Movement Specific Reinvestment Research Articles

The Relationship between Inclination for Conscious Movement Monitoring and Control and Stopping a Golf Stroke

Increased conscious movement monitoring and control can impair sports performance. Recent evidence indicates it might facilitate stopping motor actions. To further investigate, we asked novices to putt balls, but they needed to stop promptly while an auditory cue appeared during the downswing. They also completed the Movement Specific Reinvestment Scale, which measures movement self-consciousness (MS-C) and conscious motor processing, indicating the degree of inclination for conscious movement monitoring and control, respectively. Individuals with high MS-C displayed higher stopping rates but longer stopping time. Further exploration suggests that they were more likely to make slow downswings, allowing successful but late stops. We conclude that increased conscious movement monitoring may affect movement execution in such a way that it affords better stopping of ongoing motor actions.

Mild traumatic brain injury and the propensity for movement specific reinvestment

ABSTRACT Mild traumatic brain injury (mTBI) occurs from biomechanical forces on the brain, leading to pathophysiological changes that cause cognitive, perceptual, and/or motor impairments. Following mTBI, individuals are likely to be concerned about preventing pain or re-injury, therefore, we asked whether they had greater propensity to consciously monitor and control their movements. We also examined whether an association exists between the propensity to consciously monitor and control movements and mTBI clinical factors (time since most recent mTBI, number of mTBI, symptom severity). 157 participants with mTBI and 188 controls completed the Movement Specific Reinvestment Scale (MSRS) to measure the propensity for conscious monitoring and control of movements (i.e., movement specific reinvestment). Multivariate analysis of variance was used to explore scores on the MSRS as a function of mTBI/control and males/females with and without history of mTBI. Compared to controls, people with mTBI scored higher on both MSRS sub-scales (conscious motor processing, movement self-consciousness). Irrespective of mTBI history, females scored higher on the movement self-consciousness sub-scale. Multiple regression analyses were conducted to examine relationships between movement specific reinvestment and mTBI clinical factors. Time since most recent mTBI was negatively associated with conscious motor processing, suggesting that during early stages of recovery, people with mTBI are more likely to consciously control their movements. No association was evident between movement specific reinvestment and number of mTBI or symptom severity. Further understanding the relationship between conscious motor processes and mTBI may help tailor rehabilitation strategies to meet individual needs of those with mTBI.

The effects of internal representations on performance and fluidity in a motor task.

Individuals can differ in the mode in which they experience conscious thought. These differences in visualisation and verbalisation can also be evident during motor control. The Internal Representation Questionnaire (IRQ) was developed to measure propensity to engage certain types of representations, but its ability to predict motor control and links to reinvestment and motor imagery have not been tested. 159 included participants completed the IRQ, movement specific reinvestment scale (MSRS), and a novel online motor task before and after a period of practice. Results showed that the IRQ Verbal and Orthographic factors were significant predictors of scores on the MSRS. The IRQ factor of Manipulational Representations predicted motor performance both before and after practice. The fluidity of executed movements were predicted by the IRQ verbalisation factor where higher propensity to verbalise was associated with higher levels of jitter, but only after a period of practice. Results suggest there may be some informative conceptual overlap between internal verbalisations and reinvestment and that the propensity to manipulate internal representations may be predictive of motor performance in new tasks. The IRQ has potential to be a valuable tool for predicting motor performance.

Effect of coaching the sit-to-stand motion and attentional focus.

