Do Motor-Cognitive and Motor-Motor Dual-Task Training Differently Affect Dual-Task Interference in Individuals With Intellectual Disability?

This study explored the effect of different dual-task (DT) training programs on DT interference in adults with intellectual disability. Center-of-pressure (CoP) mean velocity in single-task (ST) and cognitive-DT conditions and the Timed Up-and-Go Test (TUGT) during ST, cognitive-DT, and motor-DT conditions were assessed before and after intervention in a cognitive-motor training group, a motor-motor training group, and a control group. Before training, CoP mean velocity and TUGT time increased (p < .001) in DT compared with the ST condition. After training, the CoP mean velocity values remained unchanged (p = .07) in DT compared with the ST condition among the cognitive-motor training group. Furthermore, compared with the ST condition, no increase (p = 1) was reported in the TUGT time during the cognitive-DT condition for the cognitive-motor training group and during the motor-DT for the motor-motor training group (p = .12). The effect of DT training on DT interference depends on the training modality.

Impact of neuromuscular training including balance, strength and plyometric exercises on static and dynamic balance in high-level male runners with mild intellectual disability.

BACKGROUND: This study aims to investigate the impact of neuromuscular training (NMT) on static and dynamic postural balance (PB) among high-level male runners with intellectual disability. METHOD: Twenty-seven runners were randomly assigned to a NMT group and a control group who maintained their conventional training. Static and dynamic PB were assessed using the centre of pressure (CoP) excursions (in bipedal and unipedal stances under open eyes (OE) and closed eyes (CE) conditions) and the star excursion balance test (SEBT), respectively, at pre-training and post-training. RESULTS: The NMT group showed significantly (p < 0.05) decreased CoP values and increased SEBT scores at post-training compared to pre-training. The switch from OE to CE did not affect static PB in the bipedal stance, only in the NMT group. CONCLUSIONS: The NMT was effective in improving static and dynamic PB in runners with intellectual disability. The NMT could reduce visual dependency.

Swimming, better than tennis, develops sensorimotor adaptabilities involved in postural balance in 5-6-year-old children.

PURPOSE: The present study aimed to evaluate the postural balance of young tennis players and young swimming practitioners in static and dynamic conditions. METHODS: Thirty-six children (5-6 years old) participated in 3 groups: 12 tennis players, 12 swimming practitioners and 12 controls. Static and dynamic [in medial lateral (ML) and anterior posterior (AP) planes] postural balance were assessed by the centre of pressure sways using a stabilometric force platform in the eyes opened (EO) and eyes closed (EC) conditions. RESULTS: In the EO condition, swimming practitioners and tennis players had a significantly lower (p < 0.05) centre of pressure mean velocity (CoPVm) compared to controls in both static and dynamic medial-lateral (D-ML) postures. In the D-ML posture, swimming practitioners showed lower CoPVm compared to tennis players. However, in the EC condition, only the swimming practitioners showed better static and D-ML postural balance (p < 0.05) compared to their counterparts. In the static posture, the Romberg index value was significantly higher (p < 0.05) in tennis players compared to the two other groups. CONCLUSION: Tennis players developed a higher reliance on vision to maintain balance, whereas swimming practitioners were more stable in challenging postural conditions. Clinicians should consider incorporating swimming training rather than tennis as an appropriate balance training in fall-prevention programs.

Dual-task affects postural balance performance in children with intellectual disability.

BACKGROUND: Dual-task designs have been used to study the degree of automatic and controlled processing involved in postural balance. The aim of the present study was to explore postural balance performance during dual-task condition in children with intellectual disability compared to those with typical development. METHODS: Fifteen children with intellectual disability aged from 7 to 12 years old and fifteen age-matched children with typical development participated in this study. Participants were asked to maintain static balance on a force platform during a baseline condition (single task) and while performing the Picture Recognition Memory Test (dual-task condition). RESULTS: The results showed that dual-task similarly affects postural performance of both typically developing children and those with intellectual disability (p < .001). CONCLUSIONS: Children with intellectual disability and children with typical development have difficulties in maintaining their balance when carrying out a concurrent cognitive task. Intellectual disability did not lead to a more strongly compromised balance performance in dual-task situation.

