Athletic Gene ACTN3 = "All Children Test Newborn To 3"?

Of all of the decisions parents face regarding their children's future, choosing between shoulder pads or running shoes for their Christmas present seems trivial. Well, according to Kevin Reilly, president of Atlas Sports Genetics, this is a decision you should not take lightly.
"If you wait until high school or college to find out if you have a good athlete on your hands, by then it will be too late," he said in a recent New York Times interview. "We need to identify these kids from 1 and up, so we can give the parents some guidelines on where to go from there."

Earlier this month, Reilly's company began marketing a $149 saliva swab test for kids, aged 1 to 8, to determine which variant of the gene ACTN3 is in their DNA. According to a 2003 Australian study, ACTN3 was shown to be a marker for two different types of athletic prowess, explosive power or long endurance. While everyone carries the gene, the combination of variants inherited, one from each parent, differs.

Science of success
The R variant of ACTN3 signals the body to produce a protein, alpha-actinin-3, which is found exclusively in fast-twitch muscles. The X variant prohibits this production. So, athletes inheriting two R variants may have a genetic advantage in sports requiring quick, powerful muscle contractions from their fast-twitch muscle fibers.

In the ACTN3 study, Dr. Kathryn North and her lab at the Institute for Neuromuscular Research of the University of Sydney looked at 429 internationally ranked Australian athletes and found significant correlation between power sport athletes and the presence of the R variant. All of the female sprint athletes had at least one R variant, as did the male power-sport athletes. In fact, 50 percent of the 107 sprinters had two copies of the R variant.

 What about those aspiring athletes that were not fortunate enough to inherit the R variant and its protein producing qualities?

North's team also noted that the elite endurance athletes seemed to be linked to the XX variation, although only significantly in the female sample. In 2007, her team pursued this link by developing a strain of mice that was completely deficient in the alpha-actinin-3 protein similar to an athlete with an XX allele. They found the muscle metabolism of the mice without the protein was more efficient. Amazingly, the mice were able to run 33 percent farther than mice with the normal ACTN3 gene.


Cloudy future
Additional research is showing mixed results, however.

In 2007, South African researchers found no significant correlation between 457 Ironman triathletes, known for their endurance, and the XX combination. This year, Russian researchers at the St. Petersburg Research Institute of Physical Culture also failed to establish the XX-endurance performance link among 456 elite rowers but did find the RR connection among a sample of Russian power sports athletes.

So, can we at least find the next Usain Bolt among our kids?

"Everybody wants to predict future athletic success based on present achievement or physical makeup. But predicting success is much more difficult than most people think," Robert Singer, professor and chair of the department of exercise and sport sciences at the University of Florida warns in the book "Sports Talent" (Human Kinetics Publishers, 2001) by Jim Brown.

"There are too many variables, even if certain athletes have a combination of genes that favors long-range talent," Singer said. "A person's genetic makeup can be expressed in many different ways, depending on environmental and situational opportunities. Variables such as motivation, coachability, and opportunity can't be predicted."

Destiny?
Just as we assume that kids that are at the 99 percent percentile in height are destiny-bound for basketball or volleyball, having this peek into their genome may tempt parents to limit the sports choices for their son or daughter.

Even Mr. Reilly expressed his concern in the Times article: "I'm nervous about people who get back results that don't match their expectations," he said. "What will they do if their son would not be good at football? How will they mentally and emotionally deal with that?"

For those parents that are just not ready to discover the sports destiny of their child, or just want to save the $150, there is a much simpler alternative. Hold your son or daughter's hand, palm up. Measure the lengths of their index finger and their ring finger. Divide the former by the latter. According to John Manning, professor of psychology at the University of Central Lancashire, if the ratio is closer to .90 than 1.0, you may have a budding superstar.

Manning explains in his aptly named new book, "The Finger Book" (Faber and Faber, 2008),that the amount of a fetus' exposure to testosterone in the womb determines the length of the ring finger, while estrogen levels are expressed in the length of the index finger. According to Manning's theory, more testosterone means more physical and motor skill ability.

