The role of inhibitory control in sport performance: Systematic review and meta-analysis in stop-signal paradigm

Stress Management in Athletes: Predictive Effects of Sleep Deprivation-Induced Cognitive Control Changes on Competition Performance

Effective stress management is crucial for optimal competition performance in athletes. Sleep deprivation (SD) can elevate physiological and psychological stress, and the SD-changed cognitive and emotion may reflect stress management capability and hold the predictive possibility for athletes' performance in official competitions over some time; however, it lacks evidence. Here, we aim to increase stress level for athletes by 24 h SD and identify the predictive effects of cognitive and emotional changes after 24 h SD on sports performance in official competitions over ∼1.5 months. Sixty-five winter sports athletes (35 males) were recruited from college (test set) and professional athletes (validation set) separately. The anxiety and cortisol levels were assessed at baseline, after 24 h SD, and official competition. Athletes underwent cognitive tasks (Stroop, Go/No-Go, Competitive Reaction Time Task, and Iowa Gambling Task) and the event-related potential recording at baseline and after SD. Competition performance levels (supernormal, normal, and abnormal) were categorized based on a consensus of subjective and objective evaluations. We found anxiety and cortisol levels following 24 h SD were equaled with those observed in official competition. Notably, only the decreased incongruent Stroop response after 24 h SD was negatively associated with performance in official competition. The corresponding P3 component, particularly the delta frequency at the central lobe, largely mediated this effect. These findings highlight that athletes who effectively employ cognitive skills to manage stress under acute SD tend to exhibit superior performance.

Attentional, anticipatory and spatial cognition fluctuate throughout the menstrual cycle: Potential implications for female sport

Current research suggests that menstruating female athletes might be at greater risk of musculoskeletal injury in relation to hormonal changes throughout the menstrual cycle. A separate body of work suggests that spatial cognition might also fluctuate in a similar manner. Changes in spatial cognition could, in theory, be a contributing risk factor for injury, especially in fast-paced sports that require precise, millisecond accuracy in interactions with moving objects in the environment. However, existing theories surrounding causes for increased injury risk in menstruating females largely focus on biomechanical mechanisms, with little consideration of possible cognitive determinants of injury risk. Therefore, the aim of this proof-of-principle study was to explore whether menstruating females exhibit fluctuations in cognitive processes throughout their cycle on a novel sport-oriented cognitive test battery, designed to measure some of the mental processes putatively involved in these sporting situations. A total of 394 participants completed an online cognitive battery, a mood scale and a symptom questionnaire twice, 14 days apart. After exclusions, 248 eligible participants were included in the analyses (mean: 28 ± 6 years) (male = 96, female(menstruating) = 105, female(contraception) = 47). Cycle phase for menstruating females was based on self-reported information. The cognitive battery was designed to measure reaction times, attention, visuospatial functions (including 3D mental rotation) and timing anticipation. Three composite scores were generated using factor analysis with varimax rotation (Errors, Reaction Time, Intra-Individual Variability). Mixed model ANOVAs and repeated measures ANOVAs were performed to test for between and within-subject effects. There was no group difference in reaction times and accuracy between males and females (using contraception and not). However, within subject analyses revealed that regularly menstruating females performed better during menstruation compared to being in any other phase, with faster reaction times (10ms c.ca, p < 0.01), fewer errors (p < 0.05) and lower dispersion intra-individual variability (p < 0.05). In contrast they exhibited slower reaction times (10ms c.ca, p < 0.01) and poorer timing anticipation (p < 0.01) in the luteal phase, and more errors in the predicted ovulatory phase (p < 0.01). Self-reported mood, cognitive and physical symptoms were all worst during menstruation (p < 0.01), and a significant proportion of females felt that their symptoms were negatively affecting their cognitive performance during menstruation on testing day, which was incongruent with their actual performance. These findings suggest that visuospatial and anticipatory processes may fluctuate throughout the menstrual cycle in the general population, with better performance during the menstrual phase and poorer performance during the luteal phase. If these extend to associations between phase-specific cognitive performance and injury incidence, they would support a cognitive theory of determinants of injury risk in cycling female athletes, opening an opportunity to develop mitigation strategies where appropriate.

