Influence of intellectual disability on exercise regulation: exploring verbal, auditory and visual guidance to contribute to promote inclusive exercise environments.

Objective: The role of intellectual disability (ID) in exercise regulation has remained largely unexplored, yet recent studies have indicated cognitive-related impaired pacing skills in people with ID. In a well-controlled laboratory environment, this study aims to (1) establish the role of ID in pacing and explore the ability of people with and without ID to maintain a steady pace; (2) to investigate if verbal feedback and/or (3) the presence of a pacer can improve the ability of people with ID to maintain a preplanned submaximal velocity. Methods: Participants with (n=10) and without ID (n=10) were recruited and performed 7 min submaximal trials on a cycle ergometer (Velotron). Participants with ID also performed a cycling trial with a pacer (virtual avatar). Results: The non-parametric tests for repeated measures data (p≤0.05) showed that (1) people with ID deviated more from the targeted pace compared with people without ID, (2) the verbal feedback did not influence their ability to keep a steady pace and (3) they deviated less from the targeted pace when a visual pacer was introduced. Conclusion: The results revealed the difficulties of people with ID in planning and monitoring their exercise and the difficulties in appropriately responding to auditory and verbal feedback. Coaches and stakeholders who want to offer inclusive exercise pathways should consider that people with ID perform and pace themselves better when supported by intuitive, visual and personally meaningful stimuli such as other cyclists (avatars).

The Role of Cognition and Social Factors in Competition: How Do People with Intellectual Disabilities Respond to Opponents?

Exploring pacing behaviour in people with intellectual disabilities (ID) in competition will help to better understand the impact of cognition and social environment in sports, providing support for the shaping of proper inclusive sports environments. The present experimental study aimed to (1) compare the pacing behaviour and performance between people with and without ID who are inexperienced in cycling and (2) investigate how these are influenced by an opponent. Participants with (n = 8) and without ID (n = 10) performed two randomised 4-km maximal cycling trials, alone and against an opponent. Non-parametric tests for repeated measures data (p ≤ 0.05) revealed that people with ID cycled slower, but with higher inter-individual variation (both conditions) and paced themselves differently compared to people without ID when competing against an opponent. In contrast to the previous literature in athletes without ID, the presence of a faster opponent resulted in a decrease in the performance in the participants with ID. The negative influence of the opponent highlights the potential difficulties people with ID experience to adequately use their opponents to enhance their self-regulatory processes and optimize their pacing and performance in maximal exercise trials. Coaches who want to offer inclusive sports environments for people with ID could take these findings into consideration.

The role of the social environment in inclusive sports participation-Identifying similarities and challenges in athletes with and without Intellectual Disabilities through coaches' eyes: A qualitative inquiry.

Despite the efforts of mainstreaming in sports, inclusive participation of people with Intellectual Disabilities (ID) in sports remains challenging. In sports settings, the social environment may influence the motivation of athletes and promote (or restrict) inclusive sports participation of athletes with ID. Thus, this study aims to explore the motivations of athletes and coaches and to investigate the role of the social environment in sports participation of athletes with and without ID. Coaches who coach athletes with ID (n = 11), athletes without ID (n = 13) and both groups (n = 2) were involved in semi-structured interviews. From the inductive thematic analysis three themes were identified for the sports motivations of athletes with ID (Sport-related Progression, Social Interaction, Positive Emotions), two for their coaches' motivations (Help others, Personal and Professional Development) and four for coaching practices toward athletes with ID (Psychological and Life skills development, Building Meaningful Relationships, Behaviour adaptations and Participation-focused). Moreover, 'Teammates and Opponents' and 'Family' were classified as social agents that influence the sport participation of athletes with ID. Coaches of athletes without ID reported additional themes about their athletes' motivations (Health-related Reasons), their coaching motivations (Career aspirations) and their coaching practices towards athletes without ID (Performance-focused). The motivations of athletes and the practices of coaches could promote sports participation of athletes with ID, but more work is needed to address athletes' sports motivations and overcome the able-ist attitudes and the social oppression that may make their inclusion in sports more challenging. These sports participation barriers and facilitators could provide direction to stakeholders for developing inclusive sports pathways to people with ID.

