Conscious Control Of Movement Research Articles

Propensity for conscious control of movement is unrelated to asymptomatic hypermobility or injury-risk scores

Propensity for conscious control of movement is unrelated to asymptomatic hypermobility or injury-risk scores

The role of reinvestment in conservative gait in older adults.

Previous research suggests that reinvestment (i.e. conscious control of movements) is associated with inefficient information processing and compromised movement strategies in older adults during walking. We examined whether reinvestment propensity is associated with conservative gait behaviour in older adults. Trait Reinvestment propensity was measured using the Movement Specific Reinvestment Scale (Chinese version) (MSRS-C). Thirty-eight older adults were categorized into 'Low Reinvestor Group' (LRG) (MSRS-C<27) and another 38 were categorized into 'High Reinvestor Group' (HRG) (MSRS-C>38). There were no significant differences in physical and cognitive abilities between groups. Participants were asked to walk along a 6-m straight level-ground walkway at a self-selected pace under conditions of no instruction (Baseline), instruction related to self-focus on body movements (BI), and instruction related to the external environment (EI). No significant difference was found in gait behaviour between LRG and HRG at Baseline. However, significant changes, indicative of conservative gait patterns, were found in LRG when given instructions that prompted them to consciously control their body movements. No changes were observed in HRG under external-related instructions that are assumed to reduce conscious motor processing and improve motor performance. Our findings contradict previous views on the association between trait reinvestment propensity and compromised motor performance in older adults, which potentially reduces justification for reducing trait reinvestment propensity in older adults. We also suggest that MSRS is insensitive to reflect the degree of conscious control during gait tasks. Our findings also implicate the potential detrimental effect of applying inward-focus-related instructions in healthcare rehabilitation settings.

Considering a Holistic Focus of Attention as an Alternative to an External Focus

Empirical findings consistently suggest that an external focus of attention leads to superior performance when compared to an internal focus by encouraging more automatic processing. However, for certain skills (e.g., gymnastics routines) it can be challenging to identify a meaningful external focus cue. A related line of research suggests that focusing on the general feeling of a movement (i.e., holistic focus) may also be useful in avoiding conscious control of movements. The purpose of this study was to determine how an internal focus (INT), external focus (EXT), and holistic focus (HOL) impact the performance of a standing long jump. Participants (N = 27) completed two baseline jumps followed by two jumps in each focus condition. Jump distance was analyzed in a 6 (Order) × 4 (Focus) mixed ANOVA. Results indicated a significant main effect of focus (p &lt; .001), with EXT and HOL resulting in farther jumps than INT and baseline conditions (p-values &lt; .05). EXT and HOL did not differ significantly from each other, and INT did not differ significantly from baseline. The findings suggest that a holistic focus can be another effective means of avoiding conscious control of movement when an external focus is not practical or desired.

Visual attention, EEG alpha power and T7-Fz connectivity are implicated in prosthetic hand control and can be optimized through gaze training

BackgroundProsthetic hands impose a high cognitive burden on the user that often results in fatigue, frustration and prosthesis rejection. However, efforts to directly measure this burden are sparse and little is known about the mechanisms behind it. There is also a lack of evidence-based training interventions designed to improve prosthesis hand control and reduce the mental effort required to use them. In two experiments, we provide the first direct evaluation of this cognitive burden using measurements of EEG and eye-tracking (Experiment 1), and then explore how a novel visuomotor intervention (gaze training; GT) might alleviate it (Experiment 2).MethodsIn Experiment 1, able-bodied participants (n = 20) lifted and moved a jar, first using their anatomical hand and then using a myoelectric prosthetic hand simulator. In experiment 2, a GT group (n = 12) and a movement training (MT) group (n = 12) trained with the prosthetic hand simulator over three one hour sessions in a picking up coins task, before returning for retention, delayed retention and transfer tests. The GT group received instruction regarding how to use their eyes effectively, while the MT group received movement-related instruction typical in rehabilitation.ResultsExperiment 1 revealed that when using the prosthetic hand, participants performed worse, exhibited spatial and temporal disruptions to visual attention, and exhibited a global decrease in EEG alpha power (8-12 Hz), suggesting increased cognitive effort. Experiment 2 showed that GT was the more effective method for expediting prosthesis learning, optimising visual attention, and lowering conscious control – as indexed by reduced T7-Fz connectivity. Whilst the MT group improved performance, they did not reduce hand-focused visual attention and showed increased conscious movement control. The superior benefits of GT transferred to a more complex tea-making task.ConclusionsThese experiments quantify the visual and cortical mechanisms relating to the cognitive burden experienced during prosthetic hand control. They also evidence the efficacy of a GT intervention that alleviated this burden and promoted better learning and transfer, compared to typical rehabilitation instructions. These findings have theoretical and practical implications for prosthesis rehabilitation, the development of emerging prosthesis technologies and for the general understanding of human-tool interactions.

