- Balance, Gait, and Falls Prevention
- Cerebral Palsy and Movement Disorders
- Physical Activity and Health
- Health disparities and outcomes
- Stroke Rehabilitation and Recovery
- Mobile Health and mHealth Applications
- Technology Use by Older Adults
- Injury Epidemiology and Prevention
- Health and Medical Studies
- Scoliosis diagnosis and treatment
- Context-Aware Activity Recognition Systems
- Spine and Intervertebral Disc Pathology
- Sports injuries and prevention
- Lower Extremity Biomechanics and Pathologies
- Musculoskeletal pain and rehabilitation
- Knee injuries and reconstruction techniques
- Shoulder Injury and Treatment
- Digital Mental Health Interventions
- Spinal Cord Injury Research
- Infrared Thermography in Medicine
- Frailty in Older Adults
- Spatial Cognition and Navigation
- Older Adults Driving Studies
- Cerebrospinal fluid and hydrocephalus
- Spinal Dysraphism and Malformations
Heidelberg University
2017-2024
University Hospital Heidelberg
2023-2024
Robert Bosch Hospital
2018-2022
Berlin Institute of Health at Charité - Universitätsmedizin Berlin
2017
Most falls occur after a loss of balance following an unexpected perturbation such as slip or trip. Greater understanding how humans control and maintain stability during perturbed walking may help to develop appropriate fall prevention programs. The aim this study was examine changes in spatiotemporal gait parameters response sudden mechanical perturbations medio-lateral (ML) anterior-posterior (AP) direction treadmill walking. Moreover, we aimed evaluate which are most representative...
Aquatic exercises are widely used for rehabilitation or preventive therapies in order to enable mobilization and muscle strengthening while minimizing joint loading of the lower limb. The load reducing effect water due buoyancy is a main advantage compared on land. However, also drag forces have be considered that act opposite relative motion body segments require higher activity. Due these opposing effects loading, load-reducing during aquatic remains unknown. aim this study was quantify...
With the growing number of young-older adults (baby-boomers), there is an increasing demand for assessment tools specific this population, which are able to detect subtle balance and mobility deficits. Various tests already exist, but suffer from ceiling effects in higher functioning older adults. A reliable valid challenging test critical determine a adult's performance timely initiate preventive interventions. The aim was evaluate concurrent validity, inter- intrarater reliability,...
Abstract Digitized assessments have a considerable potential to guide clinicial decision making and monitor progress disease trajectories. The Timed Up Go test (TUG) has been long established for assessment in geriatric medicine instrumented versions (iTUG) developed validated. This scoping review includes studies that applied the iTUG aims identify use cases show where how could interventions clinical management. literature search was limited peer-reviewed performed pre- post-intervention...
The Community Balance and Mobility Scale (CBM) has been shown to be reliable valid for detecting subtle balance mobility deficits in people who are 61 70 years of age. However, item redundancy assessment time call a shortened version.The objective was create validate version the CBM (s-CBM) without detectable loss psychometric properties.This cross-sectional study.Exploratory factor analysis with data from 189 young seniors (aged 61-70 years; mean [SD] age = 66.3 [2.5] years) used s-CBM....
Background: Decreasing performance of the sensory systems' for balance control, including visual, somatosensory and vestibular system, is associated with increased fall risk in older adults. A smartphone-based version Timed Up-and-Go (mTUG) may allow screening impairments through mTUG subphases. The association between subphases system examined. Methods: Functional mobility forty-one community-dwelling adults (>55 years) was measured using a validated mTUG. Duration its 'sit-to-walk',...
Falls are the leading cause of fatal and non-fatal injuries among seniors with serious costly consequences. Laboratory evidence supports view that impaired ability to execute compensatory balance reactions (CBRs) or near-falls is linked an increased risk falling. Therefore, as alternative commonly used fall assessment methods examining spatial-temporal parameters gait, this study focuses on development machine learning-based models detect multidirectional CBRs using wearable inertial...
The aim of this study was to identify in-hospital fall risk factors specific for multimorbid hospitalized geriatric patients with dementia (PwD) during hospitalization. Geriatric inpatients ward-based rehabilitation (
Context Long-term adherence to physical activity (PA) interventions is challenging. The Lifestyle-integrated Functional Exercise programmes were adapted (aLiFE) include more challenging activities and a behavioural change framework, then enhanced (eLiFE) be delivered using smartphones smartwatches. Objectives To (1) compare measures, (2) identify determinants of (3) assess the impact on outcome measures lifestyle-integrated programme. Design, setting participants A multicentre, feasibility...
Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints considerable effort, physicians rarely conduct comprehensive assessments detect early signs negative trajectories. If designed properly, digital technologies could identify risks already a preclinical stage, thereby facilitating preventive efforts targeted intervention. For this purpose, Life-integrated Self-Assessment (LiSA) tablet system will be developed through...
Abstract Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) life-space (LS) mobility. As a consequence sedentary behavior, there is lack social interaction stimulation, resulting in low quality life. It has not yet been examined whether cognitive-motor training tasks suitable improve orientation and, as consequence, enlarge LS mobility, increase well-being...
The Timed Up and Go test (TUG) is recommended as an evidence-based tool for measuring physical capacity. Instrumented TUG (iTUG) approaches expand classical supervised clinical applications offering the potential of self-assessment older adults. This study aimed to evaluate concurrent validity test-retest reliability a smartphone-based "up&go app." A total 52 community-dwelling adults (>67 years old) were recruited. validated medically certified system attached with belt at lower back was...
The incidence of proximal humeral fractures (PHF) increased by more than 30% over the last decade, which is accompanied an number operations. However, evidence on operative vs. non-operative treatment and post-operative treatments limited mostly based expert opinion. It mandatory to objectively assess functional capacity compare different treatments. Clinical tools should be valid, reliable sensitive change assessing after PHFs. This study aimed analyse inter-rater reliability videotaped...
<sec> <title>BACKGROUND</title> Older adults are at increased risk of developing health disorders and functional decline. However, owing to time constraints considerable effort, physicians rarely conduct comprehensive assessments detect early signs negative trajectories. If designed properly, digital technologies could identify risks already a preclinical stage, thereby facilitating preventive efforts targeted intervention. For this purpose, Life-integrated Self-Assessment (LiSA) tablet...