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Endurance running is among the most popular physical activities partially due to its low barriers to entry. However, some people avoid running because of respiratory distress, and respiratory monitoring could help prevent this. Wearable sensors are valuable for respiration detection during exercise and enable respiratory feedback in real time. Therefore, this study presents a wearable chest-mounted stride and respiration sensor including step and flow reversal event detection algorithms. The algorithms were evaluated using precision and recall between detected and reference events with respect to different levels of breathing depth, motion artifact, thoracic skin temperature and sweat. Overall F1 scores reached 93.2%, 97.4% and 97.2% for step, expiration and inspiration events, respectively. No significant effect on event detection performance was observed for breathing depth, stride motion artifact, or thoracic skin temperature. In contrast, sweat level slightly decreased detection performance. Consequently, this sensor is able to accurately measure stride and respiration during running and could be suitable for use as a system to guide runners’ respiration during exercise.

ZusammenfassungBei einem Patienten mit 3-Gefäß-Erkrankung und Zustand nach aortokoronarer Bypassoperation vor 10 Jahren mit LIMA-Bypass auf LAD und Venenbypass auf RCA wurde bei akuter Dyspnoesymptomatik mit atemabhängigen Beschwerden und erhöhten D-Dimeren zum Ausschluss einer Lungenarterienembolie (LAE) eine Computertomografie (CT 1) durchgeführt und eine LAE ausgeschlossen. Bei fortbestehender Beschwerdesymptomatik und bekannter KHK (koronarer Herzkrankheit) wurde am Folgetag eine Koronarangiografie durchgeführt. Es wurde eine PTCA und Stentimplantation mit sequenzieller Vordilatation der proximalen und der mittleren RCA durchgeführt. Primär zeigte sich ein gutes Ergebnis bei schwierigem PTCA-Verlauf bei ausgeprägter Verkalkung und torquiertem Gefäßverlauf. Noch im Herzkatheterlabor erfolgte das Loading mit Aspirin und Clopidogrel. Nach Beendigung der Untersuchung wurde ein Perikarderguss echokardiografisch ausgeschlossen. Im Rahmen einer Routine-Echokardiografie vor Entlassung zeigte sich eine ausgeprägte echoarme Raumforderung im rechten Ventrikel, die fast das gesamte Ventrikelvolumen ausfüllte, mit Aussparung nur eines kleinen basalen Bereiches. Weder im ersten TTE nach Intervention noch in der initialen CT-Untersuchung (CT 1) war diese Raumforderung nachweisbar. Klinisch blieb der Patient beschwerdefrei. Im dann durchgeführten Kardio-CT (CT 2) und im Kardio-MRT sowie in der transösophagealen Echokardiografie bestätigte sich diese Raumforderung im rechten Ventrikel, welche eine subendokardiale und intramurale Ausbreitung zeigte. Zusammenfassend (Vergleich CT 1 vs. CT 2) zeigte sich somit eine postinterventionelle Tamponade ohne hämodynamische Relevanz am ehesten im Rahmen einer Gefäßverletzung durch den Koronardraht mit aufgetretener okkulter Koronarperforation. Somit können Mikrokoronarperforationen auch im weiteren Verlauf über Tage zu intramuralen Einblutungen (gegenwärtiger Fall) oder zur Ausbildung eines Perikardergusses führen. Echokardiografische Kontrolluntersuchungen auch mehr als 24 Stunden nach Koronarintervention bei komplexen Prozeduren können helfen, diese rechtzeitig zu erkennen. Auch größere intramurale Einblutungen können konservativ beherrschbar bleiben.

Übergreifendes Ziel dieses Buchs ist es, Theorie und Praxis bezogen auf kognitive Prozesse und motorische Leistung zu verbinden und hierdurch neue Anregungen sowohl für die Forschung als auch für die Anwendung im Feld zu bieten. Einerseits werden wissenschaftliche Erkenntnisse aus verschiedenen Disziplinen wie der Trainings- und Bewegungswissenschaft, der Neurowissenschaft und der Psychologie beschrieben. Andererseits wird ihre praktische Relevanz anhand von Beispielen aus dem Sport aufgezeigt. Zu Beginn des Buchs werden die neurophysiologischen Prozesse im Zusammenspiel von Kognition und Motorik thematisiert. Themenschwerpunkte sind hier das Zusammenspiel von Wahrnehmungs- und motorischen Prozessen sowie die Wechselwirkung von Kognition und Motorik. Darüber hinaus werden kognitive und motorische Prozesse über die Lebensspanne betrachtet. Ein großer Mehrwert, insbesondere auch für die Sportpraxis, sind die Beiträge zur Anwendung einschließlich diagnostischer Verfahren, Training und Interventionen

