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Seizures during video-game play and other common leisure pursuits in known epilepsy patients without visual sensitivity.

PURPOSE: Some individuals who are negative to flash/pattern sensitivity have been reported to experience seizures while exposed to video games. This study seeks to examine systematically whether exposure to video-game material is a risk factor for seizures in patients with chronic epilepsy without visual sensitivity. METHODS: Two hundred and twelve chronic epilepsy patients participated in the study. All were negative to rigorous flash and pattern sensitivity testing. They were randomly allocated to a video game-playing session or to a period of leisure (involving reading, physical exercise, puzzles, etc.) and then alternated between these activities for a fixed total of eight 45-min periods while undergoing video-EEG monitoring. The study ceased if the participant experienced a clinical seizure. RESULTS: Twenty-five of 212 subjects experienced a seizure while participating in the study. Thirteen seizures occurred during periods of video-game play, and 12 during alternative leisure. CONCLUSIONS: We have not identified a greater risk of seizures in patients with (not visually sensitive) epilepsy during video-game play compared with other common leisure pursuits. Furthermore, we exposed a large population (212 patients) mostly with severe epilepsy, mainly drug reduced and some sleep deprived, to prolonged video game-playing without observing a significant excess number of seizures. This finding provides strong support for the hypothesis that seizures during video game play in the >95% of the epilepsy population without visual sensitivity are most likely to represent a chance occurrence, although, as always, each individual should be carefully assessed.

Adolescent↗

Risk of injury in elite football played on artificial turf versus natural grass: a prospective two-cohort study.

OBJECTIVE: To compare injury risk in elite football played on artificial turf compared with natural grass. DESIGN: Prospective two-cohort study. SETTING: Male European elite football leagues. PARTICIPANTS: 290 players from 10 elite European clubs that had installed third-generation artificial turf surfaces in 2003-4, and 202 players from the Swedish Premier League acting as a control group. MAIN OUTCOME MEASURE: Injury incidence. RESULTS: The incidence of injury during training and match play did not differ between surfaces for the teams in the artificial turf cohort: 2.42 v 2.94 injuries/1000 training hours and 19.60 v 21.48 injuries/1000 match hours for artificial turf and grass respectively. The risk of ankle sprain was increased in matches on artificial turf compared with grass (4.83 v 2.66 injuries/1000 match hours; rate ratio 1.81, 95% confidence interval 1.00 to 3.28). No difference in injury severity was seen between surfaces. Compared with the control cohort who played home games on natural grass, teams in the artificial turf cohort had a lower injury incidence during match play (15.26 v 23.08 injuries/1000 match hours; rate ratio 0.66, 95% confidence interval 0.48 to 0.91). CONCLUSIONS: No evidence of a greater risk of injury was found when football was played on artificial turf compared with natural grass. The higher incidence of ankle sprain on artificial turf warrants further attention, although this result should be interpreted with caution as the number of ankle sprains was low.

Adolescent↗

Physiological profile and activity pattern of young soccer players during match play.

PURPOSE: The purpose of this study was to examine aerobic demands and activity patterns during match play in young soccer players with respect to competition level, age, and biological maturity. METHODS: Ten nonelite players (NbP) and nine elite players (EbP) in their early puberty (12 yr), and seven elite players (EeP) in their late puberty (14 yr) were studied. Heart rate (HR) and activity pattern were recorded during match play, whereas corresponding .VO(2) and HR values were obtained during submaximal and maximal treadmill tests in the laboratory. The maturity status was assessed from testicular volume. RESULTS: No difference in .VO(2max) was observed between the nonelite and the elite players in the beginning of puberty (58.7 +/- 5.3 vs 58.6 +/- 5.0 mL O(2).min-1.kg(-1)), whereas the elite players in the end of puberty were significantly more fit (63.7 +/- 8.5 mL O(2).min(-1).kg(-1)). During match play, a higher HR was recorded in the elite players in the beginning of puberty than their nonelite counterparts, whereas the two elite groups showed the same HR responses (HR 1st half/2nd half-NbP: 162/157; EbP: 177/174; EeP: 178/173). The elite players in the end of puberty thus performed a higher absolute and relative .VO(2) (.VO(2).min(-1) and mL O(2).min(-1).kg(-1)) compared with the nonelite players during both halves, corresponding to more time spent in standing/walking in the nonelite group. The elite players in the end of puberty showed higher absolute .V(O2) values during match play than the young elite players but identical relative aerobic loads. It seems that the midfield/attack group had the highest absolute .VO(2max) and was performing at the highest HR during the matches. CONCLUSION: The present study shows that young soccer players are highly specialized both according to playing level and position on the field.

