Comparison of upright and flipped spoon presentations to guide treatment of food refusal

The current study examined the effects of bite placement with a flipped versus upright spoon on expulsion and mouth clean (product measure of swallowing) in the treatment of 3 children diagnosed with a pediatric feeding disorder and oral-motor deficits. For all 3 participants, extinction in the form of nonremoval of the spoon led to improvements in inappropriate mealtime behavior and acceptance of bites; however, re-presentation did not reduce expulsion or improve mouth clean. Results showed a lower level of expulsion and higher percentage of mouth clean during flipped spoon presentations and re-presentations for all participants. Findings from follow-up analyses supported transitioning back to an upright spoon in all 3 cases, although the time required for this to occur differed across participants.     

Correlation of motor skill,mental rotation,and working memory in 3- to 6-year-old children

A relationship between motor processes and mental rotation has been suggested by current research; however, the influence of working memory on this relationship has not yet been determined. Therefore, a correlation between motor tests, paper–pencil and chronometric mental rotation tests, and working memory tests were conducted in 3- to 6-year-old children. A stepwise multiple-regression showed that 55.5% of the variance was explained by the working memory tests: digit span forward and Corsi forward. This indicates that working memory and executive functions may play an important role in mental rotation and motor processes.     

The effect of augmented feedback on the performance and learning of gross motor and sport-specific skills: A systematic review

BackgroundAugmented feedback is often provided by coaches and practitioners as a method to enhance the performance of athletes and learners. When implementing a feedback intervention, it is important to assess the expertise of the learner and the complexity of the skill, to ensure an appropriate feedback modality, frequency, and timing is provided. However, researchers have a limited understanding of how these variables interact to influence the performance and learning of gross motor and sport-specific skills.ObjectivesThe purpose of this systematic review was to examine the effects of augmented feedback on the performance and learning of gross motor and sport-specific skills in an adult population.MethodsA systematic literature search was conducted on electronic databases, PubMed, Web of Science and PsycINFO, from inception to March 2020, with a revised search completed to January 2022. The search terms used were related to augmented feedback and motor performance and learning. Studies were included if they consisted of a randomised control trial with pre- and retention-testing measures, which investigated an AF intervention on a gross motor and/or sport-specific skill in a healthy adult population. Risk of bias was assessed using the revised Cochrane risk-of-bias tool for randomised trials (RoB2).ResultsTwenty-four studies were included, with a total of 895 participants. Most studies reported a learning improvement following the provision of AF. One study documented a decrease in performance, and two studies reported no learning improvement Conflicting evidence was reported regarding which feedback frequency, timing, and duration was most appropriate. Furthermore, the inconsistency in methodological designs (control group types; timing of retention-tests; lack of retention tests) limited the comparisons that could be made between studies. Eighteen studies reported a high risk of bias, with the remaining six presenting some concerns.ConclusionAlthough studies have shown positive effects of AF on the performance and learning of gross motor and sport-specific skills, the majority are at a high risk of bias. Additionally, studies lacked standardisation in methodology, and results surrounding features of AF interventions were conflicting. Despite the conceptually sound rationale, further research is required to provide stronger evidence and a more robust understanding to better inform practitioners on how AF truly impacts the performance and learning of gross motor and sport-specific skills.RegistrationThis systematic review was registered on the Open Science Framework (https://osf.io/mrxzg) (10.17605/OSF.IO/MRXZG)     

Development of Different Forms of Skill Learning Throughout the Lifespan

The acquisition of complex motor, cognitive, and social skills, like playing a musical instrument or mastering sports or a language, is generally associated with implicit skill learning (SL). Although it is a general view that SL is most effective in childhood, and such skills are best acquired if learning starts early, this idea has rarely been tested by systematic empirical studies on the developmental pathways of SL from childhood to old age. In this paper, we challenge the view that childhood and early school years are the prime time for skill learning by tracking age‐related changes in performance in three different paradigms of SL. We collected data from participants between 7 and 87 years for (1) a Serial Reaction Time Task (SRT) testing the learning of motor sequences, (2) an Artificial Grammar Learning (AGL) task testing the extraction of regularities from auditory sequences, and (3) Probabilistic Category Learning in the Weather Prediction task (WP), a non‐sequential categorization task. Results on all three tasks show that adolescence and adulthood are the most efficient periods for skill learning, since instead of becoming less and less effective with age, SL improves from childhood into adulthood and then later declines with aging.     

