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Authors = Inge Werner

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12 pages, 1838 KiB  
Article
Validity and Reliability of the Posturographic Outcomes of a Portable Balance Board
by Patricia Meier, Maité Calisti, Inge Werner, Daniel Debertin, Lukas Mayer-Suess, Michael Knoflach and Peter Federolf
Sensors 2025, 25(5), 1309; https://doi.org/10.3390/s25051309 - 21 Feb 2025
Viewed by 880
Abstract
In view of the frequent use of the portable balance board (Tymo®, Tyromotion, Graz, Austria) in neurorehabilitation, the objective of this study is to assess its posturographic validity and reliability in comparison to a floor-embedded force platform (AMTI, Watertown, MA, USA), [...] Read more.
In view of the frequent use of the portable balance board (Tymo®, Tyromotion, Graz, Austria) in neurorehabilitation, the objective of this study is to assess its posturographic validity and reliability in comparison to a floor-embedded force platform (AMTI, Watertown, MA, USA), as well as its clinical validity in stroke patients. To evaluate posturographic validity, thirty healthy participants were tested in four different measurement conditions (M1–M4: standing with/without a balance pad, eyes open/closed) while simultaneously measuring with both devices placed on top of each other. Clinical validity is obtained by correlating stroke patients’ Tymo® outcome variables (path length and ellipse) of M1–M4 with Berg Balance Scale (BBS) results. Reliability is determined by correlating repeated measurements. The Center of pressure (COP) paths of both force plates show a very strong correlation. The repeated measurement reliability of both force plates is comparable. Tymo® outcome variables exhibit moderate to strong correlation with the BBS and demonstrated repeated measurement reliability analogous to healthy participants. Therefore, the Tymo® device demonstrates measurement accuracy comparable to a gold-standard device while offering the advantages of portability and user-friendly software. Tymo® is suitable for assessing balance in stroke patients, though protocol adaptations and averaging repeated measurements are recommended to enhance feasibility and reliability. Full article
(This article belongs to the Section Physical Sensors)
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8 pages, 692 KiB  
Brief Report
Mountain Hiking: Prolonged Eccentric Muscle Contraction during Simulated Downhill Walking Perturbs Sensorimotor Control Loops Needed for Safe Dynamic Foot–Ground Interactions
by Inge Werner, Francisco J. Valero-Cuevas and Peter Federolf
Int. J. Environ. Res. Public Health 2023, 20(7), 5424; https://doi.org/10.3390/ijerph20075424 - 6 Apr 2023
Cited by 1 | Viewed by 2618
Abstract
Safe mountain hiking requires precise control of dynamic foot–ground interactions. In addition to vision and vestibular afferents, limb proprioception, sensorimotor control loops, and reflex responses are used to adapt to the specific nature of the ground contact. Diminished leg dexterity and balance during [...] Read more.
Safe mountain hiking requires precise control of dynamic foot–ground interactions. In addition to vision and vestibular afferents, limb proprioception, sensorimotor control loops, and reflex responses are used to adapt to the specific nature of the ground contact. Diminished leg dexterity and balance during downhill walking is usually attributed to fatigue. We investigated the supplementary hypothesis that the eccentric contractions inherent to downhill walking can also disrupt muscle proprioception, as well as the sensorimotor control loops and reflex responses that depend on it. In this study, we measured leg dexterity (LD), anterior–posterior (AP) and medio–lateral (ML) bipedal balance, and maximal voluntary leg extension strength in young and healthy participants before and after 30 min of simulated downhill walking at a natural pace on a treadmill at a 20° decline. Post–pre comparisons of LD (p < 0.001) and AP balance (p = 0.001) revealed significant reductions in dynamic foot–ground interactions after eccentric exercise without an accompanying reduction in leg extension strength. We conclude that eccentric contractions during downhill walking can disrupt the control of dynamic foot–ground interactions independently of fatigue. We speculate that mountaineering safety could be improved by increasing conscious attention to compensate for unadjusted proprioception weighting, especially in the descent. Full article
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10 pages, 252 KiB  
Review
Focus of Attention in Coach Instructions for Technique Training in Sports: A Scrutinized Review of Review Studies
by Inge Werner and Peter Federolf
J. Funct. Morphol. Kinesiol. 2023, 8(1), 7; https://doi.org/10.3390/jfmk8010007 - 8 Jan 2023
Cited by 6 | Viewed by 4296
Abstract
Literature reports superior performance when focusing one’s attention during a movement on environmental effects of that movement (external focus, EF) compared to focusing on the moving body (internal focus, IF). Nevertheless, IF instructions still play an important role in the daily practice of [...] Read more.
