Concurrent validity and discriminative ability of Dutch performance-based motor tests in 5 to 6 years old children.

AIM: To assess the concurrent validity and discriminative ability of total, gross and fine motor (TM, GM and FM) scores of Dutch performance-based motor tests, the Baecke-Fassaert Motor Test (BFMT) and the 8- and 4-Skills Scan (SkSc) with the Movement Assessment Battery (MABC) for children at age 5. METHOD: 116 Dutch children (40.3% boys) were included. Spearman's rho correlations and area under the curves (AUC) were assessed. RESULTS: Correlations between the TM scores of the tests were strong (absolute values from 0.58 to .65); the correlations between the GM scores and the FM scores between and within tests were weaker (absolute values from 0.30 to 0.45). Related to the cut-off (15th percentile) of the MABC, the AUC of the BFMT, 8- and 4-SkSc, the AUC was 0.853 (95% CI: 0.757-0.949), 0.905 (95% CI: 0.837-0.972) and 0.844 (95% CI: 0.730-0.957), respectively. At optimal cut-offs, the sensitivity and specificity of the BFMT, the 8- and 4-SkSc were 78.6 and 78.4%, 92.2 and 73.2%, 78.6 and 76.3%, respectively. CONCLUSION: All tests had a reasonably high discriminative ability, but validation with the MABC-2 and adaptations are needed to meet the requirements for screening (i.e. sensitivity ≥80% and specificity ≥90%). The relatively weak correlation between GM and FM scores implies that tests should be normalized and validated for GM and FM ability, separately.

School-Based Physical Activity Interventions in Prevocational Adolescents: A Systematic Review and Meta-Analyses.

PURPOSE: Literature detailing the effectiveness of school-based physical activity promotion interventions in prevocational adolescents was reviewed to identify effective intervention characteristics. METHODS: The search strategy assessed studies against inclusion criteria study design, study population, school setting, language, and construct. The risk of bias of the included studies was assessed, and extractions were made of the physical activity (PA) level outcome measures and intervention characteristics regarding organizational, social, and content features. A meta-analysis was conducted to determine the overall effect of the interventions on the PA level. Identification of effective intervention characteristics was done by subgroup analyses. Meta-regression analysis was performed with PA level as dependent variable and intervention characteristics as covariates. RESULTS: A total of 40 eligible studies was included for meta-analyses. Among the included studies, the overall intervention effect on increasing the PA level of prevocational adolescents was weak (standardized mean difference [SMD] .19, 95% confidence interval [CI] .12-.27). Intervention characteristics that improve the effect size to a moderate level were intracurricular PA (SMD .43, 95% CI .19-.68), involving school staff in an intracurricular intervention (SMD .37, 95% CI .16-.58) and a tailored intracurricular intervention (SMD .35, 95% CI .13-.58). Meta-regression analysis confirmed PA as a positive predictor. CONCLUSIONS: The effect of a school-based PA intervention was small to moderate. A sensible choice in the assembly of a multicomponent school-based PA intervention increases the effectiveness considerably. Physical education teachers, school administrators, and policy makers should consider organizational (intracurriculum, short and medium duration), personal (tailoring, participation), social (school staff) and content (PA) determinants.

Biophysical Determinants of Front-Crawl Swimming at Moderate and Severe Intensities.

