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The benefits of allowing learners to control when to receive knowledge of results (KR) compared to a yoked group has been recently challenged and postulated to be mild at best. A potential explanation for such dissident findings is that individuals differentially utilize the autonomy provided by the self-controlled condition, which, in its turn, affects the outcomes. Therefore, the present study investigated the effects of self-controlled KR on motor learning focusing on the frequency of KR requests when performing an anticipatory timing task. Self-controlled groups were created based on participants' KR frequency of request (High, Medium, and Low referring to fifth, third, and first quintile) and, then, Yoked groups were created self-control condition pairing the KR request of the Self-controlled groups. We also measured self-efficacy and processing time as means to verify potential correlates. The results supported the expected interaction. While no difference between self-controlled and yoked groups were found for low frequencies of KR, a moderate amount of KR request was related to better results for the self-controlled group. Nonetheless, the opposite trend was observed for high frequencies of KR; the yoked group was superior to the self-controlled group. The results of this study allow us to conclude that the choices made, and not just the possibility of choosing, seem to define the benefits of KR self-control in motor learning.

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Abstract Aim: Motor learning is considered a complex process, providing numerous investigations. Knowledge of Results (KR), a kind of extrinsic feedback, is one of the variables that are used for investigations on motor learning. There are different ways to provide KR to optimize motor learning. The bandwidth KR is one of these forms, being a factor that affects motor learning, however, the specificity of the task needs to be considered in the investigation of this theme. Thus, the objective of the study is to analyze the bandwidth of KR in the acquisition of motor skills of the overhand serve in volleyball. Methods: The sample consisted of 24 volunteers of both sexes (12 men and 12 women), 18 to 35 years of age (M = 27, SD = 3.46) and inexperienced in the task. The effect of the bandwidth was analyzed in two groups (with range and without range), in which the volunteers had to learn to control their force by performing the volleyball tennis type service in order to hit a target line. Performance was inferred by the mean and standard deviation of absolute, constant and variable errors. Results: There was no statistically significant difference between the groups and the volunteers improved both the precision (absolute error and constant error) and in the consistency (variable error) during the acquisition. There was an improvement in the groups also in the transfer test in the precision measures. Conclusion: The variable bandwidth is similar to a control condition in which the volunteers have information at each attempt, causing dependence on external information.

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Resumen El propósito del presente estudio fue examinar la efectividad del feedback aumentado (FA) en el desempeño y aprendizaje de destrezas motrices. La búsqueda de los estudios se realizó en bases de datos digitales, revisando referencias y consultando a personal experto del área. La selección de los estudios y la extracción de los datos fue realizada por las tres autoras de forma independiente. La calidad de los estudios se evaluó utilizando una modificación de la escala TESTEX. Con el modelo de efectos aleatorios se calculó el tamaño de efecto (TE) de la diferencia de medias estandarizada. Se examinó la heterogeneidad con la Q estadística y la consistencia con I 2 . Veinte estudios cumplieron los criterios de inclusión. Un total de 95 TE fueron calculados, lo cual representa a 949 participantes. El uso de FA durante la práctica física aumentó el desempeño significativamente entre el pretest y la adquisición (TE = 0.87; IC95% = 0.65, 1.10; n = 47; Q = 183.6, I 2 = 74.41%; p < 0.01); mientras que el desempeño disminuyó significativamente entre la prueba de adquisición y la retención, después de que el FA fue suspendido (TE = -0.74, IC95% = -1.04, -0.44; n = 45; Q = 377.45, I 2 . = 88.34%; p < 0.01). Se analizaron la edad y el nivel de habilidad de los sujetos participantes, el tipo de destreza y las características de la práctica y el tipo de FA como posibles variables moderadoras. Los resultados sugieren que el desempeño mejora en la adquisición al recibir FA durante la práctica física, y disminuye en la retención, una vez que no está disponible; no obstante, el uso de FA promueve significativamente el aprendizaje de destrezas motrices.