The digit ratio theory, as it is known, has been the subject of more than 120 studies to find its effect on athletic, musical and even lovemaking aptitude.

Don't worry if the ratio is closer to 1.0, which is by far the norm. Plus, you will be able to relax, enjoy your kids' sports events and only worry about their genetic disposition to being happy.

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Why Pro Athletes Attract Trouble

From the "athletes behaving badly" department (in the past month, anyway):
•    NHL bad boy (Sean Avery) was suspended for six games for a crude remark.
•    Six NFL players were suspended for allegedly violating the league's drug policy.
•    Another NFL player (Adam "Pacman" Jones) returned to his team's roster after being suspended, again, for an off-field altercation.
•    Oh, and NFL receiver (Plaxico Burress) accidentally shot himself in a nightclub with a gun he was not licensed to carry. 

Despite the 24/7 media coverage of each of these incidents, sports fans have become accustomed to and somewhat complacent with hearing about athletes and their deviant acts.
In fact, new statistics reveal that bad behavior is clearly evident among high school athletes, particularly in high-contact sports.

It starts young
Besides the highly publicized stories, there are thousands more across the nation involving amateur athletes taking risks both on and off the field. From performance-enhancing supplements to referee/official abuse to fights, guns and recorded crimes, the image of sports as a positive influence on athletes may need a second look.

Granted, in a population of any size there will be a few bad apples. However, these actions have become so prevalent that academic researchers have created a branch of study called "deviance in sports" attached to the sports sociology tree. 

They are asking questions and challenging some assumptions about cause and effect. Is there a connection between sports participation and deviance? Does the intense competition and battle on the field shape a player's off-the-field lifestyle? Since success in sports brings attention and prestige to athletes, does the risk of losing that status cause a need to take risks to maintain their "top dog" positions?

In their new book, "Deviance and Social Control in Sport," researchers Michael Atkinson and Kevin Young emphasize the confusing environment surrounding athletes. They describe two types of deviance: wanted and unwanted.

Owners, players and fans may know that certain behaviors are literally against the rules but are at the same time appreciated as a sign of doing whatever it takes to win.  Performance-enhancing drugs are not allowed in most sports, but athletes assume they will improve their performance, which helps their team win and keeps fans happy. Fights in hockey will be, according to the rule book, penalized, but this deviance is assumed to be wanted by fans and teammates as a sign of loyalty.

However, related bad behavior can quickly turn on a player to being socially unwanted. 

Abuse of drugs that don't contribute to a win, (marijuana, cocaine, alcohol), will transform that same player into a villain with shock and outrage being reported in the media. In the Sean Avery example, a hockey player fighting to defend his teammates on the ice can then be suspended from the team and criticized by those same teammates for an off-color remark.

Real statistics
Most athletes who make it to the professional level have been involved in sports since youth. Sports sociologists and psychologists often look at the early development years of athletes to get a glimpse of patterns, social norms and influences that contribute to later behaviors.

In a recent American Sociological Review article, Derek Kreager, assistant professor of sociology at Penn State University, challenged the long-held belief that youth sports participation is exclusively beneficial to their moral character development. 

With the focus on teaching teamwork, fair play, and self esteem, sports are often cited as the antidote to delinquency. But Kreager notes that other studies have looked at the culture that surrounds high school and college athletes and identified patterns of clichés, privileges and attitudes of superiority. For some athletes, these patterns are used to justify deviant behavior.

In fact, his most recent research attempted to find a cause-and-effect link between deviant behavior and specific sports. Specifically, he asked if high-contact, physical sports like football and wrestling created athletes who were more prone to violent behavior off the field.

Using data from the National Longitudinal Study of Adolescent Health, more than 6,000 male students from across 120 schools were included. The data set included a wide collection of socioeconomic information, including school activities, risk behaviors and at-home influences. Kreager's study analyzed the effects of three team sports (football, basketball, and baseball) and two individual sports (wrestling and tennis) on the likelihood of violent off-field behavior, specifically, fighting.

