The Effect of Motor Imagery Practice on an Aiming Task with Attentional Focus Cues

When one directs their attention to an intended effect (external focus of attention, EFOA), motor performance is generally better than when one directs their attention to their own body movements (internal focus of attention, IFOA). However, the effect of attentional focus is unclear when a skill is practiced through motor imagery (MI) in the absence of physical trials. Participants (N = 30, M = 22.33 yrs, SD = 2.69) in the present study completed three physical trials of a reciprocal aiming task before and (24-h) after MI practice. During MI practice, the EFOA (n = 15) and IFOA (n = 15) groups mentally practiced the task with no physical practice with EFOA-MI or IFOA-MI, respectively, for three consecutive days. Our results showed that both groups significantly improved in accuracy (F1,28 = 6.49, p = .017), supporting the benefit of MI in motor skill acquisition. However, a significant effect of attentional focus was not observed (F1.,28 = 0.445, p = 0.51). We discussed two potential explanations: EFOA/IFOA requires physical trials to affect performance, or individuals must use both EFOA and IFOA in the process of creating imagery of the environment and movements, which may obscure the effect of EFOA and IFOA.

Focus of attention in musical learning and music performance: a systematic review and discussion of focus instructions and outcome measures

The topic of attentional focus (focus of attention, FOA) in musical learning and performance has recently received increasing interest, as the growing number of empirical studies inspired by the established FOA paradigm in sports by Wulf and colleagues in 1998. The current systematical review aims at collecting, abstracting, and categorizing relevant data to show which kinds of FOA instructions were applied in experimental designs and what kinds of dependent variables were used to measure the effects of FOA instruction on musical performance. The three main inclusion criteria in the selection process were experimental design, detailed descriptions of FOA instructions, and outcome measures (OMs). A systematic search was conducted with a complex search term in four scientific databases in March 2023. For presenting and synthesizing results, we used data collection and an inductive-deductive data categorization. Fifteen studies with a total sample size of 401 participants were included out of 387 records initially identified. We collected 53 different FOA instruction citations from the 15 studies and classified them into 9 FOA subcategories, of which the most applied were bodily focus (21%), sound focus (15%), and visual focus (14%). Selected studies used 63 OMs that were abstracted to 10 different OM categories with expert ratings (27%) and acoustical analysis (22%) as the most applied dependent variables. Data categorization and abstraction of additional study information show multiple combinations of FOA instructions, OMs, participants' instruments and expertise, and musical tasks. Finally, studies show no consistent results of superiority of either external or internal or otherwise different FOA considering positive effects on musical performance. Limitations of the review lie in the small study sample, possible criticism of applied eligibility criteria, and subjectivity of data categorization. We propose a research agenda with a more exploratory approach that comprehensively and qualitatively examines the dimensions of musical goals to create a database that could provide a foundation for developing a music-specific FOA model.

Temporal samples of visual information guides skilled interception

This study investigated whether performance of an interceptive skill requires an intact visual-perception-action cycle. Eleven skilled male Australian rules football athletes (Mage = 17.54, SD = 0.15) were recruited from an elite developmental pathway squad for a within-subject study. Participants were required to kick a ball directly at a goal from a 20-meter distance while wearing a pair of stroboscopic glasses. The glasses were used to create four vision conditions. Condition one kept intact the visual-perception-action cycle with uninterrupted vision of the motor skill. Three other conditions included stroboscopic vision that presented temporal samples of vision, which interrupted the perception-action cycle through progressive increases to intermittent vision occlusion of the motor skill. Goal kick error of ball position relative to a central target line within the goal and number of successful goals kicked were measured. Written report of internal and external focus of attention was also measured after each vision condition. Generalized estimating equation analysis did not reveal a significant decrement in kick target error, nor accuracy of goals scored, across normal to stroboscopic vision conditions. Performance was maintained despite a shift in attention focus from external to internal across normal to stroboscopic vision conditions. These findings have theoretical and practical implications for the visual regulation of skilled interceptive actions.

Transcranial magnetic stimulation on the right dorsal attention network modulates the center-surround profile of the attentional focus

Psychophysical observations indicate that the spatial profile of visuospatial attention includes a central enhancement around the attentional focus, encircled by a narrow zone of reduced excitability in the immediate surround. This inhibitory ring optimally amplifies relevant target information, likely stemming from top-down frontoparietal recurrent activity modulating early visual cortex activations. However, the mechanisms through which neural suppression gives rise to the surrounding attenuation and any potential hemispheric specialization remain unclear. We used transcranial magnetic stimulation to evaluate the role of two regions of the dorsal attention network in the center-surround profile: the frontal eye field and the intraparietal sulcus. Participants performed a psychophysical task that mapped the entire spatial attentional profile, while transcranial magnetic stimulation was delivered either to intraparietal sulcus or frontal eye field on the right (Experiment 1) and left (Experiment 2) hemisphere. Results showed that stimulation of right frontal eye field and right intraparietal sulcus significantly changed the center-surround profile, by widening the inhibitory ring around the attentional focus. The stimulation on the left frontal eye field, but not left intraparietal sulcus, induced a general decrease in performance but did not alter the center-surround profile. Results point to a pivotal role of the right dorsal attention network in orchestrating inhibitory spatial mechanisms required to limit interference by surrounding distractors.

Attentional Focus Strategies for Promoting Children's Motor Learning: A Scoping Review With a Learner-Task-Environment Framework

There is emerging evidence that attentional focus instructions and feedback may help children with motor learning. However, information relevant to learner characteristics, settings, and contexts in which attentional focus strategies can be used has not been synthesized. Therefore, in this review, we adopted a learner-task-environment framework to map the evidence to date related to attentional focus strategies in children's motor learning. We adapted the framework for scoping reviews put forth by Arksey and O'Malley (2005) and the enhanced protocol recommended by the Joanna Briggs Institute (Peters et al., 2021). Two researchers (a) identified the research question, (b) identified relevant studies, (c) selected studies, (d) charted the data, and (e) collated, summarized, and reported these results. We included 30 papers, all of which used an experimental or quasi-experimental design. Most studies have focused on typically developing children and those in middle childhood as learners. The movement tasks in these studies included isolated fundamental movement skills and sport-related tasks. All but one study were situated in non-clinical settings (i.e., school, laboratory). We found limited use of attentional focus strategies for learning movement tasks in early childhood, especially among children with neurodevelopmental disorders. Movement tasks were mostly isolated skills, and there was extremely limited application to clinical settings.

"Choose it, and remember it": The impact of choice on destination memory

Destination memory can be defined as the capacity to remember to whom we transmit information. It is measured through the accuracy of retrieving the association between the information we transmit and the person to whom we transmit it. A destination memory procedure aims to emulate human interaction by sharing facts with celebrities (i.e., familiar faces) since we often communicate with people we know. However, the role of the choice about who we intend to transmit the information to has not been evaluated before. This paper investigated whether deciding with whom to share a piece of information benefits destination memory. We designed two experiments with different levels of cognitive load, increasing it from Experiment 1 to Experiment 2. The experiments included two conditions: the choice condition, in which participants chose from two options to whom they desired to share a fact, and the no-choice condition, in which participants simply shared facts with celebrities without the possibility of a choice. Experiment 1 suggested that a choice component did not affect destination memory. However, when in Experiment 2 we raised the cognitive load by increasing the number of stimuli, we found that selecting the recipient during the more challenging task provided an advantage in destination memory. This result is congruent with the explanation that the shift of the participants' attentional resources to the recipient, caused by the choice component, leads to a destination memory improvement. In sum, it seems that a choice component can improve destination memory only under demanding attentional conditions.

