Motor LearningNCT02399098
The Effectiveness of Attentional Strategies on Throwing Performance and Gaze Behavior of Self-paced Tasks Under Fatigue and Non-fatigue Conditions
A study testing Attentional focus in people with Motor Learning, run by Hillel Yaffe Medical Center.
Trial summary
Focusing attention is pertinent to the performance of closed self-paced motor tasks. The following study will examine the effectiveness of internal and external focus of attention instructions on the performance of a dart throwing task under rested and fatigue (after performing intense exercise) conditions. Read more about this study
- Who is it for?
- Ages 18 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Motor Learning
- What is being tested?
- Attentional focus
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- No sites listed yet
- Study dates
- Apr 2015to Dec 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Participation in physical activity up to three hours per week presently and in the previous year.
- No previous experience in dart throwing
Who cannot join
- Attention deficit disorder
- Muscular function disorder
- Chronic/frequent use of medications that could affect neuromuscular function
- Injury to the dominant hand
- Being either elite athlete or sedentary
Trial locations and contacts
No sites are listed yet.
Roni Lidor, Ph.D contact
About this study
Focusing attention is pertinent to the performance of closed self-paced motor tasks. The following study will examine the effectiveness of internal and external focus of attention instructions on the performance of a dart throwing task under rested and fatigue (after performing intense exercise) conditions. As well as the relationship between attentional focus instructions and gaze behavior under these two conditions.
Read the detailed description
The participants will arrive at the Ribstein Center for Sports Medicine and Research at the Wingate Institute on four different occasions, 2-3 days apart, in order to complete three motor learning phases. Session 1 and 2 will include the acquisition phase, Session 3 will include the retention and transfer phases, and the last visit, Session 4, will include the fatigued session.
Sessions 1 and 2 The participants will be informed of the purpose, methods, and study protocol. Then an informed consent form will be provided to the participant to be signed. The participants will learn the throwing task according to specific instructions. Participants in all groups will be given the same technical instructions on how to throw the dart. The technical instructions will be followed by attentional focus instructions that will differ between groups. After receiving the instructions, the participants in both these groups will be given a questionnaire to fill in. The researcher will go over the answers with each participant to ensure that the instructions were understood. If needed, the instructions will be repeated until appropriate understanding and performance is achieved. Then, a 3-min practice period will begin. The participants of the internal focus group will be asked to perform the throwing movement of the arms 20 times without holding the dart. The external focus group's participants will be asked to perform the throwing motion 20 times while holding the dart. The participants in the control group will be asked to practice their stance, posture, and the holding of the dart.
Testing will begin after the preparation period. The Mobile Eye gaze tracking system will be fitted and calibrated to six different reference locations. The calibration target will be a board with six "X" shapes spaced 30 cm apart on a white paper that will be placed on the target. The external video will be located perpendicular to the participant in a way that the upper body and the arm movement can be seen in the frame. The participant will then perform the dart throwing task of 5 blocks of 12 trials, with a 2-min rest in between each block of trials. During the 2-min rest interval the researcher will remind each participant to use the attenational focus strategy. During the rest interval between the blocks, the system's calibration will be checked and calibrated again if necessary. In total, each participant will complete 120 trials of the dart throwing task in the acquisition phase.
Session 3 Upon arrival to the Lab, participants will be fitted with the Mobile Eye system, and calibration will be performed. The external video camera will be turned on and the participants will perform the same dart throwing task for 2 blocks of 10 trials, with 2min of rest in between. A transfer task will be performed after a 15-min break. Participants will be re-fitted with the Mobile Eye and re-calibration will be performed. The transfer task (an underarm throw) will be performed for 2 blocks of 10 trials with 2-min of rest in between.
Session 4 On the fourth and final visit, the participants will be randomly assigned into two groups. Each subgroup will perform two blocks of 10 trials, with a 60-sec rest in between, under different types of anaerobic physical exertions: (1) Leg Anaerobic condition (WAnT-leg): using the modified WAnT, and (2) Arm anaerobic condition (WAnT-arm): using the WAnT arm modification.
