Stürze im Alter

The consequences of falls can be considerable for elderly people. They often lead to fractures or other injuries, immobility, curtailed independence, need for long-term care, and even death. They decrease the quality of life and can exert a negative influence on self-esteem, activity level, and the number of social contacts. The annual rate of falls in people over 65 is approximately 30%. This number increases to about 50% up to the age of 80 years and almost half of those who fall do so more than once during the course of a year. More than 90% of all falls occur in everyday situations, mostly resulting from movement errors. All studies demonstrated a significant correlation between muscle weakness and the incidence of falls, thus representing a major risk factor for a fall. Gait disorders, hip fractures, and the loss of functional autonomy are closely related to falls and associated with age to a similar extent. Almost 90% of hip fractures in Germany are the result of a fall. From the individual and economic points of view, a fracture near the hip has serious consequences in old age. Based on research findings to date, vibration training could constitute an interesting alternative to classic methods of strength training in fall prevention programs. The aim of this contribution is to provide fundamental facts regarding epidemiology and prevention and to present a potential approach to implementing vibration training in multimodal programs designed to prevent falls.     

Dynamical analysis of winter terrain park jumps

Jump features in winter terrain parks frequently pose a hazard to patrons and may represent a significant liability risk to winter resorts. By performing a simple dynamic analysis of terrain park jumps, the relative risk to impact injuries for any proposed jump design can be quantified thereby allowing terrain park designers to minimize the risk from this class of injury.     

Acknowledgements

Acknowledgement

Acknowledgements     

The Russian avant-garde painting palette: Documentary and physicochemical codification of organic colorants

In the present article an attempt is made to elucidate the organic colorants commonly encountered in the Russian avant-garde painting palette by a combined art historical, documentary and physicochemical investigation, and to examine the influence of environmental factors on the chromatic profile originally sought by the artist. The overall approach based on written sources is confirmed by measurements on relevant paintings. The documentary research deals with the influences of Orthodox iconography, folkloric art, and occidental modernist tendencies on the Russian avant-garde palette, and studies the effects of contradictory historical processes in the chromatic profile of individual paintings. In the experimental section a series of colorants are investigated concerning the effects of accelerated ageing on experimental painting tables, prepared as watercolor and gouache layers on paper ground. The resulting samples are subjected to colorimetric and spectroscopic measurements, and analogous analytical procedures are applied on samples taken from selected paintings. A systematic comparative study of all data permits evaluation of the materials used in terms of their stability towards extrinsic factors, and proposal of degradation routes in order to assist museum curators and conservators in every concrete case related to the broad spectrum of pigments examined.     

Trial-by-trial analysis or averaging: implications for electromyographic models of rapid limb control

The control of human limb movement has been the focus of research for more than a century. A major issue to emerge from this work is the manner in which the central nervous system regulates electromyographic (EMG) activity to produce movements that differ in distance, velocity, and movement time. However the different methods of analysis often used to analyze EMG data could result in different kinematic-EMG relationships. In this study, participants performed an elbow flexion task to one of five distance goals (between 5 degrees and 50 degrees) using three movement speeds. EMG data from the right elbow flexors were compared using a trial-by-trial analysis and one based on averaged data. Averaging across trials underestimated biceps EMG amplitude at all movement distances and speeds compared to a trial-by-trial analysis. Averaging overestimated EMG burst duration compared to the trial-by-trial analysis. Peak agonist EMG amplitude was positively related to distance and inversely related to movement time. Agonist EMG duration was constant for movement distances less than 30 degrees but increased in the 50 degrees condition. The results support the view that peak EMG amplitude and duration can be controlled independently, but EMG duration changes only for longer distance movements when additional force is required.     

Effect of a pedometer-based intervention on daily step counts of community-dwelling older adults

This study investigated the effect of a 12-week pedometer-based intervention on daily step counts of 147 older adults randomly assigned to an intervention or wait-list control group (M age = 72.9 years, SD = 8.8). The intervention group significantly increased their daily step counts after 12 weeks (M=639, SD=2239) and continued to significantly increase during a 12-week maintenance period (M=680, SD=1721). The control group exhibited no change during the control period (M = -393, SD=2050) but had a significant increase in daily step counts (M=1580, SD=2305) when enrolled in the intervention. The pedometer-based intervention was effective in increasing participants' daily step counts.     