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.

Attentional Focus Strategies to Improve Motor Performance in Older Adults: A Systematic Review

Previous literature shows the beneficial effects of an external focus of attention on various sports skills in young adults. The objective of this systematic review is to evaluate the effects of external and internal focus of attention on motor performance in healthy older adults. The literature search was conducted in five electronic databases (PsycINFO, PubMed, SPORTDiscus, Scopus, and Web of Science). Eighteen studies that met the inclusion criteria were evaluated. Most of the motor tasks targeting older adults were related to postural control and gait. Over 60% of the included studies reported that the effect of an external focus was superior to that of an internal focus on motor performance in older adults. An external focus generally results in better motor performance than an internal focus among healthy older adults. However, the advantage of an external focus on locomotion may not be as significant as those illustrated in previous attentional focus studies. A challenging cognitive task may allow more automatic motor control than an external focus. Practitioners might provide clear instruction cues guiding performers to divert their attention away from their body and towards the movement effect for better performance, particularly in balancing tasks.

Different attentional focus sizes modulate the size-eccentricity effect

The size-eccentricity effect is a perceptual distortion phenomenon in which a peripherally located object is perceived to be smaller than a centrally located object. Although the increase in apparent object size caused by attention has been documented, little is known about the effect of different sizes of attentional focus on object appearance. The present study investigated how different sizes of attentional focus affect the size-eccentricity effect using a spatial pre-cueing paradigm. Additionally, we examined the influence of different task types on size perception. A peripheral object following a small attentional focus appeared larger, without observation of the size-eccentricity effect. In contrast, a peripheral object appeared smaller following a large attentional focus in both larger and smaller judgement tasks. These results suggest that the relative size of the attentional focus has opposite effects on the perception of object size, independent of task type. Furthermore, in addition to the structural properties of the retina and the locus of attention, the size of attentional focus determines the extent to which an object appears smaller in the periphery. The present study complements the attentional attraction field model of the size and density of population receptive fields in V1 and further explains how the effect of attention is restricted by retinal structure.

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.

Empathy and depression among a Chinese sample: The moderating role of rumination and attentional shift

Background

Although previous studies have explored the moderating role of emotional regulation strategies in the relationship between empathy and depression, no studies have studied the moderating role of attentional control in the relationship between empathy and depression. To address this research gap, the present study investigated the moderating roles of rumination and attentional control in the relationship between empathy and depression.

Methods

423 participants filled out questionnaires anonymously, including Interpersonal Reactivity Index, Attention Control Scale, Self-rating Depression Scale, and Rumination Response Scale. PROCESS macro for SPSS was used for moderating effect analysis.

Results

Rumination and attentional shift moderated the relationship between emotional empathy and depression. Specifically, the lower rumination or the higher attentional shift, the stronger the negative association between emotional empathy and depression. Attentional shift moderated the relationship between cognitive empathy and depression, and cognitive empathy was significantly associated with depression only among participants whose attentional shift is high.

Conclusion

The study showed that rumination and attentional shift play important roles in the relationship between empathy and depression. The findings implicated that the positive role of good emotional regulation strategies and executive function for individuals in the relationship between empathy and depression.

A Pilot Study on Attentional Focus in Prescribing Physical Exercise in Outpatients with Obesity

This pilot study compared the effects of two attentional focus strategies on fitness parameters and body composition in outpatients with obesity. This was a randomized, controlled study that enrolled 94 obese individuals and allocated them into an internal focus group (IF) or an external focus group (EF) while performing six weeks of a home-based training program. The home-based exercise program was the same for both groups except for the instructions that shifted the attention to an external or an internal condition. At the beginning and after the intervention period, participants were assessed for functional performance using the Functional Movement Screen (FMS), body balance using the Modified Balance Error Scoring System (M-BESS) and muscular strength with the Handgrip Strength Test (HST) and the Five-Repetition Sit-To-Stand (FRSTS) test. Concerning body composition and anthropometric parameters, the body mass index (BMI) and fat mass percentage (FM%) were calculated. Significant improvements, main interactions and effects of time and groups were highlighted in the EF group as compared to the IF group in FMS (35% vs. 21%), M-BESS (42% vs. 18%), HST (13% vs. 7%) and FRSTS (23% vs. 12%) measures, while FM% (5%) and BMI (6% vs. 5%) showed a similar improvement overtime (p < 0.001). In conclusion, our findings provide initial evidence that a 6-week training program performed following external focus instruction is able to promote significant enhancements in movement efficiency, balance and muscular strength as compared to an internal focus cue. Fitness coaches and therapists might consider integrating a specific attentional focus strategy when designing rehabilitation programs in subjects with obesity.

Effects of Age and Attentional Focus on the Performance and Coordination of the Sit-to-Stand Task

This study investigated whether age and attentional focus affect synergy organization of sit-to-stand (STS). Young and older adults performed STS while holding a cup under internal (IF) and external focus (EF) instructions. Uncontrolled manifold analysis was used to decompose trial-to-trial variability in joint kinematics into variability that preserves (V_UCM) and interferes (V_ORT) with the horizontal and vertical positions of the center of mass (CoM) and cup. V_UCM was significantly higher than V_ORT for all variables in both age groups and focus conditions. Older adults demonstrated higher V_UCM for all variables and higher V_ORT for all variables except the vertical position of the cup. IF instructions benefited older adults, leading to decreased V_ORT of the vertical position of CoM and horizontal and vertical positions of the cup.

Motor Performers Need Task-relevant Information: Proposing an Alternative Mechanism for the Attentional Focus Effect

Research has repeatedly suggested that an external focus of attention is far superior to an internal focus of attention in motor learning and performance. Such findings have been explained through the lens of automaticity, as focusing externally on something outside your body should promote efficient and subconscious execution of any given motor action. In this paper, I critically review evidence and propose an alternative mechanism to explain why various foci are effective. Information, and its relevance to the task at hand, are at the center of this alternative view. The strong conclusions recently put forth in favor of an external focus, and the dismissal of all internal foci, appear unfounded. Researchers and practitioners should keep exploring attentional strategies that promote task-relevant information attunement.

