An internal focus of attention is optimal when congruent with afferent proprioceptive task information

Whilst benefits of an external focus are shown to govern several characteristics of skill execution, specificity theory indicates that sources of afferent information most useful to performance execution are typically prioritised during processing.ObjectivesWe investigated whether an internal focus facilitates performance when pertinent afferent information is proprioceptive in nature and congruent with attentional focus. We also considered whether the mechanisms behind attentional focus differences are attributable to planning processes or online motor control.DesignExperiments 1 and 2 adopted a randomised design, whilst experiment 3 used a repeated measures approach.MethodIn Experiment 1 we investigated movement variability as a measure of planning and error correction under external and internal focus conditions in an aiming task. Experiment 2 removed visual information to increase pertinence of proprioceptive feedback for movement execution and Experiment 3 adopted a leg-extension task, where proprioceptive salience was enhanced using an ankle weight. We hypothesised that this would increase congruency between internal focus instructions and movement production.ResultsExperiments 1 and 2 revealed reduced amplitude errors under an internal focus whilst Experiment 3 showed similar findings with the addition of lower EMG activity when adopting an internal focus. Movement variability findings were indicative of enhanced planning.ConclusionsWhen pertinence of proprioceptive information was amplified, benefits of an internal focus were more pronounced and performance was higher. Participants were better able to focus on movement characteristics to process proprioceptive feedback: something not afforded under an external focus. This raises doubts regarding the rigidity of the constrained action hypothesis.     

Specific internal and external attentional focus instructions have differential effects on rowing performance

Directing an individual to focus their attention on internal or external cues can influence performance of skill-based and endurance sports. The present study examined the effects of switching attention across different types of internal and external attentional foci in a rowing task. Novice rowers (19 male, 47 female) focussed attention on one of four different internal cues (or one of four different external cues) at discrete time points while completing a row on an ergometer. Overall, a focus on internal cues resulted in longer distance, higher power output, and higher heart rate than a focus on external cues. However, for the internal condition a focus on arm and leg muscles was associated with higher performance than a focus on breathing. For the external condition, a focus on exerting force on the handle produced higher performance than a focus on the movements of the handle or seat or on the sounds of the ergometer. Global instructions to focus internally or externally influenced performance, but the specific effects within these broad categories were also variable. The advice given to athletes and recreational exercises should consider both the broad attentional focus direction and the specific cues of the task to which attention is directed.     

EMG Activity as a Function of the Performer's Focus of Attention

In previous studies of attentional focus effects, investigators have measured performance outcome. Here, however, the authors used electromyography (EMG) to determine whether differences between external and internal foci would also be manifested at the neuromuscular level. In 2 experiments, participants (N = 11, Experiment 1; N = 12, Experiment 2) performed biceps curls while focusing on the movements of the curl bar (external focus) or on their arms (internal focus). In Experiment 1, movements were performed faster under external than under internal focus conditions. Also, integrated EMG (iEMG) activity was reduced when performers adopted an external focus. In Experiment 2, movement time was controlled through the use of a metronome, and iEMG activity was again reduced under external focus conditions. Those findings are in line with the constrained action hypothesis (G. Wulf, N. McNevin, & C. H. Shea, 2001), according to which an external focus promotes the use of more automatic control processes.     

Practice variability promotes an external focus of attention and enhances motor skill learning

Variability in practice has been shown to enhance motor skill learning. Benefits of practice variability have been attributed to motor schema formation (variable versus constant practice), or more effortful information processing (random versus blocked practice). We hypothesized that, among other mechanisms, greater practice variability might promote an external focus of attention on the intended movement effect, while less variability would be more conducive to a less effective internal focus on body movements. In Experiment 1, the learning of a throwing task was enhanced by variable versus constant practice, and variable group participants reported focusing more on the distance to the target (external focus), while constant group participants focused more on their posture (internal focus). In Experiment 2, golf putting was learned more effectively with a random compared with a blocked practice schedule. Furthermore, random group learners reported using a more effective distal external focus (i.e., distance to the target) to a greater extent, whereas blocked group participants used a less effective proximal focus (i.e., putter) more often. While attentional focus was assessed through questionnaires in the first two experiments, learners in Experiment 3 were asked to report their current attentional focus at any time during practice. Again, the learning of a throwing task was more effective after random relative to blocked practice. Also, random practice learners reported using more external focus cues, while in blocked practice participants used more internal focus cues. The findings suggest that the attentional foci induced by different practice schedules might be at least partially responsible for the learning differences.     

