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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">AVEH</journal-id>
<journal-title-group>
<journal-title>African Vision and Eye Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">2413-3183</issn>
<issn pub-type="epub">2410-1516</issn>
<publisher>
<publisher-name>AOSIS</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">AVEH-83-955</article-id>
<article-id pub-id-type="doi">10.4102/aveh.v83i1.955</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Comparing visio-spatial intelligence in amateur rugby and netball players using hand-eye coordination tests</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5528-8983</contrib-id>
<name>
<surname>Millard</surname>
<given-names>Lourens</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2586-4668</contrib-id>
<name>
<surname>Breukelman</surname>
<given-names>Gerrit J.</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9566-7080</contrib-id>
<name>
<surname>Mathe</surname>
<given-names>Nonkululeko</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<aff id="AF0001"><label>1</label>Department of Human Movement Science, Faculty of Science, Agriculture and Engineering, University of Zululand, Richards Bay, South Africa</aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><bold>Corresponding author:</bold> Lourens Millard, <email xlink:href="millardl@unizulu.ac.za">millardl@unizulu.ac.za</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>08</day><month>11</month><year>2024</year></pub-date>
<pub-date pub-type="collection"><year>2024</year></pub-date>
<volume>83</volume>
<issue>1</issue>
<elocation-id>955</elocation-id>
<history>
<date date-type="received"><day>28</day><month>05</month><year>2024</year></date>
<date date-type="accepted"><day>07</day><month>10</month><year>2024</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2024. The Authors</copyright-statement>
<copyright-year>2024</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Background</title>
<p>Research investigating the differences in visio-spatial skills (VSS) between athletes and non-athletes, as well as variations across sports, presents conflicting findings.</p>
</sec>
<sec id="st2">
<title>Aim</title>
<p>The objective of this study was to determine if there exist significant differences in visio-spatial intelligence (VSI) skills between rugby players and netball players, and whether such disparities are present when comparing both groups to non-athletes.</p>
</sec>
<sec id="st3">
<title>Setting</title>
<p>All participants, including the control group (non-athletes), rugby players and netball players, were recruited from the Zululand region of South Africa&#x2019;s KwaZulu-Natal province, specifically from all premier league rugby and netball teams in the area.</p>
</sec>
<sec id="st4">
<title>Methods</title>
<p>Participants underwent an optometric assessment, followed by an evaluation of VSS using six established tests: The Hart Near Far Rock, saccadic eye movement, evasion, accumulator, flash memory and ball wall toss tests.</p>
</sec>
<sec id="st5">
<title>Results</title>
<p>The results revealed that rugby players significantly outperformed netball players in speed of recognition, peripheral awareness and hand-eye coordination (<italic>P</italic> = 0.000). Moreover, both rugby players and netball players performed significantly better than non-athletes in five of the six tests (<italic>P</italic> = 0.000), with the exception being the visual memory test (<italic>P</italic> = 0.809).</p>
</sec>
<sec id="st6">
<title>Conclusion</title>
<p>This discrepancy in performance suggests that certain VSS are superior in athletes compared to non-athletes, highlighting potential implications for theories of vision, test selection and the development of sport-specific VSS testing batteries. Furthermore, the use of a hand-eye coordination-specific VSS test battery effectively differentiated between different sports.</p>
</sec>
<sec id="st7">
<title>Contribution</title>
<p>The identified pattern was not consistent across all VSS tests, indicating that further research should explore the training methods employed by both sports, as these factors may contribute to the observed differences.</p>
</sec>
</abstract>
<kwd-group>
<kwd>visio-spatial intelligence (VSI)</kwd>
<kwd>Rugby vision</kwd>
<kwd>netball vision</kwd>
<kwd>visual skills</kwd>
<kwd>sport</kwd>
</kwd-group>
<funding-group>
