Monika Leitner

Bern University of Applied Sciences

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Lorenz Radlinger

Bern University of Applied Sciences

Helene Moser

Bern University of Applied Sciences

Patric Eichelberger

Bern University of Applied Sciences

Jean‐Pierre Baeyens

Vrije Universiteit Brussel

Annette Kühn

University Hospital of Bern

Jan Taeymans

Bern University of Applied Sciences

Irène Koenig

Bern University of Applied Sciences

Anette Kuhn

University Hospital of Bern

Annette Kühn

University Hospital of Bern

Lorenz Radlinger

Bern University of Applied Sciences

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Bern University of Applied Sciences

University of Bern

University Hospital of Bern

Universitätsklinik für Kinder und Jugendpsychiatrie

University of Utah

Vrije Universiteit Brussel

Creative Research Enterprises (United States)

Medical University of Vienna

Eunice Kennedy Shriver National Institute of Child Health and Human Development

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Electromyography of pelvic floor muscles with true differential versus faux differential electrode configuration

International Urogynecology Journal (2020)

Claudia Ballmer Patric Eichelberger Monika Leitner Helene Moser Helena Luginbuehl

10.1007/s00192-020-04225-4

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Temporal trends in trunk flexor endurance and intra-abdominal pressure in postpartum women

Physiotherapy Theory and Practice (2019)

Russell Hendrycks Meng Yang Robert Hitchcock Monika Leitner Stefan Niederauer

Objectives: To describe change in trunk flexor endurance and intra-abdominal pressure (IAP) associated with trunk flexor assessment and explore factors associated with change in trunk flexor endurance during the first postpartum year.Design: Ancillary analysis of an ongoing prospective cohort study.Methods: Participants (N = 282) were primiparous women delivered vaginally. They completed trunk flexor endurance testing while assessing IAP, body habitus measures (body mass index, waist circumference, and body composition), and questionnaires 5–10 weeks and 11–15 months postpartum. We investigated change in trunk flexor endurance by quartile of improvement and factors associated with improvement (Q4 vs. Q1-Q3) using multivariable models, adjusted for baseline endurance.Results: Mean age was 28 ± 5 years. The median (IQR) trunk flexor hold time increased from early to late postpartum (129/IQR = 68, 217 vs 148/IQR = 80, 265 seconds, p = .01) and mean (SD) IAP decreased (55/SD = 13 vs 48/SD = 14 cmH20, p < .0001). The most improved group (Q4) increased endurance time by 176 seconds (95% CI = 103, 254), were less likely to be Hispanic, more likely to be older, more educated, and have lower measures of body habitus than women in Q1-Q3. Conclusion: Trunk flexor endurance increased and IAP decreased over one year postpartum. Lower body habitus and higher age early postpartum predicted greatest improvement in trunk flexor endurance at 1 year.

Quartile

10.1080/09593985.2019.1686792

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Der weibliche Beckenboden im Sport – Teil II: Das Training für den weiblichen Beckenboden

Sportphysio (2025)

Monika Leitner

Teil 1 zeigte die Komplexität des weiblichen Beckenbodens und die Bedeutung der Beckenboden-Gesundheit allgemein bzw. für die Leistungsfähigkeit der Athletin auf. In diesem zweiten Teil geht es um die praktische Umsetzung dieser Erkenntnisse in eine Beckenbodentraining-Strategie für die körperlich aktive Frau, v. a. bei Vorliegen einer Belastungsinkontinenz.

10.1055/a-2494-1539

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Pelvic floor muscle displacement during jumps in continent and incontinent women: An exploratory study

Neurourology and Urodynamics (2019)