BackgroundFlow diversion is a common endovascular treatment for cerebral aneurysms, but studies comparing different types of flow diverters are scarce.ObjectiveTo perform a propensity score matched cohort study comparing the Pipeline Embolization Device (PED) and Flow Redirection Intraluminal Device (FRED) for posterior circulation aneurysms.MethodsConsecutive aneurysms of the posterior circulation treated at 25 neurovascular centers with either PED or FRED were collected. Propensity score matching was used to control for age, duration of follow-up imaging, adjunctive coiling, and aneurysm location, size, and morphology; previously ruptured aneurysms were excluded. The two devices were compared for the following outcomes: procedural complications, aneurysm occlusion, and functional outcome.ResultsA total of 375 aneurysms of the posterior circulation were treated in 369 patients. The PED was used in 285 (77.2%) and FRED in 84 (22.8%) procedures. Aneurysms treated with the PED were more commonly fusiform and larger than those treated with FRED. To account for these important differences, propensity score matching was performed resulting in 33 PED and FRED unruptured aneurysm pairs. No differences were found in occlusion status and neurologic thromboembolic or hemorrhagic complications between the two devices. The proportion of patients with favorable functional outcome was higher with FRED (100% vs 87.9%, p=0.04).ConclusionComparative analysis of PED and FRED for the treatment of unruptured posterior circulation aneurysms did not identify significant differences in aneurysm occlusion or neurologic complications. Variations in functional outcomes warrant additional investigations.

Running is among the most popular sporting hobbies and often chosen specifically for intrinsic psychological benefits. However, up to 40% of runners may experience exercise-induced dyspnoea as a result of cascading physiological phenomena, possibly causing negative psychological states or barriers to participation. Breathing techniques such as slow, deep breathing have proven benefits at rest, but it is unclear if they can be used during exercise to address respiratory limitations or improve performance. While direct experimental evidence is limited, diverse findings from exercise physiology and sports science combined with anecdotal knowledge from Yoga, meditation, and breathwork suggest that many aspects of breathing could be improved via purposeful strategies. Hence, we sought to synthesize these disparate sources to create a new theoretical framework called “Breath Tools” proposing breathing strategies for use during running to improve tolerance, performance, and lower barriers to long-term enjoyment.

Running is a popular sport, especially during the recent pandemic. Breathing techniques can positively impact running, for example to prevent side-stitches or increase lung capacity. Sound instruction is a promising method to administer breathing techniques during running, as it is an established, low-friction method utilized in other contexts such as cycling and meditation. This paper describes an initial study (N=11) exploring the effects of five distinct breathing instruction sounds while running. Sounds were designed with varying information richness and tonality. The study focused on user adherence to the sound and subjective experience of running with the sound. Results show that all sounds were effective in stabilizing the breathing rate. Two-tone sounds were subjectively easier to follow; however, metronome sounds might be preferred for longer studies due to their simplicity and lower invasiveness.

Maximal oxygen uptake (VO2max ) and muscle mass decrease with age. The loss of cardiorespiratory fitness and muscle strength is accelerated with physical inactivity and has well-documented consequences for morbidity and all-cause mortality. Participation in exercise training programs will improve one or more of the cardio-metabolic risk factors, but the long-term effects of such programs are questionable. Here, we re-examined 25 old (72 ± 4 years.) men and women who considered him/herself as "success-full agers" and were participants in a 3-month alpine skiing training program 6 years earlier. The program focused on healthy aging and included health questionnaires, measurement of lipids and glycemic parameters in blood and a VO2max test. Thirteen and 12 subjects were in the intervention (IG) and the control group (CG), respectively. In response to the training program, subjects improved their cardio-metabolic risk factors. However, after 6 years all positive effects had disappeared. Approximately 80% of the subjects had total cholesterol and LDL cholesterol above and HDL cholesterol below the recommended values, but these subjects remained the most metabolically deteriorated, including an increase in fasting glucose concentrations. We conclude that people seem to follow their individual trajectory in terms of cardio-metabolic risk factors, and participation in a relatively short lasting exercise training program with emphasis on healthy aging does not change that. Long-lasting change in lifestyle probably requires a continued attentional focus, goal setting, and feedback.