Practice-Not Task Difficulty-Mediated the Focus of Attention Effect on a Speed-Accuracy Tradeoff Task

External focus (attention to the movement effect) has been found effective in motor performance and learning. However, while some investigators have suggested that the effect of attentional focus varies with task difficulty, others reported external focus benefits regardless of difficulty. We hypothesized that attentional focus effects would vary with practice, due to changes in the individual's processing efficiency. We had three 20-person participant groups (external focus instructions, internal focus instructions, control) practice three difficulty levels of a Fitts reciprocal tapping task over two days. Participants in the external/internal focus groups were instructed to "mentally focus on moving the pen/your hand as fast and accurately as possible," while control participants were instructed to "mentally focus only on doing your best to achieve the task goal." We then analyzed the effect of attentional focus by task difficulty at the initial performance (the beginning of the practice) and after learning (the retention/transfer phase), using movement time (MT) and number of error taps (Err) as performance measures. The internal focus group made more errors than the control group only at the retention/transfer phase. We found no error differences between the external and internal focus groups, and there were no MT differences between any groups. Our primary hypothesis about the differential effect of attentional focus by practice was supported. The attentional focus effect on Err differed in the retention/transfer phase from the immediate phase, suggesting that practice mediated the attentional focus effect. We discuss how information theory may supplement understanding of attentional focus interventions in motor skill acquisition.

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.

The Defender's Vision-Gaze Behavior of One-on-One Defenders in Basketball

In fast-paced team sports, anticipation is one important element in defense strategies. The primary objective of this study was to examine the recommendation for action and use of defensive gaze strategies by defensive players in basketball. Four national-level expert-basketball coaches were interviewed and a field study with mobile eye-tracking devices was conducted on 16 expert and 16 novice players defending in a one-on-one situation. Differences in relative fixation times between experts and novices were elaborated for the predetermined gaze zones-head, ball, torso, and feet-as given by the expert coaches. This was done for three phases of the movement sequence: receiving, dribbling, and shooting. The results of the interviews with expert coaches indicated that the existing coaching doctrine instructs players to look at the torso of an opponent to avoid being vulnerable to fakes. Surprisingly, our findings with the players showed a discrepancy in the evaluated gaze behavior of the experts and novices. For the receiving and dribbling phase, experts mainly fixated their gaze on the head while novices focused on the ball. For the final shooting phase, both the groups mainly fixated their gaze on the ball. Fixating the gaze on the ball or head makes the player potentially vulnerable to deceptive movements, as video-based research has shown. Expert coaches also indicated that peripheral vision is of importance to defenders, contradicting the existing assumption in the literature that focusing on the task-relevant areas is key for anticipation performance.

Always in flux: the role of attentional focus in emotion regulation dynamics

Flexible emotion regulation (ER) in response to contextual changes is important for well-being. However, little is known about predictors of ER dynamics or their consequences. We investigated these questions in 113 romantic couples by priming self-, partner-, or relationship-focus in one partner prior to a 10-min conflict discussion. Afterwards, participants reported their ER using a video-recall task, and independent coders rated participants' affective behaviours. Couples focused on their relationship were more likely to switch between ER strategies, as expected. Switching predicted increased positive affect (PA), and this effect was stronger for couples in the self-focus condition than those in the partner-focus condition. Results suggest that focusing on a wider range of contextual information leads to more dynamic regulation. Further, regulating dynamically may generally be beneficial, especially if one does not neglect the self.

Effective Attentional Focus Strategies after Anterior Cruciate Ligament Reconstruction: A Commentary

Individuals after anterior cruciate ligament reconstruction (ACLR) have a high rate of reinjury upon return to competitive sports. Deficits in motor control may influence reinjury risk and can be addressed during rehabilitation with motor learning strategies. When instructing patients in performing motor tasks after ACLR, an external focus of attention directed to the intended movement effect has been shown to be more effective in reducing reinjury risk than an internal focus of attention on body movements. While this concept is mostly agreed upon, recent literature has made it clear that the interpretation and implementation of an external focus of attention within ACLR rehabilitation needs to be better described. The purpose of this commentary is to provide a clinical framework for the application of attentional focus strategies and guide clinicians towards effectively utilizing an external focus of attention in rehabilitation after ACLR.

LEVEL OF EVIDENCE

5.

Attentional Capture From Inside vs. Outside the Attentional Focus

In this study, we jointly reported in an empirical and a theoretical way, for the first time, two main theories: Lavie's perceptual load theory and Gaspelin et al.'s attentional dwelling hypothesis. These theories explain in different ways the modulation of the perceptual load/task difficulty over attentional capture by irrelevant distractors and lead to the observation of the opposite results with similar manipulations. We hypothesized that these opposite results may critically depend on the distractor type used by the two experimental procedures (i.e., distractors inside vs. outside the attentional focus, which could be, respectively, considered as potentially relevant vs. completely irrelevant to the main task). Across a series of experiments, we compared both theories within the same paradigm by manipulating both the perceptual load/task difficulty and the distractor type. The results were strongly consistent, suggesting that the influence of task demands on attentional capture varies as a function of the distractor type: while the interference from (relevant) distractors presented inside the attentional focus was consistently higher for high vs. low load conditions, there was no modulation by (irrelevant) distractors presented outside the attentional focus. Moreover, we critically analyzed the theoretical conceptualization of interference using both theories, disentangling important outcomes for the dwelling hypothesis. Our results provide specific insights into new aspects of attentional capture, which can critically redefine these two predominant theories.

Effects of an expert-modeled attentional focus cue structure on skilled jump rope performance and learning

Instructions that direct attention externally have been shown to enhance motor performance. However, research on skilled performers and on learning effects has produced some distinct findings. Further, many studies have presented an overly simplistic view of attention and learning, such that all-internal focus protocols are contrasted with all-external focus protocols. Contrary to this approach, skilled performers have reported adopting combined focus strategies, revealing the need to test more realistic instructional protocols. The current study provided an experimental test of focus instructions that were modeled after the strategies of elite jump rope athletes. Four groups of skilled jump rope athletes practiced novel skills under various focus instructions. The internal focus (IF) and external focus (EF) groups were given traditional internal and external focus instructions, respectively. The expert modeled (EM) group was given a set of instructions that were based on experts' reported focus strategies. The expert modeled-autonomous (EM-A) group was allowed to choose how they used each of the expert-modeled instructions. All groups completed a baseline assessment, four practice sessions, and a learning assessment. Results of a chi-square test of independence revealed no relationship between group assignment and performance during baseline or practice. There was a significant relationship between group assignment and performance during the learning assessment (p < .05). Specifically, the IF group performed below expected values while the EM group performed better than expected. Findings support previous research showing learning detriments associated with internal focus instructions and also provide new insight into the advantages of using instructional approaches that are modeled after experts' strategies. Implications and suggestions for future research are discussed.

Does Attentional Focus Influence Psychophysiological Responses to an Acute Bout of Exercise? Evidence From an Experimental Study Using a Repeated-Measures Design

Attentional focus during aerobic exercise has been studied in the context of sports performance, injury prevention and affective experience. Previous research suggests that an additional mental task parallel to the physical activity might influence exercise experience and performance. It has been tested if attentional focus influences cardiovascular activity, positive/negative affect, and subjective exertion during a cycling exercise. Data from N = 30 female participants has been collected using a repeated measures design, with the following experimental manipulations: (A) an internal attention focus (i.e., paying attention to force production of the quadriceps muscles), (B) an external attention focus (i.e., paying attention to changes in brightness in the cycling track simulation), and as control conditions, (C) exercise without attention focus (i.e., no specific instruction was given) and (D) no exercise, no attention focus. Subjective affect and subjective exertion were assessed, and changes in cardiovascular activity were recorded via mobile impedance cardiography (ICG) at rest, during and after the exercise, including HR, HRV (RMSSD, HF), PEP, CO, SV, LVET, and RSA. Exercise was associated with adaptations in cardiovascular activity, positive/negative affect, and subjective exertion. However, this did not interact with attentional focus. The original hypothesis could not be supported: instructed attentional focus does not influence affect, exertion, or cardiovascular activity during a cycling exercise. Therefore, attentional focusing during exercise does not appear to put notable additional mental demands on the physically active participant. Nonetheless, impedance cardiography delivered reliable measurements even during the cycling exercise.

