The after-effects of occupational whole-body vibration on human cognitive, visual, and motor function: A systematic review.

Whole-body vibration (WBV) is prevalent in labour-related activities and can have adverse effects on the health and performance of the individuals exposed. However, evidence regarding the extent to which human functionality is affected following occupational WBV exposure has not been collated. The current systematic review sought to synthesize existing literature and assess the strength and direction of evidence regarding the acute after-effects of occupational WBV exposure on cognition, visual function, postural stability, and motor control. We conducted a comprehensive search of AMED, CINAHL, MEDLINE, PubMED, Psychology and Behavioural Sciences Collection, SPORTDiscus, APA PsychInfo, Cochrane Library, EMBASE, HMIC, Global Health, ProQuest Central, Scopus, Web of Science, and the US National Technical Information Service on April 26, 2023. Studies that quantified vibration exposure and measured acute changes in cognition, visual function, postural stability, and motor control from baseline to post-vibration were considered without date restriction. Out of the 2663 studies identified, 32 were eligible for inclusion. Based on the Risk of Bias in Non-Randomized Studies of Exposure (ROBINS-E) tool, the studies demonstrated low (66%), moderate (25%) and high risk of bias (9%). The findings indicate that after exposure to WBV, postural stability either deteriorates or remains unchanged. Inconsistent effects of WBV on cognition were reported, while visual function and motor control showed no pronounced changes following WBV. This might be attributed to assessment limitations such as learning effects in neuropsychological and motor tasks, and non-functional measures of vision employed. There was a lack of consistency in the characterization of vibration exposure and the assessment of associated effects on functional performance. Current evidence is therefore insufficient to provide definitive guidance for updating occupational health and safety regulations regarding WBV. However, this review highlights the potential for WBV to jeopardize post-exposure human performance and, consequently, safety. The completion of the review was supported by a UKRI EPSRC training grant. The review has been registered on PROSPERO (ref CRD42023391075).

The genetics of falling susceptibility and identification of causal risk factors.

Falls represent a huge health and economic burden. Whilst many factors are associated with fall risk (e.g. obesity and physical inactivity) there is limited evidence for the causal role of these risk factors. Here, we used hospital and general practitioner records in UK Biobank, deriving a balance specific fall phenotype in 20,789 cases and 180,658 controls, performed a Genome Wide Association Study (GWAS) and used Mendelian Randomisation (MR) to test causal pathways. GWAS indicated a small but significant SNP-based heritability (4.4%), identifying one variant (rs429358) in APOE at genome-wide significance (P < 5e-8). MR provided evidence for a causal role of higher BMI on higher fall risk even in the absence of adverse metabolic consequences. Depression and neuroticism predicted higher risk of falling, whilst higher hand grip strength and physical activity were protective. Our findings suggest promoting lower BMI, higher physical activity as well as psychological health is likely to reduce falls.

The evolving high bar longswing in elite gymnasts of three age groups.

Chronological age classifies elite male gymnasts into developmental performance classifications: senior (18+ years), junior (14-18 years) and development (8-14 years). Here, we examine the influence of age and experience on the biomechanics of the high bar longswing across classifications. Joint angular kinematics and kinetics were obtained from 30 gymnasts performing three sets each of eight consecutive longswings. Differences between groups and relations between age, experience and key biomechanical variables were correlated. Kinetic variables and range of motion of the hip and knee were highest for development gymnasts. In all age groups, a dominant shoulder kinetic contribution was found, although circle location of the peak joint kinetics occurred earliest for junior gymnasts. Hip work contributed more prominently in development gymnasts. Age and experience were positively correlated to an increase in peak shoulder moments and powers and negatively correlated to peak hip and knee moments. The findings reveal that age and experience combine to influence the functional phase, joint kinematics and relative joint kinetic contribution, particularly with the senior group demonstrating a shoulder dominant technique. Changes in musculoskeletal loading across the age groups suggest that factors such as relative strength and practice may have influenced this joint mode transition of the longswing.

Sports-Related Concussion Assessment: A New Physiological, Biomechanical, and Cognitive Methodology Incorporating a Randomized Controlled Trial Study Protocol.