Executive Function Strengths in Athletes: a Systematic Review and Meta-Analysis

OBJECTIVE

Whether athletes possess superior executive functions still needs further examination. Therefore, the aim of this study is to explore the executive function advantages of athletes and the differences in these advantages between open- and closed-skill sports through systematic review and meta-analysis.

METHODS

Computer searches of CNKI, Web of Science, PubMed, ScienceDirect, and SPORTDiscus databases were conducted. After document selection, data extraction, and quality assessment by two researchers, data processing, statistical analysis, and visual presentation were performed using SPSS 25.0, Stata 16.0, and GraphPad Prism 8 software.

RESULTS

A total of 41 articles were included, including 3845 athletes with a mean age of 9.6-42.8 years. Athletes showed more positive inhibitory control (Z = 5.18, standardized mean difference (SMD) = -0.631, 95% confidence intervals (CI) = -0.869 to -0.392, p = 0.000) and working memory (Z = 3.42, SMD = -0.382, 95%CI = -0.601 to -0.163, p = 0.001) compared to the general group with no sports experience. Elite and sub-elite, and sub-elite and amateur athletes all showed more positive performance on the cognitive flexibility task compared to the latter. In addition, open-skilled athletes performed more positively on working memory and cognitive flexibility tasks compared to closed-skilled athletes. Egger linear regression analysis revealed a possible publication bias for inhibitory control, whereas there was no publication bias for working memory and cognitive flexibility. Univariate meta-regression analysis revealed that date of publication (β = 0.145) and sample size (β = -0.002) were sources of heterogeneity between studies for the inclusion of cognitive flexibility (p < 0.05). The sensitivity analysis of the one-by-one elimination method and the cut-and-patch method found the results to be relatively robust and reliable.

CONCLUSION

Athletes have superior executive function performance that increases with sports experience. In addition, open-skilled athletes showed more positive executive function. The result has guiding significance for the selection and training of athletes in the future.

EMG-assessed paratonia: A novel approach to investigating motor response inhibition in healthy subjects

Paratonia is an involuntary muscle activity that occurs during passive joint mobilization and is common in people with dementia. It includes oppositional paratonia, in which muscle activity resists passive movement, and facilitatory paratonia, in which it assists movement. This phenomenon reflects a defect in motor response inhibition. In a recently published paper, we demonstrated that paratonia can be detected using surface electromyography (EMG) not only in patients with dementia but also in healthy individuals, the majority of whom do not exhibit clinically observable paratonia. This finding suggests that EMG-assessed paratonia may provide a novel approach to studying motor response inhibition in healthy subjects. The present study investigates this possibility for the first time. We recruited 120 healthy subjects under the age of 30, divided equally into three groups: sedentary, amateur, and professional athletes with low, moderate, and high levels of physical activity, respectively. Paratonia was assessed in the triceps and biceps brachii muscles during passive forearm movements performed manually. The results indicate that paratonia is more pronounced during fast and continuous passive movements, with facilitatory paratonia being more prevalent than oppositional paratonia. It is also more pronounced in the biceps than in the triceps. These findings, which mirror those previously observed in patients with dementia, suggest a similarity between paratonia in healthy subjects and those with cognitive impairment, supporting the hypothesis that paratonia in healthy individuals represents a form of impaired motor response inhibition. Furthermore, the comparison between groups showed that paratonia decreased with increasing physical activity, being least evident in athletes, more noticeable in amateurs, and most pronounced in sedentary individuals. This pattern confirms a key feature of motor response inhibition that has been shown in studies using traditional methods. Overall, our findings suggest that EMG-assessed paratonia provides a new method for studying motor response inhibition in healthy individuals.

