Effects of Sport Participation on Gait Coordination, Symmetry, and Variability in Older Adults.

The aim of this study was to compare the interlimb coordination, asymmetry, and variability between older adults who participated in sports (n = 25; age = 72.6 ± 6.46 years) and sedentary older adults (n = 20; age = 70.85 ± 3.82 years). The sport participants were selected from tennis and badminton clubs, whereas the sedentary participants were recruited from local community centers. The participants walked at their preferred speed in a 10-m walkway for 2 min. The interlimb coordination was measured by the phase coordination index. Other walking metrics were speed, cadence, swing time, stance time, double-support time, stride time, and swing time asymmetry. The results showed that the sport participants relative to the sedentary group had better interlimb coordination, higher walking speed and cadence, and less swing time variability. Young older adults also had a better interlimb coordination. In conclusion, the findings of this study showed that long-term participation in sports has some antiaging benefits on gait coordination and symmetry in older adults.

Effects of Motor Learning Interventions on Walking Performance and Physical Function in Older Adults With Cognitive Impairment and Dementia: A Systematic Review and Meta-Analysis.

Older adults with cognitive impairment have deficits in executive systems that affect their gait automaticity. The aim of the meta-analysis and systematic review was to examine the effects of interventions focus on only motor learning principles on gait performance and physical functions (e.g., dynamic balance). After inspections of 879 articles, 11 relevant studies were selected for systematic review and meta-analysis. The PEDro scale and Modified Downs and Black checklist were used to assess the quality of studies, and a random-effect model was used at a 95% confidence interval for calculating pooled effect sizes. The results of this systematic review and meta-analysis showed that motor learning interventions increased gait speed, cadence, stride length, and reduced gait cognitive cost but did not affect gait variability and physical function. In conclusion, practitioners should pay attention more to the potential benefits of motor learning interventions in rehabilitating older adults with cognitive impairment.

Effect of home-based exercise on falls in community-dwelling older adults: an umbrella review.

Aims: The aim of this review study was to examine the effectiveness of home-based and community-based exercise programmes in the rate of falls and improving physical functioning in community-dwelling older adults. Methods: All types of home-based and community-based exercise interventions were searched. From 1186 studies identified, 14 studies were selected for the umbrella review. Most studies had high methodological quality. The types of interventions were multi-functional programmes (n = 11 studies) and Otago Exercise Programme (OEP) (n = 3 studies). Results: The results showed that home-based and community-based exercise interventions can reduce falls by 22-32%. Studies that included meta-analysis showed that the clinical significance of home-based interventions in fall prevention and improving physical function was moderate to high. Conclusions: In conclusion, home-based and community-based exercise interventions are a safe, effective, and feasible method of fall prevention that could be implemented with minimum supervision by allied health professionals to maximise autonomy, self-efficacy, and adherence in community-dwelling older adults.

Effects of locomotion task constraints on running in boys with overweight/obesity: The mediating role of developmental delays.

BACKGROUND: Childhood obesity adversely affects the musculoskeletal system and is accompanied with motor development delays. Movement interventions that change the body composition and movement patterns is suggested as an effective way to minimise the childhood obesity adverse effects. RESEARCH QUESTION: Whether a locomotion task constraints intervention is effective to change body composition, motor performance and running efficiency in overweight/obese boys with different levels of motor development. METHODS: Forty young boys (age: 8.21 ±â€¯1.01 years) whose body mass index (BMI) was above the 85th normative ranked score were divided into 4 independent groups according to their development and BMI: intervention-typical, intervention-delay, control-typical and control-delay. A 6-week task constraints intervention with an emphasis on improving locomotion skills such as fast walking, running, jumping, hopping, skipping and leaping were carried out in the intervention group. RESULTS: The pre and post-intervention difference score on the sample dependent variables showed decreases in body mass and BMI and improvements in agility, joint kinematics and running economy in the intervention-typical group relative to other groups. SIGNIFICANCE: The findings highlight that the boys with overweight/obesity and typical development can benefit more from a short-term developmentally-appropriate intervention to refine the running pattern and agility skill that was accompanied by positive changes in body composition.

Effects of Enriched Physical Activity Environments on Balance and Fall Prevention in Older Adults: A Scoping Review.