This study analyzes long‐term changes in muscle strength, muscle architecture, and patellar tendon mechanical properties in a specific sample of physically active elderly people. Twenty‐two participants were re‐examined from a former 12‐week‐long skiing intervention study: 11 from the intervention group (IG: 7 ♀, 4 ♂; 67 ± 3 years) and 11 from the control group (CG: 6 ♀, 5 ♂; 66 ± 4 years). Muscle architecture, strength endurance, maximum torque, and tendon properties were analyzed three times within 6 months, and again 6 years later in a follow‐up test. No changes in either group could be observed between June 2009 and April 2015 in any parameter. This can be interpreted positively because no age‐related decreases were found. Although our participants were physically active from the very beginning (>150 min/wk), it must be noted that the intensity of the physical activity was too low to provoke physiological improvements in leg strength or muscle/tendon morphology.

BACKGROUND AND PURPOSE: Flow diversion for the posterior circulation remains a promising treatment option for selected posterior circulation aneurysms. The Flow-Redirection Intraluminal Device (FRED) system has not been previously assessed in a large cohort of patients with posterior circulation aneurysms. The purpose of the present study was to assess safety and efficacy of FRED in this location. MATERIALS AND METHODS: Consecutive patients with posterior circulation aneurysms treated at 8 centers participating in the European FRED study (EuFRED) between April 2012 and January 2019 were retrospectively reviewed. Complication and radiographic and functional outcomes were evaluated. RESULTS: Eighty-four patients (median age, 54 years) with 84 posterior circulation aneurysms were treated with the FRED. A total of 25 aneurysms (29.8%) had previously ruptured, even though most aneurysms were diagnosed incidentally (45.2%). The intradural vertebral artery was the most common location (50%), and saccular, the most common morphology (40.5%). The median size was 7 mm. There were 8 (9.5%) symptomatic thromboembolic and no hemorrhagic complications. Thromboembolic complications occurred mostly (90.9%) in nonsaccular aneurysms. On last follow-up at a median of 24 months, 78.2% of aneurysms were completely occluded. Functional outcome at a median of 27 months was favorable in 94% of patients. All mortalities occurred in patients with acute subarachnoid hemorrhage and its sequelae. CONCLUSIONS: The largest cohort of posterior circulation aneurysms treated with the FRED to date demonstrated favorable safety and efficacy profiles of the device for this indication. Treatment in the setting of acute subarachnoid hemorrhage was strongly related to mortality, regardless of whether procedural complications occurred.

The biathlon, an Olympic sporting discipline that combines cross-country skiing with rifle marksmanship, entails considerable physiological demands, as well as fine motor control while shooting after intense exercise and under mental pressure. Although much of our knowledge about cross-country skiing is probably also applicable to the biathlon, carrying the rifle and shooting under stress make this discipline somewhat unique. The present review summarizes and examines the scientific literature related to biathlon performance, with a focus on physiological and biomechanical factors and shooting technique, as well as psychophysiological aspects of shooting performance. We conclude with suggestions for future research designed to extend our knowledge about the biathlon, which is presently quite limited., Highlights • Biathlon is a complex and unique sporting discipline combining cross-country skiing while carrying rifle and shooting under stress. • High lactate threshold and gross mechanical efficiency, in combination with pronounced aerobic capacity, are essential to superior skiing performance in biathlon. • Biathlon performance is also dependent on shooting speed and accuracy as well as several other factors, such as body sway, rifle stability, and triggering behavior. • The preceding physical load prior to shooting undoubtedly alters psychophysiological processes associated with the complex task of aiming, which involves considerable arousal/activation but also and places great demands on focused attention.

This study examined the influence of physical exercise on the relation between shooting accuracy and the phase of the cardiac cycle in which the shot is fired. Thirteen experienced biathletes (8 females, mean age 17 years) fired from the standing position at rest and right after a submaximal exercise on a bicycle ergometer. Shooting accuracy and the timing of each shot relative to the R-waves of the electrocardiogram (ECG) were recorded. Best shots (with greatest accuracy) and worst shots (with lowest accuracy) were fired prevalently in different phases of the cardiac cycle. In the rest condition, best shots were fired less frequently from 200 to 300 ms and more frequently from 500 to 600 ms after the R-wave, compared to worst shots. In the exercise condition, best shots were fired less frequently from 100 to 200 ms after the R-wave and from 20% to 30% of the R-R interval, compared to worst shots. These findings support the hypothesis that shooting accuracy is influenced by the cardiac cycle phase due to the ballistocardiac recoil generated at each heartbeat. To achieve best results athletes could be trained (e.g. through biofeedback) to fire within a specific phase of the cardiac cycle.