<funding-statement><bold>Funding information</bold> This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s0001">
<title>Introduction</title>
<p>One of the most sophisticated and essential sensory systems for receiving information from the environment is vision.<sup><xref ref-type="bibr" rid="CIT0001">1</xref></sup> Sports vision refers to an individual&#x2019;s ability to effectively and efficiently utilise the three phases of visual processing &#x2013; perception, integration and response &#x2013; to react to a stimulus.<sup><xref ref-type="bibr" rid="CIT0002">2</xref></sup> This is a growing area of research in sport physiology and optometry, requiring a wide range of physical and mental skills for competitive sports.<sup><xref ref-type="bibr" rid="CIT0002">2</xref></sup> Vision is a crucial factor in sports execution,<sup><xref ref-type="bibr" rid="CIT0003">3</xref>,<xref ref-type="bibr" rid="CIT0004">4</xref></sup> and high-level sports performance is achieved only when both visual information and cognitive abilities are adequate.<sup><xref ref-type="bibr" rid="CIT0005">5</xref>,<xref ref-type="bibr" rid="CIT0006">6</xref></sup> Sports training programmes often emphasise visual and visual-motor skills because sports are perceptually demanding, and athletes, coaches and trainers constantly seek ways to enhance these skills.<sup><xref ref-type="bibr" rid="CIT0007">7</xref></sup> Phrases such as &#x2018;the eyes guide the body&#x2019;, &#x2018;keep your eye on the ball&#x2019;, and &#x2018;you can&#x2019;t strike what you can&#x2019;t see&#x2019; highlight the critical role that vision plays in athletics.<sup><xref ref-type="bibr" rid="CIT0008">8</xref>,<xref ref-type="bibr" rid="CIT0009">9</xref></sup> The notion that expert athletes possess superior visual-perceptual and visual-cognitive abilities is supported by empirical evidence across various sports disciplines.<sup><xref ref-type="bibr" rid="CIT0008">8</xref>,<xref ref-type="bibr" rid="CIT0009">9</xref></sup></p>
<p>Rugby necessitates visual skills that enable players to perform tasks such as target identification, scanning the opponent&#x2019;s playing style, positioning, reacting to audio-visual signals, and most importantly, hand-eye and foot-eye coordination.<sup><xref ref-type="bibr" rid="CIT0010">10</xref>,<xref ref-type="bibr" rid="CIT0011">11</xref></sup> For instance, during a line-out, players require excellent hand-eye coordination with the ball, precise timing for throwing and catching, and the use of both central and peripheral vision to successfully complete the catch, often using opponents&#x2019; eye gazes as cues.<sup><xref ref-type="bibr" rid="CIT0011">11</xref></sup> Research conducted by Du Toit et al.<sup><xref ref-type="bibr" rid="CIT0012">12</xref></sup> on 20 female rugby players aged 19 to 24 years confirmed the positive impact of a sports vision training programme on visual skills and hand-eye coordination.</p>
<p>Netball is categorised as a non-static sport, requiring continuous processing of visual information for over an hour. This necessitates visual attention and dynamism from the player to consistently process game-related information.<sup><xref ref-type="bibr" rid="CIT0013">13</xref>,<xref ref-type="bibr" rid="CIT0014">14</xref></sup> Coaches should recognise that optimal performance in competitive sports such as netball involves the entire body, including the visual system.<sup><xref ref-type="bibr" rid="CIT0015">15</xref></sup> Netball performance depends on making precise decisions based on visual input,<sup><xref ref-type="bibr" rid="CIT0015">15</xref></sup> and the effectiveness of a player&#x2019;s visual system in interpreting information determines their ability to perform quickly and accurately.<sup><xref ref-type="bibr" rid="CIT0016">16</xref></sup> According to Wilson and Falkel,<sup><xref ref-type="bibr" rid="CIT0017">17</xref></sup> hand-eye coordination, balance and visual skills (such as accommodation, visual tracking of teammates and opponents, and peripheral awareness) are among the most essential skills in netball.</p>
