Comparison of Sport Competitive Anxiety Levels of Flemish athletes with and without intellectual disability.

BACKGROUND: High anxiety levels are common in people with intellectual disabilities (ID) and anxiety can affect sport performance, but sport competitive anxiety profiles in athletes with ID are unknown. METHODS: A total of 303 athletes; 116 with ID (33% female, M age = 22.64, SD = 3.94), and 187 without ID (54% female, M age = 21.81, SD = 3.23), completed the modified questionnaire Sport Anxiety Scale-2-FLemish-ID (SAS-2-FL-ID). RESULTS: The SAS-2-FL-ID was a valid tool to use in a population of athletes with ID. They had higher trait anxiety (9.36 ± 2.62) than peers without ID (7.58 ± 2.44), F = 26.95, p<.001. With respect to sport anxiety, they only scored higher on the "concentration disruption" subscale. Their overall level of competitive anxiety across all subscales (24.14 ± 7.73) was significantly lower compared to athletes without ID (26.51 ± 7.49), F = 27.10, p<.001. CONCLUSION: On the sporting field, athletes with ID worry less and feel less somatic anxiety compared to athletes without ID.

Cognitive-motor dual-task ability of athletes with and without intellectual impairment.

Cognition is important in many sports, for example, making split-second-decisions under pressure, or memorising complex movement sequences. The dual-task (DT) paradigm is an ecologically valid approach for the assessment of cognitive function in conjunction with motor demands. This study aimed to determine the impact of impaired intelligence on DT performance. The motor task required balancing on one leg on a beam, and the cognitive task was a multiple-object-tracking (MOT) task assessing dynamic visual-search capacity. The sample included 206 well-trained athletes with and without intellectual impairment (II), matched for sport, age and training volume (140 males, 66 females, M age = 23.2 ± 4.1 years, M training experience = 12.3 ± 5.7 years). In the single-task condition, II-athletes showed reduced balance control (F = 55.9, P < .001, η2 = .23) and reduced MOT (F = 86.3, P < .001, η2 = .32) compared to the control group. A mixed-model ANCOVA revealed significant differences in DT performance for the balance and the MOT task between both groups. The DT costs were significantly larger for the II-athletes (-8.28% versus -1.34% for MOT and -33.13% versus -12.89% for balance). The assessment of MOT in a DT paradigm provided insight in how impaired intelligence constrains the ability of II-athletes to successfully perform at the highest levels in the complex and dynamical sport-environment.

How much trunk control is affected in adults with moderate-to-severe cerebral palsy?

Trunk control (TC) impairment is a typical feature in individuals with cerebral palsy (CP), but there are lack of methods that allow to quantify the extent to which static and dynamic TC is impaired in adults with moderate-to-severe CP. Thus, the aims of this study were to analyze the reliability of a posturography protocol to assess TC in adults with CP, and quantify their degree of TC impairment compared to a control sample of adults without CP. Forty-seven adults with moderate-to-severe CP and nineteen control participants were assessed via a protocol of static and dynamic seated trunk tasks, performed on a stable and an unstable surface placed on a force-plate. The mean radial error was the primary variable measured. A large percentage of CP participants successfully completed the static and dynamic conditions on the stable surface (static: 93.6%; dynamic: 91.5-72.3%); however, this percentage decreased considerably on the unstable surface (51.1-34.0%). The posturography protocol displayed good reliability in adults with CP (0.89 ≤ ICC ≤ 0.95; 15.2% ≤ SEM ≤ 20.7%). Adults with CP displayed significantly decreased TC in 4/5 tasks on the stable seat, particularly in dynamic conditions (1.71 ≤ dg ≤ 1.91). Our results confirmed that TC is significantly affected in CP adults compared with controls without CP of similar age, but they present more difficulties to perform dynamic tasks. Thus, it would be recommend including dynamic in addition to static conditions to obtain a comprehensive assessment of TC impairment in adults with moderate-to-severe CP. Additional, these results encourage practitioners to design dynamic activities that challenge trunk control for rehabilitations/training programs.

Pacing Ability in Elite Runners with Intellectual Impairment.