Time Course Effects of Different Intensities of Running Exercise on Cognitive and Motor Performances in Individuals With Intellectual Disability.

This study explored the acute effects of different running intensities on cognitive and motor performances in individuals with intellectual disability (ID). An ID group (age, M = 15.25 years, SD = 2.76) and a control group without ID (age, M = 15.11 years, SD = 1.54) performed visual simple and choice reaction times, auditory simple reaction time, and finger tapping tests before and after running at low or moderate intensity (30% and 60% of heart rate reserve [HRR], respectively). Visual simple reaction time values decreased (p < .001) after both intensities at all time points with higher (p = .007) extend after the 60% HRR intensity for both groups. After both intensities, the VCRT decreased (p < .001) in the ID group at all time points compared with preexercise (Pre-EX) while, in the control group, these values decreased (p < .001) only immediately (IM-EX) and after 10 min (Post-10) of exercise cessation. Compared withs Pre-EX, in the ID group, the auditory simple reaction time values decreased (p < .001) at all time points after the 30% HHR intensity whereas, after the 60% HRR, these values decreased only at IM-EX (p < .001), Post-10 (p = .001) and Post-20 (p < .001). In the control group, auditory simple reaction time values decreased (p = .002) only after the 30% HRR intensity at IM-EX. The finger tapping test increased at IM-EX (p < .001) and at Post-20 (p = .001) compared to Pre-EX in both groups only after the 30% HHR intensity and for the dominant hand. The effect of physical exercise on cognitive performances in individuals with ID seems to depend on the cognitive test type as well as the exercise intensity.

Acute effects of aerobic versus resistance exercises on cognitive function in individuals with intellectual disability.

BACKGROUND: This study compared the acute effects of aerobic (AE) and resistance (RE) exercise on reaction time (RT) and working memory (WM) in individuals with intellectual disability. METHODS: RT tests and Corsi test for WM were performed before and after three intervention sessions: AE, RE, or control session consisting on watching video. RESULTS: The RT values decreased significantly (p < .001) after both of AE and RE with higher extend after the RE but did not vary following the control session. Corsi scores increased significantly (p < .001) after AE but not after RE or control session. CONCLUSIONS: These findings suggest that the effects of acute exercise on cognitive function in individuals with intellectual disability depend on the exercise mode as well as the nature of the cognitive task. The RE seems to be more recommended for RT enhancement whereas only the aerobic one could improve WM in these individuals.

Physical, Biochemical, and Neuromuscular Responses to Repeated Sprint Exercise in Eumenorrheic Female Handball Players: Effect of Menstrual Cycle Phases.

ABSTRACT: Graja, A, Kacem, M, Hammouda, O, Borji, R, Bouzid, MA, Souissi, N, and Rebai, H. Physical, biochemical, and neuromuscular responses to repeated sprint exercise in eumenorrheic female handball players: effect of menstrual cycle phases. J Strength Cond Res 36(8): 2268-2276, 2022-Very few studies have been interested in the relationship between ovarian hormones and physiological function in female athletes. The aim of this study was to assess the effect of menstrual phases (MP) on physical, neuromuscular, and biochemical responses after repeated sprint exercise (RSE) in female handball players. Ten eumenorrheic athletes (22.5 ± 1.5 years, 1.70 ± 0.04 m) participated in 3 study visits (follicular phase [FP], luteal phase [LP], and premenstrual phase [PMP]). During each MP, they performed 20 × 5-second cycle sprints interspersed with 25 seconds of rest. Maximal voluntary contraction (MVC) tests of the knee extensor muscles at 90° of knee flexion were performed before and after RSE. Peak force and electromyography (EMG) signals were measured during the MVC tests. Blood samples were collected before and 3 minutes after each session. The percentage of decrement in peak power output over the 20 × 5-second cycle test (i.e., fatigue index) calculated between sprints 1 and 20 decreased significantly during PMP (-43.3% ± 5.7%) but not in LP (-39.2% ± 7.7%) compared with FP (-32.44% ± 6.3%) ( p < 0.05). Moreover, no significant difference was found between MP in all frequency components of EMG before RSE ( p > 0.05). Maximal voluntary contraction, neuromuscular efficiency, and median frequency values of vastus lateralis and rectus femoris were significantly decreased in PMP compared with FP and LP ( p < 0.05). Creatine kinase (CK) levels were significantly higher in PMP compared with FP and LP after RSE ( p < 0.05). These findings suggest that RSE induces more peripheral fatigue associated with muscle damage in PMP. This might be attributable to hormonal variation across MP. Therefore, FP seems to be the right time for intense training to improve strength performance.

