Change in physical self-perceptions across the transition to secondary school: Relationships with perceived teacher-emphasised achievement goals in physical education

ObjectivesThis study aimed to examine the effects of change in perceived teacher achievement goal emphasis in physical education (PE) on physical self-perceptions and self-esteem across the transition to secondary school.Design & methodsA longitudinal design was adopted with three time points, one at the end of primary school and two during the first year of secondary school. Participants (N = 491) were cross-classified by primary (N = 42) and secondary (N = 46) PE class in order to examine the association between perceived class-level teacher-emphasised goals and within-class student goals with self-beliefs.ResultsPersonal approach goals and class perceptions of teacher mastery approach goal promotion were all positively associated with ratings of co-ordination, sport competence, flexibility, and endurance in primary school. More favourable perceptions of coordination, sport competence, strength, flexibility, and endurance during the first year of secondary school were predicted by an increase in performance approach goal emphasis, whereas ratings of sport competence and flexibility were negatively associated with an increase in mastery approach goal emphasis.ConclusionsAlthough not entirely consonant with theoretical predictions, current findings suggest that teacher-emphasised performance approach goals in PE can promote development of several physical self-perceptions in the initial year of secondary school.     

“Pay the piper”: It helps initially,but motivation takes a toll on self-control

ObjectiveTo investigate the aftereffects of anticipating future self-control and motivation on self-control strength depletion patterns.DesignSingle blind, randomized 2 (autonomy-supportive motivation/controlling motivation) × 2 (anticipation/no anticipation) factorial.MethodParticipants (N = 72) performed four sequential self-control strength challenges: an initial endurance handgrip squeeze followed by the Stroop task and two additional endurance handgrip squeezes. A sequential randomization procedure was used to allocate participants to one of four conditions: anticipation/autonomy-supportive motivation (n = 19), anticipation/controlling motivation (n = 17), no anticipation/autonomy-supportive motivation (n = 18), and no anticipation/controlling motivation (n = 18).ResultsParticipants who anticipated future self-control depletion conserved resources on the second task by completing fewer words on a Stroop task compared to controls. Participants who received autonomy-supportive instructions performed significantly better than controls on a third task (endurance handgrip squeeze), but worse than controls on the fourth task (another endurance handgrip squeeze). There were no significant interactions between anticipation and motivation (p > .05).ConclusionsResults support previous findings reflecting conservation and motivation effects on self-control strength. This was the first study to show that autonomy-supportive instructions may assist self-control performance in the short term but ultimately depletes self-control strength and impairs performance in the long term.     

Kinaesthetic imagery ability moderates the effect of an AO+MI intervention on golf putt performance: A pilot study

BackgroundPrevious research has established that motor imagery (MI) and action observation (AO) independently enhance the performance and learning of motor skills. Recent studies have demonstrated that combining AO and MI (AO + MI) elicits increased activity in motor regions of the brain and enhances performance more than either AO or MI alone. Kinesthetic imagery (KI) ability refers to the ease with which one can sense their own body and imagine how a movement feels during a task (Malouin et al., 2007). KI ability may be of particular importance when engaging with AO + MI as the provision of an external visual stimulus through AO renders the visual component of MI redundant.ObjectiveThe current study aims to add to the emerging body of behavioural evidence demonstrating the performance benefits of AO + MI by exploring the effect of an AO + MI intervention on golf putting performance, as well as exploring the role that KI ability represents in AO + MI effectiveness.MethodRight-handed male golfers (N = 44) of varying skill level performed twenty 15-foot putts before and after a 3.5 min AO + MI intervention (AO + MI group; mean handicap = 7.5, SD = 4.3) or a similarly timed passive reading task (Control group; mean handicap = 11.5, SD = 5.4). Using the MIQ-3 questionnaire, participants in both experimental groups were classified according to kinesthetic imagery ability where: a mean score ≥6 were classified as good imagers. Performance accuracy was measured using mean radial error (MRE), precision was quantified via bivariate error (BVE) and putter kinematics were recorded by SAM Puttlab.ResultsResults from a series of ANCOVAs indicate that good kinesthetic imagers who received the AO + MI intervention were significantly more precise (BVRE) on the putting task than good kinesthetic imagers in the Control group (p = 0.041, d = 0.678). Good kinesthetic imagers in the intervention group also significantly outperformed good kinesthetic imagers in the control group on a measure of speed control (SD of error scores along the axis of progression) in golf putting (p = 0.041).ConclusionsOur results suggest that the presence of AO with MI increases the relevance of kinesthetic cues, that good kinesthetic imagers are able to utilise for subsequent performance benefits during the putting task. We discuss the increased importance of kinesthetic awareness/feel following the intervention as an explanation for such improvements in performance.     

