Flexibility In Adults Research Articles

Psychological flexibility in adults with chronic pain: A study of acceptance, mindfulness, and values-based action in primary care

There is an increasing number of studies of acceptance, mindfulness, and values-based action in relation to chronic pain. Evidence from these studies suggests that these processes may be important for reducing the suffering and disability arising in these conditions. Taken together these processes entail an overarching process referred to as “psychological flexibility.” While these processes have been studied in people with chronic pain contacted in specialty treatment centers, they have not yet been investigated in primary care. Thus, participants in this study were 239 adults with chronic pain surveyed in primary care, through contact with their General Practitioners (GPs), in the UK. They completed measures of acceptance of chronic pain, mindfulness, psychological acceptance, values-based action, health status, and GP visits related to pain. Correlation coefficients demonstrated significant relations between the components of psychological flexibility and the measures of health and GP visits. In regression analyses, including both pain intensity and psychological flexibility as potential predictors, psychological flexibility accounted for significant variance, Δ R 2 = .039–.40 (3.9–40.0%). In these regression equations pain intensity accounted for an average of 9.2% of variance while psychological flexibility accounted for 24.1%. These data suggest that psychological flexibility may reduce the impact of chronic pain in patients with low to moderately complex problems outside of specialty care. Due to a particularly conservative recruitment strategy the overall response rate in this study was low and the generality of these results remains to be established.

Fitness’s Moderation of the Facilitative Effect of Acute Exercise on Cognitive Flexibility in Older Women

A recent study indicated that acute aerobic exercise improves cognitive flexibility in adults. The current study assessed age, habitual physical activity, and physical fitness as moderators of this improvement and examined whether the gains still exist an hour after the exercise session. The alternative-uses test, assessing cognitive flexibility, was administered individually to 20 older (age 63.67 +/- 3.55 yr) and 19 young (age 23.9 +/- 1.22) women before, immediately after, and an hour after a single moderate aerobic-exercise session. Results indicated significant improvement in cognitive flexibility in the older group immediately after the exercise but a decrease at the 1-hr follow-up. Further analysis indicated that physical fitness accounted for this improvement (R = -.622, p < .01). No such differences were observed in the young group. Further studies are needed to examine the duration of this effect, as well as the role of physical fitness as a moderator of it.

Effect of hamstring stretching methods on improvement of lumbar flexibility in adults.

Effect of hamstring stretching methods on improvement of lumbar flexibility in adults.

Cognitive flexibility in adults with high functioning autism

The goal of the current study was to evaluate presetting, response inhibition, set shifting, and a priori planning in autism: abilities that can be lumped together under the term cognitive flexibility. Cognitive flexibility is an aspect of executive functioning, which in turn is mediated by the prefrontal cortical lobes. A group of adults with high-functioning autism (HFA; n = 23) were compared with a normal control group (n = 32), by using a computerized variant of the Sternberg response bias paradigm. Contrary to the results of earlier studies, no deficit was found in presetting, response inhibition, set shifting, and a priori planning in participants with autism, even when the medication factor was taken into account. Methodological issues that could be explanatory for this difference are discussed. An additional finding was, that individuals with HFA (especially those on medication) were slow in reacting. Possible origins and consequences of this slowness, also for cognitive flexibility, are discussed.

Rapid Social Change and the Turmoil of Adolescence: A Cross-Cultural Perspective

This article is a selective literature review, viewing adolescence in a cross-cultural perspective. Starting with the Mead/Freeman controversy, it centers on the following question: Which are the cultural contexts that best ensure a smooth transition from childhood to adulthood? The review covers some of the ethnographic research, both case studies and work using the hologeistic method (those using the Human Relations Area Files), and some of the research in cross-cultural and developmental psychology, but neither cross-national comparisons nor studies with migrants in multicultural societies. It is found that social adolescence is a universal life stage, but that it takes very different forms in different societies. Its extension into a youthperiod occurred in societies with an age-grade system, and is nowadays linked to urbanization, industrialization, and formal education. Adolescence does not need to be a period of storm and stress, and the generation gap and problem behaviors considered a “normal” part of adolescence are in fact culturally produced. In many situations, these problematic aspects of adolescence are linked to rapid social change or acculturation, most often in the form of westernization. Societies that manage to keep some continuity, cultural identity, and basic values such as family solidarity, often also manage to avoid importing the problems of adolescence despite social change. Of importance are the tolerance and flexibility of adults, close contact between generations, appropriate role-learning and acceptance into the adult community, including in the economic sphere.

