Kinesiology Commons^™

The Effects Of Visual And Audio Secondary Cognitive Tasks During Landing: A Statistical Parametric Mapping Analysis Of Hip And Knee Biomechanics, Hillary Nguyen, Amber Lyle, Kevin Tran, Dominic Espinoza, Gerwyn Hughes

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 1367-1380, 2025. https://doi.org/10.70252/KGHI3479 ACL injuries often occur when athletes perform cognitive tasks while performing a landing/cutting movement. This study investigated the effects of secondary cognitive tasks on hip and knee biomechanics during single limb landing. Sixteen recreational athletes (10 females and 6 males, age: 21.6 ± 2.5 years, mass: 65.2 ± 8.9 kg, height 1.66 ± 0.07 m) performed landings on their dominant limb as a single task and while simultaneously performing secondary cognitive tasks (mental arithmetic) provided through audio and visual means. Hip and knee joint angles and moments were calculated in all …

Single Vs. Whole Muscle Group Assessments: Does The Specific Muscle Influence Its Association With Performance?, Carina M. Velasquez, Kealey J. Wohlgemuth, Mckenzie M. Hare, Kathryn E. Southall, Jacob A. Mota

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 11, 2025. Biometric Muscle size and echo intensity are thought to influence muscle function. Unfortunately, previous works often will examine a single muscle from a group of agonists as a metric of whole muscle performance. This approach may not always be the most appropriate to assess performance outcomes. The purpose of the study was to 1) quantify the association of muscle size and echo intensity with vertical jump performance (VJ), 2) Compare the associations between individual and whole muscle group size and echo intensity, 3) determine whether single or …

Treadmill Exercise And Indoor Cycling: Self-Selected Intensity, Perceived Enjoyment, And Importance Of Preference For Activity Mode, Ernst A. Hansen, Jonathan Ipsen, Jari Schneider, Simon Petersen, Alexander Petersen, Marianne Lindahl

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1344-1354, 2025. https://doi.org/10.70252/NCPI2090 For advancement of public health through exercise, exercise intensity and enjoyment are important. We aimed at testing whether self-selected exercise intensity was higher during treadmill exercise than during indoor cycling. Secondly, the enjoyment associated with the two activities was evaluated. Thirdly, in a person-centered analysis, taking into account the participants’ preference for mode of activity, we assessed whether preference for one of the activity modes was accompanied by greater intensity. Healthy adults (n=21) participated in the repeated measures crossover-designed study. They performed 16-min bouts of treadmill exercise and indoor cycling at …

Acute Physiological Responses To Rope Climbing Ergometer High-Intensity Interval Training In Males And Females, Hannah K. Eberhardt, Matthew F. Brisebois, Matthew A. Yeomans, Patrick G. Saracino

International Journal of Exercise Science

International Journal of Exercise Science 18(3): 1355-1366, 2025. https://doi.org/10.70252/EAFV3707 This study aimed to assess the acute physiological responses to a single bout of rope climbing high-intensity interval training (RC-HIIT) and compare the responses between sexes as no data currently exists on this training modality. Following an overnight fast, body composition was assessed, and resting measurements were recorded. Participants then completed an exercise protocol consisting of 10 rounds of maximal effort rope climbing using a 30:60 second work:rest ratio. Gas analysis and heart rate (HR) were recorded continuously. Blood lactate (BLa) was measured following the final work interval. Participants remained seated …

Hydration Strategies In Ultra-Endurance Running: A Narrative Review Of Programmed Versus Thirst-Driven Approaches, Shawn C. Wierick, Rosie I. Perez, Xiujing Zhao, Brendon P. Mcdermott

Health, Human Performance and Recreation Faculty Publications and Presentations

Background/Objectives: Ultra-endurance running (UER) presents unique hydration challenges due to prolonged duration, variable terrain, environmental extremes, and gastrointestinal limitations. Athletes often use either programmed fluid intake (PFI), which prescribes fluid volumes based on estimated sweat rate, or thirst-driven fluid intake (TDFI), which relies on internal cues. This review examines the effectiveness and limitations of each strategy in the context of UER performance and safety. Methods: A narrative review was conducted using a targeted selection of peer-reviewed studies. Both laboratory- and field-based research were included to evaluate the physiological rationale, practical feasibility, and outcomes associated with PFI and TDFI. A total …

