Dirk Büsch’s research while affiliated with Carl von Ossietzky University of Oldenburg and other places

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Publications (153)


FIGURE 2
Distribution of players at different career points for study 1.
Study 1-number of players differentiated by sexes, league level and developmental pathway.
Longitudinal investigations of development in handball and its association with relative age effects
  • Article
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March 2025

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11 Reads

Frontiers in Sports and Active Living

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Dirk Büsch

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Nick Wattie

In this paper, we describe two studies on the association among long-term developmental outcomes and relative age effects. To extend or compliment the cross-sectional work done previously, these studies take different approaches to investigate the association of relative age effects on long-term development. In the first, a retrospective approach is taken, while in the second, developmental data for players over a 4-year period is considered. In study 1 the association between relative age effects and later performance at the adult level is presented. The results show different patterns for females and males. In the second study, development during the national youth development system in handball, over four points in time, are presented. Again, changes over time in birth quartile distribution can be seen. These studies suggest relative age researchers should embrace longitudinal designs. These types of approaches would allow explorations of the association of other variables with the observed relative age effects.

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(A) Effect sizes for all female players. Error bars indicate 90% confidence intervals. The grey rectangle indicates the confidence interval borders for year 2008. The COVID symbol indicates, that in the year 2021 the talent camp had to be canceled due to COVID restrictions. (B) Effect sizes for selected female players. Error bars indicate 90% confidence intervals. The grey rectangle indicates the confidence interval borders overall years. The COVID symbol indicates, that in the year 2021 the talent camp had to be canceled due to COVID restrictions
(A) Effect sizes for all male players. Error bars indicate 90% confidence intervals. The grey rectangle indicates the confidence interval borders year 2008. The COVID symbol indicates, that in the year 2021 the talent camp had to be canceled due to COVID restrictions. (B) Effect sizes for selected male players. Error bars indicate 90% confidence intervals. The grey rectangle indicates the confidence interval borders overall years. The COVID symbol indicates, that in the year 2021 the talent camp had to be canceled due to COVID restrictions
Retrospective Analyses of Stability and Variability in Relative Age Effects of Handball Talents Over Seventeen Years

January 2025

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34 Reads

Sports Medicine - Open

In the last thirty years research on relative age effects (RAEs) has exploded in numbers. However, the stability and variability of these effects have hardly been investigated. The three aims of this retrospective study were first to investigate the stability and variability of RAEs over 17 years, second to compare these effects for young female and male athletes, and third to compare these effects between selected and non-selected athletes relative to variability estimates from 17 years prior to assess possible changes in athlete development trends. For this study, birth dates were provided for all participants of the talent selection camps by the German Handball Federation from 2008 to 2024. Results show that first while some variability was observed, the effects remained stable. Second, there are only small differences between sexes in general, although these increased with selection. And thirdly, that selections create stronger effects for male athletes, but not for female ones. Taken together, this study provides an interesting picture of the variability and stability of relative age effects over 17 years.


Isometric measurement of holding time, maximal voluntary contraction (MVC), and peak rate of force development (pRFD) in (a) flexion, (b) extension, and (c) lateral flexion positions.
Force–time curve of isometric measurement with relevant parameters (MVC, pRFD) highlighted.
Path diagram of principal component analysis with loadings (r) of maximal isometric voluntary contraction (MVC), peak rate of force development (pRFD), and holding time variables on three principal components (PC1, PC2, PC3). Note: Light red colored arrows indicate low negative loadings, light green colored arrows indicate low positive loadings, and dark green wide arrows indicate high positive loadings.
Descriptive statistics of holding time, MVC, and pRFD measurements in different exercises.
Within-session reliability of MVC and pRFD variables.
The Multi-Component Structure of Core Strength

November 2024

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107 Reads

Background/Objectives: Core strength diagnostics often focus on measuring core endurance rather than maximal core strength or core power. This study investigates whether core strength can be considered as a general ability that can be measured by a single core strength test or whether it needs to be differentiated into several components. Methods: Forty-two adult sports students (nfemale = 20; nmale = 22; age: 24.0 ± 2.9 years; body height: 179.0 ± 9.8 cm; body mass: 75.2 ± 12.7 kg; body fat: 18.0 ± 6.8%) participated in two randomized testing sessions in a laboratory setting. Standard measurements, such as peak rate of force development (pRFD), maximal voluntary contraction (MVC), and holding time, were taken isometrically during four exercises (ventral, dorsal, and lateral right and left). Results: A principal component analysis (PCA) extracted three principal components from twelve different core strength variables. The three identified components explained 73.3% of the total variance and were labeled as (a) maximal core strength, (b) core endurance, and (c) core power. Conclusions: The results suggest three principal components of the core strength construct, as well as their differentiation, may be imperative. These findings should be taken into account in sport science and sports practice as they may be helpful in planning sport-specific diagnostic, performance-oriented training, and injury prevention programs.