Abstract The purpose of this study was to use the meta-analytic approach to assess the effectiveness of augmented feedback (AF) on performance and learning of motor skills. Studies were retrieved by searching electronic databases, cross refereeing, and expert criteria. Studies were selected and data was extracted by the three authors independently. The quality of the studies was measured by a modify TEXTEX scale. Random effects models using the standardized mean difference effect size (ES) were used to pool results. Risk of bias, heterogeneity, and inconsistency was examined. Twenty studies met the inclusion criteria. A total of 95 ESs were calculated, representing 949 participants. During physical practice, performance increases from pretest to acquisition when receiving AF (ES = 0.87; 95%CI = 0.65, 1.10; n = 47; I 2 . = 74.41; Q= 183,6; p < 0.01); while performance significantly decrease between the acquisition and retention phase after AF was removed (ES = -0.74; 95%CI = -1.04, -0.44; n = 45; I 2 . = 88.34; Q = 377.45; p < 0.01). Age and skill level ability of the participants, type of task, and practice characteristics, and type of feedback were analyzed as potentially moderator variables. Results suggest that AF increases performance in motor skills during physical practice, but performance decreases after removing AF in retention; all due, AF enhances learning of motor skills.

Resumo O objetivo do presente estudo foi examinar a eficácia do aumento do feedback (AF) sobre o desempenho e a aprendizagem das habilidades motoras. Foram pesquisados estudos em bancos de dados digitais, verificando referências e consultando especialistas na área. A seleção do estudo e a extração de dados foi feita pelos três autores independentemente. A qualidade dos estudos foi avaliada utilizando uma modificação da escala TESTEX. Sob o modelo de efeitos aleatórios, foi calculado o tamanho do efeito (TE) da diferença média padronizada. A heterogeneidade foi examinada usando o Q estatístico e a consistência usando o I2. Vinte estudos preencheram os critérios de inclusão. Um total de 95 TE's foi calculado, representando 949 participantes. O uso de AF durante a prática física aumentou significativamente o desempenho entre o pré-teste e a aquisição (ET = 0,87; CI95% = 0,65, 1,10; n = 47; Q = 183,6, I2 = 74,41%; p < 0. 01); enquanto o desempenho diminuiu significativamente entre o teste de aquisição e a retenção, depois que o AF foi suspenso (SD = -0,74, 95% CI = -1,04, -0,44; n = 45; Q = 377,45, I2. = 88,34%; p < 0,01). A idade e o nível de habilidade dos participantes, tipo de habilidade e características de prática, e tipo de AF foram analisados como possíveis variáveis moderadoras. Os resultados sugerem que o desempenho melhora na aquisição ao receber AF durante a prática física, e diminui na retenção, uma vez que ela não está disponível; entretanto, o uso de AF promove significativamente o aprendizado das habilidades motoras.

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Many studies have attributed self-controlled feedback benefits associated with motor learning to learners' greater information processing during practice. However, individual learner characteristics like their impulsivity can also influence how people engage cognitively during learning. We investigated possible dissociations between the types of interaction in self-controlled knowledge of results (KR) and learner impulsivity levels in learning a sequential motor task. Ninety volunteers responded to the self-restraint section of the Barkley deficits in executive functioning scale, and those 60 participants with the highest ( n = 30) and lowest ( n = 30) impulsivity scores practiced a motor task involving sequential pressing of four keys in predetermined absolute and relative times. We further divided participants into four experimental groups by assigning the high- and low-impulsivity groups to two forms of KR-self-controlled absolute and yoked. Study results showed no interaction effect between impulsivity and self-controlled KR, and, contrary to expectation, self-controlled KR did not benefit learning, independently of impulsivity. However, low-impulsivity participants performed better than high-impulsivity participants on the absolute dimension of the transfer task, while high-impulsivity learners were better at the relative dimension. Cognitive characteristics of automatic and reflexive processing were expressed by the strategies used to direct attention to relative and absolute task dimensions, respectively. Low-impulsivity learners switched their attention to both dimensions at the end of practice, while high-impulsivity learners did not switch their attention or directed it only to the relative dimension at the end of the practice. These results suggest that the cognitive styles of high- and low-impulsive learners differentially favor learning distinct dimensions of a motor task, regardless of self-controlled KR.