Modeling relationships between physical fitness,executive functioning,and academic achievement in primary school children

ObjectivesThe relationship between physical fitness and academic achievement in children has received much attention, however, whether executive functioning plays a mediating role in this relationship is unclear. The aim of this study therefore was to investigate the relationships between physical fitness, executive functioning, and academic achievement, more specifically to test whether the relationship between physical fitness and academic achievement is direct or indirect, via executive functioning.DesignCross-sectional.MethodThis study examined 263 children (145 boys, 118 girls), aged 7–12 years, who performed tests on physical fitness, executive functioning, and academic achievement.ResultsIn a structural equation model linking physical fitness to executive functioning and academic achievement there was a significant relationship between physical fitness and executive functioning (r = .43, R² = .19) and academic achievement (r = .33, R² = .11). Adding a relationship from executive functioning to academic achievement resulted in a non-significant direct link between physical fitness and academic achievement (r = −.08, R² = .006). However, a significant indirect relation through executive functioning persisted. The indirect relation between fitness and academic achievement (r = .41), was stronger than both the direct and total relation (r = .33).ConclusionExecutive functioning thus served as a mediator in the relation between physical fitness and academic achievement. This highlights the importance of including executive functioning when studying the relationship between physical fitness and academic achievement in children.     

The effects of mindfulness training on beginners' skill acquisition in dart throwing: A randomized controlled trial

ObjectivesThe present study was into whether or not mindfulness training, based on the mindfulness-acceptance-commitment approach (MAC), can improve beginners' skill acquisition of dart throwing.DesignRandomised controlled trial.MethodsA total of 43 first-year college students who had not played darts professionally prior to the study were randomly assigned to either an attention control group (n = 21) or a mindfulness training group (n = 22) during an eight-week dart training program. Dart throwing and psychological variables were assessed at pre-intervention, post-intervention, and two-week follow-up.ResultsTwo-way repeated measures ANOVA revealed that the mindfulness group, but not the attention control group had significant improvements in mindfulness, experiential acceptance, and flow at post-intervention and follow-up. Although both groups improved dart throwing performance after the intervention, the improvement of the mindfulness group was statistically higher in comparison to that of the attention control group.ConclusionsIt was concluded that the MAC approach could improve the performance and adaptive sport experience of beginners in dart throwing.     

Selection bias in social facilitation theory? Audience effects on elite biathletes' performance are gender-specific

Social facilitation proves robust in conditioning tasks (e.g., running), yet in coordination tasks (e.g., rifle-shooting) some studies report performance deterioration. Recent Biathlon World Cup data offered the unique opportunity to test this task-specificity (conditioning = cross country skiing, coordination = rifle-shooting). Audience restrictions due to COVID-19 allowed to compare athletes' performance in the absence (2020) and presence (season 2018/2019) of an audience. Gender-specific regulations (e.g., course length) necessitated the inclusion of gender as additional factor. Results of 83 (sprint competition) and 34 (mass start competition) biathletes revealed that task-specific social facilitation is moderated by gender: In the presence of an audience male biathletes showed performance improvements in the conditioning task and performance deteriorations in the coordination task; female biathletes showed the reverse pattern. This gender dependency may have gone unnoticed in the past due to sample selection bias (<1/3 female), thereby questioning the generalizability of social facilitation theory.     