Before commencing the exercise test protocol, anthropometric measures will be determined for each participant. Height and body mass will be measured using a stadiometer (Seca, Birmingham, UK) and a digital scale (Model HBF-514C, Omron Healthcare Inc, Bannockburn, Illinois), respectively, and will be recorded to the nearest 0.1 cm and 0.1 kg, respectively. Skinfold thickness will be measured in triplicate using Caliper (Skyndex System 1, Caldwell, Justiss \& Company, Inc, Fayetteville, Arkansas, USA). The following sites will be evaluated: biceps, triceps, subscapular, and suprailiac. Adiposity (percentage of body fat) will be estimated from the appropriate skinfold measurements using Durning and Womersly equations (Durnin \& Womersley, 1974). All measurements will be performed by the same investigator. Preceding the anthropometric measurement and before beginning either test, either ergometer will be individually adjusted to fit each participant's height and body size. A heart rate monitor (Polar FT1, Polar Electro, USA) will be worn by each subject in order to record heart rate data. The eye tracking system will be put on and calibrated. Then the participants will remove the apparatus and will begin the physical exertion test. Subsequently, the participants will warm up for the WAnT-leg (men=75 W; women=50 W) and for the WAnT-arm (men=30 W; women=unloaded) by exercising at 60 rpm for 5 min.
During the warm-up period, participants will be asked to perform three all-out 5-sec sprints on the command of the researcher. Following the warm-up, participants will rest quietly for 10 min. Then the participants will perform ten consecutive 10 seconds sprints interspersed with 15 seconds recovery intervals. The participant will be instructed to sprint as fast as possible for 10 seconds. Verbal encouragement will be given during the test. The resistance for men will be set at 0.931 and 0.601 N/Kg-1, and for women 0.833 and 0.470 N/Kg-1 during the WAnT-leg and the WAnT-arm, respectively (Weber, Chia, \& Inbar, 2006). Participants will be instructed to remain seated throughout the test and will be given verbal encouragement to maintain an all-out effort throughout the 10 seconds sprints. During each sprint, peak and mean power outputs will be calculated. Peak power (PP) will be the highest power produced in a 1 sec segment of each 10 seconds sprint, whereas mean power (MP) will be calculated as the average power during the 10 seconds duration. PP and MP will be expressed in watts and relative to body mass (W/Kg). A fatigue index (FI) will be calculated as the absolute difference between the PP and the MP divided by the PP and expressed in percentage (%FI). In order to monitor the exercise intensity during each exertion protocol, the following measures will be obtained prior to the beginning of the test, at the end of the last 10 seconds sprint and 3min and 5min after the last sprint: heart rate, lactate levels, and rate of perceived exertion. Five minutes after completing the WAnT-leg or-arm test, the participants will put on the eye tracking apparatus; if needed the system will be re-calibrated. Then the subject will be asked to perform the throwing task without additional explanation. This time period was chosen based on previous studies that found peak lactate after the WAnT test to occur following approximately 5 min of recovery (Weinstein, Bediz, Dotan, \& Falk, 1998). At the end of the fourth session, participants will be asked to fill in the learning strategies' implementation questionnaire. This 4-questions questionnaire will include two close-ended questions and two open-ended questions, and is meant to check whether participants used their assigned attentional focus strategies.
- Conditions
- Motor Learning
- Being tested
- Attentional focus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Attentional focusBehavioural
The participants will learn the dart throwing task according to specific instructions. Participants in all groups will be given the same technical instructions on how to throw the dart. The technical instructions will be followed by attentional focus instructions that will differ between the groups.
| Study group | Role | What they receive |
|---|---|---|
| External focus group | Experimental | This group will be given instructions on how to focus on the external cue relevant to the task (e.g., focus on the center of the dart board). Receives: Behavioral: Attentional focus |
| Internal focus group | Experimental | This group will be instructed how to focus on the arm movements (e.g., feel the bend in your elbow). Receives: Behavioral: Attentional focus |
| Control | No intervention | This group will be given general instructions on throwing techniques (e.g., hold the dart with four fingers and make sure it is in a stable position) but no attentional focus instructions will be given. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absolute error
A measure of overall accuracy in performance - the distance from the target for each shot, without regard to direction
Measured: Two weeks
Variable error
Performance variability - the standard deviations of the cluster of target hits
Measured: Two weeks
Quiet eye duration
The length of time in milliseconds in which the performer's gaze is stable on the target
Measured: Two weeks
Secondary outcomes (3)
Number of saccades
Measured: Two weeks
Number of fixations
Measured: Two weeks
Attentional focus comprehension
A questionnaire will be given in order to assess the participants' understating and implementation of the instructions given.
