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Previous research suggests that unexpected (deviant) sounds negatively affect reading performance by inhibiting saccadic planning, which models of reading agree takes place simultaneous to parafoveal processing. This study examined the effect of deviant sounds on foveal and parafoveal processing. Participants read single sentences in quiet, standard (repeated sounds), or deviant sound conditions (a new sound within a repeated sound sequence). Sounds were presented with a variable delay coincident with the onset of fixations on target words during a period when saccadic programming and parafoveal processing occurred. We used the moving window paradigm to manipulate the amount of information readers could extract from the parafovea (the entire sentence or a 13-character window of text). Global, sentence-level analyses showed typical disruption to reading by the window, and under quiet conditions similar effects were observed at the target and post-target word in the local analyses. Standard and deviant sounds also produced clear distraction effects of differing magnitudes at the target and post-target words, though at both regions, these effects were qualified by interactions. Effects at the target word suggested that with sounds, readers engaged in less effective parafoveal processing than under quiet. Similar patterns of effects due to standard and deviant sounds, each with a different time course, occurred at the post-target word. We conclude that distraction via auditory deviation causes disruption to parafoveal processing during reading, with such effects being modulated by the degree to which a sound's characteristics are more or less unique.

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Completely ignoring a salient distractor presented concurrently with a target is difficult, and sometimes attention is involuntarily attracted to the distractor's location (attentional capture). Employing the N2ac component as a marker of attention allocation toward sounds, in this study we investigate the spatiotemporal dynamics of auditory attention across two experiments. Human participants (male and female) performed an auditory search task, where the target was accompanied by a distractor in two-third of the trials. For a distractor more salient than the target (Experiment 1), we observe not only a distractor N2ac (indicating attentional capture) but the full chain of attentional dynamics implied by the notion of attentional capture, namely, (1) the distractor captures attention before the target is attended, (2) allocation of attention to the target is delayed by distractor presence, and (3) the target is attended after the distractor. Conversely, for a distractor less salient than the target (Experiment 2), although responses were delayed, no attentional capture was observed. Together, these findings reveal two types of spatial attentional dynamics in the auditory modality (distraction with and without attentional capture).

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Task-irrelevant speech is known to cause disruption of short-term memory, either through specific interference with encoding processes (e.g., seriation, semantic processing) or by diverting attention from the focal task. Previous studies found that semantically related background speech can induce memory intrusions of words that were not part of the to-be-remembered list. While these findings suggest false memories due to semantic interference, the present study aims to test whether the presence of task-irrelevant speech affects the susceptibility to memory intrusions also in the absence of semantic interference. Therefore, incomprehensible to-be-ignored speech was presented during encoding of semantically related words. It was found across three experiments that incomprehensible changing-state speech increased the rate of false memories of non-presented but semantically related words in a subsequent recognition (Experiments 1 and 2) or recall test (Experiment 3), compared with white noise or steady-state speech. The findings indicate that speech interfered with serial-order processing of the to-be-remembered items, thus urging participants to rely on semantic information to encode and retrieve the presented words. While a focus on semantic information enabled participants to correctly recollect the majority of presented words, it most likely also increased the proportion of false memories of words with semantic associations to the presented words both in recall and recognition tests. In all three experiments, the presence of an auditory deviant in background speech did not increase the rate of false memories, suggesting that attentional capture alone does not necessarily induce source monitoring errors. However, Experiment 3 revealed that an increase in visual task-encoding load attenuated the changing-state effect on the production of false memories. This indicates that the semantic organisation processes initiated as a result of the loss of order information in case of changing-state speech may be sensitive to attentional control.

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People often listen to music while doing cognitive tasks. Yet, whether music harms or helps performance is still debated. Here, we assessed the objective and subjective effects of music with and without lyrics on four cognitive tasks. College students completed tasks of verbal and visual memory, reading comprehension, and arithmetic under three conditions: silence, instrumental music, and music with lyrics. Participants judged their learning during and after each condition. Music with lyrics hindered verbal memory, visual memory, and reading comprehension (d ≈ -0.3), whereas its negative effect (d = -.19) on arithmetic was not credible. Instrumental music (hip-hop lo-fi) did not credibly hinder or improve performance. Participants were aware of the detrimental impact of the lyrics. Instrumental music was, however, sometimes perceived as beneficial. Our results corroborate the general distracting effect of background music. However, faulty metacognition about music's interfering effect cannot fully explain why students often listen to music while studying.