Neural Oscillation During Mental Imagery in Sport: An Olympic Sailor Case Study

The purpose of the current study was to examine the cortical correlates of imagery depending on instructional modality (guided vs. self-produced) using various sports-related scripts. According to the expert-performance approach, we took an idiosyncratic perspective analyzing the mental imagery of an experienced two-time Olympic athlete to verify whether different instructional modalities of imagery (i.e., guided vs. self-produced) and different scripts (e.g., training or competition environment) could differently involve brain activity. The subject listened to each previously recorded script taken from two existing questionnaires concerning imagery ability in sport and then was asked to imagine the scene for a minute. During the task, brain waves were monitored using EEG (32-channel g. Nautilus). Our findings indicate that guided imagery might induce higher high alpha and SMR (usually associated with selective attention), whereas self-produced imagery might facilitate higher low alpha (associated with global resting state and relaxation). Results are discussed in light of the neural efficiency hypothesis as a marker of optimal performance and transient hypofrontality as a marker of flow state. Practical mental training recommendations are presented.

Attentional Focus Instructions Do Not Affect Choice Reaction Time

The majority of the studies on attentional focus have shown that participants who were instructed to focus externally performed better than those who were taught to focus internally. However, in most of these studies the participants performed complex motor tasks. Due to the scarcity of data on the effects of attentional focus specifically on simple motor tasks, our purpose in the current study was to examine these effects on two simple reaction time (RT) tasks. The study was conducted on a cloud-based experimental software. Participants were allocated to three experimental groups: an external focus group (n = 44), an internal focus group (n = 46), and a control group (no attentional instructions; n = 47). The participants performed two tasks: a choice-RT task and a Simon task. Participants in all three groups practiced eight blocks of 20 trials from each task in a counterbalanced order – a total of 180 trials for each task. The sole difference between the three groups was the administered attentional focus instructions. The findings suggest that attentional focus instructions do not affect the performance of a choice-RT task or a Simon-task in a computerized online study. It is possible that the simple RT-based tasks in the current study were not sensitive to the attentional focus manipulation, since in such simple tasks there are not many actions that internal focus can disrupt. Although we asked the participants to what extent they followed the instructions, we cannot say whether their responses represent their actual attentional focus when performing the tasks.

Putting Attention on the Spot in Coaching: Shifting to an External Focus of Attention With Imagery Techniques to Improve Basketball Free-Throw Shooting Performance

Attentional focus is an area that has garnered considerable attention in the sport psychology and motor performance literature. This is unsurprising given that attentional focus has been directly linked to performance outcomes and is susceptible to coaching input. While research has amassed supporting benefits of an external focus of attention (EFA) on motor performance using verbal instruction, other studies have challenged the notion that an EFA is more beneficial than an internal focus of attention (IFA) for sport-related performance. Further, it is unclear what type of instructions may serve to direct an athlete to an EFA and, in particular, if coaching can utilize imagery to orient an athlete toward an EFA. In the present exploratory study, we evaluate the effectiveness of instruction to improve free-throw shooting performance with an emphasis on an EFA brought about by implementing techniques borrowed from the imagery literature. This was tested relative to an alternate approach with an IFA induced through an emphasis on technique, devised to more closely resemble input typical of coach-to-athlete instruction. Twenty-five male and female university basketball players completed both conditions in a fully counterbalanced within-subject design. Results confirmed that participants in the EFA imagery condition had greater shooting accuracy than in the IFA technique condition. The study provides initial evidence that EFA coaching can borrow from imagery techniques, though future research should elucidate the underlying mechanisms of the effect.

The effect of attentional focusing strategies on EMG-based classification

Earlier studies showed that external focusing enhances motor performance and reduces muscular activity compare to internal one. However, low activity is not always desired especially in case of Human-Machine Interface applications. This study is based on investigating the effects of attentional focusing preferences on EMG based control systems. For the EMG measurements via biceps brachii muscles, 35 subjects were asked to perform weight-lifting under control, external and internal focus conditions. The difference between external and internal focusing was found to be significant and internal focus enabled higher EMG activity. Besides, six statistical features, namely, RMS, maximum, minimum, mean, standard deviation, and variance were extracted from both time and frequency domains to be used as inputs for Artificial Neural Network classifiers. The results found to be 87.54% for ANN1 and 82.69% for ANN2, respectively. These findings showed that one's focus of attention would be predicted during the performance and unlike the literature, internal focusing could be also useful when it is used as an input for HMI studies. Therefore, attentional focusing might be an important strategy not only for performance improvement to human movement but also for advancing the study of EMG-based control mechanisms.

Skilled Throwing Performance: A Test of the OPTIMAL Theory

The OPTIMAL theory of motor learning postulates that autonomy support (AS), enhanced expectancies (EE), and an external focus of attention (EF) facilitate improved motor learning and performance. However, its applicability to elite-level throwing athletes has not been investigated by previous literature. The primary purpose of this study was to investigate the successive implementation of AS, EE, and EF factors on overhand throwing performance in elite collegiate softball athletes (14.44 ± 2.75 years of softball experience). The secondary purpose was to determine whether self-efficacy beliefs would be augmented by factor manipulation. Twenty-four participants threw softballs at a bullseye target during five blocks. The Baseline test (Block 1) was used to subsequently assign participants to either the OPTIMAL or control group. Three middle blocks (Block 2 to 4) followed with successive factor implementation for the OPTIMAL group and without instruction for the control group. The final block (Block 5) served as the Transfer test, at which time throwing distance was increased. During Blocks 2 to 4, the OPTIMAL group was given the choice between softballs (AS), a liberal definition of successful throwing performance (EE), and instructed to focus on the bullseye (EF). Self-efficacy beliefs were assessed after applying the factors and before all blocks. There were no significant differences between the groups in throwing accuracy or self-efficacy scores across all blocks. The results suggest that the OPTIMAL theory does not augment skilled throwing performance or alter self-efficacy in elite softball throwing, potentially attributed to a natural adoption of EF and previously high self-efficacy.