BACKGROUND: Taking part in moderate-to-vigorous exercise in contact sports on a regular basis may be linked to an increase in cerebrovascular injury and head trauma. Validated objective measures are lacking in the initial post-event diagnosis of head injury. The exercise style, duration, and intensity may also confound diagnostic indicators. As a result, we propose that the new Interdisciplinary Group in Movement & Performance from Acute & Chronic Head Trauma (IMPACT) analyze a variety of functional (biomechanical and motor control) tests as well as related biochemistry to see how they are affected by contact in sports and head injury. The study's goal will be to look into the performance and physiological changes in rugby players after a game for head trauma and injury. METHODS: This one-of-a-kind study will use a randomized controlled trial (RCT) utilizing a sport participation group and a non-participation control group. Forty male rugby 7 s players will be recruited for the study and allocated randomly to the experimental groups. The intervention group will participate in three straight rugby matches during a local 7 s rugby event. At the pre-match baseline, demographic and anthropometric data will be collected. This will be followed by the pre-match baseline collection of biochemical, biomechanical, and cognitive-motor task data. After three consecutive matches, the same measures will be taken. During each match, a notational analysis will be undertaken to obtain contact information. All measurements will be taken again 24, 48, and 72 h after the third match. DISCUSSION: When the number of games increases owing to weariness and/or stressful circumstances, we expect a decline in body movement, coordination, and cognitive-motor tasks. Changes in blood biochemistry are expected to correspond to changes in biomechanics and cognitive-motor processes. This research proposal will generate considerable, ecologically valid data on the occurrence of head trauma events under game conditions, as well as the influence of these events on the biological systems of the performers. This will lead to a greater understanding of how sports participants react to exercise-induced injuries. This study's scope will have far-reaching ramifications for doctors, coaches, managers, scientists, and sports regulatory bodies concerned with the health and well-being of athletic populations at all levels of competition, including all genders and ages.

Profiling Hormonal Contraceptive Use and Perceived Impact on Training and Performance in a Global Sample of Women Rugby Players.

PURPOSE: The potential impact of hormonal contraceptives (HCs) on player health and performance in women's rugby union (rugby) is not well understood, despite rugby's growing popularity worldwide. This study investigated the prevalence of HC use and reported associations with training and performance in a global sample of women rugby players. METHOD: A globally distributed online survey, seeking to explore experiences in women's rugby, was completed by 1596 current or former adult women 7s or 15s rugby players (mean age 27 [6] y; 7 [5] y playing experience) from 62 countries. The survey included a section of questions about reported HC use, including the type, reason for use, symptoms, and experiences relating to rugby training and performance. RESULTS: A total of 606 (38%) participants from 33 of the 62 (53%) countries reported using HCs, with the combined oral contraceptive pill reported as the most frequently used (44%). Almost half of participants using HCs (43%) tracked HC-related symptoms. Over 10% reported altered rugby performance due to HC-related symptoms, 22% required medication to manage symptoms, and 11% used HCs to control or stop their menstrual periods for rugby training and performance. CONCLUSIONS: The current study highlights the prevalence of HC use in women's rugby, identifying practices that may negatively affect performance, health, and well-being. Thus, there is an urgent need to better understand the motivations for such practices and knowledge of potential side effects among women rugby players across all levels and countries.

Upper limb biomechanics and dynamics of a core skill on floor exercise in female gymnastics.

This study aimed to increase understanding of the biomechanics and dynamics of the upper limbs during the contact phase of the round-off (RO) performed using three techniques. Twenty female gymnasts performed six successful RO trials in each condition: parallel, T-shape and reverse. Kinetic and kinematic data were collected for each trial. All analyses focused on the contact phase for each hand. Continuous joint profiles examined the dynamics of these tasks as well as the kinetic sequencing. In each case, joint angles, angular velocity, moments and powers at the wrist and elbow joint were reported. Difference between the contact phases of the techniques was examined using a one-way ANOVA SPM. The T-shape technique demonstrated negative power at the wrist during contact; however, the elbow joint compensated with a significantly greater positive power generation during the propulsive phase, suggesting a more effective technique compared to the reduced powers of the reverse and parallel. The order of the peak joint powers during the contact phase, the reverse technique, demonstrated a proximal to distal sequence, in contrast to the distal to proximal for the other techniques. These findings highlight the task-specific coordinative structures during this closed chained action.

A Global Women's Rugby Union Web-Based Survey.