Chipping in on the role of conscious processing during children's motor learning by analogy

The capacity for storing and manipulating information (a function of working memory) is not fully developed until adulthood, so children are not always able to process explicit instructions when learning a new skill. A teaching method that may solve this problem is analogy learning, which compares the to-be-learned skill with a well-known concept by way of a single metaphorical instruction. In adults, analogy learning has been shown to lead to lower load on working memory by reducing the need for conscious processing; however, the effects are unclear in children. If analogy instructions work similarly in children, the propensity to consciously control movements may affect how well children learn by analogy. It is in the interest of coaches and teachers to determine whether analogy instructions can be used to reduce conscious processing in children, and whether propensity for conscious control of movements (movement specific reinvestment) predicts benefits from analogy learning. Thirteen-year-old golf novices (n = 44) were pre-tested and post-tested after practicing a golf-chipping task using explicit rules. One week later, an analogy for learning the golf chip was introduced, and an identical set of post-tests was repeated. Propensity for conscious control/reinvestment predicted improvement in accuracy after the analogy was introduced. Children's motor learning by analogy may be affected by their propensity for conscious control of movements, which suggests that coaches should adapt instructions to individual differences between learners.

Revisiting the Relationship Between Internal Focus and Balance Control in Young and Older Adults.

Research highlights the detrimental effect that directing too much conscious attention toward movement can have on postural control. While this concept has received support from many studies, recent evidence demonstrates that this principle does not always translate to aging clinical populations. Given the increasing clinical interest in this topic, the current study evaluated if the original notion (that an internal focus results in compromised balance performance) is upheld in young and older adults during a challenging balance task where we are able to objectively corroborate changes in attentional focus; using an electroencephalography (EEG) method previously identified as an objective indicator of conscious movement control. This method assesses the neural coherence, or “communication,” between T3 (verbal-analytical) and Fz (motor-planning) regions of the brain. Thirty-nine young and 40 older adults performed a challenging balance task while holding a 2-meter pole under two randomized conditions: Baseline and Internal focus of attention (directing attention internally toward movement production). Results showed that young adults demonstrated increased EEG T3-Fz coherence in conjunction with increased sway path during the Internal focus condition. However, no significant differences were observed in older adults between conditions for any measure. The current study provides supporting evidence for the detrimental effect that adopting an Internal focus can have on postural control—especially in populations able to govern these processes in a relatively “automatic” manner (e.g., young adults). However, this work illustrates that such observations may not readily translate between populations and are not robust to age-related changes. Further work is necessary to examine mechanisms underlying this clear translational issue.

The role of conscious control in maintaining stable posture

This study aimed to examine the relationship between conscious control of movements, as defined by the Theory of Reinvestment (Masters & Maxwell, 2008; Masters, Polman, & Hammond, 1993), and both traditional and complexity-based COP measures. Fifty-three young adults (mean age=20.93±2.53years), 39 older adults with a history of falling (mean age=69.23±3.84years) and 39 older adults without a history of falling (mean age=69.00±3.72years) were asked to perform quiet standing balance in single- and dual-task conditions. The results showed that higher scores on the Movement Specific Reinvestment Scale (MSRS; Masters, Eves, & Maxwell, 2005; Masters & Maxwell, 2008), a psychometric measure of the propensity for conscious involvement in movement, were associated with larger sway amplitude and a more constrained (less complex) mode of balancing in the medial–lateral direction for young adults only. Scores on MSRS explained approximately 10% of total variation in the medial–lateral sway measures. This association was not apparent under dual-task conditions, during which a secondary task was used to limit the amount of cognitive resources available for conscious processing. No relationship between postural control and score on the MSRS was found for either older adult fallers or non-fallers. Possible explanations for these results are discussed.

Discerning measures of conscious brain processes associated with superior early motor performance: Capacity, coactivation, and character.