PURPOSE: To conduct a biophysical analysis of the factors associated with front-crawl performance at moderate and severe swimming intensities, represented by anaerobic-threshold (vAnT) and maximal-oxygen-uptake (vV̇O2max) velocities. METHODS: Ten high-level swimmers performed 2 intermittent incremental tests of 7 × 200 and 12 × 25 m (through a system of underwater push-off pads) to assess vAnT, and vV̇O2max, and power output. The 1st protocol was videotaped (3D reconstruction) for kinematic analysis to assess stroke frequency (SF), stroke length (SL), propelling efficiency (ηP), and index of coordination (IdC). V̇O2 was measured and capillary blood samples (lactate concentrations) were collected, enabling computation of metabolic power. The 2nd protocol allowed calculating mechanical power and performance efficiency from the ratio of mechanical to metabolic power. RESULTS: Neither vAnT nor vV̇O2max was explained by SF (0.56 ± 0.06 vs 0.68 ± 0.06 Hz), SL (2.29 ± 0.21 vs 2.06 ± 0.20 m), ηP (0.38 ± 0.02 vs 0.36± 0.03), IdC (-12.14 ± 5.24 vs -9.61 ± 5.49), or metabolic-power (1063.00 ± 122.90 vs 1338.18 ± 127.40 W) variability. vV̇O2max was explained by power to overcome drag (r = .77, P ≤ .05) and ηP (r = .72, P ≤ .05), in contrast with the nonassociation between these parameters and vAnT; both velocities were well related (r = .62, P ≤ .05). CONCLUSIONS: The biomechanical parameters, coordination, and metabolic power seemed not to be performance discriminative at either intensity. However, the increase in power to overcome drag, for the less metabolic input, should be the focus of any intervention that aims to improve performance at severe swimming intensity. This is also true for moderate intensities, as vAnT and vV˙O2max are proportional to each other.

Effectiveness of the PLAYgrounds programme on PA levels during recess in 6-year-old to 12-year-old children.

AIMS: Worldwide levels of daily physical activity (PA) in children are low. This has negative health consequences. Schools have been recognised as key settings to promote PA. This study evaluates the effectiveness of the playground programme PLAYgrounds on increasing PA. METHODS: PLAYgrounds was evaluated by a controlled trial, with a follow-up during one school year (10 months). Accelerometer data were collected on 1500 children in total, divided over 19 sampling moments (every 2 weeks). SOPLAY data were collected at nine sampling moments (once a month). Four intervention and four control schools were matched for playground size, number of pupils and PA levels at baseline. The intervention consisted of restructuring the playground by playground markings and by encouragement of the active use of the playground, through the provision of play equipment and educational measures such as adult encouragement and supporting physical education classes. Multilevel regression analyses were performed to analyse the effects of the intervention. RESULTS: PA levels in the intervention group (moderate PA) were significantly different (p<0.001) from the control group (light PA). During the intervention on an average 77.3% of the children engaged in moderate-to-vigorous physical activity in the intervention group and 38.7% in the control group. The effect of the intervention was significantly stronger for girls than for boys (p<0.001). CONCLUSIONS: The PLAYgrounds programme was effective in increasing PA levels in children during recess over the course of one school year. Thus, the programme could be used to provide structured PA promotion.

Effects of acute bouts of physical activity on children's attention: a systematic review of the literature.

The aim of this review was to describe the effects of acute bouts of physical activity on attention levels of children. A systematic review was performed of English studies from searches in PubMed, Sportdiscus and PsycINFO from 1990 to (May) 2014 according to the PRISMA statement. Only prospective studies of children aged 4-18 years old were included, detailing acute effects of physical activity bouts with the primary outcome attention. One reviewer extracted data on the study characteristics. Two reviewers conducted the methodological quality assessment independently using a criteria checklist, which was based on the Downs and Black checklist for non-randomised studies. Overall the evidence is thin and inconclusive. The methodological differences in study sample (size and age), study design and measurement of attention make it difficult to compare results. There is weak evidence for the effect of acute bouts of physical activity on attention. More experimental studies with a comparable methodology, especially in the school setting, are needed to strengthen this evidence.

Translating the PLAYgrounds program into practice: a process evaluation using the RE-AIM framework.

OBJECTIVES: To present the results of the process evaluation of the PLAYgrounds program, using the RE-AIM framework. DESIGN: This study provides information regarding Reach, Adoption, Implementation and Maintenance. METHODS: The PLAYgrounds program promotes increasing levels of physical activity in 6-12 years old children and was evaluated using the RE-AIM framework in 4 intervention schools. Data collection consisted of a physical activity questionnaire with children (n=765, Reach), SOPLAY observations (Implementation and Maintenance), questionnaires on the satisfaction of the implemented elements with teachers (n=59) and children (n=730, Implementation) and interviews for increased depth of information. In addition a simple counting of participating schools, describing of non-participating reasons and characteristics of the schools were documented (Adoption). RESULTS: Reach of the target population (i.e. inactive children) was 60.7% (n=464) and the target population was representative for populations in low-SES neighbourhoods. The PLAYgrounds program was adopted by 4 schools (80%), at which 5 (from 7) program elements were successfully implemented. At 18 months follow-up, 3 of those 5 elements were completely maintained. CONCLUSIONS: Adoption, Implementation, and Maintenance proved to be very high. Most likely due to the PLAYgrounds program being a complete intervention package that included financial, material, and staff support. Therefore, it is recommended to retain this high level of support when introducing the PLAYgrounds (or any other intervention) program in schools. In the future it would be recommended to evaluate the PLAYgrounds program on maintenance in schools where the key-person is employed at the school and funding is not available.