Differences In Dieting Behavior In Athletic Trainers, Emily Madrak, Ki L. Cole, Bridget M. Miller, Jennifer L. Volberding

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Athletic trainers (ATs) have a foundational knowledge in many facets of health, including optimization of wellness. Though ATs may be actively trying to improve their own health, societal pressure can have a large impact on behavior. The purpose of this study was to identify differences between gender and years-certified in diet patterns in ATs. Methods: A cross-sectional survey was distributed to 2500 National Athletic Training Association members, It included a demographics section and five-item researcher-created questions regarding diet. Chi-square tests of independence were used to determine the relationship. Results: Significance was determined for gender and question 2, “Have …

Comparing Lower Extremity Kinematics Using Trazer And Inertial Motion Capture Systems, Gabriella Juoza-Clark Spt, Joellen Carter Spt, Nikki Stam Spt, Kevin Robinson Pt, Dsc, Ocs

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: This study assessed the validity of a non-immersive body motion tracking system (TRAZER) as an alternative to using Inertial Measurement Units (IMU)-based motion capture (MyoMotion) for lower extremity kinematic analysis. Methods: Twenty healthy participants (10 females, 10 males) with a mean age of 24.03 years (range: 20-33 years) and a mean BMI of 25.15 kg/m² (range: 18.45-32.23 kg/m²) performed double and single-leg squats. Data Analysis: Kinematic data from TRAZER and MyoMotion IMUs were compared using a mixed two-way ANOVA. Results: No significant differences were observed in knee flexion data across all movements (p > 0.05) and knee abduction during the …

Parameters Of Suspension Training On Core Performance: A Critically Appraised Topic, Sara Stiltner, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Clinical Scenario: The core is a functional unit connecting the upper and lower extremities consisting of abdominal, back, and hip musculature. A highly functional core is essential within the kinetic chain and aids in injury prevention and rehabilitation. Traditional means of core stability training are performed on a stable surface. An emerging mode of core training is suspension training (ST), which utilizes a movement paired with instability to challenge the core stabilizers and increase motor unit recruitment.The purpose of suspension training is to increase muscle activation in core stabilizer’s, while mimicking functional movements.It was the purpose of this research to …

Using External Visual Feedback Techniques To Improve Chronic Ankle Instability: A Critically Appraised Topic, Paxtyn Watkins, Bradlee Wells, Aric J. Warren

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Lateral ankle sprains (LAS) are among the most common musculoskeletal injury in physically active populations posing a substantial health burden. Individuals who sustain ankle sprains often have a diminished quality of life with prolonged symptoms, decreased levels of physical activity, and the propensity to develop chronic ankle instability (CAI). It is estimated that up to 40% of people who sustain an initial lateral ankle sprain will develop CAI. Many therapeutic interventions exist to help alleviate symptoms and the feeling of “giving out.” This critically appraised topic will examine multiple interventions that involve using external visual feedback methods to improve …

The Impact Of Athletic Retirement On Anxiety In Elite Athletes, A Critically Appraised Topic, Jordan Gorham, Emily Madrak

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Though there is growing interest in athletic mental health, this interest appears to diminish significantly once an athlete enters athletic retirement. The abrupt transition can precipitate mental health struggles, exacerbated by the lack of adequate preparation for lifestyle after retirement and the attachment of athletic identity to their sport. Consequently, these circumstances may increase symptoms associated with poor mental health, with a specific focus on anxiety. As the athlete retires and moves into different stages of life, research notes that athletes with stronger athletic identities have poorer mental health than those who had weaker athletic identity^. While the scrutiny …

Comparing Position Specific Gps Normative Data In Professional Female Club Soccer, Andy Seraphin, Christi Edson, Cory Price, Barrett Jones, Amanda Jagielo, Justin Mullner