Coaching styles and sports motivation in athletes with and without Intellectual Impairments.

The cognitive limitations of athletes with Intellectual Impairments (II) may influence their sport behaviour and lead them to rely on coaches' support. However, it is still unclear how II may influence sports performance progression and motivation and how coaches perceive their athletes with II and coach them. Thus, this study aims to examine 1) coach's perceptions of motivation and performance progression in athletes with and without II, 2) coaching style (dis)similarities, and 3) the association between these factors. Coaches of athletes with (n = 122) and without II (n = 144) were recruited and completed three online questionnaires, analysed using a series of non-parametric analyses (p ≤ .05). Results showed that perceived performance progression and controlled motivation were higher of athletes with II while perceived autonomous motivation was higher of athletes without II. No coaching style differences were found between the two groups. Additionally, a need-supportive coaching style negatively predicted amotivation, and a need-thwarting coaching style predicted lower autonomous motivation in athletes with II only. Overall, it seems that the coaches perceived that their athletes with II demonstrate different motivations and react dissimilarly to their coaching styles compared to athletes without II. They may also adopt different standards of sporting success for them. Due to these differences, it is important to offer appropriate training and knowledge to coaches about disability sports and the adaptations needed to effectively coach athletes with II. In summary, this paper gives some insights about the coach-athlete relationship and highlights the necessity to further support the sports development of people with II.

Effectiveness of physical activity interventions on reducing perceived fatigue among adults with chronic conditions: a systematic review and meta-analysis of randomised controlled trials.

Fatigue is barrier of physical activity participation in adults with chronic conditions. However, physical activity alleviates fatigue symptoms. This systematic review and meta-analysis aimed to (1) synthesise evidence from randomised controlled trials (RCTs) exploring the effects of physical activity interventions on fatigue reduction and (2) evaluate their effectiveness. Medline/CINAHL/EMBASE/Web of Science and Scopus were searched up to June 24th, 2023. Two reviewers independently conducted study screening and selection (RCTs), extracted data and assessed risk of bias (RoB2). Outcome was the standardised mean difference (SMD) with 95% confidence intervals in fatigue between experimental and control groups. 38 articles met the inclusion criteria. Overall, physical activity interventions moderately reduced fatigue (SMD = 0.54, p < 0.0001). Interventions lasting 2-6 weeks demonstrated a larger effect on fatigue reduction (SMD = 0.86, p < 0.00001). Interventions with 18-24 sessions showed a large effect on fatigue reduction (SMD = 0.97, p < 0.00001). Aerobic cycling and combination training interventions had a large to moderate effect (SMD = 0.66, p = 0.0005; SMD = 0.60, p = 0.0010, respectively). No long-term effects were found during follow-up. Physical activity interventions moderately reduced fatigue among adults with chronic conditions. Duration, total sessions, and mode of physical activity were identified as key factors in intervention effectiveness. Further research is needed to explore the impact of physical activity interventions on fatigue.

The Role of the Social Environment in Pacing and Sports Performance: A Narrative Review from a Self-Regulatory Perspective.

As proposed by Triplett in 1898 and evidenced by a recent series of lab and field studies, racing against other competitors consistently results in increased performance compared to when racing alone. To explain this phenomenon, we will explore the process of self-regulation, a process relevant to pacing, which is linked to athletes' emotions and facilitates their sports performance optimization. We will apply the cyclical model of Self-regulation of Learning to pacing and sports performance settings and explore the role of the social environment (in particular, opponents but also coaches) in each phase of the self-regulatory model. It seems that the social environment could be considered as a significant self-regulatory and sports performance facilitator. More specifically, athletes can focus on their social environment (opponents) when they have to set goals and select appropriate strategies to achieve them (forethought phase), monitor and manage their actions and their emotions (performance phase), and make self-judgements and choose self-reactions (self-reflection). Moreover, the social environment (coaches) can observe, step in, and facilitate these intricate processes. These findings could guide athletes and their coaches towards more effective pacing acquisition and development, and better sports performance, which could be of particular relevance for youth athletes or athletes with disabilities impacting on their self-regulatory skills.