A case of vitamin B12 deficiency neurological syndrome in a young adult due to late-onset cobalamin C (CblC) deficiency: a diagnostic challenge

Vitamin B12 deficiency can present with neurologic and psychiatric symptoms without macrocytic anaemia. We describe a case of late-onset cobalamin C deficiency which typically presents with normal serum vitamin B12 concentrations, posing an additional diagnostic challenge. A 23-year-old woman with decreased muscle strength and hallucinations was diagnosed with ‘catatonic depression’ and admitted to a residential mental health facility. She was referred to our hospital for further investigation 3 months later. Heteroanamnesis revealed that the symptoms had been evolving progressively over several months. Magnetic resonance imaging (MRI) of the brain showed diffuse symmetrical white matter lesions in both hemispheres. Routine laboratory tests including vitamin B12 and folic acid were normal except for a slight normocytic, normochromic anaemia. Over the next 6 weeks her symptoms deteriorated, and she became unresponsive to stimuli. A new MRI scan showed progression of the white matter lesions. The neurologist requested plasma homocysteine (Hcys) which was more than 8 times the upper limit of normal. Further testing revealed increased methylmalonic acid and the patient was diagnosed with adult-onset cobalamin C deficiency. This case illustrates that Hcys and/or methylmalonic acid should be determined in patients presenting with neuropsychiatric symptoms suggestive of vitamin B12 deficiency with a normal serum vitamin B12 to rule out a late-onset cobalamin C deficiency.     

Force transducer system for measurement of ice hockey skating force

The purpose of this study was to develop a portable force measurement system for ice hockey skating. The system consisted of three strain gauge pairs affixed to an ice hockey skate’s blade holder with wire leads connected to a microprocessor controlled data acquisition device carried in a backpack worn by the skater. The configuration of the strain gauges simultaneously determined the vertical and medial–lateral force components experienced by the blade holder with a resolution accuracy of 1.9 N and a coefficient of variation of 9.2%. On-ice testing of this system with subjects performing forward start, acceleration, and constant velocity skating permitted unencumbered, natural movement and demonstrated clear, unambiguous signal responses, high trial-to-trial repeatability, and easy data retrieval. The practicality and accuracy of this testing approach have many applications, such as a quantitative tool for skating force assessment to aid athletes and coaches, as well as providing the means to examine other skill-specific dynamics.     

Trial-by-trial analysis or averaging: implications for electromyographic models of rapid limb control

The control of human limb movement has been the focus of research for more than a century. A major issue to emerge from this work is the manner in which the central nervous system regulates electromyographic (EMG) activity to produce movements that differ in distance, velocity, and movement time. However the different methods of analysis often used to analyze EMG data could result in different kinematic-EMG relationships. In this study, participants performed an elbow flexion task to one of five distance goals (between 5 degrees and 50 degrees) using three movement speeds. EMG data from the right elbow flexors were compared using a trial-by-trial analysis and one based on averaged data. Averaging across trials underestimated biceps EMG amplitude at all movement distances and speeds compared to a trial-by-trial analysis. Averaging overestimated EMG burst duration compared to the trial-by-trial analysis. Peak agonist EMG amplitude was positively related to distance and inversely related to movement time. Agonist EMG duration was constant for movement distances less than 30 degrees but increased in the 50 degrees condition. The results support the view that peak EMG amplitude and duration can be controlled independently, but EMG duration changes only for longer distance movements when additional force is required.     

Effect of a pedometer-based intervention on daily step counts of community-dwelling older adults

This study investigated the effect of a 12-week pedometer-based intervention on daily step counts of 147 older adults randomly assigned to an intervention or wait-list control group (M age = 72.9 years, SD = 8.8). The intervention group significantly increased their daily step counts after 12 weeks (M=639, SD=2239) and continued to significantly increase during a 12-week maintenance period (M=680, SD=1721). The control group exhibited no change during the control period (M = -393, SD=2050) but had a significant increase in daily step counts (M=1580, SD=2305) when enrolled in the intervention. The pedometer-based intervention was effective in increasing participants' daily step counts.     