Rugby Union (rugby) is a full-contact team sport characterised by frequent collision events. Over one third (2.7 million) of global rugby participants are women and girls. Yet, most rugby research, laws, and regulations are derived from the men's game with limited transferability to the women's game. This includes research focused on injury and concussion management. Greater insights are urgently required to enable appropriate adaptations and support for all rugby participants. Therefore, this paper presents the protocol for a project that sought to gather insights into the understanding, experiences, and attitudes of players and coaches in women's rugby regarding key issues of concussion, injury, and training for injury prevention, as well as the implications of the menstrual cycle for training and performance. From August 2020 to November 2020, online, open, cross-sectional surveys for players and coaches were distributed globally through rugby governing bodies and women's rugby social media platforms using snowball sampling. Survey responses were recorded anonymously via a GDPR-compliant online survey platform, JISC (jisc.ac.uk, Bristol, England). Participant eligibility included being ≥18 years and either actively playing or coaching women's rugby 15s and/or sevens, or having done so in the past decade, at any level, in any country. To enhance the number and accuracy of responses, the survey was professionally translated into eight additional languages. A total of 1596 participants from 62 countries (27 ± 6 years; 7.5 ± 5.1 years of playing experience) and 296 participants from 37 countries (mean age = 36.64, SD = 9.09, mean experience = 6.53 years, SD = 3.31) completed the players' and coaches' surveys, respectively. Understanding women's participation in and experiences of rugby is important to enable lifelong engagement and enjoyment of the sport and health during and following participation.

Vector coding reveals the underlying balance control strategies used by humans during translational perturbation.

Postural control research has focused on standing balance experiments on platforms moving with relatively large amplitudes (0.1-0.2 m). This study investigated balance strategies while standing on a platform moving 4 mm in anterior-posterior direction with frequency scaled linearly from 0.4 to 6 Hz. Platform motion and kinematic and kinetic information for nine healthy participants were recorded using motion capture and force plate systems. Coordination between hip, knee and ankle joint torque, and centre of mass (COM) and centre of pressure (COP) motion was quantified by vector coding. Significant main effect of platform frequency for knee-ankle and COP-COM phase relationship was observed (p = 0.023, p = 0.016). At frequencies below 2.11 and 2.34 Hz, ankle strategy was recruited. With ankle strategy, in-phase COP-COM motion with COP dominancy occurred at frequencies below 2.19 and 2.23 Hz during scaling up and down, respectively. As platform frequency passed these values, COM dominated over COP which was followed by anti-phase knee-ankle torque, called a knee strategy, and anti-phase motion between the COP and COM that allowed COP to regain dominance over COM. Collectively, we reveal knee strategy as a new and relevant strategy in real-life settings, and transition between ankle and knee strategies that underpinned transition between COP-COM relative motion.

Nonlinear Dynamic Measures of Walking in Healthy Older Adults: A Systematic Scoping Review.

BACKGROUND: Maintaining a healthy gait into old age is key to preserving the quality of life and reducing the risk of falling. Nonlinear dynamic analyses (NDAs) are a promising method of identifying characteristics of people who are at risk of falling based on their movement patterns. However, there is a range of NDA measures reported in the literature. The aim of this review was to summarise the variety, characteristics and range of the nonlinear dynamic measurements used to distinguish the gait kinematics of healthy older adults and older adults at risk of falling. METHODS: Medline Ovid and Web of Science databases were searched. Forty-six papers were included for full-text review. Data extracted included participant and study design characteristics, fall risk assessment tools, analytical protocols and key results. RESULTS: Among all nonlinear dynamic measures, Lyapunov Exponent (LyE) was most common, followed by entropy and then Fouquet Multipliers (FMs) measures. LyE and Multiscale Entropy (MSE) measures distinguished between older and younger adults and fall-prone versus non-fall-prone older adults. FMs were a less sensitive measure for studying changes in older adults' gait. Methodology and data analysis procedures for estimating nonlinear dynamic measures differed greatly between studies and are a potential source of variability in cross-study comparisons and in generating reference values. CONCLUSION: Future studies should develop a standard procedure to apply and estimate LyE and entropy to quantify gait characteristics. This will enable the development of reference values in estimating the risk of falling.

Attractor dynamics of elite performance: the high bar longswing.

Combining biomechanics and motor control, the aim of this study was to investigate the limit cycle dynamics during the high bar longswing across the UK elite gymnastics pathway age groupings. Senior, junior and development gymnasts (N = 30) performed three sets of eight consecutive longswings on the high bar. The centre of mass motion was examined through Poincaré plots and recurrence quantification analysis exploring the limit cycle dynamics of the longswing. Close to one-dimensional limit cycles were displayed for the senior (correlation dimension (CD) = 1.17 ± .08), junior (CD = 1.26 ± .08) and development gymnasts (CD = 1.33 ± .14). Senior elite gymnasts displayed increased recurrence characteristics in addition to longer longswing duration (p < .01) and lower radial angular velocity of the mass centre (p < .01). All groups of gymnasts had highly recurrent and predictable limit cycle characteristics. The findings of this research support the postulation that the further practice, experience and individual development associated with the senior gymnasts contribute to the refinement of the longswing from a nonlinear dynamics perspective. These findings support the idea of functional task decomposition informing the understanding of skill and influencing coaches' decisions around skill development and physical preparation.