[Purpose] The present study investigated whether (1) "standing up while bowing" is effective for promoting the sit-to-stand (STS) motion and (2) whether this coaching promotes internal focus. [Participants and Methods] The participants included 17 healthy adults who performed the 30-s chair stand test with two sets of verbal instructions. The verbal instructions were as follows: "Please stand up as many times as possible for 30 s" (control condition) and "Please stand up while bowing as many times as possible for 30 s" (bowing condition). The participants performed the tests successively under the two conditions. In the 30-s chair stand test, a three-axis accelerometer was attached to the participants and the sagittal STS motion was filmed using a video camera. After the 30-s chair stand test, we used the modified Movement-Specific Reinvestment Scale (MSRS) to evaluate attentional focus. Differences in the measurements were analyzed using the Wilcoxon signed-rank test or paired t-test for each condition. [Results] Statistical analysis revealed significant differences in the CS-30 count, time from sitting to standing, time from sitting to lift-off, time from lift-off to standing, and the trunk tilt angle on lift-off. Regarding the questionnaire, Statistical analysis revealed significant differences in the MSRS and "conscious motor processing". [Conclusion] These results suggest that "standing up while bowing" has limited effectiveness in promoting the STS motion because the coaching promotes internal focus.

Fear-related visual stimuli do not promote internal focus of attention in older adults

BackgroundThe influence of internal focus (IF) on postural balance needs to be determined when assessing fall risk in older adults. Moreover, the mechanism through which IF is triggered should be elucidated. Research questionDoes fear unrelated to threats to postural balance modulate IF during postural control? MethodsThe participants were 16 community-dwelling older adults. We generated visual stimuli for neutral and fear conditions using the International Affective Picture System. Participants were assessed for postural control while standing on a stabilometer and looking at projected images. The IF allocated to postural control during task was assessed immediately after the task using the Conscious Movement Processing subscale of the Movement-Specific Reinvestment Scale (MSRS-CMP). Sympathetic activity was assessed using the mean low-frequency/high-frequency ratio (LF/HF), and posture was evaluated using the root mean square area (RMS-A), anteroposterior mean power frequency (MPF-AP), mediolateral MPF, and co-contraction index. Differences (Δ) in the MSRS-CMP, RMS-A and MPF between the neutral/fear conditions and control condition were calculated. Each index was also compared among the control, neutral, and fear conditions. The correlations between ΔMSRS-CMP and postural measures were evaluated. Equivalence tests were conducted to determine whether change of IF was different among conditions. ResultsThe MSRS-CMP score did not differ significantly among conditions; equivalence was observed. The LF/HF and MPF-AP in the fear condition were higher than in the other conditions. The RMS-A in the fear condition was lower than in the neutral condition. ΔMSRS-CMP and ΔMPF-AP were significantly negatively correlated. SignificanceThe results of this study suggest that feelings of fear affect postural control but not the IF of attention. Taken together with previous research, the findings of this study suggest that consideration of the fear-inducing context may be useful in assessments of, and interventions for, older adults with a fall risk.

Reinvestment in one versus one in-field and shoot-out field hockey performance

The theory of reinvestment suggests that inappropriate use of attention to consciously engage in movements or decisions (movement specific reinvestment or decision specific reinvestment) can result in disrupted performance. We used moderation analysis to investigate the association between these forms of reinvestment and performance during one versus one in-field and shoot-out scenarios during field hockey. We expected that the propensity for reinvestment would be negatively associated with shoot-out performance but not in-field performance, because monitoring many other players during in-field play diverts attention away from conscious engagement in movements or decisions. No association was evident between decision specific reinvestment and in-field or shoot-out performance. However, a higher propensity for movement specific reinvestment (specifically, conscious motor processing) was negatively associated with shoot-out performance, but not in-field performance. We speculate that the necessity to shift between many non-static attentional demands during in-field situations may reduce capacity for movement specific reinvestment during performance.

A meta-analysis of the association between movement specific reinvestment and motor performance

ABSTRACT The Movement Specific Reinvestment Scale (MSRS) is used to quantify differences in the propensity that individuals have to consciously engage in movement. Although the MSRS is widely used in movement science, evidence for its theoretically negative association with motor performance remains inconsistent. The aim of this meta-analysis was to summarize research findings between scores on the MSRS and motor performance, and to disentangle theoretical and sampling factors that may moderate the relationship. Following PRISMA guidelines, Web of Science, ProQuest, Google Scholar, PsychInfo and PubMed were searched. Out of the eligible texts, 410 effect sizes from 29 studies were extracted. Multi-level meta-analysis indicated that neither the MSRS total score, nor the MSRS subscales score (Movement Self-Consciousness and Conscious Motor Processing), were significantly associated with motor performance. However, the MSRS total score was significantly and negatively associated with motor performance when either (1) psychological pressure was present, (2) motor performance involved object manipulation, or (3) speed was the outcome unit of motor performance. In conclusion, the MSRS total score was linked to movement failure in certain motor conditions, providing partial support for the central tenet of the Theory of Reinvestment that a propensity for conscious engagement in movement can impair motor performance.