American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.

ACSM Position Stand on The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Adults. Med. Sci. Sports Exerc., Vol. 30, No. 6, pp. 975-991, 1998. The combination of frequency, intensity, and duration of chronic exercise has been found to be effective for producing a training effect. The interaction of these factors provide the overload stimulus. In general, the lower the stimulus the lower the training effect, and the greater the stimulus the greater the effect. As a result of specificity of training and the need for maintaining muscular strength and endurance, and flexibility of the major muscle groups, a well-rounded training program including aerobic and resistance training, and flexibility exercises is recommended. Although age in itself is not a limiting factor to exercise training, a more gradual approach in applying the prescription at older ages seems prudent. It has also been shown that aerobic endurance training of fewer than 2 d.wk-1, at less than 40-50% of VO2R, and for less than 10 min-1 is generally not a sufficient stimulus for developing and maintaining fitness in healthy adults. Even so, many health benefits from physical activity can be achieved at lower intensities of exercise if frequency and duration of training are increased appropriately. In this regard, physical activity can be accumulated through the day in shorter bouts of 10-min durations. In the interpretation of this position stand, it must be recognized that the recommendations should be used in the context of participant's needs, goals, and initial abilities. In this regard, a sliding scale as to the amount of time allotted and intensity of effort should be carefully gauged for the cardiorespiratory, muscular strength and endurance, and flexibility components of the program. An appropriate warm-up and cool-down period, which would include flexibility exercises, is also recommended. The important factor is to design a program for the individual to provide the proper amount of physical activity to attain maximal benefit at the lowest risk. Emphasis should be placed on factors that result in permanent lifestyle change and encourage a lifetime of physical activity.

ACSM Position Stand

ACSM Position Stand on The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Adults. Med. Sci. Sports Exerc., Vol. 30, No. 6, pp. 975-991, 1998. The combination of frequency, intensity, and duration of chronic exercise has been found to be effective for producing a training effect. The interaction of these factors provide the overload stimulus. In general, the lower the stimulus the lower the training effect, and the greater the stimulus the greater the effect. As a result of specificity of training and the need for maintaining muscular strength and endurance, and flexibility of the major muscle groups, a well-rounded training program including aerobic and resistance training, and flexibility exercises is recommended. Although age in itself is not a limiting factor to exercise training, a more gradual approach in applying the prescription at older ages seems prudent. It has also been shown that aerobic endurance training of fewer than 2 d·wk−1, at less than 40-50% of V˙O2R, and for less than 10 min−1 is generally not a sufficient stimulus for developing and maintaining fitness in healthy adults. Even so, many health benefits from physical activity can be achieved at lower intensities of exercise if frequency and duration of training are increased appropriately. In this regard, physical activity can be accumulated through the day in shorter bouts of 10-min durations. In the interpretation of this position stand, it must be recognized that the recommendations should be used in the context of participant's needs, goals, and initial abilities. In this regard, a sliding scale as to the amount of time allotted and intensity of effort should be carefully gauged for the cardiorespiratory, muscular strength and endurance, and flexibility components of the program. An appropriate warm-up and cool-down period, which would include flexibility exercises, is also recommended. The important factor is to design a program for the individual to provide the proper amount of physical activity to attain maximal benefit at the lowest risk. Emphasis should be placed on factors that result in permanent lifestyle change and encourage a lifetime of physical activity.

Effects of body control and attention on body sway induced by a tilting room

The purpose of this study was to examine the effects of body control and attention on body sway that was induced by a "tilting room". With an initial instruction, 18 subjects were divided into two groups: target and body attention groups, and then stood on a stabilometer in a room that tilted forwardly. Body sway that was induced by the tilting room was measured with the stabilometer. During the training session, subjects received Dohsa training (Naruse, 1973) in order to control their body movement. Analyses indicated the following: (1) Subjects swayed in the same direction as tilting of the room; (2) No difference in the body sway was found for the two groups before training; and (3) After training, subjects increased the controllable area on the stabilometer and learned to use their bodily sensation better. Subjects in the target attention group had a greater increase in body sway than the other group. These results suggest that adult flexibility appeared in an ecological situation where conflicting information was received through visual and bodily sensation.