Wolfgang Schobersberger

Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik, Solbad Hall in Tirol, Tyrol, Austria

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Publications (207)528.41 Total impact

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    ABSTRACT: The present trial evaluated incorporation of bright light therapy in the treatment of chronic nonspecific back pain (CNBP).
    Pain Medicine 08/2014; · 2.46 Impact Factor
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    ABSTRACT: Cognitive performance and alertness are two determinants for work efficiency, varying throughout the day and depending on bright light. We conducted a prospective crossover study evaluating the impacts of exposure to an intense, early morning illumination on sustained attention, alertness, mood, and serum melatonin levels in 33 healthy individuals. Compared with a dim illumination, the intense illumination negatively impacted performance requiring sustained attention; however, it positively impacted subjective alertness and mood and had no impact on serum melatonin levels. These results suggest that brief exposure to bright light in the morning hours can improve subjective measures of mood and alertness, but can also have detrimental effects on mental performance as a result of visual distraction. Therefore, it is important that adequate lighting should correspond to both non-visual and visual demands.
    Applied ergonomics. 08/2014;
  • Jacobs-Journal of Sports Medicine. 08/2014; accepted.
  • World Leisure Journal. 05/2014; accepted.
  • Deutsche Zeitschrift für Sportmedizin 05/2014; accepted. · 0.58 Impact Factor
  • Daniel Kuhn, Veronika Leichtfried, Wolfgang Schobersberger
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    ABSTRACT: The aim of this study was to determine the efficacy and the effects of functional electrical stimulated cycling (FES cycling) in patients with spinal cord injury during their rehabilitation in a special acute care unit. Thirty patients [10 with American Spinal Injury Association Impairment Scale (AIS) grade A, three with AIS grade B, 15 with AIS grade C, two with AIS grade D] aged 44±15.5 years and 2 (median) (interquartile range, 1.0-4.25) months after spinal cord injury were included in the study. The patients participated in a 20-min FES-cycling program 2 days per week for 4 weeks during their acute inpatient rehabilitation. The influence on muscle cross-section, muscle and leg circumference, spasticity, and the walking ability parameter (distance, time, aids) was measured. Muscle stimulation intensity and output parameters (pedalling time and distance) were also recorded. Spasticity decreased during hip abduction and adduction (70 and 98.1%, respectively). Spasticity during knee flexion and knee extension decreased by 66.8 and 76.6%, and a decrease was found during dorsal foot extension (67.8%; for all, P<0.05). Presession-postsession comparisons showed that after 4 weeks of FES cycling, an increase in the circumference of the cross-sectional area of 15.3% on the left and of 17% on the right m. rectus femoris could be observed in group AIS A+B. In the AIS C+D group, the circumference of the left m. rectus femoris increased by 25% and that of the right m. rectus femoris by 21% (for all, P<0.05). The results of the study show that FES cycling in combination with function-oriented physiotherapy and occupational therapy can have a positive influence on spasticity, walking ability, and muscular reactivation. It seems to support circulatory processes within the rehabilitation of paraplegics already after a 4-week intervention.
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation 05/2014; · 0.36 Impact Factor
  • Cornelia Blank, David Müller, Wolfgang Schobersberger
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    ABSTRACT: Abstract Background: Because athletes rely on sports physicians as a source of information, physicians must be included in research relating to doping prevention. According to several studies, the level of knowledge of sports physicians seems to be inadequate. It is crucial for them to have a comprehensive understanding of doping regulations, substances and side effects as well as the procedure of issuing Therapeutic Use Exemptions (TUE). Research Questions: (1) to evaluate the knowledge of Austrian sports physicians regarding doping substances, methods and side effects and (2) to provide ideas on efficient strategies to educate this target group. Methods: An online questionnaire was distributed to all registered Austrian physicians who hold a supplementary diploma in sports medicine (n = 1,543). The questionnaire was administered over four months and structured into eight areas of interest. Chi-Square tests as well as descriptive statistics were used to analyse data. Results: A total of 152 physicians returned the questionnaire (response rate of 9.8%). 53.7% subjectively believed they were poorly informed about the topic, and 43% reported they knew the WADA 2011 prohibited list. Knowledge deficits regarding substances (especially insulin, recombinant erythropoietin, stimulants) and strong uncertainties in regard to prohibited methods and side effects of specific substances were reported. This low level of knowledge stood in contrast with high interest in the topic physicians self-reported. In general, physicians had a very positive anti-doping attitude.. Conclusion: Results of this study are comparable with previous studies conducted in Germany and France. This study demonstrated a very high interest by physicians in the topic of doping, and some deficits in their knowledge about doping. Integrating anti-doping related information within educational material may assist to build the knowledge of sports physicians and gain their support with wider anti-doping strategies.