Helene Moser Monika Leitner Patric Eichelberger Annette Kühn Jean‐Pierre Baeyens

Abstract Introduction The prevalence of stress urinary incontinence during high‐impact activities is high. Enhanced comprehension of pelvic floor muscle (PFM) displacement and activity is clinically relevant for the development of specific approaches in rehabilitation. The aim of the study is to investigate and to compare PFM displacement between the continent and incontinent women during jumps. Methods A cross‐sectional, exploratory design was applied to investigate PFM displacement during drop jumps (DJ) and countermovement jumps (CMJ). PFM displacement was assessed in craniocaudal translation and forward‐backward rotation with an electromagnetic tracking system. Results Twenty‐eight continent and 22 incontinent women were included. During the first landing of DJ, a primary caudal, during the second landing of DJ/CMJ a primary cranial translation and during all jump a primary backward rotation was observed. No significant difference between the groups was found. Discussion PFM displacement during running demonstrated caudal translation/forward rotation before and cranial translation/backward rotation after heel strike. During the second landing of DJ/CMJ a cranial translation/backward rotation and during the first landing of DJ a caudal translation/backward rotation has been observed after ground contact. This may be due to the longer lasting bodyweight force in the first landing of DJ. No eccentric‐concentric stretch‐shortening cycle could be seen. Conclusion This study indicates that during jumps two opposite reactions of involuntary PFM displacement happen, but no stretch‐shortening cycle with an eccentric‐concentric contraction could be found. Jumping stimuli inducing involuntary PFM displacement should be used for future investigations to consider a beneficial effect concerning continence.

Stretch shortening cycle

10.1002/nau.24161

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Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study

Archives of Gynecology and Obstetrics (2018)

Helene Moser Monika Leitner Patric Eichelberger Annette Kühn Jean‐Pierre Baeyens

Pelvic Floor Muscle

10.1007/s00404-018-4734-4

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Citations (22)

Cannabisgebrauch bei Jugendlichen

Neuropsychiatrie (2022)

Katrin Skala Thomas Trabi Martin Fuchs Ralf Gößler Christian-Wilhelm Haas-Stockmair

Zusammenfassung Fragestellung Cannabis ist die, von österreichischen Jugendlichen am häufigsten konsumierte, illegalisierte Droge. Aufgrund der, in den letzten Jahren erfolgten schrittweise Entkriminalisierung bis hin zur Legalisierung in vielen europäischen Ländern möchte die ÖGKJP auf ausgewogene und wissenschaftlich basierte Art und Weise Stellung zur komplexen Thematik des Cannabisge- und Missbrauchs bei Jugendlichen beziehen. Methodik Die Medline mit jeweils dem spezifischen Unterthema angepassten Suchen auf aktuelle Studien durchsucht. Weiters wurden aus anerkannten Kompendien zitiert. Ergebnisse Während gelegentlicher Freizeitkonsum von Cannabis bei Erwachsenen mit abgeschlossener Hirnreifung und ohne Risikoprofil für psychische Störungen relativ harmlos sein dürfte, können frühzeitigem Konsumbeginn mit regelmäßigem Konsum sowie die zunehmend verfügbaren, hochpotenten Cannabis-Sorten zu expliziten und zum Teil irreversiblen neurokognitiven Hirnfunktionsstörungen führen. Schlussfolgerung Eine gesetzliche Freigabe des Cannabis-Konsums für Jugendliche aufgrund der Risken der zu erwartenden Schäden im Bereich der Gehirnentwicklung abzulehnen. Zugleich gilt es aber, vernünftige gesetzliche Regelungen zu etablieren, die der Tatsache, dass über 30 % aller europäischen Jugendlichen gelegentlich Cannabis konsumieren, adäquat begegnen kann. Wir sprechen uns hier auch klar dafür aus, Cannabiskonsumenten nicht zu kriminalisieren und gefährdeten und suchtkranken Cannabiskonsumenten die benötigte Unterstützung zukommen zu lassen.

10.1007/s40211-022-00424-1

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Pelvic floor muscle activity during jumps in continent and incontinent women: an exploratory study