Measured: Two weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Mar 2015 (estimated)
- Study startApr 2015
- Primary completionDec 2017 (estimated)
- Study completionDec 2017 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Motor LearningStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hillel Yaffe Medical Center
- Sponsor type
- Other government
- Collaborators
- Wingate Institute
- Responsible party
- Sponsor
- Investigators
- Eias Kassem, MD, Principal investigator, Hillel Yaffe Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02399098
- Sponsor's protocol ID
- 0016-15-HYMC
- Status last verified
- Mar 2015
- First submitted
- 15 Mar 2015
- Last updated
- 26 Mar 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Attentional Strategies on Throwing Performance and Gaze Behavior of Self-paced Tasks Under Fatigue and Non-fatigue Conditions
- ClinicalTrials.gov ID
- NCT02399098
- Acronym / sponsor ID
- 0016-15-HYMC
- Conditions
- Motor Learning
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Hillel Yaffe Medical CenterOther government
- Collaborators
- Wingate Institute
- Study start
- Apr 2015
- Primary completion
- Dec 2017 (estimated)
- Study completion
- Dec 2017 (estimated)
- First posted
- 26 Mar 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Focusing attention is pertinent to the performance of closed self-paced motor tasks. The following study will examine the effectiveness of internal and external focus of attention instructions on the performance of a dart throwing task under rested and fatigue (after performing intense exercise) conditions. As well as the relationship between attentional focus instructions and gaze behavior under these two conditions.
Detailed description
The participants will arrive at the Ribstein Center for Sports Medicine and Research at the Wingate Institute on four different occasions, 2-3 days apart, in order to complete three motor learning phases. Session 1 and 2 will include the acquisition phase, Session 3 will include the retention and transfer phases, and the last visit, Session 4, will include the fatigued session.
Sessions 1 and 2 The participants will be informed of the purpose, methods, and study protocol. Then an informed consent form will be provided to the participant to be signed. The participants will learn the throwing task according to specific instructions. Participants in all groups will be given the same technical instructions on how to throw the dart. The technical instructions will be followed by attentional focus instructions that will differ between groups. After receiving the instructions, the participants in both these groups will be given a questionnaire to fill in. The researcher will go over the answers with each participant to ensure that the instructions were understood. If needed, the instructions will be repeated until appropriate understanding and performance is achieved. Then, a 3-min practice period will begin. The participants of the internal focus group will be asked to perform the throwing movement of the arms 20 times without holding the dart. The external focus group's participants will be asked to perform the throwing motion 20 times while holding the dart. The participants in the control group will be asked to practice their stance, posture, and the holding of the dart.
Testing will begin after the preparation period. The Mobile Eye gaze tracking system will be fitted and calibrated to six different reference locations. The calibration target will be a board with six "X" shapes spaced 30 cm apart on a white paper that will be placed on the target. The external video will be located perpendicular to the participant in a way that the upper body and the arm movement can be seen in the frame. The participant will then perform the dart throwing task of 5 blocks of 12 trials, with a 2-min rest in between each block of trials. During the 2-min rest interval the researcher will remind each participant to use the attenational focus strategy. During the rest interval between the blocks, the system's calibration will be checked and calibrated again if necessary. In total, each participant will complete 120 trials of the dart throwing task in the acquisition phase.
Session 3 Upon arrival to the Lab, participants will be fitted with the Mobile Eye system, and calibration will be performed. The external video camera will be turned on and the participants will perform the same dart throwing task for 2 blocks of 10 trials, with 2min of rest in between. A transfer task will be performed after a 15-min break. Participants will be re-fitted with the Mobile Eye and re-calibration will be performed. The transfer task (an underarm throw) will be performed for 2 blocks of 10 trials with 2-min of rest in between.
Session 4 On the fourth and final visit, the participants will be randomly assigned into two groups. Each subgroup will perform two blocks of 10 trials, with a 60-sec rest in between, under different types of anaerobic physical exertions: (1) Leg Anaerobic condition (WAnT-leg): using the modified WAnT, and (2) Arm anaerobic condition (WAnT-arm): using the WAnT arm modification.
Before commencing the exercise test protocol, anthropometric measures will be determined for each participant. Height and body mass will be measured using a stadiometer (Seca, Birmingham, UK) and a digital scale (Model HBF-514C, Omron Healthcare Inc, Bannockburn, Illinois), respectively, and will be recorded to the nearest 0.1 cm and 0.1 kg, respectively. Skinfold thickness will be measured in triplicate using Caliper (Skyndex System 1, Caldwell, Justiss \& Company, Inc, Fayetteville, Arkansas, USA). The following sites will be evaluated: biceps, triceps, subscapular, and suprailiac. Adiposity (percentage of body fat) will be estimated from the appropriate skinfold measurements using Durning and Womersly equations (Durnin \& Womersley, 1974). All measurements will be performed by the same investigator. Preceding the anthropometric measurement and before beginning either test, either ergometer will be individually adjusted to fit each participant's height and body size. A heart rate monitor (Polar FT1, Polar Electro, USA) will be worn by each subject in order to record heart rate data. The eye tracking system will be put on and calibrated. Then the participants will remove the apparatus and will begin the physical exertion test. Subsequently, the participants will warm up for the WAnT-leg (men=75 W; women=50 W) and for the WAnT-arm (men=30 W; women=unloaded) by exercising at 60 rpm for 5 min.