<p>Research on gender disparities in cognitive capacity is contradictory; however, it is generally acknowledged by social and psychological scientists that men and women have different spatial abilities.<sup><xref ref-type="bibr" rid="CIT0018">18</xref>,<xref ref-type="bibr" rid="CIT0019">19</xref></sup> Studies have shown that males exhibit stronger spatial skills on average than females in various sports categories.<sup><xref ref-type="bibr" rid="CIT0020">20</xref></sup> However, when comparing tennis and volleyball athletes (both hand-eye coordination sports) with similar performance and training experiences, no significant differences in spatial ability were found between males and females, suggesting that sport activity may influence spatial abilities.<sup><xref ref-type="bibr" rid="CIT0021">21</xref></sup> In other high-impact sports such as basketball, female athletes have been found to outperform male athletes, with evidence suggesting that androgens might enhance spatial abilities in women while impairing them in men.<sup><xref ref-type="bibr" rid="CIT0022">22</xref></sup></p>
<p>These findings indicate that the physical impact level and associated hormonal variations may explain the differences in capacities between male and female athletes.<sup><xref ref-type="bibr" rid="CIT0022">22</xref></sup> The contradictory findings on visio-spatial intelligence (VSI) between male and female athletes may be because of the use of standard testing methods rather than sport-specific test batteries. There is a knowledge gap regarding the VSI of male and female athletes because of the lack of sport-specific research. This study was conducted to compare VSI between male rugby players and female netball players using a hand-eye coordination-specific visual test battery.</p>
<sec id="s20002">
<title>Aims and hypothesis</title>
<p>The aim of this study was to compare the VSI of amateur rugby and netball players using a hand-eye coordination specific visual test battery. Six visio-spatial skills (VSS) components were compared between amateur rugby players and netball players in this study: accommodation facility, saccadic eye movement, speed of recognition, peripheral awareness, hand-eye coordination and visual memory. The study hypothesises that rugby and netball players will exhibit superior VSS compared to non-athletes.</p>
</sec>
</sec>
<sec id="s0003">
<title>Research methods and design</title>
<sec id="s20004">
<title>Participants</title>
<p>The study sampled male amateur rugby players (<italic>n</italic> = 35), female netball players (<italic>n</italic> = 35), and a sedentary control group (<italic>n</italic> = 35), all participants were aged 18 to 34 years. All participants, including the control group (non-athletes), rugby players and netball players, were recruited from the Zululand region of South Africa&#x2019;s KwaZulu-Natal province, specifically from all premier league rugby and netball teams in the area. A non-probability sampling technique was employed. Rugby and netball players were required to have completed 30 h of training and played at least one competitive game per week in the Premier League in the previous three months. To ensure group equivalence, participants in each group were age-matched. The non-athletes participating were required to not participate in any form of sport for the past 6 months.</p>
</sec>
<sec id="s20005">
<title>Optometric assessment</title>
<p>Each participant underwent a general optometric assessment using the Spectrum Eyecare program (Version 6.0.0, Digital Optometry, Republic of South Africa) to determine whether any visual impairments prevented them from taking part in the study. Every participant claimed to have normal or corrected-to-normal vision, characterised 20/20 or greater vision. All of them had previously undergone a VSS test.</p>
</sec>
<sec id="s20006">
<title>Visio-spatial skill test battery</title>
<p>Testing was conducted on weekday mornings between 07:00 am and 12:00 pm in the post-absorptive state following a 9 to 12-h fast to minimise the influence of any meal or supplement influences. To minimise any physical and psychological effects, participants were assessed at least 48 h after partaking in any physical activity. Both groups received the same VSS test battery, which was administered in the following order to prevent the impact of earlier tests on later tests: accommodation facility, saccadic eye movements, speed of recognition, hand-eye coordination, peripheral awareness and visual memory. Five minutes of rest was taken between each session to ensure adequate recovery.</p>
<sec id="s30007">
<title>Accommodation facility</title>