Bridging attentional control and reinvestment: A test of the interactionist hypothesis in an E-sport context

Attentional control and reinvestment are two competing mechanisms explaining why anxiety-provoking situations may undermine performance. To date, both perspectives have received empirical support, but neither of them perfectly explain how anxiety affects performance. In the present study, we examined a novel, interactionist hypothesis, that worry during task performance (i.e., a product of low attentional control) undermines performance to a greater extent when reinvestment (i.e., attempts to consciously control actions) is high compared to low, in an E-sport context. In a test of 84 experienced players in the Brawlhalla E-sport game, neither worry during the games nor reinvestment propensity on their own predicted ranked match performance, but the interaction between the two did. Specifically, players who were more worried during the ranked games (i.e., lower attentional control) tended to lose more games, of which the effect was evident only when movement-specific reinvestment was high, not low. However, decision-specific reinvestment did not moderate the effect of low attentional control on performance, nor predict performance on its own. Unlike movement-specific reinvestment, decision-specific reinvestment does not appear detrimental to E-sport performance. Overall, the findings provide the first evidence for the interactionist hypothesis of attentional control and reinvestment (especially movement-specific propensity), of which the interaction effect may be underpinned by availability of additional cognitive resources that assure adaptive task processing.

Validating the Breathing Vigilance Questionnaire for use in dysfunctional breathing.

Dysfunctional breathing is common among people with and without primary respiratory pathology. While anxiety can contribute to dysfunctional breathing, the underpinning mechanism is unclear. One explanation is that anxiety induces conscious, vigilant monitoring of breathing, disrupting "automatic" breathing mechanics. We validated a new tool that quantifies such breathing-related "vigilance": the Breathing Vigilance Questionnaire (Breathe-VQ). 323 healthy adults (mean (range) age 27.3 (18-71) years; 161 males) were analysed. We developed an initial Breathe-VQ (11 items, 1-5 Likert scale) based on the Pain Vigilance and Awareness Scale, using feedback from the target population and clinicians. At baseline, participants completed the Breathe-VQ, Nijmegen Questionnaire (NQ), State-Trait Anxiety Inventory form 2 and Movement-Specific Reinvestment Scale (assessing general conscious processing). 83 people repeated the Breathe-VQ 3 weeks later. Five items were removed based on item-level analysis. The resulting six-item Breathe-VQ questionnaire (score range 6-30) has excellent internal (α=0.892) and test-retest reliability (intraclass correlation 0.810), a minimal detectable change of 6.5 and no floor/ceiling effects. Validity was evidenced by significant positive correlations with trait anxiety and conscious processing scores (r=0.35-0.46). Participants at high risk of having dysfunctional breathing (NQ >23; n=76) had significantly higher Breathe-VQ score (mean±sd 19.1±5.0) than low-risk peers (n=225; mean±sd 13.8±5.4; p<0.001). In this "high risk of dysfunctional breathing" group, Breathe-VQ and NQ scores were significantly associated (p=0.005), even when controlling for risk factors (e.g. trait anxiety). The Breathe-VQ is a valid and reliable tool to measure breathing vigilance. High breathing vigilance may contribute to dysfunctional breathing and could represent a therapeutic target. Further research is warranted to test Breathe-VQ's prognostic value and assess intervention effects.