    INTERNATIONAL SPORTMED JOURNAL 01/2014; accepted. · 0.73 Impact Factor
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    ABSTRACT: Objective Physical activity is a cornerstone in therapy for patients with metabolic syndrome. Walking and hiking in a mountain scenery represents an ideal approach to make them move. The Austrian Moderate Altitude Study (AMAS) 2000 main study is a randomized controlled trial to investigate the cardiovascular effects of hiking at moderate altitude on patients with metabolic syndrome compared with a control group at low altitude, to assess a potential altitude-specific effect. Methods Seventy-one male patients with metabolic syndrome were randomly assigned to a moderate altitude group (at 1700 m), with 36 participants, or to a low altitude group (at 200 m), with 35 participants. The 3-week vacation program included 12 hiking tours (4 per week, average duration 2.5 hours, intensity 55% to 65% of heart rate maximum). Physical parameters, performance capacity, 24-hour blood pressure, and heart rate profiles were obtained before, during, and after the stay. Results In both groups, we found a significant mean weight loss of −3.13 kg; changes in performance capacity were minor. Systolic, diastolic, and mean arterial pressures and circadian heart rate profiles were significantly reduced in both groups, with no differences between them. Consequently, the pressure-rate product was reduced as well. All study participants tolerated the vacation well without any adverse events. Conclusions A 3-week hiking vacation at moderate or low altitude is safe for patients with metabolic syndrome and provides several improvements in their cardiovascular parameters. The cardiovascular benefits achieved are more likely to be the result of regular physical activity than the altitude-specific effect of a mountain environment.
    Wilderness and Environmental Medicine 01/2014; · 1.49 Impact Factor
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    ABSTRACT: Strategies for doping prevention are based on prior identification of opportunities for intervention. There is no current research focusing on the potential role in doping prevention, which might be played by the parents of junior elite athletes. The purpose of this study was to evaluate the knowledge and attitudes toward doping among parents of Austrian junior athletes and to analyze factors potentially influencing these beliefs. In this study, two questionnaires were distributed to 1818 student athletes, each with instructions that these surveys were to be completed by their parents (ntotal = 3636). Parents filled in questionnaires at home without observation. Responses from 883 parents were included in this analysis. Compared to female parents, male parents demonstrated significantly better knowledge about doping and its side effects and were more likely to be influenced by their own sporting careers and amounts of sports activities per week. Parental sex did not demonstrate a significant influence on responses reflecting attitudes toward doping. Additional research is needed to compare these results with young athletes' knowledge and attitudes to determine if and to what degree parental attitudes and beliefs influence the behavior and attitudes of their children.
    Scandinavian Journal of Medicine and Science in Sports 12/2013; · 3.21 Impact Factor
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    ABSTRACT: Immobility plus preexisting chronic disease or acute trauma can activate the coagulation system, thus increasing the risk for thromboembolic events. The effects of long-term bed-rest immobility and microgravity on the coagulation system of healthy persons (e.g., during crewed Mars missions) have not yet been studied. The main objective of the second Berlin BedRest Study (BBR2-2) "Coagulation Part" was to investigate adaptations of the hemostatic system during long-term bed rest (60 days) under simulated microgravity (6° head-down-tilt [6°HDT]) and after mobilization in three different volunteer groups (randomly assigned to CTR= inactive control group; RE= resistive exercise only group; and RVE= resistive exercise with whole-body vibration group). In 24 males (aged 21-45 years), before, during, and after long-term bed rest, key parameters of coagulation were measured from venous blood samples: D-dimer (DD), thrombin-antithrombin III complex (TAT), and prothrombin fragment F1 + 2 (PT-F1 + 2). Additionally, modified rotational thrombelastometry (ROTEM (®) ) analysis was performed. Times of exploratory analyses were as follows: baseline data collection 2 days before bed rest (BDC-2); eight different days of 6°HDT bed rest (HDT1-HDT60), and two different days after reambulation (R + 3 and R + 6). We found significant changes in DD, TAT, and PT-F1 + 2 over the total time course, but no consistent effect of physical interventions (RE, RVE) on these parameters. Notably, no parameter reached levels indicative of intravascular thrombin formation. All ROTEM® parameters remained within the normal range and no pathological traces were found. Sixty days of 6°HDT bed rest are not associated with pronounced activation of the coagulation system indicative of intravascular thrombus formation in healthy volunteers independent of the training type during the bed rest.