Studying Spatial Visual Attention: The Attention-Window Task as a Measurement Tool for the Shape and Maximum Spread of the Attention Window

Visual attentional processes have been an important topic in psychological research for years. Over the last few decades, new methods have been developed, aiming to explore the characteristics of the focus of attention in more detail. Studies that applied the "Attention-Window Task" (AWT) quantified the maximum extent of the "Attention Window" (AW) along its horizontal, vertical, and diagonal meridians, when subjects were required to perceive two peripheral stimuli simultaneously. In three experiments using the AWT, we investigated the effects of cue validity (Experiment 1), stimulus-onset asynchrony (SOA) (i.e., the interval between the onset of the cues and the onset of the target stimuli), and target stimuli complexity (Experiment 3) on the size and shape of the AW. Results showed that the AW was greater under valid cue conditions compared to invalid conditions, when the locations of cue and target stimuli differed. Furthermore, the AW decreased when the SOA between the cue and targets was reduced and also when the task complexity was higher and more objects within the target stimuli had to be classified. Overall, it can be stated that the AWT with its possible task changes and adjustments can be considered as a potential standard tool to measure the maximum spread and shape of the spatial AW.

The Physiological and Perceptual Effects of Stochastic Simulated Rugby League Match Play

PURPOSE

To examine responses to a simulated rugby league protocol designed to include more stochastic commands, and therefore require greater vigilance, than traditional team-sport simulation protocols.

METHODS

Eleven male university rugby players completed 2 trials (randomized and control [CON]) of a rugby league movement simulation protocol, separated by 7 to 10 d. The CON trial consisted of 48 repeated ∼115-s cycles of activity. The stochastic simulation (STOCH) was matched for the number and types of activity performed every 5.45 min in CON but included no repeated cycles of activity. Movement using GPS, heart rate, rating of perceived exertion, and Stroop test performance was assessed throughout. Maximum voluntary contraction peak torque, voluntary activation (in percentage), and global task load were assessed after exercise.

RESULTS

The mean mental demand of STOCH was higher than CON (effect size [ES] = 0.56; ±0.69). Mean sprint speed was higher in STOCH (22.5 [1.4] vs 21.6 [1.6] km·h-1, ES = 0.50; ±0.55), which was accompanied by a higher rating of perceived exertion (14.3 [1.0] vs 13.0 [1.4], ES = 0.87; ±0.67) and a greater number of errors in the Stroop test (10.3 [2.5] vs 9.3 [1.4] errors; ES = 0.65; ±0.83). Maximum voluntary contraction peak torque (CON = -48.4 [31.6] N·m and STOCH = -39.6 [36.6] N·m) and voluntary activation (CON = -8.3% [4.8%] and STOCH = -6.0% [4.1%]) was similarly reduced in both trials.

CONCLUSIONS

Providing more stochastic commands, which requires greater vigilance, might alter performance and associated physiological, perceptual, and cognitive responses to team-sport simulations.

Mind-Muscle Connection: Verbal Instructions Alter Electromyographic Activity for Elbow Flexors and Extensors During Co-Contraction Training

Co-contraction training has demonstrated similar electromyographic (EMG) activity levels compared to conventional strength training. Since verbal instructions can increase EMG activity on target muscles during conventional exercises, the same should occur during co-contraction. In this study we analyzed whether different verbal instructions would alter the EMG activity of target muscles - biceps brachii (BB) and triceps brachii lateral head (TB) - during co-contraction training for the elbow joint. Seventeen males with experience in strength training performed a co-contraction set in two verbal instruction conditions to emphasize either elbow flexion or elbow extension. Surface electrodes were fixed over biceps brachii and triceps brachii lateral head muscles. We measured EMG mean amplitude and analyzed data with 2-way ANOVA. We found a significant interaction between muscle and verbal instruction (p = 0.002). Post hoc tests indicated that verbal instructions (p = 0.001) influenced the BB EMG activity (elbow flexion: M = 68.74, SD = 17.96%; elbow extension: M = 53.47, SD = 16.13%); and also showed difference (p = 0.006) in the EMG activity between BB and TB with verbal instruction emphasizing the elbow extension (BB: M = 53.47, SD = 16.13%; TB: M = 69.18, SD = 21.79%). There was a difference in the EMG ratio of BB/TB (p = 0.001) when focusing on elbow flexion (M = 1.09, SD = 0.30) versus elbow extension (M = 0.81, SD = 0.25). As verbal instruction modified the magnitude of muscle recruitment during co-contractions for elbow joint muscles, there is a clear mind-muscle connection of importance to this method of training. Also, of importance to trainers, verbal instructions seemed to affect individuals differentially.

Mind-Muscle Connection: Limited Effect of Verbal Instructions on Muscle Activity in a Seated Row Exercise

Verbal instruction increases electromyographic (EMG) activity in the first three repetitions of an exercise, but its effect on an entire exercise set until failure is unknown. Once there are changes in motor unit recruitment due to fatigue, the effect of verbal instructions can change during different intervals of a set. This study analyzed whether verbal instruction emphasized the contraction of back muscles (i.e., myoelectric activity) during initial, intermediate, and final exercise repetitions performed until failure. Twenty participants with little or no experience in strength training performed a seated row exercise with and without verbal instruction. Surface electrodes were fixed over the latissimus dorsi, teres major, biceps brachii, and posterior deltoid (PD) muscles. Myoelectric activity was computed by mean amplitude and by the median frequency. We analyzed data with repeated measures multivariate analysis of variance and found that, with verbal instruction, there was increased EMG mean amplitude in the latissimus dorsi (15.21%, p = .030) and reduced EMG mean amplitude in the PD (14.39%, p = .018) on initial repetitions. Other muscle EMG amplitudes did not change. On intermediate repetitions, there was reduced signal amplitude only in the PD (15.03%, p = .022). The verbal instruction did not interfere with signal amplitude on final repetitions nor in the median frequency throughout the series. Verbal instruction seems to have little effect on increasing myoelectric activity of these targeted muscles in an entire set of a resistance training.

Effect of attentional focus levels on spontaneous eyeblink rate in horses

OBJECTIVE

Spontaneous eyeblink rate (SEBR) is inversely proportional to the level of attentional focus in humans. The objective of this study was to evaluate the effects of attentional focus on SEBR in horses.

PROCEDURES

Twenty client-owned horses (2.5-23 years of age, five mares, 15 geldings) were evaluated. A GoPro HERO5 Session™ video recorder was attached to the halter and directed toward the eyes. Horses were acclimated for two hours before study commencement. Horses were filmed in five scenarios requiring different levels of attention: alone in a stall ("stall"), stall with an observer ("person"), standing in an arena ("stand"), walking in an arena ("walk"), and trotting in arena ("trot"). Each of the five scenarios was filmed for ten minutes. Video recordings were reviewed, and SEBR (incomplete, complete, and total blinks) was measured for both eyes in each scenario.

RESULTS

The median (25%,75%) total SEBRs (blinks/min) were as follows: STALL: OD-16.6 (12.4, 24.3), OS-18.8 (11.5, 26.9); PERSON: OD-17.7 (14.6, 24.2), OS-17.4 (13.9, 24.4); STAND: OD-18.7 (15.1, 24.4), OS-19.4 (16.2, 24.7); WALK: OD-40.1 (34.1, 44.8), OS-40.6 (33.8, 44.7); and TROT: OD-39.7 (30.3, 44.6), OS-39.4 (28.6, 45.0). The total SEBRs at walk and trot were significantly greater than SEBR in stationary scenarios.

