This study aimed to investigate the dual-task cost of both motor and cognitive performances in patients with multiple sclerosis (PwMS) and in healthy controls and to determine their relationships with clinical features in PwMS. The participants performed motor tasks (postural stability, walking, and manual dexterity) and cognitive tasks (mental tracking and verbal fluency) under single- and dual-task conditions. The results showed that postural stability under dual-task conditions did not change, whereas walking and manual dexterity deteriorated, regardless of the concurrent cognitive task, in PwMS (median Expanded Disability Status Scale score: 1) and the healthy controls. Verbal fluency decreased during postural stability, whereas it increased during walking, and it was maintained during manual dexterity in both groups. Mental tracking did not change during walking; it declined during manual dexterity in both groups. Mental tracking during postural stability deteriorated in PwMS, while it did not change in the healthy controls. In general, dual-task costs were associated with baseline performances of tasks rather than clinical features. Therefore, baseline performances of both tasks should be increased for improving dual-task performance in PwMS.
Cagla Ozkul, Arzu Guclu-Gunduz, Kader Eldemir, Yasemin Apaydin, Cagri Gulsen, Gokhan Yazici, Fatih Soke, and Ceyla Irkec
Julie Freedman, Sally Hage, and Paula A. Quatromoni
Male athletes are underrepresented in eating disorders research. This phenomenological study investigated the experiences of male athletes who self-identified as having an eating disorder, disordered eating, or compulsive exercise behaviors. Eight male collegiate athletes were interviewed, and qualitative analysis identified factors associated with the onset and maintenance of disordered behaviors. Among the novel findings was the salient influence of social media as a driver of body dissatisfaction and disordered behaviors. The participants described a perceived sense of control and feeling of pride associated with the use of behaviors, cultural norms in a male sport environment that sustained these behaviors, and a shared belief that, until they experienced a loss of control over their use of behaviors, they would not likely ask for help or seek treatment. These findings have implications for additional research, as well as individual and systems-level strategies for the prevention, screening, and treatment of eating and exercise disorders in male sport.
Matthew D. Bird, Eadie E. Simons, and Patricia C. Jackman
Mental toughness has been associated with factors related to psychological well-being, but little is known about its relationship with stigma toward mental health and mental health help-seeking. This study investigated the relationship between mental toughness, sport-related well-being, and personal stigma toward mental health in a sample of 154 National Collegiate Athletic Association Division I student-athletes. The moderating effect of mental toughness on the relationship between public stigma and self-stigma toward mental health help-seeking was also explored. Mental toughness was significantly and positively associated with sport-related well-being, but not significantly related to personal stigma toward mental health. Moderation analysis indicated that mental toughness was not a significant moderator of the relationship between public stigma and self-stigma, but higher levels of mental toughness were significantly associated with lower levels of stigma toward mental health help-seeking. Building mental toughness may be a way to increase well-being and to reduce stigma toward help-seeking in student-athletes.
Richard Tahtinen, Hafrun Kristjansdottir, Daniel T. Olason, and Robert Morris
The aim of the study was to explore the prevalence of specific symptoms of depression in athletes and to test differences in the likelihood of athletes exhibiting these symptoms across age, sex, type of team sport, and level of competition. A sample of Icelandic male and female team sport athletes (N = 894, 18–42 years) was included in the study. Of the athletes exhibiting clinically significant depressive symptoms on the Patient Health Questionnaire-9, 37.5% did not exhibit core symptoms of depression. Compared with males, females were significantly more likely to exhibit depressed mood, feelings of worthlessness/guilt, and problems with sleep, fatigue, appetite, and concentration. Within males, differences were mostly related to neurovegetative aspects of depression (sleep and appetite), whereas in females, differences were related to cognitive/emotional aspects (e.g., depressed mood, guilt/worthlessness). The findings underline the importance of exploring specific symptoms of depression to provide a richer understanding of depressive symptomology in athletes.