Relation between efficiency and energy cost with coordination in aquatic locomotion.

The aim of this study was to establish the relationships between the intracycle velocity variation (IVV) and Froude efficiency (η(T)), energy cost (C), and index of coordination (IdC) throughout a 200-m freestyle race. Ten male international level swimmers performed a maximum 200 m front crawl swim. Performance was recorded with four below- and two above-water synchronized cameras. Oxygen consumption was measured continuously during the effort, and blood samples were collected before and after the test. IdC, body center of mass' IVV (x, y and z), and η(T) were also calculated. For assessing C swimmers performed also 50, 100 and 150 m at the same pace as in the 200-m splits to capture blood lactate samples after each 50-m lap of the 200-m effort. Swimmers attained a stable IVV (x, y, and z), as fatigue development along the 200-m effort induced a decrease in velocity, stroke length, stroke frequency, η(T), and an increase of IdC. Direct relationships between C and IdC for the second and fourth lap were found: R = 0.63 and R = 0.69 (P < 0.05), respectively. Computing partial correlation, also IdC and η(T) in the first lap were significantly correlated (R = -0.63, P < 0.05). IdC and η(T) showed to be significant for the within-subjects correlation (R = -0.45, P = 0.01), and IdC and C for the between-subjects correlation (R = 0.66, P = 0.04). Patterns of coordination modified during the 200-m event in response to the task constraints, observed by the changes in the other studied parameters, and allowing the IVV stability along the effort.

Comparative analysis of active drag using the MAD system and an assisted towing method in front crawl swimming.

The measurement of active drag in swimming is a biomechanical challenge. This research compared two systems: (i) measuring active drag (MAD) and (ii) assisted towing method (ATM). Nine intermediate-level swimmers (19.7 ± 4.4 years) completed front crawl trials with both systems during one session. The mean (95% confidence interval) active drag for the two systems, at the same maximum speed of 1.68 m/s (1.40-1.87 m/s), was significantly different (p = .002) with a 55% variation in magnitude. The mean active drag was 82.3 N (74.0-90.6 N) for the MAD system and 148.3 N (127.5-169.1 N) for the ATM system. These differences were attributed to variations in swimming style within each measurement system. The inability to measure the early catch phase and kick, along with the fixed length and depth hand place requirement within the MAD system generated a different swimming technique, when compared with the more natural free swimming ATM protocol. A benefit of the MAD system was the measurement of active drag at various speeds. Conversely, the fixed towing speed of the ATM system allowed a natural self-selected arm stroke (plus kick) and the generation of an instantaneous force-time profile.

PLAYgrounds: effect of a PE playground program in primary schools on PA levels during recess in 6 to 12 year old children. Design of a prospective controlled trial.

BACKGROUND: The relative number of children meeting the minimal required dose of daily physical activity remains execrably low. It has been estimated that in 2015 one out of five children will be overweight. Therefore, low levels of physical activity during early childhood may compromise the current and future health and well-being of the population, and promoting physical activity in younger children is a major public health priority. This study is to gain insight into effects of a Physical Education based playground program on the PA levels during recess in primary school children aged 6-12. METHODS/DESIGN: The effectiveness of the intervention program will be evaluated using a prospective controlled trial design in which schools will be matched, with a follow-up of one school year. The research population will consist of 6-12 year old primary school children. The intervention program will be aimed at improving physical activity levels and will consist of a multi-component alteration of the schools' playground. In addition, playground usage will be increased through altered time management of recess times, as well as a modification of the Physical Education content. DISCUSSION: The effects of the intervention on physical activity levels during recess (primary outcome measure), overall daily physical activity and changes in physical fitness (secondary outcome measures) will be assessed. Results of this study could possibly lead to changes in the current playground system of primary schools and provide structured health promotion for future public health. TRIAL REGISTRATION: Netherlands Trial Register (NTR): NTR2386.