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Previous studies suggest that task-irrelevant changing-state sound interferes specifically with the processing of serial order information in the focal task (e.g., serial recall from short-term memory), whereas a deviant sound in the auditory background is supposed to divert central attention, thus producing distraction in various types of cognitive tasks. Much of the evidence for this distinction rests on the observed dissociations in auditory distraction between serial and non-serial short-term memory tasks. In this study, both the changing-state effect and the deviation effect were contrasted between serial digit recall and mental arithmetic tasks. In three experiments (two conducted online), changing-state sound was found to disrupt serial recall, but it did not lead to a general decrement in performance in different mental arithmetic tasks. In contrast, a deviant voice in the stream of irrelevant speech sounds did not cause reliable distraction in serial recall and simple addition/subtraction tasks, but it did disrupt a more demanding mental arithmetic task. Specifically, the evaluation of math equations (multiplication and addition/subtraction), which was combined with a pair-associate memory task to increase the task demand, was found to be susceptible to auditory distraction in participants who did not serially rehearse the pair-associates. Together, the results support the assumption that the interference produced by changing-state sound is highly specific to tasks that require serial-order processing, whereas auditory deviants may cause attentional capture primarily in highly demanding cognitive tasks (e.g., mental arithmetic) that cannot be solved through serial rehearsal.

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Immediate serial recall of visually presented items is reliably impaired by task-irrelevant speech that the participants are instructed to ignore ("irrelevant speech effect," ISE). The ISE is stronger with changing speech tokens (words or syllables) when compared to repetitions of single tokens ("changing-state effect," CSE). These phenomena have been attributed to sound-induced diversions of attention away from the focal task (attention capture account), or to specific interference of obligatory, involuntary sound processing with either the integrity of phonological traces in a phonological short-term store (phonological loop account), or the efficiency of a domain-general rehearsal process employed for serial order retention (changing-state account). Aiming to further explore the role of attention, phonological coding, and serial order retention in the ISE, we analyzed the effects of steady-state and changing-state speech on serial order reconstruction of visually presented verbal and spatial items in children (n = 81) and adults (n = 80). In the verbal task, both age groups performed worse with changing-state speech (sequences of different syllables) when compared with steady-state speech (one syllable repeated) and silence. Children were more impaired than adults by both speech sounds. In the spatial task, no disruptive effect of irrelevant speech was found in either group. These results indicate that irrelevant speech evokes similarity-based interference, and thus pose difficulties for the attention-capture and the changing-state account of the ISE.

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BACKGROUND: Distractions during surgical procedures are associated with team inefficiency and medical error. Little is published about the healthcare provider's perception of distraction and its adverse impact in the operating room. We aim to explore the perception of the operating room team on multiple distractions during surgical procedures. METHODS: A 26-question survey was administered to surgeons, anesthesia team members, nurses, and scrub technicians at our institution. Respondents were asked to identify and rank multiple distractions and indicate how each distraction might affect the flow of surgery. RESULTS: There was 160 responders for a response rate of 19.18% (160/834), of which 71 (44.1%) male and 82 (50.9%) female, 48 (29.8%) surgeons, 59 (36.6%) anesthesiologists, Certified Registered Nurse Anesthetists (CRNA), and 53 (32.9%) OR nurses and scrub technicians. Responders were classified into a junior group (< 10 years of experience) and a senior group (≥ 10 years). Auditory distraction followed by equipment were the most distracting factors in the operating room. All potential auditory distractions in this survey were associated with higher percentage of certain level of negative impact on the flow of surgery except for music. The top 5 distractors belonged to equipment and environment categories. Phone calls/ pagers/ beepers and case relevant communications were consistently among the top 5 most common distractors. Case relevant communications, music, teaching, and consultation were the top 4 most perceived positive impact on the flow of surgery. Distractors with higher levels of "bothersome" rating appeared to associate with a higher level of perceived negative impact on the flow of surgery. Vision was the least distracting factor and appeared to cause minimal positive impact on the flow of surgery. CONCLUSIONS: To our knowledge, this is the first survey studying perception of surgery, anesthesia, and OR staff on various distractions in the operating room. Fewer unnecessary distractions might improve the flow of surgery, improve OR teamwork, and potentially improve patient outcomes.

