A Systematic Review of Attentional Focus Strategies in Weightlifting

A registered report with a single blind procedure to examine the effect of attentional focus and imagery dominance on dart throwing

External focus of attention (EFOA) has been shown to improve motor performance relative to internal focus of attention (IFOA). Recently, studies have shown that this attentional focus effect may depend upon an individual difference (i.e., motor imagery): Those with a higher ability to visualize movements benefited more from EFOA, and those with a higher ability to feel movements benefited more from IFOA. However, inconsistent findings exist, potentially due to underpowered studies with various potential biases. Thus, leveraging a registered report and single-blind procedure, we will examine the effect of EFOA and IFOA on dart-throwing performance and how the attentional focus could be altered based on individuals' imagery dominance. Participants will complete a dart-throw task with EFOA and IFOA. Then, participants will complete practice trials with no attentional focus, which will be followed by another set of performance trials with EFOA and IFOA. This study will examine whether the effect of attentional focus instruction will persist in a single-blind study and explore its effect on imagery dominance.

The Effects of Holistic, External, and Internal Attentional Focus Instructions on Power and Kinematics of the Hang Power Snatch in Highly Skilled Weightlifters

Athletes across various sports seek to enhance their power generation and force production by incorporating weightlifting exercises into their training. Therefore, integrating partial weightlifting movements could be sensible due to their simplified execution. Our research aimed to investigate which of four attentional focus strategies (external, internal, holistic, and neutral) would have the greatest impact on performance in terms of power variables for highly experienced weightlifting athletes in a practical training setting. Twelve highly skilled Olympic weightlifters volunteered for the study. They performed 48 single repetitions of the hang power snatch with each of the four attentional focus strategies. Results of the ANOVA did not reveal a significant main effect for maximum velocity, power measurement and displacement. Despite extensive research demonstrating how attentional focus affects performance differently, even among highly skilled populations, the lack of observed effects in our study underscores the challenges of conducting research in applied settings.

Attentional Focus Effects on Lower-Limb Muscular Strength in Athletes: A Systematic Review

ABSTRACT

Pompa, D, Carson, HJ, Beato, M, di Fronso, S, and Bertollo, M. Attentional focus effects on lower-limb muscular strength in athletes: A systematic review. J Strength Cond Res 38(2): 419-434, 2024-Evidence links an athlete's focus of attention to enhancing strength performance. However, additional research is needed to investigate the applicability of studies beyond the tasks and population currently examined. Therefore, we aimed to systematically review studies concerning attentional focus effects on strength characteristics on lower-limb tasks in athletes. Scopus, Web of Science, and EBSCO databases were searched using PRISMA PERSIST guidelines and keywords related to the focus of attention, force production processes, and athletes. Subjects were categorized: world class (tier 5); elite (tier 4); highly trained (tier 3); trained/developmental (tier 2); nonathletes (tiers 1-0); and mixed (different levels). Fifteen of 296 studies met the inclusion criteria. Included studies investigated the focus of attention effects on performance ( n = 6), between skill levels ( n = 2), and for learning ( n = 5), with respect to subject preference ( n = 1); one study did not state the aim. Studies achieved an average risk of bias score of "excellent"; however, findings suffered in the assessment of certainty. Only 2 studies reported an advantage for one type of attentional focus (external focus) across conditions ( g = 0.13-0.42) with tier 2 and mixed tier athletes. Research does not address the needs of elite athletes, and there is limited evidence on each type of strength characteristics and muscle action. There is also a need to incorporate methodological steps to promote task-relevant instructions. Research should focus on contextualized information within professional practice to offer stronger translational implications for athletes and coaches.

Do Differences Exist in Impact Test Domains between Youth Athletes with and without an Anterior Cruciate Ligament Injury?

Poor baseline reaction time, as measured via the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), has been associated with anterior cruciate ligament (ACL) injury risk in adult athletes. Our study sought to determine whether the reaction time and impulse control ImPACT test domains differed between ACL injured and uninjured pediatric athletes. A total of 140 high-school aged athletes comprising 70 athletes who went on to sustain an ACL injury between 2012 and 2018 and 70 age- and sex-matched uninjured controls were included in the study. Mean reaction times were similar for the injured (0.67 s) and uninjured (0.66 s) athletes (p = 0.432), and the impulse control scores were also similar for those with (5.67) and without (6.07) an ACL injury (p = 0.611). Therefore, neurocognitive risk factors for sustaining an ACL injury in adults cannot necessarily be extrapolated to adolescent athletes. Further research is needed to understand why differences exist between injury risk in youth and adult athletes.