Different types of combined training programs to improve postural balance in single and dual tasks in children with intellectual disability.

The study explored the effects of two combined training (Strength-Proprioceptive versus Cognitive-Balance) programs on postural balance during single-task and dual-task conditions in children with intellectual disability. The postural balance and the second cognitive-task performances were evaluated before and after 8-week of training in two groups: Strength-Proprioceptive Group (n = 12) and Cognitive-Balance Group (n = 10). Results showed that, in both groups and regardless of the training effect, the postural balance performance was significantly (p < 0.05) altered in the dual-task condition compared to the single-task one. After-training session, postural balance performance was improved significantly (p < 0.001) for all task conditions. After training session, the second cognitive-task performance was improved in the Strength-Proprioceptive Group (p < 0.001) and Cognitive-Balance Groupe (p < 0.05). In conclusion, the combined training programs, Strength-Proprioceptive and Cognitive-Balance, improved postural balance performance in single-task and dual-task conditions in children with intellectual disability.

Using a dual-task paradigm to investigate motor and cognitive performance in children with intellectual disability.

BACKGROUND: The purpose of the current study was to evaluate the effects of dual-task (DT) constraints on walking performance in children with intellectual disability (ID). METHODS: Fifteen children with intellectual disability and fifteen age-matched typically developed children were asked to walk at a preferred speed: along a path (baseline condition), while carrying a glass of water and while quoting animal names. RESULTS: The present study findings showed that DTs affect walking performance of both typically developed children and those with intellectual disability. In children with intellectual disability, DT walking decrements were significantly higher when performing a concurrent motor task than cognitive one. CONCLUSIONS: DT constraints with a secondary motor or cognitive tasks seemed challenging for children with intellectual disability suggesting that future treatments or assessments should consider using DT constraints to manipulate the difficulty of tasks.

Effect of a 16-Week Combined Strength and Plyometric Training Program Followed by a Detraining Period on Athletic Performance in Pubertal Volleyball Players.

Fathi, A, Hammami, R, Moran, J, Borji, R, Sahli, S, and Rebai, H. Effect of a 16-week combined strength and plyometric training program followed by a detraining period on athletic performance in pubertal volleyball players. J Strength Cond Res 33(8): 2117-2127, 2019-The purpose of this study was to determine the effects of 16 weeks of combined strength and plyometric training or plyometric training alone and how a detraining program can modify adaptations in response to the training stimulus. Sixty male volleyball players (circa peak-height-velocity [PHV]: -1 to +1 year from PHV) were assigned to a combined training group (CTG) (n = 20), a plyometric training group (PTG) (n = 20), or a control group (n = 20). The experimental groups (CTG and PTG) participated in training twice weekly for 16 weeks. Thigh muscle volume, body fat, flexibility, sprint, jump height, and medicine ball throw were measured before and after the intervention and after the period of detraining. Respectively, the CTG and PTG showed increases in thigh muscle volume (effect size: 0.71 and 0.42) and decreases in body fat (-0.42 and -0.34), as well as improvements in 5-m sprint (-0.69 and -0.46), 10-m sprint (-0.31 and -0.3), lower-body muscle power (0.44 and 0.36), and upper-body muscle power (1.32 and 0.7). After the detraining period, all groups maintained previously attained muscle power (6.79-9.87%; p < 0.001). In conclusion, combined strength and plyometric training provided better improvements than plyometric training only. The combination of strength and plyometric training is a time-effective training modality that confers improvements in physical performance measures, muscle size, and body fat. A temporary period of detraining may not undermine performance gains in pubertal volleyball players.