This study explored the relationship between working memory (WM) capacity, corticocortical communication (EEG coherence), and propensity for conscious control of movement during the performance of a complex far-aiming task. We were specifically interested in the role of these variables in predicting motor performance by novices. Forty-eight participants completed (a) an assessment of WM capacity (an adapted Rotation Span task), (b) a questionnaire that assessed the propensity to consciously control movement (the Movement Specific Reinvestment Scale), and (c) a hockey push-pass task. The hockey push-pass task was performed in a single task (movement only) condition and a combined task (movement plus decision) condition. Electroencephalography (EEG) was used to examine brain activity during the single task. WM capacity best predicted single task performance. WM capacity in combination with T8-Fz coherence (between the visuospatial and motor regions of the brain) best predicted combined task performance. We discuss the implied roles of visuospatial information processing capacity, neural coactivation, and propensity for conscious processing during performance of complex motor tasks.

Do people who consciously attend to their movements have more self-reported knee pain? An exploratory cross-sectional study

Objectives: This study explored the relationship between propensity for conscious control of movement (assessed by the Movement-Specific Reinvestment Scale) and self-reported knee pain. Design: Cross-sectional study. Setting: General population. Subjects: Adults aged 18 to 55 years of age. Measures: Participants completed the movement-specific reinvestment scale and a self-report questionnaire on knee pain at the same time on one occasion. Results: Data was collected on 101 adults of whom 34 (33.7%) self-reported knee pain. Mean scores on the conscious motor processing subscale of the movement-specific reinvestment scale, but not the movement self-consciousness subscale, were significantly higher for participants who reported knee pain within the previous year compared with those who did not (mean difference 3.03; t-test 2.66, df = 97, P = 0.009; 95% confidence interval (CI) 0.77 to 5.30). The association between self-reported knee pain and propensity for conscious motor processing was still observed, even after controlling for movement self-consciousness subscale scores, age, gender and body mass index (adjusted odds ratio 1.16, 95% CI 1.04 to 1.30). Conclusions: Propensity for conscious control of movement may play a role in knee pain.

Attentional Processes and Choking under Pressure

The self-focus theory of choking under pressure explains decreases in performance of well-learned motor tasks with an increase in skill-focused attention. This shift in attentional focus has been demonstrated; however, specific propositions about the processes in pressure-induced attentional shift are yet to be developed. This study assesses whether specific aspects of movement execution attract more attention than others when movements are executed under pressure. Such elements are important in conscious movement control before execution becomes automated through practice; under pressure, attention may be redirected to these elements. Basketball free throws were executed by 22 junior national team members in a low and high pressure situation. Two dual task/focus conditions (related to different aspects of the movement) were implemented in each pressure condition. This dual task paradigm was used as a direct and detailed measure of skill focused attention, suitable to show specific pressure induced shifts of attention that lead to performance decrements. Pressure was induced by telling players that their performance would be evaluated by coaches. Players were defined as chokers if their performance decreased under this pressure. Chokers showed differences with regard to their attentional focus on movement execution in the pressure conditions compared to the players defined as non-chokers. The findings suggest that attentional shifts during choking can be related to specific aspects of movement execution.

Analogy vs. technical learning in a golf putting task: an analysis of performance outcomes and attentional processes under pressure

PurposeIt is assumed that analogy learning helps prevent individuals from choking under pressure by limiting the conscious control of movements when performing in high-pressure situations. The aim of the study was to extend the application of analogy learning to golf putting and include an assessment on the proposed mechanisms of analogy learning and performance under pressure.MethodsGolf novices learned a putting task either by technical instructions or with analogy. After the learning phase, the participants were tested under low- and high-pressure conditions. Attentional focus was measured using a dual-task paradigm based on a skill and an externally focused task.ResultsBoth groups showed an increase in putting accuracy under pressure while performance in both dual-tasks decreased under pressure. Despite a difference in verbal knowledge, no group differences were found in putting or dual-task performance.ConclusionsThe results suggest that it does not matter if the skill is learned technically or by analogy with regard to performance under pressure

Investigating the Dutch Movement-Specific Reinvestment Scale in people with stroke

Objective: Reinvestment is a phenomenon in which conscious control of movements that are best controlled automatically disrupts performance. The propensity for reinvestment may therefore play an important role in the movement rehabilitation process. The Movement-Specific Reinvestment Scale measures an individual’s propensity for reinvestment. The aim of this study was to translate the scale for use with Dutch participants with stroke and to assess its reliability. Design: A test–retest design. Setting: In community after discharge from rehabilitation centre. Subjects: Forty-five people with stroke. Measures: Reliability of the translated scale was assessed using intraclass correlation coefficients (ICC) and Bland–Altman plot. Results: The ICC was 0.85 (95% confidence interval (CI) 0.74–0.91). Limits of agreement ranged from −2.38 to 3.10. Conclusion: The Dutch Movement-Specific Reinvestment Scale appears to be a reliable tool with which to assess the propensity for movement-specific reinvestment by people with stroke.