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O objetivo do presente estudo foi analisar três diferentes estratégias de fornecer conhecimento de resultados (CR): autocontrolado, yoked pareado por tentativa e yoked pareado pela frequência média total de CR, na prática aleatória. A amostra foi constituída por 45 voluntários universitários, distribuídos em três grupos (n= 15 sujeitos). A tarefa consistiu em pressionar as teclas 2, 4, 8 e 6 do teclado numérico de um computador, em três diferentes tempos alvo (700, 900 e 1100 ms), praticados aleatoriamente. O experimento constou de fase de aquisição e testes de retenção e transferência atrasados. A análise dos dados foi realizada por meio da ANOVA e não foi constatada diferença significativa entre os grupos. Os resultados demonstraram que não houve efeito das frequências autocontroladas para a aprendizagem motora quando se utiliza a prática aleatória. Além disso, uma nova possibilidade de parear o grupo autocontrolado foi apresentada.

The purpose of this study was to examine three different strategies to provide knowledge of results (KR), yoked paired by trial and yoked paired by average of total frequency of KR in random practice. The sample was composed by 45 volunteers, distributed into three groups (n=15 subjects). The task consisted of press three keys, 2, 4, 8 and 6 in the numeric keypad of the computer in three different total time (700, 900 and 1100 ms) in random practice. The experiment consisted of acquisition phase and delay retention and transfer test. The data analysis was conducted by ANOVA and the results were not demonstrated difference between groups. The results showed no effect of self-controlled frequency of KR to the motor learning when using random practice. In addition, a new possibility to be used the yoked group was presented.

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This work investigated the effects of frequency and precision of feedback on the learning of a dual-motor task. One hundred and twenty adults were randomly assigned to six groups of different knowledge of results (KR), frequency (100%, 66% or 33%) and precision (specific or general) levels. In the stabilization phase, participants performed the dual task (combination of linear positioning and manual force control) with the provision of KR. Ten non-KR adaptation trials were performed for the same task, but with the introduction of an electromagnetic opposite traction force. The analysis showed a significant main effect for frequency of KR. The participants who received KR in 66% of the stabilization trials showed superior adaptation performance than those who received 100% or 33%. This finding reinforces that there is an optimal level of information, neither too high nor too low, for motor learning to be effective.

O presente estudo investigou os efeitos da frequência e precisão de "feedback" na aprendizagem de uma tarefa motora de dupla demanda. Cento e vinte adultos foram aleatoriamente designados a seis grupos de diferentes níveis de frequência (100%, 66% ou 33%) e precisão (específico ou geral) de conhecimento de resultados (CR). Na fase de estabilização, a tarefa combinada de posicionamento linear e controle de força manual foi executada com CR. Dez tentativas de adaptação sem CR foram executadas na mesma tarefa, com a introdução de uma força eletromagnética contrária à direção do movimento. A análise indicou efeito significativo no fator "frequência de CR". Aqueles que receberam CR em 66% das tentativas de estabilização obtiveram desempenho de adaptação superior quando comparados àqueles que receberam 100% ou 33% de CR. Esse achado reforça a existência de um nível ótimo de informação, nem muito alto nem muito baixo, para que a aprendizagem seja otimizada.