Literature reports superior performance when focusing one’s attention during a movement on environmental effects of that movement (external focus, EF) compared to focusing on the moving body (internal focus, IF). Nevertheless, IF instructions still play an important role in the daily practice of coaches, trainers, and therapists. The current review compiles evidence for focus-of-attention concepts on movement form corrections and technique training. Reviews on the topic and selected additional papers addressing the effect of attentional focus on movement form or on kinetic, kinematic or muscle activity data were included. Both EF and IF instructions affect movement form. The reviews revealed that IF instructions seem to be better applicable to direct movement form changes than EF instructions. In contrast, EF instructions better facilitate optimization within the whole-body coordination, often resulting in better performance outcomes not directly linked to movement pattern changes. Several studies discuss focus-of-attention effects in the context of the optimal feedback control theory expanding on the constrained action hypothesis. In summary, EF and IF instructions both affect form and performance of movements, however, their relative efficacy is situation dependent. The often-purported superiority of EF over IF instructions cannot be generalized to all application contexts. Full article
(This article belongs to the Special Issue Exercise Evaluation and Prescription—3rd Edition)
10 pages, 1950 KiB  
Article
Intervention for Better Knee Alignment during Jump Landing: Is There an Effect of Internally vs. Externally Focused Instructions?
by Inge Werner, Monika Peer-Kratzer, Maurice Mohr, Steven van-Andel and Peter Federolf
Int. J. Environ. Res. Public Health 2022, 19(17), 10763; https://doi.org/10.3390/ijerph191710763 - 29 Aug 2022
Cited by 3 | Viewed by 2156
Abstract
Externally focused attention is known to induce superior results in the movement outcome, whereas focusing attention on the moving body (internal focus) causes conscious control and constrains action. The study investigated effects on knee trajectory and whole-body movement complexity when addressing knee alignment [...] Read more.
Externally focused attention is known to induce superior results in the movement outcome, whereas focusing attention on the moving body (internal focus) causes conscious control and constrains action. The study investigated effects on knee trajectory and whole-body movement complexity when addressing knee alignment using externally (EF) vs. internally (IF) focused instructions. Young ski racers, n = 24 (12 male), performed landings with subsequent jumps to submaximal height. Movements were tracked and analyzed during the ground contact phase. Sets of jumps were executed without instruction (CON), followed by EF and IF instructions on knee alignment in a random order. Medial–lateral displacement of the knee in landing quantified task achievement, and whole-body principal component analysis was used to compute movement complexity. Knee alignment instructions led to a significantly lower medial knee displacement compared to CON (p = 0.001, ηp2 = 0.35). EF vs. IF did not reach significance. EF, as well as IF instructions increased the prominence of the first movement pattern (p = 0.01, ηp2 = 0.22) with a reduction of higher-order patterns (p = 0.002, W = 0.11), suggesting a strategy of freezing degrees of freedom. Both instructions addressing the movement form positively influenced knee displacement during landing, and both led to a freezing strategy, simplifying whole-body coordination. Full article
(This article belongs to the Special Issue Sports Medicine and Sports Science)
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15 pages, 1786 KiB  
Article
Environmental Risk of Pesticides for Fish in Small- and Medium-Sized Streams of Switzerland
by Inge Werner, Anke Schneeweiss, Helmut Segner and Marion Junghans
Toxics 2021, 9(4), 79; https://doi.org/10.3390/toxics9040079 - 8 Apr 2021
Cited by 19 | Viewed by 6506
Abstract
This study assessed the acute and chronic risk of pesticides, singly and as mixtures, for fish using comprehensive chemical data of four monitoring studies conducted in small- and medium-sized streams of Switzerland between 2012 and 2018. Pesticides were ranked based on single substance [...] Read more.