    Physiological reports. 11/2013; 1(6):e00135.
  • Tanja Massimo, Cornelia Blank, Barbara Strasser, Wolfgang Schobersberger
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    ABSTRACT: PURPOSE: Allergic bronchial asthma is one of the most common chronic diseases worldwide. For many years, the climate at moderate altitude has been used as an alternative therapy for patients suffering from bronchial asthma. The aim of such therapy is to reduce the medication dose and to improve the quality of life for each patient. The aim of our current work was to assess published data evaluating the effects of climate therapy at moderate altitude on the health status of patients with bronchial asthma. The health status is represented through surrogate parameters for the pulmonary function (forced expiratory volume in one second (FEV1)), bronchial hyperresponsiveness (PC20), and inflammation (total number of eosinophils, eosinophilic cationic protein, and exhaled nitric oxide). METHODS: Our systematic review included randomized controlled trials (RCTs) and single-armed studies with adults and children participating. Included in our review were climate therapies occurring at moderate altitudes between 1,500 and 2,500 m and evaluation of patient FEV1 or PC20 values. RESULTS: A literature research in MEDLINE and EMBASE identified three RCTs, two clinically controlled trials, and 15 single-armed studies. Analysis revealed a lack of evidence regarding the moderate altitude therapy arising from small sample sizes, deficits in documentation, and heterogeneous results. Most of the studies, however, showed a tendency for improvement of the analyzed parameters. CONCLUSIONS: The currently available data do not allow for valid and generalizable recommendations with respect to moderate altitude therapy for patients with allergic bronchial asthma. There is a need for additional, qualitatively strong research including larger sample sizes and randomized, controlled trial design.
    Sleep And Breathing 06/2013; · 2.26 Impact Factor
  • 18th Annual Congress of the European College of Sport Science, Barcelona; 06/2013
  • Cornelia Blank, Christina Riedler, Wolfgang Schobersberger
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    ABSTRACT: Abstract Health tourism is a growing market that depends on the quality of its professionals. Presently, there are no studies on the demand for academically qualified staff in health tourism, nor are there any reports on the given market regarding the offering of such training or on the willingness to use such offerings. The current study aims to provide a subjective assessment of the industry’s key players regarding their evaluation of the importance and need for qualitatively high academic education in health tourism. An online questionnaire adressing 58 professionals in leading positions of tourism destinations in the German-speaking Alpine area, was used. 17 experts returned the questionnaire (response rate 29.3%). Of the respondents queried, 8 respondents saw a need for higher education in health tourism and 13 assessed it to be important. Only 2 of the respondents employed staff with a degree, 8 were willing to finish academic training, but 13 did not know any institution offering such educational training. Time and cost restraints were the most mentioned reasons not to take part in higher education in health tourism. There is little current knowledge about the actual possibilities for academic training in the field.
    Journal of Hospitality and Tourism. 05/2013; 2(1).