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Electroencephalogram (EEG) was used to analyze the mechanisms and differences in brain neural activity of drivers in visual, auditory, and cognitive distracted vs. normal driving emergency braking conditions. A pedestrian intrusion emergency braking stimulus module and three distraction subtasks were designed in a simulated experiment, and 30 subjects participated in the study. The common activated brain regions during emergency braking in different distracted driving states included the inferior temporal gyrus, associated with visual information processing and attention; the left dorsolateral superior frontal gyrus, related to cognitive decision-making; and the postcentral gyrus, supplementary motor area, and paracentral lobule associated with motor control and coordination. When performing emergency braking under different driving distraction states, the brain regions were activated in accordance with the need to process the specific distraction task. Furthermore, the extent and degree of activation of cognitive function-related prefrontal regions increased accordingly with the increasing task complexity. All distractions caused a lag in emergency braking reaction time, with 107.22, 67.15, and 126.38 ms for visual, auditory, and cognitive distractions, respectively. Auditory distraction had the least effect and cognitive distraction the greatest effect on the lag.

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Most studies investigating the effects of environmental noise on children's cognitive performance examine the impact of monaural noise (i.e., same signal to both ears), oversimplifying multiple aspects of binaural hearing (i.e., adequately reproducing interaural differences and spatial information). In the current study, the effects of a realistic classroom-noise scenario presented either monaurally or binaurally on tasks requiring processing of auditory and visually presented information were analyzed in children and adults. In Experiment 1, across age groups, word identification was more impaired by monaural than by binaural classroom noise, whereas listening comprehension (acting out oral instructions) was equally impaired in both noise conditions. In both tasks, children were more affected than adults. Disturbance ratings were unrelated to the actual performance decrements. Experiment 2 revealed detrimental effects of classroom noise on short-term memory (serial recall of words presented pictorially), which did not differ with age or presentation mode (monaural vs. binaural). The present results add to the evidence for detrimental effects of noise on speech perception and cognitive performance, and their interactions with age, using a realistic classroom-noise scenario. Binaural simulations of real-world auditory environments can improve the external validity of studies on the impact of noise on children's and adults' learning.

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Purpose: To investigate the feasibility of using music listening by adults with fibromyalgia (FM) as a potential tool for reducing pain sensitivity. Patients and methods: We report results from a double-blind two-arm parallel randomized pilot study (NCT04059042) in nine participants with FM. Pain tolerance and threshold were measured objectively using quantitative sensory tests; autonomic nervous system (ANS) reactivity was measured with an electrocardiogram. Participants were randomized to listen to instrumental Western Classical music or a nature sound control to test whether music listening elicits greater analgesic effects over simple auditory distraction. Participants also completed separate control testing with no sound that was counterbalanced between participants. Results: Participants were randomized 1:1 to music or nature sounds (four Music and five Nature). Although the groups were not different on FM scores, the Music group had marginally worse temporal pain summation (p = 0.06), and the Nature group had higher anxiety scores (p < 0.05). Outcome measures showed a significant difference between groups in the magnitude of change in temporal summation between sessions (p < 0.05), revealing that the Nature group had greater pain reduction during audio compared to silence mode, while the Music group had no difference between the sessions. No significant effects were observed for either mechanical pain tolerance or ANS testing. Within the Music group, there was a trend of vagal response increase from baseline to music listening, but it did not reach statistical significance; this pattern was not observed in the Nature group. Conclusion: Auditory listening significantly altered pain responses. There may be a greater vagal response to music vs. nature sounds; however, results could be due to group differences in pain and anxiety. This line of study will help in determining whether music could be prophylactic for people with FM when acute pain is expected.