Learning the high bar longswing:II. energetics and the emergence of the coordination pattern.

This paper is Part II of a study of the effects of practice on young adult novice gymnasts learning the movement coordination pattern of the longswing. The focus was the early stage of learning a critical component of the longswing, namely: through joint motion to inject mechanical energy into the upswing segment effectively to complete the longswing circle. Twenty-five novice male gymnasts received expert instruction while practicing two sessions a week for 3 weeks between a pre- and a post-practice assessment test trial. Seven novices completed a full circle by the end of Test 4. Completion of the longswing was positively related to the angular velocity generated in the gravity driven free fall of the initial segment and the greater rate of energy input in the upward segment. A successful performance in terms of the emergent movement pattern requires coordination of the onset, rate and level of energy input to counterbalance the negative influence of gravity on the second half upwards segment. The development of the complete longswing through the emergence of the collective variable dynamics (Paper 1) and biomechanical energetics of the gymnast (Paper 2) informs coaches, scientists and clinicians regarding task decomposition and learning the longswing.

Learning the High Bar Longswing:I. Task Dynamics and Emergence of the Coordination Pattern.

We studied novice gymnasts (N = 25) learning to form the longswing movement coordination pattern. The focus was the emerging behavioural organisation of centre of mass (CM) dynamics and the relative phase of the bar-CM angular motion. Seven novices learned a complete longswing by the end of the study, 8 novices showed no improvement in proportion of circle completed, and the remainder produced modest but persistent increments of final swing height without achieving a full circle. The radial angular velocity generated in the free fall phase and the circle location of bar-CM relative phase progressively and predominantly predicted circle completion. Bar-CM relative phase produced a consistent qualitative relation within- and between-subjects characteristic of a collective variable with the bar leading the CM on the initial downward antiphase segment and the CM leading on the upward antiphase segment. The ratio of these phases was related by the last practice session to degree of circle completion. The findings showed strong individual differences in the effect of practice on the early steps of learning the movement coordination where the progressive emergence of the longswing circle is driven by exploiting the positive- and minimising the negative-influence of gravity on the bar-CM coordination dynamics (candidate collective variable).

Age-based comparison of gait asymmetry using unilateral ankle weights.

BACKGROUND: The locomotor system is proposed to be able to adapt to asymmetric conditions, which reflects the interaction between interlimb control and task constraints. However, this adaptability may be confounded by intrinsic differences between age groups. RESEARCH QUESTION: What are the effects of mechanical asymmetry on kinematic symmetry in healthy younger and older adults? METHODS: Two groups of 10 participants (age 18-25 and 58-65 years) walked (3 km h -1) and ran (9 km h -1) on a treadmill normally, and with unilateral ankle weights (UW). Lower-body kinematic data was collected. Symmetry Index (SI) and bilateral cyclograms were used to evaluate spatiotemporal step-cycle characteristics and joint angles. RESULTS: Step-cycle characteristics were not significantly different between all comparisons. In running gait, asymmetry in range of motion (SI_RoM) of the knee and bilateral cyclogram minimum bounding box length (L) of the ankle was greater with UW compared to the normal condition. Ankle angle characteristics (SI_RoM ankle and minimum ankle angle) were more asymmetrical for older compared to younger adults, regardless of the UW condition. Interaction effects between age and UW were observed. In running gait, L knee and SI_RoM hip were greater with UW for younger adults, and smaller with UW for older adults. In walking gait, ankle angle at touchdown was greater with UW for younger adults, but smaller with UW for older adults. SIGNIFICANCE: For both age groups walking and running with UW, symmetry appears to be preserved in step-cycle characteristics, but not in joint angle measures. While adapting to unilateral perturbation, older adults show greater asymmetry in some ankle kinematic measures compared to younger adults while running, suggesting that some kinematic solutions are altered with age, while the majority of symmetry values about the lower limbs were not.

Bidirectional causal control in the dynamics of handstand balance.

