Inter-limb differences in upper quarter mobility/stability are not associated with performance in competitive swimmers.

Background: The Y Balance Test-Upper Quarter (YBT-UQ) is a cost-effective, well-established, closed kinetic chain test to assess inter-limb asymmetries in the upper quarter that could negatively affect swimming performance. Thus, the aim of the present study was to determine YBT-UQ performances and inter-limb differences as well as its association with swimming performance in athletes with diverging levels of expertise. Methods: Forty female and male competitive swimmers (age range: 10-22 years) with different expertise levels (A-squad: n = 9, B-squad: n = 12, C-squad: n = 19) were tested (reach distances for the YBT-UQ) and swimming performance was calculated using the ratio of individual to world best time. Results: YBT-UQ performances (i.e., inferolateral reach direction for the dominant arm: p = .027, ηp2 = .12 and the non-dominant arm: p = .031, ηp2 = .17) but not YBT-UQ inter-limb differences significantly differed between groups and were largest in swimmers with the lowest expertise level (i.e., C-squad). Further, YBT-UQ performances (i.e., inferolateral reach direction [r = -.68 to -.70, both p < .05] and composite score [r = -.65 to -.67, both p < .05] for both arms and medial reach direction for the non-dominant arm [r = -.64, p < .05]) but not inter-limb differences were significantly and negatively correlated with swimming performance among B-squad swimmers. Conclusions: Our results suggest that inter-limb differences in upper quarter mobility/stability are not influenced by the level of expertise and have no significant associations with swimming performance. However, greater reach distances were correlated with lower swimming performance for the B-squad swimmers indicating that a training-related increase in upper quarter mobility/stability could worsen swimming performance in those athletes.

Dual-Task and Single-Task Practice Does Not Influence the Attentional Demands of Movement Sequence Representations.

This study examined the attentional demands of movement sequence representations at different temporal points after single- or dual-task practice. The visual-spatial representation encodes the movement based on visual-spatial coordinates such as the target locations. The motor representation encodes the movement in motor coordinates including joint angles and muscle activation patterns. Participants were randomly assigned to a single-task or dual-task practice group. Following acquisition, participants performed two retention tests and inter-manual transfer tests, both under dual-task and single-task. The transfer tests consisted of a mirror and non-mirror test and examined motor and visual-spatial representation development. The main finding is that attentional demands of the sequence representations were not affected by the practice condition. However, movement initiation requires more attention than the end of the movement in both representations.

Across-task binding: The development of a representation in learning a continuous movement sequence.

Across-task binding is defined as the stimulus/response of one task being linked to the response of another task. The purpose of the present experiment was to determine across-task binding in a continuous movement sequence task with an auditory task of high and low pitch tones and the development of a movement sequence representation. According to the two systems theory of sequence learning, we expected that the developed representation in the across-task binding context relies on the multi-dimensional system rather than on the unidimensional system which is restricted to a set of modules where each module processed information along one task/dimension. An inter-manual transfer design was used to disentangle the sequence representations. The mirror transfer test required the same pattern of muscle activation and joint angles (motor coordinates) in the contralateral limb as experienced during the acquisition phase, while in the non-mirror transfer test, the visual-spatial locations (spatial coordinates) of the target waveform were reinstated. The main finding was that consistently combining visual-spatial positions in a sequence and auditory dimensions such as the tone pitch does not rely on a multidimensional system as predicted by the two-systems theory.

Dyad motor learning in a wrist-robotic environment: Learning together is better than learning alone.

