ATTENTIONAL FOCUS AFFECTS EMG ACTIVITY AND MOTOR PERFORMANCE DURING SIT-TO-STAND IN ADULTS AND THE ELDERLY

Authors

  • Kanokwan Srisupornkornkool Physical Therapy Department, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok, 65000, Thailand.
  • Onuma Boonyarom Rehabilitation and Movement Sciences Department, Faculty of Sports Science, Kasetsart University, Nakhon Pathom, 73140, Thailand.
  • Sompiya Somthavil Rehabilitation and Movement Sciences Department, Faculty of Sports Science, Kasetsart University, Nakhon Pathom, 73140, Thailand.
  • Parinya Lertsinthai Physical Therapy Department, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok, 65000, Thailand.

Keywords:

Electromyography features, focus of attention, self-reported response time, standing up

Abstract

Even though the benefits of external focus appear to be consistent on movement effectiveness and efficiency, few studies have examined the effects of changing attentional focus on sit-to-stand. The purpose of this study was to investigate the effect of attentional focus and age-related differences on the feature of muscle activity and self-reported response time during sit-to-stand under different conditions of attentional focus. Twenty-two young adults and 18 elderly people were recruited in this study. Electrodes were attached to the rectus femoris, biceps femoris, tibialis anterior, and the medial gastrocnemius muscles to monitor electromyography features during standing up. The %maximal voluntary contraction (%MVC), onset, and duration of muscle activities were calculated. A self-reported response time was also recorded. First, the patterns of muscle activities were in compliance with all conditions of attentional focus, including the %MVC, onset, and duration of muscle activation in both age groups. Secondly, the self-reported response times of the external focus (EF) and internal focus (IF) were longer than that of the no attentional focus (no AF) in both age groups. Finally, both age groups showed that the sit-to-stand with somatosensory-internal focus (SIF) generated longer self-reported response times than the EF, whereas the sit-to-stand with muscular-internal focus (MIF) was not different from the EF. In contrast, there was an age-related difference in the duration of muscle contraction. The qualities of the sit-to-stand under different attentional focus, in terms of force generation, onset, and duration of muscle contraction were quite similar in both age groups.

References

Baecke, J.A., Burema, J., and Frijters, J.E. (1982). A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am. J. Clin. Nutr., 36(5):936-942.

Bohannon, R.W., Bubela, D.J., Magasi, S.R., Wang, Y.C., and Gershon, R.C. (2010). Sit-to-stand test: performance and determinants across the age-span. Isokinet. Exerc. Sci., 18(4):235-240.

Burnfield, J.M., Shu, Y., Buster, T.W., Taloy, A.P., McBride, M.M., and Krause, M.E. (2012). Kinematic and electromyographic analyses of normal and device-assisted sit-to-stand transfers. Gait Posture, 36(3):516-522.

Butler, A.A., Lord, S.R., Rogers, M.W., and Fitzpatrick, R.C. (2008). Muscle weakness impairs the proprioceptive control of human standing. Brain Res., 1,242:244-251.

Carr, J.H. and Shepherd, R.B. (2003). Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Butterworth-Heinemann, New York, NY, USA, 300p.

Cheng, P.T., Liaw, M.Y., Wong, M.K., Tang, F.T., Lee, M.K., and Lin, P.S. (1998). The sit-to-stand movement in stroke patients and its correlation with falling. Arch. Phys. Med. Rehab., 79(9):1,043-1,046.

Cram, J.R., Kasman, G.S., and Holtz, J. (1998). Introduction to Surface Electromyography. Aspen Publishers Inc., Frederick, MD, USA, 408p.

Fasoli, S.E., Trombly, C.A., Tickle-Degnen, L., and Verfaellie, M.H. (2002). Effect of instructions on functional reach in persons with and without cerebrovascular accident. Am. J. Occup. Ther., 56(4):380-390.

Galli, M., Cimolin, V., Crivellini, M., and Campanini, I. (2008). Quantitative analysis of sit to stand movement: Experimental set-up definition and application to healthy and hemiplegic adults. Gait Posture, 28(1):80-85.

Gillette, J.C. and Stevermer, C.A. (2012). The effects of symmetric and asymmetric foot placements on sit-to-stand joint moments. Gait Posture, 35(1):78-82.

Goulart, F.R. and Valls-Solé, J. (1999). Patterned electromyographic activity in the sit-to-stand movement. Clin. Neurophysiol., 110(9):1,634-1,640.

Haaland, K.Y., Harrington, D.L., and Grice, J.W. (1993). Effects of aging on planning and implementing arm movements. Psychol. Aging, 8(4):617-632.

Hughes, M.A., Weiner, D.R., Schenkman, M.L., Long, R.M., and Studenski, S.A. (1994). Chair rise strategies in elderly. Clin. Biomech., 9(3):187-192.

Jackson, B.H. and Holmes, A.M. (2011). The effects of focus of attention and task objective consistency on learning a balance task. Res. Q. Exercise Sport, 82(3):574-579.

Ketcham, C.J. and Stelmach, G.E. (2002). Motor control of older adults. In: Encyclopedia of Aging. Ekerdt, D.J., Applebaum, R.A., Holden, K.C., Post, S.G., Rockwood, K., Schulz, R., Sprott, R.L., and Uhlenberg, P., (eds). Macmillan Reference, New York, NY, USA, 1,629p.