El presente estudio investigó los efectos de la frecuencia y necesidad de feedback en el aprendizaje de una tarea motora de dupla demanda. 120 adultos fueron aleatoriamente designados a seis grupos de diferentes niveles de frecuencia (100%, 66% o 33%) y necesidad (específico o general) de conocimiento de resultados (CR). En la fase de estabilización, la tarea de posicionamiento lineal y control de fuerza manual fue ejecutada con CR. Diez tentativas de adaptación sin CR fueron ejecutadas durante la misma tarea, con la introducción de una fuerza electromagnética contraria a la dirección del movimiento. El análisis indicó efecto significativo en el factor "Frecuencia de CR": aquellos que recibieron CR en 66% de las tentativas de estabilización obtuvieron desempeño de adaptación superior cuando comparados a aquellos que recibieron 100% o 33% de CR. Ese resultado refuerza la existencia de un nivel óptimo de información, ni muy alto ni muy bajo, para que el aprendizaje sea optimizado.

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The present study investigated whether children would benefit from feedback (knowledge of results, KR) provided after relatively good as opposed to poor trials. The task required participants to throw beanbags at a circular target that was placed on the floor at a distance of 3 m. Twenty-eight elementary school children (mean age: 10.6 years) participated in this experiment. The practice phase consisted of 10 blocks of 6 trials. After each 6-trial block, one group (KR good) received KR on the 3 most accurate tosses, whereas another group (KR poor) was given KR on the 3 least accurate ones. Participants were not informed about the trials on which they were provided feedback. Immediately following the practice phase, participants completed the intrinsic motivation inventory. One day after the practice phase, a retention test consisting of 10 trials without KR was conducted. The results demonstrated that learning was enhanced by providing KR after good trials during practice. Furthermore, the questionnaire results revealed that learners' intrinsic motivation was increased by positive feedback. The present findings add to the accumulating evidence that the motivational effects of feedback have a direct impact on learning.

O presente estudo investigou se a aprendizagem motora de crianças pode ser beneficiada pelo "feedback" (conhecimento de resultados -CR) fornecido após tentativas relativamente boas de prática, ao invés de após tentativas ruins. A tarefa requeriu que os participantes arremessassem saquinhos de feijão em um alvo circular fixo, posicionado no chão, a uma distância de 3 m. Vinte e oito crianças do ensino fundamental (idade média: 10,6 anos) participaram deste experimento. A fase de prática consistiu de 10 blocos de seis tentativas. Após cada bloco de tentativas, um grupo (KR "good") recebeu CR relacionado aos três arremessos mais precisos, enquanto ao outro grupo (KR "poor") foi fornecido CR relacionado aos três arremessos menos precisos. Os participantes não foram informados sobre as tentativas nas quais o "feedback" seria fornecido. Imediatamente após a fase de prática, os participantes preencheram o questionário de motivação intrínseca. Um dia após a fase de prática, foi conduzido um teste de retenção composto por 10 tentativas, sem CR. Os resultados demonstraram que a aprendizagem foi melhorada através do fornecimento de CR após as boas tentativas de prática. Ainda, os resultados do questionário revelaram que a motivação intrínseca dos aprendizes foi aumentada pelo "feedback" positivo. Os presentes achados adicionam evidências de que os efeitos motivacionais do "feedback" possuem um impacto direto sobre a aprendizagem.

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O aspecto temporal do Conhecimento de Resultados (CR) é composto por três intervalos: pré-CR, pós-CR e o intervalo intertentativas. Um problema sobre este tópico é que a manipulação de um intervalo implica na alteração dos outros, o que sugere uma análise conjunta desses intervalos. O presente estudo investigou os efeitos dos intervalos de tempo de apresentação de CR na aquisição de habilidades motoras. Foi utilizada uma tarefa de posicionamento manual, que consistia em transportar três bolas de tênis entre seis recipientes em ordem e tempo alvo pré-estipulados. O instrumento continha uma plataforma com seis recipientes e uma central de controle ligada ao microcomputador. O estudo teve a fase de aquisição, com 30 tentativas com a sequência (4-2/5-3/6-1) e tempo alvo (3000 ms) definidos pelo experimentador. Dez minutos após o término da fase de aquisição foi aplicado o teste de transferência imediata e, após 24 horas, o teste de transferência atrasada. Ambos os testes tiveram de 15 tentativas de prática, de uma nova sequência de movimento (6-1/5-3/4-2) e tempo alvo (4000 ms), sem fornecimento de CR. Noventa universitários foram divididos em nove grupos (n = 10): três grupos com quatro segundos, três grupos com oito segundos e três grupos com 16 segundos de intervalo intertentativas, todos com intervalos pré e pós-CR distintos. Os resultados mostraram que menores intervalos intertentativas tiveram melhor desempenho nos testes. Isto sugere que o tempo para processamento de informação não deve ser longo, o que aumentaria a demanda de atenção e a exigência de memória.