Two Factors to be Considered in the Design of Experiments in Anxiety and Motor Behavior

The authors examined the influence that attentional focus on either a postural or a suprapostural task had on the performance of each task. Participants (N = 32) stood on an inflated rubber disk and held a pole horizontally. All participants performed under 4 attentional focus conditions: external (disk) or internal (feet) focus on the postural task, and external (pole) or internal (hands) focus on the suprapostural task. Compared with internal focuses, external focuses on either task resulted in similar and reduced postural sway. Response frequency on each task increased when participants focused on the respective task. Finally, an external focus on either task produced higher frequencies of responding on the suprapostural task. The authors conclude that suprapostural task goals have a stronger influence on postural control than vice versa, reflecting the propensity of the motor system to optimize control processes on the basis of the desired movement effect.     

Whole Body Coordination and Knee Movement Control During Five Rehabilitation Exercises

Knee rehabilitation exercises to improve motor control, target movement fluency, and displacement variability. Although knee movement in the frontal plane during exercise is routinely assessed in clinical practice, optimal knee control remains poorly understood. In this study, 29 healthy participants (height: 1.73 ± 0.11 m, mass: 73.5 ± 16.4 kg, age: 28.0 ± 6.9 years) performed 4 repetitions of 5 rehabilitation exercises while motion data were collected using the VICON PlugInGait full-body marker set. Fluency and displacement variability were calculated for multiple landmarks, including center of mass (CoM) and knee joint centers. Fluency was calculated as the inverse of the average number of times a landmark velocity in the frontal plane crossed zero. Variability was defined as the standard deviation of the frontal plane movement trajectories. CoM fluency and displacement variability were significantly different between tasks (p < .001). CoM displacement variability was consistently smallest compared to the constituent landmarks (p < .005). This was interpreted as a whole body strategy of compensatory variability constraining CoM frontal plane movement. Ipsilateral knee fluency (p < .01) and displacement variability (p < .001) differed substantially between tasks. The role of the weight-bearing knee seemed dependent on task constraints of the overall movement and balance, as well as constraints specific for knee joint stability.     

The Effect of External and Internal Focus of Attention on Gait Variability in Older Adults

Internal focus of attention on a movement or focusing on an external target are both strategies that can affect motor performance. The authors explored whether manipulating subjects' focus of attention while walking would alter gait variability, a measure reflecting consistency of gait and associated with the risk of falling in older adults. Twenty community-living older adults participated in the study and were tested while focusing their attention on (a) gait consistency (internal focus) or (b) metronome beats (external focus). In both conditions gait variability increased (i.e., worsened p < .05) or did not change. No benefit was found in instructing subjects to focus on gait consistency or metronome beats. Such instructions may actually have distracted and interfered with the execution of gait.     

Effects of Attentional Focus on Skilled Performance in Golf

Wulf and colleagues (e.g., Wulf, Lauterbach, & Toole, 1999 Wulf, G., Lauterbach, B. and Toole, T. 1999. The learning advantages of an external focus of attention in golf. Research Quarterly for Exercise and Sport, 70: 1219–126.  [Google Scholar]) have demonstrated that the adoption of an external focus of attention is preferable for the learning of complex motor tasks. The present investigation extends the attention focus literature in two ways: (a) it compared the effectiveness of three different foci (internal, proximal external, and distal external) in a sample of skilled performers in a naturalistic environment, and (b) it examined the use of attentional foci under conditions of anxiety. Thirty-three skilled male golfers were assigned to one of three attentional focus groups and completed five blocks of ten pitch shots, three in neutral conditions and two in anxiety conditions. Results from two separate mixed model analyses of variance (ANOVAs) indicated that regardless of anxiety condition, those assigned to a distal external focus of attention performed most accurately (p < 0.05), whereas assignment to an internal focus of attention was associated with the least accurate performance (p < 0.05). Findings offer support for the constrained action hypothesis and point to the importance of skilled performers adopting a distal external focus, especially in competition.     