The incidence of falling, due to aging, is related to both personal and environmental factors. There is a clear need to understand the nature of the major risk factors and design features of a safe and navigable living environment for potential fallers. The aim of this scoping review was to identify studies that have examined the effectiveness of environments, which promote physical activity and have an impact on falls prevention. Selected studies were identified and categorized into four main topics: built environment, environment modifications, enriched environments, and task constraints. The results of this analysis showed that there are a limited number of studies aiming to enhance dynamic postural stability and fall prevention through designing more functional environments. This scoping review study suggests that the design of interventions and the evaluation of an environment to support fall prevention are topics for future research.

Effect of Motor Development Levels on Kinematic Synergies During Two-Hand Catching in Children.

The ability to coordinate different body parts under different constraints that are imposed by organism, environment, and tasks during motor development might be different in children. The aim of this study was to examine whether children with different motor development levels are different with regard to multijoint coordination during two-hand catching. Eighty-four children (age: 6.05 ±0.67 years) who were assessed on object control skills were recruited voluntarily. The biomechanical model was defined from 20 movements of seven segments (shoulders, elbows, wrists, and torso), and the principal component analysis was used to quantify the multijoint coordination and kinematic synergies during catching. The results showed that the redundancy of joints in two-hand catching is controlled by three kinematic synergies that defined the majority of the variance. The participants who were grouped based on their development levels did not show differences in the number and strength of synergies; however, they were different in the utilization of the kinematic synergies for successful catching. In conclusion, the number and the strength of the kinematic synergies during two-hand catching are not affected by the developmental levels and are related to the nature of the task.

Effects of Developmental Task Constraints on Kinematic Synergies during Catching in Children with Developmental Delays.

The aim of this study was to examine effects of a task intervention on kinematic synergies in catching. Participants were young children (5.58 ± 0.52 years) with the lowest scores on two-hand catching, according to assessments with the Test of Gross Motor Development-2 (TGMD-2) and were allocated into two groups. The constraints group took part in an 8-week intervention, whereas the control group experienced a typical physical education. Both groups were assessed with motor development and kinematic coordination measures with a catching task with a ball thrown from 2 m distance. Kinematic variables were recorded using a wireless motion capture system. A principal component analysis (PCA) was used to measure the kinematic synergies formed among active body parts. Two synergies that emerged in catching were mainly utilised for "reaching" and "catching" the ball. The control group tended to re-organise the majority of active body parts into two functional units in all phases, whereas the constraints group adapted their active parts into functional units according to the requirement of the novel movement in the transfer task. The findings of this study suggested that task constraints could facilitate object control by re-organisation of active body parts into functional synergies to achieve successful performance.

Effects of task and environmental constraints on axial kinematic synergies during the tennis service in expert players.

The aims of this study were to examine the effects of task and environmental constraints on axial synergies and to find an association between synergies and arm acceleration as a performance variable. Participants of this study were 10 expert tennis players (age: 34.4 ± 7.46) who voluntarily took part and executed 60 serves under two different conditions: no-opponent and opponent. An inertial motion unit (IMU) capture system was used to calculate the 3D angular joint motions in the neck, back and lumbar segments. The results of the principal component analysis showed that the redundancy in the axial segments is decomposed into 2 main synergies that are responsible for the loading (backward swing) and firing phase (forward swing). The total variance and loading synergy variance were significantly lower in the topspin service than other service types. The emerged firing synergy was strongly associated with the arm acceleration regardless of service type. In conclusion, the effective strategy to utilise the axial motions in the trunk is through creating functional synergies that have a flexible role based on the type of service and conditions. The topspin service showed less coordination variability relative to other types of service and serving in the opponent condition required participants to change the nature of synergy among the axial segments. These findings support the design of practice that emphasises the importance of more realistic contexts with special attention given to the order of different service types.

Age-related changes to motor synergies in multi-joint and multi-finger manipulative skills: a meta-analysis.

PURPOSE: The aim of the current meta-analysis was to examine the extent to which there are differences in upper extremity motor synergies across different age groups in manipulative tasks. METHODS: The studies that used the uncontrolled manifold method to examine the effect of age on motor synergies in multi-joint and multi-finger tasks were selected. Sixteen relevant studies from 1154 articles were selected for the meta-analysis-4 and 12 studies considered multi-joint kinematics and multi-finger kinetic tasks respectively. RESULTS: The results of the meta-analysis suggested reduced strength of synergies in multi-finger task in older adults, but this was not the case for synergies in multi-joint task. Part of this age-related difference in finger function is related to the increased variability in total force in grasping tasks. However, reductions in the strength of multi-finger synergies in hand functions following ageing appear to depend on the characteristics of the task. CONCLUSIONS: These findings indicate that the cooperation among fingers to stabilise the total required force to apply for grasping and other fine motor skills is less efficient in older adults that might affect the quality of manipulative tasks.