The temporal locus of the Knowledge of Results (KR) is composed by three intervals: pre KR, post-KR, and inter trial interval. A problem regarding this topic is that the manipulation of one interval implies in changing the others, suggesting that the intervals may be combined for analysis. The present study investigated the effects of temporal locus of the KR in the motor skills acquisition. A manual positioning task consisting of the transport of three tennis balls between six containers in a specific sequence and time was used. The apparatus was comprised of a platform with six containers and a central controller connected to a computer. An acquisition phase of 30 trials using the 4-2/5-3/6-1 sequence and a 3,000 msec target time was allowed. The immediate transfer tests and the delayed transfer tests were performed ten minutes and twenty four hours after the completion of the acquisition phase, respectively. Both tests were preceded by 15 practice trials in a previously unknown movement sequence (6-1/5-3/4-2) and target time (4,000 msec.) without any KR. Ninety undergraduate students were allocated into nine groups (n = 10). Three groups had a four-second interval between trials; three groups had an eight-second intertrial interval; the reaming three groups had a sixteen-second intertrial interval. All groups had distinct pre and post-KR intervals. The results showed that smaller intertrial intervals resulted in better testing performance. It suggests that the time for information processing should not be long, as it increases both the attention and memory demands.

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O objetivo deste estudo foi analisar os efeitos da precisão de Conhecimento de Resultados (CR) na aquisição de uma habilidade motora. Quarenta e oito crianças com idade entre oito e 10 anos (♂ = 9,33 ± 0,70 anos e ♀= 9,16 ± 0,81 anos) praticaram uma tarefa de acertar um alvo sobre uma mesa, mediante o lançamento de discos metálicos. Foram formados três grupos experimentais de acordo com o nível de precisão do CR: pouco preciso (GPP), preciso (GP) e muito preciso (GMP), além do grupo controle (GC), sem CR. A medida de desempenho foi o erro absoluto (EA). Os resultados indicaram diferença estatística a favor do GMP em comparação aos demais grupos, indicando que a maior precisão do CR favoreceu a estabilização da estrutura e a adaptabilidade do sistema, numa tarefa com meta de precisão espacial, em crianças.

This study aimed to analyze the effects of Knowledge of Results (KR) precision on acquisition of a motor ability. Forty eight children aged between eight and 10 years old (♂ = 9.33 ± 0.70 years old; ♀ = 9.16 ± 0.81 years old) practiced a manipulative task of reaching a target on a table, by the thrown of metallic discs. Three experimental groups were formed according to the KR precision level: less precise group (LPG), precise group (PG) and very precise group (VPG), and also the control group (CG), without KR. The performance measure was the absolute error. The results indicated statistic differences in favor of VPG when compared to the other groups, indicating that higher KR precision benefited the system's stabilization and adaptability for task with accuracy goal, for children.

