8 results on '"J. Werth"'
Search Results
2. Stability recovery performance in adults over a wide age range: A multicentre reliability analysis using different lean-and-release test protocols
- Author
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Jochen Klenk, K. Rapp, Kiros Karamanidis, Gaspar Epro, Matthias König, J. Werth, Adamantios Arampatzis, Sebastian Bohm, Wolfgang Potthast, Arno Schroll, K.S. Sczuka, and M. Mandla-Liebsch
- Subjects
Adult ,medicine.medical_specialty ,Intraclass correlation ,0206 medical engineering ,Biomedical Engineering ,Biophysics ,02 engineering and technology ,Base of support ,Stability (probability) ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,medicine ,Range (statistics) ,Humans ,Multicenter Studies as Topic ,Orthopedics and Sports Medicine ,Recovery performance ,Postural Balance ,Reliability (statistics) ,Mathematics ,Randomized Controlled Trials as Topic ,Rehabilitation ,Infant, Newborn ,Reproducibility of Results ,020601 biomedical engineering ,Confidence interval ,Accidental Falls ,Gradual increase ,030217 neurology & neurosurgery - Abstract
The ability to effectively increase the base of support is crucial to prevent from falling due to stability disturbances and has been commonly assessed using the forward-directed lean-and-release test. With this multicentre study we examined whether the assessment of stability recovery performance using two different forward lean-and-release test protocols is reliable in adults over a wide age range. Ninety-seven healthy adults (age from 21 to 80 years) were randomly assigned to one out of two lean angle protocols: gradual increase to maximal forward-lean angle (maximal lean angle; n = 43; seven participants were excluded due to marker artefacts) or predefined lean angle (single lean angle; n = 26; 21 participants needed to be excluded due to multiple stepping after release or marker artefacts). Both protocols were repeated after 0.5 h and 48 h to investigate intra- and inter-session reliability. Stability recovery performance was examined using the margin of stability at release (MoSRL) and touchdown (MoSTD) and increase in base of support (BoSTD). Intraclass correlation coefficients (confidence intervals at 95%) for the maximal lean angle and for the single lean angle were respectively 0.93 (0.89–0.96) and 0.94 (0.89–0.97) in MoSRL, 0.85 (0.77–0.91) and 0.67 (0.48–0.82) in MoSTD and 0.88 (0.81–0.93) and 0.80 (0.66–0.90) in BoSTD, with equivalence being revealed for each parameter between all three measurements (p
- Published
- 2021
3. Obstacle avoidance training in virtual environments leads to limb-specific locomotor adaptations but not to interlimb transfer in healthy young adults
- Author
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Kiros Karamanidis, J. Werth, Daniel Friemert, Ulrich Hartmann, Peter Nickel, Anika Weber, Gaspar Epro, and John Seeley
- Subjects
medicine.medical_specialty ,Leg ,Foot ,Rehabilitation ,Biomedical Engineering ,Biophysics ,Adaptive gait ,Touchdown ,Walking ,Gait ,Adaptation, Physiological ,Young Adult ,Physical medicine and rehabilitation ,Obstacle ,Obstacle avoidance ,medicine ,Humans ,Orthopedics and Sports Medicine ,Young adult ,Treadmill ,Psychology ,Early phase - Abstract
Obstacle avoidance is one of the skills required in coping with challenging situations encountered during walking. This study examined adaptation in gait stability and its interlimb transfer in a virtual obstacle avoidance task. Twelve young adults walked on a treadmill while wearing a virtual reality headset with their body state represented in the virtual environment. At random times, but always at foot touchdown, 50 virtual obstacles of constant size appeared 0.8 m in front of the participant requiring a step over with the right leg. Early, mid and late adaptation phases were investigated by pooling data from trials 1-3, 24-26 and 48-50. One left-leg obstacle appearing after 50 right-leg trials was used to investigate interlimb transfer. Toe clearance and the anteroposterior margin of stability (MoS) at foot touchdown were calculated for the stepping leg. Toe clearance decreased over repeated practice between early and late phases from 0.13 ± 0.05 m to 0.09 ± 0.04 m (mean ± SD, p
- Published
- 2020
4. Evidence that ageing does not influence the uniformity of the muscle-tendon unit adaptation in master sprinters
- Author
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Darren C. James, Matthias König, Steve Hunter, Gaspar Epro, Kiros Karamanidis, Y. Lambrianides, and J. Werth
- Subjects
medicine.medical_specialty ,0206 medical engineering ,Biomedical Engineering ,Biophysics ,02 engineering and technology ,Isometric exercise ,Tendons ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Triceps surae muscle ,Isometric Contraction ,medicine ,Injury risk ,Orthopedics and Sports Medicine ,National level ,Muscle, Skeletal ,Ultrasonography ,business.industry ,Tendon stiffness ,Rehabilitation ,020601 biomedical engineering ,Tendon ,Biomechanical Phenomena ,medicine.anatomical_structure ,Ageing ,business ,030217 neurology & neurosurgery - Abstract
