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Sakalidis KE, Menting SGP, Hettinga FJ. Influence of intellectual disability on exercise regulation: exploring verbal, auditory and visual guidance to contribute to promote inclusive exercise environments. BMJ Open Sport Exerc Med 2024; 10:e001765. [PMID: 38196941 PMCID: PMC10773414 DOI: 10.1136/bmjsem-2023-001765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2023] [Indexed: 01/11/2024] Open
Abstract
Objective The role of intellectual disability (ID) in exercise regulation has remained largely unexplored, yet recent studies have indicated cognitive-related impaired pacing skills in people with ID. In a well-controlled laboratory environment, this study aims to (1) establish the role of ID in pacing and explore the ability of people with and without ID to maintain a steady pace; (2) to investigate if verbal feedback and/or (3) the presence of a pacer can improve the ability of people with ID to maintain a preplanned submaximal velocity. Methods Participants with (n=10) and without ID (n=10) were recruited and performed 7 min submaximal trials on a cycle ergometer (Velotron). Participants with ID also performed a cycling trial with a pacer (virtual avatar). Results The non-parametric tests for repeated measures data (p≤0.05) showed that (1) people with ID deviated more from the targeted pace compared with people without ID, (2) the verbal feedback did not influence their ability to keep a steady pace and (3) they deviated less from the targeted pace when a visual pacer was introduced. Conclusion The results revealed the difficulties of people with ID in planning and monitoring their exercise and the difficulties in appropriately responding to auditory and verbal feedback. Coaches and stakeholders who want to offer inclusive exercise pathways should consider that people with ID perform and pace themselves better when supported by intuitive, visual and personally meaningful stimuli such as other cyclists (avatars).
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Sakalidis KE, Pérez-Tejero J, Khudair M, Hettinga FJ. Ball possessions and game rhythm in basketball games involving players with and without intellectual impairments. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2024; 68:23-33. [PMID: 37654006 DOI: 10.1111/jir.13083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 08/02/2023] [Accepted: 08/15/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Ball possessions and game rhythm are promising variables to better understand teams' collective behaviour during a basketball game. However, the role of these variables is not well documented in teams with intellectual impairments (II). This study aimed to explore ball possession and game rhythm differences between II and non-II basketball games. METHODS Data were obtained through video observations (53 II games) and the International Basketball Federation records (53 non-II games). RESULTS Independent t-tests (P ≤ 0.05) revealed that the number of ball possessions was higher and game rhythm was faster in II games. Two-way repeated-measures analysis of variance (P ≤ 0.05) showed that ball possessions and game rhythm developed differently throughout the II games compared with the non-II games. CONCLUSIONS The differences may be due to the decision-making, tactical and self-regulatory limitations of players with II. These limitations adequately explain why players with II respond differently to the environmental cues and monitor insufficiently their actions compared with players without II. Additionally, the higher number of ball possessions and the faster game rhythm in II games could be an indicator of more intuitive, and thus faster, game-related decision-making. In conclusion, the study provides further understanding of the role of cognition in basketball and contributes to better explain the differences between II and non-II games.
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Affiliation(s)
- K E Sakalidis
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - J Pérez-Tejero
- Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences, Universidad Politécnica de Madrid, Madrid, Spain
| | - M Khudair
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - F J Hettinga
- Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK
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Barakou I, Hackett KL, Finch T, Hettinga FJ. Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management. Ann Med 2023; 55:2270688. [PMID: 37871249 PMCID: PMC10595396 DOI: 10.1080/07853890.2023.2270688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 10/10/2023] [Indexed: 10/25/2023] Open
Abstract
PURPOSE To propose a comprehensive multidimensional model of activity pacing that improves health-related quality of life and promotes sustained physical activity engagement among adults with chronic conditions. MATERIALS AND METHODS A narrative review was conducted to examine the existing literature on activity pacing, health-related quality of life, pain and fatigue management, and physical activity promotion in chronic conditions. RESULTS The literature revealed a lack of a cohesive approach towards a multidimensional model for using activity pacing to improve health-related quality of life. A comprehensive multidimensional model of activity pacing was proposed, emphasizing the importance of considering all aspects of pacing for sustained physical activity engagement and improved health-related quality of life. The model incorporates elements such as rest breaks, self-regulatory skills, environmental factors, and effective coping strategies for depression/anxiety. It takes into account physical, psychological, and environmental factors, all of which contribute significantly to the enhancement of health-related quality of life, physical function, and overall well-being, reflecting a holistic approach. CONCLUSIONS The model offers guidance to researchers and clinicians in effectively educating patients on activity pacing acquisition and in developing effective interventions to enhance physical activity engagement and health outcomes among adults with chronic conditions. Additionally, it serves as a tool towards facilitating discussions on sustained physical activity and a healthy lifestyle for patients, which can eventually lead to improved quality of life.