Objectives Past research has indicated the significance of Executive Functions (EF) in several sports. According to the cognitive skill transfer hypothesis, training in specific cognitive tasks may have beneficial effects on related but untrained tasks. Considering the differing cognitive demands of several sports, differences in EF between sport types were addressed. Design EF performances of elite athletes in static, interceptive, and strategic sports were compared using a cross sectional study design. Method Austrian elite athletes (N = 184; 110 male/64 female; mean age 23.21 ± 4.48 years) of various sports conducted three tests at the starting point of their sport-psychological consultancy, measuring inhibition and interference control (flanker task), cognitive shifting (adopted flanker task including a second task to shift response reactions) and working memory (2-back task). Results MANOVAs for each test indicated differences between sport types: Strategic sports revealed benefits in comparison to static sports in mean reaction times, cognitive shifting and to a certain extent working memory. Discriminant analysis clarified a significant differentiation between these three sport types considering the main scores of all three tests as independent variables. Conclusions The results emphasize the role of EF in high-performance sports and demonstrate that athletes differ in EF according to their individual sports. This finding suggests that the development of EF might be favored by the deliberate practice of strategic sports, and/or that EF might play a more prominent role in strategic sports.

Purpose The aim of this study was to examine the impact of a maximal physical load on cognitive control in twelve well-trained males focusing on the time course of changes in a 15 min post-exercise interval. Methods Prior to and three times after an incremental cycle ergometer task until exhaustion, behavioural performance and neurophysiological correlates using N2 and P3 event-related potentials (ERPs) were assessed during the execution of a modified flanker task. These data were compared to a control condition following the same protocol, however, without physical load between pre-test and post-tests. Results Regardless of compatibility (congruent, incongruent), behavioural findings revealed a significant interaction of Condition × Time with shorter reaction times in the post-exercise blocks as compared to the control condition. Neuroelectric measures demonstrated exercise induced effects of a reduced central N2 amplitude and shorter parietal P3 latency in the time course of post-exercise flanker blocks as compared to rest. Conclusions It is concluded that a state of maximal physical exhaustion facilitates information processing speed in a cognitive control task in well-trained persons. This effect persists even after a recovery period of 15 min. The current findings contribute to a deeper understanding of the neuronal mechanisms of interference control following maximal physical load, suggesting a reduced conflict monitoring as indicated by a reduced N2 amplitude and an increased stimulus classification speed as reflected by P3 latency. The flanker task, however, might have been too simple to elicit monitoring conflicts on the behavioural level.

The implementation of noninvasive brain stimulation (NIBS) techniques to improve sports performance is getting more and more popular. There are, however, practical and ethical concerns about the benefits of using NIBS in sports psychology. Two studies on the efficacy of two specific NIBS devices—AVWF method and OGIRO Modulation—were conducted and revealed no obvious benefits for cognitive and mental skills and psychophysiological activity in pupils and sport students. Recommendations derived from the empirical effectiveness of NIBS for the ethical application in routine training protocols are discussed. Finally, we suggest guidelines for sports psychologists who are faced with modern technological devices.

This article aims to (a) describe the study design of a 6-year follow-up multidisciplinary research project on aging, (b) report the psychosocial characteristics of the sample in detail, and (c) evaluate aging-related changes of health, physical activity, and psychosocial characteristics in 10 young-old (age at pre-test: M +/- SD = 63.2 +/- 1.5) and 12 old-old (age at pre-test: M +/- SD = 69 +/- 2) individuals. Both age groups consist of individuals displaying a high health status, a high extent of physical activity, high levels of psychosocial properties in the dimensions of well-being, life satisfaction, self-concept, body image, self-esteem, and self-efficacy, as well as a low general depression index. Psychosocial characteristics demonstrated a stable pattern over a period of nearly 6 years in both age groups with the exceptions of physical activity, satisfaction with children, general depression, and self-efficacy. Furthermore, physical self-concept decreased in old-old adults, whereas the young-olds showed no change. We assume that a high psychosocial status and a physically active lifestyle play an important role for mastering aging successfully in two life phases, each of which has its own challenges for older individuals. The decline in the physical self-concept of old-olds is interpreted as a first sign of subjective aging. Its association with losses in physical performance should be addressed in future studies. Finally, aging-related changes should be monitored on an individual level in order to capture the complex dynamic of aging that is not considered in analyses of between-person differences or averages.