Cutting Technique Modification: A Way to Improve Movement Quality and Develop Agility in Youth?

July 2024

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153 Reads

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1 Citation

The Journal of Strength and Conditioning Research

Thieschäfer, L, Dos’Santos, T, and Büsch, D. Cutting technique modification: a way to improve movement quality and develop agility in youth? J Strength Cond Res XX(X): 000–000, 2024—High-quality cutting technique is essential for agility development and safer cuttings in adolescent athletes. Certain sidestep techniques and kinematics are characteristic of high movement quality and are associated with both, faster performance and lower knee joint loading (i.e., reduced anterior cruciate ligament injury risk). The aim of this study was to determine the effects of a 6-week, side step, technique modification training intervention targeting specific kinematics on agility performance and movement quality. Twenty-two adolescent American football players were recruited for a nonrandomized, controlled, intervention study. For 6 weeks, an intervention group (IG) of 11 players participated in 25-minute cutting technique training sessions integrated into team training twice a week, whereas a control group (CG) of 11 players continued their usual training routine. Agility performance was assessed based on percentage-based change of direction deficit (CODDp) obtained during reactive agility tests at 45° and 90° angles. The Cutting Movement Assessment Score (CMAS) qualitative screening tool was used to assess 2D high-speed videos of the cuts for movement quality. The significance level was set at α = 0.01. The intervention effectively altered players' sidestep technique irrespective of cutting angle with large time × group interaction effects observed for CMAS ( = 0.82). Statistical and practical significant improvements in CMAS pre-to-post intervention were evident in the IG (−2.30 ≤ g ≤ −1.75; 313.87 ≤ BF 10 ≤ 2,342.00), whereas deteriorations were found in the CG for 90° ( g = 1.38; BF 10 = 64.21). However, in both groups, no statistically significant differences in CODDp were observed pre-to-post intervention (0.019 ≤ p ≤ 0.586; 0.34 ≤ BF 10 ≤ 3.59). The cutting technique modification training meaningfully improved movement quality, without negatively affecting agility performance, and can be used by practitioners to foster a safe technical foundation for subsequent agility development in adolescent athletes.



Differences in PI between sport and music students.
Painkiller intake and problematic health literacy in sport and music students - A cross-sectional study

May 2024

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33 Reads

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1 Citation

Previous works have suggested a high prevalence of painkiller intake (PI) among sport students but also improved health literacy (HL) for sports-active students than for sports-inactive students. Since health-related content also forms part of the sport science curriculum, the study focuses on these seemingly paradoxical results. Music students who are also physically active through their instrumental practice, who act in an area with increased PI and who have no health-related teaching content in their curriculum composed the comparison group. Therefore, this study investigated the prevalence of PI and HL in cohorts of sport (n = 222; 54.5% female) and music students (n = 89; 67.4% female) using a cross-sectional online survey in Lower Saxony, Germany. The hypothesis tests were validated by calculating frequentist and Bayesian statistics. The results show that 50.9% of sport and 28.1% of music students exhibit PI concerning their study programs, often for prophylactical purposes and in the presence of low HL levels. The weak negative correlation between PI and HL was not statistically confirmed and requires further research with improved test power. Regarding the possible health consequences of an inconsiderate PI, target group-specific prevention is indicated to increase general health awareness and HL.


Location of schools which participated in the ‘Berlin has Talent’ program within the socioeconomically diverse city of Berlin. Schools are displayed as geo tag icons in black. Planning areas of Berlin are color graded according to the Employment and Social Index (ESIx) of the city of Berlin. The ESIx is adapted from the ‘Health and Social Structure Atlas of Berlin’ and informs about the economic and social wealth of a region. For more information about the ESIx, see Berlin Senate [37]
Flow diagram of excluded cases as well as demographic characteristics of the final sample by pandemic stage
Data collection periods between September 2017 and January 2022. Measurements are displayed in grey by Time. Lockdowns are highlighted as red rectangles, the “lockdown light” (November 2020 until January 2021) is highlighted in light red. For more information on regulatory measures in Germany, see German Federal Statistical Office [Statistisches Bundesamt] [59].
Main effects of Time and SEB on BMI SDS. a Post-hoc pairwise comparisons (contrasts) of estimated marginal mean BMI SDS with standard errors by Time (preCOVID, postLDI and postLDII). Benjamini–Hochberg adjusted p-values from the estimated marginal mean analysis are given. b Effect of SEB on BMI SDS (Slope). Unstandardized beta values and p-values from multilevel model estimates are given
Interaction effect of Time × SEB on BMI SDS. a Post-hoc pairwise comparison of slopes (estimated marginal trends with standard errors) in preCOVID, postLDI and postLDII. Benjamini–Hochberg adjusted p-values from estimated marginal trends analysis are given. b Effect of SEB on BMI SDS (slopes) in preCOVID, postLDI and postLDII according to estimated marginal trends analysis. Beta values (estimated marginal trends) are given
Effect of COVID-19 Pandemic Lockdowns on Body Mass Index of Primary School Children from Different Socioeconomic Backgrounds