Adolescent↗

Perinatal exposure to low levels of the environmental antiandrogen vinclozolin alters sex-differentiated social play and sexual behaviors in the rat.

In this study we examined the effects of exposure to the antiandrogenic fungicide vinclozolin (Vz) on the development of two sex-differentiated behaviors that are organized by the perinatal actions of androgens. Pregnant Long-Evans rats were administered a daily oral dose of 0, 1.5, 3, 6, or 12 mg/kg Vz from the 14th day of gestation through postnatal day (PND)3. The social play behavior of juvenile offspring was examined on PND22 and again on PND34 during play sessions with a same-sex littermate. After they reached adulthood, the male offspring were examined with the ex copula penile reflex procedure to assess erectile function. Vz did not produce any gross maternal or neonatal toxicity, nor did it reduce the anogenital distance in male pups. We observed no effects of Vz on play behavior on PND22. However, the 12-mg/kg Vz dose significantly increased play behavior in the male offspring on PND34 compared with controls. The most dramatic increases were seen with the nape contact and pounce behavior components of play. The Vz effect was more pronounced in male than in female offspring. As adults, male offspring showed a significant reduction of erections at all dose levels during the ex copula penile reflex tests. The 12-mg/kg dose was also associated with an increase in seminal emissions. These effects demonstrate that perinatal Vz disrupts the development of androgen-mediated behavioral functions at exposure levels that do not produce obvious structural changes or weight reductions in androgen-sensitive reproductive organs.

Androgen Antagonists↗

[Sexual differentiation of social play and copulatory behavior in prenatally stressed male and female offspring of the rat: the influence of simultaneous treatment by tyrosine during exposure to prenatal stress].

The environmental stress in the late gestational life has been reported to induce impairments of androgen-dependent sex differentiation of the rat brain. This study was performed to investigate the effects of prenatal stress on the features of gender role behavior and copulatory behavior which are masculinized by perinatal androgens. Further, a possible counteraction of tyrosine to the long-term effects of prenatal stress was examined, because the supplementation of amino-acid precursor of catecholamines during the stress is known to maintain the content of catecholamines in the brain, which is considered to contribute to the differentiation of the brain. Time-mated pregnant females were subjected to the forced immobilization stress daily from day 15 of pregnancy to the day of delivery, and they received simultaneous i.p. injections of either tyrosine methylester HCl (200 mg/kg) or saline, less than 60 minutes before stress. Social play in the peripubescent period was observed in the male and female offspring. After maturation, they were castrated and male copulatory behavior under androgen-substitution was tested in the male offspring, and female copulatory behavior under estrogen-substitution was tested in the female offspring. In the male offspring, prenatal stress caused a significant depletion of social play as well as male copulatory behavior, showing the demasculinization of gender role centers and mating centers. In the female offspring exposed to the prenatal stress, a significant increase of social play was observed. And their lordosis quotient did not alter, but a reduced attractivity against male partner was found. These results in the female offspring suggest some extent of masculinization occurred in both centers, probably due to the increase of androgens derived from the adrenal glands when stressed. Tyrosine seemed to reduce the engagement of social play in both sexes, independently of the prenatal stress. On the other hand, tyrosine prevented, at least partially, the long-term effects of prenatal stress in copulatory behavior which were observed in this study. Tyrosine itself had no effect on copulatory behavior. The apparent counteraction of tyrosine in copulatory behavior suggests a positive involvement of catecholamines, especially norepinephrine, in the process of masculinization of the mating centers. The different action of tyrosine to these behaviors may reflect the fact that the different regions of the brain and separate mechanisms are responsible for the sexual differentiation of social play and copulatory behavior.

