An examination of post-traumatic growth in Canadian and American ParaSport athletes with acquired spinal cord injury

ObjectivesThe study was guided by two research questions: (1) Does participation in ParaSport following acquired spinal cord injury (SCI) influence people's perceptions of post traumatic growth (PTG)? (2) What specific dimensions of PTG, if any, do ParaSport athletes report experiencing?DesignA phenomenological approach was adopted to understand ParaSport athletes' perceptions and experiences of PTG and sport participation following acquired SCI.MethodTwelve participants with acquired SCI who integrated, reintegrated, or attempted to integrate into sport completed a survey and participated in a semi-structured interview to assess their perceptions of acquired SCI, involvement in ParaSport, and PTG.ResultsFive general dimensions of growth emerged from the data including: (a) injury relevant processing; (b) appreciation for life; (c) reactive behavior as a result of attempted integration into ParaSport; (d) relating to others and (e) health and well-being. Participants reported increased physical functioning and independence related to their involvement in sport. Emotional and psychological gains were also associated with ParaSport including re-establishment of self-identity, improved clarity and perception of life, changed priorities, greater confidence, and enhanced social relationships.ConclusionsParticipation in ParaSport following acquired SCI may provide physical, emotional, and psychological health benefits, which should be considered in the development and implementation of sport related interventions to encourage PTG. Clinicians and rehabilitation specialists may use information from the present study to help individuals improve their identity, build relationships, and develop an appreciation for life after incurring a SCI.     

Temporal pattern of pre-shooting psycho-physiological states in elite athletes: A probabilistic approach

Objective

The IZOF-based probabilistic approach provides a methodology to study within-individual patterns of a performer's states. So far, the time course of physiological data before performance have not been investigated within the probabilistic methodology framework. The purpose of this study was to examine the value of the probabilistic approach in the assessment of the time course of physiological indicators of arousal/activation and vigilance during the period preceding the shot, in comparison with the performance-based method.

Design

Longitudinal assessment of psycho-physiological data and performance outcomes was conducted on eight elite pistol shooters in a controlled setting.

Methods

Each participant performed 60 air-pistol shots in 2 sessions. Skin conductance level and cardiac activity were recorded. Affective states intensity was evaluated on a modified 11-point Borg scale. Affect, HR and SC level were evaluated with a Performance-based approach and a Probabilistic method, and results compared at an individual level.

Results

Findings showed the higher effectiveness of the probabilistic method to analyse physiological parameters (skin conductance and heart rate) and to describe the physiological mechanisms associated with shooters’ performance.

Conclusions

The probabilistic method better discerned the contribution of arousal/activation and vigilance to optimal and non-optimal performance in elite shooters, thereby providing a sharper representation of the temporal pattern of performers' states before shooting. From an applied perspective, we believe that the probabilistic approach can help athletes become aware of the subtle variations occurring in their psychophysical states during the preparatory period preceding the shot and not only at the moment of shot release.     

A comparison of existing and novel communication responses used during functional communication training

Functional communication training (FCT) is a procedure used to teach a communicative response that results in the same reinforcer found to maintain problem behavior. Previous research has demonstrated that high levels of problem behavior may be observed during FCT when reinforcing an existing response due to a history of reinforcement for both existing responses and problem behavior. This study compared the effects of reinforcing an existing and novel communicative response during FCT on the rate of problem behavior for two children diagnosed with autism. Additionally, we assessed preference for either the existing or novel response using a concurrent schedules arrangement. The results demonstrated that the existing and novel communication responses were associated with low levels of problem behavior for both participants. Also, both participants preferred the novel response. We conclude with a discussion of practical applications of the analysis and avenues for future research.     