Screening Solid Foods Infants 1 (SSFI-1) development of a screening tool to detect problems in the transition from milk to solid food in infants from six to nine months of age

AimTo establish the psychometric properties of a newly developed screening tool Screening Solid Foods Infants 1 (SSFI-1) used by early childhood professionals, to detect problems in the transition from milk to solid food of smooth consistency in infants 6–9 months of age.MethodsThe SSFI-1 score was filled out by the parents of a subgroup with term infants (n = 35); healthy preterm infants (n = 26); infants with comorbidity (n = 17); infants with feeding problems (n = 13). Internal consistency, reproducibility, construct, criterion and related validity was evaluated.ResultsThe preterm subgroup differed significantly in age when starting with fruits/vegetables and period of experience (p < 0.01). The SSFI-1 was sufficiently reliable for the total group and term subgroup (α = 0.78 and 0.76), but not for the preterm and comorbidity/feeding problem subgroup (α = 0.51 and 0.69). Inter-rater reliability was high for the total score (n = 25, ICC r = 0.93), and moderate to good for individual items (weighted kappa range 0.55–0.95). Validity was confirmed by significantly higher scores for the comorbidity/feeding problem subgroups and clinically distinguishable subgroups (p < 0.05) and area under the curve values > 0.78. The initial 10-item screening tool was modified to a seven item screening tool. A SSFI-1 score of 4, +2 SD of the term subgroup, had 76.9% sensitivity and 82.1% specificity, for detecting the presence of a feeding problem.ConclusionThe seven-item screening tool Screening Solid Foods 1 may be used as a screening tool for term infants. Further testing of the SSFI-1 in new infants is needed, to confirm reliability and validity both for term, preterm and (risk for) feeding problem infants.     

Towards a better understanding of the association between motor skills and executive functions in 5- to 6-year-olds: The impact of motor task difficulty

Different lines of evidence suggest an association between motor skills and executive functions (EFs) in kindergarten children. Comparatively little is known about the specific nature of this relationship. In the present study, using a within-subjects design, a sample of 124 five- to six-year-old children completed 12 fine and gross motor tasks of varying nominal difficulty and three EFs tasks. We assumed that difficult motor tasks are less automated than easy motor tasks. Therefore, EFs should be involved more strongly in difficult compared to easy motor tasks. Firstly, results replicated the association between motor skills and EFs. Secondly, results provided a new and differentiated perspective on the evidence of this link. Performance on both easy and difficult fine motor tasks was significantly related to EFs. However, only performance on the difficult, but not on the easy gross motor tasks was significantly correlated with EFs. The findings demonstrate that the challenges and demands inherent in any motor task influence the magnitude of the motor–EFs link. That is, difficult (i.e., less automated) motor tasks require EFs more substantially than easy (i.e., more automated) motor tasks. Results will be discussed with regard to further candidate processes underlying the motor–EFs link.     

Oculomotor behavior and the level of repetition in motor practice: Effects on pupil dilation,eyeblinks and visual scanning

The benefits of less repetitive practice in motor learning have been explained by the increased demand for memory processes during the execution of motor skills. Recently, a new perspective associating increased demand for perception with less repetitive practice has also been proposed. Augmented information gathering and visual scanning characterize this higher perceptual demand. To extend our knowledge about mental effort and perceptual differences in practice organization, the association between oculomotor behavior and type of practice was investigated. We required participants to press four keys with different absolute and relative timing goals during the acquisition phase. An eye-tracker captured visual scanning of the skill’s absolute and relative information displayed on the screen. Participants were tested 24 h after acquisition by a retention and transfer test. A higher level of both pupil dilation and amount of eyeblinks indicated an increased mental effort in less repetitive practice compared to more repetitive practice. Visual scanning of the skill’s relative and absolute information was specific to the type of practice. The findings indicate many differences in oculomotor behavior associated with the practice schedule.     

Measurement of functional task difficulty during motor learning: What level of difficulty corresponds to the optimal challenge point?

The relationship between task difficulty and learning benefit was examined, as was the measurability of task difficulty. Participants were required to learn a postural control task on an unstable surface at one of four different task difficulty levels. Results from the retention test showed an inverted-U relationship between task difficulty during acquisition and motor learning. The second-highest level of task difficulty was the most effective for motor learning, while learning was delayed at the most and least difficult levels. Additionally, the results indicate that salivary α-amylase and the performance dimension of the National Aeronautics and Space Administration-Task Load Index (NASA-TLX) are useful indices of task difficulty. Our findings suggested that instructors may be able to adjust task difficulty based on salivary α-amylase and the performance dimension of the NASA-TLX to enhance learning.     

A comparison of a modified sequential oral sensory approach to an applied behavior‐analytic approach in the treatment of food selectivity in children with autism spectrum disorder

Treatments of pediatric feeding disorders based on applied behavior analysis (ABA) have the most empirical support in the research literature (Volkert & Piazza, 2012); however, professionals often recommend, and caregivers often use, treatments that have limited empirical support. In the current investigation, we compared a modified sequential oral sensory approach (M‐SOS; Benson, Parke, Gannon, & Muñoz, 2013) to an ABA approach for the treatment of the food selectivity of 6 children with autism. We randomly assigned 3 children to ABA and 3 children to M‐SOS and compared the effects of treatment in a multiple baseline design across novel, healthy target foods. We used a multielement design to assess treatment generalization. Consumption of target foods increased for children who received ABA, but not for children who received M‐SOS. We subsequently implemented ABA with the children for whom M‐SOS was not effective and observed a potential treatment generalization effect during ABA when M‐SOS preceded ABA.