March 2024

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102 Reads

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5 Citations

Sports Medicine - Open

Background Childhood obesity is associated with various health outcomes. Restrictive measures to contain the spread of the Coronavirus Disease 2019 (COVID-19) pandemic, like lockdowns and school closures, affected children’s daily structure, physical activity, dietary habits, and sleep quality, possibly exacerbating risk factors for childhood obesity and higher body mass index (BMI) in children. Poor socioeconomic conditions may have led to relatively higher risk for elevated BMI levels following pandemic measures. In this study, the impact of measures related to the COVID-19 pandemic on the BMI of third graders was investigated regarding children’s socioeconomic background (SEB). Methods Data from 41,728 children (8.84 ± 0.56 years, 20,431 female) were collected in the context of a cohort study. Children were tested either before the pandemic (preCOVID: Sept2017–March2020, n = 26,314), or following the first (postLDI: Aug2020–Dec2020, n = 6657) or second lockdown in Germany (postLDII: Aug2021–Jan2022, n = 8757). SEB was based on the official school type classification of the state of Berlin. Outcome was BMI standard deviation scores (SDS). Results Significant effects of Time and SEB revealed elevated BMIs in postLDI (M = 0.23, p = 0.011) and postLDII (M = 0.22, p = 0.011) compared to preCOVID (M = 0.17) cohorts and higher BMIs for children with lower SEB (b = − 0.13, p < 0.001). A significant Time × SEB interaction indicated that the effect of SEB on children’s BMI increased in response to lockdowns, especially in postLDII (b = − 0.05, p = 0.006). Results suggest that the COVID-19-related measures lead to increased BMI in children, and that children of lower SEB were at particular risk for higher BMIs following lockdowns. Conclusions These findings highlight the dependency of children’s BMI on societal circumstances. Over the course of two lockdowns in Germany, children have experienced BMI increments, particularly in low socioeconomic areas. Authorities are called into action to counteract increasing rates of childhood weight by promoting physical activity of children and establishing related post-pandemic offers.


Figure 2. The protocol for repetitive peripheral magnetic stimulation (rPMS) on the tibial nerve and identically for mechanical stimulation of the Achilles tendon (rTTM) consisted of stimuli at a frequency of 5 Hz with 15 pulses over 3 s in one train. The breaks between trains lasted 5 s. A total of 20 trains with 300 pulses were administered over a period of 155 s.
Figure 3. The impulses of the mechanical stimulation train triggered submaximal TR responses, which in turn resulted in moderate plantar flexion moments. Ten stimulations as a section of a three-second train were shown here on the left. Fifteen impulses were administered in one train. On the right side, the servo actuator, which applied an impact with a small hammer head to the Achilles tendon at the level of the lateral malleolus, could be seen. The foot of the volunteer was fixed with two Velcro straps to the footplate. Each subject was individually positioned on the impactor.
Figure 4. Changes in the compound muscle action potential (CMAP) of the soleus T-reflex amplitude following repetitive tendon tapotement massage (rTTM) of the Achilles tendon and repetitive peripheral magnetic stimulation (rPMS) on the tibial nerve compared to the control treatment (CG) with sham rPMS stimulation are demonstrated. Each color represents a treatment group; full color represents the pre-test, and hatched color represents the post-test. * Refers to the statistical significance comparison between the pre-and post-tests at the level of a 5% probability of error. The figure on the right shows the individual mean differences of the spinal reflex responses between conditions. The dark line represents the group mean values.
A comparison of the raw data of the CMAP [mV] between the different treatments (rTTM, rPMS, and sham) is shown in the table. Significant differences in CMAP characteristic parameters are presented. * p < 0.05.
Sensory Stimulation of the Triceps Surae Muscle Complex Modulates Spinal Reflex Responses—A Comparison between Tapotement Massage and Repetitive Peripheral Magnetic Stimulation (rPMS)

