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Saturday, 6 April 2019

Choking and Yips in Golf: Causes and Interventions



Afternoon Everyone! 

I hope you all well :) 


This post is looking at Choking and Yips in Golf. It was an essay I had written back during my undergraduate degree.


These are my own words, feel free to reply below in the comments section. 

Looking forward to hearing your replies




Image Credit: https://www.youtube.com/watch?v=wE_zbnnJlsk 

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**Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for 'fair use' for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use**



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1.0 Abstract
The literature reviewed is centred on “yips, choking, arousal, stress and anxiety” in sport. The sport of focus is golf as it is subjected to all these factors from grass roots level to the professionals on the PGA Tour. Three journals will be analysed within this review comparing their methodology, defining topics, and identifying strengths and limitations between testing procedures and participants. The findings will be reviewed in order to hypothesise where future research needs to direct itself. The literature reviewed was analysed from online databases such as Scopus, Sport Discus and Sage journals. The journals are by the following authors; Klampfl, Lobinger & Raab (2013), Woodman, Akehurst & Beattie (2010) and Stinear, Coxon, Fleming, Lim, Prapavessis & Byblow (2006). Reviewing these papers, there is no standardized method to identifying and/or quantifying yips affected golfers. More studies can lead to a classification for golfers with yips which could provide a useful framework for the appropriate management of yips symptoms. 

1.1 Background on Yips and Choking
Klampfl, Lobinger & Raab (2013), gave a detailed account on the background of what Yips and Choking is. Yips occur mostly during the putting component of golf, as it consists of involuntary movements appearing shortly before hitting the ball that results in a loss of control which leads to missing the putt (McDaniel, Cummings & Shain 1989; Smith et al 2000; Steiner et al 2006). The yips is well known in golfing circles and statistics shows it affects 28-48% of all participants (McDaniel et al 1989; Smith et al 2000). The golfers who stated they were affected by yips identified that the symptoms (similar to choking) occurred at pressure situations (McDaniel et al 1989, Philippen, Klampfl & Lobinger, 2012). Yips is associated with choking under pressure defined as “the process whereby the individual perceives their resources are insufficient to meet the demands of the situation and concludes with a significant drop in performance – a choke” (Hill, Hantin, Fleming and Matthews 2009). Performance anxiety is theorised that it plays a huge role in setting off the yips (McDainel et al 1989; Smith et al 2000). Yips can be described as a very bad form of choking (Masters 1992) as it has similar characteristics to it (Bawden and Maynard 2001). It can be argued that beginner golfers with little to no experience, combined with a high handicap, do suffer from the yips (Philippen, Klampfl & Lobinger 2012).

Gucciardi & Longbottom (2010) stated that, yips isn’t acute but is chronic, and happens over a period of time. This can be exemplified by Rory McIlroy, the Northern Irish golfer, who was leading the US Masters in 2011, and then had a catastrophic failure on the last day when he dropped nearly ten shots due to putting errors (the yips) and choking on the tee when playing high pressure shots. Many different measurement methods have been used to investigate the yips including recording muscle activity using electromyography (EMG), grip force, heart rate, putting performance and kinematic parameters. It has been shown that yips affected golfers exhibit an increased muscle activity (Smith et al 2000, Steiner et al 2006) within the lower forearm muscles (Alder et al 2005, 2011).
While this is significant, Smith (2000) found yips affected golfers had decreased performance accuracy which can be attributed to an increase in anxiety and elevated arousal levels. Applying the inverted U-Hypothesis; as arousal increases, so too does performance, were it comes to a point too much arousal leads to a decrease in performance (Hardy & Fazey 1988). This decrease in performance can be described as choking or better explained as the Catastrophe model (Hardy 1990). However, in Steiner’s 2000 paper, there was no recorded difference in performance between affected and non-affected yip groups on their accuracy.



2.0 Literature Review
In this section, the report will look at what theories underpin choking and yips, and the methodology of the papers analysed. 


