Thomas Muehlbauer

• Prof. Dr.
• Head of Department at University of Duisburg-Essen

Background The physical and mental demands of handball during training or competition often lead to fatigue which can impair performance. Many attempts have been made to assess the level of fatigue in athletes either by objective (neuromuscular performance) or subjective (questionnaires) measures, however, their interplay over short-, mid-, and lon...

Background Physical activity (PA) is fundamental to nursing home residents’ health. Likewise, physical capacity (PC) is essential to carry out activities of daily living. Although PC and PA are associated, misalignment has been reported in specific subgroups. Increased PC is oftentimes not linked to high PA (i.e., Can do - don’t do) and vice versa...

Background In recent years, studies have found small-to-medium positive effects of physical activity on academic achievement. Already acute bouts of exercise appear to improve certain cognitive functions. Spatial abilities are one aspect of cognition that is encountered frequently in daily life and that is closely related to success in science, tec...

Background Elite athletes are exposed to many different sport-specific stressors that may put them at particular risk for mental health symptoms and disorders. E-mental health interventions could be a feasible option to support elite athletes in need. The aim of the present study was to assess the acceptance of e-mental health interventions among e...

Objective Tennis is characterised by repetitive serves and strokes predominately performed with one arm. This can lead to differences in upper quarter mobility/stability between the stroke and non-stroke arm, which could even enlarge with increasing training experience and negatively affect serve velocity. Thus, we determined side differences (i.e....

There is evidence that balance performance deteriorates due to exercise-induced muscle fatigue. However, it is unknown if free arm movement during balance testing can compensate for, or restricted arm movement can amplify these performance degradations. Thus, the objective of this study was to compare the effects of free versus restricted arm movem...

Background Due to technological advancements and the development of consumer-oriented head mounted displays (HMDs), virtual reality (VR) is used in studies on balance performance and balance trainability more and more frequently. Yet, it may be assumed that balance performance is affected by the physical characteristics of the HMD (e.g., weight) as...

Background It is firmly established that achieving a high ball speed during the execution of groundstrokes represents a relevant factor for success in tennis. However, little is known about how plantar pressure changes as post-impact ball speed is increased during open and square stance groundstrokes. The objective of the study was to determine how...

Objective The current study aimed to determine the effects of low (i.e., balance task only) versus high (i.e., balance task combined with an additional motor task like dribbling a basketball) balance training complexity (6 weeks of training consisting of 2 × 30 min balance exercises per week) on measures of static and dynamic balance in 44 healthy...

Background Athletes face various sports-related stressors, which may increase their risk for physical and mental health symptoms. With the internet as an important source of (health) information, it is important for athletes to have eHealth literacy, i.e. the ability to access, understand and use electronic health information and services. However,...

Background In young adults, there is evidence that free arm movements do not help to compensate muscle fatigue-induced deteriorations in dynamic balance performance. However, the postural control system in youth is immature, and as a result, the use of arm movements may provide a compensatory “upper body strategy” to correct fatigue-related balance...

Background The Y Balance Test–Upper Quarter (YBT–UQ) is a cost-effective, well-established, closed kinetic chain test to assess inter-limb asymmetries in the upper quarter that could negatively affect swimming performance. Thus, the aim of the present study was to determine YBT–UQ performances and inter-limb differences as well as its association w...

Objective In healthy children, there is evidence of improvements in static and dynamic balance performance following balance training. However, the time-course of balance training-related changes is unknown. Thus, we determined the effects of balance training after one, three, and six weeks of exercise on measures of static and dynamic balance in h...

Background Spatial abilities are essential cognitive skills for many aspects of our everyday life that develop substantially throughout childhood and adolescence. While there are numerous measurement tools to evaluate these abilities, many of them have been designed for specific age groups hampering comparability throughout development. Thus, we de...

Maximal strength is a significant factor in achieving peak performance and injury prevention in athletes. In individualization strategies for the efficient development of athletes, it is necessary to consider the respective components separately. The purpose of this study was to systematically examine the effects of the different cycle phases on is...

Background Elite athletes face various sports-related stressors, which may increase their risk for physical and mental health symptoms. With the internet as an important source of (health) information, it is important for athletes to have eHealth literacy, i.e. the ability to access, understand and use electronic health information and services. Ho...

Abstract The purpose of this study was to explore the effects of arm movements on postural control when standing under different sensory conditions in healthy young and older adults. Fifteen young (mean ± SD age; 21.3 ± 4.2 years) and 15 older (mean ± SD age; 73.3 ± 5.0 years) adults completed the modified Romberg test, which uses four task manipul...