OBJECTIVE: Dyad motor practice is characterized by two learners alternating between physical and observational practice, which can lead to better motor outcomes and reduce practice time compared to physical practice alone. Robot-assisted therapy has become an established neurorehabilitation tool but is limited by high therapy cost and access. Implementing dyad practice in robot-assisted rehabilitation has the potential to improve therapeutic outcomes and/or to achieve them faster. This study aims to determine the effects of dyad practice on motor performance in a wrist-robotic environment to evaluate its potential use in robotic rehabilitation settings. METHODS: Forty-two healthy participants (18-35 years) were randomized into three groups (n = 14): Dyad practice, physical practice with rest and physical practice without rest. Participants practiced a 2 degree-of-freedom gamified wrist movement task for 20 trials using a custom-made wrist robotic device. A motor performance score (MPS) that captured temporal and spatial time-series kinematics was computed at baseline, the end of training and 24 h later to assess retention. RESULTS: MPS did not differ between groups at baseline. All groups revealed significant performance gains by the end of training. However, dyads outperformed the other groups at the end of training (p < 0.001) and showed higher retention after 24-h (p = 0.02). Median MPS improved by 46.5% in dyads, 25.3% in physical practice-rest, and 33.6% in physical practice-no rest at the end of training compared to baseline. CONCLUSION: Compared to physical practice alone, dyad practice leads to superior motor outcomes in a robot-assisted motor learning task. Dyads still outperformed their counterparts 24-h after practice. IMPACT STATEMENT: Improving motor function in complex motor tasks without increasing required practice time, dyad practice can optimize therapeutic resources. This is particularly impactful in robot-assisted rehabilitation regimens as it would help to improve patients' outcomes and increase care efficiency.

Motor Transfer and Proactive Interference in Cycling With a Noncircular Chainring.

Athletes must transfer their performance when changing equipment due to innovative developments in sports technology. This kind of transfer has received only moderate attention. The aim of this study was to examine whether a mechanical change in sports equipment disturbs an athlete's performance and affects biomechanical and neurophysiological parameters. Therefore, an experiment was conducted in which 36 participants in three groups pedaled at 70 rounds per minute on a cycling ergometer with a circular and a noncircular (NC) chainring. The dependent variables were the total variability of the cadence, torque effectiveness, and muscle cocontraction (electromyographic cocontraction) of four antagonistic acting muscle pairs. Data were recorded during an acquisition phase, a transfer phase, and a retention phase. The results revealed that practice on a circular chainring induces a positive transfer on the NC chainring for total variability without a proactive interference effect. Torque effectiveness did not change within or between groups during the acquisition, transfer, and retention phases. Torque effectiveness and electromyographic cocontraction were not affected when the chainrings were altered from Day 1 to Day 2. During the retention phase, electromyographic cocontraction was higher when using the NC chainring, but the difference was small in absolute terms. The results regarding transfer and proactive interference seem to be strongly dependent on the movement task and the change in sports equipment. Transfer from the circular to NC chainring indicates refined neuromuscular control and improved movement coordination.

Visual behavior and road traffic hazard situations when using a bike computer on a racing bike: An eye movement study.

Bike computers are an important equipment, especially on race bikes where athletes can monitor output parameters. The purpose of the present experiment was to determine the effect of visually monitoring the cadence of a bike computer and to perceive hazard traffic situations in a virtual environment. In a within subject-design individuals (N = 21) were instructed to perform the riding task in two single-task conditions (only watching the traffic at the video with occluded or without occluded bike computer), two dual-task conditions (monitoring the cadence of 70 RPM or 90 RPM and observing the traffic) and one control condition (no instructions). Percentage dwell time of the eye movements, the constant error from the target cadence, and percentage of the recognized hazard traffic situations were analyzed. The analysis indicated that the visual behavior to monitor the traffic was not reduced when individuals used a bike computer to control the cadence.

Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players.