Stroke survivors exhibit stronger lower extremity synergies in more challenging walking conditions.

The aim of this study was to examine how kinematic synergies are utilised as compensatory movements to stabilise foot positions under different walking task constraints in people with stroke. Ten (Males = 6, Females = 4) hemiplegic chronic stroke survivors volunteered to participate in this study, recruited from a rehabilitation centre. They completed a consent form and participated in treadmill walking tasks; flat, uphill, and crossing over a moving obstacle. The uncontrolled manifold method was used to quantify kinematic synergies in the paretic and non-paretic legs during their swing phase. The results of this study showed the strength of synergies was significantly greater in the obstacle task than in the uphill walking tasks at mid and terminal swing phases. In conclusion, the results suggest that walking in the challenging situations caused people with stroke to control step stability with greater compensation between lower extremity joints. Participants adapted to the increased challenge by increasing the amount of 'good variability', which could be a strategy to reduce the risks of falling.

Locomotor Adaptations During RaceRunning in People With Neurological Motor Disorders.

The aim of this study was to examine strategies to absorb impact shock during RaceRunning in participants with neurological motor disorders. For this purpose, 8 RaceRunning athletes (4 male and 4 female) voluntarily took part in the study. Each participant performed a series of 100-m sprints with a RaceRunning bike. Acceleration of the tibia and head was measured with 2 inertial measurement units and used to calculate foot-impact shock measures. Results showed that RaceRunning pattern was characterized by a lack of impact peak in foot-ground contact time and the existence of an active peak after foot contact. Due to the ergonomic properties of the RaceRunning bike, shock is attenuated throughout the stance phase. In conclusion, the results revealed that RaceRunning athletes with neurological motor disorders are capable of absorbing impact shock during assisted RaceRunning using a strategy that mimics runners without disabilities.

Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis.

OBJECTIVE: Secondary vascular risk reduction is critical to preventing recurrent stroke. We aimed to evaluate the effect of exercise interventions on vascular risk factors and recurrent ischaemic events after stroke or transient ischaemic attack (TIA). DESIGN: Intervention systematic review and meta-analysis. DATA SOURCES: OVID MEDLINE, PubMed, The Cochrane Library, Web of Science, The National Institute for Health and Care Excellence, TRIP Database, CINAHL, PsycINFO, SCOPUS, UK Clinical Trials Gateway and the China National Knowledge Infrastructure were searched from 1966 to October 2017. ELIGIBILITY CRITERIA: Randomised controlled trials evaluating aerobic or resistance exercise interventions on vascular risk factors and recurrent ischaemic events among patients with stroke or TIA, compared with control. RESULTS: Twenty studies (n=1031) were included. Exercise interventions resulted in significant reductions in systolic blood pressure (SBP) -4.30 mm Hg (95% CI -6.77 to -1.83) and diastolic blood pressure -2.58 mm Hg (95% CI -4.7 to -0.46) compared with control. Reduction in SBP was most pronounced among studies initiating exercise within 6 months of stroke or TIA (-8.46 mm Hg, 95% CI -12.18 to -4.75 vs -2.33 mm Hg, 95% CI -3.94 to -0.72), and in those incorporating an educational component (-7.81 mm Hg, 95% CI -14.34 to -1.28 vs -2.78 mm Hg, 95% CI -4.33 to -1.23). Exercise was also associated with reductions in total cholesterol (-0.27 mmol/L, 95% CI -0.54 to 0.00), but not fasting glucose or body mass index. One trial reported reductions in secondary vascular events with exercise, but was insufficiently powered. SUMMARY: Exercise interventions can result in clinically meaningful blood pressure reductions, particularly if initiated early and alongside education.

Effect of environmental constraints on multi-segment coordination patterns during the tennis service in expert performers.