This study explored the influence of sub-maximal cardiovascular load on electroencephalographic (EEG) activity preceding biathlon shooting. Frontal-midline theta and alpha power were examined to assess monitoring processes and cortical inhibition, respectively. Thirteen experienced biathletes (mean age: 17years; 5 males, 8 females) fired sets of five consecutive shots from the standing position at a 50-meter-distant target, under two fixed-order conditions: (i) at rest and (ii) immediately after 3-minute exercise on a bicycle ergometer at 90% of maximum heart rate (HR). HR and rate of physical exertion (RPE) were measured as manipulation checks. Shooting accuracy was assessed in target rings for each shot. Frontal-midline theta and alpha power were computed in the last second preceding each shot from average-reference 61-channel EEG and inter-individual differences were minimized through a median-scaled log transformation (Appendix). HR and RPE increased under cardiovascular load, however, shooting accuracy did not change. Pre-shooting frontal-midline theta power decreased, whereas alpha power increased over temporal and occipital – but not central – regions. These changes were larger for greater HR values. Additionally, higher frontal-midline theta, lower left-central alpha, and higher left-temporal alpha power were associated with more accurate shooting. These findings suggest that monitoring processes are beneficial to shooting performance but can be impaired by sub-maximal cardiovascular load. Greater inhibition of movement-irrelevant regions (temporal, occipital) and concomitant activation of movement-related regions (central) indicate that greater neural efficiency is beneficial to shooting performance and can allow trained biathletes to shoot accurately despite physically demanding conditions.

The paper focuses on long‐term changes in parameters of self‐perception (ie, physical self‐concept, self‐esteem, and self‐efficacy), physical activity, and its relationship to physical fitness of healthy and active old adults. The sample of 22 physically active and healthy elderly (age M t1 = 66.00) originates in an earlier skiing intervention study following a longitudinal study design with four time points of measurement over a period of 6 years. Self‐reports on physical self‐concept (PSK), general self‐esteem and self‐efficacy, and an activity index were assessed and compared to physical fitness data (VO 2max and muscle strength). Significant time effects (over 6 years) were obtained with respect to global physical self‐concept, endurance (PSK), and VO 2max. Muscle strength turned out to be stable over time. The positive correlations between VO 2max and the corresponding self‐concept evaluation of endurance abilities diminished across the 6 years. Self‐esteem correlated with the PSK scales and VO 2max. In contrast to our expectation, self‐esteem, self‐efficacy, and activity level hardly predicted changes in the PSK scales, VO 2max, and physical strength. Although VO 2max and some parameters of the physical self‐concept declined over the 6 years, results indicate that physical self‐concept, self‐esteem, self‐efficacy, physical fitness, and physical activity display a complex pattern. The decrease in self‐perception measured by the correlation of PSK and physical fitness suggests that self‐concept of old adults is not sensitive to changes in physical fitness.

The present study examined the effect of 4 physical-load conditions on interference control throughout a period of 45 min. A sample of 52 sport students was assigned to either a no, a low, an alternating low to moderate, or a moderate physical-load condition. A modified Eriksen-flanker task was administered in the preexercise period, 7 times during the exercise, and twice after completing the exercise. Significant interaction effects of time and condition, and significant time effects within condition on the reaction time of congruent stimuli and errors on incongruent stimuli, suggest a specific in-task effect of the alternating low to moderate and moderate physical-load conditions. Thus, it was concluded that moderate physiological arousal influences interference control by an increase of information-processing speed in tasks that require less cognitive control (congruent condition), which is at the expense of accuracy in cognitively more demanding tasks (incongruent condition).

This article aims to analyse long-term changes in cognitive performance and psychophysiological stress regulation in a specific sample of 10 young-old (age at pre-test: M ± SD = 63.2 ± 1.5) and 12 old-old (age at pre-test: M ± SD = 69 ± 2) persons possessing a high psychosocial status and a physically active lifestyle. Psychophysiological parameters were recorded prior to, during, and after the administration of a cognitive performance test battery. The measurements took place three times within a 6-month period, and again 6 years later in a follow-up test. Considering practice and habituation effects, findings provide no compelling evidence of an aging-associated cognitive decline in attention, multiple choice reaction performance, and information processing speed, either in the young-olds, or in the old-olds. Furthermore, psychophysiological stress regulation showed no long-term alteration regarding skin conductance level and heart rate. Based on these findings, it is assumed that psychosocial health and physical activity might contribute to the preservation of cognitive abilities and stress regulation into the 70s. Finally, this study demonstrated the significance of considering practice and habituation effects elicited through test repetitions in order to estimate long-term effects.