Helene Moser Monika Leitner Patric Eichelberger Anette Kuhn Jean‐Pierre Baeyens

Stress urinary incontinence (SUI) symptoms can be provoked during impact loads such as vertical jumps. To investigate and compare pelvic floor muscle (PFM) activity in women with SUI and continent women (CON) during drop jumps (DJ) and counter movement jumps (CMJ) could clarify the activity of the PFMs during impact loads. A tripolar vaginal probe was used to record surface electromyographic (EMG) activity of the PFMs during DJ and CMJ. Time intervals of 30 ms were used to parameterize data from 30 ms before (pre-activity) to 150 ms after (reflex activity) ground contact on a force plate during the landing and take-off phase. EMG signals were normalized to the mean of the peak values of two maximal voluntary contractions (MVC) and expressed in percentage (% MVC). For all time intervals during the landing and take-off phase, no statistically significant differences could be found between women with SUI and CON. EMG values exceeded 100% MVC for all time intervals during all landing and take-off phases. Maximal PFM activation was measured during the first landing of DJ and was 404.1% MVC for SUI and 370.2% MVC for CON. Vertical jumps seem to stimulate pre-activity before and reflex activity after ground contact during the landing phase and activate PFMs up to 400% MVC. Jumping stimuli inducing involuntary PFM contraction could show a beneficial factor to be integrated in a PFM rehabilitation program.

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Evaluation of pelvic floor kinematics in continent and incontinent women during running: An exploratory study

Neurourology and Urodynamics (2017)

Monika Leitner Helene Moser Patric Eichelberger Annette Kühn Jean‐Pierre Baeyens

Aims Impact activity like running is associated with an increase in intra‐abdominal pressure which needs to be sufficiently countered by pelvic floor muscle (PFM) activity to secure continence. The aim of this study was to investigate and compare PFM kinematics in continent and incontinent women during running. Methos Three‐dimensional position and orientation was measured with the electromagnetic tracking device trakSTAR™. One sensor was attached to the vaginal probe and a second one was secured to the subjects’ skin at the height of the second sacral vertebrae. Cranial‐caudal and forward‐backward displacement of the vaginal probe was measured during 10 sec running on a treadmill at the speeds 7, 11, and 15 km/h. Displacement data from 100 ms before to 300 ms after heel‐strike were analyzed. Results Nineteen incontinent and twenty‐seven continent women were included in this study. Before the foot touched the ground caudal translation and forward rotation of the vaginal probe was detected, whereas after heel‐strike a cranial translation and backward rotation was measured. Cranial‐caudal translation as well as backward‐forward‐rotation did not differ significantly between continent and incontinent subjects for the three speeds. Analysis of maximum displacements showed significantly increasing displacement with increasing speeds. Conclusions Kinematic measurements during impact activity of running demonstrated caudal translation before and cranial translation after heel‐strike. The hypothesis of caudal translation through impact activity was not confirmed. Patterns seem similar between continent and incontinent subjects. Associations between the direction of displacement and muscle action of PFMs remain assumptions.

Treadmill

10.1002/nau.23340

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Quantitative work demands, emotional demands, and cognitive stress symptoms in surgery nurses

Psychology Health & Medicine (2016)

Achim Elfering Simone Grebner Monika Leitner Anja Hirschmüller Eva Johanna Kubosch

In surgery, cognitive stress symptoms, including problems in concentrating, deciding, memorising, and reflecting are risks to patient safety. Recent evidence points to social stressors as antecedents of cognitive stress symptoms in surgery personnel. The current study tests whether cognitive stress symptoms are positively associated with emotional abuse, emotional- and task-related demands and resources in surgery work. Forty-eight surgery nurses from two hospitals filled out the Copenhagen Psychosocial Questionnaire in its German version. Task-related and emotional demands were positively related to cognitive stress symptoms. In a stepwise, multiple, linear regression of cognitive stress symptoms on task-related and emotional demands, emotional abuse and emotional demands were unique predictors (p < .05). Efforts to increase patient safety should address emotional abuse, emotional demands, and, therefore, communication and cooperation team climate in surgery personnel.

Stressor

10.1080/13548506.2016.1200731

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Die Leidenschaft, die Leiden schafft. Ergonomie der Tuba

Adrian von Steiger Monika Leitner Irene von König Lorenz Radlinger Rex Martin

Die Hochschule der Kunste Bern erforscht zusammen mit der Berner Fachhochschule fur Gesundheit die Belastungen beim Tubaspielen. Im Labor untersuchten die Forschenden die Krafte auf Muskeln und Skelett. Weiter befragten sie Musikerinnen und Musiker zu Beschwerden und Pravention. Schliesslich stellten sie eine Ubungsreihe zusammen, mit denen sich Verspannungen losen und Belastungen ausgleichen lassen.

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