Skating through pregnancy and motherhood: A narrative analysis of digital stories of elite figure skating expectant mothers

ObjectivesAlthough research on elite sport and motherhood is growing, more research is needed to understand the narratives that shape their identities and lives. We sought to build on sport psychology research centralizing the media as naturalistic data resources to explore elite athlete mother identity in cultural context. The specific aim was to explore how elite athlete identities are portrayed during pregnancy on Instagram.DesignTwo high profile elite figure skating expectant mothers’ (i.e., Meagan Duhamel and Aljona Savchenko) Instagram posts were the focus of a dialogical narrative analysis (DNA) grounded in relativist narrative inquiry. Two research questions were explored: 1. how do expectant athlete mothers portray themselves in big and small stories, and 2. what are the implications (e.g., psychosocial, behavioural) of identity meanings portrayed in digital stories?ResultsDNA of 122 posts (n = 82 for Duhamel, n = 40 for Savchenko) identified a key big story: (re)configuring ideal pregnancy. Four small stories fed into fluid meanings of ‘ideal pregnancy’ and ways of ‘doing pregnancy’ linked to self-identity portrayals: documenting the growing life, baby bumps on display, Olympic dreams/journeys and living the good life through leisure. Consumerism was shown to thread small stories. These findings show contradictions of motherhood meanings and body ideals (e.g., feminine, athletic) vs realities (e.g., tired, sore), linked to actions (e.g., skating during pregnancy, promoting products or athlete brand), in good mother and biomedical narratives.ConclusionsA big and small story approach grounded in narrative inquiry holds value to learn more about the digital landscape’s role in shaping athlete expectant mother self-identities. Future research exploring social media (e.g., Twitter, Facebook) may expand intertextual understanding of athlete mothers' identities and lives.     

Social comparison,coping and depression in people with spinal cord injury

The present study among 70 people with spinal cord injury examined the prevalence and correlates of identification (seeing others as a potential future) and contrast (seeing others in competitive terms) in social comparison as related to coping and depression. The most prevalent social comparison strategy was downward contrast (a positive response to seeing others who were worse-off), followed by upward identification (a positive response to perceiving better-off others as a potential future), downward identification (a negative response to perceiving worse-off others as a potential future), and upward contrast (a negative response to seeing others who were better-off). Those with less severe lesions reported the highest levels of upward contrast, coping through blaming others, and depression. Downward contrast was particularly related to constructive coping, and upward identification to wishful thinking. The less adaptive social comparison strategies, i.e., upward contrast and downward identification, were quite strongly related to wishful thinking and blaming others. Particularly upward contrast, i.e., feeling bad as response to seeing that others are better-off, was related to depression.     

Effects of behaviour change interventions on physical activity in people with spinal cord injury: A systematic review and meta-analysis

ObjectivesThis review investigated the effectiveness of behaviour-change interventions to improve physical activity (PA) participation in individuals with a spinal cord injury. Additionally, the review sought to analyse the change in PA behaviour that might be expected by utilising behaviour change in PA interventions and what specific intervention characteristics, application of behaviour change theories, and behaviour change techniques are most efficacious.MethodsThe protocol was prospectively registered on PROSPERO: CRD42021252744, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed in this review. Eight databases were comprehensively searched using a well-defined strategy developed in collaboration with an academic liaison librarian. Randomised, non-randomised controlled, and non-controlled studies were included in this review; however, controlled and non-controlled studies were analysed separately. Studies were included if participants were older than 16 years and had an SCI of any cause, level or severity, regardless of the time since injury. The behaviour change technique taxonomy version 1 was used to code the intervention characteristics for behaviour modification. The combined effects across studies were pooled in a meta-analysis, and the risk of bias was assessed using the Cochrane Risk of Bias 2 tool.ResultsThe search retrieved 10,155 titles and abstracts. After duplicate removal and screening against the eligibility criteria, 23 studies were included. The overall effect estimate of the change in PA participation in the controlled trials post-intervention was medium (d = 0.50, 95% CI = 0.31–0.70) in favour of behaviour-targeted interventions. The mean difference in PA volume between pre- and post-intervention was an increase of 22 minutes per week (95% CI = 5.96–38.90). Interventions that provided practical support (d = 0.81, 95% CI = 0.46–1.16), which were individualised (d = 0.62, 95% CI = 0.34–0.90) and that utilised monitoring (d = 0.59, 95% CI = 0.34–0.83) had a greater effect on change to PA than those that were group-based and did not utilise those specific techniques.ConclusionsInterventions that target behaviour change to increase PA in people with SCI appear effective. Utilising behaviour change frameworks and specific behaviour change techniques augments PA uptake and levels, and interventions aimed at improving PA in people with SCI should incorporate a behaviour modification component. More research is needed on the isolated effect of intervention structure parameters and specific behaviour change techniques.     