Impact of focus of attention on aiming performance in the first-person shooter videogame Aim Lab

Research examining the impact of Focus of Attention (FoA) has consistently demonstrated a benefit of adopting an external FoA over an internal FoA across a variety of sports and other domains. However, FoA research has yet to be applied within the rapidly growing world of competitive gaming. This study investigated whether an external FoA provided benefits over an internal FoA for aiming performance in First-Person Shooter (FPS) videogames, using the aim-training game Aim Lab. The study explored whether the level of participants' previous experience of FPS games impacted any effect, as few studies have investigated this directly. Participants with high (N = 20) and low (N = 17) FPS experience who had a minimum of 200 hours FPS experience were selected for the study. The participants were instructed before each set of ten trials to either attend to their wrist/arm movements (internal FoA) or to the target (external FoA). There was no significant main effect of FoA on performance and no significant interaction between FoA and experience. In contrast to findings in other studies, an external FoA provided no performance benefits over an internal FoA in the FPS game Aim Lab. We discuss methodological issues related to the measures used and suggest avenues for future research with a view to improving understanding of putative underlying mechanisms for FoA effects.

Every story has two sides: evaluating information processing and ecological dynamics perspectives of focus of attention in skill acquisition

Directing our focus of attention appropriately during task execution can benefit outcome performance, cognitive efficiency, and physiological efficiency. For instance, individuals may benefit from adopting an external focus of attention (i.e., by focusing attention on the effects of one's movements on the environment) over an internal focus of attention (e.g., focusing on one's body movements). However, accounts concerning the theoretical functioning of such effects have primarily relied on hierarchical information processing perspectives; far less consideration has been given to potentially alternative explanations based on ecological dynamics, instances where an internal focus may be desirable over an external focus, and the associated applied implications. Within the present review, we: (a) outline the most recent developments in attentional focus research; (b) evaluate similarities and differences between information processing and ecological dynamics explanations of the focus of attention effect; (c) provide practical recommendations; and (d) discuss future research avenues. In doing so, a case is made for an "Ecological Dynamics Account of Attentional Focus" to act as an alternative to information processing-based hypotheses.

Focus of Attention in Coach Instructions for Technique Training in Sports: A Scrutinized Review of Review Studies

Literature reports superior performance when focusing one's attention during a movement on environmental effects of that movement (external focus, EF) compared to focusing on the moving body (internal focus, IF). Nevertheless, IF instructions still play an important role in the daily practice of coaches, trainers, and therapists. The current review compiles evidence for focus-of-attention concepts on movement form corrections and technique training. Reviews on the topic and selected additional papers addressing the effect of attentional focus on movement form or on kinetic, kinematic or muscle activity data were included. Both EF and IF instructions affect movement form. The reviews revealed that IF instructions seem to be better applicable to direct movement form changes than EF instructions. In contrast, EF instructions better facilitate optimization within the whole-body coordination, often resulting in better performance outcomes not directly linked to movement pattern changes. Several studies discuss focus-of-attention effects in the context of the optimal feedback control theory expanding on the constrained action hypothesis. In summary, EF and IF instructions both affect form and performance of movements, however, their relative efficacy is situation dependent. The often-purported superiority of EF over IF instructions cannot be generalized to all application contexts.

The Path to Translating Focus of Attention Research Into Canadian Physiotherapy, Part 1: Physiotherapists’ Self-Reported Focus of Attention Use Via a Study-Specific Questionnaire

The focus of attention literature has shown robust findings for the benefits of providing statements that focus on the movement effect or outcome (external focus of attention [EFOA]) as opposed to focusing on the movement kinematics (internal focus of attention). Observational studies, however, have revealed that physiotherapists use fewer EFOA statements than internal focus of attention statements in their practice. Most evidence in this regard has been from non-Canadian physiotherapists working in stroke rehabilitation; consequently, we sought to examine whether Canadian physiotherapists working with various rehabilitation populations also use EFOA statements to a lesser extent than internal focus of attention statements. The “Therapists’ Perceptions of Motor Learning Principles Questionnaire (TPMLPQ)” was thus designed and data from 121 Canadian physiotherapists showed low relative frequencies of EFOA use (31.3% ± 14%) averaged across six hypothetical scenarios. A higher EFOA was reported, however, for two of the six scenarios: a functional reaching scenario (55.5% ± 37.0%) and pelvic floor task (65.6% ±32.9%). This data suggest that the findings of EFOA benefits have not been widely translated into Canadian physiotherapy settings; furthermore, the findings of the scenario-dependency warrant future investigation into factors, such as task characteristics, that may influence physiotherapists’ FOA use.