2.1 Theories
 Models which explain the mechanisms of choking under pressure include Distraction Theories (Eysenck & Calvois 1992) & Self Focus Theories. Distraction looks at athletes focusing on anything but the task at hand e.g. a runner would focus on their breathing instead of their position in the race. Self focus theories assumes that performance anxiety causes the athlete to shift the focus of attention inward or to consciously monitor the skill, which detrimentally affects the well learned, automated action (Baumeister 1984).
The Reinvestment Theory is defined as the manipulation of conscious explicit, rule based knowledge, by working memory to control the mechanisms of one’s movements using motor output (Masters 1992). “To yip or not to yip, that is the question” (Rotherham, Maynard, Thomas & Bawden 2007), found through a questionnaire, that yips affected athletes had an increased tendency both to consistently control (reinvest in) their movements and to be perfectionists. The occurrence of choking under pressure also depended on two appraisals, according to the class stress model (Lazarus 1974).
Yips can also be described as a physical issue. Dystonia (or better known as Focal Dystonia) describes a neuromuscular movement disorder whose symptoms include involving muscular contractions resulting in twisting & repetitive movement or abnormal postures occurring exclusively in one body part and during the performance of a task (Pont-Sunyer, Martí, & Tolosa 2010). Dystonia has also been reported in table tennis (Le Floch et al 2010) and tennis (Mayer, Topka, Boose, Horstmann & Dickhuth 1999). Mechanisms of dystonia are still unclear but are assumed to involve abnormalities within the basal ganglia, inhibiting & processing dysfunction of the sensorimotor system & abnormal plasticity (Rosenkaranz et al 2008). 


2.2 Yips in Golf 
The purpose of the first paper, “The Yips in Golf: Multimodal Evidence for Two Subtypes”, was to determine whether a model of the two subtypes of yips is supported by evidence from a range of physiological, behavioural and psychological measures. There were 24 volunteers divided into affected and non-affected yip groups. Statistical tests used included a one way analyses of variance to test for the differences between the golfing groups and the independent two-tailed t-tests were used also. The subjects were measured physically using an EMG (electromyography) to record muscle activity, performance measure (putting ability) and psychologically (state anxiety) using the CSAI-2 (Competitive State Anxiety Inventory – 2) scale.

They were tested in situations to create high/low pressure/monetary incentive to either facilitate or inhibit the subjects’ putting performance using a video camera to record them (higher pressure) and/or a confederate to use negative reinforcement when they missed a putt. Limitations of this paper included putting accuracy was 50% for all three groups, implying the task may have been quite difficult. The control group of golfers tended to be younger and of a lower handicap than the two other yips groups. This is to be expected as yips takes a number of years to develop to compromise a performance and is consistent with previous research (McDaniel et al 1989).
The purpose of the study was achieved as the results supported the classification of yips into Type 1 and Type 2. The four hypothesis for this study concluded that under low pressure situations, there still is a large amount of muscle activity in the Type 1 golfers when compared to the control group. Type 2 golfers’ performance was significantly better in the absence of monetary reward (high pressure).  It was confirmed that Type 2 golfers would have higher state anxiety but this was a small difference and did not affect low and high pressure situations. 




https://www.smithsonianmag.com/science-nature/the-science-of-choking-under-pressure-133896043/ 




2.3 Self Confidence and Performance 
The objective of the second paper, “Self-confidence and performance: A little self-doubt helps”, was to test the theory that a decrease in confidence on a well learned task will increase effort and performance. It used a two (group: control, experimental) x two (trial: practice, competition) mixed-model with repeated measures on second factor.  The study used expert skippers. Their confidence was reduced via a combination of factors including changing of equipment or the environment. The 28 participants who volunteered were all confident with their skipping ability. Confidentiality was assured. Subjects were randomly assigned to either a control or an experimental group with a monetary reward in the competition trial. Both used the same type of skipping rope except the experimental group was coloured white to create self-doubt.
Performance was measured using how many skips per minute. Measuring tools included the use of the SSCI (State Sport Confidence Inventory) and an auditory probe in the skipping rope to record the number of skips. The study used a mixed model analyses of variance (ANOVA) on performance and showed a significant main effect for the experimental group. Results from the study supported the initial hypothesis. Post hoc tests showed a significant decrease in confidence but improvement in performance, but only in the experimental group. Main limitations of this study is the simplistic nature of the task as it has no real carry-over to any sports. If it was applied to more complex tasks such as golf or pole vault, then it would carry more weight.  Also, there was little presence of competition which would have increased anxiety and arousal levels leading to the possible occurrence of yips being shown. A positive take from this is most research states, when confidence is reduced, performance is reduced too (Woodman & Hardy 2003). However, in this paper, performance was improved. The literarure surrounding self-confidence, for the majority, leans towards reduced confidence means a decrease in performance (Feltz 1988).

2.3 How to Detect Yips in Golf
The purpose of the final paper, “How to Detect Yips in Golf”, was to identify sensitive methods for detecting the yips and evaluating its aetiology. Forty subjects volunteered who were split into affected and non-affected yips groups. All participants were right handed which standardises the results. Both groups completed a psychometric testing battery by performing putting sessions in the labs. Groups answered questions on their yips and golfing experience by completing an online survey measuring trait anxiety, perfectionism, stress coping strategies, somatic complaints and movement and decision reinvestment.