Brief mindfulness meditation intervention improves attentional control of athletes in virtual reality shooting competition: Evidence from fNIRS and eye tracking

Attentional control is a crucial cognitive ability for sports performance. The current research aimed to investigate whether a brief (20-min) pre-competition mindfulness meditation (MM) intervention enhances athletes' attentional control during competitions and alters the activity of brain regions related to attentional control. We created a virtual reality shooting competition to compare the eye-gaze indicators and functional near-infrared spectroscopy (fNIRS) parameters of 78 university athletes after 20 min of MM or 20 min of mind wandering (MW). Participants’ average fixation durations (AFDs) on task-relevant information (targets) were significantly longer in the MM group. In contrast, both average fixation counts (AFCs) and AFDs on task-irrelevant information (the ranking screen) were significantly lower in the MM group than in the MW group. Additionally, the MM group exhibited significantly stronger activation of the left and right dorsolateral prefrontal cortex (dlPFC) as well as higher levels of oxygenated haemoglobin [HbO] and greater functional connectivity (FC) of the right dlPFC, which was considered evidence of recruitment for attentional control. Moreover, the MM group achieved significantly better shooting performance than the MW group. Overall, the findings suggest that one session 20-min MM practice pre-competition facilitates focus during competition and improves athletic performance. We recommend the application of brief mindfulness practice in sports, especially in closed-skill sports that require high attention participation (e.g., shooting, archery, darts, golf, gymnastics, skating etc.).     

Theory of Planned Behaviour, Skin Care and Pressure Sores Following Spinal Cord Injury

Objectives: To use the Theory of Planned Behaviour to explore factors associated with performing skin care behaviors and the occurrence of pressure sores in people with spinal cord injury. Design: A within-group cross-sectional design was used to assess 59 people with spinal cord injury living in the community. Of these, 17 participants returned a repeat assessment allowing a longitudinal examination of the relationship between intention and actual behaviour. Methods: A measure was developed in accordance with the Theory of Planned Behaviour guidelines through interviews with people with spinal cord injury. Measures of mood and knowledge of skin care behaviour were also included. Results: The Theory of Planned Behaviour components, mood and knowledge of skin behaviours predicted intention, skin care behaviour and occurrence of pressure sores. Knowledge of skin care was negatively correlated with occurrence of pressure sores (r=−.38, p < .01). Indirect perceived control was a particularly important predictor of pressure relief, accounting for 24% of the variance. Conclusions: Psychosocial factors, including the Theory of Planned Behaviour components, predicted skin care behaviours and the occurrence of pressure sores. These findings provide empirical support for the Theory of Planned Behaviour. The study also carries clinical implications for skin care education for people with SCI and their families.     

