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 non-throwing arm. Additionally, correlations between the Upper Quarter Y Balance Test (YBT-UQ) and handball-specific performance measures were investigated. Methods: All participants (F = 13 yrs., n = 14, training experience [te] 5.9 ± 1.3 yrs.; M = 14 yrs., n = 24, te 6.5 ± 2.5 yrs.; M = 15 yrs., n = 18, te 9.3 ± 2.2 yrs) were Olympic handball players of a regional youth selection team. YBT-UQ was executed assessing performance in medial, inferolateral and superolateral reach direction normalized to the upper limb length together with a composite score of the mean of all reach directions. A radar gun and a target net were used for the assessment of throwing velocity and throwing accuracy. The paired t-test was used to detect side differences in YBT-UQ performance. Pearson's correlation analysis was calculated for associations between YBT-UQ and throwing velocity/accuracy. Results: Significant differences between the throwing and non-throwing arm were only detected for the superolateral reach direction in the 14-year-old males. Small correlations between YBT-UQ performance and throwing velocity/accuracy (13-year-old females: − 0.01 ≤ r ≤ − 0.37 / 0.01 ≤ r ≤ 0.31; 14-year-old males: 0.10 ≤ r ≤ 0.45 /-0.01 ≤ r ≤ .-0.51; 15-year-old males: 0.06 ≤ r ≤ 0.34 / 0.01 ≤ r ≤ − 0.45) were observed, irrespective of age and sex category. Conclusions: There was only a minimal difference in performance of the YBT-UQ between the throwing and nonthrowing arm and only weak if any relationships between throwing performance and stability/mobility of the upper extremities in adolescent Olympic handball players existed. Further research is needed to investigate whether the YBT-UQ is a useful tool to detect training-related improvements in measures of shoulder stability/mobility and functional performance.

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 elastic resistance band exercises (3/week) for 20–30 minutes while the CON-group conducted regular handball training only. Pre- and post-training assessments included measures of strength endurance (Closed Kinetic Chain Upper Extremity Stability Test [CKCUEST]), maximal isometric strength (MIS), and throwing velocity. Significant main effects of Test (i.e. pre- to post-training enhancements) were detected for the CKCUEST (p < 0.001, 0.54 ≤ ηp 2 ≤ 0.57) and throwing velocity (p = 0.001, ηp 2 = 0.34). We found a significant (throwing velocity: p = 0.004, ηp 2 = 0.25) and a tendency toward (MIS of the internal rotators, non-throwing arm: p = 0.068, ηp 2 = 0.12) a significant Test × Group interaction, both in favour of the INT-group. A 9-week strengthening program using elastic resistance bands combined with regular handball training is effective to improve upper extremity strength endurance, throwing velocity, and MIS of the internal rotators of the non-throwing arm.

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 ± 0.7 yrs) were handball players of a regional youth selection team. A radar gun was used for the assessment of throwing velocity. The YBT-UQ was executed assessing medial, inferolateral and superolateral reach directions normalized to the upper limb length together with a composite score. Immediately following a fatigue protocol of different sets of push-ups until failure (i.e., not being able to perform 60% of the initial maximal amount of push-ups), throwing and YBT-UQ performance were assessed again. Results: Fatigue resulted in a significant decrease in throwing velocity (−3%, p = 0.022, d = 0.32). Concerning YBT-UQ, the fatigue protocol produced significant decreases for the superolateral reach direction (throwing arm reach: −5%, p = 0.017, d = 0.39; non-throwing arm reach: −10%, p < 0.001, d = 0.87) and the composite score (throwing arm reach: −2%, p = 0.026, d = 0.31; non-throwing arm reach: −4%, p = 0.001, d = 0.52) but not for the medial and the inferolateral reach directions. Conclusions: Fatigue was found to be an impairing factor for throwing performance and shoulder mobility and stability. Therefore, a lower level of fatigue and/or a higher tolerance of fatigue is desirable. Strength-endurance and mobility exercises especially for the shoulder girdle may be a valuable addition for the training routine of youth handball players.