Examining the relationship between subjective exercise tolerance and psychophysiological reactivity during physical stress

It has been hypothesized that one's ability to control impulses aids in sustaining effort despite experiencing painful physical sensations. Physical exercise has been used extensively as an intervention to strengthen the inhibitory control system and protect an individual's cognitive plan of action. It is unclear, however, whether the high levels of exercise tolerance could facilitate inhibitory control under varied stressors. The present study explored the relationship between subjective exercise tolerance and psychophysiological characteristics that indicate reactivity capacity when exposed to the cold pressor test. Thirty-six participants were divided into two groups based on their subjective exercise tolerance profiles. During the test, participants' psychophysiological reactivity was monitored via heart rate variability. Participants were also required to answer questions about their perceptual and affective states at the beginning and immediately after the stress test. The study revealed insights into dominance perception and emotional states among individuals with varying subjective exercise tolerance levels. High-tolerant individuals endured physical discomfort longer (~50 s) and exhibited higher perceived dominance at the outset of the test when compared to their low-tolerant counterparts. Despite differences in task performance, both groups experienced more positive affective states post-task, potentially as a result of a heightened sense of self-accomplishment. Notably, both groups showed similar levels of psychophysiological reactivity, suggesting a protective effect of physical tolerance on ensuing biological responses. Overall, this study sheds light on the complex relationship between exercise tolerance, dominance perception, and psychophysiological reactivity during physically demanding tasks, enriching our understanding of how developing physical tolerance may impact inhibitory control under stress.

Action inhibition in a sport-specific paradigm: examining the limits of action control in basketball

To investigate the point where inappropriate defensive movements can no longer be inhibited and to validate suitable stimulus material for constructing a basketball-specific anticipation-response-inhibition task, two experiments were conducted. In Experiment 1, participants without basketball expertise (N = 25) watched a video of a basketball jump shot and were asked to release the space bar at the point when the ball leaves the player's fingertips (go-trials). In 25% of all trials, the video was stopped prematurely and participants should withhold their finger-lift response (stop-trials). A staircase-tracking algorithm was used to adjust the point-in-time when the jump shot was stopped in a way that participants' inhibition rate was at 50% (reflecting the so called "point-of-no-return", PNR). In Experiment 2, the stimulus material was adapted so that stop-trials simulated a pump fake. The PNR in Experiment 1 was located 187 ms and in Experiment 2 177 ms before the point of ball release. Precision performance benefit from practice across blocks and participants delayed their responses after stop-trials in a subsequent go-trial, which reflects strategic post-stop-trial adjustments. Based on the comparable results of previous studies, the given stimulus material is suitable for investigating response inhibition skills in dynamic sport-specific environments.

The impact of maturation level, not chronological age, on attentional control: implications for sports injury prevention in female adolescents

BACKGROUND

Non-contact injuries are highly prevalent among young athletes and occur particularly in situations that require fast decision making and divided attention. Administering relevant neurocognitive tests could help identify deficiencies in these cognitive abilities and thus potentially mitigate injury risk. However, processes such as selective attention and response inhibition might depend to some extent on the athlete's maturation stage. We aimed to examine the effect of maturation on selective visual attention and response inhibition among adolescent volleyball players.

METHODS

In this cross-sectional study, 52 female adolescents (age 12.3 ± 2.1 years) performed an Eriksen Flankers task. Participants were divided into subgroups based on their estimated adult stature, using the Khamis & Roche method: Pre-pubertal (PRE; n = 13, age: 9.9 ± 1.3), early-puberty (EPUB; n = 7, age: 10.5 ± 0.6), mid-puberty (MPUB; n = 8, age: 12.6 ± 0.8) and late puberty (LPUB; n = 24, age: 14.1 ± 0.9). Analyses of covariance (ANCOVA) were performed on congruent and incongruent reaction times (RT), with corresponding success rates (% correct responses) as covariate. Flanker interference effect was tested using ANOVA. Correlations were further examined between the dependent variables and participants' chronological age.

RESULTS

There was a significant group effect, with PRE demonstrating longer RT compared with LPUB (P < 0.001) for both congruent and incongruent RT. Moderate negative correlations were observed between age and RT (Rp = -0.695, Rp = -0.614 for congruent and incongruent RT, respectively) and low positive correlations between age and incongruent success rate (Rs = 0.318). Low to moderate correlations were also observed within the LPUB group for RT (Rp = -0.431--0.532) and success rate (negative Rs = -574 for congruent and positive Rs = 0.417 for incongruent). There were no group differences nor age associations with interference effect.