The Effect of Attentional Focus on Real-Time Conscious Motor Processing During Tandem Walking in Young Adults

The theory of reinvestment in experimental psychology suggested that automated performance could be degraded if attention was internally diverted to the process of skill execution. This study examined the role of attentional focus instructions on real-time conscious motor processing (i.e., reinvestment) during tandem walking. Thirty-six young adults (mean age = 20.94, SD = 1.43 years) participated; their electroencephalography T3–Fz coherence (i.e., real-time reinvestment) was measured during three walking conditions with different attentional focus instructions: external focus, internal focus, and control conditions. The results suggested that attentional focus instructions did not significantly affect real-time conscious motor processing during tandem walking in young adults, possibly due to the low level of motor task complexity of walking by young adults. The Movement-Specific Reinvestment Scale appears to be not sensitive enough to reflect the real-time reinvestment during gait-related movements in young adults.

Testing anxiety's effect on movement planning and correction: Online upper-limb corrections are not completely automatic

Via three experiments, we investigated heightened anxiety's effect on the offline planning and online correction of upper-limb target-directed aiming movements. In Experiment 1, the majority of task trials allowed for the voluntary distribution of offline planning and online correction to achieve task success, while a subset of cursor jump trials necessitated the use of online correction to achieve task success. Experiments 2 and 3 replicated and elaborated Experiment 1 by assessing movement-specific reinvestment propensity and manipulating the self-control resources of participants. This allowed more detailed inference of cognitive resource utilisation to tease apart the effects of conscious processing and distraction-based anxiety mechanisms. For the first time, we demonstrate that: anxiety-induced online-to-offline motor control shifts can be overridden when the need for online correction is necessitated (i.e., in jump trials); anxiety-induced online-to-offline shifts seem to be positively predicted by conscious processing propensity; and optimal spatial efficacy of limb information-based online correction seems to require cognitive resources. We conclude that long-standing definitions of limb information-based online correction require revision, and that both conscious processing and distraction theories appear to play a role in determining the control strategies of anxiety induced upper limb target directed aiming movements.

Dynamic gait stability in patients with idiopathic normal pressure hydrocephalus with high and low fall-risk

BackgroundThis study aimed to investigate whether dynamic gait stability differs between idiopathic normal-pressure hydrocephalus with high- and low-fall-risk. MethodsParticipants comprised 40 idiopathic normal-pressure hydrocephalus patients and 23 healthy-controls. Idiopathic normal-pressure hydrocephalus patients were divided into those with high-fall-risk (n = 20) and low-fall-risk (n = 20) groups using the cut-off score of ≤14/30 for fall-risk on the Functional Gait Assessment. Dynamic stability during gait was assessed by three-dimensional motion analysis. Dynamic stability was defined as the ability to maintain an extrapolated center of mass within the base of support at heel contact, with the distance between the two defined as the margin of stability. Conscious motor control was assessed by the Movement-Specific Reinvestment Scale. FindingsAnteroposterior and mediolateral margin of stabilities were significantly larger in both idiopathic normal-pressure hydrocephalus groups than in healthy-controls. The mediolateral margin of stability was significantly higher in the high-fall-risk group than in the low-fall-risk group; whereas, the anteroposterior margin of stability did not differ between idiopathic normal-pressure hydrocephalus groups. The Movement-Specific Reinvestment Scale was significantly higher in the high-fall-risk group than in the low-fall-risk group. InterpretationIdiopathic normal-pressure hydrocephalus patients with have high forward and lateral dynamic stability during gait regardless of their fall-risk. In particular, idiopathic normal-pressure hydrocephalus patients with high-fall-risk may consciously maintain lateral dynamic stability to a greater extent than those with low-fall-risk. These findings highlight a conscious motor control component in the pathological gait of idiopathic normal-pressure hydrocephalus, and provide clues for rehabilitation and fall prevention strategies in idiopathic normal-pressure hydrocephalus patients.

Performance and decision making of a complex skill under monitoring and outcome pressure conditions: Which of them can reinvestment predict?