Handball players are at a high risk of suffering a sport-related injury. Recent studies in various adult populations (e.g., US Army soldiers/warrior athletes, and military members) showed that poor scores in the upper quarter Y-balance test (YBT-UQ) are related to an increased risk of injury. Yet, it is unclear whether this also applies to adolescent handball players. Thus, the present study aims to determine if pre-season YBT-UQ performance is associated with sport-related injuries during the competitive season in adolescent handball players. One hundred and thirty-three adolescent handball players (age: 15.4 ± 1.7 years; m = 99, f = 42) who competed in the second highest league in the Rhine-Ruhr region, Germany, during the 2021/2022 season participated in the study. Before the competitive season, the players performed the YBT-UQ to assess upper extremity mobility and stability of the throwing and non-throwing arm. Over the 8-month competitive season, the coaches monitored the occurrence of sports-related injuries once a week, using an injury report form from the legal accident insurance. Fifty-seven players (43%) incurred a sport-related injury during the competitive season, of which 27 (47%) had upper body injuries, and 30 (53%) were lower body injuries. The YBT-UQ performance of the throwing and non-throwing arm did not significantly differ between injured and non-injured players. Further, Cox proportional hazard survival regression model analyses revealed that only the presence of an inferolateral reach asymmetry score ≥7.75% arm length was associated with a moderate increase in the risk (hazard ratio = 2.18, 95% confidence interval = 1.02-4.68, p = 0.045) of lower but not upper or whole-body injuries. Our findings suggest that the YBT-UQ has limited value as a field-based screening tool to assess the risk of sport-related injuries in adolescent handball players.

Attentional Demand of a Movement Sequence Guided by Visual-Spatial and by Motor Representations.

The objective of the experiment was to assess the change in attentional demands of a movement sequence guided by visual-spatial and motor representations across practice sessions in a dual-task probe paradigm. Participants were randomly assigned to either a 1-day or 2-day practice group. Following acquisition of the motor sequence task, participants first conducted a retention test and then four inter-manual transfer tests under single and dual-task conditions. The probe task was a simple reaction time. The inter-manual transfer tests, consisting of a mirror and non-mirror test, examined the development of the motor and visual-spatial representation, respectively. The results indicated that both representations guided the movement sequence and required attention. The attentional demands did not change with additional practice.

Effects of age simulation and age on motor sequence learning: Interaction of age-related cognitive and motor decline.

Aging is known to lead to decrements in sensory and cognitive functioning and motor performance. The purpose of the present experiment was twofold: a) We assessed the influence of wearing an age simulation suit on motor sequence learning, cognitive speed tasks and far visual acuity in healthy, younger adults. b) We evaluated the interaction of cognitive aging and declining motor sequence learning in older adults. In a between-subjects design we tested 11 younger adults (Mage = 23.6 years) without the age suit, 12 younger adults wearing the age suit (Mage = 23.2 years), and 23 older adults (Mage = 72.6 years). All participants learned a simple, spatial-temporal movement sequence on two consecutive days, and we assessed perceptual processing speed (Digit Symbol Substitution test and Figural Speed test) and far visual acuity. Wearing an age simulation suit neither affected the learning of the simple motor sequence nor the performance at the cognitive speed tasks in younger adults. However, far visual acuity suffered from wearing the suit. Younger adults with and without the suit showed better motor sequence learning compared to older adults. The significant correlations between the cognitive speed tests and the motor learning performance in older adults indicated that cognitive aging partially explains some of the variance in age-related motor learning deficits.

Side differences of upper quarter Y balance test performance in sub-elite young male and female handball players with different ages.