Different profiles of the aerial start phase in front crawl.

This study analyzed the kinematics and kinetics (jumping ability) of the aerial start phase in 11 elite front crawl sprinters. The aim was to determine whether a particular start technique leads to a short 15 m start time or whether several start profiles contribute equally well. All swimmers performed 3 starts using their preferential style, which was the grab start for all, followed by a 25-m swim at maximal velocity. Countermovement jump enabled to determine vertical jumping ability. Using a video device, phase durations, angles at takeoff and entry, and hip velocity were assessed. Correlation between all variables and the 15 m start time established the common features of an effective start but also revealed great intersubject variability. Cluster analysis enabled to distinguish 4 start profiles (flat, pike, flight, and Volkov), indicating that several individual profiles lead to short 15 m start times. It could be advised to consider the intersubject variability in relation to start time before favoring unique strategy.

Effects of drafting on hydrodynamic and metabolic responses in front crawl swimming.

PURPOSE: Effects of drafting on the hydrodynamic and metabolic responses of the drafter behind and at the side of a passive and an active lead swimmer were related to the influence of a lead swimmer on the flow field of the draftee. METHODS: Passive drag of the draft swimmer was compared for the nondrafting condition, in the drafting conditions behind a passive and an active lead swimmer, and at the side of a passive and an active lead swimmer. The effect was also evaluated with oxygen uptake measurements. Fluid pressure measurements were made behind and at the side of a passive and an active lead swimmer to examine the flow field. RESULTS: Behind a passive lead swimmer, passive drag was significantly reduced by 20%, and behind an active lead swimmer, it was reduced by 9%. At the side of a passive lead swimmer, passive drag was significantly increased by 9%, and at the side of an active lead swimmer, it increased by 8%. Oxygen uptake was significantly reduced by 25% behind a passive lead swimmer, by 11% behind an active lead swimmer, and only marginally changed at the side of a lead swimmer. The pressure measurements indicated a 33% decrease in mean flow velocity behind an active lead swimmer but an increase in peak flow velocities due to the kick of the lead swimmer. These increases could explain the lesser decrease in passive drag behind an active versus a passive lead swimmer. CONCLUSION: The best position for a draft swimmer was found to be directly behind an active lead swimmer at a distance of 0.50 m between the toes of lead swimmer and the hands of drafter, with significant reductions in both passive drag and oxygen uptake when drafting.

Stroking characteristics during time to exhaustion tests.

PURPOSE: Race analyses during swimming reveal how exercise duration affects both clean swimming speed (v), stroke rate (SR), and stroke length (SL). The aim of this study is to provide an explanation for the change of SL and SR during paced exercise swimming the front crawl through an analysis of intracycle changes in motor organization. METHODS: Trained swimmers (N = 10) swam three times to exhaustion (TTE in seconds) at predetermined velocities corresponding to 95%, 100%, and 110% of the mean speed attained in a 400-m race (V 400). During TTE tests, SR, SL, durations of the glide + catch, pull, push, and recovery phases (s) were measured. Assessment of arm coordination was made through the calculation of the index of coordination (IdC). The time allotted to propulsion per distance unit was estimated (T prop). RESULTS: For all tested speeds, fatigue development induced a gradual increase of SR with concomitant decrease of SL. The duration of the nonpropulsive phases decreased, whereas the duration of the propulsive phases per stroke remained constant. The IdC increased reflecting a reduction of the lag time between two consecutive propulsive actions. Consequently, T prop increased. CONCLUSION: Fatigue development induced an increase of the SR to compensate for the reduced capacity to generate a propulsive impulse per stroke. The change in arm coordination allows a better chain of the propulsive actions and leads to a greater time allotted to propulsion per distance unit. Such motor adaptation ensures that the overall propulsive impulse remained constant whereas average propulsive force per arm stroke is reduced.

Swimming obstructed by dead-water.