Skilled swimmers maintain performance stability under changing attentional focus constraints

Focusing attention externally, rather than internally, has generally proved advantageous as it avoids interfering with self-organzing processes. However, some research has suggested that this may not necessarily be the case with highly skilled individuals who by definition possess a greater capacity to either adapt or maintain stability under varied task constraints. This study aimed to address this gap by comparing the performance of skilled athletes under internal and external attentional focus conditions using the swimming dive start as a task vehicle.Using a counterbalanced repeated measures design, skilled swimmers performed dive starts in conditions of differing attentional focus – internal and external attentional focus. Kinetic and kinematic variables were collected and statistical analyses conducted to compare differences between conditions.The results revealed no differences in outcome performance (relative peak power, horizontal velocity, and time to 5 m) between internal and external focus conditions. However, remaining kinematic and kinetic measures revealed that all movement events occurred earlier in the movement sequence, suggesting superior self-organization of movement in the external focus condition. An external focus may be beneficial for the organization of movement control in skilled swimmers, but may not have an immediate impact upon the outcome of the task.     

Adopting a holistic focus of attention promotes adherence and improves performance in college track and field athletes

Research on novices suggests that an external focus improves performance over an internal focus. For experienced performers the results on attentional focus have been mixed. Recently Becker, Georges, and Aiken (2019) suggested that a holistic focus may be a useful substitute when an external focus is not appropriate. The purpose of this study was to investigate attentional focus within track and field athletes performing an underhand shot throw. 18 female athletes performed an underhand shot throw (4 kg) under three focus conditions: internal, external, and holistic. Participants also rated their adherence to each attentional focus manipulation. Repeated-measures ANOVAs with Sidak post-hoc were used to analyze both underhand shot throw distance and focus adherence. A significant main effect for condition was observed for distance (F = 6.14, p = .005). A holistic threw farther than an internal focus (p < .001) with no difference between internal and external (p = .380), or holistic and external foci (p = .312). For adherence, a significant main effect for condition was observed (F = 4.56, p = .018) with holistic focus adhering to the cue significantly more than internal focus (p < .019). The results of this study are in line with research that found a benefit for a holistic focus with novice performers (Becker et al., 2019). Mullen and Hardy (2010) also found a benefit for the golf putt, basketball shot, and long jump with skilled performers adopting a focus on the global or holistic aspect of the skill.     

Enhancing the Learning of Sport Skills Through External-Focus Feedback

The authors examined how the effectiveness of feedback for the learning of complex motor skills is affected by the focus of attention it induces. The feedback referred specifically either to body movements (internal focus) or to movement effects (external focus). In Experiment 1, groups of novices and advanced volleyball players (N = 48) practiced “tennis” serves under internal-focus or external-focus feedback conditions in a 2 (expertise) × 2 (feedback type) design. Type of feedback did not differentially affect movement quality, but external-focus feedback resulted in greater accuracy of the serves than internal-focus feedback during both practice and retention, independent of the level of expertise. In Experiment 2, the effects of relative feedback frequency as a function of attentional focus were examined. A 2 (feedback frequency: 100% vs. 33%) × 2 (feedback type) design was used. Experienced soccer players (N = 52) were required to shoot lofted passes at a target. External-focus feedback resulted in greater accuracy than internal-focus feedback did. In addition, reduced feedback frequency was beneficial under internal-focus feedback conditions, whereas 100% and 33% feedback were equally effective under external-focus conditions. The results demonstrate the effectiveness of effect-related, as opposed to movement-related, feedback and also suggest that there is a need to revise current views regarding the role of feedback for motor learning.     

Effects of attentional focus on movement coordination complexity

Attentional focus affects performance and learning of motor tasks. An external attentional focus (on the effects of movement) can lead to more efficient and effective movements compared to an internal focus (on body movement itself). According to the “constrained action hypothesis”, an external focus facilitates fast and reflexive movement control while an internal focus leads to disruption of automatic coordination processes. Such disruption should be apparent in the complexity of movement. In this study, multiscale entropy measures were used to investigate if the external focus is related to superior coordination complexity compared to internal focus. Twenty participants were divided in two groups that balanced over an unstable platform in fourteen trials over two days, either with internal or external focus of attention instructions, followed by seven retention trials on the third day. Multiscale entropy measures were used to quantify complexity of motions of the platform, the participant, and the composite of participant and platform motions. Results were contrary to expectations. For the external focus group, despite better overall performance, multiscale entropy values of participant and composite motions were lower in some scales compared to the internal focus group, especially in the first and last days. This may be consistent with previous findings that predictability increases during learning of a balance task. Results also indicate the need to identify the correct physiological interpretation of single or multiscale entropy measures. Further investigation is needed to establish if entropy differences are causally related to performance and learning advantages of the external focus.     