Ramadan Fasting Effects on Postural Control in the Elderly: A Comparison Between Fallers and Non-fallers.

Our purpose was to compare the effects of Ramadan fasting on postural control in elderly fallers and non-fallers. The protocol involved twenty-four healthy old volunteer males divided into two groups: fallers (mean age = 75.43 ± 5.26 years, weight = 67.25 ± 5.30 kg and height = 1.65 ± 0.02 m) and non-fallers (mean age = 72.3 ± 6.42 years, weight = 65.5 ± 6.15 kg and height = 1.64 ± 0.03 m). Participants performed a simple reaction time test (SRT) and a postural control protocol on four different occasions: one week before Ramadan (BR), during the second (SWR) and the fourth week (FWR) of Ramadan and three weeks after Ramadan (AR). Center of pressure (CoP) parameters [the CoP medial-lateral length (CoPX), and the CoP antero-posterior length (CoPY)] were assessed using a force platform under two surface conditions: Firm surface and Foam surface. The results showed that Ramadan fasting influences similarly fallers and non-fallers. In fact, for both groups, the CoPX and the CoPY values increased significantly during the SWR and the FWR compared to BR. These CoP parameters decreased significantly in the Firm surface conditions in the FWR. Moreover, the CoP parameters were significantly higher during the FWR and AR in comparison with BR in the Foam surface conditions. However, the amplitude of increase of the CoP[X] % and the CoP[Y] % (ΔCoP[X] % and ΔCoP[Y] %) between BR and the SWR was significantly higher in the fallers than non-fallers. The SRT of elderly fallers and non-fallers was significantly higher in the SWR and in the FWR compared to BR. In conclusion, Ramadan fasting alters similarly postural control of elderly fallers and non-fallers, but the amplitude (ΔCoP[X] % and ΔCoP[Y] %) of this alteration seems to be more pronounced in fallers than non-fallers. A probable beginning of adaptation occurs at the FWR. However, three weeks seems to be insufficient to recover postural control alterations due to Ramadan fasting in difficult sensory conditions in elderly fallers and non-fallers.

An open-label randomized control trial of hopping and jumping training versus sensorimotor rehabilitation programme on postural capacities in individuals with intellectual disabilities.

BACKGROUND: This study aimed to compare the effectiveness of a hopping and jumping training programme (HJP) versus a sensorimotor rehabilitation programme (SRP) on postural performances in children with intellectual disability. METHODS: Three groups of children with intellectual disability participated in the study: the HJP group, the SRP group and a control group. Postural capacities were tested with the Berg Balance Scale (BBS) and the Tinetti tests. The HJP and the SRP groups participated in the training programmes for eight weeks. Then, all participants were retested. RESULTS: Results showed that before the training period, there are no significant differences between the three groups. After the training period, the BBS and the Tinetti scores increased significantly in the HJP group and the SRP group with greater extent in the HJP group than in the STP group. CONCLUSION: We suggest that HJP training is more recommended to improve postural capacities in children with intellectual disability.

Bone Turnover Markers and Lean Mass in Pubescent Boys: Comparison Between Elite Soccer Players and Controls.

The aim of this study was to examine the relationship between bone mass and bone turnover markers with lean mass (LM) in pubescent soccer players. Two groups participated in this study, which included 65 elite young soccer players who trained for 6-8 hours per week and 60 controls. Bone mineral density; bone mineral content in the whole body, lower limbs, lumbar spine, and femoral neck; biochemical markers of osteocalcin; bone-specific alkaline phosphatase; C-telopeptide type I collagen; and total LM were assessed. Young soccer players showed higher bone mineral density and bone mineral content in the whole body and weight-bearing sites (P < .001). Indeed, the total LM correlated with whole-body bone mineral density and bone mineral content (P < .001). There were significant differences within the bone formation markers and osteocalcin (formation)/C-telopeptide type I collagen (resorption) ratio between young soccer players compared with the control group, but no significant difference in C-telopeptide type I collagen was observed between the 2 groups. This study showed a significant positive correlation among bone-specific alkaline phosphatase, osteocalcin, and total LM (r = .29; r = .31; P < .05) only for the young soccer players. Findings of this study highlight the importance of soccer practice for bone mineral parameters and bone turnover markers during the puberty stage.