CONCLUSIONS

Despite requiring increased levels of attentional focus, activities involving motion caused increased SEBR in horses. We hypothesize the need for additional tear distribution due to tear evaporation (associated with air movement over the corneas) prevailed over the level of attentional focus to increase the SEBR.

Distality of Attentional Focus and Its Role in Postural Balance Control

The role of attentional focusing in motor tasks has been highlighted frequently. The "internal-external" dimension has emerged, but also the spatial distance between body and attended location. In two experiments, an extended attentional focus paradigm was introduced to investigate distality effects of attentional foci on balance performance. First, the distality of the coordinates of the point of focus was varied between a proximal and distal position on an artificial tool attached to the body. Second, the distance of the displayed effect on the wall was varied between a 2.5 and 5 m condition. Subjects were instructed to focus on controlling either a proximal or distal spot on a tool attached to their head, represented by two laser pointers. Subsequently, they needed to visually track their own body-movement effect of one of the laser pointers at a wall while completing various single leg stance tasks. Center of pressure (COP) sway was analyzed using a linear method (classic sway variables) as well as a non-linear method (multiscale entropy). In addition, laser trajectories were videotaped and served as additional performance outcome measure. Experiment 1 revealed differences in balance performance under proximal compared to distal attentional focus conditions. Moreover, experiment 2 yielded differences in balance-related sway measures and laser data between the 2.5 and 5 m condition of the visually observable movement effect. In conclusion, varying the distality of the point of focus between proximal and distal impacted balance performance. However, this effect was not consistent across all balance tasks. Relevantly, the distality of the movement effect shows a significant effect on balance plus laser performance with advantages in more distal conditions. This research emphasizes the importance of the spatial distality of movement effects for human behavior.

Neuromuscular Mechanisms Underlying Changes in Force Production during an Attentional Focus Task

We examined the effects of attentional focus cues on maximal voluntary force output of the elbow flexors and the underlying physiological mechanisms. Eleven males participated in two randomized experimental sessions. In each session, four randomized blocks of three maximal voluntary contractions (MVC) were performed. The blocks consisted of two externally and two internally attentional focus cued blocks. In one of the sessions, corticospinal excitability (CSE) was measured. During the stimulation session transcranial magnetic, transmastoid and Erb’s point stimulations were used to induce motor evoked potentials (MEPs), cervicomedullary MEP (CMEPs) and maximal muscle action potential (Mmax), respectively in the biceps brachii. Across both sessions forces were lower (p = 0.024) under the internal (282.4 ± 60.3 N) compared to the external condition (310.7 ± 11.3 N). Muscle co-activation was greater (p = 0.016) under the internal (26.3 ± 11.5%) compared with the external condition (21.5 ± 9.4%). There was no change in CSE. Across both sessions, force measurements were lower (p = 0.033) during the stimulation (279.0 ± 47.1 N) compared with the no-stimulation session (314.1 ± 57.5 N). In conclusion, external focus increased force, likely due to reduced co-activation. Stimulating the corticospinal pathway may confound attentional focus. The stimulations may distract participants from the cues and/or disrupt areas of the cortex responsible for attention and focus.

Should the Minimal Intervention Principle Be Considered When Investigating Dual-Tasking Effects on Postural Control?

Dual-tasking charges the sensorimotor system with performing two tasks simultaneously. Center of pressure (COP) analysis reveals the postural control that is altered during dual-tasking, but may not reveal the underlying neural mechanisms. In the current study, we hypothesized that the minimal intervention principle (MIP) provides a concept by which dual-tasking effects on the organization and prioritization of postural control can be predicted. Postural movements of 23 adolescents (age 12.7 ± 1.3; 8 females) and 15 adults (26.9 ± 2.3) were measured in a bipedal stance with eyes open, eyes closed and eyes open while performing a dual-task using a force plate and 39 reflective markers. COP data was analyzed by calculating the mean velocity, standard deviation and amplitude of displacement. Kinematic data was examined by performing a principal component analysis (PCA) and extracting postural movement components. Two variables were determined to investigate changes in amplitude (aVark) and in control (Nk) of the principal movement components. Results in aVark and in Nk agreed well with the predicted dual-tasking effects. Thus, the current study corroborates the notion that the MIP should be considered when investigating postural control under dual-tasking conditions.

Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery

This study investigated the benefits of using a virtual nature environment to administer immersive heart rate variability biofeedback (HRV-BF) based on slow-paced breathing. We compared the virtual reality (VR)-based HRV-BF with a standard implementation in a randomized controlled experiment with 60 healthy employees. After a cognitive stress induction, the participants performed a single-session of HRV-BF before repeating the cognitive stressor task. VR-based versus standard HRV-BF was comparable in terms of biofeedback performance (cardiac coherence and cardiac vagal tone). However, the VR-based implementation buffered perceived stress in the subsequent stressor task, increased relaxation self-efficacy more, reduced mind wandering, helped participants focus on the present moment, and helped preserve attentional resources. Potential long-term effects and generalizability need to be assessed in future research.

Influence of Attentional Focus Instructions on Motor Performance Among Adolescents With Severe Visual Impairment

Substantial research has demonstrated that an external (vs. internal) attentional focus enhances motor performance among various populations. Interest has recently grown in examining the effects of attentional focus among individuals with visual impairments (VI), and, to date, research results have been conflicting with some studies supporting a potential benefit to an external focus among adults with VI, while a study of children with severe VI was inconclusive regarding this benefit. The present investigation compared the effects of an internal versus an external attentional focus on a discrete throwing task among adolescents with severe VI. We recruited 13 participants with a visual acuity score of less than 6/60 and had them throw a Goalball (25 cm ball with bells often used in competitive sports designed for people with VI) as fast as possible for three familiarization trials, three internal focus trials, and three external focus trials. These participants threw the ball with significantly higher velocity when using an external focus than in other conditions, indicating a benefit from an external focus for this population when performing this discrete task.

A Systematic Review of Attentional Focus Strategies in Weightlifting

The way an athlete focuses their attention when lifting a weight has the potential to influence strength development during training and performance outcomes during competition. The effects of attentional focus strategies during weightlifting tasks was investigated through a systematic review. Major databases (SportDISCUS, PsycINFO, Scopus) were searched using key terms relevant to attentional focus and weightlifting and reference lists of identified articles were also searched. Following screening, 16 articles were retained for analysis. The review showed that researchers have recruited experienced and novice weightlifters of both genders in their studies, although male experienced weightlifters are the most commonly studied demographic. Weightlifting tasks have varied from bench press, biceps curls, squats, and leg extensions with some studies using measures of force production against a force plate. The predominant manipulations have been between internal-associative and external-associative foci. An external attentional focus has shown to be beneficial in terms of movement economy as reflected in a variety of outcome measures. The results are interpreted within the framework provided by the Constrained Action Hypothesis and more generally the advantages of an external attentional focus for motor skill learning. An external focus of attention promotes automatic control of actions, thus preventing the motor system being constrained by conscious cognitive control. Implications for informing training programs for athletes and for advising athletes to maximize performance during competition are discussed.