Animals↗

Activity profile of young soccer players during actual match play.

This study investigated the activity profile of young soccer players (mean age 11.8 +/- 0.6 years; N = 12) with the aim of providing information for the development of training strategies. Data for movements of each player were obtained using 2 cameras that aimed at the subject throughout the match (Play Controller, Phromos, Italy). Encoders transmitted camera movements to a computer. The collected signals were then converted into distances, times, and speed attained at arbitrarily selected match categories. Players were monitored during official 11 vs. 11 matches (N = 12), with each match consisting of 2 halves, each lasting 30 minutes played on a regular soccer pitch. Mean total match distance amounted to 6,175 +/- 318 m. During the second half, players covered 5.5% less distance (p > 0.05). At speeds between 13.1 and 18.0 km.h(-1), players covered 12% less distance during the second half (p < 0.05). Players stood still 11% of the total time played (3,789 +/- 109 seconds). At speeds faster than 18 km.h(-1), players performed 33 +/- 4 bouts during match play, with a mean time length of 2.3 +/- 0.6 seconds per bout. Mean time interval between two successive maximal sprint bouts was 118.5 +/- 20.5 seconds. Players stood still longer during the course of the second half (229 +/- 76 seconds vs. 173 +/- 61 seconds, p < 0.05). Players tended to play in small areas of the football pitch and spent 9% of the total match time at high intensity. In order to promote a more active space coverage of the young player, at least for the age considered in the present study, the dimensions of the football pitch and the number of players should be reduced.

Analysis of Variance↗

A national survey about parent awareness of the risk of severe brain injury from playing football.

A survey was conducted to determine the level of awareness among parents of high school football players about the risk of severe brain injury. A national sample of 1007 randomly selected households was interviewed by telephone during February, 1992. All interviewees were parents of high school football players who either were currently playing football or had played within the previous 5 years. Survey questions measured the extent to which parents were aware both of the risks associated with playing high school football and the existing helmet warnings about those risks. Overall, the survey results demonstrated that parents of high school football players were uninformed about both the risk of severe brain injury from playing high school football and the football helmet warnings about that risk. Specifically, unprompted, most parents mentioned broken bones, knee injuries, sprains, or shoulder injuries as hazards associated with playing football. Few parents mentioned severe brain damage, even when prompted. Further, the overwhelming majority of parents incorrectly believed that wearing a football helmet generally eliminated the risk of severe brain injury. Very few parents had received information from any source about the risks of head injury or had heard that no football helmet can provide complete protection against this hazard. Few parents were aware of the warning label on the helmet or knew what the label said, even when prompted. In short, parents were unaware of the risk of severe brain damage, misinformed about a football helmet's ability to protect against this risk, and uninformed about the football helmet warning label about this risk.

Journal Article↗

Childhood play in normality, pathology, and therapy.

Links are sought between concepts of play pertaining to normal development, pathology, and therapeutic interventions. To this end, the components and functions of play are delineated, the evolution of the concept of play is reviewed, an integrated course for its development is advanced, and a framework and guidelines for its assessment in the clinical context are offered. Issues concerning the role of play in therapy are discussed.

Adolescent↗

The psychosocial impact of play on hospitalized children.

Compared the effects of play on the psychosocial adjustment of 46 children hospitalized for acute illness, who were placed in one of four groups: therapeutic play, diversionary play, verbal support, and no treatment. Ratings of psychological adjustment included self-report, as well as nurse and parent ratings. Children in the therapeutic play condition evidenced a significant reduction in self-reported hospital fears. Parent ratings were not affected by therapeutic treatments; rather, parents in all four groups rated their children less anxious from pre- to posttesting. Results are discussed in terms of methodological considerations that have affected outcomes in this type of research.

Child↗

The relationship of measures of sex-typed play with clinician ratings on degree of gender disturbance.