<p>The ability of an eye to locate and recognise an object at a specific distance, as well as its position, orientation and refractive errors, was evaluated using a Hart Chart.<sup><xref ref-type="bibr" rid="CIT0023">23</xref>,<xref ref-type="bibr" rid="CIT0024">24</xref></sup> The test is valid and reliable to use, with a reliability score of 0.724.<sup><xref ref-type="bibr" rid="CIT0025">25</xref>,<xref ref-type="bibr" rid="CIT0026">26</xref></sup> The Hart Chart was placed at each participant&#x2019;s head height on a wall 3 m away. Each participant was required to hold a second chart at arm&#x2019;s length, the font size of the letters was standardised according to the set up used by previous authors. The participants were then requested to read aloud the first letter of the first line of the chart from 3 m, and they were then told to read aloud the first letter of the chart from an arm&#x2019;s length away.<sup><xref ref-type="bibr" rid="CIT0026">26</xref>,<xref ref-type="bibr" rid="CIT0027">27</xref></sup> The participants were instructed to continue in this manner for 30 s, at the end of which the errors and their final score (i.e. the number of letters properly read) were recorded. The final score was calculated by deducting the participant&#x2019;s total number of errors from the overall score. Various charts were used to demonstrate that letters cannot be memorised.<sup><xref ref-type="bibr" rid="CIT0023">23</xref>,<xref ref-type="bibr" rid="CIT0026">26</xref></sup> After a 5-min intersession break, the highest score from the two trials was recorded and used in the analysis.</p>
</sec>
<sec id="s30008">
<title>Saccadic eye movements</title>
<p>The participant&#x2019;s eyes were monitored using a saccadic eye movement chart to determine how rapidly they moved to a new location in the visual field.<sup><xref ref-type="bibr" rid="CIT0017">17</xref>,<xref ref-type="bibr" rid="CIT0028">28</xref>,<xref ref-type="bibr" rid="CIT0029">29</xref></sup> The reliability of this test is 0.703.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> This chart has movable letters running vertically downward on both sides of the page. Various charts were used to prevent letters from being memorised.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> Two saccadic eye movement charts fixed on a wall and separated by 1 m were placed 3 m apart from the participant. The participant was then required to quickly turn to the right chart and read the first letter aloud on the lateral side before doing the same on the left side of the chart. The participants were instructed to shift their eyes while maintaining a constant head position. The test lasted for 30 s, and both the final score and the number of errors (i.e. number of letters were read) were recorded by deducting the number of errors from the total number of letters read. The highest score from the two trials was recorded and used in the analysis at the end, with a 5-min rest period in between.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup></p>
</sec>
<sec id="s30009">
<title>Speed of recognition</title>
<p>The Batak Pro (Quotronics, Surrey, United Kingdom),<sup><xref ref-type="bibr" rid="CIT0030">30</xref></sup> which has a reliability of 0.946 and requires the subject to react to a mobile stimulus,<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> was used to evaluate the participants&#x2019; speed of recognition. The Batak Pro equipment stands out for its capacity to emit light with a one-second lifespan, which is used to prompt a neurological speed of response in test subjects in sports including tennis, basketball, rugby and netball.<sup><xref ref-type="bibr" rid="CIT0025">25</xref></sup> This software allowed 100 timed targets to glow randomly, with Batak&#x2019;s &#x2018;time&#x2019; light-emitting diode (LED) panel counting the targets down from 100 to zero, and the &#x2018;score&#x2019; LED screen showing each successful attack. The targets were maintained to provide a potential attack window of one second. If the wrong target was struck, or it was hit &#x2018;out of time&#x2019;, the entire procedure was accelerated. The participant was instructed to perform this exercise without striking any flashing targets. In addition to losing five points for striking the target, the athlete also received a verbal &#x2018;foul&#x2019; from the equipment. The infrared beam was immediately released, and the participant had to dodge it or lose five points if all targets in the middle lit up simultaneously. The system recorded all errors, automatically deducted them from the final score, and computed the score.<sup><xref ref-type="bibr" rid="CIT0030">30</xref></sup> After a 5-min intersession break, the highest score from the two trials was recorded and used in the analysis.</p>