A small step forward for spinal cord injury patients?

A recently published case report describes the use of epidural spinal cord stimulation to treat a patient with a complete cervical spinal cord injury. Clear improvements in facilitated standing and stepping were demonstrated, as well as some conscious control of movement.

Neural co-activation as a yardstick of implicit motor learning and the propensity for conscious control of movement

Two studies examined EEG co-activation (coherence) between the verbal-analytical (T3) and motor planning (Fz) regions during a golf putting task. In Study 1, participants with a strong propensity to consciously monitor and control their movements, determined psychometrically by high scores on a movement specific Reinvestment Scale, displayed more alpha2 T3–Fz co-activation than participants with a weak propensity. In Study 2, participants who practiced a golf putting task implicitly (via an errorless learning protocol) displayed less alpha2 T3–Fz co-activation than those who practiced explicitly (by errorful learning). In addition, explicit but not implicit motor learners displayed more T3–Fz co-activation during golf putting under pressure, implying that verbal-analytical processing of putting movements increased under pressure. These findings provide neuropsychological evidence that supports claims that implicit motor learning can be used to limit movement specific reinvestment.

The Influence of Audience and Monetary Reward on the Putting Kinematics of Expert and Novice Golfers

We investigated changes in movement kinematics and attentional focus when expert and novice golfers performed a golf-putting task under pressure. Six male professional golfers and five male novice golfers performed 100 acquisition trials, followed by 10 trials in the pressure condition with a performance-contingent cash reward and small audience. After the 10 trials in the pressure condition, participants answered a questionnaire concerning attentional focus during both types of trial, including such aspects as conscious control of movements and the effects of distraction. A pressure manipulation check revealed a modest increase in physiological arousal, in that heart rate increased by about 10 bpm although state anxiety did not increase. A two-dimensional analysis of movement kinematics revealed that the amplitudes of arm and club movements decreased on the backswing in the pressure condition. Arm and club movement speed decreased on the foreswing in both experts and novices. Furthermore, neither experts nor novices changed their attentional focus in the pressure condition. Whereas previous studies of “choking under pressure™ focused on attentional changes, the kinematic changes found in the present study were possibly caused by the influences of strategy modification and/or emotional response. Choking phenomena can be explained by attentional changes, along with the influences of strategy modification and/or emotional response under pressure.

The Influence of Audience and Monetary Reward on the Putting Kinematics of Expert and Novice Golfers

We investigated changes in movement kinematics and attentional focus when expert and novice golfers performed a golf-putting task under pressure. Six male professional golfers and five male novice golfers performed 100 acquisition trials, followed by 10 trials in the pressure condition with a performance-contingent cash reward and small audience. After the 10 trials in the pressure condition, participants answered a questionnaire concerning attentional focus during both types of trial, including such aspects as conscious control of movements and the effects of distraction. A pressure manipulation check revealed a modest increase in physiological arousal, in that heart rate increased by about 10 bpm although state anxiety did not increase. A two-dimensional analysis of movement kinematics revealed that the amplitudes of arm and club movements decreased on the backswing in the pressure condition. Arm and club movement speed decreased on the foreswing in both experts and novices. Furthermore, neither experts nor novices changed their attentional focus in the pressure condition. Whereas previous studies of “choking under pressure™ focused on attentional changes, the kinematic changes found in the present study were possibly caused by the influences of strategy modification and/or emotional response. Choking phenomena can be explained by attentional changes, along with the influences of strategy modification and/or emotional response under pressure.

The Relationships between Psychological/Physiological Changes and Behavioral/Performance Changes of a Golf Putting Task under Pressure

The first purpose of this study was to examine relationships between psychological/physiological and behavioral variables when participants are placed under pressure in a golf-putting task. The second purpose was to examine the relationships between psychological/physiological variables and performance. Sixteen male novices performed 150 acquisition trials, followed by 10 test trials under pressure induced by performance-contingent distractors: a cash reward or a punishment. Following test trials, each participant answered a questionnaire concerning attentional focus, including self-reports of conscious movement control and effects of the distractors. Results indicated successful stress induction indexed by significant increases in state anxiety, negative emotions, and heart rate under pressure. The step-wise multiple regression analyses showed that attention to distractors decreased movement displacements of both the golf club and the participant's right elbow in the follow-through phase. Also during a back-swing, the movement speed of both the club and of a participant's elbow were more likely to increase with those participants whose heart rate increased under pressure. The other multiple-regression analysis showed that the participants who reported increased conscious control of movements under pressure exhibited a greater variability in the terminal locations of their putted balls. Previous studies concerning the conscious processing hypothesis and the distraction hypothesis have suggested that two types of changes in attention cause poor performance under pressure. The findings of this study indicate that under pressure both types of attention shifts were shown to be associated with poor performance or with kinematic changes during golf-putting. In addition, it can be assumed that physiological emotional responses are also associated with kinematic changes under pressure.