Background Flow diversion has become an accepted endovascular treatment modality for intracranial aneurysms. Studies comparing different types of flow diverters are currently lacking. Objective To perform a propensity score-matched cohort study comparing the Pipeline Embolization Device (PED; Medtronic, Dublin, Ireland) and Flow Redirection Endoluminal Device (FRED; MicroVention, Aliso Viejo, California). Methods Aneurysms of the internal carotid artery proximal to the communicating segment treated with PED at 2 neurovascular centers in the United States were matched with aneurysms treated in the European FRED study using propensity scoring. Aneurysms treated in the setting of subarachnoid hemorrhage were excluded from matching. Occlusion rates and complications were evaluated. Results Two hundred twenty-one internal carotid artery aneurysms were treated with PED and 282 with FRED. Propensity score matching controlling for age, sex, aneurysm size, location, number of flow diverters, and adjunctive coiling resulted in 55 matched pairs. Median angiographic follow-up was nonsignificantly longer for FRED compared to PED (12.2 vs 7.5 mo, P = .28). The rate of complete occlusion did not differ between flow diverters (80% vs 80%, P > .99). Functional outcome and complications were comparable for PED and FRED. Conclusion Propensity score-matched analysis of PED and FRED for internal carotid artery aneurysms revealed comparable angiographic complete occlusion and complication rates. Whether FRED has an advantage in terms of near complete aneurysm occlusion warrants further investigation. Limitations include the retrospective design and lack of an independent assessment of radiographic outcome in a core-laboratory and functional outcomes, among others, and the results should be interpreted as such.

BACKGROUND AND PURPOSE: Endoluminal reconstruction with flow-diverting stents represents a widely accepted technique for the treatment of complex intracranial aneurysms. This European registry study analyzed the initial experience of 15 neurovascular centers with the Flow-Redirection Intraluminal Device (FRED) system. MATERIALS AND METHODS: Consecutive patients with intracranial aneurysms treated with the FRED between February 2012 and March 2015 were retrospectively reviewed. Complications and adverse events, transient and permanent morbidity, mortality, and occlusion rates were evaluated. RESULTS: During the defined study period, 579 aneurysms in 531 patients (median age, 54 years; range, 13–86 years) were treated with the FRED. Seven percent of patients were treated in the acute phase (≤3 days) of aneurysm rupture. The median aneurysm size was 7.6 mm (range, 1–36.6 mm), and the median neck size 4.5 mm (range, 1–30 mm). Angiographic follow-up of >3 months was available for 516 (89.1%) aneurysms. There was progressive occlusion witnessed with time, with complete occlusion in 18 (20%) aneurysms followed for up to 90 ± 14 days, 141 (82.5%) for 180 ± 20 days, 116 (91.3%) for 1 year ± 24 days, and 122 (95.3%) aneurysms followed for >1 year. Transient and permanent morbidity occurred in 3.2% and 0.8% of procedures, respectively. The overall mortality rate was 1.5%. CONCLUSIONS: This retrospective study in real-world patients demonstrated the safety and efficacy of the FRED for the treatment of intracranial aneurysms. In most cases, treatment with a single FRED resulted in complete angiographic occlusion at 1 year.

This study focused on the psychological and quality of life aspects of resuming alpine skiing practice after total knee arthroplasty (TKA) in elderly skilled skiers. Two data pools were used in order to analyze psychological states: (a) at the beginning, at the end, and 8 weeks after a 12-week skiing intervention; and (b) concerning diurnal variations of states (i.e., skiing days compared with everyday life during intervention and retention phase). In particular, effects of skiing on amount of physical activity and perceived exertion, perceived pain and knee function, and subjective well-being were analyzed using a control group design. Results reveal that the skiing intervention substantially increases the amount of physical activity by the intervention group (122.30 ± 32.38 min/day), compared with the control group (75.14 ± 21.27 min/day) [F (2, 32) = 8.22, P

Team handball is a complex sport game that is determined by the individual performance of each player as well as tactical components and interaction of the team. The aim of this review was to specify the elements of team-handball performance based on scientific studies and practical experience, and to convey perspectives for practical implication. Scientific studies were identified via data bases of PubMed, Web of Knowledge, SPORT Discus, Google Scholar, and Hercules. A total of 56 articles met the inclusion criteria. In addition, we supplemented the review with 13 additional articles, proceedings and book sections. It was found that the specific characteristics of team-handball with frequent intensity changes, team-handball techniques, hard body confrontations, mental skills and social factors specify the determinants of coordination, endurance, strength and cognition. Although we found comprehensive studies examining individual performance in team-handball players of different experience level, sex or age, there is a lack of studies, particularly for team-handball specific training, as well as cognition and social factors.

