Birgit Paul

Karl Landsteiner Society

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Gerold Ebenbichler

Karl Landsteiner Society

Patrick Mair

Harvard University

Thomas Kienbacher

Karl Landsteiner Society

Christoph Leitner

AbbVie (United States)

Franziska Wick

Medical University of Vienna

Richard Habenicht

Karl Landsteiner Society

Markus Wolf

Institut für Arbeitsmarkt und Berufsforschung

Christian Starek

Karl Landsteiner Society

Josef Kollmitzer

Tgm

Linda Fischer

Karl Landsteiner Society

Cooperative Institutions

Medical University of Vienna

Karl Landsteiner Society

University of Vienna

Vienna General Hospital

Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation

Statistics Austria

Slovak Research and Development Agency

Institute of Normal and Pathological Physiology of the Slovak Academy of Sciences

Comenius University Bratislava

Centre of Experimental Medicine of the Slovak Academy of Sciences

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[Allogeneic lyophilized fascia lata "soft" as extra-articular stabilizer in simple and complex knee joint instability].

PubMed (1990)

Birgit Paul E von Frankenberg

50 operative procedures in capsular-ligamentous apparatus of knee joint were done from 1.9.1988 until 31.12.1989 among 209 in charged treated sports injuries. The multiplicity in pattern of injuries is the reason for individual procedure in reconstructive joint-surgery and because of this various indications for auto- and allogenic eg. synthetic materials, static and dynamic procedures else free or vascularized grafts. The lyophylized fascia lata "soft" is used in case of anteromedial instability, isolated medial rupture of collateral ligament of the first degree else for augmentation after primary treated medial injury of collateral ligament. Early results are proving the histocompatibility, the healing without complications else timely stability and recommending the fascia lata-plasty in given indications.

Fascia lata

Medial collateral ligament

Joint instability

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Citations (1)

[Achillodynia in athletes and dancers--recommendations for prevention and therapy].

PubMed (1990)

Birgit Paul E von Frankenberg

Based on a disproportion between individual exercise tolerance and actual physical strain a multicausal tender swelling of achilles tendon with concomitant impaired function due to oedematous swelling, cellular proliferation and degeneration in tendon and paratenon is developing especially in motion engaged professionals like dancers artists and sportsmen. Consistent prevention of paratenonitis exist in selection of favourable bottom or mal conditions, maintenance of muscular balances, correction of ligamentous laxities and foot deformities, fitting chuck absorbing footwear and every time dosed increase of physical strain. While in acute stage after elimination of causative factors the conservative treatment is indicated, the treatment resistant chronic achillodynia with anamnesis of 4 month and more is an indication for operative treatment.

Anamnesis

Strain (injury)

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In-depth analysis of life values and their corresponding inhibitors and facilitators in chronic low back pain patients: A mixed-method approach

Journal of Back and Musculoskeletal Rehabilitation (2020)

Linda Fischer Kerstin Tuechler Thomas Kienbacher Patrick Mair Juliane Spreitzer

BACKGROUND: The struggle with pain often interferes with the ability of chronic low back pain (CLBP) patients to pursue important life values due to psychological inflexibility. OBJECTIVE: This research examined life values, related inhibitors and facilitators relevant to personalized therapy planning. METHODS: Two hundred and forty-four CLBP patients completed the Chronic Pain Values Inventory (CPVI). Of these, 68 patients were interviewed to assess inhibitors and facilitators related to life values. Mixed-effects models quantitatively examined differences in the values, structuring content analysis served to qualitatively analyze the interviews. RESULTS: Participants rated the value “family” as being of highest importance and success. The largest discrepancy between importance and success was found for “health”. Content analyses revealed a broad range of inhibitors and facilitators related to the examined life values with the highest number of inhibitors related to “work”. Facilitators were also found to be of relevance to all life values, but to a lower extent than inhibitors. CONCLUSIONS: The perceived importance and success of life values and their related inhibitors and facilitators may differentially affect CLBP patients. Considering such individual aspects is therefore of utmost importance to improve patient care, as they enable treatment goals and the therapeutic strategies to be adapted accordingly.

Affect

10.3233/bmr-200034

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Citations (2)

Low-Back Pain Assessment Based on the Brief ICF Core Sets

American Journal of Physical Medicine & Rehabilitation (2008)

Birgit Paul Christoph Leitner Gerda Vacariu Franziska Wick Sonja Zehetmayer

The Brief International Classification of Functioning, Disability and Health (ICF) Core Sets for chronic low-back pain (cLBP) have included the three body functional categories sensation of pain, muscle functions, and emotional functions. As the latter two categories represent umbrella terms, the objective of this research was to identify those clinical tests that most expediently substantiate these two categories.This case-control study included 32 consecutive cLBP patients and 19 nonathletic healthy controls (HC), matched in age, body mass index, and sex. All patients and HCs underwent a comprehensive standardized clinical examination, with objective muscle functions tests that measured trunk muscle strength, endurance, and postural performance. Assessment of the category emotional functions included the Symptom Checklist 90-Revised, the Beck depression inventory, the Fear-Avoidance Beliefs Questionnaire (FABQ-D), and body experience (Borg category ratio scales about exertion, tension, fear of harm, and (re-)/injury).Logistic regression analyses revealed back muscle endurance and somatization to explain 50% of the between-group variances. Furthermore, the variables of Sensory Organization Test (SOT) composite score and FABQ were best associated with disablement in cLBP.In the Brief ICF Core Set for cLBP, back muscle endurance tests best examined the category muscle functions, whereas somatization best examined that of emotional functions. Furthermore, both the SOT and the FABQ would, in addition to the aforementioned tests, optimize the functional diagnostic relevance of the two ICF categories for cLBP.