Differences in the adaptation processes between muscle and tendon in response to mechanical loading can lead to non-uniform mechanical properties within the muscle-tendon unit (MTU), potentially increasing injury risk. The current study analysed the mechanical properties of the triceps surae (TS) MTU in 10 young (YS; 22 ± 3 yrs) and 10 older (OS; age 65 ± 8 yrs; i.e. master) (inter)national level sprinters and 11 young recreationally active adults (YC; 23 ± 3 yrs) to detect possible non-uniformities in muscle and tendon adaptation due to habitual mechanical loading and ageing. Triceps surae muscle strength, tendon stiffness and maximal tendon strain were assessed in both legs during maximal voluntary isometric plantarflexion contractions via dynamometry and ultrasonography. Irrespective of the leg, OS and YC in comparison to YS demonstrated significantly (P 0.05) lower TS muscle strength and tendon stiffness, with no differences between OS and YC. Furthermore, no group differences were detected in the maximal tendon strain (average of both legs: OS 3.7 ± 0.8%, YC 4.4 ± 0.8% and YS 4.3 ± 0.9%) as well as in the inter-limb symmetry indexes in muscle strength, tendon stiffness and maximal tendon strain (range across groups: -5.8 to 4.9%; negative value reflects higher value for the non-preferred leg). Thus, the findings provide no clear evidence for a disruption in the TS MTU uniformity in master sprinters, demonstrating that ageing tendons can maintain their integrity to meet the increased functional demand due to elite sports.
- Published
- 2020
5. Enhancement of awareness through feedback does not lead to interlimb transfer of obstacle crossing in virtual reality.
- Author
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Weber A, Hartmann U, Werth J, Epro G, Seeley J, Nickel P, and Karamanidis K
- Subjects
- Young Adult, Humans, Feedback, Leg, Lower Extremity, Biomechanical Phenomena, Walking, Gait, Virtual Reality
- Abstract
Locomotor skill transfer is an essential feature of motor adaptation and represents the generalization of learned skills. We previously showed that gait adaptation after crossing virtual obstacles did not transfer to the untrained limb and suggested it may be due to missing feedback of performance. This study investigated whether providing feedback and an explicit goal during training would lead to transfer of adaptive skills to the untrained limb. Thirteen young adults crossed 50 virtual obstacles with one (trained) leg. Subsequently, they performed 50 trials with their other (transfer) leg upon notice about the side change. Visual feedback about crossing performance (toe clearance) was provided using a color scale. In addition, joint angles of the ankle, knee, and hip were calculated for the crossing legs. Toe clearance decreased with repeated obstacle crossing from 7.8 ± 2.7 cm to 4.6 ± 1.7 cm for the trained leg and from 6.8 ± 3.0 cm to 4.4 ± 2.0 cm (p < 0.05) for the transfer leg with similar adaptation rates between limbs. Toe clearance was significantly higher for the first trials of the transfer leg compared to the last trials of the training leg (p < 0.05). Furthermore, statistical parametric mapping revealed similar joint kinematics for trained and transfer legs in the initial training trials but differed in knee and hip joints when comparing the last trials of the trained leg with the first trials of the transfer leg. We concluded that locomotor skills acquired during a virtual obstacle crossing task are limb-specific and that enhanced awareness does not seem to improve interlimb transfer., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
6. Stability recovery performance in adults over a wide age range: A multicentre reliability analysis using different lean-and-release test protocols.
- Author
-
Werth J, Bohm S, Klenk J, König M, Sczuka KS, Schroll A, Epro G, Mandla-Liebsch M, Rapp K, Potthast W, Arampatzis A, and Karamanidis K
- Subjects
- Adult, Humans, Infant, Newborn, Multicenter Studies as Topic, Randomized Controlled Trials as Topic, Reproducibility of Results, Accidental Falls, Postural Balance
- Abstract
The ability to effectively increase the base of support is crucial to prevent from falling due to stability disturbances and has been commonly assessed using the forward-directed lean-and-release test. With this multicentre study we examined whether the assessment of stability recovery performance using two different forward lean-and-release test protocols is reliable in adults over a wide age range. Ninety-seven healthy adults (age from 21 to 80 years) were randomly assigned to one out of two lean angle protocols: gradual increase to maximal forward-lean angle (maximal lean angle; n = 43; seven participants were excluded due to marker artefacts) or predefined lean angle (single lean angle; n = 26; 21 participants needed to be excluded due to multiple stepping after release or marker artefacts). Both protocols were repeated after 0.5 h and 48 h to investigate intra- and inter-session reliability. Stability recovery performance was examined using the margin of stability at release (MoS
RL ) and touchdown (MoSTD ) and increase in base of support (BoSTD ). Intraclass correlation coefficients (confidence intervals at 95%) for the maximal lean angle and for the single lean angle were respectively 0.93 (0.89-0.96) and 0.94 (0.89-0.97) in MoSRL , 0.85 (0.77-0.91) and 0.67 (0.48-0.82) in MoSTD and 0.88 (0.81-0.93) and 0.80 (0.66-0.90) in BoSTD , with equivalence being revealed for each parameter between all three measurements (p < 0.01). We concluded that the assessment of stability recovery performance parameters in adults over a wide age range with the means of the forward lean-and-release test is reliable, independent of the used lean angle protocol., (Copyright © 2021 Elsevier Ltd. All rights reserved.)- Published