The role of instruction preference in analogy learning: Brain activity and motor performance

This study examined the role of verbal instruction preference when learning motor skills by analogy. During skill learning, analogies are a useful tool for providing knowledge about how to move. It has been argued that analogy instructions reduce reliance on verbal information processes during motor planning, compared to traditional forms of instruction (i.e., explicit rules about how to move). This may be reflected by reduced verbal activity in the brain, measured by EEG alpha power at the temporal region, as well as reduced verbal-motor cross-communication (EEG T7-Fz coherence) during the preparation phase of a movement. Preference for using verbal or visual instructions is likely to influence the efficacy of analogy instructions. This study investigated whether preference for verbal instructions was related to a) changes in performance and b) changes in verbal-cognitive information processing during performance of an adapted basketball task after instruction by analogy. Basketball novices with a high preference for verbal instructions (n = 15) showed significantly decreased activation of verbal brain regions when they used the analogy (high-alpha power), but their performance remained stable. Novices with a low preference for verbal instructions (n = 13) did not show a significant decrease in activation of verbal regions, and their performance deteriorated significantly after introduction of the analogy instruction. It is likely that both cognitive and performance changes after analogy instruction depend on personal aspects of information processing, such as verbal preference.     

An exploration of doping-related perceptions and knowledge of disabled elite athletes in the UK and Austria

IntroductionCompared to anti-doping research in Olympic sport, the issue of doping is under-researched and poorly understood in Paralympic sport. However, with the growth of the Paralympic Games and the increased number of disabled elite athletes, the number of doping controls and doping cases has also increased. Therefore, there is a need to address the dearth of evidence in disabled sport contexts and develop an understanding of disabled elite athletes' perceptions, reasons and knowledge related to doping to ensure appropriate policy and programmes are implemented.MethodSixteen disabled elite athletes from Austria (n = 9) and the UK (n = 7) participated in semi-structured interviews. Data were analysed using inductive reflexive thematic analysis (Braun & Clarke, 2019a).FindingsFour themes were generated during the analysis. The first showed that athletes perceive doping to be a well-known and wide-spread issue in Paralympic sport. The second theme illustrated that disabled elite athletes are exposed to extreme pressure (e.g., to earn money), which they state poses a risk for using prohibited methods and/or substances. Thirdly, athletes suggested that there are several ways to cheat if someone would like to find ‘loopholes’ (e.g., misuse of Therapeutic Use Exemptions) in the current anti-doping system, which they reported only works partially. Lastly, although it is not officially named as an anti-doping rule violation, athletes proposed cheating on classification as a form of doping – and the greatest threat to the integrity of disabled sport.ConclusionsFor the first time, the current study shows that doping in the context of disabled elite sport likely stems from only a few main factors; a perception of pressure and faults in the anti-doping system. To address these risks, prize money could be distributed more broadly, the TUE process and classification system should be more closely scrutinised, and targeted anti-doping education that addresses the main risk factors in disabled elite sport should be provided for all athletes and their support team worldwide.     

The relationship between working memory capacity and cortical activity during performance of a novel motor task

ObjectivesThis study assessed whether individual differences in working memory capacity influenced verbal-analytical processes when performing a novel motor skill.DesignParticipants performed a tennis-hitting task in two conditions: no pressure and high-pressure.MethodsEighteen young adults participated in the study. EEG coherence between the T3-F3 and T4-F4 regions in the Beta1 and Alpha2 frequencies was recorded during performance in each condition. Verbal and visuo-spatial working memory capacity were assessed using the Automated Working Memory Assessment.ResultsNo differences were found between the two conditions for hitting performance and EEG activity. However, across both conditions, verbal and visuo-spatial working memory were significant predictors of EEG coherence between the T3-F3 and T4-F4 regions in the Beta1 and Alpha2 frequencies. Larger verbal working memory capacity was associated with greater coherence while the opposite trend was observed for visuo-spatial working memory capacity.ConclusionsThese results indicate that larger verbal working memory capacity is associated with a greater tendency to use explicit processes during motor performance, whereas larger visuo-spatial working memory capacity is associated more with implicit processes. The findings are discussed with relevance to the theory of implicit motor learning.     