CONCLUSIONS

Our findings indicate that information processing and selective visual attention are superior at late maturation compared with early maturation among female adolescents. The same cannot be said for response inhibition, which did not differ between maturation groups. Similar tendencies were observed with regards to chronological age, but not entirely explained by it. Maturation level, rather than chronological age, should guide practitioners during sport participation and injury prevention programs for young athletes, whose neurocognitive abilities are not yet fully developed, placing them at risk for non-contact injuries.

Development of an Effector-Specific Stop Signal Task with Higher Complexity: A Proof-of-Concept Study

The present study aims to develop and present a proof-of-concept for a stop signal task with effector-specificity and higher complexity. Sixteen participants performed a stop signal task developed for lower extremities using Fitlight System™. The effect of four different delays and two sessions on response time, stop signal reaction time and accuracy was assessed using two-way repeated-measures ANOVA. The reliability of outcomes was assessed using intraclass correlation coefficients. There was a significant main effect of delay on all outcomes and an interaction of delay and session on accuracy. The reliability of outcomes was substantial with dependency on delays. Our preliminary findings suggest the feasibility of stop signal principles within more complex movements and provide an example for the development of further tests in sports context.

A study of long-term supraphysiologic-dose anabolic-androgenic steroid use on cognitive function in middle-aged men

Background: Long-term use of supraphysiologic doses of anabolic-androgenic steroids (AAS) has been associated with impaired visuospatial memory in young men but little is known about its cognitive effects in middle-aged men.Objectives: We compared cognition in middle-aged men with histories of long-term AAS use and age-matched non-users.Methods: We administered cognitive tests from the CANTAB battery to 76 weightlifters aged 37-60 years (mean [SD] 48.5 [6.5] years), of whom 51 reported at least 2 years of cumulative AAS use and 25 reported no AAS exposure.Results: We found no significant AAS user versus non-user group differences on visuospatial, verbal memory, emotional recognition, or executive function tasks (corrected p's ≥ .00089; effect sizes ≤ .5).Conclusions: Our null visuospatial task findings contrast with our prior younger cohort study (mean age 37.1 [7.1] years), in which we found impaired visuospatial task performance in people who use AAS, and with other reports of cognitive impairments in younger men use AAS. Men who use AAS may develop early visuospatial memory deficits that stabilize by middle age while middle-aged non-users' performance may "catch up" due to normal age-related visuospatial declines. Similar effects could contribute to our null findings on other tasks. Between-study cohort substance use differences or environmental factor differences that modify cognition, such as study geographical location and time of year, also could contribute to our discordant findings. Since young adult male AAS users experience increased mortality from unnatural causes, improving our understanding of AAS cognitive effects in this age group is important.

Sensitivity to rewards and punishments in karate athletes: an examination of the temperamental characteristics and profile of karate competitors according to the revised reinforcement sensitivity theory

BACKGROUND

The revised Reinforcement Sensitivity Theory (rRST) assumes the existence of three systems controlling motivation and behavior: the behavioral activation system (BAS), the behavioral inhibition system (BIS), and the fight-flight-freeze system (FFFS). This study aims to examine for the first time the features of BAS, BIS, and FFFS among karate players in comparison with athletes representing other sports disciplines (physical education students) and physically inactive people. The specific configuration of temperament traits and profiles characterizing karate players will also be found.

METHODS

The cross-sectional study was performed among male karate athletes and control groups (physically active and inactive men). The study used the modified Reinforcement Sensitivity Questionnaire (rRSQ) to measure BAS, BIS, and FFFS.

RESULTS

The ANOVA showed that both karate competitors KS and KK scored significantly higher in BAS than the sample of PI participants. In addition, KK athletes scored significantly lower in Freeze than in PI and KS groups. Research also suggests that KK athletes presented significantly lower overall scores in FFFS than PI individuals. Furthermore, the results of K-means cluster analysis indicated the existence of two distinct patterns of temperamental traits: (1) Cluster 1 suggests avoidance tendencies (high Flight and Freeze, and low BAS, BIS, and Fight levels); while (2) the Cluster 2 describes approach tendencies (high BIS, BAS and Fight scores, and low levels of Flight and Freeze). Significantly more KK athletes were included in Cluster 2 than in Cluster 1, compared to PI, PA, and KS samples.