The aims of this study were to examine the effect of different environmental constraints on kinematic multi-segment coordination patterns during the service and its coordination with service time variability. Ten expert tennis players (Age: 34.1 ± 5.3) volunteered to take part in this study. Participants served 30 times in 3 different conditions: control, target and opposition. The order of conditions was counterbalanced between participants. A wireless 3D motion capture system (STT Co, Spain) was used to measure 7 joint motions, with a 17 degrees of freedom biomechanical model created to capture the entire service action. Results of the principal component analysis showed that 4 synergies were created; however, their roles were changed relative to the perception of the environment. The results of repeated-measures analysis of variance did not show any significant difference on total variance and individual principal components between conditions; however, one synergy pattern significantly predicted the service time variability in both control and opposition conditions. In conclusion, the findings demonstrated that expert performers reduce the joint dimensionality by creating functional synergies in different phases of service and adapt the service action according to the perception of the environment.

Effects of personal and task constraints on limb coordination during walking: A systematic review and meta-analysis.

BACKGROUND: In human behaviour, emergence of movement patterns is shaped by different, interacting constraints and consequently, individuals with motor disorders usually display distinctive lower limb coordination modes. OBJECTIVES: To review existing evidence on the effects of motor disorders and different task constraints on emergent coordination patterns during walking, and to examine the clinical significance of task constraints on gait coordination in people with motor disorders. METHODS: The search included CINHAL Plus, MEDLINE, HSNAE, SPORTDiscus, Scopus, Pubmed and AMED. We included studies that compared intra-limb and inter-limb coordination during gait between individuals with a motor disorder and able-bodied individuals, and under different task constraints. Two reviewers independently examined the quality of studies by using the Newcastle Ottawa Scale-cohort study. FINDINGS: From the search results, we identified 1416 articles that studied gait patterns and further analysis resulted in 33 articles for systematic review and 18 articles for meta-analysis-1, and 10 articles for meta-analysis-2. In total, the gait patterns of 539 patients and 358 able-bodied participants were analysed in the sampled studies. Results of the meta-analysis for group comparisons revealed a low effect size for group differences (ES = -0.24), and a moderate effect size for task interventions (ES = -0.53), on limb coordination during gait. INTERPRETATION: Findings demonstrated that motor disorders can be considered as an individual constraint, significantly altering gait patterns. These findings suggest that gait should be interpreted as functional adaptation to changing personal constraints, rather than as an abnormality. Results imply that designing gait interventions, through modifying locomotion tasks, can facilitate the emergent re-organisation of inter-limb coordination patterns during rehabilitation.

Constraints on perception of information from obstacles during foot clearance in people with chronic stroke.

The aim of this study was to examine effects of different types of task constraints on coupling of perception and action in people with chronic stroke when crossing obstacles during a walking task. Ten participants with hemiplegic chronic stroke volunteered to walk over a static obstacle under two distinct task constraints: simple and dual tasks. Under simple task constraints, without specific instructions, participants walked at their preferred speed and crossed over an obstacle. Under dual task constraints, the same individuals were required to subtract numbers whilst walking. Under both distinct task constraints, we examined emergent values of foot distance when clearing a static obstacle in both affected and unaffected legs, measured by a 3D motion tracking system. Principal component analysis was used to quantify task performance, and discriminant analysis was used to compare gait performance between task constraints. Results suggested that patients, regardless of affected body side, demonstrated differences in perception of distance information from the obstacle, which constrained gait differences in initial swing, mid-swing, and crossing phases. Furthermore, dual task constraints, rather than hemiplegic body side, were a significant discriminator in patients' perceptions of distance and height information to the obstacle. These findings suggested how performance of additional cognitive tasks might constrain perception of information from an obstacle in people with chronic stroke during different phases of obstacle crossing, and thus may impair their adaptive ability to successfully manoeuvre around objects.

Informational constraints on interceptive actions of elite football goalkeepers in 1v1 dyads during competitive performance.

The aim of this study was to examine whether perceptual variables can provide informational constraints for the goalkeepers to intercept the ball successfully in 1v1 dyads. Video images of 42 actions (1v1 in direct shots) were selected randomly from different matches and divided into conceded goals (n = 20) and saved actions (n = 22) to investigate interceptive actions of 20 goalkeepers in the English Premier League in season 2013-2014. Time to Contact (TTC) of the closing distance gap between shooter and goalkeeper was obtained by digitising actions in the 18-yard penalty box. Statistical analyses revealed that, in sequences of play resulting in an intercepted shot at goal, goalkeepers closed down outfield players in the X axis, whereas when a goal was conceded, there was a significantly delayed movement by goalkeepers toward the shooters in this plane. The results of canonical correlations showed that a decreasing distance between a shooter and goalkeeper, and accompanied reduction in relative interpersonal velocity followed a temporal pattern. Findings of this study showed how perception of key informational constraints on dyadic system relations, such as TTC, interpersonal distance and relative velocity, constrain elite goalkeepers' interceptive actions, playing an important role in successful performance.