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Objective: To establish normative ranges in common performance tests for professional women’s club soccer. Setting:1^st division professional women’s soccer club in the United States

Participants: Twenty-eight healthy professional women’s soccer players (Age: 27.8 ± 5.1 years; Body Mass: 66.2 ± 6.7 kg). Main Outcome Measures: Season GPS data was analyzed and metrics included minutes, total distance, high speed running, total accelerations, total decelerations, and maximum speed. Statistical analysis was performed to determine differences between positions. Results: Statistically significant differences were found across all metrics in comparison to overall mean. Differences in each metric may be due to a …

The Effect Of High-Intensity Interval Training On Visceral Adipose Tissue In Type 2 Diabetes: A Systematic Review, Ivan D. Delgado, Julio C. Delgado, Ryan D. Burns

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1321-1333, 2025. https://doi.org/10.70252/YEUF2363 Visceral adipose tissue (VAT) is a significant contributor to insulin resistance in type 2 diabetes (T2D). The effectiveness of time-efficient high-intensity interval training (HIIT) in reducing VAT has not been reviewed. A systematic search conducted on PubMed, Embase, and SPORTDiscus up to April 2025 for randomized controlled trials that compared HIIT with non-exercise control and quantified VAT using imaging identified five trials (n = 138) that met inclusion criteria. Risk of bias was assessed using a nine-item modified PEDro scale. Four trials reported significant reductions in VAT after 8-12 weeks of …

Effects Of A Personalized Fitness Program Provided By Undergraduate Exercise Science Students On Attitudes Toward Exercise, Mental Health, And Quality Of Life, Kris M. Cleveland, Jacob Fike, Scott Peterson

International Journal of Exercise Science

International Journal of Exercise Science 18(4): 1334-1343, 2025. https://doi.org/10.70252/IYNS6043 Personalized fitness training is designed to improve physical health and fitness, but may also promote mental health and well-being. The purpose of this study was to determine whether there are positive psychological outcomes for clients participating in a community-based personalized fitness program led by undergraduate Exercise Science students. A total of 44 participants completed a battery of psychological scales both before and after participation in a 12-week university-sponsored personalized fitness training program. Psychological measures included the Exercise Attitudes Scale, Self-Efficacy Scale for Exercise, Short Warwick-Edinburgh Mental Well-Being Scale, Health Status Questionnaire, …

The Effects Of Caffeine And Resistance Exercise On Pulse Wave Reflection In Resistance-Trained Women, Sarah G. Kearney, Therese M. Smith, Meredith C. Paskert Joplin, Erica Marshall, Jason C. Parks, Stacie M. Humm, Michelle A. Kern, J. Derek Kingsley

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 1310-1320, 2025. https://doi.org/10.70252/RWDY4284 Caffeine, alone or in conjunction with an acute bout of resistance exercise (RE), increases measures of pulse wave reflection (PWR), with most studies focusing on men. Therefore, the purpose of this study was to investigate caffeine’s effects on measures of PWR alone and following an acute bout of RE in young, healthy, resistance-trained women. Eleven resistance-trained women completed an acute bout of RE using free-weights with repetitions to failure for squat and bench press with caffeine (4mg/kg) and a placebo. Measures of PWR were measured at Rest, 50 minutes following ingestion …

Two-Year Skeletal Adaptations In Development And National Level Female Figure Skaters, Chelsea Wong, Leigh Gabel, Erik Groves, Kelly Quipp, Steven Boyd, Lauren Burt

International Journal of Exercise Science

International Journal of Exercise Science 18(3): 1297-1309, 2025. https://doi.org/10.70252/ZSKN7069 Figure skaters typically have higher bone mineral density (BMD) than the general population. However, the current literature is limited to cross-sectional studies. The objective of this study was to determine two-year changes in volumetric BMD, bone microarchitecture, and estimated bone strength in elite national and development level Canadian figure skaters. Eleven female figure skaters aged 14+ years were recruited for this longitudinal study. Measurements occurred annually. High-resolution peripheral quantitative computed tomography (HR-pQCT) scans of the radius and tibia underwent three-dimensional image registration. Total (Tt), cortical (Ct) and trabecular (Tb) volumetric BMD …

