The effect of tape-recorded relaxation training on well-being,symptoms, and peak expiratory flow rate in adult asthmatics: A pilot study

Abstract

Evidence indicates that psychological stress plays a role in precipitating and exacerbating asthma symptoms and suggests that relaxation techniques aimed at reducing stress and autonomic arousal leads to symptom reduction. This study explored the effect of a tape-recorded relaxation intervention on well-being (mood and stresson). asthma symptoms, and a measure of pulmonary function (PEFR). Twenty adult asthmatics were studied for 21 days in their natural environment using a multiple baseline design. Self-administered relaxation training (including both breathing exercises and muscle relaxation) led to decreased negative mood and stressor report. Reporting of asthma symptoms decreased over time, and PEFR was increased by relaxation training. Asthma medication use was unchanged. Results suggest that tape–recorded relaxation training positively impacts well-being, asthma symptoms. and PEFR in a naturalistic setting. Further study of the potential use of inexpensive tape-recorded interventions in chronic illness is warranted.     

Neuropsychological dysfunction in asthmatic children

Neuropsychological dysfunction associated with pediatric asthma is reviewed. Significant methodological confounds associated with clinical research, including problems with the objective measure of asthma, are prevalent in many studies. Most evidence does not support the belief that asthma alone results in homogeneous neuropsychological compromise. Studies of adverse reactions to asthma medications indicate medication-specific effects including slight improvements in some aspects of neuropsychological functioning, such as attention, and deficiencies in other aspects of neuropsychological functioning, such as memory. The acute neuropsychological effects of various medication regimens appears to be reversible with cessation of the asthma medication under suspicion, although no data yet exist regarding the long-term effects of therapeutic dosages of asthma medications upon a developing nervous system. The hypothetical effects of asthma on school performance have been related to non-neuropsychological variables such as a child's socioeconomic status, though there is also evidence suggesting that poorly controlled asthma is related to learning problems. Implications for pediatric neuropsychologists are discussed.     

Metronome rate and walking foot contact time in young adults

It is assumed that when people walk guided by an audible constant rate, they match foot contact to the external pace. The purpose of this preliminary study was to test that assumption by examining the temporal relationship between audible signals generated by a metronome and foot contact time during gait. Ten healthy young women were tested in walking repetitions guided by metronome rates of 60, 110, and 150 beats/min. Metronome beats and foot contact times were collected in real time. The findings indicated that foot contact was not fully synchronized with the auditory signals; the shortest time interval between the metronome beat and foot contact time was at the prescribed rate of 60 beats/min., while the longest interval was at the rate of 150 beats/min. The correlation between left and right foot contact times was highest with the slowest rate and lowest with the fastest rate.     

Perception of expiratory flow by asthmatics and non-asthmatics during rest and exercise

Perception of respiratory function may be an important factor in self-management of asthma. Previous research has suggested that asthmatics may not accurately perceive pulmonary functioning. The perception of normal and asthmatic individuals was assessed using a magnitude production procedure in a series of three studies, proceeding from normal individuals during rest, then submaximal exercise, to a comparison of normal and asthmatic adolescents during rest and submaximal exercise. At rest there were no differences between males and females, adults and adolescents, or asthmatics and non-asthmatics. However, there were significant differences in perception between rest and exercise for all groups. These findings suggest that a breakdown in perception does not occur during submaximal exercise in patients with asthma.     

Effects of walking on reaction and movement times among elders

The purpose of this study was to examine the effects of a 6-wk. walking program on reaction times and movement times among 52 elders. Twenty-seven elderly, whose mean age was 71.8 yr. comprised the experimental group, and 25 elderly whose mean age was 71.8 yr. comprised the comparison group. The former subjects walked for 30 min. three times a week for 6 wk. while the latter maintained their normal activity. No significant differences in simple or choice reaction times and the associated movement times were found. To clarify the relationship of health and current and past physical activity, correlations of these with both simple and choice reaction times and movement times were examined. Except for the number of miles walked in a week, none of the correlations were significant. These results may not support previous findings that reaction and movement times were shorter with life-long participation in aerobic activity. However, the present study examined persons who were sedentary and were not involved in a life-long participation in aerobic exercise. Implications of these findings are discussed.     