To isolate the effect of each sport, the study included control groups of non-athletes and those that had a history of physical violence prior to playing sports. 

For team sports, football players were 40 percent more likely to be in a confrontation than non-athletes. In individual sports, wrestlers were in fights 45 percent more often, while tennis players were 35 percent less likely to be in an altercation. Basketball and baseball players showed no significant bias either way.

"Sports such as football, basketball, and baseball provide players with a certain status in society," Kreager said. "But football and wrestling are associated with violent behavior because both sports involve some physical domination of the opponent, which is rewarded by the fans, coaches and other players. Players are encouraged to be violent outside the sport because they are rewarded for being violent inside it."

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Lifting The Fog Of Sports Concussions

A concussion, clinically known as a Mild Traumatic Brain Injury (MTBI), is one of the most common yet least understood sports injuries.  According to the Centers for Disease Control, there are as many as 300,000 sports and recreation-related concussions each year in the U.S., yet the diagnosis, immediate treatment and long-term effects are still a mystery to most coaches, parents and even some clinicians.  

The injury can be deceiving as there is rarely any obvious signs of trauma.  If the head is not bleeding and the player either does not lose consciouness or regains it after a brief lapse, the potential damage is hidden and the usual "tough guy" mentality is to "shake it off" and get back in the game.


Leigh Steinberg, agent and representative to some of the top professional athletes in the world (including NFL QBs Ben Roethlisberger and Matt Leinart), is tired of this ignorance and attitude.  "My clients, from the day they played Pop Warner football, are taught to believe ignoring pain, playing with pain and being part of the playing unit was the most important value," Steinberg said, "I was terrified at the understanding of how tender and narrow that bond was between cognition and consciousness and dementia and confusion".  Which is why he was the keynote speaker at last week's "New Developments in Sports-Related Concussions" conference hosted by the University of Pittsburgh Medical College Sport Medicine Department in Pittsburgh. 

Leading researchers gathered to discuss the latest research on sports-related concussions, their diagnosis and treatment.  "There's been huge advancement in this area," said Dr. Micky Collins, the assistant director for the UPMC Sports Medicine Program. "We've learned more in the past five years than the previous 50 combined."

So, what is a concussion?  The CDC defines a concussion as "a complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces secondary to direct or indirect forces to the head."  Being a "mild" form of traumatic brain injury, it is generally believed that there is no actual structural damage to the brain from a concussion, but more a disruption in the biochemistry and electrical processes between neurons.  

The brain is surrounded by cerebrospinal fluid, which is supposed to provide some protection from minor blows to the head.  However, a harder hit can cause rotational forces that affect a wide area of the brain, but most importantly the mid-brain and the reticular activating system which may explain the loss of consciousness in some cases.  

For some athletes, the concussion symptoms take longer to disappear in what is known as post-concussion syndrome.  It is not known whether this is from some hidden structural damage or more permanent disruption to neuronal activity.  Repeated concussions over time can lead to a condition known as dementia pugilistica, with long-term impairments to speech, memory and mental processing.

After the initial concussion, returning to the field before symptoms clear raises the risk of second impact syndrome, which can cause more serious, long-term effects.  As part of their "Heads Up" concussion awareness campaign, the CDC offers this video story of Brandon Schultz, a high school football player, who was not properly diagnosed after an initial concussion and suffered a second hit the following week, which permanently changed his life.  Without some clinical help, the player, parents and coach can only rely on the lack of obvious symptoms before declaring a concussion "healed".  

However, making this "return to play" decision is now getting some help from some new post-concussion tests.  The first is a neurological skills test called ImPACT (Immediate Post-Concussion and Cognitive Testing) created by the same researchers at UPMC.  It is an online test given to athletes after a concussion to measure their performance in attention span, working memory, sustained and selective attention time, response variability, problem solving and reaction time.  Comparing a "concussed" athlete's performance on the test with a baseline measurement will help the physician decide if the brain has healed sufficiently.