</sec>
<sec id="s30010">
<title>Peripheral awareness</title>
<p>The ability of participants to perceive objects and motion that are not directly in front of them was assessed using the Accumulator Program of the Batak Pro.<sup><xref ref-type="bibr" rid="CIT0030">30</xref></sup> The reliability of this test is 0.885.<sup><xref ref-type="bibr" rid="CIT0025">25</xref></sup> As part of the Accumulator Program, random targets on the Batak Pro remained lit for 60 s before the participant touched them.<sup><xref ref-type="bibr" rid="CIT0030">30</xref></sup> Two trials were conducted with a 5-min break in between, and the system recorded the targets that were successfully touched in 60 s. The top score was recorded and used in the concluding stage of the analysis.</p>
</sec>
<sec id="s30011">
<title>Hand-eye coordination</title>
<p>To assess hand-eye coordination, a tennis ball wall throw was used in this study.<sup><xref ref-type="bibr" rid="CIT0025">25</xref></sup> The reliability rating of this test was 0.708.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> Each player had to throw the ball from a designated location two meters away from the wall and catch it using their opposite hands, the participant was allowed to pick up the ball from the ground if it falls. The participants performed this for 30 s.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> For each ball that the participant successfully caught, points were scored. The competitors had 30 s to complete as many catches as they could. A 5-min break was taken between each session and the highest score from the two trials was recorded and used in the analysis.</p>
</sec>
<sec id="s30012">
<title>Visual memory</title>
<p>The Batak Pro Flash Program, which entailed the illumination of six randomly selected targets for 0.5 s, was utilised to evaluate the memory where the stored information was collected by the visual system.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> This test has a reliability of 0.735.<sup><xref ref-type="bibr" rid="CIT0026">26</xref></sup> Following the sound of the &#x2018;double beep&#x2019; instruction, participants had to reliably recall the specific targets and the sequence in which they were activated and strike the illuminated targets (which lit up in a certain order). The &#x2018;score b&#x2019; LED panel displayed the maximum score, while the &#x2018;score a&#x2019; LED screen displayed the points received for each successful strike.<sup><xref ref-type="bibr" rid="CIT0030">30</xref></sup> The highest scores from the two trials were recorded and used in the final data analysis. Between trials, there was a 5-min rest period.</p>
</sec>
</sec>
<sec id="s20013">
<title>Ethical considerations</title>
<p>The study followed the tenets of the declaration of Helsinki and approval was obtained from the ethical board committee (UZREC 171110-030 PGD 2019/24 and UZREC 171110-030 PGM 2022/55) of the University of Zululand in the form of certificates. Informed consent was obtained from all subjects prior to participating in the study after indications and potential consequences of the study had been explained in detail. All data collected were kept safe in a password protected excel document that was saved on the laptop of the first author.</p>
</sec>
</sec>
<sec id="s0014">
<title>Results</title>
<p>The findings showed that there was a significant difference (<italic>P</italic> &#x2264; 0.05) between rugby players and netball players in three of the six tests (<xref ref-type="table" rid="T0001">Table 1</xref>). In terms of speed of recognition (<italic>P</italic> = 0.000), peripheral awareness (<italic>P</italic> = 0.000) and hand-eye coordination (<italic>P</italic> = 0.000), rugby players significantly outperformed netball players, but not in terms of accommodation facility (<italic>P</italic> = 0.070), saccadic eye movement (<italic>P</italic> = 0.156) and visual memory (<italic>P</italic> = 0.163). The findings showed that there was a significant difference (<italic>P</italic> &#x2264; 0.05) between rugby players and the sedentary control group in five of the six tests (<xref ref-type="table" rid="T0002">Table 2</xref>). In terms of accommodation facility (<italic>P</italic> = 0.000), saccadic eye movement (<italic>P</italic> = 0.000), speed of recognition (<italic>P</italic> = 0.000), peripheral awareness (<italic>P</italic> = 0.000) and hand-eye coordination (<italic>P</italic> = 0.000), rugby players significantly outperformed the sedentary group, but not in terms of visual memory (<italic>P</italic> = 0.809). Furthermore, the findings showed that there was a significant difference (<italic>P</italic> &#x2264; 0.05) between netball players and the sedentary control group in five of the six tests (<xref ref-type="table" rid="T0003">Table 3</xref>). In terms of accommodation facility (<italic>P</italic> = 0.000), saccadic eye movement (<italic>P</italic> = 0.000), speed of recognition (<italic>P</italic> = 0.000), peripheral awareness (<italic>P</italic> = 0.000) and hand-eye coordination (<italic>P</italic> = 0.000), netball players significantly outperformed the sedentary group, but not in terms of visual memory (<italic>P</italic> = 0.195).</p>
<table-wrap id="T0001">
<label>TABLE 1</label>
<caption><p>Visio-motor expertise comparison in rugby players and netball players.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Visio-spatial skill</th>
<th valign="top" align="center">Rugby players (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Netball players (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Difference (&#x0025;)</th>
<th valign="top" align="center">Significance (<italic>P</italic>-value)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Accommodation facility</td>
<td align="center">38.66 &#x00B1; 4.58</td>
<td align="center">36.23 &#x00B1; 6.34</td>
<td align="center">6.3</td>
<td align="center">0.070</td>
</tr>
<tr>
<td align="left">Saccadic eye movement</td>
<td align="center">48.69 &#x00B1; 6.40</td>
<td align="center">45.94 &#x00B1; 9.32</td>
<td align="center">5.7</td>
<td align="center">0.156</td>
</tr>
<tr>
<td align="left">Speed of recognition</td>
<td align="center">51.03 &#x00B1; 14.67</td>
<td align="center">27.49 &#x00B1; 15.22</td>
<td align="center">46.2</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0001">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Peripheral awareness</td>
<td align="center">76.34 &#x00B1; 4.34</td>
<td align="center">63.97 &#x00B1; 6.43</td>
<td align="center">16.2</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0001">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Hand-eye coordination</td>
<td align="center">29.91 &#x00B1; 3.67</td>
<td align="center">24.23 &#x00B1; 3.73</td>
<td align="center">19.0</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0001">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Visual memory</td>
<td align="center">46.37 &#x00B1; 5.96</td>
<td align="center">44.60 &#x00B1; 4.43</td>
<td align="center">3.8</td>
<td align="center">0.163</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Mean &#x00B1; s.d.</p></fn>
<fn id="TFN0001"><label>&#x002A;</label><p>, Statistically significant (<italic>P</italic> &#x2264; 0.05).</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T0002">
<label>TABLE 2</label>
<caption><p>Visio-motor expertise comparison in rugby players and sedentary control group.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Visio-spatial skill</th>
<th valign="top" align="center">Rugby players (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Sedentary control group (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Difference (&#x0025;)</th>
<th valign="top" align="center">Significance (<italic>P</italic>-value)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Accommodation facility</td>
<td align="center">38.66 &#x00B1; 4.58</td>
<td align="center">29.17 &#x00B1; 2.75</td>
<td align="center">24.6</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0002">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Saccadic eye movement</td>
<td align="center">48.69 &#x00B1; 6.40</td>
<td align="center">33.11 &#x00B1; 4.86</td>
<td align="center">32.0</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0002">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Speed of recognition</td>
<td align="center">51.03 &#x00B1; 14.67</td>
<td align="center">12.00 &#x00B1; 5.92</td>
<td align="center">76.5</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0002">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Peripheral awareness</td>
<td align="center">76.34 &#x00B1; 4.34</td>
<td align="center">56.34 &#x00B1; 3.58</td>
<td align="center">26.2</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0002">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Hand-eye coordination</td>
<td align="center">29.91 &#x00B1; 3.67</td>