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Affiliation(s)
- Ioulia Barakou
- Department of Nursing, Midwifery & Health, Northumbria University, Newcastle upon Tyne, UK
| | - Katie L. Hackett
- Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK
- CRESTA Fatigue Clinic, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Tracy Finch
- Department of Nursing, Midwifery & Health, Northumbria University, Newcastle upon Tyne, UK
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MENTING STEINGERRITPAUL, KHUDAIR MOHAMMED, ELFERINK-GEMSER MARIJETITIA, HETTINGA FLORENTINAJOHANNA. Unraveling the Role of (Meta-) Cognitive Functions in Pacing Behavior Development during Adolescence: Planning, Monitoring, and Adaptation. Med Sci Sports Exerc 2023; 55:1894-1904. [PMID: 37257079 PMCID: PMC10487361 DOI: 10.1249/mss.0000000000003225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
PURPOSE This study aimed to investigate whether (meta-) cognitive functions underpin the development of the self-regulated distribution of effort during exercise (i.e., pacing) throughout adolescence. METHODS Participants included 18 adolescents (9 girls, 15.6 ± 2.5 yr old) and 26 adults (13 women, 26.8 ± 3.1 yr old), all recreationally active but unfamiliar with time trial cycling. The (meta-) cognitive functions involved in preexercise planning were quantified by calculating the difference between estimated and actual finish time during a 4-km cycling time trial. The capability to monitor and adapt one's effort distribution during exercise was measured during a 7-min submaximal trial, in which the participants were tasked with adhering to a set submaximal goal velocity either with (0-5 min) or without (5-7 min) additional feedback provided by the researcher. Analyses included between-group comparisons (ANOVA) and within-group comparisons (correlation) ( P < 0.05). RESULTS Adolescents were less accurate in their estimation of the task duration. The adolescents' overestimation of task duration of the 4-km time trial was accompanied by pacing behavior characteristics resembling a longer trial (i.e., more even power output distribution, lower RPE, more pronounced end-spurt). Contrary to the adults, the adolescents deviated relatively more from the goal velocity during the 7-min submaximal trial, when no additional feedback was provided by the researcher. Within the adolescent group, estimation of task duration accuracy ( r = 0.48) and adherence to goal velocity ( r = 0.59) correlated with age. CONCLUSIONS The (meta-) cognitive functions involved in the preexercise planning and the monitoring and adaptation of the distribution of effort during exercise underpin the development of pacing behavior during adolescence. Feedback from the (social) environment can be used to aid the monitoring and adaptation of effort expenditure in adolescents.
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Affiliation(s)
- STEIN GERRIT PAUL MENTING
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, THE NETHERLANDS
| | - MOHAMMED KHUDAIR
- Department of Sport, Exercise & Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle, UNITED KINGDOM
| | - MARIJE TITIA ELFERINK-GEMSER
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, THE NETHERLANDS
| | - FLORENTINA JOHANNA HETTINGA
- Department of Sport, Exercise & Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle, UNITED KINGDOM
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Sakalidis KE, Menting SGP, Hettinga FJ. The Role of Cognition and Social Factors in Competition: How Do People with Intellectual Disabilities Respond to Opponents? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2670. [PMID: 36768036 PMCID: PMC9914994 DOI: 10.3390/ijerph20032670] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 01/30/2023] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
Exploring pacing behaviour in people with intellectual disabilities (ID) in competition will help to better understand the impact of cognition and social environment in sports, providing support for the shaping of proper inclusive sports environments. The present experimental study aimed to (1) compare the pacing behaviour and performance between people with and without ID who are inexperienced in cycling and (2) investigate how these are influenced by an opponent. Participants with (n = 8) and without ID (n = 10) performed two randomised 4-km maximal cycling trials, alone and against an opponent. Non-parametric tests for repeated measures data (p ≤ 0.05) revealed that people with ID cycled slower, but with higher inter-individual variation (both conditions) and paced themselves differently compared to people without ID when competing against an opponent. In contrast to the previous literature in athletes without ID, the presence of a faster opponent resulted in a decrease in the performance in the participants with ID. The negative influence of the opponent highlights the potential difficulties people with ID experience to adequately use their opponents to enhance their self-regulatory processes and optimize their pacing and performance in maximal exercise trials. Coaches who want to offer inclusive sports environments for people with ID could take these findings into consideration.