Core stability

10.1097/phm.0b013e318174e37a

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Citations (21)

Reliability of isometric trunk moment measurements in healthy persons over 50 years of age

Journal of Rehabilitation Medicine (2014)

Thomas Kienbacher Birgit Paul Richard Habenicht Christian Starek Markus Wolf

To determine the short- and long-term test-retest reliability of maximum isometric trunk moment measurements in healthy volunteers over 50 years of age, to compare these results with those from volunteers younger than 50 years, and to test whether volunteers' anticipatory emotional state affects the precision of these measurements.Forty-two older persons (21 females; age range 50-90 years) and 44 younger persons (19 females; age range 18-49 years) performed maximum isometric trunk extensions, flexions, and rotations using dynamometers (DAVID, Fi, David Health Solutions Ltd, Helsinki, Finland). They repeated the tests after 1-2 days (short-term) and at 6 weeks (long-term). Retest-reliability was evaluated for age- and gender-specific subgroups, with assessment of intraclass correlation coefficient (ICC2,1) , standard error of measurement, smallest real difference, and smallest real difference, in percent.For the elderly group, smallest real difference, in percent values varied up to 33% and were similar to those obtained from young volunteers. Precision of the trunk rotation tests was lower than that of trunk flexion or extension. Retest agreement exceeded 0.75 (ICC2,1) for all tests, with no relevant differences observed between gender- and age-specific subgroups. Neither participants' motivation nor their anticipatory emotions correlated with the individual coefficients of variation of the trunk muscle moment measurements.Isometric maximum trunk extension and flexion moment measurements taken from healthy persons > 50 years old are as reliable as those from persons < 50 years old, and can be expected to enable an acceptable level of detection of expected changes in muscle strength parameters as a result of planned exercise interventions.

10.2340/16501977-1266

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The potential use of spectral electromyographic fatigue as a screening and outcome monitoring tool of sarcopenic back muscle alterations

Journal of NeuroEngineering and Rehabilitation (2014)

Thomas Kienbacher Richard Habenicht Christian Starek Patrick Mair Markus Wolf

To examine whether or not median frequency surface electromyographic (MF-EMG) back muscle fatigue monitoring would be able to identify alterations in back muscle function in elderly muscles, if a protocol was used that allowed optimum standardization of the processes underlying electromyographic fatigue, and whether these tests were reliable from day to day. A total of 42 older (21 females; 67 (±10.5) years old) and 44 younger persons (19 females; 33 (±10) years) performed maximum isometric back extensions which were followed by one 30 s lasting 80% submaximum extension. Participants were seated on a dynamometer with their trunks 30° anteflexed, and they repeated all tests after 1-2 days and 6 weeks. SEMG was recorded bilaterally from the L1 (iliocostalis lumborum), L2 (longissimus), and L5 (multifidus) recording sites. Outcome variables included maximum back extension torque, initial MF-EMG (IMF-EMG), MF-EMG slope declines, and individual MF-EMG muscular imbalance scores. Two-factorial ANOVAs served to examine the age and gender-specific effects, and models from Generalizability Theory (G-Theory) were used for assessing retest-reliability. Maximum back extension moment was non-significantly smaller in elders. IMF-EMG was overall higher in elders, with significant differences at the L5 recordings sites. In the elderly, MF-EMG fatigue declines were significantly smaller in L5, in the recording with the most negative slope, or if the slope of all electrodes was considered. Retest reliability was unanimous in young and older persons. ICC-type measurements from G-Theory of both the IMF and the fatigue slopes ranged from 0.7 to 0.85. Absolute SEM values were found clinically acceptable for the IMF-EMG, but relatively high for the fatigue slope declines. The MF-EMG fatigue method is able to elucidate alterations of aging back muscles. This method, thus, might be suggested as a potential biomarker to objectively identify persons at risk for sarcopenia. Considering the clinical relevance of the IMF-EMG relative to the MF-EMG slope declines, spectral EMG may also be used as an outcome monitoring tool in elderly populations.

Muscle Fatigue

Electrical impedance myography

Longissimus

10.1186/1743-0003-11-106

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Citations (18)

Poster 216: Relevance of Motor Performance and Psychologic Tests to Low Back Pain Assessment Based on the Brief ICF Core Sets

Archives of Physical Medicine and Rehabilitation (2007)

Birgit Paul Christoph Leitner Sonja Zehetmayer Erich Vanecek Gerold Ebenbichler

10.1016/j.apmr.2007.06.627

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