During the warm-up period, participants will be asked to perform three all-out 5-sec sprints on the command of the researcher. Following the warm-up, participants will rest quietly for 10 min. Then the participants will perform ten consecutive 10 seconds sprints interspersed with 15 seconds recovery intervals. The participant will be instructed to sprint as fast as possible for 10 seconds. Verbal encouragement will be given during the test. The resistance for men will be set at 0.931 and 0.601 N/Kg-1, and for women 0.833 and 0.470 N/Kg-1 during the WAnT-leg and the WAnT-arm, respectively (Weber, Chia, \& Inbar, 2006). Participants will be instructed to remain seated throughout the test and will be given verbal encouragement to maintain an all-out effort throughout the 10 seconds sprints. During each sprint, peak and mean power outputs will be calculated. Peak power (PP) will be the highest power produced in a 1 sec segment of each 10 seconds sprint, whereas mean power (MP) will be calculated as the average power during the 10 seconds duration. PP and MP will be expressed in watts and relative to body mass (W/Kg). A fatigue index (FI) will be calculated as the absolute difference between the PP and the MP divided by the PP and expressed in percentage (%FI). In order to monitor the exercise intensity during each exertion protocol, the following measures will be obtained prior to the beginning of the test, at the end of the last 10 seconds sprint and 3min and 5min after the last sprint: heart rate, lactate levels, and rate of perceived exertion. Five minutes after completing the WAnT-leg or-arm test, the participants will put on the eye tracking apparatus; if needed the system will be re-calibrated. Then the subject will be asked to perform the throwing task without additional explanation. This time period was chosen based on previous studies that found peak lactate after the WAnT test to occur following approximately 5 min of recovery (Weinstein, Bediz, Dotan, \& Falk, 1998). At the end of the fourth session, participants will be asked to fill in the learning strategies' implementation questionnaire. This 4-questions questionnaire will include two close-ended questions and two open-ended questions, and is meant to check whether participants used their assigned attentional focus strategies.
Study design
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| External focus group | Experimental | Behavioral: Attentional focusThis group will be given instructions on how to focus on the external cue relevant to the task (e.g., focus on the center of the dart board). |
| Internal focus group | Experimental | Behavioral: Attentional focusThis group will be instructed how to focus on the arm movements (e.g., feel the bend in your elbow). |
| Control | No intervention | –This group will be given general instructions on throwing techniques (e.g., hold the dart with four fingers and make sure it is in a stable position) but no attentional focus instructions will be given. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Participation in physical activity up to three hours per week presently and in the previous year.
- No previous experience in dart throwing
Key exclusion criteria (5 listed)
- Attention deficit disorder
- Muscular function disorder
- Chronic/frequent use of medications that could affect neuromuscular function
- Injury to the dominant hand
- Being either elite athlete or sedentary
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Attentional focusThe participants will learn the dart throwing task according to specific instructions. Participants in all groups will be given the same technical instructions on how to throw the dart. The technical instructions will be followed by attentional focus instructions that will differ between the groups. | Behavioural | External focus group, Internal focus group |
Primary outcome
Absolute error
Time frame: Two weeks
A measure of overall accuracy in performance - the distance from the target for each shot, without regard to direction
Variable error
Time frame: Two weeks
Performance variability - the standard deviations of the cluster of target hits
Quiet eye duration
Time frame: Two weeks
The length of time in milliseconds in which the performer's gaze is stable on the target
3 secondary outcomes
Number of saccades
Time frame: Two weeks
Number of fixations
Time frame: Two weeks
Attentional focus comprehension
Time frame: Two weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Mar 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Roni Lidor, Ph.D contact
Eias Kassem, MD principal investigator
Hillel Yaffe Medical Center
Questions about this trial
What is this clinical trial studying?
A study testing Attentional focus in people with Motor Learning, run by Hillel Yaffe Medical Center.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Rotem Kislev-Cohen, M.Sc. (+972-9-8639404, rotemc@wingate.org.il), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Absolute error (time frame: Two weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Mar 2015.