However, Dr. Collins and his team wanted to add physiological data to the psychological testing to see if there was a match between brain activity, skill testing and reported symptoms after a concussion.  In a study released last year in the journal Neurosugery, they performed functional MRI (fMRI) brain imaging studies on 28 concussed high-school athletes while they performed certain working memory tasks to see if there was a significant link between performance on the tests and changes in brain activation.  They were tested about one week after injury and again after the normal clinical recovery period.

“In our study, using fMRI, we demonstrate that the functioning of a network of brain regions is significantly associated with both the severity of concussion symptoms and time to recover,” said Jamie Pardini, Ph.D., a neuropsychologist on the clinical and research staff of the UPMC concussion program and co-author of the study.  
 "We identified networks of brain regions where changes in functional activation were associated with performance on computerized neurocognitive testing and certain post-concussion symptoms,” Dr. Pardini added. "Also, our study confirms previous research suggesting that there are neurophysiological abnormalities that can be measured even after a seemingly mild concussion.” 

Putting better assessment tools in the hands of athletic trainers and coaches will provide evidence-based coaching decisions that are best for the athlete's health.  Better decisions will also ease the minds of parents knowing their child has fully recovered from their "invisible" injury.




Lovell, M.R., Pardini, J.E., Welling, J., Collins, M.W., Bakal, J., Lazar, N., Roush, R., Eddy, W.F., Becker, J.T. (2007). FUNCTIONAL BRAIN ABNORMALITIES ARE RELATED TO CLINICAL RECOVERY AND TIME TO RETURN-TO-PLAY IN ATHLETES. Neurosurgery, 61(2), 352-360. DOI: 10.1227/01.NEU.0000279985.94168.7F

Teaching Tactics and Techniques In Sports

You have probably seen both types of teams. Team A: players who are evenly spaced, calling out plays, staying in their positions only to watch them dribble the ball out of bounds, lose the pass, or shoot wildly at the goal. Team B: amazing ball control, skillful shooting and superior quickness, speed and agility but each player is a "do-it-yourselfer" since no one can remember a formation, strategy or position responsibility. Team A knows WHAT to do, but can't execute. Team B knows HOW to do it, but struggles with making good team play decisions. This is part of the ongoing balancing act of a coach. At the youth level, teaching technique first has been the tradition, followed by tactical training later and separately. More recently, there has been research on the efficiency of learning in sports and whether there is a third "mixed" option that yields better performance.


Earlier, we took an initial look at Dr. Joan Vickers' Decision Training model as an introduction to this discussion. In addition, Dr. Markus Raab of the Institute for Movement Sciences and Sport, University of Flensburg, Germany, (now of the Institute of Psychology, German Sport University in Cologne), took a look at four major models of teaching sports skills that agree that technical and tactical skills need to be combined for more effective long-term learning.Each of the four models vary in their treatment of learning along two different dimensions; implicit vs. explicit learning and domain-specific vs. domain-general environments. 


Types of Learning

Imagine two groups of boys playing baseball. The first group has gathered at the local ball diamond at the park with their bats, balls and gloves. No coaches, no parents, no umpires; just a group of friends playing an informal "pick-up" game of baseball. They may play by strict baseball rules, or they may improvise and make their own "home" rules, (no called strikes, no stealing, etc.). In the past, they may have had more formal coaching, but today is unstructured.


The second group is what we see much more often today. A team of players, wearing their practice uniforms are driven by their parents to team practice at a specific location and time to be handed off to the team coaches. The coaches have planned a 90 minute session that includes structured infield practice, then fly ball practice, then batting practice and finally some situational scrimmages. Rules are followed and coaching feedback is high. Both groups learn technical and tactical skills during their afternoon of baseball. They differ in the type of learning they experience.