Walking dreams in congenital and acquired paraplegia

To test if dreams contain remote or never-experienced motor skills, we collected during 6 weeks dream reports from 15 paraplegics and 15 healthy subjects. In 9/10 subjects with spinal cord injury and in 5/5 with congenital paraplegia, voluntary leg movements were reported during dream, including feelings of walking (46%), running (8.6%), dancing (8%), standing up (6.3%), bicycling (6.3%), and practicing sports (skiing, playing basketball, swimming). Paraplegia patients experienced walking dreams (38.2%) just as often as controls (28.7%). There was no correlation between the frequency of walking dreams and the duration of paraplegia. In contrast, patients were rarely paraplegic in dreams. Subjects who had never walked or stopped walking 4–64 years prior to this study still experience walking in their dreams, suggesting that a cerebral walking program, either genetic or more probably developed via mirror neurons (activated when observing others performing an action) is reactivated during sleep.     

Factors contributing to the quality of the transition out of elite sports in Swiss,Danish, and Polish athletes

ObjectivesThe aim of this study was (a) to compare athletic retirement of former Swiss, Danish, and Polish athletes; and (b) to explore the influence of factors on the quality of the transition. Based on existing transitional models, we developed a working model to investigate the predictive power of commonly assumed resources and barriers related to the transition (Park, Lavallee, & Tod, 2013).Design and methodsFormer international elite athletes from Switzerland (n = 231), Denmark (n = 86), and Poland (n = 84) from 35 different sports completed an online questionnaire in their native language. Mean/proportional differences across countries were explored using ANOVAs and chi-square tests. For each sample, a multiple regression analysis was performed with 26 predictors on the transition quality, which was a component score of seven variables.Results and conclusionsMore differences were found among individual characteristics (e.g., educational level, athletic identity, confidence in skills), whereas athletes reported a similar pattern concerning retirement planning and voluntariness to end their career regardless of the context. The adaptation process following the career end was easiest for Swiss athletes and most difficult for Polish athletes. Results of the multiple regressions revealed both common resources (e.g., voluntariness) and barriers (e.g., athletic identity), but also factors that worked as resources in one context, but as barriers in another (e.g., high sportcareer income). We propose to avoid generalizations about resources and barriers influencing the transition, but to apply a culturally sensitive approach when studying athletic retirement in different contexts.     

A kinematic comparison of successful and unsuccessful tennis serves across the elite development pathway

While velocity generation is an obvious prerequisite to proficient tennis serve performance, it is also the only stroke where players are obliged to negotiate a unique target constraint. Therefore, the dearth of research attending to the accuracy component of the serve is surprising. This study compared the body, racquet and ball kinematics characterising successful serves and service faults, missed into the net, in two groups of elite junior female players and one professional female tennis player. Three-dimensional body, racquet and ball kinematics were recorded using a 22-camera VICON motion analysis system. There were no differences in body kinematics between successful serves and service faults, suggesting that service faults cannot be attributed to a single source of biomechanical error. However, service faults missing into the net are characterized by projection angles significantly further below the horizontal, implying that consistency in this end-point parameter is critical to successful performance. Regulation of this parameter appears dependent on compensatory adjustments in the distal elbow and wrist joints immediately prior to impact and also perceptual feedback. Accordingly, coordination of the distal degrees of freedom and a refined perception-action coupling appear more important to success than any isolated mechanical component of the service action.     

A cross‐cultural comparison of verbal learning and memory functions in reading disabled American and Norwegian adolescents

The present study reports the results of a cross‐cultural analysis of the role of phonetic and semantic cues in verbal learning and memory. A newly developed memory test procedure, the Bergen‐Tucson Verbal Learning Test (BTVLT), expands earlier test procedures as phonetic cues are applied in addition to semantic cues in a cued recall procedure. Samples of reading disabled and typically developed adolescents from the US and from Norway were recruited as voluntary participants. The results indicate that the stimulus materials chosen for the memory test are working well in both American and in Norwegian samples, yielding acquisition results comparable to similar list learning procedures, and also yielding high internal consistency across learning trials. The procedure also reliably differentiates between reading disabled samples in both languages, and also yields cross‐cultural differences that seem to reflect differences in transparency and differences in the orthography of the included languages. The BTVLT with its focus on phonetic coding is a promising supplement to established tests of verbal memory for assessment of reading and language impaired individuals.     

