The Absence of Vision Impacts Attentional Focus Effects During a Balancing Task.

Purpose: Recent work involving reaching and aiming tasks provides evidence that an internal focus results in less error than an external focus when visual information is removed. The purpose of this study was to extend these findings by determining how an internal and external focus impact motor performance during a balancing task for adults with and without visual occlusion. Method: Thirty-two undergraduate students were randomly assigned to perform the task with or without visual occlusion. Participants balanced on a stability platform during four familiarization trials, three internal focus trials, and three external focus trials. Results: A significant Focus x Vision interaction indicated the group without visual occlusion had significantly lower root mean square error (RMSE) with an external focus, whereas the group with visual occlusion had lower RMSE with an internal focus. Conclusions: These findings indicate that for tasks that rely on online sensory feedback, such as balancing, the optimal attentional focus may be dependent on the dominant type of sensory feedback that is available.

Utilising an internal focus of attention during preparation and an external focus during execution may facilitate motor learning.

Research with athletes and coaches has found that attentional focus strategies are more complex than using an internal or external focus exclusively. Recently Becker et al. [2020, March 1. The effects of attentional focus in the preparation and execution of a standing long jump. Psychological Research, 84(2), 285-291] found that switching attentional focus from internal in movement preparation to external during movement execution provided a benefit over internal focus and control conditions. The purpose of this study was to investigate the effects of attentional switching on motor skill acquisition. 79 participants were randomly divided into an internal (INT), external (EXT), or switching group (IES). Individuals performed 80 acquisition trials of a golf chipping task with their prescribed attentional focus during preparation and execution. 24-hours later 10-trial retention and transfer tests were performed. The primary analysis revealed significant improvement during acquisition (p < .001) but no significant differences between attentional focus groups during acquisition, retention, or transfer. A secondary analysis was performed with individuals low in attentional focus adherence removed (<60%). Groups significantly improved during acquisition (p < .001). For retention IES significantly outperformed INT (p < .05). These results suggest that the detrimental effects of an internal focus are only found during skill execution and not movement preparation. It is possible for learners to benefit from both an internal and external focus so long as the cues are provided during the correct phase of skill performance.Highlights Attentional focus is much more complex than using either an internal or external focus of attention. This study investigated the effects of switching attention during skill acquisition from an internal to external focus.A preliminary analysis revealed no significant differences between attentional focus groups of internal, external, or switching. One reason for this finding was the poor adherence to the prescribed focus cue.A secondary analysis where low adherence individuals were removed revealed a significant difference between the switching group and the internal focus group during retention.These finding suggest that the detrimental effects associated with an internal focus of attention are exclusive to using the focus during task execution. It is possible that an internal focus can still facilitate learning so long as an external focus is used during movement execution.

Attentional focus influences sample entropy in a balancing task.

An external focus of attention has consistently been associated with improved balance (Wulf, 2013). Recent work has considered whether changes in postural control entropy, a measure of repeated movement patterns, could be a factor influencing this benefit. Rheaet al. (2019) reported that during quiet standing sample entropy when using an external focus was increased relative to baseline, whereas an internal focus did not differ from baseline. External and internal focus conditions did not differ from each other, but the authors speculated this difference may emerge with more complex balance tasks. The purpose of the present study was to determine if sample entropy and standard deviation of angular displacement differed when balancing on a stability platform while using an external, internal, or holistic focus. Young healthy adults (N = 36) completed three familiarization trials on the stability platform, followed by three trials each using an external focus (focus on keeping markers level), an internal focus (focus on keeping feet level), and a holistic focus (focus on feeling calm and stable). All trials lasted 20 s, and focus condition order was counterbalanced. Angular displacement of the platform was recorded at a frequency of 25 Hz, and sample entropy and standard deviation of angular displacement were calculated using a custom MATLAB code. Separate mixed ANOVAs for each dependent variable were used to assess differences due to focus and condition order, and Sidak post-hoc tests were used for pairwise comparisons. Results indicated an external focus led to higher sample entropy than a holistic focus (p = .001) and internal focus (p = .031). Standard deviation trended toward lower values with an external focus, but was influenced by a Focus x Order interaction. These results suggest that an external focus may promote more adaptive movement adjustments relative to a holistic focus and an internal focus.

The effects of attentional focus in the preparation and execution of a standing long jump.

Attentional focus research suggests an external focus leads to improved motor performance compared to an internal focus (Wulf in Int Rev Sport Exerc Psychol 6:77-104, 2013), but skilled athletes often report using an internal focus (Fairbrother et al., Front Psychol 7:1028, 2016) and sometimes shifting between different foci in the preparation and execution phases of performance (Bernier et al. in J Appl Sport Psychol 23:326-341, 2011; Bernier et al. in Sport Psychol 30:256-266, 2016). To date, focus shifts have been unexplored in experimental research, thus the purpose of this study was to determine the effect of shifting focus between the preparation and execution phases of a standing long jump. Participants (N = 29) completed two jumps in a control condition (CON), followed by two jumps in four experimental conditions presented in a counterbalanced order. Conditions included using an external focus (EF) and internal focus (IF) in both preparation and execution of the skill, as well as shifting from an internal focus in preparation to an external focus in execution (ITE), and an external focus in preparation to an internal focus in execution (ETI). Jump distance was analyzed with a repeated measures ANOVA. The main effect of condition was significant, p < .001, with EF producing longer jumps than all other conditions (p's < 0.05). ITE also generated farther jumps than IF and CON (p's < 0.05). The superiority of the EF and ITE conditions suggests that the focus employed in execution has the strongest impact on performance. Additionally, if an internal focus must be used in preparation, the performance decrement can be ameliorated by shifting to an external focus during execution.