The first group uses "implicit" learning while the second group uses "explicit" learning. Implicit learning is simply the lack of explicit teaching. It is "accidental" or "incidental" learning that soaks in during the course of our play. There is no coach teaching the first group, but they learn by their own trial and error and internalize the many if-then rules of technical and tactical skills. Explicit learning, on the other hand, is directed instruction from an expert who demonstrates proper technique or explains the tactic and the logic behind it.



An interesting test of whether a specific skill or piece of knowledge has been learned with implicit or explicit methods is to ask the athlete to describe or verbalize the details of the skill or sub-skill. If they cannot verbalize how they know what they know, it was most likely learned through implicit learning. However, if they can explain the team's attacking strategy for this game, for example, that most likely came from an explicit learning session with their coach.



Types of Domains

The other dimension that coaches could use in choosing the best teaching method is along the domain continuum. Some teaching methods work best to teach a skill that is specific to that sport's domain and the level of transferability to another sport is low. These methods are known as domain-specific. For more general skills that can be useful in several related sports, a method can be used known as domain-general.

Why would any coach choose a method that is not specific to their sport? There has been evidence that teaching at a more abstract level, using both implicit and explicit "play" can enhance future, more specific coaching. Also, remember our discussion about kids playing multiple sports.Based on these two dimensions, Dr. Raab looked at and summarized these four teaching models:

• Teaching Games for Understanding (TGFU)
• Decision Training (DT)
• Ball School (Ball)
• Situation Model of Anticipated Response consequences of Tactical training (SMART)

TGFU

The TGFU approach, (best described by Bunker, D.; Thorpe, R. (1982) A model for the teaching of games in the secondary school, Bulletin of Physical Education, 10, 9–16), is known for involving the athlete early in the "cognition" part of the game and combining it with the technical aspect of the game. Rather than learn "how-to" skills in a vacuum, TGFU argues that an athlete can tie the technical skill with the appropriate time and place to use it and in the context of a real game or a portion of the game.

This method falls into the explicit category of learning, as the purpose of the exercise is explained. However, the exercises themselves stress a more domain-general approach of more generic skills that can be transferred between related sports such as "invasion games" (soccer, football, rugby), "net games" (tennis, volleyball), "striking/fielding games" (baseball, cricket) and "target games" (golf, target shooting). 



Decision Training

The DT method, (best described by Vickers, J. N., Livingston, L. F., Umeris-Bohnert, S. & Holden, D. (1999) Decision training: the effects of complex instruction, variable practice and reduced delayed feedback on the acquisition and transfer of a motor skill, Journal of Sports Sciences, 17, 357–367), uses an explicit learning style but with a domain-specific approach. Please see my earlier post on Decision Training for details of the approach. 


Ball School

The Ball School approach, (best described by Kroger, C. & Roth, K. (1999) Ballschule: ein ABC fur Spielanfanger [Ball school: an ABC for game beginners] (Schorndorf, Hofmann), starts on the other end of both spectrums, in that it teaches generic domain-general skills using implicit learning. It emphasizes that training must be based on ability, playfullness, and skill-based. Matching the games to the group's abilities, while maintaining an unstructured "play" atmosphere will help teach generic skills like "hitting a target" or "avoiding defenders". 



SMART

Dr. Raab's own SMART model, (best described in Raab, M. (2003) Decision making in sports: implicit and explicit learning is affected by complexity of situation, International Journal of Sport and Exercise Psychology, 1, 406–433), blends implicit and explicit learning within a domain-specific environment. The idea is that different sports' environmental complexity may demand either an implicit or explicit learning method. Raab had previously shown that skills learned implicitly work best in sport enviroments with low complexity. Skills learned explicitly will work best in highly complex environments. Complexity is measured by the number of variables in the sport. So, a soccer field has many moving parts, each with its own variables. So, the bottom line is to use the learning strategy that fits the sport's inherent difficulty. So, learning how to choose from many different skill and tactical options would work best if matched with the right domain-specific environment.  



