@article{AlfredsonWaldenRobertsetal.2023,
  author    = {Alfredson, H{\aa}kan and Wald{\´e}n, Markus and Roberts, David and Spang, Christoph},
  title     = {Combined midportion Achilles and plantaris tendinopathy: a 1-year follow-up study after ultrasound and color-Doppler-guided WALANT surgery in a private setting in southern Sweden},
  series = {Medicina},
  volume    = {59},
  journal   = {Medicina},
  number    = {3},
  issn      = {1648-9144},
  doi       = {10.3390/medicina59030438},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-303966},
  year      = {2023},
  abstract  = {Background and Objectives: Chronic painful midportion Achilles combined with plantaris tendinopathy can be a troublesome condition to treat. The objective was to prospectively follow patients subjected to ultrasound (US)- and color doppler (CD)-guided wide awake, local anesthetic, no-tourniquet (WALANT) surgery in a private setting. Material and Methods: Twenty-six Swedish patients (17 men and 9 women, mean age 50 years (range 29-62)) and eight international male patients (mean age of 38 years (range 25-71)) with combined midportion Achilles and plantaris tendinopathy in 45 tendons altogether were included. All patients had had >6 months of pain and had tried non-surgical treatment with eccentric training, without effect. US + CD-guided surgical scraping of the ventral Achilles tendon and plantaris removal under local anesthesia was performed on all patients. A 4-6-week rehabilitation protocol with an immediate full-weight-bearing tendon loading regime was used. The VISA-A score and a study-specific questionnaire evaluating physical activity level and subjective satisfaction with the treatment were used for evaluation. Results: At the 1-year follow-up, 32/34 patients (43 tendons) were satisfied with the treatment result and had returned to their pre-injury Achilles tendon loading activity. There were two dropouts (two tendons). For the Swedish patients, the mean VISA-A score increased from 34 (0-64) before surgery to 93 (61-100) after surgery (p < 0.001). There were two complications, one wound rupture and one superficial skin infection. Conclusions: For patients suffering from painful midportion Achilles tendinopathy and plantaris tendinopathy, US + CD-guided surgical Achilles tendon scraping and plantaris tendon removal showed a high satisfaction rate and good functional results 1 year after surgery.},
  language  = {en}
}
@article{BornZinnerSperlich2017,
  author    = {Born, Dennis-Peter and Zinner, Christoph and Sperlich, Billy},
  title     = {The mucosal immune function is not compromised during a period of high-intensity interval training. Is it time to reconsider an old assumption?},
  series = {Frontiers in Physiology},
  volume    = {8},
  journal   = {Frontiers in Physiology},
  number    = {485},
  doi       = {10.3389/fphys.2017.00485},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-158025},
  year      = {2017},
  abstract  = {Purpose: The aim of the study was to evaluate the mucosal immune function and circadian variation of salivary cortisol, Immunoglobin-A (sIgA) secretion rate and mood during a period of high-intensity interval training (HIIT) compared to long-slow distance training (LSD). Methods: Recreational male runners (n = 28) completed nine sessions of either HIIT or LSD within 3 weeks. The HIIT involved 4 × 4 min of running at 90-95\% of maximum heart rate interspersed with 3 min of active recovery while the LSD comprised of continuous running at 70-75\% of maximum heart rate for 60-80 min. The psycho-immunological stress-response was investigated with a full daily profile of salivary cortisol and immunoglobin-A (sIgA) secretion rate along with the mood state on a baseline day, the first and last day of training and at follow-up 4 days after the last day of training. Before and after the training period, each athlete's running performance and peak oxygen uptake (V·O\(_{2peak}\)) was determined with an incremental exercise test. Results: The HIIT resulted in a longer time-to-exhaustion (P = 0.02) and increased V·O\(_{2peak}\) compared to LSD (P = 0.01). The circadian variation of sIgA secretion rate showed highest values in the morning immediately after waking up followed by a decrease throughout the day in both groups (P < 0.05). With HIIT, the wake-up response of sIgA secretion rate was higher on the last day of training (P < 0.01) as well as the area under the curve (AUC\(_{G}\)) higher on the first and last day of training and follow-up compared to the LSD (P = 0.01). Also the AUC\(_{G}\) for the sIgA secretion rate correlated with the increase in V·O\(_{2peak}\) and running performance. The AUC\(_{G}\) for cortisol remained unaffected on the first and last day of training but increased on the follow-up day with both, HIIT and LSD (P < 0.01). Conclusion: The increased sIgA secretion rate with the HIIT indicates no compromised mucosal immune function compared to LSD and shows the functional adaptation of the mucosal immune system in response to the increased stress and training load of nine sessions of HIIT.},
  language  = {en}
}
@article{ZinnerBornSperlich2017,
  author    = {Zinner, Christoph and Born, Dennis-Peter and Sperlich, Billy},
  title     = {Ischemic preconditioning does not alter performance in multidirectional high-intensity intermittent exercise},
  series = {Frontiers in Physiology},
  volume    = {8},
  journal   = {Frontiers in Physiology},
  doi       = {10.3389/fphys.2017.01029},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-159348},
  pages     = {1029},
  year      = {2017},
  abstract  = {Purpose: Research dealing with ischemic preconditioning (IPC) has primarily focused on variables associated to endurance performance with little research about the acute responses of IPC on repeated multidirectional running sprint performance. Here we aimed to investigate the effects of IPC of the arms and the legs on repeated running sprint performance with changes-of-direction (COD) movements. Methods: Thirteen moderately-to-well-trained team-sport athletes (7 males; 6 females; age: 24 ± 2 years, size: 175 ± 8 cm, body mass: 67.9 ± 8.1 kg) performed 16 × 30 m all-out sprints (15 s rest) with multidirectional COD movements on a Speedcourt\(^{©}\) with IPC (3 × 5 min) of the legs (IPC\(_{leg}\); 240 mm Hg) or of the arms (remote IPC: IPC\(_{remote}\); 180-190 mm Hg) 45 min before the sprints and a control trial (CON; 20 mm Hg). Results: The mean (±SD) time for the 16 × 30 m multidirectional COD sprints was similar between IPC\(_{leg}\) (Mean t: 16.0 ± 1.8 s), IPC\(_{remote}\) (16.2 ± 1.7 s), and CON (16.0 ± 1.6 s; p = 0.50). No statistical differences in oxygen uptake (mean difference: 0\%), heart rate (1.1\%) nor muscle oxygen saturation of the vastus lateralis (4.7\%) and biceps brachii (7.8\%) between the three conditions were evident (all p > 0.05). Conclusions: IPC (3 × 5 min) of the legs (220 mm Hg) or arms (180-190 mm Hg; remote IPC) applied 45 min before 16 × 30 m repeated multidirectional running sprint exercise does not improve sprint performance, oxygen uptake, heart rate nor muscle oxygen saturation of the vastus lateralis muscle when compared to a control trial.},
  language  = {en}
}
@article{SperlichHahnEdeletal.2018,
  author    = {Sperlich, Billy and Hahn, Lea-Sofie and Edel, Antonia and Behr, Tino and Helmprobst, Julian and Leppich, Robert and Wallmann-Sperlich, Birgit and Holmberg, Hans-Christer},
  title     = {A 4-week intervention involving mobile-based daily 6-minute micro-sessions of functional high-intensity circuit training improves strength and quality of life, but not cardio-respiratory fitness of young untrained adults},
  series = {Frontiers in Physiology},
  volume    = {9},
  journal   = {Frontiers in Physiology},
  number    = {423},
  doi       = {10.3389/fphys.2018.00423},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-176565},
  year      = {2018},
  abstract  = {The present study was designed to assess the psycho-physiological responses of physically untrained individuals to mobile-based multi-stimulating, circuit-like, multiple-joint conditioning (Circuit\(_{HIIT}\)) performed either once (1xCircuitHIIT) or twice (2xCircuit\(_{HIIT}\)) daily for 4 weeks. In this single-center, two-arm randomized, controlled study, 24 men and women (age: 25 ± 5 years) first received no training instructions for 4 weeks and then performed 4 weeks of either 1xCircuitHIIT or 2xCircuit\(_{HIIT}\) (5 men and 7 women in each group) daily. The 1xCircuitHIIT and 2xCircuit\(_{HIIT}\) participants carried out 90.7 and 85.7\% of all planned training sessions, respectively, with average heart rates during the 6-min sessions of 74.3 and 70.8\% of maximal heart rate. Body, fat and fat-free mass, and metabolic rate at