Objective Performing groundstrokes is a fundamental skill for tennis players. However, little is known about changes in plantar pressure when post-impact ball speed is increased during topspin and slice groundstrokes. The objective of the present study was to examine how elite (International Tennis Number ≤ 2) female tennis players (N = 15, mean ag...

Levels of state and trait anxiety are relevant for performing artists and professional athletes to obtain optimal performance outcomes. However, evidence-based knowledge regarding the effectiveness of psychological interventions on performance anxiety is currently minimal. Thus, the objective of this systematic review with meta-analysis was to char...

This systematic scoping review aims to summarize findings regarding kinetic, kinematic, and electromyographic analyses of different characteristics (i.e., type/direction and stance style) of the tennis serve and groundstroke. A systematic search of the literature was performed on the databases PubMed, Web of Science, and SportDiscus from their ince...

There is emerging evidence that mechanical properties of in vivo muscle tissues are associated with postural sway during quiet standing. However, it is unknown if the observed relationship between mechanical properties with static balance parameters generalise to dynamic balance. Thus, we determined the relationship between static and dynamic balan...

Compared to force-plates, pressure-detecting insoles have the advantage that vertical ground reaction force (vGRF) can be estimated under field rather than laboratory conditions. However, the question arises whether insoles also provide valid and reliable results compared to a force-plate (i.e., the gold standard). The study aimed to investigate th...

Introduction Achieving high ball speed during the execution of groundstrokes represents a performance-relevant factor in tennis. However, it is unclear how plantar pressure data undergo change during the execution of groundstrokes by tennis players to achieve high postimpact ball speed. Thus, the objective of the present study is to determine how t...

Background: It is firmly established that postural threat seems to lead to an increased reliance on an ankle control ('stiffening') strategy. However, little is known about how postural threat affects performance in challenging tasks that require the use of upper body postural control strategies for stability. It is logical to assume that in such c...

Emerging evidence highlights that arm movements exert a substantial and functionally relevant contribution on quiet standing balance control in young adults. Ageing is associated with "non-functional" compensatory postural control strategies (i.e., lower limb co-contraction), which in turn, may increase the reliance on an upper body strategy to con...

Handball players are at a high risk of suffering a sport-related injury. Recent studies in various adult populations (e.g., US Army soldiers/warrior athletes, and military members) showed that poor scores in the upper quarter Y-balance test (YBT-UQ) are related to an increased risk of injury. Yet, it is unclear whether this also applies to adolesce...

Poor single-leg balance performance is associated with an increased risk of sustaining lower limb injuries in team sports. However, it is unclear whether this relationship is modified by the level of training experience (years of training experience). The objective of the present study was to evaluate whether soccer players’ single-leg balance perf...

Background: In tennis, previous studies have shown differences in plantar pressure depending on tennis-specific movements (i.e., baseline play, serve & volley play, change of direction), playing surface (e.g., hard, grass, or clay), and serve type (e.g., slice, topspin or flat). However, the influence of stroke direction on plantar pressure in ten...

Niering, M and Muehlbauer, T. Changes after a conventional vs. an alternative therapy program on physical, psychological and injury-related parameters in male youth soccer players with patellar tendinopathy during return to competition. J Strength Cond Res XX(X): 000-000, 2022-Changes after a conventional (CON) vs. alternative (ALT) therapy program...

Better physical fitness and stroke velocity in healthy elite compared to sub-elite tennis players have been shown in previous studies. However, evidence-based knowledge regarding the effectiveness of athletic training on physical fitness and stroke velocity is currently lacking. Thus, the objective of this systematic review with meta-analysis was t...

Objective Studies have shown that balance performance is better in gymnasts compared to age-/sex-matched controls and further studies revealed superior performance when arms were free to move during assessment of balance. However, it is unknown whether free arm movement during balance testing differentially affects balance performance with respect...

Objective In children, studies have shown that balance performance is worse in boys compared to girls and further studies revealed inferior performance when arm movement was restricted during balance assessment. However, it remains unclear whether restriction of arm movement during balance testing differentially affects children’s balance performan...

Objective It has been shown that variable compared to fixed task prioritization during dual task practice more effectively improves motor (i.e., postural control) and cognitive (i.e., memory) performance in older adults. However, it is unclear whether this finding is also valid in young adults. Thus, the present study examined the effect of fixed (...

Objective Previous studies reported significant improvements in static and dynamic balance performance following balance training during adolescence. However, it is unclear how equal training volume but different training frequencies per week affect training-induced adaptations. Thus, the present study investigated the effects of balance training f...