Effects of three training types on vitality among older adults: A self-determination theory perspective

ObjectivesTo investigate effects of endurance, functional and strength training on subjective vitality in older adults. Using the self-determination theory (SDT) framework we tested the moderating effects of autonomy support and mediating effects of need satisfaction on participants’ changes in vitality.DesignParallel-groups randomized controlled trial.Methods138 older adults (M = 74.2 years, SD = 4.5) were randomized to a training group or wait-list control, with assessments at baseline, at 7 weeks (short term), and 16 weeks (long term). Mixed models provided estimates of treatment effects, with covariates for moderating effects of autonomy support and mediating effects of need satisfaction (autonomy, competence, relatedness). Inferences were based on uncertainty in standardized effect-sizes (ES) in relation to a smallest important ES of 0.20.ResultsAt short term, effects on vitality were moderate for endurance training (ES = .70, ±.44), and small for functional (ES = .54, ±.36) and strength training (ES = .21, ±.47). At long term only endurance training had a clear effect on vitality (ES = .27, ±.38). Perceived autonomy support moderated the effect of endurance training at short term (ES = .66, ±.66), and functional training at long term (ES = .23, ±.40). Change in competence mediated the effect of functional and strength training at long term, while in endurance training high perceptions of autonomy support moderated the mediation effect of competence on vitality.ConclusionsEndurance training is recommended for increasing subjective vitality in older adults. Moderating effects of autonomy support and mediating effects of need satisfaction are partially consistent with self-determination theory.     

Approach-achievement goals and motivational context on psycho-physiological functioning and performance among novice basketball players

ObjectivesDrawing from an integrated motivational model (Vansteenkiste, Lens, Elliot, Soenens, & Mouratidis, 2014), this study tested the impact of induced approach-based achievement goal states under different motivational contexts on the psycho-physiological functioning and motor task performance of novice basketball players.DesignA 3 × 2 (Goal [task-/self-/other-approach] x Context [autonomy-supportive/controlling]) repeated measures experimental design was employed.Method114 novice participants (M_age = 23.53; SD = 4.56) performed a basketball shooting task. They were subsequently randomly assigned to one of six experimental conditions before repeating this task. Physiological (heart rate [HR] and blood pressure [BP]) and psychological (stress appraisals, state anxiety, task enjoyment, perceived competence, and goal attainment) data were captured at different intervals throughout the experiment.ResultsFactorial ANOVAs revealed participants: 1) performing under a controlling motivational context reported significantly higher HR (p < .001) and systolic BP (p < .05) post-task compared to those operating within an autonomy-supportive environment, 2) induced to an other-approach goal group, recorded significantly higher diastolic BP (p < .05) than those induced to self- and task-approach goals post-task, 3) adopting a task-approach goal under controlling conditions appraised the shooting task as significantly more threatening (p < .05) than their counterparts in the task-approach autonomy-supportive condition, and finally, 4) following approach-based goals under an autonomy-supportive context significantly improved their performance (p < .001) from pre-to post-shooting task.ConclusionsOur findings provide limited support for an integrated motivational model and are discussed in relation to their unique theoretical and practical utility.     