- 2021
- Full Text
- View/download PDF
7. Evidence that ageing does not influence the uniformity of the muscle-tendon unit adaptation in master sprinters.
- Author
-
Epro G, König M, James D, Lambrianides Y, Werth J, Hunter S, and Karamanidis K
- Subjects
- Biomechanical Phenomena, Muscle, Skeletal diagnostic imaging, Ultrasonography, Isometric Contraction, Tendons diagnostic imaging
- Abstract
Differences in the adaptation processes between muscle and tendon in response to mechanical loading can lead to non-uniform mechanical properties within the muscle-tendon unit (MTU), potentially increasing injury risk. The current study analysed the mechanical properties of the triceps surae (TS) MTU in 10 young (YS; 22 ± 3 yrs) and 10 older (OS; age 65 ± 8 yrs; i.e. master) (inter)national level sprinters and 11 young recreationally active adults (YC; 23 ± 3 yrs) to detect possible non-uniformities in muscle and tendon adaptation due to habitual mechanical loading and ageing. Triceps surae muscle strength, tendon stiffness and maximal tendon strain were assessed in both legs during maximal voluntary isometric plantarflexion contractions via dynamometry and ultrasonography. Irrespective of the leg, OS and YC in comparison to YS demonstrated significantly (P < 0.05) lower TS muscle strength and tendon stiffness, with no differences between OS and YC. Furthermore, no group differences were detected in the maximal tendon strain (average of both legs: OS 3.7 ± 0.8%, YC 4.4 ± 0.8% and YS 4.3 ± 0.9%) as well as in the inter-limb symmetry indexes in muscle strength, tendon stiffness and maximal tendon strain (range across groups: -5.8 to 4.9%; negative value reflects higher value for the non-preferred leg). Thus, the findings provide no clear evidence for a disruption in the TS MTU uniformity in master sprinters, demonstrating that ageing tendons can maintain their integrity to meet the increased functional demand due to elite sports., Competing Interests: Conflict of Interest Statement KK has equity in Protendon GmbH & Co. KG, whose measurement device and software was used for the data processing and analysis in this study. No other authors declare any conflict of interests., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
8. Obstacle avoidance training in virtual environments leads to limb-specific locomotor adaptations but not to interlimb transfer in healthy young adults.
- Author
-
Weber A, Friemert D, Hartmann U, Epro G, Seeley J, Werth J, Nickel P, and Karamanidis K
- Subjects
- Foot, Gait, Humans, Leg, Young Adult, Adaptation, Physiological, Walking
- Abstract
Obstacle avoidance is one of the skills required in coping with challenging situations encountered during walking. This study examined adaptation in gait stability and its interlimb transfer in a virtual obstacle avoidance task. Twelve young adults walked on a treadmill while wearing a virtual reality headset with their body state represented in the virtual environment. At random times, but always at foot touchdown, 50 virtual obstacles of constant size appeared 0.8 m in front of the participant requiring a step over with the right leg. Early, mid and late adaptation phases were investigated by pooling data from trials 1-3, 24-26 and 48-50. One left-leg obstacle appearing after 50 right-leg trials was used to investigate interlimb transfer. Toe clearance and the anteroposterior margin of stability (MoS) at foot touchdown were calculated for the stepping leg. Toe clearance decreased over repeated practice between early and late phases from 0.13 ± 0.05 m to 0.09 ± 0.04 m (mean ± SD, p < 0.05). MoS increased from 0.05 ± 0.02 m to 0.08 ± 0.02 m (p < 0.05) between early and late phases, with no significant differences between mid and late phases. No differences were found in toe clearance and MoS between the practiced right leg for early phase and the single trial of the left leg. Obstacle avoidance during walking in a virtual environment stimulated adaptive gait improvements that were related in a nonlinear manner to practice dose, though such gait adaptations seemed to be limited in their transferability between limbs., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
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