rest did not differ between the groups or between time-points of measurement. Heart rate while running at 6 km⋅h\(^{-1}\) declined after the intervention in both groups. Submaximal and peak oxygen uptake, the respiratory exchange ratio and heart rate recovery were not altered by either intervention. The maximal numbers of push-ups, leg-levers, burpees, 45°-one-legged squats and 30-s skipping, as well as perception of general health improved in both groups. Our 1xCircuit\(_{HIIT}\) or 2xCircuit\(_{HIIT}\) interventions improved certain parameters of functional strength and certain dimensions of quality of life in young untrained individuals. However, they were not sufficient to enhance cardio-respiratory fitness, in particular peak oxygen uptake.},
  language  = {en}
}
@article{DuekingFussHolmbergetal.2018,
  author    = {D{\"u}king, Peter and Fuss, Franz Konstantin and Holmberg, Hans-Christer and Sperlich, Billy},
  title     = {Recommendations for assessment of the reliability, sensitivity, and validity of data provided by wearable sensors designed for monitoring physical activity},
  series = {JMIR Mhealth and Uhealth},
  volume    = {6},
  journal   = {JMIR Mhealth and Uhealth},
  number    = {4},
  doi       = {10.2196/mhealth.9341},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-176202},
  pages     = {e102},
  year      = {2018},
  abstract  = {Although it is becoming increasingly popular to monitor parameters related to training, recovery, and health with wearable sensor technology (wearables), scientific evaluation of the reliability, sensitivity, and validity of such data is limited and, where available, has involved a wide variety of approaches. To improve the trustworthiness of data collected by wearables and facilitate comparisons, we have outlined recommendations for standardized evaluation. We discuss the wearable devices themselves, as well as experimental and statistical considerations. Adherence to these recommendations should be beneficial not only for the individual, but also for regulatory organizations and insurance companies.},
  language  = {en}
}
@article{DuekingHolmbergSperlich2018,
  author    = {D{\"u}king, Peter and Holmberg, Hans-Christer and Sperlich, Billy},
  title     = {The potential usefulness of virtual reality systems for athletes: a short SWOT analysis},
  series = {Frontiers in Physiology},
  volume    = {9},
  journal   = {Frontiers in Physiology},
  number    = {128},
  doi       = {10.3389/fphys.2018.00128},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-176178},
  year      = {2018},
  abstract  = {No abstract available.},
  language  = {en}
}
@article{SperlichHolmberg2017,
  author    = {Sperlich, Billy and Holmberg, Hans-Christer},
  title     = {The responses of elite athletes to exercise: an all-day, 24-h integrative view is required!},
  series = {Frontiers in Physiology},
  volume    = {8},
  journal   = {Frontiers in Physiology},
  number    = {564},
  doi       = {10.3389/fphys.2017.00564},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-158655},
  year      = {2017},
  abstract  = {No abstract available.},
  language  = {en}
}
@article{SperlichDuekingHolmberg2017,
  author    = {Sperlich, Billy and D{\"u}king, Peter and Holmberg, Hans-Christer},
  title     = {A SWOT analysis of the use and potential misuse of implantable monitoring devices by athletes},
  series = {Frontiers in Physiology},
  volume    = {8},
  journal   = {Frontiers in Physiology},
  number    = {629},
  doi       = {10.3389/fphys.2017.00629},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-158742},
  year      = {2017},
  abstract  = {Kein Abstract vorhanden.},
  language  = {en}
}
@article{MuellerDomokosAmersbachetal.2023,
  author    = {M{\"u}ller, Christina and Domokos, Bruno and Amersbach, Tanja and Hausmayer, Eva-Maria and Roßmann, Christin and Wallmann-Sperlich, Birgit and Bucksch, Jens},
  title     = {Development and reliability testing of an audit toolbox for the assessment of the physical activity friendliness of urban and rural environments in Germany},
  series = {Frontiers in Public Health},
  volume    = {11},
  journal   = {Frontiers in Public Health},
  issn      = {2296-2565},
  doi       = {10.3389/fpubh.2023.1153088},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-326116},
  year      = {2023},