Variation In Cycling Exercise Mechanical Efficiency In The Heritage Family Study, Angelo Tremblay, Claude Bouchard, Mark A. Sarzynski Facsm, James S. Skinner, Élisa Marin-Couture, Patrick Schrauwen, Guy Thibault, Marie-Eve Mathieu, Louis Pérusse

Faculty Publications

The objectives of the study were to assess the effects of cycling endurance exercise training and sex on cycling exercise mechanical efficiency (ME) and to explore its associations with body composition, glycemic profile, and skeletal muscle characteristics. Subjects were males (n = 371) and females (n = 465) of European (ED) and African descent (AD) of the HERITAGE Family Study. The measurements were repeated after a 20-week controlled endurance exercise program. A substudy involving 78 participants from 19 ED families was used to evaluate associations between skeletal muscle traits and variations in ME. An increase in ME of …

Reliability Of Vertical Jump Force-Time Metrics In Collegiate Athletes Compared To Recreationally Active Individuals, Dimitrije Cabarkapa, Robert Smith, Luke Chowning, Tyler Neltner, Quincy R. Johnson, Yang Yang, Thayne A. Munce

Faculty Scholarship

As neuromuscular performance assessment has become a fundamental component of athlete monitoring, ensuring strong measurement reliability is essential for supporting accurate data-driven decision-making. Thus, the purpose of this study was twofold: (i) to examine the reliability of countermovement vertical jump (CMJ) force-time metrics obtained using a portable force plate system (Hawkin Dynamics) and (ii) to determine whether absolute and relative reliability scores differ between well-trained individuals (i.e., athletes) and those less familiar with CMJ force-plate testing (i.e., non-athletes). Seventy-four participants volunteered to take part in this investigation, of whom thirty-nine were NCAA Division-I baseball and track-and-field athletes and thirty-five age-matched …

New Frontiers In Stand-Alone Digital Obesity Treatment, Delia West, Rebecca A. Krukowski

Faculty Publications

No abstract provided.

Age- And Step-Length-Dependent Alterations In Muscle Synergies And Joint Coordination During Unexpected Gait Termination, Woohyoung Jeon, Ashley Dalby, Xuanliang Neil Dong, Melinda Hermanns

Health & Kinesiology Faculty Publications and Presentations

Background: Falls in older adults often occur during unexpected gait termination, when rapid deceleration is required. Age-related declines in strength, proprioception, and coordination impair efficient distal-to-proximal braking, raising fall risk. Variable step lengths, ranging from “normal” steps to larger “big” steps used when hurrying, better reflect real-world walking demands and pose greater mechanical and neuromuscular challenges. This study investigated how age and step length affect muscle synergy complexity and joint coordination during unexpected gait stops.

Methods: Twelve healthy younger and twelve healthy older adults performed normal- and big-step stops in response to random visual cues during walking. Surface EMG from …

Effects Of Neurocognitive Multitask Activities On A Novel Lower Extremity Functional Performance Test, Sidney M. Stoddard, Logan Hill, Bryan L. Riemann, George J. Davies

Physical Therapy Faculty Publications

Objective: To examine the effects of incorporating (1) a neurocognitive reactive component and (2) a neurocognitive multitask component on performance degradation of a single-limb hop functional performance test.

Design: Randomized within-subject design of 32 healthy young adults.

Methods: Participants performed 3 randomly assigned variations of the single-limb T-Drill Hop Test (TDHT). The time to complete each test was recorded. The reactive TDHT (R-TDHT) consisted of the TDHT with a flashing light, indicating the "T" intersection hop direction. The neurocognitive reactive-recall TDHT (RR-TDHT) incorporated the R-TDHT and required participants to observe 5 flashing light colors. Participants then recalled the colors in …

Understanding The Effects Of Real-Time Head Position Feedback On Postural Sway In Terms Of Changes In Underlying Deterministic And Stochastic Dynamical Processes, Steven J. Harrison, Benjamin De Bari, Ryan Poutre, Jeffrey M. Kinsella-Shaw