Bottom-Line for Coaches

What does all of this mean for the coach? That there are several different models of instruction and that one size does not fit all situations. Coaches need an arsenal of tools to use based on the specific goals of the training session. In reality, most sports demand both implicit and explicit learning, as well as skills that are specific to one domain, and some that can transfer across several sport domains. Flexibility in the approach taken goes back to the evidence based coaching example we gave last time. Keeping an open mind about coaching methods and options will produce better prepared athletes.






(2007). Discussion. Physical Education & Sport Pedagogy, 12(1), 1-22. DOI: 10.1080/17408980601060184

Single Sport Kids - When To Specialize

So, your grade school son or daughter is a good athlete, playing multiple sports and having fun at all of them. Then, you hear the usual warning, either from coaches or other parents; "If you want your daughter to go anywhere in this sport, then its time to let the other sports go and commit her full-time to this one." The logic sounds reasonable. The more time spent on one sport, the better she will be at that sport, right? Well, when we look at the three pillars of our Sports Cognition Framework, motor skill competence, decision making ability, and positive mental state, the question becomes whether any of these would benefit from playing multiple sports, at least in the early years of an athlete (ages 3-12)? It seems obvious that specific technical motor skills, (i.e. soccer free kicks, baseball bunting, basketball free throws) need plenty of practice and that learning the skill of shooting free throws will not directly make you a better bunter. On the other end, learning how to maintain confidence, increase your focus, and manage your emotions are skills that should easily transfer from one sport to another. That leaves the development of tactical decision making ability as the unknown variable. Will a young athlete learn more about field tactics, positional play and pattern recognition from playing only their chosen sport or from playing multiple related sports?

Researchers at the University of Queensland, Australia learned from previous studies that for national team caliber players there is a correlation between the breadth of sport experiences they had as a child and the level of expertise they now have in a single sport. In fact, these studies show that there is an inverse relation between the amount of multi-sport exposure time and the additional sport-specific training to reach expert status. In plain English, the athletes that played several different (but related) sports as a child, were able to reach national "expert" level status faster than those that focused only one sport in grade school . Bruce Abernethy, Joseph Baker and Jean Cote designed an experiment to observe and measure if there was indeed a transfer of pattern recognition ability between related sports (i.e. team sports based on putting an object in a goal; hockey, soccer, basketball, etc.)

They recruited two group of athletes; nationally recognized experts in each of three sports (netball, basketball and field hockey) who had broad sports experiences as children and experienced but not expert level players in the same sports whose grade school sports exposure was much more limited (single sport athletes). (For those unfamiliar with netball, it is basically basketball with no backboards and few different rules.) The experiment showed each group a video segment of an actual game in each of the sports. When the segment ended the groups were asked to map out the positions and directions of each of the players on the field, first offense and then defense, as best they could remember from the video clip. The non-expert players were the control group, while the expert players were the experimental groups. First, all players were shown a netball clip and asked to respond. Second, all were shown a basketball clip and finally the hockey clip. The expectation of the researchers was that the netball players would score the highest after watching the netball clip (no surprise there), but also that the expert players of the other two sports would score higher than the non-expert players. The reasoning behind their theory was that since the expert players were exposed to many different sports as a child, there might be a significant transfer effect between sports in pattern recognition, and that this extra ability would serve them well in their chosen sport.

The results were as predicted. For each sport's test, the experts in that sport scored the highest, followed by the experts in the other sports, with the non-experts scoring the poorest in each sport. Their conclusion was that there was some generic learning of pattern recognition in team sports that was transferable. The takeaway from this study is that there is benefit to having kids play multiple sports and that this may shorten the time and training needed to excel in a single sport in the future.

So, go ahead and let your kids play as many sports as they want. Resist the temptation to "overtrain" in one sport too soon. Playing several sports certainly will not hurt their future development and will most likely give them time to find their true talents and their favorite sport.


Source:
Abernethy, B., Baker, J., Côté, J. (2005). Transfer of pattern recall skills may contribute to the development of sport expertise. Applied Cognitive Psychology, 19(6), 705-718. DOI: 10.1002/acp.1102