Action Monitoring Through External or Internal Focus of Attention Does Not Impair Endurance Performance

Attentional focus in endurance sports has been found to largely affect performance. To deal with discomfort, fatigue, and pain associated with endurance performance under pressure, athletes tend to direct attention to both internal (e.g., bodily) sensations and external (e.g., environmental) stimuli. The purpose of this study, framed within the multi-action plan (MAP) model, was to examine whether different levels of action monitoring through external or internal focus of attention could influence endurance performance. Action monitoring has been conceptualized as awareness of the current experience without necessarily influencing the course of action or disrupting automated motor processes. Thirty-two male participants (M age = 29.12 years, SD = 6.12 years) were engaged in a treadmill, time-to-exhaustion running task across seven visits to the laboratory (i.e., task familiarization, baseline, four experimental conditions, and follow up). Assessment involved performance (i.e., time to exhaustion), oxygen uptake (O2), blood lactate levels, ratings of perceived exertion (RPE), and perceived arousal and hedonic tone. Across four visits, participants were prompted to use the four attentional strategies (one per session) deriving from the interaction of low/high conscious monitoring level by external/internal attention focus in a counterbalanced experimental design. Repeated measures analysis of variance did not yield significant results in any variable of the study, performance included. Consistent with predictions of the MAP model, study findings showed that participants were able to attain same performance levels irrespective of whether they used a high or low level of action monitoring through an external or internal focus of attention. Findings suggest practical indications to help athletes deal with stress in endurance sports.

Advantage of Early Focus on Visual Information in Bi-Modal Training of Bimanual Coordination

Previous studies have shown that learning bimanual coordination is modality-specific, and both visual and kinesthetic information about relative phase can be used to facilitate learning. However, an extended training with focus on visual information leads to the neglect of kinesthesis and a complete reliance on vision to perform the coordination. The current study explored the bi-modal training of bimanual coordination, where the participants were guided to attend to both visual and kinesthetic information to learn 90° coordination. Thirty participants in their 20s were trained for 10 sessions (two sessions a day for five days), during which they were randomly divided into three groups of 10 participants each to practice the coordination. The V-K group was focused first on visual information, and then on kinesthetic information, to learn the 90° coordination. The K-V group was focused first on kinesthetic information, and then on visual information to learn the coordination. The Random group randomly shifted their focus between visual and kinesthetic information to learn the coordination. All participants were tested as they performed the 90° coordination with and without visual information before, halfway, and after the training. The results showed that the bi-modal training yielded more improved and transferred coordination than the uni-modal training. However, among the three types of bi-modal training, the V-K schedule exhibited the most modality-specific learning and transfer. Therefore, when using both visual demonstration and physical guidance to teach bimanual coordination skills, providing visual demonstration in the early stage should be recommended.

Expert and Novice Performers Respond Differently to Attentional Focus Cues for Speed Jump Roping

Directing attention to an external focus has been shown to facilitate motor performance. For expert performers, however, results have been mixed. Additionally, little is currently known about how focus cues affect the performance of complex continuous whole-body coordination tasks involving object manipulation such as jump roping. The purpose of this study was to examine the effects of attentional focus cues on single-rope speed jumping by experts and novices. The cues directed attention toward the upper (UP) or lower (LB) body and either internally (IN) or externally (EX). Participants (N = 30) completed bouts of speed jumping during a baseline trial and under experimental conditions (UPIN, UPEX, LBIN, LBEX). Jumps and errors were recorded for each trial. Number of jumps (NJ) and errors (NE) were analyzed using separate Friedman's Tests comparing for each group to compare trials, with Wilcoxon Signed-Rank Tests for post hoc comparisons. Cumulative number of jumps (CNJ) and errors (CNE) for each condition were compared using separate Friedman's Tests with Wilcoxon Signed-Rank Tests for post hoc comparisons. For experts, baseline NJ was significantly higher than NJ for each trial under the UPIN, UPEX, and LBIN conditions. No differences between baseline NE and any trials were detected. Additionally, no differences were detected between conditions for NJ or NE. For novices, baseline NJ and NE were significantly higher and lower, respectively, compared to Trial 1 under the LBEX condition. Both the UPIN and UPEX conditions produced higher CNJ and lower CNE than the LBIN and LBEX conditions, respectively. Results showed that experts and novices responded in distinctly different patterns to the four conditions. Experts showed degraded performance under the UPIN, UPEX, and LBIN conditions whereas novices only showed temporarily degraded performance under the LBEX condition. These findings may reflect differences in mastery of whole-body coordination and are partially consistent with the Constrained Action Hypothesis (CAH) despite not supporting specific predictions related to the benefit of external focus cues.

Kinematic Effects of Varying Adolescents' Attentional Instructions for Standing Long Jump

Studies examining attentional focus in the motor performance of children and young adolescents have produced mixed results. We studied 26 seventh-grade physical education student volunteers ( M_age = 12.7 years; SD = 0.56) who performed two standing long jumps for maximum displacement in four counterbalanced instructional conditions: (a) no cues provided, (b) focus on rapid knee extension, (c) focus on rapid forward arm swing, and (d) focus to jump as close as possible to a cone placed at 3 meters. The last condition, encouraging an external focus, led to significantly greater jumping distances and significantly lower projection angles (36.9°) when compared with internal attentional foci on the actions of the legs (40.2°) and arms (38.6°). Compared with the leg focus, the arm focus lead to significantly greater jumping distances but no differences for projection angle. While these results are consistent with those of past adult participants, when comparing external and internal attentional foci, this study extended these findings to adolescents and revealed differences in projection angle, indicating that cueing young adolescents to focus on arm action did not appear to constrain movement in the same manner as it has in adults.

Thinking Outside the Block: External Focus of Attention Improves Reaction Times and Movement Preparation Times in Collegiate Track Sprinters

While focusing attention on external cues (EF) has been shown to enhance performance track and field coaches tend to provide instructions that promote internal focus of attention (IF) during block starts. The aims of this study were to determine: (1) whether promoting EF versus IF would improve reaction time (RT) of sprinters, and (2) if changes occur at the level of central processes during movement preparation (premotor RT) or peripheral processes during movement execution (motor RT). Twelve collegiate track sprinters (age 20.8 ± 1.7) completed three testing sessions under EF, IF, and no focus instruction (NF) conditions. RT was recorded from the left and right blocks. Muscle activation time (EMG) was recorded from the vastus lateralis and gastrocnemius muscles. Mean rear foot RT was significantly shorter (p < 0.0001) under the EF (212.11 ms) compared with the IF (234.21 ms) and NF conditions (236.87 ms). Front foot RT was significantly shorter (p < 0.05) during EF (250.24 ms), compared to IF (266.98 ms) but not shorter than the NF (268.73 ms) condition. Mean premotor RT under the EF condition (157.75 ms) was significantly shorter (p < 0.001) compared with the IF (181.90 ms) and NF (173.60 ms) conditions. No differences were found in motor RT across conditions (p > 0.05). Adopting an EF improves RT during sprint starts. This improvement likely originates from a shortening in movement preparation time, as opposed to a faster excitation contraction coupling of the muscle fibers. These findings could potentially contribute to the development of new coaching methods aimed at improving the starting technique of athletes.

