A Crossover Study on Attentional Focus and Gross Motor Performance in Individuals with Down Syndrome

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2024 Aug 22

PMID 39172942

Authors

Luca Cavaggioni

Luca Paolo Ardigo

Paolo Castiglioni

Athos Trecroci

Linda Casalini

Damiano Formenti

Giampiero Merati

Affiliations

Soon will be listed here.

Abstract

Little is known about the effect of using an attentional focus instruction on motor performance in people with intellectual disabilities. Therefore, this study explored the effects of different attentional focus instructions on gross motor skill performances in individuals with Down syndrome. Seven community-dwelling participants (age 25.2±3.2 yrs, height 1.70±0.04 m, body mass 72.0±6.3 kg) voluntarily participated in the study. Motor performance on 5-meter running (5m sprint), vertical jump (countermovement jump with arm swing, CMJ), broad jump (standing broad jump, SBJ), forward medball throw (FMBT) or overhead medball backward throw (OMBT) and rising-up from a chair (five repetition sit-to-stand, 5STS) were recorded while performing internal-focus (IF) or external-focus (EF) instructions. EF induced significantly (p<0.05) better performance than IF in CMJ (EF: 15±9 cm; IF: 11±8 cm, median ±interquartile range), SBJ (EF: 0.8±1.05 m; IF: 0.5±1.0 m), FMBT (EF: 1.5±1.4 m; IF: 1.4±1.1 m), OMBT (EF: 4.0±1.5 m; IF: 3.6±1.1 m) and 5STS (EF: 14.2±5.4; IF:15.3±7.7 s). The time over the 5m sprint tended to be shorter with EF (4.0±2.0 s) than IF (5.05±3.3 s) but the difference did not reach the statistical significance (p = 0.29). Physical trainers and school teachers should be encouraged to manage different types of attentional focus instructions to improve cognitive and gross motor performances in persons with Down syndrome.

References

Vance J, Wulf G, Tollner T, McNevin N, Mercer J . EMG activity as a function of the performer's focus of attention. J Mot Behav. 2005; 36(4):450-9. DOI: 10.3200/JMBR.36.4.450-459. View

Durham K, Sackley C, Wright C, Wing A, Edwards M, van Vliet P . Attentional focus of feedback for improving performance of reach-to-grasp after stroke: a randomised crossover study. Physiotherapy. 2013; 100(2):108-15. DOI: 10.1016/j.physio.2013.03.004. View

Palisano R, Walter S, Russell D, Rosenbaum P, Gemus M, Galuppi B . Gross motor function of children with down syndrome: creation of motor growth curves. Arch Phys Med Rehabil. 2001; 82(4):494-500. DOI: 10.1053/apmr.2001.21956. View

Harris C, Wattles A, Debeliso M, Sevene-Adams P, Berning J, Adams K . The seated medicine ball throw as a test of upper body power in older adults. J Strength Cond Res. 2011; 25(8):2344-8. DOI: 10.1519/JSC.0b013e3181ecd27b. View

Belluscio V, Bergamini E, Salatino G, Marro T, Gentili P, Iosa M . Dynamic balance assessment during gait in children with Down and Prader-Willi syndromes using inertial sensors. Hum Mov Sci. 2018; 63:53-61. DOI: 10.1016/j.humov.2018.11.010. View

Abdollahipour R, Land W, Cereser A, Chiviacowsky S . External relative to internal attentional focus enhances motor performance and learning in visually impaired individuals. Disabil Rehabil. 2019; 42(18):2621-2630. DOI: 10.1080/09638288.2019.1566408. View

Marchant D, Greig M . Attentional focusing instructions influence quadriceps activity characteristics but not force production during isokinetic knee extensions. Hum Mov Sci. 2017; 52:67-73. DOI: 10.1016/j.humov.2017.01.007. View

Wulf G, McNevin N, Shea C . The automaticity of complex motor skill learning as a function of attentional focus. Q J Exp Psychol A. 2002; 54(4):1143-54. DOI: 10.1080/713756012. View

Rhodes S, Riby D, Matthews K, Coghill D . Attention-deficit/hyperactivity disorder and Williams syndrome: shared behavioral and neuropsychological profiles. J Clin Exp Neuropsychol. 2010; 33(1):147-56. DOI: 10.1080/13803395.2010.495057. View

10.

Winkelman N, Clark K, Ryan L . Experience level influences the effect of attentional focus on sprint performance. Hum Mov Sci. 2017; 52:84-95. DOI: 10.1016/j.humov.2017.01.012. View

11.

Weijerman M, de Winter J . Clinical practice. The care of children with Down syndrome. Eur J Pediatr. 2010; 169(12):1445-52. PMC: 2962780. DOI: 10.1007/s00431-010-1253-0. View

12.

Kristiansen M, Samani A, Vuillerme N, Madeleine P, Hansen E . External and Internal Focus of Attention Increases Muscular Activation During Bench Press in Resistance-Trained Participants. J Strength Cond Res. 2018; 32(9):2442-2451. DOI: 10.1519/JSC.0000000000002613. View

13.

Landers M, Hatlevig R, Davis A, Richards A, Rosenlof L . Does attentional focus during balance training in people with Parkinson's disease affect outcome? A randomised controlled clinical trial. Clin Rehabil. 2015; 30(1):53-63. DOI: 10.1177/0269215515570377. View

14.

Carlesimo G, Marotta L, Vicari S . Long-term memory in mental retardation: evidence for a specific impairment in subjects with Down's syndrome. Neuropsychologia. 1997; 35(1):71-9. DOI: 10.1016/s0028-3932(96)00055-3. View

15.

Chua L, Jimenez-Diaz J, Lewthwaite R, Kim T, Wulf G . Superiority of external attentional focus for motor performance and learning: Systematic reviews and meta-analyses. Psychol Bull. 2021; 147(6):618-645. DOI: 10.1037/bul0000335. View

16.

Marchant D, Greig M, Bullough J, Hitchen D . Instructions to adopt an external focus enhance muscular endurance. Res Q Exerc Sport. 2011; 82(3):466-73. DOI: 10.1080/02701367.2011.10599779. View

17.

Mazzone L, Mugno D, Mazzone D . The General Movements in children with Down syndrome. Early Hum Dev. 2004; 79(2):119-30. DOI: 10.1016/j.earlhumdev.2004.04.013. View

18.

Glatthorn J, Gouge S, Nussbaumer S, Stauffacher S, Impellizzeri F, Maffiuletti N . Validity and reliability of Optojump photoelectric cells for estimating vertical jump height. J Strength Cond Res. 2010; 25(2):556-60. DOI: 10.1519/JSC.0b013e3181ccb18d. View

19.

Kuhn Y, Keller M, Egger S, Taube W . Effects of an external compared to an internal focus of attention on the excitability of fast and slow(er) motor pathways. Sci Rep. 2021; 11(1):17910. PMC: 8429756. DOI: 10.1038/s41598-021-97168-9. View

20.

Halperin I, Williams K, Martin D, Chapman D . The Effects of Attentional Focusing Instructions on Force Production During the Isometric Midthigh Pull. J Strength Cond Res. 2016; 30(4):919-23. DOI: 10.1519/JSC.0000000000001194. View