Forty-nine boys, aged 3 to 11 years, who were referred for an evaluation of a potential gender identity disorder of childhood, were assessed with a standardized in vivo behavioral observation of sex-typed play in an alone condition and with the parent-report Bates-Bentler Games Inventory. Without access to these measures of sex-typed play, an independent clinical psychologist rated each of the subjects on a 9-point scale that indicated the degree of severity of a gender disturbance, based upon child and parent interviews and a complete psychological test battery. The percentage of feminine play in the behavioral observation procedure was found to be correlated significantly with the clinician rating of degree of gender disturbance (r = .55). The Games Inventory was found to differentiate significantly the gender-disturbed boys from the nonclinical reference group on its feminine/preschool games, masculine nonathletic games, and athletic games subscales and on its composite index of feminine play preference; however, only the composite index (and none of the 3 subscales) was correlated significantly (r = .34) with degree of severity of gender disturbance.

Child↗

Age-specific functions of stone handling, a solitary-object play behavior, in Japanese macaques (Macaca fuscata).

Stone handling (SH) in Japanese macaques, a form of solitary-object play, is newly acquired only by young individuals, and is the first example of a directly nonadaptive behavior that is maintained as a behavioral tradition within free-ranging provisioned social troops. We report here the first systematic investigation of this behavior in a stable captive social troop, the Takahama troop, which is housed in an outdoor enclosure of the Primate Research Institute (PRI), Kyoto University, Japan. This study was conducted to evaluate relevant competing hypotheses regarding the function of object play (e.g., misdirected foraging behavior and motor training) to explain the proximal causes and ultimate function(s) of SH. The "misdirected foraging behavior" hypothesis can be ruled out because of the lack of a clear temporal relationship between feeding and the occurrence of SH in any age class. Age-related differences in SH performance and behavioral patterns were observed, suggesting possible differences in the immediate cause and ultimate function between young and adults. Young individuals engaged in frequent bouts of short duration, involving locomotion and vigorous body actions throughout the day, which is typical for play by young in general. This pattern of behavior is consistent with the motor training hypothesis, which states that play occurs during the development of motor and perceptual skills and is thus potentially critical for neural and cognitive development. This practice is continued by those who acquire it at an early age, with adults engaging in significantly fewer but longer bouts that involve more stationary, complex manipulative patterns, almost exclusively in the late afternoon. We propose that for adults, at the proximate level SH is psychologically relaxing, but ultimately functions to maintain and regenerate neural pathways, and potentially helps to slow down the deterioration of cognitive function associated with advanced age in long-lived provisioned and captive macaques.

Aging↗

Locomotor-rotational movements in the ontogeny and play of the laboratory rat Rattus norvegicus.

During postnatal development, young laboratory rats, Rattus norvegicus, exhibit a variety of locomotor-rotational movements, that is, runs and jerk-jumps, in both playful and nonplayful contexts. The frequency of movement types differed between contexts. Some contexts, such as exploration and sleeping, contained spontaneously (i.e., possible eliciting stimuli were not observed) occurring jerk-jumps which varied with increasing age. In some contexts, such as social play, in which locomotor-rotational movements were elicited by observed stimuli, the frequency of jerk-jumps remained similar throughout ontogeny. During social play some locomotor-rotational movements were found to have immediate functions, such as achieving advantage over the partner during play-fighting, and as a means of terminating sensory input from the partner at the end of social contact.

Age Factors↗

Rapid changes in cellular immunity following a confrontational role-play stressor.