Resistance training has become a mainstay of exercise training in type 2 diabetes mellitus (T2DM). However, it remains controversial whether hypertrophy resistance training (HRT) is superior to endurance resistance training (ERT) with regard to its effects on glycaemic control, muscle mass and strength.Thirty-two patients with T2DM (13 men and 19 women; 64.8 ± 7.8 years) were randomly assigned to either eight weeks of HRT (n = 16; 2 sets, 10-12 repetitions, 70% of the one-repetition maximum (1-RM)) or ERT (n = 16; 2 sets, 25-30 repetitions, 40% 1-RM). In addition, all patients participated in aerobic exercise training (AET; 1 hour/day on 2 non-consecutive days/week; cycle ergometer; 70% of heart rate reserve).After eight weeks of intervention, there were time but not group effects for reduced glucose and fructosamine levels, weight, BMI, waist circumference, subcutaneous abdominal fat, resting heart rate, systolic and diastolic blood pressure; muscle mass of the arms and physical exercise capacity increased significantly. Significant time and group effects were documented for maximum strength of the chest, with a greater increase for HRT than ERT (p = 0.01).Specific maximal resistance training of the chest muscles led to superior gain in strength as compared to endurance resistance training. This, however, did not translate into superior values of glycaemic control, weight, waist circumference, muscle mass and physical work capacity, which all improved significantly by a similar magnitude in both groups. Since overall effects of both protocols were comparable, both may be offered to patients according to their personal preference.

Aufmerksamkeitsprozesse, die sowohl für das Erlernen als auch für das optimale Ausführen von Bewegungen von zentraler Bedeutung sind, können an Sportarten wie Golf psychophysiologisch mittels Kenngrößen wie Herzfrequenzvariabilität (HRV) erfasst werden. Ziel dieser Studie ist es zu prüfen, ob sich Kennwerte der HRV von Golf-Experten (n = 12), fortgeschrittenen Golfern (n = 12) und Novizen (n = 11) während der Putt-Ausführung unterscheiden und ob es mit Fortdauer der Putt-Aufgabe zu HRV-Veränderungen kommt. Während aufeinander folgender Putt-Serien absolvierten die Probanden jeweils zehn Putts. Die Experten und Fortgeschrittenen unterscheiden sich signifikant von den Novizen im low frequency-Band (0.04 – 0.15 Hz) und im Verhältnis von low frequency zu high frequency-Band (0.15 – 0.40 Hz). Die HRV-Kennwerte verändern sich nicht mit Fortdauer der Putt-Serien. Die Unterschiede im LF-Band, die bereits bei Golfern mit mäßigem Niveau auftreten, werden als Ausdruck eines externalen Aufmerksamkeitsfokus interpretiert.

This investigation examined the relations between physical self-concept and physical fitness (endurance, balance, muscle strength, muscle power) for gaining knowledge about the interrelationship between subjective ratings and objective fitness scores in the elderly in three steps: (1) detecting correlations and changes in time, (2) clarifying the influence of gender, and (3) of a skiing intervention lasting 12 weeks. Physical self-concept was assessed using a modified version of the Physical Self-Concepts (PSK) scales (Stiller et al., 2004) reflecting three first-order factors (endurance, strength, general sportiness) and one second-order factor (global fitness). Objective fitness scores were obtained by VO(2 max), counter movement jump, concentric muscle strength, and static balance. The results reveal that elderly individuals' global physical self and general sportiness are mainly linked to VO(2 max) and concentric muscle strength. Global physical self is predicted by VO(2 max) in females and by physical strength (concentric muscle strength) in males, indicating gender differences. Over time, correlations between subjective ratings and objective fitness scores become stronger in the sense of convergent validity in the skiing intervention group, whereas convergent and divergent validity cannot be supported by data of the control group. In sum, physical self-concept is an important factor in the context of physical intervention programs in the elderly.

The purpose of this study was to assess whether a guided alpine skiing intervention lasting 12 weeks has an impact on psycho-social dimensions, measured by subjective assessments, of individuals who are 60+ years of age. A number of well-established questionnaires were used to measure well-being, life satisfaction, self-concept, health status, depression and self-efficacy. The physical self-concept in the domain "strength" increased significantly in the intervention group from pre- to post-test and remained stable through the retention test, whereas the control group demonstrated nearly no alteration. A similar effect was obtained in life satisfaction for the dimension "friends and relatives." On the contrary, psycho-social aspects of the elderly were not negatively influenced. The subjects of this study had very high pre-test scores that might reflect a ceiling effect which, in turn, can explain the marginal positive impact of the intervention. The findings of this study argue for recommending a guided alpine skiing intervention for individuals who are 60 years of age and older with high values in psycho-social variables.