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Working memory performance is markedly disrupted when task-irrelevant sound is played during item presentation or retention. In a preregistered replication study, we systematically examined the role of intensity in two types of auditory distraction. The first type of distraction is the changing-state effect (i.e., increased disruption by changing-state relative to steady-state sequences). The second type is the auditory deviant effect (i.e., increased disruption by auditory deviant relative to steady-state sequences). In previous experiments, the changing-state effect was independent of intensity. Whether a deviation in intensity leads to an increase in disruption has not yet been examined. We replicated the classic finding that the increased disruption by changing-state relative to steady-state sequences is independent of intensity. Contrary to previous studies, we found an unexpected main effect of intensity. Steady-state and changing-state sequences presented at 75 dB(A) were more disruptive than presented at 45 dB(A), suggesting that intensity plays a more important role than previously assumed in the disruption of working memory performance. Furthermore, we tested the prediction of the violation of expectancy account, according to which deviant distractors at a lower and higher intensity than the rest of the sequence should be equally disruptive. Our results were consistent with this prediction.

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In the current study, we provided participants with written information about emotional dimensions of a sound presented as a task-irrelevant sound in the context of a serial recall task. We were interested in whether this manipulation would influence sound perception and spontaneous use of emotion regulation strategies. Participants were informed that they would hear either an aversive and annoying sound, or a pleasant and calming sound. They subsequently performed three blocks of a serial recall task with the sound presented in the background and rated the sound after each block. Results showed that participants in the negative information group rated the sound as more negative, with effects diminishing over repeated trials. While not impacting emotion regulation strategy directly, the manipulation indirectly influenced the degree to which participants used mental suppression as a regulatory strategy via changing affective responses. In the negative information condition specifically, participants who experienced the sound as more negative were more inclined to use mental suppression to deal with the sound, whereas no such relationship was observed in the positive information condition. The study adds to our understanding of how sounds come to acquire emotional meaning and how individuals spontaneously cope with emotional, task-irrelevant sounds.

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Listening to task-irrelevant speech while performing a cognitive task can involuntarily deviate our attention and lead to decreases in performance. One explanation for the impairing effect of irrelevant speech is that semantic processing can consume attentional resources. In the present study, we tested this assumption by measuring performance in a non-linguistic attentional task while participants were exposed to meaningful (native) and non-meaningful (foreign) speech. Moreover, based on the tight relation between pupillometry and attentional processes, we also registered changes in pupil diameter size to quantify the effect of meaningfulness upon attentional allocation. To these aims, we recruited 41 native German speakers who had neither received formal instruction in French nor had extensive informal contact with this language. The focal task consisted of an auditory oddball task. Participants performed a duration discrimination task containing frequently repeated standard sounds and rarely presented deviant sounds while a story was read in German or (non-meaningful) French in the background. Our results revealed that, whereas effects of language meaningfulness on attention were not detectable at the behavioural level, participants' pupil dilated more in response to the sounds of the auditory task when background speech was played in non-meaningful French compared to German, independent of sound type. In line with the initial hypothesis, this suggested that semantic processing of the native language required attentional resources, which lead to fewer resources devoted to the processing of the sounds of the focal task. Our results highlight the potential of the pupil dilation response for the investigation of subtle cognitive processes that might not surface when only behaviour is measured.

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Background noise disrupts auditory selective attention and impairs performance on cognitive tasks, but the degree to which it is disruptive depends on the task and the individual. According to the load theory of attention and cognitive control, selective attention is influenced by both the perceptual load and the cognitive load of the primary task. Recent studies suggest that hard-to-read font in a reading task may shield attention against background noise and auditory distraction. The current study examined the disruptive effect of background noise on reading comprehension as a function of perceptual load and cognitive load. Perceptual load was manipulated by introducing task disfluency (hard-to-read or easy-to-read font), and cognitive load was manipulated by varying the type of background noise and investigating individual differences in working memory capacity. The results suggest that high perceptual load and high working memory capacity both facilitate reading comprehension. However, contrary to previous research, neither perceptual load nor capacity moderates the disruptive effect of background noise. These results failed to support the generalizability and applicability of the shield effect of perceptual disfluency against auditory distraction during reading but supported the beneficial effect of perceptual disfluency on reading comprehension.