Recent laboratory studies have shown several immune system changes consistently associated with brief stress including increases in circulating natural killer (NK) cell numbers, increases in NK cell cytotoxicity (NKCC), increases in suppressor cytotoxic (CD8) T cell numbers, and decreases in the in vitro proliferative response to mitogen stimulation. In the present study, we use a confrontational role-play, which brings out responses varying from assertion to capitulation and examine the psychological, behavioral, physiological, and immune system responses to this task compared to a resting control task. Compared to the control condition, the brief confrontational role-play led to significant subjective and physiological arousal and increases in circulating NK (CD16, CD56) as well as large granular lymphocyte (CD57) cells and suppressor/cytotoxic T cells (CD8). There were also significant relationships between stress-related increases in the cardiovascular measures and the numbers of circulating NK cells. These findings support sympathetic nervous system activation as a primary mechanism for increases in NK cell numbers under challenge. These role-play results are generally consistent with those from other laboratory tasks such as mental arithmetic. However, in contrast to previously examined brief stressors, the role-play led to decreased NKCC adjusted for percentage of NK cells. This apparent differential change in NK cytotoxicity across different types of activating experimental tasks points to the importance of examining dimensions of the behavioral and emotional response to challenge or threat in addition to that of autonomic arousal.

Adult↗

Parental facilitation of children's preparatory play behavior in a stressful situation.

Parental behavior has often been cited as a crucial factor in children's ability to cope with stress. However, there has been little study of ways parents help their children adjust to stressful life events. In the present study, 34 parents and children (ages 4-9) were observed preparing for a stressful life event (elective surgery). Parents were asked to prepare their children for the upcoming stress and were given stress-related hospital equipment to use with their child. Specific hypotheses were selected to study the relationships of five parent helping behaviors to children's active preparatory play with stress-relevant materials. Children's preparatory play alone and with an examiner were also observed to test for effects of children on their parents' helping behavior. As expected, parent helping behaviors were significantly related to children's active preparatory play. With the exception of highly directive behavior, however, the relationship of parent helping behavior to child play was dependent on the child's age. This study suggests the importance of further investigating parental involvement in studying the process of children's coping with stress.

Age Factors↗

The social play of two behaviorally disordered preschool children during four activities. A multiple baseline study.

The effect of contingent teacher attention on the social play of two behaviorally disordered preschool children was investigated. Using a multiple baseline design with reversal conditions, social play was measured on four activities: pegs and pegboard, athletic ball, blocks, and water pail. Baseline data indicated considerable variability in the amount of social play across the four activities. The initiation of the experimental contingency produced a dramatic increase in percentage of time in which the subjects engaged in social play. The implications of these results for the remediation of isolate behavior in young children with multiple behavioral deficits are discussed.

Attention↗

Promoting imitative play through generalized observational learning in autisticlike children.

Three autisticlike boys with deficits in imitative and appropriate play behaviors were taught to play with an unfamiliar toy by observing a peer model demonstrate appropriate play with the toy. Generalization was assessed across toys and models, and temporal maintenance was assessed at 1 and 3 weeks following generalization. Following training each child demonstrated increases in imitative play concomitant with decreases in the frequency of nonmanipulated self-stimulatory behavior. Results are discussed in terms of their implications for the amelioration of social isolation and self-stimulatory behavior.

Autistic Disorder↗

Games parents play with normal and high-risk infants.

Game playing during early infant-parent interactions provides a context for learning conversational turntaking and contingent responsivity. The types and frequency of "universally" recognized infant games were observed during face-to-face interactions of normal and high risk infant-parent dyads when the infants were four months old. Approximately six different games were played for approximately one-third of the interaction time. Except during interactions with normal male infants mothers and fathers played games equally as often. The high-risk infant-parent dyads engaged in game playing less frequently than the normal infant-parent dyads. These differences are discussed in the context of the high-risk infants being "difficult" babies and relatively less responsive.

Adult↗

Increasing isolate and social play in severely disturbed children: intervention and postintervention effectiveness.

A group treatment procedure was instituted in Study 1 to increase the isolate and social play of 4 severely disturbed children. The results indicated that play behavior could be increased significantly by the use of food and social reinforcement and by the use of passive shaping, but that it quickly declined when the intervention was terminated. Social play, however, did remain above baseline levels during extinction. Study 2 replicated the results of Study 1 with a second group of older children, also severely disturbed. However, the procedure of fading adult intervention proved an effective method for increasing the resistance of social play to extinction relative to Study 1. A PROCEDURE OF CONtinuous and multiple-observer reliability assessment was employed for both studies, and the positive results and the methodological implications of the procedure are discussed.

Age Factors↗