The aim of this study was to identify motor control solutions associated with the ability to maintain handstand balance. Using a novel approach, we investigated the dynamical interactions between centre of pressure (CoP) and centre of mass (CoM) motion. A gymnastics cohort was divided into a 'less skilled' group, who held handstands for 4-6 s, and a 'more skilled' group, who held handstands in excess of 10 s. CoP-CoM causality was investigated in anterior-posterior (AP) and medio-lateral (ML) directions, in addition to time-space, time-frequency and Hurst Exponent (H) analyses. Lower AP CoP to CoM causal drive and lower H values (> 0.6) indicated the more skilled gymnasts were less reliant on CoP mechanics to drive CoM motion. More skilled performance demonstrated greater adaptability through use of reactive, as opposed to anticipatory, control strategies. Skilled performers additionally exploited mechanical advantages in ML (e.g. a wider base of support), compared to the less skilled athletes. A multiple regression analysis revealed H and frequency domain measures to be better predictors of handstand balance duration than time-space domain measures. The study findings highlight the advantage of an adaptable motor control system with a directional profile, and provide new insight into the clear, measurable footprint of CoP on the dynamics of CoM.

Movement form of the overarm throw for children at 6, 10 and 14 years of age.

This study investigated overarm throwing technique at different developmental ages in children from the perspective of three distinct, though potentially complementary, approaches to motor skill acquisition. Children at 6, 10, and 14 years of age (N = 18), completed dominant overarm throws during which whole-body kinematic data were collected. Firstly, application of Newell's ([1985]. Coordination, control and skill. In Advances in Psychology (Vol. 27, pp. 295-317). North-Holland.) stages of learning identified three distinct age-related coupling modes between forward motion of the centre-of-mass (CoM) and the wrist, which demonstrated a greater range of couplings for older children. Secondly, in line with Bernstein's ([1967]. The coordination and regulation of movement. London: Pergamon Press.) hypothesis of freezing before freeing degrees of freedom, a significantly smaller range of motion (ROM) at the ankle and knee joints, but greater ROM at the hip and upper limb joints was found for the 6 year old group compared to the 10 and 14 year old groups. Thirdly, based on the components model (Roberton & Halverson [1984]. Developing children-their changing movement: A guide for teachers. Lea & Febiger.), the overarm throws demonstrated by 6 year olds were characterised as primitive to intermediate, where 10 and 14 year old's throws were characterised by the penultimate action level for each component. Characteristics of CoM-wrist coupling more clearly identify children's age-related technique and highlight the importance of posture-ball release dynamics. The posture-ball dynamics were supported by changes in ROM and the components model, revealing the complementary nature of the three approaches to the analysis of age-related differences in overarm throwing action.

Lower limb tri-joint synchrony during running gait: A longitudinal age-based study.

Biomechanical research exploring the age-based mechanics of running gait can provide valuable insight into the reported decline in master endurance running performance. However, few studies have shown consistent biomechanical differences in the gait of trained distance runners compared to their younger counterparts. It might be that differences occur in the interaction between joints. The aim was to explore the differences in tri-joint synchrony of the lower limb, quantified through cluster phase analysis, of runners at 50 years of age compared to seven years later. Cluster phase analysis was used to examine changes in synchrony between 3 joints of the lower limb during the stance phase of running. Ten male, endurance-trained athletes M50 (age = 53.54 ±â€¯2.56 years, mass = 71.05 ±â€¯7.92 kg) participated in the study and returned after seven years M57 (age = 60.49 ±â€¯2.56 years, mass = 69.08 ±â€¯8.23 kg). Lower limb kinematics (Vicon, 120 Hz) and ground reaction forces (Kistler, 1080  Hz) were collected as participants performed multiple trials at a horizontal running velocity = 3.83 ±â€¯0.40 m·s-1 over the force plate. Significant increase (31%) in rate of force development in the absorption phase, and significantly reduced sagittal plane knee joint range of motion (30.50 v 23.68°) were found following the seven years of ageing. No further discrete single joint measures were significantly different between M50 and M57. Joint synchrony between the hip, knee and ankle was significantly higher at M57 compared to M50 during the absorption phase of stance. The force attenuation strategy is compromised after seven years of ageing, which is associated with more synchronous movements in the lower limb joints. Increased joint synchrony as a function of age could be a mechanism associated with this key injury provoking phase of running gait.

Qualitative and quantitative change in the kinematics of learning a non-dominant overarm throw.