  • Source
    Wolfgang Schobersberger
    Sleep And Breathing 01/2013; · 2.26 Impact Factor
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    ABSTRACT: BACKGROUND: An important factor while developing efficient doping prevention strategies is to identify relevant target groups, to evaluate the state of knowledge about this topic as well as to evaluate motivations behind using prohibited substances. Measures to prevent doping substances abuse have to be supported in early stages of childhood. PURPOSE: The aim of this prospective study was to evaluate the knowledge of Tyrolean junior athletes about doping in sport. Next to the knowledge, their attitudes in regard to doping practices have also been a focus of this project. METHODS: Within a prospective cross-sectional study, Tyrolean junior athletes aged between 14 and 19 years (n = 408) were anonymously questioned by distributing questionnaires in three Tyrolean sport schools as well as two Tyrolean sport-training centers. To collect the data, an anonymous questionnaire with close-ended questions was used. Next to sociodemographic data, questions also evaluated the knowledge about prohibited substances as well as attitudes and behaviors towards doping. The concept was set up based on contents of comparable studies and publications. RESULTS: The knowledge about doping among junior athletes was moderate. The consumer behavior of the young athletes on the other hand has turned out to be satisfactory. Nevertheless, the overall knowledge especially regarding potential negative side effects of doping agents is poor. CONCLUSIONS: To incorporate an effective doping-prevention strategy, improved education, particularly in terms of side effects, is clearly needed. To achieve sustainable doping-prevention effects, focus has to be generally set on education within the frame of junior competitive sport.
    Wiener klinische Wochenschrift 01/2013; · 0.81 Impact Factor
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    ABSTRACT: Patients and Methods. 140 patients with aortic dissection type A were admitted for cardiac surgery. Seventy-seven patients experienced their dissection in the winter season (from November to April). We analyzed cases of ascending aortic dissection associated with alpine skiing. Results. In 17 patients we found skiing-related aortic dissections. Skiers were taller (180 (172-200) cm versus 175 (157-191) cm, P = 0.008) and heavier (90 (68-125) kg versus 80 (45-110) kg, P = 0.002) than nonskiers. An extension of aortic dissection into the aortic arch, the descending thoracic aorta, and the abdominal aorta was found in 91%, 74%, and 69%, respectively, with no significant difference between skiers and nonskiers. Skiers experienced RCA ostium dissection requiring CABG in 17.6% while this was true for 5% of nonskiers (P = 0.086). Hospital mortality of skiers was 6% versus 13% in nonskiers (P = 0.399). The skiers live at an altitude of 170 (0-853) m.a.s.l. and experience their dissection at 1602 (1185-3105; P < 0.001) m.a.s.l. In 82% symptom start was during recreational skiing without any trauma. Conclusion. Skiing associated aortic dissection type A is usually nontraumatic. The persons affected live at low altitudes and practice an outdoor sport at unusual high altitude at cold temperatures. Postoperative outcome is good.
    BioMed research international. 01/2013; 2013:192459.
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    ABSTRACT: Data on the injury and illness risk among young elite athletes are of utmost importance, because injuries and illnesses can counter the beneficial effects of sports participation at a young age, if children or adolescents are unable to continue to participate because of residual effects of injury or chronic illness. To analyse the frequencies and characteristics of injuries and illnesses during the 2012 Innsbruck Winter Youth Olympic Games (IYOG). We employed the International Olympic Committee (IOC) injury surveillance system for multisport events, which was updated for the Winter Olympic Games in Vancouver 2010. All National Olympic Committees (NOCs) were asked to report the daily occurrence (or non-occurrence) of newly sustained injuries and illnesses on a standardised reporting form. In addition, information on athletes treated for injuries and illnesses by the Local Organizing Committee medical services was retrieved from the medical centre at the Youth Olympic Village and from the University hospital in Innsbruck. Among the 1021 registered athletes (45% women, 55% men) from 69 NOCs, a total of 111 injuries and 86 illnesses, during the IYOG, were reported, resulting in an incidence of 108.7 injuries and 84.2 illnesses per 1000 registered athletes, respectively. Injury frequency was highest in skiing in the halfpipe (44%) and snowboarding (halfpipe and slope style: 35%), followed by ski cross (17%), ice hockey (15%), alpine skiing (14%) and figure skating (12%), taking into account the respective number of participating athletes. Knee, pelvis, head, lower back and shoulders were the most common injury locations. About 60% of injuries occurred in competition and about 40% in training, respectively. In total, 32% of the injuries resulted in an absence from training or competition. With regard to illnesses, 11% of women and 6% of men suffered from an illness (RR=1.84 (95% CI 1.21 to 2.78), p=0.003). The respiratory system was affected most often (61%). Eleven per cent of the athletes suffered from an injury and 9% from illnesses, during the IYOG. The presented data constitute the basis for future analyses of injury mechanisms and associated risk factors in Olympic Winter sports, which, in turn, will be essential to develop and implement effective preventive strategies for young elite winter-sport athletes.