Cycling outdoors facilitates external thoughts and endurance

ObjectivesThe aims of this study were twofold: (a) to compare the effects of indoor and outdoor environments on cycling endurance and thought dynamics, (b) to investigate a possible link between cycling endurance and the adherence to task-unrelated thoughts (TUT) in both environments. Design: An experimental, within-subject design with two-trial random assignment was used.MethodsParticipants (n = 13) cycled at constant power until volitional exhaustion while imposing TUT. They reported thought changes using self-selected key words that were subsequently classified based on task-relatedness (TUT, and task-related thoughts (TRT)) and direction (internal, external). Mean values of relative time spent in TUT and TRT categories were computed and compared for 5 equal time intervals. The association between cycling endurance and time spent at each thought-related category was analyzed.ResultsAnalyses revealed a decrease of TUT and an increase of TRT as a function of time (spent cycling) in both environments. Three qualitative thought phases emerged: an initially stable TUT phase was followed by a metastable phase characterized by shifts between TUT and TRT, and a final stable TRT phase appeared nearing exhaustion. Participants cycled longer outdoors than indoors M_outdoors = 12.54 min, SEM = 2.17 s, M_indoors = 11.35 min, SEM = 1.52 s (Z = −2.27, p < 0.05, d(95% CI) = 0.56 (−0.80, 3.07)), with a dominance of external thought categories. Cycling endurance seemed to be facilitated by TUT-E outdoors and TRT-I in both types of environments.ConclusionOutdoor environment resulted in improved cycling endurance and greater use of external thoughts (i.e., dissociative attentional strategy) relative to indoor environment. The effectiveness of thought categories seemed contingent upon their stability, which in turn depended on effort accumulation.     

Prospective associations between physical fitness and executive function in adolescents: The UP&DOWN study

IntroductionThe objective of the present work is to investigate the prospective associations between physical fitness components (cardiorespiratory fitness, motor fitness, and muscular strength) and two domains of executive function (working memory and inhibitory control) in adolescents.MethodsA total of 422 Spanish adolescents (13.35 ± 1.54 years, at baseline) from the UP&DOWN study with assessments at baseline and at 2-year follow-up were included in the analysis. Physical fitness was assessed using the ALPHA Fitness Test Battery. Working memory was measured by the n-back task and inhibitory control by the go/no-go task. Relationships of physical fitness components with working memory and inhibitory control were examined using linear regression models, adjusted for confounders.ResultsHigher baseline levels of the three physical fitness components (cardiorespiratory fitness, motor fitness, and muscular strength) individually predicted better performance on the working memory (β_ranged, from .159 to .207; all p < .012) and inhibitory control (β_ranged, from 0.168 to 0.263; all p < .004) tasks at the 2-year follow-up. Muscular strength was the only component associated with inhibitory control independent of the other 2 physical fitness components (β = 0.266; p = .005).ConclusionsAll components of adolescents’ physical fitness at baseline were individually associated with better working memory and inhibitory control at 2-year follow-up. Specifically, our results revealed that muscular strength was the component showing the strongest association with executive function, and even the only fitness component associated with inhibitory control independent of the other fitness components. These findings may have important public health and educational implication, since promoting exercise programs that improve physical fitness, and particularly, muscular strength, may positively influence cognitive health.     

Self-control exertion and glucose supplementation prior to endurance performance

ObjectivesCompletion of a task requiring self-control may negatively impact on subsequent self-regulatory efforts. This study explored a) whether this effect occurs during a well-practiced endurance task, b) the potential for glucose supplementation to moderate this effect, and c) whether this effect differed over time.MethodFourteen trained cyclists completed four simulated 16 km time trials on an electromagnetically braked cycle ergometer. Prior to each time trial, participants completed a congruent Stroop task or an incongruent Stroop task that required self-control. They also received either a glucose-based drink or placebo. Participants' performance time and heart rate were recorded throughout the time trials.ResultsMultilevel growth curve analysis revealed a significant three-way interaction between self-control, glucose, and time (b = −0.91; p = 0.02). When participants did not exert self-control (congruent Stroop) or consume glucose (placebo drink) they were slowest during the early stages of the time trial but quickest over the full distance. No differences were found in heart rate across the four conditions.ConclusionsFindings suggest that pacing may explain why self-control exertion interferes with endurance performance. Moreover, the debate revolving around depletion of self-control must consider that any observed effects may be dependent on the timing of performance inspection.     