Monitoring Neuromuscular Activity during Exercise: A New Approach to Assessing Attentional Focus Based on a Multitasking and Multiclassification Network and an EMG Fitness Shirt

Strengthening muscles can reduce body fat, increase lean muscle mass, maintain independence while aging, manage chronic conditions, and improve balance, reducing the risk of falling. The most critical factor inducing effectiveness in strength training is neuromuscular connection by adopting attentional focus during training. However, this is troublesome for end users since numerous fitness tracking devices or applications do not provide the ability to track the effectiveness of users' workout at the neuromuscular level. A practical approach for detecting attentional focus by assessing neuromuscular activity through biosignals has not been adequately evaluated. The challenging task to make the idea work in a real-world scenario is to minimize the cost and size of the clinical device and use a recognition system for muscle contraction to ensure a good user experience. We then introduce a multitasking and multiclassification network and an EMG shirt attached with noninvasive sensing electrodes that firmly fit to the body's surface, measuring neuron muscle activity during exercise. Our study exposes subjects to standard free-weight exercises focusing on isolated and compound muscle on the upper limb. The results of the experiment show a 94.79% average precision at different maximum forces of attentional focus conditions. Furthermore, the proposed system can perform at different lifting weights of 67% and 85% of a person's 1RM to recognize individual exercise effectiveness at the muscular level, proving that adopting attentional focus with low-intensity exercise can activate more upper-limb muscle contraction.

Appropriate Reporting of Exercise Variables in Resistance Training Protocols: Much more than Load and Number of Repetitions

Manipulating resistance training variables is crucial to plan the induced stimuli correctly. When reporting the exercise variables in resistance training protocols, sports scientists and practitioners often refer to the load lifted and the total number of repetitions. The present conceptual review explores all within-exercise variables that may influence the strength and hypertrophic gains, and the changes in muscle architecture. Together with the (1) load and (2) the number of repetitions, (3) performing repetitions to failure or not to failure, (4) the displacement of the load or the range of movement (full or partial), (5) the portion of the partial movement to identify the muscle length at which the exercise is performed, (6) the total time under tension, the duration of each phase and the position of the two isometric phases, (7) whether the concentric, eccentric or concentric-eccentric phase is performed, (8) the use of internal or external focus and (9) the inter-set rest may all have repercussions on the adaptations induced by each resistance exercise. Manipulating one or more variable allows to increase, equalize or decrease the stimuli related to each exercise. Sports scientists and practitioners are invited to list all aforementioned variables for each exercise when reporting resistance training protocols.

Effects of Attentional Focus on Motor Performance and Physiology in a Slow-Motion Violin Bow-Control Task: Evidence for the Constrained Action Hypothesis in Bowed String Technique

The constrained action hypothesis states that focusing attention on action outcomes rather than body movement improves motor performance. Dexterity of motor control is key to successful music performance, making this a highly relevant topic to music education. We investigated effects of focus of attention (FOA) on motor skill performance and EMG muscle activity in a violin bowing task among experienced and novice upper strings players. Following a pedagogically informed exercise, participants attempted to produce single oscillations of the string at a time under three FOA: internal (on arm movement), external (on sound produced), and somatic (on string resistance). Experienced players' number of bow slips was significantly reduced under somatic focus relative to internal, although number of successful oscillations was not affected. Triceps electromyographic activity was also significantly lower in somatic compared to internal foci for both expertise groups, consistent with physiological understandings of FOA effects. Participants' reported thoughts during the experiment provided insight into whether aspects of constrained action may be evident in performers' conscious thinking. These results provide novel support for the constrained action hypothesis in violin bow control, suggesting a somatic FOA as a promising performance-enhancing strategy for bowed string technique.