Handball is an Olympic contact sport with high physical, tactical, and technical demands by the players. Out of the different techniques, throwing is the most important one to be able to score. The objective of the study was to investigate the relationships between core muscle strength endurance (Bourban test: ventral, dorsal and lateral chain) and...

The objective was to investigate the effects of a 6-week core strengthening training within the regular handball training sessions compared to regular handball training only. Male sub-elite handball players were randomly assigned to an intervention (INT: n = 13; age: 16.9 ± 0.6 years) or a control (CON: n = 13; age: 17.2 ± 0.8 years) group. The INT...

Background A lower developmental stage of the postural control system in childhood compared to adolescence and adulthood was reported in numerous studies and suggests differences (i.e., less improvements in children than in adolescents and young adults due to the immature postural control system) during learning a balance task. Therefore, the prese...

Background Cross-sectional studies in children reported better balance performance for girls than for boys. Thus, balance trainability might be different between female and male children. The aim of the present study was to examine the effects of balance training (BT) on dynamic balance performance in girls compared to boys. Methods Seventeen girl...

Introduction Spatial navigation is a complex cognitive function that declines in older age. Finding one’s way around in familiar and new environments is crucial to live and function independently. However, the current literature illustrates the efficacy of spatial navigation interventions in rehabilitative contexts such as pathological aging and tr...

Concerning balance training, the most effective design of several load dimensions (e. g., training frequency, volume) is unclear. Thus, we determined the effects of different balance training volumes on dynamic balance in healthy children. Three groups of 20 children (age: 11.0±0.7 years; 47% females) were randomly assigned to a balance training gr...

Differences in variables of physical fitness and stroke performance by competition level (i.e., elite vs. sub-elite players) have not been systematically investigated yet. Thus, the objective of the systematic review with meta-analysis was to characterize and quantify competition-level dependent differences in physical fitness and stroke performanc...

Einleitung Räumliche Orientierung ist von altersbedingten Abbauprozessen betroffen. Während die Orientierungsfähigkeit in vertrauten Umgebungen erhalten bleibt, verringert sie sich in unbekannten Umgebungen [1]. Dies wird besonders beim Umzug in die stationäre Pflege relevant. Hier bleibt der Bewegungsradius von Pflegebedürftigen oft auf das eigene...

Background Studies have shown that restricted compared to free arm movement negatively affects balance performance during balance assessment and this is reinforced when the level of task difficulty (e.g., varying stance/walk conditions, sensory manipulations) is increased. However, it remains unclear whether these findings apply to individuals with...

Handball playing positions can be differentiated between first line players who position themselves near the 6-m line and second line players who typically play outside the 9-m space. Handball is characterized by a high number of throwing actions that cause adaptations in the throwing shoulder. The objective of this cross-sectional study was to ass...

Background High prevalence rates have been reported for physical inactivity, mobility limitations, and falls in older adults. Home-based exercise might be an adequate means to increase physical activity by improving health- (i.e., muscle strength) and skill-related components of physical fitness (i.e., balance), particularly in times of restricted...

Objective Cross-sectional studies reported increased postural sway during balance tasks with a high (e.g., unipedal stance on foam ground) compared to a low (e.g., unipedal stance on firm ground) level of task difficulty. Therefore, practicing/training balance tasks using high compared to low stimuli seems to be beneficial as it addresses larger ad...

Objective While there is evidence on the short-term effects of unilateral balance training (BT) on bipedal balance performance, less is known on the acute effects of unilateral BT on unilateral (i.e., ipsi- and contralateral) balance performance. Thus, the present study examined the acute effects of a single unilateral BT session conducted with the...

Objective Improvements in balance performance through balance training programs in children have been reported in several studies. However, the influence of balance training modalities (e.g., training period, frequency, volume) on the training effectiveness have not yet been studied. To address this shortfall, the present study investigated the eff...

Background It has been shown that supervised balance training is effective in improving balance performance in children but relatively costly in terms of personnel, materials, and time. Integrating balance exercises into daily routines such as tooth brushing reduces these needs, but its effectiveness is unknown. Objective This study investigated t...

The authors would like to correct an error in the name of the condition in the recently published paper [...]

Background Handball is characterised by repetitive passing and shooting actions mainly performed with the throwing arm. This can lead to side differences (inter-limb asymmetry) in upper quarter mobility/stability between the throwing and non-throwing arm, which could even increase with advancing age (i.e., playing experience). However, side differe...

A sedentary lifestyle in nursing home residents is often accompanied with reduced life space mobility and in turn affects satisfaction with life. One of the reasons for this may be limited ability to find one’s way around the care facility and its environment. However, spatial orientation exercises might reduce these problems if they are integrated...