Performance consistency of international soccer teams in euro 2012: a time series analysis.

The purpose of this study was to examine the consistency of performance in successive matches for international soccer teams from Europe which qualified for the quarter final stage of EURO 2012 in Poland and Ukraine. The eight teams that reached the quarter final stage and beyond were the sample teams for this time series analysis. The autocorrelation and cross-correlation functions were used to analyze the consistency of play and its association with the result of match in sixteen performance indicators of each team. The results of autocorrelation function showed that based on the number of consistent performance indicators, Spain and Italy demonstrated more consistency in successive matches in relation to other teams. This appears intuitive given that Spain played Italy in the final. However, it is arguable that other teams played at a higher performance levels at various parts of the competition, as opposed to performing consistently throughout the tournament. The results of the cross-correlation analysis showed that in relation to goal-related indicators, these had higher associations with the match results of Spain and France. In relation to the offensive-related indicators, France, England, Portugal, Greece, Czech Republic and Spain showed a positive correlation with the match result. In relation to the defensive-related indicators, France, England, Greece and Portugal showed a positive correlation with match results. In conclusion, in an international soccer tournament, the successful teams displayed a greater degree of performance consistency across all indicators in comparison to their competitors who occasionally would show higher levels of performance in individual games, yet not consistently across the overall tournament. The authors therefore conclude that performance consistency is more significant in international tournament soccer, versus occasionally excelling in some metrics and indicators in particular games.

Effects of different focus of attention rehabilitative training on gait performance in Multiple Sclerosis patients.

The present investigation studied the effects of different focus of attention training on gait performance. Twelve volunteers with Multiple Sclerosis and with an average disability score (Expanded Disability Status Scale=6.5) were selected from a Medical School and took part in a three-phase intervention including baseline, internal focus, and external focus, for eight weeks. In the baseline condition, the participants walked on a treadmill without any information. In the first (internal-focus) intervention they focused on foot performance and in the second (external-focus) intervention they focused on external markers and auditory information. The results of within-group analysis of variance showed that the external intervention was significantly (p<.05) better than the other conditions for stride length, step length, step speed, and gait energy expenditure, but not for force and stride timing (p>.05). In conclusion, the second (external-focus) intervention was found to be an appropriate perceptual training method and to result in improvements in some of the gait performance parameters.

Effects of focus of attention and type of practice on learning and self-efficacy in dart throwing.

The present investigation studied the effect of focus of attention and type of practice on self-efficacy and learning during a demonstration of the dart-throwing skill. 48 university students (M = 22.5 yr., SD = 3.6) without any experience of dart throwing were divided into four groups according to the type of practice (physical and observational) and focus of attention (internal and external) and practiced a dart-throwing task. Self-efficacy in dart throwing was measured at the pre-test, acquisition, and transfer phases. The internal-focus group concentrated on their limb function, whereas the external-focus group concentrated on the darts and the target during the demonstration. Observational groups only watched during the acquisition phase, then performed the task in the retention and transfer phases. There was a main effect of focus of attention in the retention and transfer phases after controlling self-efficacy, with external focus groups showing higher performance than internal focus groups. External focus of attention could facilitate the acquisition of a motor skill during observation and may build and/or be supported by self-efficacy.

Effect of verbal cueing on trajectory anticipation in the penalty kick among novice football goalkeepers.

The effect of a cueing technique on novice goalkeepers' anticipation of trajectory in penalty kicks was investigated. 28 novice football goalkeepers from junior teams were randomly selected and divided into experimental (n = 14) and control (n = 14) groups. Following a pre-test, participants performed 30 trials of a simulated penalty-kicking task in a spatially occluded condition. They were required to react to penalty kicks and were informed of their performance in anticipating the direction in which the ball was kicked. The experimental group received cues about the position of the non-kicking foot of the kicker, but the control group did not. The two-way analysis of variance showed the significant main effects of blocks of trials and group, but the interaction was not significant. The experimental group more accurately anticipated the direction of the penalty kicks than the control group. The cueing technique benefited the novice goalkeepers in anticipating the direction of penalty kicks, due to the informative nature of the cue for skill execution.