  abstract  = {Background: According to socio-ecological theories, physical activity behaviors are linked to the physical and social neighborhood environment. Reliable and contextually adapted instruments are needed to assess environmental characteristics related to physical activity. This work aims to develop an audit toolbox adapted to the German context, to urban and rural settings, for different population groups, and different types of physical activity; and to evaluate its inter-rater reliability. Methods: We conducted a systematic literature search to collect existing audit tools and to identify the latest evidence of environmental factors influencing physical activity in general, as well as in German populations. The results guided the construction of a category system for the toolbox. Items were assigned to the categories based on their relevance to physical activity and to the German context as well as their comprehensibility. We piloted the toolbox in different urban and rural areas (100 street segments, 15 parks, and 21 playgrounds) and calculated inter-rater reliability by Cohen's Kappa. Results: The audit toolbox comprises a basic streetscape audit with seven categories (land use and destinations, traffic safety, pedestrian infrastructure, cycling infrastructure, attractiveness, social environment, and subjective assessment), as well as supplementary tools for children and adolescents, seniors and people with impaired mobility, parks and public open spaces, playgrounds, and rural areas. 76 \% of all included items had moderate, substantial, or almost perfect inter-rater reliability (κ > 0.4). Conclusions: The audit toolbox is an innovative and reliable instrument for the assessment of the physical activity friendliness of urban and rural environments in Germany.},
  language  = {en}
}
@article{SperlichMatzkaHolmberg2023,
  author    = {Sperlich, Billy and Matzka, Manuel and Holmberg, Hans-Christer},
  title     = {The proportional distribution of training by elite endurance athletes at different intensities during different phases of the season},
  series = {Frontiers in Sports and Active Living},
  volume    = {5},
  journal   = {Frontiers in Sports and Active Living},
  doi       = {10.3389/fspor.2023.1258585},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-357988},
  year      = {2023},
  abstract  = {The present review examines retrospective analyses of training intensity distribution (TID), i.e., the proportion of training at moderate (Zone 1, Z1), heavy (Z2) and severe (Z3) intensity by elite-to-world-class endurance athletes during different phases of the season. In addition, we discuss potential implications of our findings for research in this field, as well as for training by these athletes. Altogether, we included 175 TIDs, of which 120 quantified exercise intensity on the basis of heart rate and measured time-in-zone or employed variations of the session goal approach, with demarcation of zones of exercise intensity based on physiological parameters. Notably, 49\% of the TIDs were single-case studies, predominantly concerning cross-country skiing and/or the biathlon. Eighty-nine TIDs were pyramidal (Z1 > Z2 > Z3), 65 polarized (Z1 > Z3 > Z2) and 8 "threshold" (Z2 > Z1 = Z3). However, these relative numbers varied between sports and the particular phases of the season. In 91\% (n = 160) of the TIDs >60\% of the endurance exercise was of low intensity. Regardless of the approach to quantification or phase of the season, cyclists and swimmers were found to perform a lower proportion of exercise in Z1 (<72\%) and higher proportion in Z2 (>16\%) than athletes involved in the triathlon, speed skating, rowing, running, cross-country skiing or biathlon (>80\% in Z1 and <12\% in Z2 in all these cases). For most of the athletes their proportion of heavy-to-severe exercise was higher during the period of competition than during the preparatory phase, although with considerable variability between sports. In conclusion, the existing literature in this area does not allow general conclusions to be drawn. The methods utilized for quantification vary widely and, moreover, contextual information concerning the mode of exercise, environmental conditions, and biomechanical aspects of the exercise is often lacking. Therefore, we recommend a more comprehensive approach in connection with future investigations on the TIDs of athletes involved in different endurance sports.},
  language  = {en}
}