The effects of smart phone video analysis on focus of attention and performance in practice and competition

ObjectivesResearch has consistently found that focus of attention (FOA) affects motor learning and performance. However, much of the previous work has used artificially manipulated FOA of novice participants performing laboratory tasks. There is a paucity of work that has tested transfer to more complex competition environments. We aimed to investigate the effects of smart phone video analysis, which commonly occurs in natural practice settings in golf, on skilled player’s FOA and performance in both practice and competition.DesignThis study employed a mixed experimental design. The between participants factor was the use of video analysis (practice with video vs practice only) and the repeated measures factor was time point (pre-intervention vs post-intervention).MethodAltogether, 19 skilled golfers (handicap: M = 5.79, SD = 5.80) took part in a four-week practice intervention with (n = 10) or without (n = 9) the use of smart phone video analysis. Driving range performance and competition performance were measured pre- and post-intervention. Practice diaries provided measures of FOA during the intervention period.ResultsThe practice with video group displayed a significantly more internal FOA throughout the intervention period than the practice only group. This resulted in a significant time by group interaction for driving range performance that showed an increase in performance for the practice only group and a decrease for the practice with video group. However, the performance effects did not transfer to competition scores.ConclusionsFindings enhance our understanding of the effects of video analysis on FOA and question whether FOA effects transfer from on range practice to on course performance.     

Physical fitness,cognitive functioning and academic achievement in healthy adolescents

PurposeExamine the association between health-related physical fitness (cardiorespiratory fitness and muscular fitness) and skill-related physical fitness (speed-agility) and both cognitive functions and academic achievement in adolescents (12–15 years).MethodsData of 423 Dutch adolescents were analyzed (46.8% boys, age = 13.45 ± 0.43 years). Physical fitness was assessed using five subtests of the Eurofit test battery measuring cardiorespiratory fitness (20 m Shuttle Run Test), muscular fitness (Broad Jump and Sit-Ups) and speed-agility (10 × 5 m Shuttle Run Test and Plate Tapping Test). Cognitive functions were assessed by the Digit Span Task, the Grid Task and an adapted version of the Attention Network Test. Finally, academic achievement was assessed by two standardized tests assessing mathematic skills and language skills. Multilevel regression analyses were performed in MlWin to examine the relations of interest adjusting for sex and age.ResultsMultilevel regression analysis showed that speed-agility was significantly related to visuospatial working memory (β = 0.159; p = 0.014), information processing and control (β = 0.238; p < 0.001) and interference control (β = 0.156; p = 0.039), but not to the other cognitive or academic achievement outcomes. Cardiorespiratory fitness and muscular fitness were not related to any of the cognitive or academic achievement outcomes.ConclusionThe results suggest that skill-related physical fitness is related to cognitive functions and health-related physical fitness is not. Therefore it can be argued that improved levels of skill-related physical fitness may lead to improved cognitive functioning.     

Self-control exertion and caffeine mouth rinsing: Effects on cycling time-trial performance

ObjectivesThe exertion of self-control has been associated with impaired performance on subsequent physical tasks also requiring self-control. However, the effect in well-trained individuals, and of nutritional intervention strategies to reduce the impact of self-control exertion are unknown. This study, therefore, explored the effect of self-control exertion on endurance performance, and pacing strategies, in well-trained individuals. A further aim was to examine the potential for a caffeine mouth rinse to attenuate any decrements in performance due to self-control exertion.MethodFollowing familiarization, fifteen trained male cyclists completed four simulated 10 km cycling time-trials on a cycle ergometer. Prior to each time-trial, participants completed a congruent Stroop task, or an incongruent Stroop task, to manipulate self-control. They also received either a caffeine (containing 40 mg of dissolved caffeine) or placebo mouth-rinse prior to, and every 2 km during, the cycling time-trial. The participants' performance time, subjective measures (perceived pain, motivation, task importance, and RPE), heart rate, and blood lactate concentration were recorded throughout the time-trials. Data were analysed using three-way (self-control*caffeine*split time) repeated measures ANOVA.ResultsThere was no effect of self-control or caffeine on overall 10 km performance time (all p > 0.05). However, following self-control exertion, split time was significantly slower at 3 km (p = 0.031) and 5 km (p = 0.034), and tended to be slower at 1 km (p = 0.088) and 7 km (p = 0.078). There was no effect of the caffeine mouth rinse, nor did this interact with self-control, to affect split times (all p > 0.05). Prior self-control exertion and a caffeine mouth rinse did not influence perceptions of pain, motivation, and task importance in well-trained individuals (all p > 0.05).ConclusionsFindings suggest that prior self-control exertion affects self-regulatory pacing strategies during the first 7 km of a 10 km cycling time-trial, in well-trained individuals. However, caffeine mouth rinsing does not attenuate the effects of self-control exertion on subsequent endurance performance.     