<td align="center">20.66 &#x00B1; 3.15</td>
<td align="center">31.0</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0002">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Visual memory</td>
<td align="center">46.37 &#x00B1; 5.96</td>
<td align="center">46.06 &#x00B1; 4.87</td>
<td align="center">0.7</td>
<td align="center">0.809</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Mean &#x00B1; s.d.</p></fn>
<fn id="TFN0002"><label>&#x002A;</label><p>, Statistically significant (<italic>P</italic> &#x2264; 0.05).</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T0003">
<label>TABLE 3</label>
<caption><p>Visio-motor expertise comparison in netball players and sedentary control group.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Visio-spatial skill</th>
<th valign="top" align="center">Netball players (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Sedentary control group (<italic>n</italic> = 35)</th>
<th valign="top" align="center">Difference (&#x0025;)</th>
<th valign="top" align="center">Significance (<italic>P</italic>-value)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Accommodation facility</td>
<td align="center">36.23 &#x00B1; 6.34</td>
<td align="center">29.17 &#x00B1; 2.75</td>
<td align="center">19.5</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0003">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Saccadic eye movement</td>
<td align="center">45.94 &#x00B1; 9.32</td>
<td align="center">33.11 &#x00B1; 4.86</td>
<td align="center">28.0</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0003">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Speed of recognition</td>
<td align="center">27.49 &#x00B1; 15.22</td>
<td align="center">12.00 &#x00B1; 5.92</td>
<td align="center">56.4</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0003">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Peripheral awareness</td>
<td align="center">63.97 &#x00B1; 6.43</td>
<td align="center">56.34 &#x00B1; 3.58</td>
<td align="center">12.0</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0003">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Hand-eye coordination</td>
<td align="center">24.23 &#x00B1; 3.73</td>
<td align="center">20.66 &#x00B1; 3.15</td>
<td align="center">14.8</td>
<td align="center">0.000<xref ref-type="table-fn" rid="TFN0003">&#x002A;</xref></td>
</tr>
<tr>
<td align="left">Visual memory</td>
<td align="center">44.60 &#x00B1; 4.43</td>
<td align="center">46.06 &#x00B1; 4.87</td>
<td align="center">3.2</td>
<td align="center">0.195</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Mean &#x00B1; s.d.</p></fn>
<fn id="TFN0003"><label>&#x002A;</label><p>, Statistically significant (<italic>P</italic> &#x2264; 0.05).</p></fn>
</table-wrap-foot>
</table-wrap>
<p>According to a rank-ordered analysis, rugby players performed 46&#x0025; faster at the speed of recognition than netball players, followed by 19&#x0025; for hand-eye coordination and 16&#x0025; for peripheral awareness (<xref ref-type="table" rid="T0001">Table 1</xref>).</p>
<p>Rugby players performed 77&#x0025; faster at the speed of recognition than the sedentary group, according to a rank-ordered analysis, followed by 32&#x0025; for saccadic eye movement, 31&#x0025; for hand-eye coordination, 26&#x0025; for peripheral awareness and 25&#x0025; for accommodation facilities (<xref ref-type="table" rid="T0002">Table 2</xref>).</p>
<p>Netball players performed 56&#x0025; faster at the speed of recognition than the sedentary group, according to a rank-ordered analysis, followed by 28&#x0025; for saccadic eye movements, 20&#x0025; for accommodation facilities, 15&#x0025; for hand-eye coordination and 12&#x0025; for peripheral awareness (<xref ref-type="table" rid="T0003">Table 3</xref>).</p>
</sec>
<sec id="s0015">
<title>Discussion</title>
<p>This study compared the VSI of male rugby players and female netball players using a battery of hand-eye coordination-specific visual tests. The six components of VSI assessed were accommodation facilities, saccadic eye movements, speed of recognition, peripheral awareness, hand-eye coordination and visual memory.</p>