BACKGROUND: Handball is characterised by repetitive passing and shooting actions mainly performed with the throwing arm. This can lead to side differences (inter-limb asymmetry) in upper quarter mobility/stability between the throwing and non-throwing arm, which could even increase with advancing age (i.e., playing experience). However, side differences in upper quarter mobility/stability is associated with an increased musculoskeletal injury risk. Therefore, we assessed side differences in upper quarter mobility/stability in young handball players at different ages using a cross-sectional study design. METHODS: Upper Quarter Y Balance test performance of the throwing and non-throwing arm was assessed in 190 sub-elite young female and male handball players (13-18 years). Per arm, relative maximal reach distances (% arm length) for all three directions (i.e., medial, inferolateral, superolateral) and the composite score (CS) were calculated and used for an age × side analysis of variance. Additionally, partial eta-squared (ηp2) was calculated as an effect size measure. RESULTS: Irrespective of measure, statistically significant main effects of age (except for the composite score) and side but no statistically significant age × side interaction effects were detected. Further, limb asymmetry in the inferolateral reach direction was above the injury-related cut-off value (i.e., ≥ 7.75% arm length) in 13- and 14-year-olds but not in the older players. CONCLUSION: The detection of limb asymmetry above the proposed injury-related cut-off value in younger players (13- and 14-year-olds) but not in older players (15- to 18-year-olds) may be indicative for an increased injury risk for the younger age group. Thus, prevention programs should be implemented in the handball training routine, especially for the younger ones.

Acute effects of a single unilateral balance training session on ipsi- and contralateral balance performance in healthy young adults.

OBJECTIVE: While there is evidence on the short-term effects of unilateral balance training (BT) on bipedal balance performance, less is known on the acute effects of unilateral BT on unilateral (i.e., ipsi- and contralateral) balance performance. Thus, the present study examined the acute effects of a single unilateral BT session conducted with the non-dominant, left leg or the dominant, right leg on ipsilateral (i.e. retention) and contralateral (i.e., inter-limb transfer) balance performance in healthy young adults (N = 28). RESULTS: Irrespective of practice condition, significant improvements (p < 0.001, d = 1.27) in balance performance following a single session of unilateral BT were observed for both legs. Further, significant performance differences at the pretest (p = 0.002, d = 0.44) to the detriment of the non-dominant, left leg diminished immediately and 30 min after the single unilateral BT session but occurred again 24 h following training (p = 0.030, d = 0.36). These findings indicate that a single session of unilateral BT is effective to reduced side-to-side differences in balance performance, but this impact is only temporary.

Bimanual coordination associated with left- and right-hand dominance: testing the limb assignment and limb dominance hypothesis.

In an experiment conducted by Kennedy et al. (Exp Brain Res 233:181-195, 2016), dominant right-handed individuals were required to produce a rhythm of isometric forces in a 2:1 or 1:2 bimanual coordination pattern. In the 2:1 pattern, the left limb performed the faster rhythm, while in the 1:2 pattern, the right limb produced the faster pattern. In the 1:2 pattern, interference occurred in the limb which had to produce the slower rhythm of forces. However, in the 2:1 condition, interference occurred in both limbs. The conclusion was that interference was not only influenced by movement frequency, but also influenced by limb dominance. The present experiment was designed to replicate these findings in dynamic bimanual 1:2 and 2:1 tasks where performers had to move one wrist faster than the other, and to determine the influence of limb dominance. Dominant left-handed (N = 10; LQ = - 89.81) and dominant right-handed (N = 14; LQ = 91.25) participants were required to perform a 2:1 and a 1:2 coordination pattern using Lissajous feedback. The harmonicity value was calculated to quantify the interference in the trial-time series. The analysis demonstrated that regardless of limb dominance, harmonicity was always lower in the slower moving limb than in the faster moving limb. The present results indicated that for dominant left- and dominant right-handers the faster moving limb influenced the slower moving limb. This is in accordance with the assumption that movement frequency has a higher impact on limb control in bimanual 2:1 and 1:2 coordination tasks than handedness.

Movement Sequence Learning: Cognitive Processing Demands to Develop a Response Structure.

An experiment was designed to investigate the impact of a dual-task on the response structure of a 16-element movement sequence. The primary task was to move a lever to targets sequentially presented horizontally on the screen by elbow extension/flexion movements. The secondary task was a simple reaction time task triggered by moving the lever through targets at the middle and the end of the sequence. Participants were permitted to acquire the movement sequence on one day, and to perform the sequence on a second day under single-task and dual-task conditions. The results of the acquisition phase indicated that participants increased their performance over practice. Day 2 analysis indicated that performance of the repeated sequence was not deteriorated by the dual-task. This finding indicated that the response structure of the movement sequence performance was stable with regard to the secondary task. The current results are partially consistent with the theoretical assumption of an abstract representation for movement sequence execution.

