The main factors for home advantage (HA), quantified by the number of points won at home expressed as a percentage of all points, are believed to be crowd support, territoriality, familiarity, and travel fatigue. In 2020, the German Soccer Bundesliga interrupted its championship due to the Covid-19 pandemic after 25 rounds and the last nine rounds were played without audience. This unique situation allowed studying the effect of spectators on the team's performance and the referee's decisions. We hypothesized a decrease in HA and a more balanced distribution of fouls and disciplinary cards in the games without audience (GWOA) compared to the games with audience (GWA). We evaluated n = 223 GWA and n = 83 GWOA of the season 2019/20 and all games of the preceding season 2018/19 to analyze the distribution of game outcomes (wins, losses, and draws) and HA. We analyzed the number of fouls, disciplinary cards, and penalty kicks. We found significant differences in HA between GWA (HA = 54.35%) and GWOA (HA = 44.1%) as well as GWOA and games of 2018/19 (HA = 57.63%). The distribution of game outcomes in GWOA did not differ from GWA but differed significantly from 2018/19 (p = 0.031). The distribution of fouls showed a significant difference to equal distribution in GWA [home: 2,595 (48.56%); away: 2,749 (51.44%)] but not in GWOA [home: 1,067 (50.54%); away: 1,044 (49.46%)]. In the GWOA, we counted 178 (51.1%, home) and 170 (48.9%, away) cards, representing a significant difference in the distribution to GWA [home: 405 (44.85%); away: 498 (55.15%)]. The number of red cards differed significantly from an equal distribution for GWA (14 home and 28 away) but not for GWOA (eight home and seven away). In the last nine rounds without audience, we observed more home losses (36) than home wins (27). Hence, the Covid-19 lock-down led to a home disadvantage. One reason for this surprising result could be that the home team is missing an important familiar aspect when playing in their empty stadium without social support from their home audience. Furthermore, both teams know about the HA thus the away team could be more motivated in this unusual situation.

The purpose of this study was to investigate the time course of the changes of muscle-tendon mechanical properties and the function responses of the plantar flexor muscles following 5 × 60 s of static stretching.Fourteen healthy volunteers were tested on four separate days in a random order with three different rest times (0, 5, 10 min) after 5 × 60 s of stretching or following a control period without stretching. During each test, the dorsiflexion range of motion (RoM), passive resistive torque (PRT), and maximum voluntary contraction (MVC) were measured with a dynamometer. Ultrasonography of the gastrocnemius medialis (GM) muscle-tendon junction displacement and motion capture allowed us to determine the length changes in the tendon and muscle, respectively, and hence to calculate their stiffness.We observed an increase in RoM and decrease in MVC at 0, 5, and 10 min post-stretching. This could be attributed to an increase in muscle elongation which lasted at least 10 min. A decrease in muscle-tendon stiffness was observed immediately, but not 5 or 10 min after the stretching. A decrease in PRT and muscle stiffness was observed up to 5 min after the stretching. No changes were detected in tendon stiffness or in any variable in the control group.The effects of a 5 × 60 s static stretching exercise changes the muscle-tendon functions (RoM, MVC), which are related to mechanical changes of the muscle but not the tendon structure, respectively. Although the functional changes last for at least 10 min, changes in muscle stiffness were only observed up to 5 min after the stretching exercise.

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Three to five percent of patients undergoing surgery have either an acquired or congenital platelet defect or von Willebrand disease (vWD). The predictive value of preoperative coagulation screening is questionable. PFA-100 is now routinely used in preoperative screening in our pediatric outpatient service. We wanted to assess whether the PFA-100 would help to identify patients with primary haemostatic defects or if the additional use of PFA-100 would add to the problem of unnecessary pathologic preoperative laboratory values resulting in delay of surgical procedure. We investigated 500 children consecutively seen in our outpatient service before surgery. Blood cell count, aPTT, PFA-100 closure times (CT) were done in all patients. If abnormalities were found, the patient was presented to a haemostatic expert. vWF:AG, R:Cof and factor VIII were analysed in all patients with prolonged closure times and APTT values. One hundred twenty-six patients (25.2%) showed abnormalities in APTT and/or PFA-100. Further investigations in 89 of these 126 patients did not yield a specific diagnosis; neither diagnostic criteria for impaired haemostasis were found by questionnaire. None of these 89 patients had a bleeding complication during surgery. Forty-eight patients showed prolonged CTs. Twelve patients with low vWF:AG were detected, 10 of these patients were found by PFA-100. Four of these patients did present with normal APTT values. Our study shows that similar to the APTT the PFA-100 is probably only a good screening method when a haemostatic defect in a patient is clinically likely, especially to screen forVWD, and the test should not be used in general unselective screening.