The Lower (YBT-LQ) and Upper (YBT-UQ) Quarter Y Balance Test are well established assessment tools for the examination of dynamic balance and shoulder mobility/stability, respectively. However, investigations on YBT-LQ/UQ performance in students with borderline intellectual functioning (BIF) (i.e., intelligence quotient of 70–84 etc.) are lacking....

The objective was to investigate the effects of a 9-week elastic resistance band training within the regular handball training sessions compared to regular handball training only. Participants were randomly assigned to an intervention (INT: n=16; age: 17.0 ± 0.7 years) or a control (CON: n=16; age: 16.9 ± 0.9 years) group. The INT-group performed e...

The concurrent execution of two or more tasks simultaneously results in performance decrements in one or both conducted tasks. The practice of dual-task (DT) situations has been shown to decrease performance decrements. The purpose of this study was to investigate the effects of consecutive versus concurrent practice on cognitive and motor task per...

Background The Upper Quarter Y Balance test (YBT-UQ) is a field test for measuring shoulder mobility/stability. However, there is a lack of information regarding age- and sex-specific reference values for classifying the YBT-UQ performance of children and adolescents. Objective The aim was to investigate YBT-UQ performance in youth and to provide...

Background: Regular physical exercise plays an integral part in the psychomotor and psychosocial development of children and adolescents, with complex motor and cognitive processes closely linked. Spatial abilities, one aspect of cognitive functioning start to evolve from earliest childhood and reach adult-like levels by early adolescence. As they...

Background: High prevalence rates have been reported for physical inactivity, mobility limitations, and falls in older adults. Home-based exercise might be an adequate means to increase physical activity by improving health- (i.e., muscle strength) and skill-related components of physical fitness (i.e., balance), particularly in times of restricte...

Purpose/Background Many adolescent athletes suffer from jumper’s knee (JK) over a long period of time and return to sports before symptoms are fully resolved. Current treatment methods may not reduce pain in the short term, especially not during a competitive season. The purpose of this study was to investigate differences in physical, psychologica...

The effectiveness of physical training on physical and psychological parameters in individuals with patella tendinopathy has not been investigated in a systematic review and meta-analysis. The aim of the present study was to determine the effects of physical exercise interventions for measures of physical and psychological performance in subjects w...

Background Balance is considered to be task-specific as indicated by studies reporting only small-sized and non-significant correlations between types of balance (e.g., static, dynamic). However, it remains unclear whether these associations differ by age and the comparability of studies is limited due to methodological inconsistencies. Research q...

Background The Lower (YBT-LQ) and Upper (YBT-UQ) Quarter Y Balance Test have been widely used for the assessment of dynamic balance and shoulder mobility/stability, respectively. However, investigations on the validity of the two tests in youth are lacking. Therefore, we performed two studies to determine discriminative validity of the YBT-LQ (stud...

The main purpose of this study was to determine the covariation of anthropometric parameters and the center of pressure (CoP) of young soccer players. Sub-elite young male players between 16 and 17 years ( N = 42) were instructed to perform single-leg balance tasks under different conditions: static and dynamic balance on firm and foam ground. Sing...

Objective Handball is an Olympic intermittent sport with different playing positions that can be differentiated between first line players who positions themselves near the 6-m line and second line players who typically play outside the 9-m space. Additionally, goalkeepers have a distinctive role as they mostly only play within their own 6-m space....

Background Cross-sectional studies have shown that balance performance can be challenged by the level of task difficulty (e.g., varying stance conditions, sensory manipulations). However, it remains unclear whether the application of different levels of task difficulty during balance training (BT) leads to altered adaptations in balance performance...

Background: Previous studies have reported positive effects of concurrent motor and cognitive task practice compared to motor or cognitive task practice only on dual-task performance in young adults. Knowledge about the effect of motor vs. cognitive task prioritization during practice on dual-task performance remains unclear and has not been invest...

Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) and life-space (LS) mobility. As a consequence of sedentary behavior, there is a lack of social interaction and cognitive stimulation, resulting in low quality o...

Background: Olympic handball is a sport mainly focused on executing throwing and passing techniques with the throwing arm. Functional specialization due to the unilateral characteristic and dominance of the throwing arm may lead to adapted control of shoulder stability and mobility. Thus, we examined side differences between the throwing and the n...

Background: The Lower (YBT-LQ) and Upper (YBT-UQ) Quarter Y Balance Test have been widely used for the assessment of dynamic balance and shoulder mobility/stability, respectively. However, investigations on the validity of the two tests in youth are lacking. Therefore, we performed two studies to determine discriminative validity of the YBT-LQ (stu...