Proneness for exercise,cognitive and psychophysiological consequences of action observation

ObjectivesPhysical exercise has benefits that go beyond health and well-being, namely in cognitive, motor and psychophysiological areas. The discovery of a shared neural network between action observation and execution (Action-Observation Network) led us to hypothesize that watching human motor action might improve cognitive and motor aspects of performance and proneness for exercise.Design/MethodsSixty participants viewed a Motor (M) (n = 30) or a Non-Motor (NM) (n = 30) movie with strong or weak content of motoric features of human action, respectively. Performance in d2 Attention test, Fitts' Motor task, and a Proneness for Exercise Visual Analog Scale was assessed before and after movie visualization, in a cross-sectional study. Psychophysiological measures were recorded throughout the experiment.ResultsOur results demonstrate an increase in proneness for exercise, and greater improvement in attention-related cognitive aspects in the M group. The aforementioned benefits of action observation did not modulate motor performance. A mental effort deployment was associated to the decrease in heart rate variability after visualization of the NM movie. This was not conducive to attention channeling on task performance. Conversely, M movie observation seemed to be associated to a cognitive load release, affording attention deployment for the resolution of the subsequent tasks.ConclusionsIt seems that some benefits associated to physical practice can result from the mere visualization of movies with human motor action content. These are the improvement in attention-related cognitive skills associated to psychophysiological changes that support a disengagement from mental effort. Crucially, the observation of exercise behavior seems to be a key factor for exercise adherence.     

Gender stereotypes and motor performance: How explicit and implicit stereotypes influence girls standing long jump and anxiety

ObjectivesInducing a negative stereotype toward women usually leads to a decrease in women's motor performance. Given that most studies have focused on explicit stereotype induction among adults, the main aim of this study was to investigate the effects of explicit and implicit gender stereotypes on standing long jump performance in children. The second aim was to investigate the effects of these same manipulations on children’s state anxiety.DesignA mixed model design with within-between-subject was used with standing long jump performance and state anxiety as dependent variables.MethodTwo hundred and four children (Mage = 10.95 years, SDage = 0.85) participated in this study and were randomly assigned, after baseline measurement, into four different groups (i.e., explicit/implicit vs. explicit vs. implicit vs. control). Specifically, participants performed 8 trials of standing long jump (4 trials during the baseline phase and 4 trials during the experimental phase). Children also completed the competitive state Anxiety Inventory at baseline as well as immediately after the trials.ResultsFor motor performance, children in the explicit/implicit group and in the implicit group were negatively affected by the stereotype manipulation during all trials whereas participants in the explicit group were only negatively impacted during the last two trials. However, regarding state anxiety, children were negatively affected after both explicit only and implicit only manipulations and more significantly after explicit/implicit manipulation.ConclusionsThe present research showed that the explicit and implicit manipulations influenced motor performance differently, but that these two manipulations increased state anxiety in the same way. Moreover, the combination of the explicit and implicit inductions leads to a greater significant negative influence on state anxiety but not motor performance.     