PURPOSE: To understand how athletes invest their energy over a race, differences in pacing ability between athletes with and without intellectual impairment (II) were explored using a novel field test. METHODS: Well-trained runners (n = 67) participated in this study, including 34 runners with II (age = 24.4 ± 4.5 yr; IQ = 63.1 ± 7.7) and 33 runners without II (age = 31.4 ± 11.2 yr). The ability to perform at a preplanned submaximal pace was assessed. Two 400-m running trials were performed on an athletics track, with an individually standardized velocity. In the first trial, the speed was imposed by auditory signals given in 20-40 m intervals, in combination with coach feedback during the initial 200 m. The participant was instructed to maintain this velocity without any feedback during the final 200 m. In trial 2, no coach feedback was permitted. RESULTS: Repeated-measures analyses revealed a significant between-group effect. II runners deviated more from the target time than runners without II. The significant trial-group interaction effect (F = 4.15, P < 0.05) revealed that the ability to self-regulate the pace during the final 200 m improved for runners without II (trial 1, 1.7 ± 1.0 s; trial 2, 0.9 ± 0.8 s), whereas the II runners deviated even more in trial 2 (4.4 ± 4.3 s) than that in trial 1 (3.2 ± 3.9 s). CONCLUSION: Our findings support the assumption that intellectual capacity is involved in pacing. It is demonstrated that II runners have difficulties maintaining a preplanned submaximal velocity, and this study contributes to understanding problems II exercisers might experience when exercising. With this field test, we can assess the effect of II on pacing and performance in individual athletes which will lead to a fair Paralympic classification procedure.

Pacing Profiles in Competitive Track Races: Regulation of Exercise Intensity Is Related to Cognitive Ability.

Pacing has been defined as the goal-directed regulation of exercise intensity over an exercise bout, in which athletes need to decide how and when to invest their energy. The purpose of this study was to explore if the regulation of exercise intensity during competitive track races is different between runners with and without intellectual impairment, which is characterized by significant limitations in intellectual functioning (IQ ≤ 75) and adaptive behavioral deficits, diagnosed before the age of 18. The samples included elite runners with intellectual impairment (N = 36) and a comparison group of world class runners without impairment (N = 39), of which 47 were 400 m runners (all male) and 28 were 1500 m-runners (15 male and 13 female). Pacing was analyzed by means of 100 m split times (for 400 m races) and 200 m split times (for 1500 m races). Based on the split times, the average velocity was calculated for four segments of the races. Velocity fluctuations were defined as the differences in velocity between consecutive race segments. A mixed model ANOVA revealed significant differences in pacing profiles between runners with and without intellectual impairment (p < 0.05). Maximal velocity of elite 400 m runners with intellectual impairment in the first race segment (7.9 ± 0.3 m/s) was well below the top-velocity reached by world level 400 m runners without intellectual impairment (8.9 ± 0.2 m/s), and their overall pace was slower (F = 120.7, p < 0.05). In addition, both groups followed a different pacing profile and inter-individual differences in pacing profiles were larger, with differences most pronounced for 1500 m races. Whereas, male 1500 m-runners without intellectual impairment reached a high velocity in the first 100 m (7.2 ± 0.1 m/s), slowly decelerated in the second race segment (-0.6 ± 0.1 m/s), and finished with an end sprint (+0.9 ± 0.1 m/s); the 1500 m runners with intellectual impairment started slower (6.1 ± 0.3 m/s), accelerated in the second segment (+0.2 ± 0.7 m/s), and then slowly decreased until the finish (F = 6.8, p < 0.05). Our findings support the hypothesis that runners with intellectual impairment have difficulties to efficiently self-regulate their exercise intensity. Their limited cognitive resources may constrain the successful integration of appropriate pacing strategies during competitive races.

Cognitive profile of young well-trained athletes with intellectual disabilities.

BACKGROUND: Previous research has shown that cognitive and motor skills are related. The precise impact of cognitive impairment on sport proficiency, however, is unknown. AIMS: This study investigated group and individual differences in cognitive profiles in a large cohort of track and field athletes, basketball players, swimmers and table tennis players with (N=468) and without (N=162) intellectual disabilities (ID). METHODS AND PROCEDURES: Based on the Cattell-Horn-Carroll Theory of Cognitive abilities, eight subtests were selected for inclusion in a generic cognitive test (GCT) to assess executive functions and cognitive abilities relevant to sport, i.e., fluid reasoning, visual processing, reaction and decision speed, short-term memory and processing speed. OUTCOMES AND RESULTS: Reliability coefficients for the subtests ranged between 0.25 and 0.88 respectively. Factor analysis revealed two clusters of subtests, i.e., a speed-based factor (simple and complex reaction time and simple and complex visual search) and a performance-based factor (Corsi Memory, Tower of London, WASI Block Design and Matrix Reasoning). After controlling for psychomotor speed, the group of ID-athletes scored significantly lower than athletes without ID on all the GCT subtests, except the complex visual search test. When cognitive profiles of individual ID- athletes were examined, some obtained higher scores than the average norm values in the reference population. CONCLUSIONS AND IMPLICATIONS: The GCT is currently administered as part of the classification process for athletes with ID who compete in the Paralympic Games. The results of this study indicate that the complex visual search and Tower of London test in the GCT should be reconsidered.