This study investigated changes in non-dominant overarm throw technique over practice from the perspective of three distinct though potentially complementary approaches to motor skill acquisition. Ten participants (mean ±â€¯SD age 22 ±â€¯2 yrs, stature 1.71 ±â€¯0.60 m, mass 73 ±â€¯14 kg) completed 9-practice sessions (each 10 trials), during which whole-body kinematic data were collected. In line with the motor learning model of Newell (1985), we examined changes in the coupling between the centre-of-mass (CoM) and wrist motion. During initial practice, coupling was initially in-phase moving to wrist-led coupling with whole-body motion. With practice a more complex backwards wrist-led coupling that progressed to forward wrist-led coupling was observed. Secondly, in line with Bernstein's (1967) notion of freezing before freeing degrees of freedom; a significant increase in joint angle range of motion (ROM) at the lower limb joints and shoulder, and significant decrease in elbow and wrist ROM was observed. Thirdly, ROM changes coincided with the time course of changes in the four components of technique change in overarm throwing action proposed by Robertson and Halverson (1984). Participants began in mid to high action levels for the torso/arm components, while the step component progressed to higher action levels with practice. Common practice induced changes in the collective posture-ball release dynamics and were supported by individual strategies at the joint ROM level revealing the complementarity nature of the three approaches and their key dependent variables to the analysis of learning to throw.

Limit cycle dynamics of the gymnastics longswing.

The purpose of the study was to examine the macroscopic dynamics of the longswing through a limit cycle analysis of the motion of the center of mass (CM) as a function of skill level. One elite international, five gymnasts able to perform release and regrasp skills, five gymnasts unable to perform release and regrasp skills, and five novice gymnasts each performed four consecutive longswings on a high bar. Kinematic data were collected to facilitate the calculation of the center of mass position of the performer during swinging. Poincare plots were used to explore the limit cycle dynamics of the center of mass movement. The attractor dynamic was very close to a one-dimensional limit cycle for the elite (D = 1.18) but higher for the release and regrasp group (D = 1.35 ±â€¯0.06) and non-release and regrasp group (D = 1.37 ±â€¯0.07). The novice dynamic was characterized by a two-dimensional limit cycle (D = 2.49 ±â€¯0.28) that also had more variability and lower determinism. In the frequency domain, Inharmonicity was lower and the Q factor higher as a function of increased skill level. The findings show that the dynamical degrees of freedom of the CM in the skilled performance were reduced compared to those of novices and represented a more efficient and predictive, rather than exploratory, technique.

Coordination in gait: Demonstration of a spectral approach.

Many important notions in Life Sciences are linked with the idea of cycles, periodicity, fluctuations and transitions. The aim of this paper is to use spectral analysis in a unique way to study and quantify whole body coordination during gait. A participant walked at 3 km/h and ran at 15 km/h on a treadmill for 2 minutes. Position of the approximate center of rotation of the toe, ankle, knee, hip, shoulder, elbow and wrist, heel, PSIS and head were collected (CODAmotion; 100 Hz). Fast Fourier Transform was performed on x-coordinate data of the 1) knee marker; 2) 4 markers attached to the free lower limb (toe, ankle, heel and knee); 3) left and right free lower limbs; 4) whole body (all markers). Gait is described by a largely harmonic and resonant oscillator that operates unilateral free limbs at the stride frequency, and axial regions at the step frequency. Running is described by a more harmonic and resonant oscillating structure than walking, with a 3 times higher Q factor and 47% lower Inharmonicity Index. This method is presented as a way to capture global dynamics of our complex multi-segment system, and presents a novel application of spectral analysis to study coordination.

Memory-guided force output is associated with self-reported ADHD symptoms in young adults.

Attention-deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed mental health disorder in childhood and persists into adulthood in up to 65 % of cases. ADHD is associated with adverse outcomes such as the ability to gain and maintain employment and is associated with an increased risk for substance abuse obesity workplace injuries and traffic accidents A majority of diagnosed children have motor deficits; however, few studies have examined motor deficits in young adults. This study provides a novel examination of visuomotor control of grip force in young adults with and without ADHD. Participants were instructed to maintain force production over a 20-second trial with and without real-time visual feedback about their performance. The results demonstrated that when visual feedback was available, adults with ADHD produced slightly higher grip force than controls. However, when visual feedback was removed, adults with ADHD had a faster rate of decay of force, which was associated with ADHD symptom severity and trait impulsivity. These findings suggest that there may be important differences in the way that adults with ADHD integrate visual feedback during continuous motor tasks. These may account for some of the motor impairments reported in children with ADHD. These deficits could result from (1) dysfunctional sensory motor integration and/or (2) deficits in short-term visuomotor memory.