The Cognitive Status of Older Adults: Do Reduced Time Constraints Enhance Sequence Learning?

Research has indicated that older adults perform movement sequences more slowly than young adults. The purpose of the present experiment was to compare movement sequence learning in young and older adults when the time to perform the sequence was extended, and how the elderly's cognitive status (Montreal Cognitive Assessment [MoCA]) interacted with sequence learning. The task was to minimize the difference between a target sequence pattern and the sequence produced by elbow extension-flexion movements. On Day 1, participants (28 young adults; 28 older adults) practiced the sequence under two time windows: 1300 ms or 2000 ms. On Day 2, retention performance and the cognitive status were assessed. The results demonstrated that young adults performed superior compared to older adults. Additional time to perform the sequence did not improve retention performance for the older adults. The correlation between the error score and the MoCA score of r = -.38 (p < .05) in older adults indicated that a better cognitive status was associated with performance advantages in sequence learning.

Dyad training protocols and the development of a motor sequence representation.

The purpose of the experiment was to determine the extent to which observation and the inter-trial dialogue in a dyad training protocol enhance the development of a movement sequence representation. The task was to reproduce a 1300ms spatial-temporal pattern of elbow extension/flexion movements. An inter-manual transfer design with a retention test and two effector transfer tests was used. The mirror transfer test required the same motor pattern of homologous muscle activation and a sequence of joint angles as experienced during the acquisition phase, and the non-mirror transfer test required the same visual-spatial pattern as practiced during acquisition. Participants (N=40) were randomly assigned to one of four groups (50 practice acquisition trials): a dyad training group where two participants alternated between physical and observational practice and permitting an inter-trial dialogue, a dyad training group where two participants alternated between physical practice and permitting a dialogue without observation, a dyad training group where two participants alternated between physical and observational practice without a dialogue, and an individual practice control group where one participant learned the movement sequence. The practice duration was for all participants identical. The results indicated that participants involved in the dyad training protocols with either observation and/or the inter-trial dialogue developed a motor representation of the movement sequence.

More Than Hitting the Correct Key Quickly.

Many studies have documented that multitasking reduces Response Time (RT) indicators of implicit sequence learning as well as the expression of acquired sequence knowledge in RT benefits. In these tasks it is only relevant that the correct key is hit quickly, not where it is hit. We explored how variability in response location is influenced by (a) breaking a repeating sequence of target locations, (b) multitasking demands in the current trial, and (c) presence of multitasking in the block. Participants performed a Serial Reaction Time Task (SRTT) on a touchscreen while shutting down a beep tone by pressing the space bar with their non-dominant hand (throughout Experiment 1 and in the second half of Experiment 2). The first-order sequence of four response locations on the screen was broken by off-sequence deviants in 1/6th of the trials. Our results show a dissociation between RT and response location variability. While the effect of breaking the sequence on RT was larger under single- than under multitasking, breaking the sequence only led to an increase in response location variability under multitasking. Experiment 3 suggested that the impact of sequence knowledge on either aspect of performance in the SRTT is limited by interference from an additional task.

Limb Differences in Unipedal Balance Performance in Young Male Soccer Players with Different Ages.