College of Humanities and Sciences Faculty Papers

Our perceptual systems detect information about how our body is moving relative to the surrounding environment. Such information is essential to our ability to maintain upright standing balance. Real-time postural feedback systems are technologies that appear to enhance our ability to detect information about the movements of our body, and as a consequence improve our capacity to control the posture of our body. Here we examine a system in which real-time measurements of head position were "felt" as changes in the intensity of vibration of tactors in a headband. Using this system, participants were able to stabilize their body posture, …

Does Motor Skill Competence Influence Physical Activity Behavior? Focusing On Sport-Specific Skills, Yubing Wang, Yaogang Han, Pan Li, Bin Zhang

International Journal of Physical Activity and Health

The purpose of this study was to investigate the widely held belief that motor skill competence positively affects physical activity behavior (PA), considering the task-specific nature of motor skill competence and the context-specific nature of PA. Specifically, we examined the effects of students’ jump rope (JR) and basketball (BB) competence on their PA in six contexts. A total of 134 sixth grade students participated in this study. All variables were assessed using appropriate tools. A series of hierarchical regression analyses were conducted to address the research questions. Students’ JR competence did not significantly influence their PA in either JR-related or …

Comparative Analysis Of Training Load And Technical Demands In Various Small-Sided Games During Soccer Preseason, Jakov Marasović, Ante Rađa, Frane Žuvela, Luka Čikotić, Marko Erceg

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1286-1297, 2025. https://doi.org/10.70252/QCAG3602 Small-sided games (SSG) are often used as a multifunctional form of specific training that allows development of various key components during soccer training. The main goal of this research was to determine the differences in internal and external load of different small-sided games (SSG) during preseason. The secondary goal was to analyze specific technical demands during these SSG. Twelve players of the First Croatian Junior League (U19) participated in this research in the fourth week of the preparatory period for the competitive season 2019/2020. Testing was conducted on two separate days …

Development And Validation Of A Running Drill Test Battery To Predict 5 M And 20 M Sprint Performance, Paula Matijašević, Josip Maleš, Luka Cikojević, Frane Žuvela, Goran Kuvačić

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1269-1285, 2025. https://doi.org/10.70252/LYKE8231 This study aimed to evaluate the reliability and predictive validity of specific athletic running drills: A-skip, B-skip, bounding step, and jumps, in relation to sprint performance over 5 m and 20 m distances. Sixty-three young males (mean age: 21.3 ± 2.1 years; body height: 183 ± 6.5 cm; body weight: 77 ± 9.3 kg) were enrolled in the study. Running drill performance was recorded on an athletics track using high-speed cameras and evaluated based on predefined criteria and a scoring system. Reliability was assessed using intraclass correlation coefficients (ICC) and coefficients …

Perceived Recovery And Muscle Fatigue In Professional Soccer Players During Preseason, Josip Maleš, Frane Žuvela, Nicola Bragazzi, Andrea De Giorgio, Goran Kuvačić

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1212-1227, 2025. https://doi.org/10.70252/ERIN2946 This study aimed to examine weekly variations and within-subject relationships between internal training intensity (ITI), perceived recovery (TQR), neuromuscular performance (CMJ), and perceived muscle soreness (PMS) during a four-week preseason period in professional soccer players. Twenty-three soccer players (age 24.8 ± 4.4 years; height 182 ± 7 cm; body mass 74.6 ± 6.7 kg) classified as Tier 3 athletes from the Croatian Second Soccer League were monitored using session rating of perceived exertion, TQR scales, countermovement jump tests, and PMS questionnaires. A significant reduction in ITI and concurrent improvement in TQR …

Age And Postural Stability In Firefighters: An Analysis Of Anterior Reach Asymmetry And The Two-Foot Length Criterion, Madeleine Fulk, Roger O. Kollock, Maddie Seidner, Rachel Ward, Zora Szabo, Muhammed O. Malik, Gabriel J. Sanders