Effects of motor-cognitive coordination training and cardiovascular training on motor coordination and cognitive functions

ObjectivesNumerous recent studies showed that physical training can enhance cognitive abilities, such as attention, spatial ability, memory performance, and executive functions. However, most of these studies focused on the efficiency of cardiovascular training, whereas evidence for combined motor-cognitive training emphasizing coordination abilities is scarce. Therefore, the aim of the present study was to investigate the effects of motor-cognitive coordination training and moderate cardiovascular training on cognitive functions and to test whether these effects were related to participant's fitness level.Design and methodWe tested 50 physically active (mean age = 23.5 years, SD = 3.2) and 56 sedentary participants (mean age = 23.4 years, SD = 3.2) in a pretest-training-posttest design with 12 sessions of moderate cardiovascular training (≈60% HRmax) or motor-cognitive coordination training. The training groups were compared to a passive control group. At pretest and posttest, participants performed an untrained motor-cognitive coordination task, measures of executive control (cognitive flexibility, inhibition, working memory), spatial ability, and fluid intelligence.Results and conclusionsWe found improved coordination abilities in the coordination training group, but no transfer of training to cognitive measures in physically active participants. However, sedentary participants showed larger improvements in terms of inhibition in the coordination training group compared to the remaining groups, while the cardiovascular training group improved in cognitive flexibility compared to the remaining groups. In sum, there are positive but differential effects of cardiovascular training and coordination training on cognitive performance in sedentary young participants, suggesting that coordination training may be a useful intervention especially for individuals that cannot perform cardiovascular training.     

School-based intervention for adolescents with attention-deficit/hyperactivity disorder: Effects on academic functioning

Multi-component training interventions such as the Challenging Horizons Program (CHP) improve organization skills and academic functioning of middle school students with attention-deficit/hyperactivity disorder (ADHD); however, few studies have investigated treatment for high school students. We explored the extent to which CHP adapted for high school would improve proximal (e.g., organization skills, homework performance) and distal (e.g., report card grades) academic outcomes through 6-month follow-up relative to a community care (CC) condition. Participants included 186 adolescents who were randomly assigned to CHP (n = 92; 80% male; M age = 15.0; SD = 0.8) or CC (n = 94; 78% male; M age = 15.1; SD = 0.9) with CHP delivered over one school year. Parent, teacher, and self-report ratings of organization skills and academic performance, report card grades, and achievement tests were collected across multiple occasions. Intent-to-treat analyses using hierarchical linear modeling revealed significant improvements of small to medium magnitude (d range = 0.32 to 0.58) for parent-rated organization skills, homework performance, and academic functioning at 6-month follow-up. CHP effect on grades was small, but associated with a less steep decline than that found for CC. No statistically significant effects on teacher or self-report ratings were obtained. CHP appears efficacious for ameliorating organization skills and homework performance deficits exhibited by high school students with ADHD and can protect against decline in report card grades experienced by these students. CHP may require supplementation with academic skills instruction for some students and may need implementation beyond one school year to produce durable effects.     

Effects of whole body vibration on spasticity and lower extremity function in children with cerebral palsy

AimThe aim of this study was to evaluate the effect of whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy (CP) with a complete crossover design.MethodSixteen participants aged 9.8(2.3) years received a 20-min WBV and a control condition in a counterbalanced order on two separate days. Change scores of each outcome variable were used to show the improvement.ResultsRepeated-measures analyses revealed significant differences in condition scores among variables including active range-of-motion (active ROM, increased), relaxation index (RI, increased), Modified Ashworth Scale (MAS, decreased), timed up-and-go (TUG, decreased), and Six Minute Walk Test (6MWT, increased). Significant differences were also found in time change scores for MAS and 6MWT. Correlation results revealed that TUG was significantly correlated with RI (r = −.512, p = .042), and 6MWT (r = −.700, p = .003).InterpretationThis study suggested that WBV intervention can control the spasticity, enhance ambulatory performance and increase active ROM. Along with previous results, data from this study revealed the potential use of WBV in clinical rehabilitation in children with CP. Future investigations should focus on finding the combination of treatment frequency and duration to achieve an ideal result.