Khemlani, M.M., Carr, J.H., and Crosbie, W.J. (1999). Muscle synergies and joint linkages in sit-to-stand under two initial foot positions. Clin. Biomech., 14(4):236-246.

Lohse, K.R., Sherwood, D.E., and Healy, A.F. (2010). How changing the focus of attention affects performance, kinematics, and electromyography in dart throwing. Hum. Movement Sci., 29(4):542-555.

Marchant, D.C. and Greig, M. (2017). Attentional focusing instructions influence quadriceps activity characteristics but not force production during isokinetic knee extensions. Hum. Movement Sci., 52:67-73.

Marchant, D.C., Greig, M., and Scott, C. (2009). Attentional focusing instructions influence force production and muscle activity during isokinetic elbow flexions. J. Strength Cond. Res., 23(8):2,358-2,366.

McNevin, N.H., Shea, C.H., and Wulf, G. (2003). Increasing the distance of an external focus of attention enhances learning. Psychol. Res., 67(1):22-29.

Millington, P.J., Myklebust, B.M., and Shambes, G.M. (1992). Biomechanical analysis of the sit-to-stand motion in elderly persons. Arch. Phys. Med. Rehab., 73(7):609-617.

Oh, D.W., Kim, J.S., Kim, S.Y., Yoo, E.Y., and Jeon, H.S. (2010). Effect of motor imagery training on symmetrical use of knee extensors during sit-to-stand and stand-to-sit tasks in post-stroke hemiparesis. Neurorehabilitation, 26(4):307-315.

Raina, S., Stevermer, C.A., and Gillette, J.C. (2005). The effect of foot placement on sit-to-stand with and without walker assistance. Proceedings of the XXth Congress of the International Society of Biomechanics; July 31-August 5, 2005; Cleveland, OH, USA, p.274.

Roebroeck, M.E., Doorenbosch, C.A.M., Harlaar, J., Jacobs, R., and Lankhorst, G.J. (1994). Biomechanics and muscular activity during sit-to-stand transfer. Clin. Biomech., 9(4):235-244.

Sato, S., Mizuma, M., Kawate, N., Kasai, F., and Wada, S. (2012). Evaluation of trunk sway in sit-to-stand motion using a pressure distribution measurement system. Jpn. J. Comp. Rehab. Sci., 3:6-10.

Schmidt, R.A. and Lee, T.D. (1999). Motor Control and Learning: a Behavioral Emphasis. Human Kinetics, Champaign, IL, USA, 495p.

Schultz, A.B., Alexander, N.B., and Ashton-Miller, J.A. (1992). Biomechanical analyses of rising from a chair. J. Biomech., 25(12):1,383-1,391.

Shumway-Cook, A. and Woollacott, M. (2007). Motor Control: Translating Research into Clinical Practice. Lippincott Williams & Wilkins, Philadelphia, PA, USA, 612p.

Srisupornkornkool, K. (2014). Effect of aging on the planning and execution of sit-to-stand movement, [PhD. thesis]. Department of Psychology, University of Warwick, England, UK, 340p.

Stevens, C., Bojsen-Møller, F., and Soames, R.W. (1989). The influence of initial posture on the sit-to-stand movement. Eur. J. Appl. Physiol. O., 58(7):687-692.

Trewartha, K.M., Endo, A., Li, K.Z.H., and Penhune, V.B. (2009). Examining prepotent response suppression in aging: a kinematic analysis. Psychol. Aging, 24(2):450-461.

Wolpert, D.M. and Kawato, M. (1998). Multiple paired forward and inverse models for motor control. Neural Networks, 11(7-8):1,317-1,329.

Wulf, G., Duflex, J.S., Lozano, L., and Pettigrew, C. (2010). Increased jump height and reduced EMG activity with an external focus of attention. Hum. Movement Sci., 29(3):440-448.

Wulf, G., Lander, M., Lewthwaite, R., and Töllner, T. (2009). External focus instructions reduce postural instability in individuals with Parkinson disease. Phys. Ther., 89(2):162-168.

Wulf, G., McNevin, N.H., and Shea, C.H. (2001). The automaticity of complex motor skill learning as a function of attentional focus. Q. J. Exp. Psychol-A, 54(4):1,143-1,154.

Wulf, G., Mercer, J., McNevin, N.H., and Guadagnoli, M.A. (2004). Reciprocal influences of attentional focus on postural and supra-postural task performance. J. Motor Behav., 36(2):189-199.

Wulf, G. and Prinz, W. (2001). Directing attention to movement effects enhance learning: a review. Psychon. B. Rev., 8(4):648-660.

Wulf, G. and Su, J. (2007). An external focus of attention enhances golf shot accuracy in beginner and experts. Res. Q. Exercise Sport, 78(4):384-389.

Yamada, T. and Demura, S. (2005). Instruction in reliability and magnitude of evaluation parameters at each phase of a sit-to-stand movement. Percept. Motor Skill., 101(3):695-706.

Downloads

Published

2026-08-28

How to Cite

Srisupornkornkool, K., Boonyarom, O., Somthavil, S., & Lertsinthai, P. (2026). ATTENTIONAL FOCUS AFFECTS EMG ACTIVITY AND MOTOR PERFORMANCE DURING SIT-TO-STAND IN ADULTS AND THE ELDERLY. Suranaree Journal of Science and Technology, 27(4), 070008(1–12). retrieved from https://ph04.tci-thaijo.org/index.php/SUJST/article/view/14838

Issue

Section

Research Article