January 2024

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121 Reads

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1 Citation

Background: The reduction of muscular hypertonia is important in the treatment of various diseases or rehabilitation. This study aims to test the efficacy of a 5 Hz mechanical muscle stimulation (tapotement massage) in comparison to a 5 Hz repetitive peripheral magnetic stimulation (rPMS) on the neuromuscular reflex response. Methods: In a randomized control trial, 15 healthy volunteers were administered with either 5 Hz rPMS, tapotement massage, or rPMS sham stimulation. The posterior tibial nerve was stimulated with rPMS and sham stimulation. The Achilles tendon was exposed to a mechanically applied high-amplitude 5 Hz repetitive tendon tapotement massage (rTTM). The tendon reflex (TR) was measured for the spinal response of the soleus muscle. Results: After rPMS, there was a reduction of the TR response (−9.8%, p ≤ 0.034) with no significant changes after sham stimulation. Likewise, TR decreased significantly (−17.4%, p ≤ 0.002) after Achilles tendon tapotement intervention. Conclusions: These findings support the hypothesis that both afferent 5 Hz sensory stimulations contributed to a modulation within the spinal and/or supraspinal circuits, which resulted in a reduction of the spinal reflex excitability. The effects could be beneficial for patients with muscle hypertonia and could improve the functional results of rehabilitation programs.


Fig. 1 9 Tree plot of an effect size with confidence interval and minimum effect. ES effect size, CI confidence interval, SESOI smallest effect size of interest. (adapted based on Herbert, 2000, p. 232)
Interpretation of empirical results in intervention studies: a commentary and kick-off for discussionInterpretation empirischer Ergebnisse in Interventionsstudien: ein Kommentar und Anpfiff zur Diskussion

November 2023

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116 Reads

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2 Citations

German Journal of Exercise and Sport Research

Sports science as an empirical science produces study results that are to be interpreted hypothesis-oriented. The validity of the interpretation of statistically and practically significant results depends on the one hand on the theoretical foundation of the research question and on the other hand on the concrete methodological procedure in intervention studies. Considering hypotheses at the empirical-content and statistical level, recurring interpretation difficulties arise when numbers are translated into words or recommendations for action. On the basis of two examples, a discussion in the scientific community is to be initiated, which could be continued in this journal in case of corresponding interest in methodological issues.


An unexpected shift in constant year effects in female elite handball

November 2023

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70 Reads

Scandinavian Journal of Medicine and Science in Sports

One of the most convincing studies about the importance of the cutoff date in relative age effects was when Helsen et al. (2000) showed that a shift in the date directly resulted in a change of birth month distributions in soccer. Over the past four decades, the role of the birth year has also been associated with relative age effects (as reflected in constant year effects). In this investigation, two studies attempted to replicate the shift of birth year distributions caused by a change in birth years in international female handball. In Study 1, the results from the female handball world championship 2017 showed a significant within‐year effect overall and a constant year effect for players born 1988 and after. A second study was conducted with female players from world championships in 2009, 2011, 2013, and 2015. Results demonstrated small effect sizes for most tests. However, there was an unexpected trend toward a constant year effect shift at the age of 28 years. Several hypotheses are presented as an explanation for this trend.


Citations (57)


... The use of painkillers in football has received great public and scientific interest in recent years. Although the majority of the scientific data come from professional sports, there are also studies on the prevalence of painkiller use in amateur sports [1,2]. In professional sports, the use of painkillers has been described as having a higher prevalence than in the general population, regardless of the type of sport [3]. ...

Reference:

Investigating Painkiller Use in Amateur Football: A Coach’s Perspective
Painkiller intake and problematic health literacy in sport and music students - A cross-sectional study

... The Active-6 study in the United Kingdom (UK), for example, showed that children aged 10-11 years were engaged in 7.7 min/day less moderate-to-vigorous physical activity (MVPA) on weekdays (6.9 min/day less on weekend days) and were sedentary for 25.4 more minutes per weekday (14.0 min/day more during weekend days) after the lockdowns than a comparative sample prior to the pandemic. 14 A limited amount of evidence also suggests that adverse changes in weight-related outcomes, [16][17][18] mental health (e.g. symptoms of anxiety and depression), 6 and HRQoL 6 persisted after lockdowns and other restrictions had ended. ...

Effect of COVID-19 Pandemic Lockdowns on Body Mass Index of Primary School Children from Different Socioeconomic Backgrounds

Sports Medicine - Open

... Furthermore, research supports the notion that rPMS leads to a reduction in tendon reflex response, particularly in the soleus muscle, when stimulated at the posterior tibial nerve. This reduction is speculated to result from modulation within the spinal and/or supraspinal circuits, leading to a decrease in spinal reflex excitability [45]. The spasticity reduction induced by rPMS offers additional benefits in enhancing motor function and activities of daily living in individuals with spastic paralysis, as indicated by findings from meta-analyses [17]. ...

