PubMed Health⌕ Search

Biomedical subjects

H Eberspächer

Publications and source records attributed to H Eberspächer.

3 recordsLinked to original sources

[Mental training--does it also help the modern surgeon?].

The demands on the modern surgeon are extremely complex. Especially in endoscopic surgery he must be able to carry out most complicated finemotoric motions which are not part of the natural action repertoire, sometimes under extreme conditions of stress. Such demands can be compared to those of top athletes. Within a cooperative project between the second chair of surgery of the University of Cologne and the sport psychologic working unit of the Heidelberg University department of sport and sports science the empirically sound Mental Practice (MP) which has been successfully applied in worldclass sports for a long time was modified so that an application of this training method is now possible for the training and continuing education of young surgeons. The following four types of surgery were emphasized: laparoscopic cholecystectomy, laparoscopic appendectomy, thyroidectomy and inguinal hernia. The article will focus on the detailed description of MP in surgery. At first, however, we are going to delineate MP in sports and will then turn to how it is modified and applied in the field of surgery. Besides the arrangement and exact description of surgeries, MP in this field requires the formulation of instructions which are summarized in instructional handbooks. These handbooks serve as target values for instrumental and cognitive simulation techniques which are applied in MP. The surgeon is thus provided with a foundation for the construction of functional mental representations of the surgery types which enables him to optimize the quality of his actions during the above mentioned surgeries.

Endoscopy↗

Influence of different experimental recreation treatments on sympathoadrenergic and metabolic regulation mechanisms in repeated exercises.

The influence of different recreation treatments on the sympathoadrenergic regulation, heart rate, mean blood pressure, plasma lactate, and glucose levels was investigated in a study in which the 1000 m distance was performed twice by top middle- and long-distance runners. Between the two runs, executed three times in an interval of 1 week, different regeneration strategies such as active or passive recreation as well as progressive muscle relaxation (PMR) with cognitive skill (Cl) were applied. The best running times in the second run were achieved after the PMR with Cl. After this treatment heart rate (HR) and mean arterial blood pressure (MBP) were not higher than in the other forms of regeneration, although the norepinephrine (NE) and epinephrine (EPI) increase was significantly higher after the second run compared with other treatments. The lactate and glucose levels in plasma were significantly higher after PMR with Cl than after active and passive regeneration. After the recovery period both metabolites decreased faster after PMR with Cl. The percentage of catecholamine sulfates of the total amount decreased after the first and the second run without significant differences between the three recreation treatments.

Blood Glucose↗

[Mental gait training -- effectiveness of a therapy method in the rehabilitation after hip-replacement].

PURPOSE: New neurophysiological findings cover the effectiveness of movement images to the movement learning and deliver the theoretical base for the reasonable application of mental training forms in orthopaedic rehabilitation. In support of the mental training set-up in the high-performance sport, suitable movement images are developed and trained systematically in the mental gait training. The present study examines the question of the effectiveness of mental gait training. METHOD: A randomised control group study [experimental group: mental walking training; control group: no treatment (treatment additional to the customary physiotherapy)] with measuring repetition was carried out. With 24 patients after total hip replacement surgery the relevant kinematic data were collected by applying the procedure SIMI Motion to the walking movement. RESULTS: The experimental group improved in comparison to the control group in the variable stride length, as well as in the factor variable kinematics significantly. CONCLUSION: It can be stated that this study gives further proof for the reasonable application of mental training forms in rehabilitation. Further studies on the application of mental training forms to the movement learning (concerning different movements and further syndromes) must follow to provide further support of the effective and efficient application of these procedures within the context of rehabilitation.

Adult↗