The effect of dual-task training on postural and cognitive performances in adolescents with down syndrome.

BACKGROUND: The dual task training (DTT) has been shown to improve postural and cognitive performances in many populations. Therefore, it seems of interest to explore the effect of such training modality in individuals with Down syndrome (DS) presenting both cognitive and postural deficits. AIMS: This study explored the effect of a DTT compared to a single task training (STT) on postural and cognitive performances in adolescents with DS. METHODS AND PROCEDURES: The center of pressure velocity (CoPVm) and the cognitive performance in the selective word recall test were recorded under single task (ST) and DT conditions before and after 8 weeks in the STT group (STTG), the DTTG and the control group (CG). OUTCOMES AND RESULTS: Before training, CoPVm values increased and cognitive performances decreased (p < 0.001) during the DT compared to ST conditions in all groups. After training, CoPVm decreased (p < 0.001) in the DTTG and the STTG under the ST conditions. However, under DT conditions, these values decreased (p < 0.001) only in the DTTG. The cognitive performance increased (p < 0.001) only in the DTTG in both ST and DT conditions. CONCLUSION: The DTT is strongly recommended to improve both postural and cognitive performances in individuals with DS notably in DT conditions.

Effects of Specific Dual Task Training on Change of Direction Ability, Cognitive Flexibility, and Inhibition in Young Soccer Players.

In the current study we aimed to investigate the effect of specific dual task training (SDTT) compared to conventional soccer training (CST) on motor and cognitive performances in U13 elite soccer players. Twenty-four young soccer players (all males) participated in this study. We measured their change of direction ability (CODA) and cognitive performances (cognitive flexibility and inhibition) before and after four weeks in either the SDTT group or the CST group. We administered the Trail-Making Test (TMT) to evaluate cognitive flexibility and the Stroop test to evaluate cognitive inhibition. We assessed CODA using the t test (TT). After training, CODA (p < .001), cognitive flexibility (p < .001), and inhibition (p < .001) were improved only in the SDTT group. These results suggest that SDTT seems more suitable than CST to optimally improve both CODA and cognitive performances in U13 elite soccer players.

Time Limited Benefits of Physical and Proprioceptive Training on Physical Fitness Components in Children With Autism Spectrum Disorders.

In this study, we explored the immediate and three-month follow-up effects of physical training on physical fitness in children with autism spectrum disorder (ASD). We randomly assigned 20 children with ASD (age 8-11 years) into an experimental group (EG; n = 10) and a control group (CG; n = 10). The EG participated in an 8-week training program involving both strength and proprioceptive exercises (three 60-minute sessions/week), while the CG simply maintained their daily activities. We assessed physical fitness components for each participant at baseline, post-training, and at a 3-month follow-up. The physical training intervention significantly improved physical fitness of these children with ASD in terms of their flexibility (p < .001; 32.46%), lower limbs strength (p = .003; 36.98%), lower body power (p < .001; 41.78%) and functional mobility (p < .001; 25.56%). However, these addition training-induced gains were lost at follow-up for lower limbs strength (p < .001), flexibility (p < .001), and functional mobility (p = .034)). Physical training was effective for improving physical fitness in children with ASD, but the loss of these gains at three months follow-up underscored the need for continuous physical exercise.

Cognitive-motor interference during standing stance across different postural and cognitive tasks in individuals with Down syndrome.