    British Journal of Sports Medicine 12/2012; 46(15):1030-7. · 3.67 Impact Factor
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    ABSTRACT: BACKGROUND: The Youth Olympic Games (YOG) are a new format designed by the International Olympic Committee. So far no reference data are available regarding the organisation or implementation of the medical services that were needed for the Winter Youth Olympic Games that took place for the first time in Innsbruck 9-24 January 2012. OBJECTIVES: (1) To provide insight into what is needed to prepare for such a complex high level sporting event from a medical perspective, (2) to provide data on medical services for future organising committees and (3) to provide information on different National Olympic Committee (NOC) delegation structures and the consequences of registering a National Olympic Committee Team Physician. METHODS: A medical information system in the form of a patient data-management system was developed with all involved parties to standardise data collection. All medical encounters occurring at any IYOGOC medical service centre (including physiotherapy and psychology facilities) were tracked and collected in daily reports. Data evaluation was prepared based on different interest groups (Athletes, National Olympic Committees, Workforce, International Olympic Committee and Media) and analysed. RESULTS: 327 medical encounters (42.8% athletes; out of these, 57.9% were accounted to athletes with own NOC team physician) were seen during the YOG 2012. The total number of hospital transports was 27.3%, of which 8.9% were hospitalised with an average length of 1.9 nights. Physiotherapy usage was low with only 19 medical encounters resulting in a referral to physiotherapy accounting for 67 treatments during the entire YOG. Psychological care service was not used at all. The main reason for illnesses was disorders of the respiratory system (28.8%), injuries mostly affected upper extremities (49.6%) and were mostly diagnosed with lacerations and contusions (26.2%). Injury (70.7%) and illness (29.3%) incidences in athletes were slightly lower than previous studies showed. 40.0% of NOC delegations registered their own team physicians, which led to a significant difference in usage frequency of medical service (-3%, p=0.012). CONCLUSIONS: Medical service coverage at the first Winter Youth Olympic Games seemed to be appropriate. No disaster or epidemic disease challenged the medical service plan. Future organising committees could use the provided data as a reference for their planning efforts.
    British journal of sports medicine 10/2012; · 3.67 Impact Factor
  • Cornelia Blank, David Müller, Wolfgang Schobersberger
    Deutscher Sportärztekongress, Berlin; 10/2012
  • Wolfgang Schobersberger, Beatrix Schobersberger
    Current Sports Medicine Reports 09/2012; 11(5):222-3. · 1.51 Impact Factor

Publication Stats

2k Citations
528.41 Total Impact Points

Institutions

  • 2004–2013
    • Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik
      • • Institute of Health Informatics
      • • Institute for Sports, Alpine Medicine, and Health Tourism
      Solbad Hall in Tirol, Tyrol, Austria
  • 2009
    • IST Austria
      Klosterneuberg, Lower Austria, Austria
    • Medizinische Universität Innsbruck
      • Univ.-Klinik für Anästhesie und Intensivmedizin
      Innsbruck, Tyrol, Austria
  • 1986–2008
    • University of Innsbruck
      • Institute of Biochemistry
      Innsbruck, Tyrol, Austria
  • 2007
    • Charité Universitätsmedizin Berlin
      • Institute of Physiology
      Berlin, Land Berlin, Germany
  • 1998–2004
    • University of Vienna
      • Department of Anaesthesiology and General Intensive Care
      Wien, Vienna, Austria
  • 1994–2003
    • Freie Universität Berlin
      • Institute of Biology
      Berlin, Land Berlin, Germany
  • 2002
    • AVACO AG, Switzerland
      Basel-Landschaft, Switzerland
  • 1998–2002
    • University of Bonn
      • Institut für Physiologie I
      Bonn, North Rhine-Westphalia, Germany
  • 2000
    • Karl-Franzens-Universität Graz
      Gratz, Styria, Austria
  • 1999
    • Universität zu Lübeck
      • Institut für Physiologie
      Lübeck, Schleswig-Holstein, Germany