Sensory Stimulation of the Triceps Surae Muscle Complex Modulates Spinal Reflex Responses—A Comparison between Tapotement Massage and Repetitive Peripheral Magnetic Stimulation (rPMS)

... In addition, Bayesian statistics were computed with JASP 0.18.1 (University of Amsterdam, Amsterdam, Netherlands) to complement the classical frequentist statistics above. The Bayesian framework allows for the probabilistic description how much more likely the data are under the null hypothesis compared with the alternative hypothesis, given a prior probability (6,52). Bayesian repeated-measures ANOVAs (default r scale prior width 5 0.5) were performed to identify the 5 most favored models (the BF 01 indicates how much more likely the best model is compared with other models), and Bayesian paired sample t-tests were calculated with a Cauchy's distribution prior centered on zero and a scale parameter of 0.707 (the BF 10 quantifies the degree to which the data favor the t-test's alternative hypotheses by considering the prior odds). ...

Interpretation of empirical results in intervention studies: a commentary and kick-off for discussionInterpretation empirischer Ergebnisse in Interventionsstudien: ein Kommentar und Anpfiff zur Diskussion

German Journal of Exercise and Sport Research

... According to Huesmann et al., (2023), the ability to jump well in game situations is key in handball. Jump to box drills help students to play more effectively in developing game situations, such as jumping high in front of the opponent's defense to take a jump shoot. ...

Expert goalkeepers’ and coaches’ views on anticipation and cue utilisation facing backcourt throws in handball goalkeeping

Frontiers in Sports and Active Living

... It has been suggested that cutting movement technique training may have a similar, if not greater, effect on cutting performance than strength or power training, with even shorter program durations in adolescent athletes (5,18). However, little is known about the relationship between cutting technique and agility performance and its trainability in young athletes (60,61). Most research on the effects of cutting technique on performance has been conducted in adult athletes (12,16,27,51), but the consequences of growth and maturation and their impact on trainability prohibit the unconditional application of respective findings to the youth population and complicate derivations of training recommendations (45). ...

Development of a Cutting Technique Modification Training Program and Evaluation of its Effects on Movement Quality and Cutting Performance in Male Adolescent American Football Players

Sports

... This calculation was guided by the traditional benchmarks for effect size and reference data from a previous study on German professional handball players, which proved that 50%-70% of handball players regularly use analgesics during the activities. 19 The calculation assumes that approximately twice as many male players as female players will participate, given the higher number of male athletes in Hesse's AFL organisations. Based on an average effect strength (Cohen's d=0.5), a sample size of 236 participants was estimated for the specific hypothesis that male players consume more analgesics than female players. ...

Prevalence of Sport-Related Analgesic Use in German Elite Handball Players
  • Citing Article
  • September 2023

Deutsche Zeitschrift für Sportmedizin/German Journal of Sports Medicine

... Gegenstand des Forschungsprojektes war der Einfluss von Maßnahmen im Zusammenhang mit der COVID-19 Pandemie auf die motorische Entwicklung von Kindern unter besonderer Berücksichtigung des ("schulscharfen") sozioökonomischen Hintergrunds (SEB) 2 in Berlin. Erste Ergebnisse und Schlussfolgerungen dazu wurde bereits im August 2022 von uns veröffentlicht , nun liegen die Forschungsberichte vor und befinden sich im Publikationsprozess (preprints: Piesch et al., 2023;Stojan et al., 2023) 3 . 1 Weiterführende Erläuterungen und das mathematisch-statistische Vorgehen kann man der im Anhang zitierten Literatur entnehmen. ...

Effect of COVID-19 pandemic lockdowns on body mass index of primary school children from different socioeconomic backgrounds
  • Citing Preprint
  • May 2023

... In contrast, there are several studies that did find the effects of the COVID-19 pandemic on the motor skills of school children. A large-scale German study by Stojan et al. (2023), which included motor test data from 68,996 third-graders from 2011 to 2023, showed inhomogeneous effects, i.e., while certain motor skills such as the 20 m sprint and push-ups deteriorated during the pandemic, endurance performance such as 6 min run performance improved. Furthermore, the authors reported the socioeconomic background of the children to have an influence. ...

Motor performance in children before, during and after COVID-19 pandemic and the role of socioeconomic background: A 10-year cohort study of 68,996 third grade children
  • Citing Preprint
  • May 2023