Directing attention to movement effects enhances learning: a review

Studies investigating the influence of the learner’s focus of attention, induced by instructions or feedback, on motor skill learning are reviewed. In general, directing performers’ attention to the effects of their movements (external focus of attention) appears to be more beneficial than directing their attention to their own movements (internal focus of attention). Preliminary evidence is presented indicating that an internal attentional focus constrains the motor system by interfering with natural control processes, whereas an external focus seems to allow automatic control processes to regulate the movements. Support for the view that actions are controlled by their anticipated effects comes from research demonstrating functional variability in motor control, as well as the benefits of purposeful activity in occupational therapy. We explain these results in terms of the ideomotor principle of human actions (James, 1890) and its more modern derivatives (Hommel, 1996; Prinz, 1990, 1997).     

Differences in children’s thinking and learning during attentional focus instruction

Considerable evidence supports the motor learning advantage associated with an external focus of attention; however, very few studies have investigated attentional focus effects with children despite individual functional constraints that have the potential to impact use of instructional content. Thus, the purpose of this study was to determine the effect of attentional focus instruction on motor learning in children. Participants (n = 42) aged 9–11 years were randomly assigned to one of three gender-stratified groups: (1) control, (2) internal focus, or (3) external focus. Following initial instructions and task demonstration, participants performed 100 modified free throws over two days while receiving additional cues respective to their attentional focus condition and returned approximately 48 h later to perform 20 additional free throws. Results revealed no significant learning differences between groups. However, responses to retrospective verbal reports suggest that the use of external focus content during practice may have contributed to some participants’ superior performance in retention. Future research should continue to examine attentional focus effects across a variety of ages and incorporate retrospective verbal reports in order to examine children’s thoughts during attentional focus instruction.     

Associations between visual attention,implicit and explicit attitude and behaviour for physical activity

The current study explored associations between previous physical activity and both implicit and explicit attitudes, as well as visual attention and activity motivation (intention). Analyses were performed on participants initially unaware of the physical activity focus of the study (N = 98). Higher levels of physical activity were associated with positive implicit attitudes and an attentional bias towards exercise cues. There was a quadratic (‘U’ shaped) relationship between implicit attitude and attention: the more extreme individuals’ implicit attitudes towards exercise (positive or negative) the greater their attentional bias to exercise cues. Furthermore, explicit attitude moderated the relationship between attentional bias and physical activity: attentional bias to exercise cues was associated with higher levels of physical activity only for those who had a strong positive explicit attitude. Findings suggested that implicit cognitions are linked with previous physical activity. Future research should consider strategies for strengthening positive implicit and explicit attitudes and directing attention to cues signalling healthy behaviour.     

The automaticity of complex motor skill learning as a function of attentional focus

The present experiment was designed to test the predictions of the constrained-action hypothesis. This hypothesis proposes that when performers utilize an internal focus of attention (focus on their movements) they may actually constrain or interfere with automatic control processes that would normally regulate the movement, whereas an external focus of attention (focus on the movement effect) allows the motor system to more naturally self-organize. To test this hypothesis, a dynamic balance task (stabilometer) was used with participants instructed to adopt either an internal or external focus of attention. Consistent with earlier experiments, the external focus group produced generally smaller balance errors than did the internal focus group and responded at a higher frequency indicating higher confluence between voluntary and reflexive mechanisms. In addition, probe reaction times (RTs) were taken as a measure of the attention demands required under the two attentional focus conditions. Consistent with the hypothesis, the external focus participants demonstrated lower probe RTs than did the internal focus participants, indicating a higher degree of automaticity and less conscious interference in the control processes associated with the balance task.     