CONCLUSIONS

The research indicates that individuals engaged in karate, particularly those practicing Kyokushin karate, tend to exhibit a heightened sensitivity to rewards (high BAS). This finding holds significance for coaches and sports instructors, suggesting that motivating karate athletes through incentives is more effective, while the use of punishment should be minimized during training. Additionally, the study proposes that the practice of Kyokushin karate has the potential to significantly diminish the freezing response in threatening situations and enhance overall fear management by reducing levels of the Fight-Flight-Freeze System (FFFS). Consequently, the Kyokushin karate style may be considered more advantageous than the Karate Shotokan (KS) style in these aspects, despite both styles contributing to the improvement of BAS. Given that a higher BAS is linked to positive emotions, optimism, and happiness, karate training emerges as a form of health intervention, acting as a preventive measure against mental disorders and promoting overall well-being.

Athletes with meditation experience counteract the detrimental effect of mental fatigue on endurance performance and neurocognitive functions

The current study examined whether meditation experience is associated with changes in endurance performance and inhibitory control-relevant neurocognitive functions caused by mental fatigue. Twenty-four athletes with meditation experience (AME) and twenty-five athletes without meditation experience (AWME) underwent a 30-min incongruent Stroop test in mental fatigue condition (MF) and a 30-min congruent Stroop test in control condition (CON) in a randomised-counterbalanced order. Inhibitory control-relevant neurocognitive functions were assessed using Flanker task and event-related potentials, followed by an endurance task using the Bruce treadmill protocol. Visual analogue scale was used to evaluate perceived mental fatigue (VAS-MF) before (T1), after Stroop test (T2) and after Flanker task (T3), and VAS for motivation (VAS-M) was used to evaluate motivation in Flanker task and endurance task. Results indicated that, compared to the CON, AWME in the MF exhibited overall lower accuracy, smaller incongruent N2 amplitude of the Flanker task (ps < .05), and shorter time to exhaustion (TTE) of the endurance task (p < .001), whereas AME did not exhibited difference in these outcomes between the conditions. Along with athletes in the MF reported lower VAS-M in endurance task. These findings suggest the benefits of meditation experience in mitigating the negative effects of mental fatigue.

Postural control and cognitive flexibility in skilled athletes: Insights from dual-task performance and event-related potentials

Athletes of skill-oriented sports (hereinafter referred to as "skilled athletes"), such as gymnasts and rhythmic gymnasts, have demonstrated better postural control than nonathletes. However, previous studies have mainly focused on single postural tasks and have not considered how skilled athletes use and allocate attentional resources during postural control. This research used the event-related potential (ERP) to explore the postural control performance of skilled athletes under cognitive processes and their utilization and allocation of attentional resources. A dual-task paradigm was used to simulate the actual situation in sports. 26 skilled athletes and 26 nonathletes were required to perform postural control and task-switching simultaneously. The results showed that skilled athletes demonstrated more postural control stability and a higher accuracy of task-switching than nonathletes in all dual tasks. Compared with nonathletes, they showed a stable enhanced N1 (electrodes: Oz, O1, and O2) amplitude during three postures. Moreover, larger N2 component on Fz, FCz, and Cz and theta band power was found in the frontal cortex (on Fz, FCz) of skilled athletes under feet together and single leg standing posture. The study illustrated that skilled athletes show greater frontal activation during dual tasks, which allows for more rational and flexible brain attentional resource input and allocation in cognitive processes, this may be due to long-term professional training, which enables them to have a higher level of automation of postural control and cognitive flexibility. This study's results offer valuable insights into the interplay between postural control and multitasking in skilled athletes, and its outcomes carry significant implications for the training and assessment of athletes across various sports.