Testing was done on putting performance over 5 different conditions that might trigger the yips. These conditions include both arms, under pressure, one arm, with a uni-hockey racket and with latex gloves. Results recorded using EMG of the arm, kinaesthetic parameters, putting performance and situational anxiety. The experiment took place in the lab on a putting surface 1.5m in length. There was a monetary incentive - for every ball the subject earned 1 Euro. All Euros earned would be donated to a charity in Africa which would create high pressure as there was a need to hole the putts for a worthy cause.
Statistical tests ran included MANOVA’s (Multivariate Analyses Of Variance), Greenhouse Giesser correlation applied and follow up analyses of variance (ANOVA). With this being said one study concluded that yips causes the golfer to change their putter face due to them being aware of having yips, not due to the situation (high or low pressure etc.) (Marquardt 2009). 


2.4 Links between Papers
All three papers used monetary incentives to create a higher pressure situation which would bring on yips and choking. Limitations of these studies are they are all controlled and not in the natural environment. There is no real competition or audiences with them which reduces the effect of yips, choking and anxiety levels. Yips can be divided into two categories (Type 1 and Type 2) which the papers agree upon, and that yips are heavily influenced by experience, age, ability, and each individual’s state/trait anxiety. 


3.0 Summary
Reviewing all the papers, there is no standardized method to identifying and/or quantifying yips affected golfers.  The paper,  “How to Detect Yips in Golf”, (Klampfl, Lobinger & Raab 2013, was the first of its kind to combine an array of psychometric and psychophysiological, behavioural and kinematic measures, to build up a picture of what yips actually is and how it can present itself. Its recommendations for future research include kinematics to investigate more into yips and possible interventions to eliminate them. “The Yips in Golf” paper concluded with future research towards determining how stress (which golfers experience) interacts with the factors underlying Type 1 (dystonia) and Type 2 (choking) yips. This study provides evidence to support Smith’s model.
More studies can lead to a classification for golfers with yips which could provide a useful framework for the appropriate management of yips symptoms.  In the “Self-Confidence and Performance” paper, future research lent towards looking at the effects of anxiety and self-confidence on performance rather than each of these relationships in isolation and apply them to a range of sporting situations.
In conclusion, from all the papers reviewed, future investigations of yips should use an array of tests to increase the validity and reliability of understanding and identifying yips before creating suitable interventions. For future research, more studies need to be done on both yips, choking and self-doubt. Then, once more literature has been gathered, and there is a better testing battery to identify yips, then sports science can start to test for yips and choking, not only in golfers, but in a range of sports.

                                                                               
References
1.      Adler, C. H., Crews, D., Hentz, J. G., Smith, A. M., & Caviness, J. N. (2005). Abnormal co-contraction in yips-affected but not unaffected golfers: Evidence for focal dystonia. Neurology, 64, 1813–1814.


2.      Adler, C. H., Crews, D., Kahol, K., Santello, M., Noble, B., Hentz, J. G., et al (2011). Are the yips a task-specific dystonia or golfer’s cramp? Movement Disorders, 26, 1993–1996.


3.      Baumeister, R. F. (1984). Choking under pressure—Self-consciousness and paradoxical effects of incentives on skilful performance. Journal of Personality and Social Psychology, 46, 610–620.


4.      Bawden, M., & Maynard, I. (2001). Towards an understanding of the personal experience of the yips in cricketers. Journal of Sports Sciences, 19, 937–953.


5.      Eysenck, M. W., & Calvo, M. G. (1992). Anxiety and performance: The processing efficiency theory. Cognition & Emotion6(6), 409-434


6.      Feltz, D. L. (1988). Self-Confidence and Sports Performance. Exercise and Sport Sciences Reviews. 16, 423-57. 


7.      Gucciardi, D. F., Longbottom, J. L., Jackson, B., & Dimmock, J. A. (2010). Experienced golfers’ perspectives on choking under pressure. Journal of Sport & Exercise Psychology, 32, 61–83.


8.      Hardy, L. (1990). A catastrophe model of performance in sport.


9.      Hardy, L., & Fazey, J. (1988). The inverted-U hypothesis: A catastrophe for sport psychology. University of Wales, Bangor, SHAPE.


10.  Hill, D. M., Hanton, S., Fleming, S., & Matthews, N. (2009). A re-examination of choking in sport. European Journal of Sport Science, 9, 203–212


11.  Klämpfl, M. K., Lobinger, B. H., & Raab, M. (2013). How to detect the yips in golf. Human movement science, 32(6), 1270-1287.