Phenomenology of abnormal movements in stuttering

Background Stuttering is often accompanied by involuntary movements, abnormal gestures or changes in facial expression. Objective To describe the incidence and phenomenology of abnormal movements (AMs) in stuttering patients. Materials and methods Eighty-five consecutive patients with stuttering and 119 normal controls videotaped and subsequently reviewed, in which AMs were classified as voluntary or involuntary, and as concurrent or unrelated to speech. Movement phenomenology was correlated with disease severity. Results Of 85 stuttering patients studied, 51.7% had AMs and 22 more than one AM. Sixty-six different AMs were identified, of which 83.3% occurred during speech, 72.7% were classified as involuntary, and 27.2% as voluntary. Of 38 involuntary movements concurrent to speech, 25 were originally perceived as voluntary, but had since become involuntary through repeated use during stuttering. All involuntary movements not concurrent to speech fulfilled criteria for tics. Conclusion AMs occurring during stuttering were not always involuntary; movements not concurrent with speech clearly fulfilled clinical criteria for tics and were similar in incidence to normal controls. Inverse correlation was found between conscious control of movement during speech and stuttering severity. Many involuntary movements occurring during speech were clearly referred by patients as initially voluntary early on in the development of their speech disorder (starters or unblockers), underlining the importance of repetitive use of complex motor sequences as a source for putative involuntary movement genesis.

Reinvestment and Falls in Community-Dwelling Older Adults

Background. Falls are common in older adults and have many adverse consequences. In an attempt to prevent further incidents, elder fallers may consciously monitor and control their movements. Ironically, conscious movement control may be one factor that contributes to disruption of automaticity of walking, increasing the likelihood of subsequent falls. Objective. The Movement Specific Reinvestment Scale (MSRS), which aims to measure the propensity for movement-related self-consciousness and for conscious processing of movement, was used to try to discriminate elder fallers from non-fallers. Methods. Fifty-two volunteer older adults, aged 65 or above, participated. In addition to the 10-item MSRS, participants completed the Mini-Mental State Examination questionnaire, Timed “Up & Go” test, and Four Word Short-Term Memory test. Demographics including age, gender, and history of falling were collected. Results. Elder fallers scored significantly higher than non-fallers on both the movement self-consciousness and conscious motor processing components of the MSRS. Logistic regression revealed a significant association between the MSRS (conscious motor processing component) and “faller or non-faller” status. Conclusions. Elder fallers may have a higher propensity to consciously control their movements. The MSRS shows potential as a clinical tool with which to predict falls in the elderly, as well as to gain insight into the perception of safety during walking in any impaired patient.

時間切迫が運動スキルの遂行に及ぼす影響

The purpose of this study was to examine the influence of time pressure on the psychological, physiological, and behavioral aspects of a dart-throwing task. Participants (N=25) performed 140 acquisition trials (10 trials×14 blocks) followed by 10 test trials under time pressure. Time pressure was induced by instructing the participants to complete 10 test trials within the duration of the longest acquisition block. Dart-throwing movements were videotaped for 2-dimensional kinematic analysis. The results showed that the dart scores decreased from the last acquisition block to the test (p<.01), and that heart rate (p<.01) increased from the acquisition to the test. An analysis of a questionnaire revealed that conscious control of movements (p<.05) and attention to time (p<.01) increased from the acquisition to the test. The inter-trial dart throwing interval (p<.01) decreased from the acquisition to the test. In addition, the minimum angle (p<.01) and mean angular velocity (p<.05) of the elbow joint in the take-back phase increased from the acquisition to the test, indicating that the take-back movement became smaller and faster under time pressure. Although the participants did not have to decrease the inter-trial interval and movement time to complete the test trials within the time limit, it appeared that these behavioral changes were caused by time pressure. In addition, contrary to the inhibition of movement velocity due to performance pressure (Tanaka and Sekiya, 2006), time pressure facilitated movement velocity in the present study, suggesting that different kinds of stressors lead to different movement characteristics.