The phenomenology of agency and intention in the face of paralysis and insentience

Studies of perception have focussed on sensation, though more recently the perception of action has, once more, become the subject of investigation. These studies have looked at acute experimental situations. The present paper discusses the subjective experience of those with either clinical syndromes of loss of movement or sensation (spinal cord injury, sensory neuronopathy syndrome or motor stroke), or with experimental paralysis or sensory loss. The differing phenomenology of these is explored and their effects on intention and agency discussed. It is shown that sensory loss can have effects on the focussing of motor command and that for some a sense of agency can return despite paralysis.

Functional cortical connectivity analysis of mental fatigue unmasks hemispheric asymmetry and changes in small-world networks

Changes in functional connectivity across mental states can provide richer information about human cognition than simpler univariate approaches. Here, we applied a graph theoretical approach to analyze such changes in the lower alpha (8–10 Hz) band of EEG data from 26 subjects undergoing a mentally-demanding test of sustained attention: the Psychomotor Vigilance Test. Behavior and connectivity maps were compared between the first and last 5 min of the task. Reaction times were significantly slower in the final minutes of the task, showing a clear time-on-task effect. A significant increase was observed in weighted characteristic path length, a measure of the efficiency of information transfer within the cortical network. This increase was correlated with reaction time change. Functional connectivity patterns were also estimated on the cortical surface via source localization of cortical activities in 26 predefined regions of interest. Increased characteristic path length was revealed, providing further support for the presence of a reshaped global topology in cortical connectivity networks under fatigue state. Additional analysis showed an asymmetrical pattern of connectivity (right > left) in fronto-parietal regions associated with sustained attention, supporting the right-lateralization of this function. Interestingly, in the fatigue state, significance decreases were observed in left, but not right fronto-parietal connectivity. Our results indicate that functional network organization can change over relatively short time scales with mental fatigue, and that decreased connectivity has a meaningful relationship with individual difference in behavior and performance.     

Crisis Support and Coping as Mediators of Well-Being in Persons with Spinal Cord Lesion

This study aims to investigate whether crisis support and coping mediate symptoms of posttraumatic stress disorder (PTSD) in individuals with spinal cord lesions (SCL). PTSD, crisis support, and coping were assessed an average of 83 days after the injury (T1), at discharge from the rehabilitation center (T2), and an average of 121 days following discharge (T3). Sixty-nine newly injured paraplegics and tetraplegics completed the questionnaire at T1, 40 (58%) at T2, and 38 (55%) at T3. Individuals with PTSD experienced significantly lower levels of social support, and used more emotional coping than did those without PTSD. On the basis of logistic regression analyses, emotional coping and the interaction between negative response and emotional coping predicted PTSD. Emotional coping is a strong predictor of PTSD in persons with new SCL.     

A prospective comparison of lower extremity kinematics and kinetics between injured and non-injured collegiate cross country runners

Collegiate cross country runners are at risk for running related injuries (RRI) due to high training volume and the potential for aberrant lower extremity biomechanics. However, there is a need for prospective research to determine biomechanical risk factors for RRI. The purpose of this study was to prospectively compare ankle, knee, and hip kinematics and kinetics and ground reaction force characteristics between injured and non-injured cross country runners over a 14-week season. Biomechanical running analyses were conducted on 31 collegiate-cross country runners using a 3-dimensional motion capture system and force plate prior to the start of the season. Twelve runners were injured and 19 remained healthy during the course of the season. Peak external knee adduction moment (KAM), a surrogate for frontal plane knee loading, and peak ankle eversion velocity were greater in runners who sustained an injury compared to those who did not, and no differences were noted in ground reaction force characteristics, or hip kinematics and kinetics. Reducing the KAM and ankle eversion velocity may be an important aspect of preventing RRI.