The aim of this study was to monitor the long-term effects of skiing on the health-related parameters of older individuals. This paper describes the overall study design and the intervention phase. The study utilized a randomized control group design consisting of an intervention group (n=27; age: 67.5 ± 2.8 years) and a control group (n=20; age: 67.3 ± 4.4 years). Parameters of interest were measured during pre-, post- and retention-test sessions. The intervention phase lasted for 12 weeks, with an average of 28.5 days of guided skiing. Daily heart rate (HR) profiles and global positioning system data throughout the ski day were recorded. Perceived exertion levels as well as mood status of the subjects were recorded regularly. The intervention group completed an average of 4885 vertical meters of downhill skiing, with a total skiing distance of 40.5 km/day. In the skiing phase, the average physiological load was 72.4 ± 8.9% of HR(max) . The dimension "positive mood" referred to skiing (on scale of 0-10), with an average value of 7.6 ± 1.7 after skiing. The dimension of "negative mood" was much less pronounced, having a mean of 1.1 ± 1.5 after skiing. Two subjects suffered injuries while falling during skiing. The effects of the 12-week skiing intervention on the tested parameters will be reported in the following papers of this supplementum.

This study determined the effects of a skiing intervention lasting 12 weeks on the psycho-physiological reactivity to and recovery from mental stressors in individuals who are 60+ years of age. In accordance with the cross-stressor hypothesis, it was assumed that a skiing intervention optimizes psycho-physiological pre-conditions for coping with stress. A cognitive task was used to investigate stress-induced changes (reactivity) in the high-frequency (HF) component of the heart rate variability (HRV) and in the skin conductance level (SCL) as well as recovery from this stressor. The intervention group demonstrated a significant increase in maximal oxygen consumption that was not accompanied by alterations in HRV at rest. In comparison with the control group, there was no difference in the alteration of the reactivity and recovery in the HF component and in the SCL after completing the training. The findings indicate that neither the psycho-physiological reactivity nor the recovery was influenced by the skiing intervention. It may be speculated that the intensity of the skiing intervention was too low to induce such adaptations. Therefore, further studies are encouraged to enhance the duration and intensity of the exercises to achieve adaptations of the autonomous nervous system of elderly individuals.

In the present study the time course of frontal midline theta (Fmtheta) during the aiming period in rifle shooting was investigated. Experts (n=8) and novices (n=10) had to shoot repeatedly while EEG was recorded, and the time course of Fmtheta during the aiming period was significantly different between the two groups, showing a steady increase of power for the last 3s before the shot only for experts, but not for novices. Source analysis (LORETA) indicated a significantly stronger theta activity for experts strictly located at the anterior cingulate area and medial frontal cortex, locations well known for focused attention. The results suggest that experts and novices use different strategies during the aiming period. While novices keep a relatively constant amount of attention to the target, experts are able to increase attention exactly to the time point of the trigger pull.

An unintentional embolization of retinal arteries is rare and has been documented as a complication after embolization of arteries supplying head and neck tumors. However, occlusion of the central retinal artery with severe loss of vision has never been reported to be a complication from embolization of tumor-supplying ethmoidal branches of the ophthalmic artery. A 40 year-old male patient with a history of right nephrectomy for renal cell carcinoma underwent preoperative radiological embolization of an ethmoidal metastasis after having experienced a life-threatening sinus bleeding. Repeated probing of the ophthalmic artery with an endovascular microcatheter for particle embolization of the tumor-supplying arteries was performed under anticoagulation with heparin. Postoperatively, a standard ophthalmological examination including extended vascular evaluation by angiography was performed. After extended probing of the ophthalmic artery a marked reduction in its blood flow occurred. Despite post-interventional imaging showing persisting perfusion of the central retinal and ciliary arteries, the patient developed complete loss of vision on this side four days later. At this time fundoscopy and fluorescein angiography revealed a recanalized central artery occlusion, while indocyanin angiography showed infarctions of the choroid. Radiological intervention via the ophthalmic artery can result in complete loss of vision, even after limited and transient obstruction of the vessel.

Angewandte Sportpsychologie, insbesondere im Leistungssport, zielt unter anderem darauf ab, die individuellen psychischen Leistungsvoraussetzungen von Sportlern zu optimieren, das soziale Umfeld mitzugestalten und praventive Masnahmen fur die bio-psycho-soziale Gesundheit und Leistungsfahigkeit zu setzen.