Ageberg, Eva

Cederström, Niklas

Granér, Simon

Nilsson, Gustav

English

Lund University Publications

Using a MOTIFS Intervention to Influence Patient-Reported Outcomes: A Randomized Cross-Over Plausibility StudyNiklas Cederström1, Simon Granér2, Gustav Nilsson3, Eva Ageberg1MethodsIn a 2x2 randomized cross-over design, 30 participants (50% female) 18 to 35 years that were currently or previously active in soccer, handball, basketball, or floorball, with no injury preventing jumping or directional change movements completed two training conditions: MOTIFS Condition - Participants used their own prior experiences to create a realistic and sport-specific imagery scenario. The mental simulation and physical exercise were integrated to create an individualized and sport-relevant exercise. Physical Exercise (PE) Condition - Exercises based on commonly used knee injury prevention and rehabilitation practicesConclusionsThe MOTIFS model represents a clinically plausible method of integrating mental training into injury prevention or rehabilitation training in order to improve psychological outcomes while maintaining proper execution. ResultsMOTIFS training resulted in:• Higher PACES scores • Better psychological responses in all SAM Subscales• Higher heart rate and RPE• 35% more time (mean 5.19, SD 5.36 minutes; 95% CI -0.17; -0.73)Total movement quality was maintained in both conditions (median difference 1, IQR -2;1, p=0.856)1Department of Health Sciences, Lund University, Lund, Sweden; 2Department of Psychology, Lund University, Lund, Sweden; 3Malmö Idrottsklinik, Malmö, SwedenBackgroundCurrent injury prevention and rehabilitation training programs focus on functional movements, with little attention on psychological aspects. We have developed the novel Motor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS) model, which integrates mental training into physical training.The MOTIFS model instructs participants to complete physical exercise movement, with specific focus on sport-specific situations, emotions, and potential opponents, using equipment to increase realism.The PE training instructs participants to complete a physical exercise movement, focusing on one’s own body and movements as reference, with no explicit connection to the sport or activity.Aim and HypothesesTo evaluate enjoyment of a training intervention using the MOTIFS model. We hypothesize that participants would score higher on the Physical Activity Enjoyment Scale (PACES), have better psychological responses, and  higher perceived exertion and pulse following the MOTIFS training, and maintain movement quality.MOTIFS PE Difference (MOTIFS – PE)n Mean (SD) n Mean (SD) n Mean (SD) p¶ 95% CIPACES 30 102.5 (9.31) 30 77.83 (18.12) 30 23.62 (15.16) 0.000 (-30.34;-19.00)n Median (IQR) n Median (IQR) n Median (IQR) p§ Fisher’s Exact SAM Valence 30 8 (7-9) 30 6 (5-7) 30 2 (1-3) <0.000 <0.000SAM Arousal 30 5 (5-7) 30 5 (3-5) 30 1 (0-2.25) 0.004 0.025SAM Dominance 30 7 (5-8) 30 5 (3-7) 30 0.50 (0-2) 0.014 0.143Borgs RPE 30 13 (12-14.25) 30 12.5 (10-13.25) 30 1 (-0.25-2) 0.010 0.027Mean Heart Rate 28 101.92 (96.06-108.61) 29 98.77 (93.00-109.75) 28 4.32 (0.66-5.61) 0.005 0.006¶ Within subjects mean difference calculated using a mixed model (fixed effects = period, treatment; random effects = subject); §Within-subjects repeated-measures difference calculated using Wilcoxon Signed-Rank test; p = Exact significance (2 tailed); significance-level set at p=0.05; Fisher’s Exact (2 sided) significance level set at p=0.05IQR = Interquartile Range; PE = Physical Exercise; SAM = Self-Assessment Manikin; RPE = Ratings of Perceived Exertion; HR - mean bpm = Heart rate – mean beats per minuteContact Information: Niklas Cederström | Department of Health Sciences | Lund University, Lund, Sweden | niklas.cederstrom@med.lu.seFigure 1. Example of a physical exercise movement performed by a basketball player according to the MOTIFS model to mentally and physically simulate a directional change movement, and according to PE trainingPrimary OutcomesPhysical Activity Enjoyment Scale (PACES) – An 18-item self-report  scale of enjoyment on a scale of 7 (worst) to 126 (best)Secondary OutcomesSelf Assessment Manikin (SAM) – A 3-item scale measuring psychological states: Valence (positive or negative), arousal (high or low) and Dominance (high or low feelings of control)Borgs Scale of Perceived Exertion (RPE) – Self-reported exertion on a scale from 6 (lowest) to 20 (highest)Mean Heart Rate – Beats per minute measured using a heart rate monitor for the duration of each trainingMovement Quality (MQ) – Total score of movement quality in a toe-off task from 0 (best) to 8 (worst)Table 1. Results of PACES, SAM, RPE, and mean heart rate analyses showing individual conditions and differences between conditions 

Using a MOTIFS Intervention to Influence Patient-Reported Outcomes: A Randomized Cross-Over Plausibility Study

https://lup.lub.lu.se/search/files/138819367/Cederstro_m_Poster_IOC_2021.pdf

Using a MOTIFS Intervention to Influence Patient-Reported Outcomes: A Randomized Cross-Over Plausibility Study

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