Effects of speaking upon the rate and variability of concurrent finger tapping in children

Tapping rate and variability were measured as 73 normal, right-handed children in Grades 1–4 engaged in speeded unimanual finger tapping with and without concurrent recitation. Speaking reduced the rate of tapping and increased its variability to a greater extent in younger children than in older children. Developmental changes in variability but not rate were attributable to a greater number of lengthy (>500 ms) pauses in the tapping of younger children. Speaking slowed the right hand more than the left, and the degree of this asymmetry was constant across grade levels. The right-hand effect for tapping rate was not attributable to lengthy pauses. In contrast, asymmetric increases in tapping variability occurred only among children in Grade 1 and only when lengthy pauses were included in the data. The results implicate three mechanisms of intertask interference: one involving capacity limitations, a second involving cross-talk between motor control mechanisms for speech and finger movement, respectively, and a third factor involving occasional diversion of attention from tapping to speaking. These mechanisms are discussed in relation to developmental changes in mental capacity.     

Effects of familiar and unfamiliar asynchronous music on treadmill walking endurance

To assess effects of familiarity of music on treadmill endurance, 15 female undergraduates in sports science performed an incremental treadmill walking task on three separate occasions while listening to Familiar Music, Unfamiliar Music, and White Noise. A repeated-measures analysis of variance indicated that participants walked for significantly longer when accompanied by Familiar and Unfamiliar Music in comparison to White Noise (p<.01). Although participants rated Familiar Music as significantly more motivating than Unfamiliar music (p<.05), no significant differences were found between the two music conditions for treadmill endurance. Heart rates did not appear to be influenced by music during treadmill walking or on completion of the task.     

Effects of event rate and display time on sustained attention in hyperactive,normal, and control children

Two experiments were conducted to determine whether hyperactive boys have a unique deficit in sustained attention. Groups with DSM-III diagnoses of attention deficit disorder (ADDH), conduct disorder (CD), ADDH+CD, and learning disorder were compared with normal controls on the Continuous Performance Task. In Experiment 1, stimulus presentation rate (stimulus onset asynchrony, SOA) and display time were varied to manipulate attentional demand, and speed and accuracy of performance were measured. The ADDH group was uniquely affected, with less accurate performance at the fastest and slowest SOA. To distinguish the effects of time on task and SOA, the duration of each SOA condition was held constant in Experiment 2. The poorer performance of the ADDH group at the fastest SOA was no longer evident. This finding indicates that the deficit of sustained attention in boys who have ADDH is associated with a greater susceptibility to refractory effects, which is influenced by practice.This research was supported by the Ontario Mental Health and Ruth Schwartz Foundations through a graduate fellowship awarded to P. Chee and a research grant to R. Schachar, G. Logan, and R. Wachsmuth. Dr. Schachar was also supported by the Canadian Psychiatric Research Foundation. This article is based, in part, on a doctoral dissertation submitted by the first author to the Ontario Institute for Studies in Education. The authors thank Dr. John Lovering and the staff of the Departments of Psychiatry and Psychology, The Hospital for Sick Children, for their cooperation in the conduct of this study. This paper was prepared with the assistance of the Medical Publications Department, The Hospital for Sick Children, Toronto.     

Effects of incentive and preparatory interval on activity, heart rate, and reaction time in children.

To resolve certain empirical and theoretical difficulties concerning, primarily, the significance of phasic heart-rate deceleration prior to reaction signals, 48 children were employed to perform in simple reaction-time tasks while speed, heart rate, head movement, gross movement, and blink activity were recorded. The indeory intervals and level of incentives. Reaction time varied with incentive, with preparatory interval and mode of presentation. Phasic heart-rate deceleration varied with the intervals but not incentive or mode of presentation. There was little relation between deceleration and RT. Heart rate and somatic movement measures (especially of blinking) were roughly concordant at a group level but did not correlate.     