Influence of Attentional Focus Instructions on Motor Performance Among Adolescents With Severe Visual Impairment.

Substantial research has demonstrated that an external (vs. internal) attentional focus enhances motor performance among various populations. Interest has recently grown in examining the effects of attentional focus among individuals with visual impairments (VI), and, to date, research results have been conflicting with some studies supporting a potential benefit to an external focus among adults with VI, while a study of children with severe VI was inconclusive regarding this benefit. The present investigation compared the effects of an internal versus an external attentional focus on a discrete throwing task among adolescents with severe VI. We recruited 13 participants with a visual acuity score of less than 6/60 and had them throw a Goalball (25 cm ball with bells often used in competitive sports designed for people with VI) as fast as possible for three familiarization trials, three internal focus trials, and three external focus trials. These participants threw the ball with significantly higher velocity when using an external focus than in other conditions, indicating a benefit from an external focus for this population when performing this discrete task.

Effects of Simulated Horseback Riding on Balance, Postural Sway, and Quality of Life in Older Adults With Parkinson's Disease.

The purpose of this study was to determine changes in balance, postural sway, and quality of life after 6 wk of simulated horseback riding in adults diagnosed with Parkinson's disease. Eight older adults completed two 60-min riding sessions weekly for 6 wk. Variables of balance, postural sway, and quality of life were measured 6 wks before and within 1 wk before and after the intervention. Berg Balance Scale scores decreased from baseline to preintervention (48.36 ± 5.97 vs. 45.86 ± 6.42, p = .050) and increased from preintervention to postintervention (45.86 ± 6.42 vs. 50.00 ± 4.38, p = .002). Cognitive impairment, a dimension of quality of life, improved from baseline to postintervention (37.5 ± 20.5 vs. 21.5 ± 14.4, p = .007). Six weeks of simulated horseback riding may improve balance and cognitive impairment in older adults with Parkinson's disease.

Acute Cardiometabolic Responses to Three Modes of Treadmill Exercise in Older Adults With Parkinson's Disease.

The purpose of this study was to compare acute cardiometabolic responses to 3 modes of treadmill exercise in adults diagnosed with Parkinson's disease (PD). Eight elderly adults with PD (67.9 ± 3.0 yr) completed 1 session each on a land, aquatic, and antigravity treadmill at 50% body weight. Participants walked from 1 to 3 mph in 0.5-mph increments at 0% grade for 5 min at each speed. Heart rate, energy expenditure, blood pressure, and rating of perceived exertion were measured at rest and during exercise. All variables except diastolic blood pressure increased with speed on all treadmills (p < .001). At all speeds except 1.5 mph, heart rate was higher on the land treadmill than the antigravity treadmill (p < .05). Exercising on an aquatic or antigravity treadmill elicits similar submaximal physiologic responses to exercise on a land treadmill in adults with PD.

The Differential Effects of Attentional Focus in Children with Moderate and Profound Visual Impairments.

It has been consistently reported that an external focus of attention leads to better motor performance than an internal focus, but no research to date has explored this effect in a population with visual impairments (VI). External focus statements typically reference something in the environment (e.g., target) that may be difficult to conceptualize for people with VI since they cannot generate a visual representation of the object of focus. Internal focus statements could be more closely identifiable with proprioception that is not impaired in this population. Recent studies have reported that sighted adults with temporarily obstructed vision are able to receive an external focus benefit when performing discrete tasks (i.e., golf putt and vertical jump), however, it is unclear if those with VI would experience the same benefit. The purpose of this investigation was to compare how an internal focus and external focus impact the balance of children with VI. Eighteen children with VI were grouped into a moderate (n = 11) and a profound VI group (n = 7). Participants completed a familiarization trial, an internal focus trial (i.e., focusing on feet) and an external focus trial (i.e., focusing on markers) in a counterbalanced order. The moderate VI group had a lower root mean square error while using an external focus (p = 0.04), while the profound VI group did not differ between conditions (p > 0.05). These results suggest that while performing a task reliant on sensory feedback, an external focus benefit may be dependent on the severity of VI. Further research is needed to examine whether external focus statements can be presented in a way that may be more intuitive to those with profound VI. These findings may help to influence how professionals in health-related fields (e.g., physical therapist and physical educators) give instructions on motor performance to populations with VI.

Attentional Focus Effects in Standing Long Jump Performance: Influence of a Broad and Narrow Internal Focus.

The content of instructions that strength coaches give can have a significant impact on how an athlete or client performs. Research on motor learning has shown an advantage of instructions focusing on the effects of movements (external focus) over those focusing on the movements themselves (internal focus) in the performance of motor skills. Internally focused cues are abundant in coaching, therefore the purpose of this study was to test whether some internally focused cues might be more helpful than others. Participants (68) were randomly assigned to either an external focus (EX), broad internal focus (B-IN), narrow internal focus (N-IN), or a control group (CON), and performed 5 standing long jumps. All groups were instructed that the goal was to jump as far as possible. In addition, the EX group was told to "jump as far past the start line as possible." The B-IN group was told to "use your legs." The N-IN group was told to "extend your knees as rapidly as possible," and the CON group received no additional instruction. An analysis of covariance showed that the EX group (198.09 ± 31.89 cm) jumped significantly farther than both the B-IN group (173.74 ± 35.36 cm), p = 0.010 and the N-IN group (178.53 ± 31.17 cm), p = 0.049, with no group different from the CON group. The results suggest that a broad internal focus is no more effective than a narrow internal focus, and that an external focus leads to the greatest jump distance. Strength and conditioning professionals should carefully word their instructions to induce an external focus of attention whenever possible.