Davoud Fazeli, HamidReza Taheri, and Alireza Saberi Kakhki
The simulation theory argues that physical execution, action observation, and imagery share similar underlying mechanisms. Accordingly, applying a high-level psychological variable (variability of practice) should have a similar effect on all three modes. To test this theory, a total of 90 right-handed students participated in this study and were randomly divided into variable versus constant groups in three practice conditions, including physical, observational, and imagery. After a pretest (10 random trials of the putting task), the participants completed 50 practice trials. The groups performed/observed/imagined the task in the variable (different distances to different goals) or constant (fixed distance and goal) practice conditions. Also, there was an extra variable group in the physical and observational conditions, deprived of watching the feedback from the action. The participants completed a retention test 24 hr after the training. The effect of practice variability was observed in physical and observational conditions, but was not seen in the imagery condition. The no-feedback groups did not perform significantly differently from the imagery groups. The reason could be the lack of actual visual feedback during imagery.
Maëlle Tixier, Corinne Cian, Pierre-Alain Barraud, Rafael Laboissiere, and Stéphane Rousset
The aim of this experiment was to investigate the postural response to specific types of long-term memory (episodic vs. semantic) in young adults performing an unperturbed upright stance. Although a similar level of steadiness (mean distance) was observed, dual tasking induced a higher velocity, more energy in the higher frequency range (power spectral density), and less regularity (sample entropy) compared with a simple postural task. Moreover, mean velocity was always greater in the semantic than in the episodic task. The differences in postural control during dual tasking may result from the types of processes involved in the memory task. Findings suggest a spatial process sharing between posture and episodic memory.
Kaitlin M. Gallagher, Anita N. Vasavada, Leah Fischer, and Ethan C. Douglas
A popular posture for using wireless technology is reclined sitting, with the trunk rotated posteriorly to the hips. This position decreases the head’s gravitational moment; however, the head angle relative to the trunk is similar to that of upright sitting when using a tablet in the lap. This study compared cervical extensor musculotendon length changes from neutral among 3 common sitting postures and maximum neck flexion while using a tablet. Twenty-one participants had radiographs taken in neutral, full-flexion, and upright, semireclined, and reclined postures with a tablet in their lap. A biomechanical model was used to calculate subject-specific normalized musculotendon lengths for 27 cervical musculotendon segments. The lower cervical spine was more flexed during reclined sitting, but the skull was more flexed during upright sitting. Normalized musculotendon length increased in the reclined compared with an upright sitting position for the C4-C6/7 (deep) and C2-C6/7 (superficial) multifidi, semispinalis cervicis (C2-C7), and splenius capitis (Skull-C7). The suboccipital (R 2 = .19–.71) and semispinalis capitis segment length changes were significantly correlated with the Skull-C1 angle (0.24–0.51). A semireclined reading position may be an ideal sitting posture to reduce the head’s gravitational moment arm without overstretching the assessed muscles.
Banu Unver, Kartal Selici, Eda Akbas, and Emin Ulas Erdem
The purpose of the study was to investigate the foot posture, ankle muscle strength, range of motion (ROM), and plantar sensation differences among normal weight, overweight, and obese individuals. One hundred and twenty-three individuals (42 normal weight, 40 overweight, and 41 obese) aged between 18 and 50 years participated in the study. Foot posture, ankle muscle strength, ROM, plantar sensation, and foot-related disabilities were evaluated. The relative muscle strength of left plantar flexors and invertors and light touch sensation of the left heel were significantly lower in obese individuals compared with overweight and normal weight (P < .016) individuals. Obese individuals had significantly reduced relative muscle strength of plantar flexors, dorsiflexor, and invertors, plantar flexion and inversion ROM in the left foot; and light touch sensation of the right heel compared with normal weight (P < .016) individuals. Foot Posture Index scores were significantly higher in obese individuals compared with overweight (P < .016) individuals. There were no significant differences in absolute muscle strength, vibration sensation, and foot-related disability scores among the 3 groups (P > .05). Obesity was found to have adverse effects on ankle muscle strength, ROM, and plantar light touch sensation. Vibration sensation was not affected by body mass index, and foot-related disability was not observed in obese adults.