Background: The Lower (YBT-LQ) and Upper (YBT-UQ) Quarter Y Balance Test have been widely used for the assessment of dynamic balance and shoulder mobility/stability, respectively. However, investigations on the validity of the two tests in youth are lacking. Therefore, we performed two studies to determine discriminative validity of the YBT-LQ (stu...

Purpose: The goal of the present study was to assess the effects of fatigue on throwing and Upper Quarter Y Balance Test (YBT-UQ) performance in male adolescent handball players. We hypothesized that throwing and YBT-UQ performance will be decreased in response to an upper-body fatigue-protocol. Method: All male participants (N = 24, age: 14.8 ± 0....

Background The Lower Quarter Y Balance Test (YBT-LQ) has been widely used to register dynamic balance performance in children and adolescents. However, studies evaluating age- and sex-specific normative data to assess and classify YBT-LQ performance for these age-cohorts are missing. Objective Thus, we investigated YBT-LQ performance in healthy yo...

A manual shoulder-training device may represent an alternative training device to improve symptoms and function in patients with subacromial shoulder pain by strengthening the external rotators. Thus, we examined the effects of a traditional versus an alternative strengthening exercise program on shoulder pain/function and physical performance in i...

Background: In youth, sex-related differences in balance performances have been reported with girls usually outperforming same-aged boys. However, it is not known whether sex also has an influence on learning of a new balance task in primary school-aged children. Therefore, the present study investigated sex-related differences in children learnin...

Purpose: In youth, cross-sectional studies reported age differences in balance performance that were in favor of adolescents. Thus, trainability of balance performance might be different in children compared to adolescents. The purpose of this study was therefore to compare the effects of balance training (BT) on balance performance between childre...

The present study investigated if accumulated, advanced, regular soccer practice (balance-demanding exercise) compared to regular swim practice (non-balance–demanding exercise) induces a more pronounced functional specialization in postural control. Therefore, single-leg balance performance in sub-elite young soccer players (under 13 [U13]: n = 16;...

Purpose/background: There are a few studies investigating the reproducibility of the Upper Quarter Y Balance Test (YBT-UQ) in adults. However, no study has determined test-retest reliability and the minimal detectable change of the YBT-UQ in adolescents from different age cohorts. The aim of the present study was to establish test-retest reliabili...

Background: The sequence of blocked balance training (BT) followed by blocked plyometric training (PT) showed greater improvements in physical performance than vice versa and is explained by a preconditioning effect of BT-related adaptations on subsequent adaptations induced by PT. However, it remains unclear whether beneficial effects can also be...

Abstract BACKGROUND: Associations between lower limb muscle strength and balance performance in adults have previously been reported. However, the function of the foot muscles for postural control has not been understood, yet. OBJECTIVE: The purpose of the present study was to investigate associations between pronator and supinator muscle strengt...

The aim of the present study was to investigate the concurrent validity and the test–retest reliability of an electronic contact mat for drop jump assessment in physically active adults. Seventy-nine young, physically active adults participated in the validity study, and 49 subjects were recruited for the reliability study. The motor task required...

Background The process of growing leads to inter-individual differences in the timing of growth, maturational, and developmental processes during childhood and adolescence, also affecting balance performance in youth. However, differences in balance performance by age and sex in youth have not been systematically investigated yet. Objective The ob...

Quality assessment of included studies. (XLSX)

PRISMA-checklist–transparent reporting of systematic reviews and meta-analyses. (DOC)

Background: Previous research showed changes in amplitude- or time-derived measures of electromyographic (EMG) activity with motor learning. However, an analysis of the EMG spectral content (e.g., via wavelet technique) has not been included in these investigations yet. Objective: The aim of this study was to use conventional, amplitude-derived...

In soccer, the dominant leg is frequently used for passing and kicking while standing on the non-dominant leg. Consequently, postural control in the standing leg might be superior compared to the kicking leg and is further enhanced with increasing age (i.e., level of playing experience). Unfortunately, leg differences in postural control are associ...

Background: Good trunk stability is an important prerequisite for the mobility of the upper and lower limbs during sport-specific movements. Therefore, trunk muscle strength may represent an important performance determinant for judo-specific movements. This study aimed at evaluating statistical correlations between trunk muscle strength and kineti...

Background: The Lower Quarter Y Balance Test (YBT-LQ) has been widely used in the field to assess dynamic balance performance in various populations. However, no study has demonstrated test-retest reliability of the YBT-LQ in adolescents including several age cohorts, even though reliability is necessary to provide repeatable performance data. Obje...