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. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: Phys Ther Sport. 2021 May 19;51:8–16. doi: 10.1016/j.ptsp.2021.05.005

Table 4.

Neurocognitive challenge examples.

Cognitive Challenge Numeric Example Alternative Example Alternate Example
Interference Instructor flashes odd # signal, but speaks an even # - before training athletes are told which to attend to for exercise selection or movement direction execution Instructor flashes colored cards but speaks a different color than presented. Before training athletes are told which to attend to for the exercise selection or movement direction (Ex: deck of red and green flashcards, with red (right) and green (left), but instructor says random non-signal colors; Potential progression to: red (lunge) and green (squat) from instructor verbal cue and watch as flash cards cycle and when verbal cue and visual cue match execute a jump) The instructor utilizes a deck of playing cards, and the athlete is to perform a specific task per suite or per color. (Ex: with hearts perform single leg squat (right), diamonds perform single leg squat (left), spades perform double leg squat, clubs perform double leg jump.

Hand Signal: The instructor can point in various directions and the athlete responds with hopping in that direction. Potential progression to: whatever direction the instructor points, the athlete must hop in the opposite direction. Ex: the instructor points left; the athlete must hop right.
Dual task (cognitive-motor) Counting\adding\multiplying Memorizing color string of flash cards that cycle with exercise execution Hand movements with verbal cuing: Example-the instructor will hold their hands up and the athletes are instructed to jump one direction if the right-hand drops, jump the opposite direction if the left hand drops. This could also progress to include a task based on the instructor calling out or holding up an even/odd number. (i.e R hand drop→ jump right; L hand drop→ jump left; even number→ jump forward; odd number→ jump backwards)
Dual task (motor-motor) Lower extremity plyometrics while either:
 1) holding sport instrument\ball, or
 2) engaged in upper extremity task simultaneously
Working memory Digit span Word span Task progression: Athlete must build on a series of tasks, or perform a series of tasks based on instruction. Example: provide instruction on a number of tasks in a row and the athlete must perform in this order (Ex: instruct the athlete in this sequence: squat, squat, hop left, jump back, squat, hop right; the athlete must complete that sequence in order)
Anticipation & Response inhibition Go - No Go Sudden signals to stop mid set or rep of exercise
Spatial tracking Ball\person\object Ball toss or sport-specific ball movement. Example: single leg hop R with L foot volley for soccer player; Single leg hop with chest pass for basketball player