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1175-1185, 2025. https://doi.org/10.70252/HSMV3009 This study explored how age affects postural stability (PS) in firefighters by focusing on two key objectives: 1) determining if age affects right-to-left anterior (ANT) reach distance asymmetry (ASYM) during the Motor Control Screen (MCS) test and 2) assessing whether the proportion of firefighters not meeting the greater than two-foot length (2FL) criterion for ANT reach differs across age groups. Data from 95 male firefighters were analyzed using the MCS ANT reach test, part of the Y-Balance Test (YBT). The key outcomes were the difference in ANT reach distances between legs …

The Effects Of Combined Fasting And Exercise On Inflammatory Cytokine Concentrations In Healthy Adults: A Randomized Crossover Study, Landon S. Deru, Austin F. Duersch, Spencer C. Cleverly, Hunter D. Chamberlain, Elizabeth Z. Gipson, Parker G. Graves, Cameron G. Jacobsen, Larry A. Tucker, Bruce W. Bailey

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 1252-1268, 2025. https://doi.org/10.70252/APHT9483 The object was to assess the effects of adding exercise to a 36-hour fast on the inflammatory cytokines IL-6, TNF-α, and MCP-1. The study was a randomized crossover design with counterbalanced conditions in community members living near a single academic institution. Participants included twenty healthy adults (11 male). The intervention consisted of two 36-h water-only fasts, one of which was initiated with a bout of treadmill exercise. Venous blood was taken at baseline, 12-h, 24-h, and 36-h of fasting. Area under the curve and timepoint analyses were computed. The area under …

Incidence And Risk Factors Of Metabolic Syndrome In Track And Field Throwing Athletes, Taylor Browning, Samuel Headley, Elizabeth M. Mullin, Margaret T. Jones, Andrew R. Jagim, Jennifer Fields

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 1199-1211, 2025. https://doi.org/10.70252/HOKT7948 Track and field (T&F) throwers are a prominent subgroup of athletes that may be at risk for the development of Metabolic Syndrome (MetSyn) and other cardiometabolic disease conditions. However, limited research exists examining the prevalence of MetSyn in these athletes. Therefore, the purpose of this study was to examine the incidence of MetSyn and associated risk factors in collegiate throwers. Collegiate Division I men (n=17) and women (n=4) T&F throwers participated in a single day of lab assessments, which included anthropometrics, body composition, blood pressure, a venous blood draw, and aerobic …

Influence Of Social Identity And Industry Role On Implicit Biases In Fitness Professionals, Shayna J. Guerra, Katie Mcpherrin, Kellie A. Walters, Leilani Madrigal, Alison Ede, Amber Johnson

International Journal of Exercise Science

International Journal of Exercise Science 18(4): 1228-1251, 2025. https://doi.org/10.70252/SQUH3795 Implicit biases are unconscious, internally held beliefs shaped by cultural norms, societal structures, and personal experiences and are often related to societal constructs such as race, gender, age, body shape, and ability. The aim of this study was to explore the relationship between social identity, industry role, and implicit biases in fitness professionals. Participants (n=296) were randomly assigned two implicit association tests (IATs): disability, weight, gender, skin-tone, or age. IATs measured implicit bias through word and pictorial associations and timed response to word/picture stimuli. Interviews (n=25) were conducted to further examine …

The Effect Of Mental Training On Psychological Hardiness And Selected Personality Traits Among Adolescent Male Volleyball Players, Moneer Fadel Ali Hassan, Omar Waleed Abdulkareem

International Journal of Exercise Science

International Journal of Exercise Science 18(4): 1186-1198, 2025. https://doi.org/10.70252/MQUH7716 This study was to examine the effect of a mental training program, including a combination of autogenic training and imagery, on a number of mental skills and on the development of personality traits - psychological hardiness as well as conscientiousness, openness to experience, and neuroticism - in Adolescent male volleyball players. 60 adolescent male volleyball players (aged 15–17) participated in a two-group, pretest-posttest design. The experimental group (n = 30) completed 8-week mental skills training program, including imagery, self-talk, attention control, and relaxation, while the control group (n = 30) followed …