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Affiliation(s)
- Kandianos Emmanouil Sakalidis
- Department of Sport Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK
| | - Stein Gerrit Paul Menting
- Department of Human Movement Sciences, University Medical Centre Groningen, University of Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands
| | - Florentina Johanna Hettinga
- Department of Sport Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK
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Ramsden R, Hayman R, Potrac P, Hettinga FJ. Sport Participation for People with Disabilities: Exploring the Potential of Reverse Integration and Inclusion through Wheelchair Basketball. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2491. [PMID: 36767857 PMCID: PMC9915882 DOI: 10.3390/ijerph20032491] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/23/2023] [Accepted: 01/26/2023] [Indexed: 06/18/2023]
Abstract
Reverse integration is defined as the inclusion of able-bodied people into disability sport. For decades, there have been movements towards integrating people with a disability in mainstream society. There has been a lack of research supporting the movement of able-bodied involvement in disability sport, known as reverse integration. In this study, the real-life experiences and motivations of 11 national wheelchair basketball players (four able-bodied and seven with a disability) were explored, identifying the potential of reverse integration and what influenced the players involvement. Thematic analysis was employed using a deductive approach. The social-relational model was used as a framework to help interpret the findings. The results highlighted that health and social benefits were key factors towards prolonged engagement in wheelchair basketball, and it was reported that reverse integration led to an increased mutual understanding of the impact of (dis)ability. All participants reported positive experiences and supported able-bodied involvement, suggesting that able-bodied players play a key role and help to grow the sport locally. However, involvement of able-bodied players was not supported at international level. This challenges the concept of inclusion at higher level and whether the sport could be more inclusive. These findings could provide direction to coaches and policymakers for developing further inclusive opportunities at all levels. Further research may explore coach education programs and learning experiences of becoming an inclusive coach to ensure coaches know how to create, stimulate and coach in inclusive sport environments.
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Sakalidis KE, Fadeeva A, Hettinga FJ, Ling FCM. The role of the social environment in inclusive sports participation-Identifying similarities and challenges in athletes with and without Intellectual Disabilities through coaches' eyes: A qualitative inquiry. PLoS One 2023; 18:e0280379. [PMID: 36630463 PMCID: PMC9833589 DOI: 10.1371/journal.pone.0280379] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/27/2022] [Indexed: 01/12/2023] Open
Abstract
Despite the efforts of mainstreaming in sports, inclusive participation of people with Intellectual Disabilities (ID) in sports remains challenging. In sports settings, the social environment may influence the motivation of athletes and promote (or restrict) inclusive sports participation of athletes with ID. Thus, this study aims to explore the motivations of athletes and coaches and to investigate the role of the social environment in sports participation of athletes with and without ID. Coaches who coach athletes with ID (n = 11), athletes without ID (n = 13) and both groups (n = 2) were involved in semi-structured interviews. From the inductive thematic analysis three themes were identified for the sports motivations of athletes with ID (Sport-related Progression, Social Interaction, Positive Emotions), two for their coaches' motivations (Help others, Personal and Professional Development) and four for coaching practices toward athletes with ID (Psychological and Life skills development, Building Meaningful Relationships, Behaviour adaptations and Participation-focused). Moreover, 'Teammates and Opponents' and 'Family' were classified as social agents that influence the sport participation of athletes with ID. Coaches of athletes without ID reported additional themes about their athletes' motivations (Health-related Reasons), their coaching motivations (Career aspirations) and their coaching practices towards athletes without ID (Performance-focused). The motivations of athletes and the practices of coaches could promote sports participation of athletes with ID, but more work is needed to address athletes' sports motivations and overcome the able-ist attitudes and the social oppression that may make their inclusion in sports more challenging. These sports participation barriers and facilitators could provide direction to stakeholders for developing inclusive sports pathways to people with ID.
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Affiliation(s)
- Kandianos Emmanouil Sakalidis
- Department of Sport Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Anastasia Fadeeva
- Violence and Society Centre, City, University of London, London, United Kingdom
| | - Florentina Johanna Hettinga
- Department of Sport Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
- * E-mail:
| | - Fiona Chun Man Ling
- Department of Sport Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
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