Acute effects of a vigorous-intensity warm-up on response suppression and decision-making of football referees

This study investigates the acute effect of physical exercise simulating a standard pre-competitive warm-up on the response suppression and decision-making of football referees. Thirty-four referees (n = 17 - regional level; n = 17 - national level) participated in the study. A Stop-Signal Task (SST) and a decision-making video test were used to evaluate the referees' perceptual-cognitive functions. The findings revealed that the vigorous aerobic exercise acutely impacted basic cognitive functions, as indicated by decreased reaction time and decreased choice accuracy. However, higher-order cognitive functions such as response suppression and decision-making did not exhibit significant changes post-exercise. Based on these results, there is no evidence to suggest that a vigorous-intensity warm-up is likely to favour response suppression and decision-making factors in the initial phases of the game. National referees showed superior response suppression abilities (shorter stop-signal reaction times and lower probability of responding to the stop-signal) than regional referees, indicating that higher-level referees possess enhanced perceptual-cognitive skills, likely influenced by their experience. Further studies are required to determine whether these variables can be acutely improved through physical exercise. In this regard, our results suggest the need for alternative strategies in pre-competitive referee warm-ups if aiming to improve perceptual-cognitive skills in the initial phases of the game.

Acute effect of complexity in basketball on cognitive capacity

Background

Executive functions, notably inhibition, significantly influence decision-making and behavioral regulation in team sports. However, more research must be conducted on individual player characteristics such as experience and motor skills. This study assessed how accumulated practical experience moderates inhibition in response to varying task difficulty levels.

Methods

Forty-four university students (age: 20.36 ± 3.13 years) participated in this study with two sessions: one followed standard 1 × 1 basketball rules ("Regular Practice"), while the other imposed motor, temporal, and spatial restrictions ("Restriction Practice"). Functional difficulty was controlled by grouping pairs with similar skill levels. Flanker and Go-Nogo tasks were used.

Results

Increasing complexity worsened cognitive performance (inhibition). "Restriction Practice" showed a significantly slower and less accurate performance in both tests than "Regular Practice" (p < 0.001). Experience positively impacted test speed and accuracy (p < 0.001).

Conclusion

In sports, acute cognitive impacts are intrinsically linked to the task's complexity and the athlete's cognitive resources. In this sense, it is essential to adjust individually the cognitive demands of the tasks, considering each athlete's specific cognitive abilities and capacities.

Stop it! Relationship between sport expertise and response inhibition in elite athletes

Introduction

The dynamic structure of sport games forces players to make time-sensitive decisions and to initiate actions that may then have to be canceled in response to sudden changes in the game situation. Whether and up to which time already initiated movements can still be inhibited is an important criterion for game performance in elite sport. Research indicates that elite athletes show superior motor inhibition performance compared to recreational athletes. However, no study has examined whether differences also emerge among professional elite athletes themselves. Therefore, this study aimed to investigate whether motor inhibition performance is a differential feature among elite athletes, and whether inhibition performance increases with greater expertise.

Methods

In total of 106 elite athletes (ice hockey, basketball, volleyball, American football, handball, and soccer) completed a PC-based procedure to determine motor inhibition performance using the stop-signal reaction time (SSRT) task for hands and feet. In addition, an expertise score was determined for each elite athlete. Multiple linear regression was used to calculate the relationship between expertise and SSRT.

Results

Results showed that the expertise score of the elite athletes was between 3.7 and 11.7 out of 16 possible points (M_Expertise = 6.8 points, SD = 1.76). The average SSRT of the hands was 224.0 ms (SD = 35.0); of the feet, 257.9 ms (SD = 48.5). Regression results showed a significant relationship between expertise and SSRT (F_(2,101) = 9.38, p = 0.04, R² = 0.06). SSRTs of the hands were significant predictors of expertise (b = -0.23, t = -2.1, p = 0.04).

Discussion

Taken together, results suggest that elite athletes with higher expertise outperform elite athletes with lower expertise, indicating that it is possible to differentiate within elite athletes with respect to inhibition performance of the hands. However, whether expertise affects inhibition performance or vice versa cannot be answered at present.