Effect of Attentional Focus Instructions on Motor Learning and Performance of Patients with Central Nervous System and Musculoskeletal Disorders: a Systematic Review

Exercise is one of the main rehabilitative interventions, commonly used to improve performance and motor learning. During the application of attentional focus strategies, External Focus of Attention (EFA) aiming at the movement effect has been reported to have more efficacy than Internal Focus of Attention (IFA) aiming at movement characteristics in healthy subjects. There are not many studies that compare the EFA and IFA instructions in people with Musculoskeletal (MSK) and Central Nervous System disorders (CNS). The purpose of this systematic review is to determine if IFA or EFA, in patients with CNS or MSK, may improve performance and have some effects on motor learning. Databases used for research: PubMed, CINAHL, Cochrane Library, PEDro, PsycINFO, SCOPUS. Inclusion criteria: Randomized Controlled Trial, quasi-Randomized Controlled Trial, enrolled subjects with CNS or with MSK and compared the efficacy of EFA and IFA. The studies suggest that the EFA is better than IFA in affecting the movement execution in patients with MSK, while conflicted findings emerge in presence of CNS disorders. Studies included in the qualitative analysis showed heterogeneous methodological features in study design and conductance, so results must be interpreted with caution.

The Influence of Attentional Focus on Balance Control over Seven Days of Training

This study examined the training effect of attentional focus (external focus, internal focus, or no focus instructions) on a dynamic balance task. Participants completed baseline balance testing, seven consecutive days of dynamic balance board training, and retention testing 24 hours after the last session. The novel finding of this study was the presence of a training effect on balance control when adopting an external focus relative to an internal focus or no focus instructions. Further, we report the unique observation that more patterned behavior was adopted regardless of the focus instructions. These findings provide insight into how instructions can be altered to enhance human balance control and complement the constrained-action hypothesis.

"In the Sport I Am Here": Therapeutic Processes and Health Effects of Sport and Exercise on PTSD

Current evidence suggests positive effects of exercise on posttraumatic stress symptoms; however, knowledge about how these effects are achieved is limited. Thus, this study aims to contribute to a more holistic understanding of these effects. We performed a single case study of a war and torture survivor, who was diagnosed with posttraumatic stress disorder (PTSD) and depression, and who was participant of the sport and exercise therapy program Movi Kune. Participant observation was conducted as well as semi-structured interviews with the participant and his psychotherapist. Data analysis resulted in the proposal of different processes: The focus on bodily sensations related to an exposure effect, contributing to improvements in body awareness, coping behavior, and affect regulation, whereas the focus on playing related to an improved performance, presence, enjoyment, and mastery experiences, pointing toward distraction and motivational-restorative effects. The findings also advice to be cautious as participants may be exposed to negative sensations and trauma-related triggers.

Effects of attentional focus on motor learning in children with autism spectrum disorder

Inability to acquire a new motor skill is a common motor difficulty in children with autism spectrum disorder. The purpose of this study is to examine whether the motor learning benefits of an external focus of attention for typically developing children and children with intellectual disabilities could also be applied to children with autism spectrum disorder. Children ( N = 65; mean age = 10.01 years) diagnosed with high-functioning autism spectrum disorder were randomly assigned into one of the three groups: external focus ( n = 22), internal focus ( n = 22), and control ( n = 21). They were required to throw beanbags at a static target for 50 acquisition trials, 10 retention trials, and 10 transfer trials. While all three groups learnt the skills in a similar manner during the acquisition phase, the internal focus group demonstrated more robust motor performance than the external focus group and the control group in both retention and transfer tests, while there was no difference between the external focus group and the control group in both retention and transfer tests. The findings provide evidence that internal focus of attention may be more effective for facilitating motor learning in children with autism spectrum disorder. However, further study is needed to determine the factors contributing to this finding.

Attentional Focus and Grip Width Influences on Bench Press Resistance Training

This study evaluated the influence of different attentional foci for varied grip widths in the bench press. Eighteen resistance-trained men were familiarized with the procedure and performed a one-repetition maximum (1RM) test during Session 1. In Session 2, they used three different standardized grip widths (100%, 150%, and 200% of biacromial width distance) in random order at 50% of 1RM while also engaged in three different attention focus conditions (external focus on the bench press, internal focus on pectoralis major muscles, and internal focus on triceps brachii muscles). Surface electromyography (EMG) signals were recorded from the triceps brachii and pectoralis major, and peak EMG of the filtered signals were normalized to maximum EMG of each muscle. Both grip width and focus influenced the muscle activity level, but there were no significant interactions between these variables. Exploratory analyses suggested that an internal focus may slightly (4%-6%) increase pectoralis major activity at wider grip widths and triceps brachii activity at narrower grip widths, but this should be confirmed or rejected in a study with a larger sample size or through a meta-analysis of research to date.

The Differential Effects of Attentional Focus in Children with Moderate and Profound Visual Impairments

It has been consistently reported that an external focus of attention leads to better motor performance than an internal focus, but no research to date has explored this effect in a population with visual impairments (VI). External focus statements typically reference something in the environment (e.g., target) that may be difficult to conceptualize for people with VI since they cannot generate a visual representation of the object of focus. Internal focus statements could be more closely identifiable with proprioception that is not impaired in this population. Recent studies have reported that sighted adults with temporarily obstructed vision are able to receive an external focus benefit when performing discrete tasks (i.e., golf putt and vertical jump), however, it is unclear if those with VI would experience the same benefit. The purpose of this investigation was to compare how an internal focus and external focus impact the balance of children with VI. Eighteen children with VI were grouped into a moderate (n = 11) and a profound VI group (n = 7). Participants completed a familiarization trial, an internal focus trial (i.e., focusing on feet) and an external focus trial (i.e., focusing on markers) in a counterbalanced order. The moderate VI group had a lower root mean square error while using an external focus (p = 0.04), while the profound VI group did not differ between conditions (p > 0.05). These results suggest that while performing a task reliant on sensory feedback, an external focus benefit may be dependent on the severity of VI. Further research is needed to examine whether external focus statements can be presented in a way that may be more intuitive to those with profound VI. These findings may help to influence how professionals in health-related fields (e.g., physical therapist and physical educators) give instructions on motor performance to populations with VI.

Further Evidence for an External Focus of Attention in Running: Looking at Specific Focus Instructions and Individual Differences

Although attentional focusing in sports has been broadly investigated, the findings vary when it comes to endurance sports. This study provides a comparison between relevant foci in the literature of running economy. These include two internal foci-one addressing automated processes (running movement) and the other nonautomated processes (internal body signals and perceived exertion), an external focus (video) and a control condition. Furthermore, we investigated the influence of interoceptive sensitivity on oxygen consumption within the different attention conditions. Thirty recreational runners performed a four 6-min run at moderate intensity consisting of the four counterbalanced conditions. Running economy was assessed by spiroergometry, and interoception was measured using a heartbeat tracking task. Results revealed a significantly better running economy for the external focus of attention compared with all other conditions. No significant correlations were observed between the heartbeat perception score and oxygen consumption in any condition.