BACKGROUND: Individuals with Down syndrome (DS) presented both cognitive and motor impairments that could influence each other. Therefore, exploring cognitive-motor interference during standing stance is relevant in this population. AIMS: This study explored the dual task (DT) effects on postural balance during diverse cognitive tasks and sensory manipulations in individuals with DS, compared to those with typical development (TD). METHODS AND PROCEDURES: Fifteen adolescents with DS (age = 14.26 ± 1.27 years; height = 1.50 ± 0.02; weight = 46.46 ± 4.03 kg; BMI =20.54 ± 1.51 kg/m2) and thirteen with TD (age = 14.07 ± 1.11 years; height = 1.50 ± 0.05; weight = 44.92 ± 4.15 kg; BMI =19.77 ± 0.94 kg/m2) participated in this study. Postural and cognitive performances for the selective span task (SST) and the verbal fluency (VF) were recorded during single task (ST) and DT conditions. Postural conditions were: firm eyes open (firm-EO), firm eyes closed (firm-EC) and foam-EO. Motor and cognitive DT costs (DTC) were calculated and analyzed across these different cognitive and postural conditions. OUTCOMES AND RESULTS: In the DS group, postural performance was significantly (p < 0.001) altered during all DT conditions, compared to the ST situation. Moreover, the motor DTC was significantly (p < 0.001) higher while performing the VF task than the SST. However, in the control group, postural performance was significantly (p < 0.001) impaired only while performing the VF test in the DT-Firm EO condition. For both groups, cognitive performances were significantly (p < 0.05) altered in all DT conditions compared to the ST one. CONCLUSION: Adolescents with DS are more prone to DT effects on postural balance than those with TD.

Effects of Music Listening on Postural Balance in Adolescents with Visual Impairment.

We aimed to investigate the effect of music on visually impaired adolescents' postural balance across different somatosensory and vestibular input conditions. We recruited 19 adolescent participants (9 males, 10 females) with severe congenital visual impairment. We recorded their mean center of pressure velocity (CoPVm) during static upright bipedal standing under somatosensory (firm and foam surfaces) and vestibular (head facing forward (HFF), head rotated 90° to the right (HRR), and head rotated 90° to the left (HRL)) perturbations in three auditory conditions (no-music, listening to Jupiter, and listening to their preferred music). We found that CoPVm decreased significantly when listening to both Jupiter and preferred music, compared to the no-music condition on both firm (p < .05) and foam (p < .001) surfaces and with the HFF (p < .05), rotated to the right (p < .001) or rotated to the left (p < .001). Moreover, CoPVm values increased significantly with somatosensory manipulation (p < .001) in all the auditory conditions and with vestibular manipulation (p < .01) only in the no-music condition. We concluded that listening to both Jupiter and preferred music improved postural balance in visually impaired adolescents, even in challenged postural conditions.

Dual-Task Training Effects on the Cognitive-Motor Interference in Individuals with Intellectual Disability.

This study explored the effect of dual task (DT) training compared to single task (ST) training on postural and cognitive performances in DT conditions in individuals with intellectual disability (ID). Postural sways and cognitive performances were measured separately and simultaneously before and after 8 weeks in the ST training group (STTG), the DT training group (DTTG) and the control group (CG) that did not received any training. Before training, postural sways and cognitive performances were higher in the DT condition compared to ST one in all groups. After training, postural sways were higher in the DT condition compared to the ST only in the STTG and the CG. The cognitive performance increased after training only in the DTTG.

Cognitive-Motor Interference during Dual Tasks in Blind Children.

The aim of the present study was to compare the dual-task (DT) performance in blind children with sighted ones while concurrently performing a motor task (upright standing) with cognitive (Letter fluency (LF) or Category fluency (CF)) tasks. The Center of pressure mean velocity (CoPVm) and the cognitive performances were recorded during single (ST) and DT conditions. Results showed that, for both groups, CoPVm values increased significantly (p < 0.05) in the DT compared to ST condition. The CoPVm values were significantly (p < 0.001) higher in blind children, compared to controls only in the DT-CF condition. In conclusion, balance performance of blind and typically developed children is affected by dual tasking. Interference between motor and cognitive tasks has more pronounced effects on balance performance in blind children, compared to controls. This difference was observed only when performing the CF task concurrently with the postural balance task.