Effects of effort on response rate

Pigeons were trained to peck for food reinforcement, and the minimum effective force for a peck was varied. In a single-key situation, the response rate was unaffected up to a certain force value, beyond which increments caused a proportional decrement in response rate. Transient enhancement and suppression effects were observed following a change in the force requirement. A change from a high force requirement to a low force requirement resulted in a temporary enhancement of response rate above the stable performance level, whereas a change from a low to a high requirement produced a temporary suppression of the rate below the stable rate. In a two-key situation, the response rate on a key with a given force remained unaffected by the force requirement on the other key. When the rate of response was plotted against the required force, the resultant function was remarkably similar to that obtained from the single-key experiment. When the rates of reinforcement on the two keys differed, the decrement in response rate produced by an increase in the force requirement was proportionally greater on the key with the lower rate of reinforcement.     

Effects of walking on various inclines on EMG patterns of lower limb muscles in humans

Myoelectric signals from several muscles of the lower limb were studied during treadmill locomotion over various inclines. A pattern recognition technique was used to analyse these activity patterns. The analyses revealed the following rules. These are common features among the various muscle activity patterns. The results suggest that the limb is controlled as a unit. Both phasic and average components of the muscle activity patterns are modulated to meet demands imposed by the various inclines. The distal muscles in general are more tightly controlled than the proximal muscles. The changes in average EMG values are muscle-specific, and are not similar for the stance and swing phases of the step cycle. On average, the proximal muscles show greater increases than the distal muscles. These results are compared with those found previously in the different speed and stride-length condition. Studies such as these shed light on the adaptability of the basic locomotor synergy.     

Kinematic patterns during walking in children: Application of principal component analysis

The relative displacements of body segments during walking can be reduced to a small number of multi-joint kinematic patterns, pm_k, through Principal Component Analysis (PCA). These patterns were extracted from two groups of children (n = 8, aged 6–9 years, 4 males, and n = 8, aged 10–13 years, 4 males) and 7 adults (21–29 years, 1 male), walking on a treadmill at various velocities, normalized to body stature (adimensional Froude number, Fr). The three-dimensional coordinates of body markers were captured by an optoelectronic system.Five components (pm₁ to pm₅) explained 99.1% of the original dataset variance. The relationship between the variance explained (“size”) of each pm_k and the Fr velocity varied across movement components and age groups. Only pm₁ and pm₂, which described kinematic patterns in the sagittal plane, showed significant differences (at p < 0.05) across pairs of age groups. The time course of the size of all the five components matched various mechanical events of the step cycle at the level of both body system and lower limb joints. Such movement components appeared clinically interpretable and lend themselves as potential markers of neural development of walking.     

Effects of monochromatic rearing on spectral discrimination learning and the peak shift in chicks

Chicks were hatched and raised in white or monochromatic sodium (589 nm) light. They were trained on a 590 (+) vs. 580 (-) nm successive discrimination. The combined results of two experiments indicated that rearing illumination did not affect discrimination acquisition. All subjects given generalization tests after discrimination training exhibited peak shifts that were equivalent for the two rearing conditions. The peak shifts exhibited by the monochromatically reared subjects represent maximum responding to stimuli they had not previously seen. This result further confirms the notion that behavioral control by the spectral dimension in birds is organized independently of differential early experience on that dimension.     

Effects of visual focus and gait speed on walking balance in the frontal plane

We investigated how head position and gait speed influenced frontal plane balance responses to external perturbations during gait. Thirteen healthy participants walked on a treadmill at three different gait speeds. Visual conditions included either focus downward on lower extremities and walking surface only or focus forward on a stationary scene with horizontal and vertical lines. The treadmill was positioned on a platform that was stationary (non-perturbed) or moving in a pattern that appeared random to the subjects (perturbed). In non-perturbed walking, medial–lateral upper body motion was very similar between visual conditions. However, in perturbed walking, there was significantly less body motion when focus was on the stationary visual scene, suggesting visual feedback of stationary vertical and horizontal cues are particularly important when balance is challenged. Sensitivity of body motion to perturbations was significantly decreased by increasing gait speed, suggesting that faster walking was less sensitive to frontal plane perturbations. Finally, our use of external perturbations supported the idea that certain differences in balance control mechanisms can only be detected in more challenging situations, which is an important consideration for approaches to investigating sensory contribution to balance during gait.