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Attentional models of time perception assume that the perceived duration of a stimulus depends on the extent to which attentional resources are allocated to its temporal information. Here, we studied the effects of auditory distraction on time perception, using a combined attentional-distraction duration-discrimination paradigm. Participants were confronted with a random sequence of long and short tone stimuli, most of which having a uniform (standard) pitch and only a few a different (deviant) pitch. As observed in previous studies, pitch-deviant tones impaired the discrimination of tone duration and triggered a sequence of event-related potentials (ERPs) reflecting a cycle of deviance detection, involuntary attentional distraction and reorientation (MMN, P3a, RON). Contrasting ERPs of short and long tone durations revealed that long tones elicited a more pronounced fronto-central contingent negative variation (CNV) in the time interval after the expected offset of the short tone as well as a more prominent centro-parietal late positive complex (LPC). Relative to standard-pitch tones, deviant-pitch tones especially impaired the correct discrimination of long tones, which was associated with a reduction of the CNV and LPC. These results are interpreted within the theoretical framework of resource-based models of time perception, in which involuntary distraction due to a deviant event led to a withdrawal of attentional resources from the processing of time information.

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The duplex-mechanism account of auditory distraction has been extended to predict that people should have metacognitive awareness of the disruptive effect of auditory deviants on cognitive performance but little to no such awareness of the disruptive effect of changing-state relative to steady-state auditory distractors. To test this prediction, we assessed different types of metacognitive judgments about the disruptive effects of auditory-deviant, changing-state, and steady-state distractor sequences on serial recall. In a questionnaire, participants read about an irrelevant-speech experiment and were asked to provide metacognitive beliefs about how serial-recall performance would be affected by the different types of distractors. Another sample of participants heard the auditory distractors before predicting how their own serial-recall performance would suffer or benefit from the distractors. After participants had experienced the disruptive effects of the distractor sequences first hand, they were asked to make episodic retrospective judgments about how they thought the distractor sequences had affected their performance. The results consistently show that people are, on average, well aware of the greater disruptive effect of deviant and changing-state relative to steady-state distractors. Irrespective of condition, prospective and retrospective judgments of distraction were poor predictors of the individual susceptibility to distraction. These findings suggest that phenomena of auditory distraction cannot be categorized in two separate classes based on metacognitive awareness.

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Cognitive control provides us with the ability to inter alia, regulate the locus of attention and ignore environmental distractions in accordance with our goals. Auditory distraction is a frequently cited symptom in adults with attention deficit hyperactivity disorder (aADHD)-yet few task-based fMRI studies have explored whether deficits in cognitive control (associated with the disorder) impedes on the ability to suppress/compensate for exogenously evoked cortical responses to noise in this population. In the current study, we explored the effects of auditory distraction as function of working memory (WM) load. Participants completed two tasks: an auditory target detection (ATD) task in which the goal was to actively detect salient oddball tones amidst a stream of standard tones in noise, and a visual n-back task consisting of 0-, 1-, and 2-back WM conditions whilst concurrently ignoring the same tonal signal from the ATD task. Results indicated that our sample of young aADHD (n = 17), compared to typically developed controls (n = 17), had difficulty attenuating auditory cortical responses to the task-irrelevant sound when WM demands were high (2-back). Heightened auditory activity to task-irrelevant sound was associated with both poorer WM performance and symptomatic inattentiveness. In the ATD task, we observed a significant increase in functional communications between auditory and salience networks in aADHD. Because performance outcomes were on par with controls for this task, we suggest that this increased functional connectivity in aADHD was likely an adaptive mechanism for suboptimal listening conditions. Taken together, our results indicate that aADHD are more susceptible to noise interference when they are engaged in a primary task. The ability to cope with auditory distraction appears to be related to the WM demands of the task and thus the capacity to deploy cognitive control.

