = 714) at five time points over a period of 6 months. Here we will describe the development and the content of this new intervention. KW - Chronic pain KW - Cognitive behavioral therapy KW - Psychoeducation KW - Combined modality therapy KW - Sensorimotor training Y1 - 2015 U6 - https://doi.org/10.1007/s00482-015-0044-y SN - 0932-433X SN - 1432-2129 VL - 29 IS - 6 SP - 658 EP - 663 PB - Springer CY - New York ER - TY - JOUR A1 - Carlsohn, Anja A1 - Scharhag-Rosenberger, Friederike A1 - Heydenreich, Juliane A1 - Mayer, Frank T1 - Vitamin-D-Status of athletes with higher UV-exposure during training JF - Ernährungs-Umschau : Forschung & Praxis Y1 - 2013 SN - 0174-0008 VL - 60 IS - 10 SP - 174 EP - 176 PB - Umschau-Zeitschriftenverl. CY - Frankfurt, Main ER - TY - JOUR A1 - Hirschmueller, Anja A1 - Frey, Virginie A1 - Deibert, Peter A1 - Konstantinidis, Lukas A1 - Mayer, Frank A1 - Suedkamp, Norbert A1 - Helwig, Peter T1 - Powerdopplersonografische Befunde der Achillessehnen von 953 Langstreckenlaeufern : eine Querschnittsstudie N2 - Aim: The aim of this cross-sectional study was to assess the frequency of tendinopathy-typical Doppler sonographic changes in the Achilles tendons of long distance runners and to correlate these findings with anamnestic and anthropometric data of the subjects. Materials and Methods: 1906 Achilles tendons of 953 long distance runners were examined by ultrasound and power Doppler (Toshiba Aplio SSA-770A/80 12 MHz). Ultrasound images (spindle-shaped thickening, hypoechoic/hyperechoic lesions, neovascularizations) were analyzed in relation to the runners' anthropometrical data and history of Achilles tendon complaints. Results: In asymptomatic runners as well as in the overall group, there was a statistically significant correlation between tendon thickness and age, height and weight (CC 0.24 - 0.38, p < 0.001). Runners with current or healed Achilles tendon complaints displayed a statistically significant thickening of the tendons, as well as an increase in hypoechoic lesions and neovascularizations (p < 0.001). While grayscale abnormalities were rarely found in asymptomatic runners (< 10%), neovascularization was detected in 35% of healthy test persons using the high-resolution power Doppler "Advanced Dynamic Flow". Conclusion: Contrary to frequent assumption, neovascularization is often found in tendons of asymptomatic runners, using modern power Doppler equipment. The pathological relevance of single microvessels in asymptomatic tendons must, therefore, be critically discussed. Y1 - 2010 UR - http://www.thieme-connect.com/ejournals/toc/ultraschall U6 - https://doi.org/10.1055/s-0029-1245189 SN - 0172-4614 ER - TY - INPR A1 - Baur, Heiner A1 - Hoffmann, Jan A1 - Reichmuth, Anne A1 - Müller, Steffen A1 - Mayer, Frank T1 - Influence of carbon fiber foot orthoses on plantar pressure distribution in cycling T2 - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Several equipment interventions like optimizing seat position or optimizing shoe/insole/pedal interface are suggested to reduce overuse injury in cycling. Data analyzing clinical or biomechanical effects of those interventions is sparse. Foot orthoses out of carbon fiber are one possibility to alter the interface between foot and pedal. The aim of this study was therefore to analyze plantar pressure distribution in carbon fiber foot orthoses in comparison to standard insoles of commercially available cycling shoes. Materials and Methods: 11 pain-free triathletes (Age: 29 +/- 9, 1.77 +/- 0.04 m, 68 5 kg) were tested on a cycle ergometer at 60 and 90 rotations per minute (rpm) at workloads of 200 and 300 Watts. Subjects wore in randomized order a cycling shoe with its standard insole (control condition CO) or the shoe with carbon fiber foot orthoses (Condition CA). Mean peak pressure out of 30 movement cycles were extracted for the total foot and specific foot regions (rear, mid, fore foot (medial, central, lateral) and toe region). Three-factor ANOVAs (factor foot orthoses, rpm, workload) for repeated measures (alpha = 0.05) were used to analyze the main question of a foot orthoses effect on peak in-shoe plantar pressure. Results: Peak pressures in the total foot were in a range of 70-75 kPa for 200 Watts (W) (300 W: 85-110 kPa). The carbon fiber foot orthoses reduced peak pressures by -4,1% compared to the standard insole (p = 0,10). In the foot regions rear(-16,6%, p<0.001), mid (-20,0%, p<0.001) and fore foot (-5.9%, p < 0.03)CA reduced peak pressure compared to CO. In the toe region, peak pressure was higher in CA (+16,2%) compared to CO (p<0,001). The lateral fore foot showed higher peak pressures in CA (+34%) and CO (+59%) compared to medial and central fore foot. Conclusion: Carbon fiber can serve as a suitable material for foot orthoses manufacturing in cycling. Plantar pressures do not increase due to the stiffness of the carbon. Individual customization may have the potential to reduce peak pressure in certain foot areas. KW - Carbon KW - Cycling KW - Foot orthoses KW - In-shoe measurement KW - Plantar Pressure Distribution Y1 - 2012 SN - 0932-0555 VL - 26 IS - 1 SP - 12 EP - 17 PB - Thieme CY - Stuttgart ER - TY - INPR A1 - Mayer, Frank T1 - Frequency of sport injuries and stress-related conditions in top-class Sport T2 - Der Orthopäde Y1 - 2012 U6 - https://doi.org/10.1007/s00132-012-1971-2 SN - 0085-4530 VL - 41 IS - 7 SP - 560 EP - 560 PB - Springer CY - New York ER - TY - JOUR A1 - Carlsohn, Anja A1 - Scharhag-Rosenberger, Friederike A1 - Schapp, Lukas A1 - Fusch, Gerhard A1 - Mayer, Frank T1 - Validity of the determination of energy input from a dietary record in persons of normal weight - dependence on the level of energy input comparison between elite sportsmen with very high energy intake and a control group of persons of normal weight JF - Ernährungs-Umschau : Forschung & Praxis N2 - Dietary records are often biased, especially those of overweight individuals. The purpose of the study was to investigate underreporting among persons of normal weight with a very high energy intake (El). The total energy expenditure (TEE) of 16 elite athletes (BMI 24 +/- 2 kg/m(2)) and 17 controls (BMI 23 3 kg/m2) was measured using the doubly-labeled water technique (DLW, 14d). El was estimated using 2 x 3-day dietary records. Underreporters were identified by BLACK'S cut-off (El:TEE < 0.76). 44% of athletes (El: 3584 824 kcal/d; TEE: 4621 1460 kcal/d) and 29% of controls (El: 2552 680 kcal/d; TEE: 3151 822 kcal/d) were identified as underreporters. TEE explains 52% of underreporting. In summary, a high energy intake seems to strongly predict underreporting. Prevalence and magnitude of underreporting increase with increasing energy intake. KW - energy intake KW - dietary records KW - bias KW - underreporting KW - athletes Y1 - 2012 U6 - https://doi.org/10.4455/eu.2012.958 SN - 0174-0008 VL - 59 IS - 10 SP - 572 EP - 577 PB - Umschau-Zeitschriftenverl. CY - Frankfurt, Main ER -