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Parkinson's disease (PD) is a progressive neurological disorder, known to cause a large number of motor and non-motor limitations. Research related to factors that affect motor control and learning in people with PD is still relatively limited. The purpose of this study was to compare the effects of different frequencies (100 versus 66%) of knowledge of results (KR) on the learning of a motor skill with spatial demands in participants with PD. Twenty individuals with PD were randomly assigned to one of two groups. The 100% group received KR after each trial, while the 66% group received KR on two thirds of the trials. A linear positioning task with a spatial target was used. Participants carried out the task with the dominant hand while blindfolded. In the acquisition and retention phases, the goal was to position the cursor at a distance of 60 cm from the starting point. The hypothesis was that participants with PD, who practiced with a reduced KR frequency, would demonstrate more effective learning than those who practiced with a 100% KR frequency, similar to previous findings with adults without neurological disorders. The results showed differences between the groups in the retention phase (without KR): The 66% KR group was more accurate and less variable in their performance than the 100% KR group. Thus, reducing KR frequency can enhance motor learning in persons with PD, similar to what has previously been found for unimpaired participants.

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O conceito de qualidade de vida vem sendo amplamente discutido de modo a apontar paradigmas capazes de influenciar políticas e práticas. Investigações nesta temática vêm se desenvolvendo desde o emergir da medicina social com o intuito de subsidiar as políticas públicas e movimentos sociais. Com base nesta evidência a Organização Mundial da Saúde, tem se preocupado em definir e investigar a qualidade de vida de todos os povos. Desde meados do século XX, se percebeu uma elevação rápida no quantitativo de idosos nos países em desenvolvimento, o que repercutiu na maior concentração de pessoas envelhecidas na população. O Brasil ao mesmo tempo em que presenciou a disseminação do HIV, proporcionou o tratamento gratuito com antiretrovirais, e estas drogas favoreceram a sobrevivência, até mesmo da clientela menos expressiva na epidemia, como a população idosa. Segundo o Ministério da saúde, as entidades que prestam atendimento ao idoso tem obrigação de informar a autoridade competente de saúde qualquer ocorrência de pessoas idosas com doenças infecto-contagiosas. O estudo desenvolvido objetivou: Investigar as contribuições dos estudos científicos publicados em periódicos on-line, durante o período de 2000 a 2008, que envolvem as temáticas: qualidade de vida, envelhecimento e Aids para a enfermagem; Caracterizar os estudos desenvolvidos pela enfermagem brasileira, frente às temáticas qualidade de vida, envelhecimento e Aids, quanto aos elementos inerentes ao estudo, como a origem da pesquisa, aspectos metodológicos, aspectos éticos e o periódico de publicação on-line; Sumarizar as produções científicas sobre qualidade de vida, envelhecimento e Aids selecionadas, considerando a categoria na qual foi enquadrado, os dados de identificação do estudo, bem como os elementos constituintes do mesmo, conforme o instrumento de coleta de dados empregado.

The concept of life quality has been largely discussed in such a way to point out paradigms able to influence policies and practices. Investigations in this thematic have been developing since the immerging of the social medicine aiming to subsidize the public policies and social movements. Based on this evidence the World Health Organization, has been worried in defining and investigating the life quality of all peoples. Since the mid twentieth century, a fast elevation in the quantity of elderly in developing countries was realized, which have repercussion in the biggest concentration of elderly people in the population. Brazil at the same time that witnessed the dissemination of the HIV, provided the treatment for free with antiretroviral, and these drugs favored the survival, even by the less expressive clientele of the epidemy, like elderly people. According to the Ministry of Health, the entities which attend elderly have obligation to inform the competent authority of health any occurrence of elderly people with infect-contagious diseases. The study developed aimed: Investigate the contributions of the scientific studies published in periodic online, during the period between 2000 and 2008, which involve the thematic: life quality, aging and Aids for nursing; characterize the studies developed by the Brazilian nursing, ahead of the thematics life quality, aging and Aids, about the elements inherent to the study, like the origin of the research, methodological aspects, ethical aspects and the periodic of online publication; Summarize the scientific productions about life quality, aging and Aids selected ,, considering the category in which it was framed, the data of identification of the study, as well as the constitutive elements of the same, according to the instrument of data collection used.

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