Switching attentional focus across internal and external cues improves performance in a rowing task in novices

Performance in skill-based and endurance sports can be enhanced when an individual directs attention toward internal or external cues. However, there might be advantages in attending to specific cues at different times during a continuous sport task. The present study examined the effects of switching attention between internal and external cues when rowing. Novice rowers (N = 27) completed three 2000 m rows while focusing attention on internal cues only, external cues only, or switching between internal and external cues. Overall performance, as measured by time and power output, was best in the switching condition. Measurements of heart rate and perceived exertion were not significantly different between switching and external conditions, suggesting that these performance improvements occurred without producing significant subjective or objective physiologic change. However, a focus on external cues resulted in lower ratings of perceived exertion relative to a focus on internal cues. Self-reported motivation did not differ between conditions. Although instructions to focus internally or externally can influence performance on aerobic tasks, switching attention between these cues may enhance performance. Athletes should consider attending to various cues in rowing and, by extension, in other endurance sports.     

Learning to Minimize Energy Costs and Maximize Mechanical Work in a Bimanual Coordination Task

The authors addressed the hypothesis that economy in motor coordination is a learning phenomenon realized by both reduced energy cost for a given workload and more external work at the same prepractice metabolic and attentional energy expenditure. "Self-optimization" of movement parameters has been proposed to reflect learned motor adaptations that minimize energy costs. Twelve men aged 22.3 ± 3.9 years practiced a 90° relative phase, upper limb, independent ergometer cycling task at 60 rpm, followed by a transfer test of unpracticed (45 and 75 rpm) and selfpaced cadences. Performance in all conditions was initially unstable, inaccurate, and relatively high in both metabolic and attentional energy costs. With practice, coordinative stability increased, more work was performed for the same metabolic and attentional costs, and the same work was done at a reduced energy cost. Selfpaced cycling was initially below the metabolically optimal, but following practice at 60 rpm was closer to optimal cadence. Given the many behavioral options of the motor system in meeting a variety of everyday movement task goals, optimal metabolic and attentional energy criteria may provide a solution to the problem of selecting the most adaptive coordination and control parameters.     

Focus of attention effects on lower extremity biomechanics during vertical jump landings

This study examined biomechanical differences between external and internal foci of attention during vertical jump landings in males and females. Twenty-four healthy adults performed eight vertical jump landings using both internal and external foci while three-dimensional kinematic and ground reaction force (GRF) data were obtained. Two (focus) by two (sex) analyses of variance (α = 0.05) and Cohen's d effect sizes (ES) were used to compare differences in vertical GRF, joint angular positions and displacements, and lower limb joint angular work between foci and between sexes. Significantly greater knee contributions to total angular work occurred during external versus internal focus landings regardless of sex (p = .013; ES = 0.30). Significantly smaller plantarflexion angles (p = .019; ES = 0.53) and significantly greater knee flexion angles were observed at ground contact (p < .001; ES = 1.11) in males during external focus landings. Females exhibited significantly smaller knee flexion angles at both ground contact during external versus internal focus landings (p = .031; ES = 0.20) and compared to males during external focus landings (p < .001; ES = 1.76). Both peak vertical GRF (p = .003; ES = 1.54) and the ankle contributions to total angular work during loading (p = .026; ES = 1.07) were greater in females versus males regardless of foci, whereas the knee contributions to total angular work during loading were smaller in women (p = .026; ES = 1.07). Males and females might consider adopting an external focus during vertical jump landings to increase knee joint contributions to lower limb energy absorption. Females, in particular, might consider external focus use to decrease peak vertical GRF and increase the knee joint's contribution to total energy absorption to magnitudes similar to those exhibited by males.     

Thinking about muscles: the neuromuscular effects of attentional focus on accuracy and fatigue

Although the effects of attention on movement execution are well documented behaviorally, much less research has been done on the neurophysiological changes that underlie attentional focus effects. This study presents two experiments exploring effects of attention during an isometric plantar-flexion task using surface electromyography (sEMG). Participants' attention was directed either externally (towards the force plate they were pushing against) or internally (towards their own leg, specifically the agonist muscle). Experiment 1 tested the effects of attention on accuracy and efficiency of force produced at three target forces (30, 60, and 100% of the maximum voluntary contraction; MVC). An internal focus of attention reduced the accuracy of force being produced and increased cocontraction of the antagonist muscle. Error on a given trial was positively correlated with the magnitude of cocontraction on that trial. Experiment 2 tested the effects of attention on muscular fatigue at 30, 60 and 100%MVC. An internal focus of attention led to less efficient intermuscular coordination, especially early in the contraction. These results suggest that an internal focus of attention disrupts efficient motor control in force production resulting in increased cocontraction, which potentially explains other neuromechanical findings (e.g. reduced functional variability with an internal focus).