Why young elite athletes fear failure: consequences of failure

Fear of failure can have negative effects on children in achievement settings, affecting many aspects of their lives. Perceiving the consequences of failure to be aversive provides the basis for fear of failure, and the anticipation of a threatening outcome elicits fear. Problems attributed to fear of failure in achievement settings are prevalent. Sport is a popular and significant achievement domain for children and adolescents and there is a lack of research on fear of failure in sport among this age group. Therefore, the aim of the present study was to investigate fear of failure in the sport domain among young elite athletes, and to explore their perceptions of the consequences of failure. Interviews were conducted individually with nine athletes aged 14 - 17 years (5 males, 4 females). Analysis identified and organized perceived consequences of failure into themes and categories. Results revealed that the most commonly perceived aversive consequences of failure were diminished perception of self, no sense of achievement, and the emotional cost of failure. These findings are consistent with those reported in adult population, suggesting the potential for generalizing existing results to young elite athletes.     

Seasonal progression and variability of repeat-effort line-drill performance in elite junior basketball players

To determine gender differences, positional differences, and patterns of change in the performance of the basketball line-drill test, 93 male (mean age 16.8 years, s = 1.1) and 95 female (mean age 16.5 years, s = 1.0) basketball players undertook 516 line-drill tests over a 5-year period. Log-transformed performance times were analysed using a mixed model that included quadratic within-participant fixed effects for time in the season and time in the programme. Changes and differences were standardized for interpretation of magnitudes. Mean performance times were 28.0 s (s = 1.3) for males and 30.4 s (s = 1.3) for females. The mean pattern of change in performance within a season differed substantially between the sexes and playing positions: male guards and female centres showed moderate to very large improvements mid-season of 1.1% and 3.5% respectively (90% confidence limits +/-2.1% and +/-3.0%), while female guards and male forwards showed large to very large decrements of -1.6% (+/-2.6%) and -2.4% (+/-2.0%). Over 3 years, males improved performance across all three playing positions by 1.4% (+/-1.3%) and females by 2.9% (+/-1.4%). Males improved performance by 0.2% (+/-0.5%) per year, whereas the performance of females deteriorated by 0.6% (+/-0.4%) per year. The differing patterns of performance change presumably reflect variations in training and competition loads, with short-term fluctuations in performance being managed to promote longer-term improvements.     

Hearts in the fire, heads in the fridge: a qualitative investigation into the temporal patterning of the precompetitive psychological response in elite performers

Retrospective perceptions and causal beliefs regarding the temporal patterning of precompetitive psychological responses were examined in 12 elite rugby union players. Composite sequence analysis resulted in a series of temporal networks to describe participants' cognitive, affective, and behavioural responses in a time-to-event paradigm. Match-related cognitions remained stable in the lead up to competition, while perceptions of physical symptoms peaked at the onset of performance. Affective responses were associated with feelings of anxiety and tension in the early temporal phases but excitement, confidence, and efficacy in team-mates directly before competition. Behavioural themes described activities associated with technical and physical preparation, familiarization with environmental conditions, and strategies to control activation states early on or directly before competition. The findings highlight the idiosyncratic and dynamic nature of the temporal patterning of precompetitive responses and the influence that perceptions of the team have upon individual preparation for performance. Implications are discussed in the context of the type and timing of intervention for developing individual and team preparatory routines.     

Children's experiences of fun and enjoyment during a season of sport education

This paper reports on a 16-week sport education (SE) unit with just over 70 year 5 students (M age = 10.04 years) in one United Kingdom school during the spring and summer terms and discusses students' SE experiences. Student interviews were conducted throughout the season and a questionnaire on different motivation aspects was administered prior to and before completing the SE season. We report and examine the data in relation to hypothesized influences on fun and enjoyment, including being part of a team, autonomy, and improving game play. The principal reasons SE may be more enjoyable than previous physical education lessons include the greater opportunities for autonomy, affiliation, and competition, plus perceived learning.