Despite a huge amount of research conducted on performance under competitive pressure, the different components of a competitive environment such as outcome pressure or monitoring pressure, have less been investigated. The present study aimed to investigate the performance and decision making of a complex skill and their link with reinvestment (a type of self-focus behavior) under different conditions of pressure using a table tennis task. The topspin forehand and backhand shots of 20 expert table tennis athletes were examined under low, monitoring, and outcome pressure conditions in a within-group design. In addition, predictive validities of Decision-Specific Reinvestment Scale (DSRS) and Movement-Specific Reinvestment Scale (MSRS) with the changes of performance and decision making from low- to high-pressure conditions as dependent variables were examined. The repeated measures ANOVA results showed that the effects of pressure conditions on anxiety were significant. Decision accuracy under outcome pressure and decision speed under monitoring and outcome pressure conditions were decreased. The performance of athletes was decreased under monitoring pressure while no changes was observed in their performance under outcome pressure. Decision Reinvestment (a factor of DSRS) could predict decision speed changes under both pressure conditions, while Movement Self-Consciousness (a factor of MSRS) could predict performance changes only under monitoring pressure. Our Findings highlight that the subscales of MSRS and DSRS were activated independently and a competitive pressure situation has different effects on the cognitive and motor aspects of complex skills. It is suggested that expert athletes and coaches consider separate pressure conditions and their relationships with the ongoing task.

Exploring the Dimensions of Movement-Specific Reinvestment From Personal Characteristics Perspectives.

The purposes of the present study were three-fold: to examine (a) if the movement-specific reinvestment responses should be represented as two dimensional constructs, (b) whether dichotomization of the movement-specific reinvestment responses are appropriate, and (c) how the two dimensions are associated with relevant psychological concepts. To conduct a comparative examination of the MSRS structure in two Asian samples, participants were 236 Japanese university students (136 men, 100 women; Mage = 18.0, SD = 1.6) and 328 Singaporeans (167 men, 161 women; Mage = 21.8, SD = 1.8). After examining the factor structure of the movement-specific reinvestment responses for the first purpose, latent class factor analysis was conducted for both samples for the second purpose. For the third purpose, correlation analysis and mediation analysis were conducted for a part of the Singaporean sample. Through a series of latent class factor analysis, four and three classes were identified for the Japanese and Singaporean samples, respectively. For both samples, the patterns of the item-average scores for the two movement-specific reinvestment dimensions were parallel among the classes. Conscious Motor Processing was positively associated with mental toughness, intrinsic regulation, integrated regulation, mastery-approach and task goal orientations, and dispositional flow, whereas Movement Self-Consciousness was positively related with stress and mastery-avoidance goal orientation. The findings of the study supported (a) the two-dimensional representation of the movement-specific reinvestment responses, but did not fully support (b) the practice of dichotomization of the movement-specific reinvestment responses, and indicated that (c) at the trait level, Conscious Motor Processing and Movement Self-Consciousness were associated with positive and negative psychological constructs, respectively.

Do attentional focus instructions affect real-time reinvestment during level-ground walking in older adults?

This study represents the first attempt in exploring whether attentional focus instructions could affect real-time reinvestment (conscious movement processing) in older adults during level-ground walking. Forty-five community-dwelling older adults were instructed to walk at a self-selected pace along a 6-m level-ground walkway under three randomized attentional focus conditions (i.e., Internal, External, and Control) for a total of fifteen trials (five trials for each condition). Electroencephalography (EEG) T3-Fz coherence was utilized as an objective measurement of real-time reinvestment during walking. The Chinese version of the Movement-Specific Reinvestment Scale (MSRS-C) was used to measure the trait reinvestment propensity. Results revealed that the EEG T3-Fz coherence did not differ among the three conditions. The EEG T3-Fz coherence at the Control condition was not correlated with the scores of the MSRS-C. Our findings suggest that the measurement of trait reinvestment propensity (MSRS-C) may not be sensitive enough to reflect real-time reinvestment. Moreover, attentional focus instructions do not affect real-time reinvestment during level-ground walking, possibly due to the low level of motor task difficulty in level-ground walking for healthy older adults. Future studies should investigate this influential issue with a more challenging walking task.

