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The German Journal of Sports Medicine is directed to translational science and clinical practice of Sports Medicine and its adjacent fields, which investigate the influence of physical activity, exercise, training and sports, as well as a lack of exercise affecting healthy people and patients of all age-groups. It addresses implications for prevention, diagnosis, therapy, rehabilitation and physical training as well as the entire Sports Medicine and research in sports science, physiology and biomechanics.

The Journal is the leading and most widely read German journal in the field of Sports Medicine. Readers are physicians, physiologists and sports scientists as well as physiotherapists, coaches, sport managers, and athletes. The journal offers to the scientific community online open access to its scientific content and online communication platform.

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ANNOUNCEMENT


Main language »American English« for scientific articles

As of issue 1/2018, in all scientific articles American English will be declared as main language. The reviewing process can still be done in German language; all German-speaking articles need to be translated before publication by the authors. We will support young authors with this translation.

All German extended Abstracts will still be published.

With this procedure we aim to be listed in international databases.

Editors of German Journal of Sports Medicine

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Current Article

Issue 1/2018

Klinische Sportmedizin - Clinical Sports Medicine

Heblich F, Gröbel H, Hauptmann M

Criticizing German Medical Fitness Tests for Fire-Fighters

Background: The mandatory medical fitness examinations of firefighters and occupational divers with ergometry are important, but in Germany they are based on two criticized models, Reiterer´s model and the PWC-model.
Aim: We examine the weaknesses of these models and offer alternatives. Besides, we discuss other problems of the fitness examinations.
Methods: In bicycle ergometry tests with 8583 firefighters we collected data concerning age, mass and final achievements and developed mathematical models that allow us to estimate the Median of the final achievement from age and mass.The special relevance here is that our models are based on data of firefighters and are therefore better suited as basis of medical fitness tests – in contrast to Reiterer´s model which was conceived for another purpose.
Results: Reiterer´s model is based on measurements with less-fit test persons. As expected, on average it underestimates the achievements. The structure is clearly not as precise as our models. The PWC model is even less precise and is inclined to overestimate the achievements. Our algorithm Pincremental well describes the physical fitness of firefighters and can be used to construct reference models, based on gender, form of ergometry and failure rate.
Conclusion: We recommend the use of new models for medical fitness examinations. When using a bicycle ergometer, a gradual increase protocol with steeper gradient instead of the present increment should come into use. The fitness examinations of firefighters should be based more on data “from the job” and contain job-specific forms of ergometry, at least in part.

>Read whole article in English language

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