12.  Lazarus, R. S. (1974). Psychological stress and coping in adaptation and illness. International Journal of Psychiatry in Medicine, 5, 321–333.


13.  Le Floch, A., Vidailhet, M., Flamand-Rouviere, C., Grabli, D., Mayer, J. M., Gonce, M., et al (2010). Table tennis dystonia. Movement Disorders, 25, 394–397.


14.  Marqardt, C. (2009). The Vicious circle involved in the development of the yips. International Journal of Sports Science and Coaching. 4, 67-88.


15.  Masters, R. S. W. (1992). Knowledge, nerves and know-how: The role of explicit versus implicit knowledge in the breakdown of a complex motor skill under pressure. British Journal of Psychology, 83, 343–358.


16.  Mayer, F., Topka, H., Boose, A., Horstmann, T., & Dickhuth, H. H. (1999). Bilateral segmental dystonia in a professional tennis player. Medicine & Science in Sports & Exercise, 31, 1085–1087.


17.  McDaniel, K. D., Cummings, J. L., & Shain, S. (1989). The yips: A focal dystonia of golfers. Neurology, 39, 192–195.


18.  Philippen, P. B., Klämpfl, M. K., & Lobinger, B. H. (2012). Prevalence of the yips in golf across the entire skill range. Manuscript submitted for publication.


19.  Pont-Sunyer, C., Martí, M. J., & Tolosa, E. (2010). Focal limb dystonia. European Journal of Neurology, 17, 22–27.


20.  Rosenkranz, K., Butler, K., Williamon, A., Cordivari, C., Lees, A. J., & Rothwell, J. C. (2008). Sensorimotor reorganization by proprioceptive training in musician’s dystonia and writer’s cramp. Neurology, 70, 304–315.


21.  Rotheram, M., Maynard, I., Thomas, O., & Bawden, M. (2007). To yip or not to yip, that is the question. Journal of Sports Sciences, 25(Suppl. 2), S5–S6


22.  Smith, A. M., Malo, S. A., Laskowski, E. R., Sabick, M., Cooney, W. P. I. I. I., Finnie, S. B., et al (2000). A multidisciplinary study of the yips phenomenon in golf: An exploratory analysis. Sports Medicine, 30, 423–437.


23.  Smith, A., C. H. Alder, D. Crews (2003). The “yips” in golf: a continuum between a focal dystonia and choking. Sports Med. 33:13-31.


24.    Smith, A.M., Alder, C.H., Crews, D., Wharren, R. E., Laskowiski, E. R., Barnes, K. (2003). The Yips in Golf: A Continuum between a focal dystonia and choking. Sports Medicine, 33, 13-31. 


25.  Stinear, C. M., Coxon, J. P., Fleming, M. K., Lim, V. K., Prapavessis, H., & Byblow, W. D. (2006). The yips in golf: Multimodal evidence for two subtypes. Medicine and Science in Sports and Exercise, 38, 1980–1989.


26.  Woodman, T., & Hardy, L. (2003). The relative impact of cognitive anxiety and self-confidence upon sport performance: a meta-analysis. Journal of Sports Sciences, 21:443-457


27.  Woodman, T., Akehurst, S., Hardy, L., & Beattie, S. (2010). Self-confidence and performance: A little self-doubt helps. Psychology of Sport and Exercise, 11(6), 467-470.





Andrew Richardson, Founder of Strength is Never a Weakness Blog





















I have a BSc (Hons) in Applied Sport Science and a Merit in my MSc in Sport and Exercise Science and I passed my PGCE at Teesside University. 
Now I will be commencing my PhD into "Investigating Sedentary Lifestyles of the Tees Valley" this October 2019. 

I am employed by Teesside University Sport and WellBeing Department as a PT/Fitness Instructor.  


My long term goal is to become a Sport Science and/or Sport and Exercise Lecturer. I am also keen to contribute to academia via continued research in a quest for new knowledge.


My most recent publications: 


My passion is for Sport Science which has led to additional interests incorporating Sports Psychology, Body Dysmorphia, AAS, Doping and Strength and Conditioning. 
Within these respective fields, I have a passion for Strength Training, Fitness Testing, Periodisation and Tapering. 
I write for numerous websites across the UK and Ireland including my own blog Strength is Never a Weakness. 
























I had my own business for providing training plans for teams and athletes. 
I was one of the Irish National Coaches for Powerlifting, and have attained two 3rd places at the first World University Championships, 
in Belarus in July 2016.Feel free to email me or call me as I am always looking for the next challenge. 



Contact details below; 

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Facebook Page: @StrengthisNeveraWeakness

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Snapchat: @andypowerlifter 

Email: a.s.richardson@tees.ac.uk

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