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It is well-established that task-irrelevant sounds deviating from an otherwise predictable auditory sequence capture attention and disrupt ongoing performance by delaying responses in the ongoing task. In visual tasks, larger distraction by unexpected sounds (deviance distraction) has been reported in older than in young adults. However, past studies based this conclusion on the comparisons of absolute response times (RT) and did not control for the general slowing typically observed in older adults. Hence, it remains unclear whether this difference in deviance distraction between the two age groups reflects a genuine effect of aging or a proportional effect of similar size in both groups. We addressed this issue by using a proportional measure of distraction (PMD) to reanalyze the data from four past studies and used Bayesian estimation to generate credible estimates of the age-related difference in deviance distraction and its effect size. The results were unambiguous: older adults exhibited greater deviance distraction than young adults when controlling for baseline response speed (in each individual study and in the combined data set). Bayesian estimation revealed a proportional lengthening of RT by unexpected sounds that was about twice as large in older than in young adults (corresponding to a large statistical effect size). A similar analysis was carried out on the proportion of correct responses (PC) and produced converging results. Finally, an additional Bayesian analysis comparing data from cross-modal and uni-modal studies confirmed the selective effect of aging on distraction in the first and not the second. Overall, our study shows that older adults performing a visual categorization task do exhibit greater distraction by unexpected sounds than young adults and that this effect is not explicable by age-related general slowing.

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Novel or unexpected sounds that deviate from an otherwise repetitive sequence of the same sound cause behavioural distraction. Recent work has suggested that distraction also occurs during reading as fixation durations increased when a deviant sound was presented at the fixation onset of words. The present study tested the hypothesis that this increase in fixation durations occurs due to saccadic inhibition. This was done by manipulating the temporal onset of sounds relative to the fixation onset of words in the text. If novel sounds cause saccadic inhibition, they should be more distracting when presented during the second half of fixations when saccade programming usually takes place. Participants read single sentences and heard a 120 ms sound when they fixated five target words in the sentence. On most occasions (p = .9), the same sine wave tone was presented ("standard"), while on the remaining occasions (p = .1) a new sound was presented ("novel"). Critically, sounds were played, on average, either during the first half of the fixation (0 ms delay) or during the second half of the fixation (120 ms delay). Consistent with the saccadic inhibition hypothesis (SIH), novel sounds led to longer fixation durations in the 120 ms compared to the 0 ms delay condition. However, novel sounds did not generally influence the execution of the subsequent saccade. These results suggest that unexpected sounds have a rapid influence on saccade planning, but not saccade execution.

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The main aim was to investigate the influence of various distracting stimuli on the endurance-strength and fatigue of the lumbar region in asymptomatic participants. Fifty-four healthy individuals were randomised to three groups: auditory distraction group (ADG), visual distraction group (VDG) and control group without distraction (CG). Lumbar muscle endurance and perceived fatigue were the outcome measures. Lumbar muscle endurance was assessed with the Biering-Sorensen test, and perceived fatigue was assessed with the modified Borg scale, once baseline and second with the distraction intervention. Lumbar muscle endurance showed significant changes over time, and there were intragroup differences for VDG and ADG. The direct comparison did show significant differences between both distraction groups with respect to the control group with a large effect size (ΔVDG-CG: p < 0.001, d = 1.55 and, ΔADG-CG: p = 0.008, d = 1.07) but not between the two distraction groups (ΔVDG-VDG: p = 0.56). Fatigue showed significant changes over time but not for group*time interaction, revealing intragroup differences for VDG and ADG. There were no intragroup differences in the CG for muscle resistance or fatigue, and there were no between-group differences. Auditory and visual distractors might produce a significant increase in muscle resistance during the Biering-Sorensen test. Both techniques are valid for increasing lumbar muscle endurance but also both stimuli produced a higher level of fatigue or perception of effort once the test was completed when compared with CG. Finally, we were unable to demonstrate that one type of stimulus produces superior results to the other.

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