In soccer, the dominant leg is frequently used for passing and kicking while standing on the non-dominant leg. Consequently, postural control in the standing leg might be superior compared to the kicking leg and is further enhanced with increasing age (i.e., level of playing experience). Unfortunately, leg differences in postural control are associated with an increased risk of injuries. Thus, we examined differences between limbs in unipedal balance performance in young soccer players at different ages. Performance in the Lower Quarter Y Balance Test (YBT-LQ) of the dominant and non-dominant leg and anthropometry was assessed in 76 young male soccer players (under-13 years [U13]: n = 19, U15: n = 14, U17: n = 21, U19: n = 22). Maximal reach distances (% leg length) and the composite scores were used for further analyses. Statistical analyses yielded no statistically significant main effects of leg or significant Leg × Age interactions, irrespective of the measure investigated. However, limb differences in the anterior reach direction were above the proposed cut-off value of >4 cm, which is indicative of increased injury risk. Further, statistically significant main effects of age were found for all investigated parameters, indicating larger reach distances in older (U19) compared to younger (U13) players (except for U15 players). Although reach differences between legs were non-significant, the value in the anterior reach direction was higher than the cut-off value of >4 cm in all age groups. This is indicative of an increased injury risk, and thus injury prevention programs should be part of the training of young soccer players.

Training Motor Sequences: Effects of Speed and Accuracy Instructions.

Participants practiced a fixed 3- and a fixed 6-key press sequence for 144 times each. In the speed group, they were instructed to execute their sequences fast without bothering much about errors while the accurate group was instructed to be careful and prevent errors. In the test phase, participants executed series of 3 and 6 responses (a) when all element-specific stimuli were displayed in the familiar order, (b) in response to just the familiar first stimulus, and (c) by responding to random stimuli. The speed instruction yielded stronger sequencing skill while the accuracy instruction developed stronger reaction skill.

The simplest acquisition protocol is sometimes the best protocol: performing and learning a 1:2 bimanual coordination task.

An experiment was conducted to determine if the performance and learning of a multi-frequency (1:2) coordination pattern between the limbs are enhanced when a model is provided prior to each acquisition trial. Research has indicated very effective performance of a wide variety of bimanual coordination tasks when Lissajous plots with goal templates are provided, but this research has also found that participants become dependent on this information and perform quite poorly when it is withdrawn. The present experiment was designed to test three forms of modeling (Lissajous with template, Lissajous without template, and limb model), but in each situations, the model was presented prior to practice and not available during the performance of the task. This was done to decrease dependency on the model and increase the development of an internal reference of correctness that could be applied on test trials. A control condition was also collected, where a metronome was used to guide the movement. Following less than 7 min of practice, participants in the three modeling conditions performed the first test block very effectively; however, performance of the control condition was quite poor. Note that Test 1 was performed under the same conditions as used during acquisition. Test 2 was conducted with no augmented information provided prior to or during the performance of the task. Only participants in the limb model condition were able to maintain performance on Test 2. The findings suggest that a very simple intuitive display can provide the necessary information to form an effective internal representation of the coordination pattern which can be used guide performance when the augmented display is withdrawn.

The influence of eye-movements on the development of a movement sequence representation during observational and physical practice.

An experiment was conducted to examine the development of a movement sequence representation and the role of eye-movements during observational and physical practice. The task was to reproduce a 1300ms spatial-temporal pattern of a sequence of elbow flexions and extensions. An inter-manual transfer design with a retention and two effector transfer tests (contralateral limb) was used. The mirror transfer test required the same pattern of homologous muscle activation and a sequence of joint angles as experienced during the acquisition phase, and the non-mirror transfer test required the same visual-spatial pattern as performed or observed during acquisition. Participants were randomly assigned to one of four groups differing in eye-movements (free to use their eyes vs. instruction to fixate) and the practice type (observational practice vs. physical practice). The results indicated that permitting to use eye-movements facilitates sequence learning. This advantage was found on both practice types. The results of the transfer tests indicated that participants of the physical practice group who were permitted to use their eyes demonstrated superior transfer performance in the mirror transfer test, while participants in the observational practice group demonstrated better performance on the non-mirror transfer test. These findings indicated that eye-movements enhanced the development of a visual-spatial representation during observational practice as well as a motor representation during physical practice.