In nautical literature, 'dead-water' refers to the obstructive effect encountered by ships moving in stratified water due to the ship generating waves on an interface that separates different water masses. To investigate the hypothesis that open water swimming may also be obstructed by an encounter of dead-water, possibly causing drowning, we performed two experiments that assess the impact of stratified water on swimming. In the first experiment, subjects made a single front-crawl stroke while lying on a carriage that was rolling just above the water surface. The gain in kinetic energy, as a result of the stroke, was far less in stratified than in homogeneous water. In the second experiment, four subjects swam a short distance (5 m) in homogeneous and in two different settings of stratified water. At the same stroke frequency, swimming in stratified conditions was slower by 15%, implying a loss in propulsive power by 40%. Although in nature stratification will be less strong, extrapolation of the results suggests that dead-water might indeed obstruct swimming in open water as well. This effect will be most pronounced during fair weather, when stratification of a shallow surface layer is most easily established. Our findings indicate that swimmers' anecdotal evidence on 'water behaving strangely' may have to be taken more seriously than previously thought.

Isometric knee-extensor torque development and jump height in volleyball players.

PURPOSE: The goal of the present study was to determine the contribution of the intrinsic muscle properties and muscle activation of the knee extensors to the maximal rate of unilateral isometric torque development and to relate both factors to maximal bilateral jumping performance in experienced jumpers. On the basis of previous studies, we hypothesized that maximal rate of torque development during maximal effort isometric contractions and jump height would depend on the subjects' ability for maximal muscle activation rather than on the muscle's contractile properties. METHODS: Eleven male elite volleyball players (20 +/- 2 yr, means +/- SD) performed squat jumps starting from a 120 degrees knee angle (SJ120; full extension = 180 degrees ) and countermovement jumps. In addition, maximal voluntary and electrically evoked unilateral isometric knee-extension torque development (120 degrees angle) was obtained. Torque time integral for the first 40 ms after torque onset (TTI40) and (time to) maximal rate of torque development (MRTD) were calculated. Muscle activation was quantified using surface EMG. RESULTS: Voluntary TTI40 was significantly related to the preceding EMG (r2 = 0.83) and negatively related to the time to MRTD (r2 = 0.64). Voluntary MRTD and TTI40 were not related to their respective values obtained during electrical stimulation (r2 < 0.04). Only electrically evoked MRTD was significantly related to jump height (e.g., r2 = 0.70 for SJ120). CONCLUSIONS: As expected initial maximal voluntary isometric torque development correlated with muscle activation and not with muscle contractile speed. However, unexpectedly, only the latter could predict jump performance in skilled jumpers.

Effect of fatigue on stroking characteristics in an arms-only 100-m front-crawl race.

PURPOSE: Race analyses during swimming provide information on the time-dependent values of, among other variables, a swimmer's clean swimming speed (v), stroke rate (SR), and stroke length (SL). The effect of fatigue on changes in v, SR, and SL was investigated. METHODS: Lap-averaged values of v, SR, and SL while swimming 100 m all out with arms only (trial 1) were related to the decline in mechanical power output measured during an all-out 100-m swim on the MAD system (trial 2), with legs immobilized in both trials. RESULTS: Swimming a 100-m front-crawl sprint using arms only led to a significant 24% decrease in lap-averaged mechanical power output (from 200 to 153 W, P < 0.01). This reduction in power-generating capacity led to a 12.4% decrease in v when lap 1 was compared with lap 4 (from 1.69 to 1.48 m x s(-1), P < 0.01). SR declined throughout the race by 10.6% from 0.85 Hz (lap 1) to 0.76 Hz (lap 4, P < 0.05). Analysis revealed that this decrease in SR was linearly related to the decrease in v. The reduction in SR reflected the reduced propulsive force required to overcome the v-dependent, and therefore lower, drag. CONCLUSION: Decreases in swimming speed throughout a 100-m front-crawl race are the result of decreases in the power-producing capacity of the swimmer (fatigue). This fatigue-induced reduction in swimming speed will lead to a reduction in drag. The SR seems to be accommodated to this reduced power output capacity and concomitant diminished propulsion requirements.

Scaling of lifting forces in relation to object size in whole body lifting.