The mediating role of intention and stages of change in physical activity among adults with physical disabilities: an integrative framework

The study's purpose was to identify the mediating role of intention and the stages of change (SOC) in physical activity (PA) over a 6-month period using two models (theory of planned behavior [TPB] and TPB/SOC). Participants were 143 adults with physical disabilities (70.68% response rate; M age = 46.03). The TPB constructs, SOC (time 1), and PA (time 2) were assessed using standardized self-report questionnaires. Based on path analyses, attitude had the highest effect on intention and SOC followed by perceived behavioral control within both well-fit models. The variance in PA explained by the first (TPB) and second (TPB/SOC) models was 16% and 28% respectively. In the just identified model of TPB/SOC, the direct effect of SOC on physical activity remained strong (gamma(soc.pa) = .45) and SOC approached full mediation through attitude. Health promotion interventions need to include both intention and behavior elements (SOC) reinforcing increased PA value and barrier elimination.     

Item wording and internal consistency of a measure of cohesion: the group environment questionnaire

A common practice for counteracting response acquiescence in psychological measures has been to employ both negatively and positively worded items. However, previous research has highlighted that the reliability of measures can be affected by this practice (Spector, 1992). The purpose of the present study was to examine the effect that the presence of negatively worded items has on the internal reliability of the Group Environment Questionnaire (GEQ). Two samples (N = 276) were utilized, and participants were asked to complete the GEQ (original and revised) on separate occasions. Results demonstrated that the revised questionnaire (containing all positively worded items) had significantly higher Cronbach alpha values for three of the four dimensions of the GEQ. Implications, alternatives, and future directions are discussed.     

Different centre of pressure patterns within the golf stroke I: Cluster analysis

Weight transfer research in the golf swing has produced conflicting and inconclusive results. A limitation of previous studies is the assumption that only one swing "style" exists within the golf swing. If different styles, or movement strategies, exist and if the different styles are analysed together in a single group, statistical errors will result. The aim of this study was to determine if different weight transfer styles exist in the golf swing by applying cluster analysis to centre of pressure (CP) patterns in the direction of hit (CPy) and to evaluate cluster analysis issues. Sixty-two professional to high handicap golfers performed simulated drives, hitting a golf ball into a net, while standing on two force plates. Centre of pressure position relative to the feet (CPy%) was quantified at eight swing events identified from 200-Hz video. Cluster analysis identified two major CPy% styles: a "Front Foot" style and a "Reverse" style. Both styles began with CPy% positioned evenly between the feet, moved to the back foot during backswing, and then forward during early downswing. Beyond early downswing, the Front Foot group continued to move CPy% to the Front Foot through to ball contact, while the Reverse group moved CPy% towards the back foot through ball contact and follow-through. Both weight transfer styles were evident across skill levels from professional to high handicap golfers, indicating that neither style was a technical error. Cluster analysis should include hierarchical and non-hierarchical clustering and use objective measures combined with theoretical assessment to determine the optimal number of clusters. Furthermore, a number of validation procedures should always be used to validate the solution.     

Effect of different recovery patterns on repeated-sprint ability and neuromuscular responses

We examined the effect of recovery pattern on mechanical and neuromuscular responses in active men during three repeated-sprint ability tests consisting of ten 6-s cycling sprints. Within each test, the recovery duration was manipulated: constant, increasing, and decreasing recovery pattern. Maximal voluntary contractions of the knee extensors were performed before and after the repeated-sprint ability tests to assess strength and electromyographic activity [root mean square (RMS)] of the quadriceps muscle. We observed different fatigue patterns for peak and mean power output between recovery patterns, with earlier decrements recorded during the increasing recovery pattern. Total work performed over the ten sprints was also lower in the increasing recovery pattern (43.8 +/- 5.4 kJ; P < 0.05). However, the decreasing recovery pattern induced a greater overall power output decrement across the sprints (-15.8%; P < 0.05), compared with the increasing recovery pattern (-5.1%) but not the constant recovery pattern (-10.1%). The decreasing recovery pattern was also associated with higher post-sprint RMS values (+16.2%; P < 0.05). Therefore, the recovery pattern within successive short sprints may influence repeated-sprint ability, and may lead to greater post-sprint neuromuscular adjustments when recovery intervals decrease between sprints. We conclude that peripheral impairments caused the major differences in repeated-sprint ability between recovery patterns.