Movement-Specific Reinvestment in Older People Explains Past Falls and Predicts Future Error-Prone Movements.

The tendency to think about or consciously control automated movements (i.e., movement-specific reinvestment) is a crucial factor associated with falling in the elderly. We tested whether elderly people’s movement-specific reinvestment depended on their past falling history and whether it can predict future error-prone movements. In a longitudinal pre-post design, we assessed n = 21 elderly people’s (Mage = 84.38 years, SD = 5.68) falling history, movement-specific reinvestment (i.e., Movement-Specific Reinvestment Scale), and physical functioning (i.e., Short-Physical-Performance Battery). Following a baseline assessment, participants reported their movement behavior in a daily diary for 2 months, after which we assessed their movement-specific reinvestment and physical functioning again (longitudinal, pre-post design). Results revealed, first, that participants’ movement self-consciousness score was fairly stable, while their conscious-motor-processing score was less stable. Second, conscious motor processing was higher in participants who had fallen as opposed to those who had not fallen in the past. Third, conscious motor processing predicted error-prone future movement behavior reported in the daily diary. For identifying individuals who are more prone to fall, caregivers, rehabilitation staff, or doctors could apply the Movement-Specific Reinvestment Scale to screen elderly people’s psychomotor behavior. Based on conscious motor processing, monitoring cognitions could be tailored in theory-based, individual interventions involving both cognitive and motor training.

Conscious processing and rowing: a field study

ABSTRACT Objectives: The theory of reinvestment has been used to explain underperformance of motor skills in sport. Our study had three objectives. First, we examined the influence of conscious processing on rowing performance in competitive races. Second, we investigated conscious processing as a function of rowing experience. Finally, we explored whether extreme conscious processing predicted catastrophic skill failure during competitive rowing. Design: Cross-sectional field study. Participants were observed during a competitive race before completing a multi-measure questionnaire. Method: Participants were recruited from one of five rowing events held in the English midlands. Rowers (N = 147) were observed racing and then completed measures of movement-specific reinvestment, perceived performance, and demographics. Actual performance was calculated from their race finishing position. Results: Post-hoc data analysis revealed that Movement Self-Consciousness (MSC) but not Conscious Motor Processing (CMP) was associated with actual race performance. CMP was positively associated with perceived technical performance, whereas MSC was negatively associated with perceived tactical performance. Two rowers who were observed to crab (i.e., choke) during their race reported extreme levels of CMP. Finally, the relationship between conscious processing and performance was not moderated by rowing experience. Conclusion: Our findings provide broad support for the theory of reinvestment in the rowing context. Poor race outcome was only associated with MSC, suggesting that the pressures of competition, such as social evaluation, impact field performance. Catastrophic performance failure during competition (i.e., crabbing) was linked to extremely high CMP, which may be due to excessive conscious control that CMP evokes, therefore disrupting automatic processes.

Short-latency inhibition mitigates the relationship between conscious movement processing and overly cautious gait.

BackgroundOverly cautious gait is common in older adults. This is characterised by excessively slow gait, shortened steps, broadened base of support and increased double limb support. The current study sought to (1) evaluate if overly cautious gait is associated with attempts to consciously process walking movements, and (2) explore whether an individual’s ability to rapidly inhibit a dominant motor response serves to mitigate this relationship.MethodsA total of 50 older adults walked at a self-selected pace on an instrumented walkway containing two raised wooden obstacles (height = 23 cm). Trait conscious movement processing was measured with the Movement-Specific Reinvestment Scale. Short-latency inhibitory function was assessed using a validated electronic go/no-go ruler catch protocol. We used linear regressions to explore the relationship between these variables and gait parameters indicative of overly cautious gait.ResultsWhen controlling for general cognitive function (MoCA), and functional balance (Berg Balance Scale), the interaction between trait conscious movement processing and short-latency inhibition capacity significantly predicted gait velocity, step length and double limb support. Specifically, older adults with higher trait conscious movement processing and poorer inhibition were more likely to exhibit gait characteristics indicative of cautious gait (i.e. reduced velocity, shorter step lengths and increased double limb support). Neither conscious movement processing nor inhibition independently predicted gait performance.ConclusionThe combination of excessive movement processing tendencies and poor short-latency inhibitory capacity was associated with dysfunctional or ‘overly cautious’ gait. It is therefore plausible that improvement in either factor may lead to improved gait and reduced fall risk.