The Effects of Verbal Instructions on Lower Limb Muscles' Excitation in Back-Squat

The present study investigated whether or not verbal instruction affects the electromyographic (EMG) amplitude of back-squat prime movers. Fifteen resistance-trained men performed back-squat at 50%1-RM and 80%1-RM and received external (EF) or internal focus (IF) on lower-limb posterior muscles. EMG amplitude of gluteus maximus, biceps femoris, gastrocnemius medialis, vastus lateralis, and tibialis anterior was recorded during both concentric and eccentric phases. During the concentric phase, the gluteus maximus and biceps femoris EMG amplitude was greater in IF vs EF at 50% [effect size (ES): 0.63 (95%CI 0.09/1.17) and 0.49 (0.10/0.78), respectively] and 80% [ES: 1.30 (0.29/2.21) and 0.59 (0.08/1.10)]. The gastrocnemius medialis EMG amplitude was greater in IF vs EF during the eccentric phase at 50% [ES: 0.73 (0.13/1.33)] and at 80% [ES: 0.72 (0.10/1.34)]. Concomitantly, vastus lateralis EMG amplitude was lower at 50% [ES: -0.71 (-1.38/-0.04)] and 80% [ES: -0.68 (-1.33/-0.03)]. During the eccentric phase, the tibialis anterior EMG amplitude was greater in IF vs EF at 50% [ES: 0.90 (0.12 to 1.68)] and 80% [ES: 0.74 (0.13/1.45)]. Irrespective of the load, in the thigh muscles the internal focus promoted a different motor pattern, increasing the hip extensors and reducing the knee extensor excitation during the concentric phase. Concomitantly, both ankle muscles were more excited during the eccentric phase, possibly to increase the anterior-posterior balance control. The internal focus in back-squat seems to have phase-dependent effects, and it is visible at both moderate and high loads.

Effects of Attentional Focus on Muscular Endurance: A Meta-Analysis

Several studies explored the effects of attentional focus on resistance exercise, but their analysed outcomes most commonly involved surface electromyography variables. Therefore, the effects of attentional focus on resistance exercise performance remain unclear. The aim of this review was to perform a meta-analysis examining the acute effects of external focus vs. internal focus vs. control on muscular endurance. Five databases were searched to find relevant studies. The data were pooled in a random-effects meta-analysis. In the analysis for external vs. internal focus of attention, there were seven comparisons with 14 study groups. In the analyses for external focus vs. control and internal focus vs. control, there were six comparisons with 12 study groups. An external focus of attention enhanced muscular endurance when compared with an internal focus (Cohen's d: 0.58; 95% confidence interval (CI): 0.34 and 0.82) and control (Cohen's d: 0.42; 95% CI: 0.08 and 0.76). In the analysis for internal focus vs. control, there was no significant difference between the conditions (Cohen's d: -0.19; 95% CI: -0.45 and 0.07). Generally, these results remained consistent in the subgroup analyses for upper-body vs. lower-body exercises. From a practical perspective, the results presented in this review suggest that individuals should use an external focus of attention for acute enhancement of muscular endurance.

Motor performance in violin bowing: Effects of attentional focus on acoustical, physiological and physical parameters of a sound-producing action

Violin bowing is a specialised sound-producing action, which may be affected by psychological performance techniques. In sport, attentional focus impacts motor performance, but limited evidence for this exists in music. We investigated effects of attentional focus on acoustical, physiological, and physical parameters of violin bowing in experienced and novice violinists. Attentional focus significantly affected spectral centroid, bow contact point consistency, shoulder muscle activity, and novices' violin sway. Performance was most improved when focusing on tactile sensations through the bow (somatic focus), compared to sound (external focus) or arm movement (internal focus). Implications for motor performance theory and pedagogy are discussed.

Attentional Focus and Individuals’ Perceptions: A Systematic Review

Although multiple review studies have supported the superior effects of an external compared with internal focus, these reviews are based on performance outcomes. Currently, the literature lacks knowledge regarding the effects of external/internal foci on individuals’ perceptions, which may provide further explanations for how attentional focus affects performance. Therefore, the present study conducted a systematic review of survey/questionnaire data of participants’ thoughts and emotions from laboratory studies. The authors used ERIC, SPORTDiscus, PsycArticle, CINAHL Plus, Health Source Nursing Academic edition, and PubMed search engines. Literature specific to external/internal focus effects on motor learning or performance were reviewed (N = 37). The results showed that participants generally adhered to the assigned attentional focus instruction and there was a trend that preference may affect the attentional focus effects, but the results were inconsistent regarding if attentional focus cues affected the magnitude of adherence and mental demands. There were substantial differences in methodologies and theoretical issues of measuring these data. Future studies should adopt inferential statistics, choose theoretically relevant questions in a priori manner, or, at minimum, propose a hypothesis for the selected question.