ANJA VICTOR, BS 5OBJECTIVE -Neurophysiological assessment of the peripheral autonomic system is characterized by various limitations. An alternative approach to laser Doppler and venous plethymography is the assessment of the sympathetic vasomotor response of the radial artery obtained by continuous wave Doppler sonography. Nomogram data have been established and demonstrate the temporary disappearance of diastolic flow after coughing or deep inspiration. RESEARCH DESIGN AND METHODS -We assessed the sympathetic vasomotor response in 25 patients (mean age 64 years, range 43-76) with diabetic foot syndrome. The Doppler data were correlated with nerve conduction studies of the median and peroneal nerve, the extent of radiologically diagnosed media sclerosis, and compared with nomogram values (n ϭ 41).RESULTS -Although similar mean flow velocities were found under baseline conditions, the flow pattern was characterized by higher pulsatility in the diabetic group (resistance index [RI] 1.1 vs. 0.7). No significant difference in RI was observed after coughing. The latency of onset of the response was prolonged (2.1 vs. 1.5 s), while the duration of the response did not differ (18 vs. 15 s). Only the nerve conduction velocity of the peroneal nerve correlated inversely with the RI. The extent of radiologically proven calcification tended to correlate with the pulsatility of the baseline signal and the response latencies.CONCLUSIONS -The data obtained by this study suggest the concurrent existence of reduced vessel elasticity due to media sclerosis and dysfunction of the autonomic vasomotor system. Diabetes Care 26:2616 -2621, 2003A utonomic neuropathy is a frequent complication in diabetes and one of the major causes of cardiovascular death. Mortality rates vary from a 60% 5-year mortality (1) to a 10% 10-year mortality (2) and are about three times as high as in patients with neuropathy without clinical evidence of autonomic involvement (3). While extensive tests for cardiovascular autonomic functions are readily available (4,5), they may be of little help in the diagnosis of peripheral autonomic dysfunction (6). To date, laser Doppler flowmetry, which enables assessment of the capillary and arteriovenous blood flow, represents the most reliable test for the diagnosis of peripheral autonomic dysfunction (7-9). This technique can be applied under conditions at rest and during sympathetic stimulation by means of a deep inspiratory gasp (10) or an electric stimulus (9). Alternatively, venous plethysmography (6) and duplex Doppler sonography (11) have been used. These studies have confirmed the hypothesis of a hyperperfusion state in the lower extremities at an arteriovenous shunt volume that was increased up to threefold due to opening of the sympathetically controlled resistance vessels (7,10). Furthermore, other workers reported a reduction in the response to sympathetic stimulation (10,11). In ϳ50% of a cohort of diabetic patients, an abnormal skin blood flow has been observed at the index finger and a nondiscernible d...

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., intellectual quotient of 70–84 etc.) are lacking. Thus, the aim of the study was to compare YBT-LQ/UQ performance in students with and without BIF. Thirty students with BIF (age: 13.7 ± 1.2 years) and 30 age-/sex-matched students without BIF (age: 13.7 ± 1.3 years) performed the YBT-LQ and/or YBT-UQ. Normalized maximal reach distances (% leg/arm length) per reach direction and the composite score were used as outcome measures. A univariate analysis of variance was conducted to test for significant group differences. Irrespective of limb and reach direction, students with BIF compared to those without BIF showed significantly worse YBT-LQ (p ≤ 0.001–0.031; Cohen’s d = 0.57–1.26) and YBT-UQ (p ≤ 0.001–0.015; Cohen’s d = 0.68–1.52) performance with moderate to large effect sizes. Due to the poorer performance levels of students with BIF, specifically tailored interventions should be developed that have the potential to improve their dynamic balance and shoulder mobility/stability.

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 differences in upper quarter mobility/stability is associated with an increased musculoskeletal injury risk. Therefore, we assessed side differences in upper quarter mobility/stability in young handball players at different ages using a cross-sectional study design. Methods Upper Quarter Y Balance test performance of the throwing and non-throwing arm was assessed in 190 sub-elite young female and male handball players (13–18 years). Per arm, relative maximal reach distances (% arm length) for all three directions (i.e., medial, inferolateral, superolateral) and the composite score (CS) were calculated and used for an age × side analysis of variance. Additionally, partial eta-squared (ηp2) was calculated as an effect size measure. Results Irrespective of measure, statistically significant main effects of age (except for the composite score) and side but no statistically significant age × side interaction effects were detected. Further, limb asymmetry in the inferolateral reach direction was above the injury-related cut-off value (i.e., ≥ 7.75% arm length) in 13- and 14-year-olds but not in the older players. Conclusion The detection of limb asymmetry above the proposed injury-related cut-off value in younger players (13- and 14-year-olds) but not in older players (15- to 18-year-olds) may be indicative for an increased injury risk for the younger age group. Thus, prevention programs should be implemented in the handball training routine, especially for the younger ones.

Background: In all age groups of handball players, anthropometric characteristics and physical capacities are important prerequisites to fulfilling the playing demands. However, there is no study that has compared anthropometric characteristics and physical capacities between junior and adult handball players by the same research design containing field tests.

Th is article proposes to analyze the idea of organism and other closely related ideas (function, diff erentiation, etc.) using a combination of semantic fi elds analysis from conceptual history and the notion of boundary objects from the sociology of scientifi c knowledge. By tackling a wide range of source material, the article charts the nomadic existence of organism and opens up new vistas for an integrated history of the natural and human sciences. First, the boundaries are less clear-cut between disciplines like biology and sociology than previously believed. Second, a long and transdisciplinary tradition of talking about organismic and societal systems in highly functionalist terms comes into view. Th ird, the approach shows that conceptions of a world society in Niklas Luhmann's variant are not semantic innovations of the late twentieth century. Rather, their history can be traced back to organicist sociology and its forgotten pioneers, especially Albert Schäffl e or Guillaume de Greef, during the last decades of the nineteenth century.