This study assessed the acute and chronic risk of pesticides, singly and as mixtures, for fish using comprehensive chemical data of four monitoring studies conducted in small- and medium-sized streams of Switzerland between 2012 and 2018. Pesticides were ranked based on single substance risk quotients and relative contribution to mixture risk. Concentrations of the pyrethroid insecticides, λ-cyhalothrin, cypermethrin and deltamethrin, and the fungicides, carbendazim and fenpropimorph, posed acute or chronic single substance risks. Risk quotients of eighteen additional pesticides were equal or greater than 0.1, and thirteen of those contributed ≥30% to mixture risk. Relatively few substances dominated the mixture risk in most water samples, with chronic and acute maximum cumulative ratios never exceeding 5 and 7, respectively. A literature review of toxicity data showed that concentrations of several pesticides detected in Swiss streams were sufficient to cause direct sublethal effects on fish in laboratory studies. Based on the results of our study, we conclude that pesticides detected in Swiss streams, especially pyrethroid insecticides, fungicides and pesticide mixtures, pose a risk to fish health and can cause direct sublethal effects at environmental concentrations. Sensitive life stages of species with highly specialized life history traits may be particularly vulnerable; however, the lack of toxicity data for non-model species currently prevents a conclusive assessment across species. Full article
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14 pages, 695 KiB  
Article
Leg Dominance Effects on Postural Control When Performing Challenging Balance Exercises
by Arunee Promsri, Thomas Haid, Inge Werner and Peter Federolf
Brain Sci. 2020, 10(3), 128; https://doi.org/10.3390/brainsci10030128 - 25 Feb 2020
Cited by 67 | Viewed by 8847
Abstract
Leg dominance reflects the preferential use of one leg over another and is typically attributed to asymmetries in the neural circuitry. Detecting leg dominance effects on motor behavior, particularly during balancing exercises, has proven difficult. The current study applied a principal component analysis [...] Read more.
Leg dominance reflects the preferential use of one leg over another and is typically attributed to asymmetries in the neural circuitry. Detecting leg dominance effects on motor behavior, particularly during balancing exercises, has proven difficult. The current study applied a principal component analysis (PCA) on kinematic data, to assess bilateral asymmetry on the coordinative structure (hypothesis H1) or on the control characteristics of specific movement components (hypothesis H2). Marker-based motion tracking was performed on 26 healthy adults (aged 25.3 ± 4.1 years), who stood unipedally on a multiaxial unstable board, in a randomized order, on their dominant and non-dominant leg. Leg dominance was defined as the kicking leg. PCA was performed to determine patterns of correlated segment movements (“principal movements” PMks). The control of each PMk was characterized by assessing its acceleration (second-time derivative). Results were inconclusive regarding a leg-dominance effect on the coordinative structure of balancing movements (H1 inconclusive); however, different control (p = 0.005) was observed in PM3, representing a diagonal plane movement component (H2 was supported). These findings supported that leg dominance effects should be considered when assessing or training lower-limb neuromuscular control and suggest that specific attention should be given to diagonal plane movements. Full article
(This article belongs to the Collection Collection on Systems Neuroscience)
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31 pages, 886 KiB  
Review
Effect-Based Tools for Monitoring and Predicting the Ecotoxicological Effects of Chemicals in the Aquatic Environment
by Richard E. Connon, Juergen Geist and Inge Werner
Sensors 2012, 12(9), 12741-12771; https://doi.org/10.3390/s120912741 - 18 Sep 2012
Cited by 244 | Viewed by 18558
Abstract
Ecotoxicology faces the challenge of assessing and predicting the effects of an increasing number of chemical stressors on aquatic species and ecosystems. Herein we review currently applied tools in ecological risk assessment, combining information on exposure with expected biological effects or environmental water [...] Read more.
Ecotoxicology faces the challenge of assessing and predicting the effects of an increasing number of chemical stressors on aquatic species and ecosystems. Herein we review currently applied tools in ecological risk assessment, combining information on exposure with expected biological effects or environmental water quality standards; currently applied effect-based tools are presented based on whether exposure occurs in a controlled laboratory environment or in the field. With increasing ecological relevance the reproducibility, specificity and thus suitability for standardisation of methods tends to diminish. We discuss the use of biomarkers in ecotoxicology including ecotoxicogenomics-based endpoints, which are becoming increasingly important for the detection of sublethal effects. Carefully selected sets of biomarkers allow an assessment of exposure to and effects of toxic chemicals, as well as the health status of organisms and, when combined with chemical analysis, identification of toxicant(s). The promising concept of “adverse outcome pathways (AOP)” links mechanistic responses on the cellular level with whole organism, population, community and potentially ecosystem effects and services. For most toxic mechanisms, however, practical application of AOPs will require more information and the identification of key links between responses, as well as key indicators, at different levels of biological organization, ecosystem functioning and ecosystem services. Full article
(This article belongs to the Special Issue Bioassays)
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