Subjects prepare for a whole body lifting movement by adjusting their posture and scaling their lifting forces to the expected object weight. The expectancy is based on visual and haptic size cues. This study aimed to find out whether lifting force overshoots related to object size cues disappear or persist over a number of repeated lifts. In addition, the influence of the degree of alternation between load sizes, and the influence of knowledge of actual object weights prior to the lifts, were investigated with regard to their effect on force overshoots. Four experiments were performed using a large and a small box, each of 8.4 kg weight, and varying degrees of alternation between boxes. In two of the experiments, subjects were informed about the weight of the objects, while in the other two experiments they were not informed about the weight of the objects. When boxes were lifted 15 times before switching to the other box, rapid diminishing of force scaling errors was observed. However, when boxes were alternated each lift or after three lifts, persisting force scaling overshoots were found in lifting the large box compared to the small one. When participants were given information regarding the actual object weight, force overshoots in the first pair of large and small box lifts were not different from overshoots in experiments where subjects were not informed about the weight of the objects. This shows that, for occupational lifting, risks related to force overshoots in lifting large objects can persist despite experience in lifting the objects and despite the use of labels indicating the weight of the objects.

The determination of drag in front crawl swimming.

The measurement of drag while swimming (i.e. active drag) is a controversial issue. Therefore, in a group of six elite swimmers two active drag measurement methods were compared to assess whether both measure the same retarding force during swimming. In method 1 push-off forces are measured directly using the system to measure active drag (MAD-system). In method 2 (the velocity perturbation method, VPM) drag is estimated from the difference in swimming speed when subjects swim twice at maximal effort (assuming equal power output and assuming a quadratic drag-speed relationship): once swimming free, and once swimming with a hydrodynamic body attached that created a known additional resistance. The average drag for the VPM tests (53.2 N) was statistically significant and different from the active drag for the MAD-test (66.9 N), paired Student's t-test: 2.484, 12 DF, p=0.029. A post hoc analysis was performed to assess whether the two methods measure a different phenomenon. Based on the drag speed curve obtained with the MAD-system, the VPM-data were re-examined. For diverging drag determinations the assumption of equal power output of the 'free' trial (swimming free) vs. the towing trial (swimming with hydrodynamic buoy) appeared to be violated. The regression of the relative difference in force (MAD vs. VPM) on the relative difference in power (swimming free vs. swimming with hydrodynamic body) was: %Deltadrag=1.898 x %Deltapower -4.498, r2=0.88. This suggests that the major part of the difference in active drag values is due to a non-equal power output in the 'free' relative towing trial during the VPM-test. The simulation of the violation of the equal power output assumption and the calculation of the effect of an other than quadratic drag-speed relationship corroborated the tentative conclusion that both methods measure essentially the same phenomenon and that active drag differences can be explained by a violation of test assumptions.

"Pumped-up propulsion" during front crawl swimming.

PURPOSE: It is currently held that propulsion in human front crawl swimming is achieved by lift and drag forces predominantly generated by the hands. Calculation of these propulsive forces relies on the quasi-steady assumption that the fluid dynamic behavior of a hand model in a flow channel (constant velocity and orientation) is similar to that of a hand of a real swimmer. However, both experimental and theoretical analyses suggest that this assumption is questionable and that unsteady and rotational propulsion mechanisms play a significant role. Theoretical considerations suggest that arm rotation could lead to a proximodistal pressure gradient, which would induce significant axial flow along the arm toward the hand. METHODS: To gain insight into such mechanisms, we used tufts to study the flow directions around the arm and hand during the front crawl, which consists of a glide, an insweep, and an outsweep phase. In a second experiment, we measured pressure during the stroke at various points along the arm and hand. RESULTS: It was observed that 1) the flow during insweep and part of the outsweep was highly unsteady; 2) the arm movements were largely rotational; 3) a clear axial flow component, not in the direction of the arm movement, was observed during insweep and outsweep; and 4) both the V-shaped "contracting" arrangement of the tufts during the outsweep and pressure recordings point to a pressure gradient along the direction of the arm during the outsweep, as predicted on theoretical grounds. CONCLUSION: Our results demonstrate the reality of the predicted rotational and unsteady effects during front crawl swimming. We hypothesize that the axial flow observed during the outsweep has a propulsion-enhancing effect by increasing the pressure difference over the hand. Further investigation is required to establish more accurately the role of axial flow on propulsion.