Re-evaluating the measurement and influence of conscious movement processing on gait performance in older adults: Development of the Gait-Specific Attentional Profile

BackgroundRecent decades have seen increased interest in how anxiety–and associated changes in conscious movement processing (CMP)–can influence the control of balance and gait, particularly in older adults. However, the most prevalent scale used to measure CMP during gait (the Movement-Specific Reinvestment Scale (MSRS)) is generic (i.e., non-gait-specific) and potentially lacks sensitivity in this context. MethodsIn a preliminary study, we first sought to evaluate if MSRS scores associated with the number of CMP-related thoughts self-reported by older adults while walking. The next aim was to develop and validate a new questionnaire (the Gait-Specific Attentional Profile, G-SAP) capable of measuring gait-specific CMP, in addition to other attentional processes purported to influence gait. This scale was validated using responses from 117 (exploratory) and 107 (confirmatory factor analysis) older adults, resulting in an 11-item scale with four sub-scales: CMP, anxiety, fall-related ruminations, and processing inefficiencies. Finally, in a separate cohort of 53 older adults, we evaluated associations between scores from both the G-SAP CMP subscale and the MSRS, and gait outcomes measured using a GAITRite walkway in addition to participants’ fall-history. ResultsMSRS scores were not associated with self-reported thoughts categorised as representing CMP. In regression analyses that controlled for functional balance, unlike the MSRS, the G-SAP subscale of CMP significantly predicted several gait characteristics including velocity (p = .033), step length (p = .032), and double-limb support (p = .015). SignificanceThe G-SAP provides gait-specific measures of four psychological factors implicated in mediating the control of balance and gait. In particular, unlike the MSRS, the G-SAP subscale of CMP appears sensitive to relevant attentional processes known to influence gait performance. We suggest that the G-SAP offers an opportunity for the research community to further develop understanding of psychological factors impacting gait performance across a range of applied clinical contexts.

Persons in remission from recurrent low back pain alter trunk coupling under dual-task interference during a dynamic balance task.

This study investigated effects of cognitive dual-task interference and task prioritization instructions on task performance and trunk control during a dynamic balance task in persons with and without recurrent low back pain (rLBP). First, we tested the hypothesis that those with rLBP rely more on cognitive resources than back-healthy controls, and therefore trunk kinematics would be altered under dual-task interference conditions. Then, we tested participants' ability to modulate task performance in accord with prioritization instructions. Persons with and without rLBP (n = 19/group) performed the Balance-Dexterity Task, which involved single-limb balance while compressing an unstable spring with the other limb, with and without a cognitive task engaging verbal working memory. Trunk coupling was quantified with the coefficient of determination (R2) of an angle-angle plot of thorax-pelvis frontal plane motion. Task performance was quantified using variability of spring compression force and of cognitive task errors. Trunk coupling in the rLBP group was lower than that of the back-healthy control group in the single-task condition (p = 0.024) and increased in the dual-task condition (p = 0.006), abolishing the difference between groups. Significant main effects of task prioritization instruction on performance were observed with no differences between groups, indicating similar performance modulation. Cognitive task error variability decreased with a switch from a single- to dual-task condition, exposing an unexpected facilitation effect. We interpret these findings in the context of movement-specific reinvestment and action-specific perception theories as they pertain to cognitive contributions to posture and how the dual-task interference paradigm may influence those contributions.