<p>A statistical difference was found in accommodation facilities between rugby and netball players, with netball players demonstrating superior performance. This finding aligns with Agostini et al.,<sup><xref ref-type="bibr" rid="CIT0031">31</xref></sup> who also observed better accommodation facilities in female players compared to male players. However, Muzaliha et al.<sup><xref ref-type="bibr" rid="CIT0032">32</xref></sup> found no discernible relationship between gender and accommodation facilities. Factors contributing to these results may include the consistent engagement of women in visual tasks, which can enhance visual processing capacity, as suggested by Feng et al.<sup><xref ref-type="bibr" rid="CIT0033">33</xref></sup> In addition, a positive correlation exists between prenatal testosterone and women&#x2019;s visuo-spatial abilities.<sup><xref ref-type="bibr" rid="CIT0034">34</xref></sup> Women displaying high levels of androgyny &#x2013; fewer feminine traits and more masculine behaviours &#x2013; may perform better in visual tasks.<sup><xref ref-type="bibr" rid="CIT0035">35</xref></sup> Research suggests that females may have more interhemispheric brain connections, enhancing their ability to integrate visual information and perceive patterns.<sup><xref ref-type="bibr" rid="CIT0036">36</xref>,<xref ref-type="bibr" rid="CIT0037">37</xref></sup> Both rugby and netball players outperformed a sedentary control group in accommodation facilities, consistent with findings by Mathe et al.<sup><xref ref-type="bibr" rid="CIT0014">14</xref></sup> and Millard et al.<sup><xref ref-type="bibr" rid="CIT0025">25</xref></sup> Conversely, Omar et al.<sup><xref ref-type="bibr" rid="CIT0038">38</xref></sup> reported superior accommodation facilities in non-athletes compared to athletes, potentially because of the intense focus and rapid adaptability required in athletic training.<sup><xref ref-type="bibr" rid="CIT0038">38</xref></sup></p>
<p>Rugby players also exhibited superior saccadic eye movements compared to netball players, this is controversial to the findings by Sargezeh et al.,<sup><xref ref-type="bibr" rid="CIT0039">39</xref></sup> who observed longer scan paths and larger saccade amplitudes in females. Wilson et al.<sup><xref ref-type="bibr" rid="CIT0040">40</xref></sup> reported no gender differences in saccadic eye movements. Gender-specific processing strategies could account for the differences in performance observed,<sup><xref ref-type="bibr" rid="CIT0041">41</xref>,<xref ref-type="bibr" rid="CIT0042">42</xref></sup> with high scores among females possibly because of effective instruction-following and extensive training.<sup><xref ref-type="bibr" rid="CIT0043">43</xref></sup> Variations in retinal wiring, including photoreceptor and retinal ganglion cell distribution, may contribute to female superiority in this area.<sup><xref ref-type="bibr" rid="CIT0044">44</xref></sup> Rugby and netball players also surpassed the sedentary control group in saccadic eye movements, echoing findings by Nakamoto and Mori<sup><xref ref-type="bibr" rid="CIT0045">45</xref></sup> regarding improved saccadic movements in baseball and basketball players. However, shooters showed no differences from non-athletes in saccadic eye movements.<sup><xref ref-type="bibr" rid="CIT0046">46</xref></sup> Visual training, physical conditioning, mental focus and strategic skills likely contribute to superior athletic performance.<sup><xref ref-type="bibr" rid="CIT0047">47</xref></sup></p>
<p>Rugby players demonstrated a 46&#x0025; faster speed of recognition than netball players, showing the greatest disparity. This finding supports McGivern et al.,<sup><xref ref-type="bibr" rid="CIT0048">48</xref></sup> who found men outperforming women in speed recognition tasks favouring movement processing. Conversely, Camarata and Woodcock<sup><xref ref-type="bibr" rid="CIT0049">49</xref></sup> observed higher scores in females for speed of recognition. Men&#x2019;s faster route learning and accurate distance estimation, linked to superior visual abilities and mental rotation strategies, may explain these differences.<sup><xref ref-type="bibr" rid="CIT0021">21</xref></sup> Gender differences in small-scale spatial ability may arise from the cognitive strategies employed,<sup><xref ref-type="bibr" rid="CIT0050">50</xref></sup> with women often using less effective egocentric strategies.<sup><xref ref-type="bibr" rid="CIT0051">51</xref></sup> Rugby and netball players both outperformed sedentary controls, consistent with Nakamoto and Mori<sup><xref ref-type="bibr" rid="CIT0045">45</xref></sup> regarding speed of recognition in baseball and basketball players. Conversely, Mori et al.<sup><xref ref-type="bibr" rid="CIT0052">52</xref></sup> found no significant differences in recognition speed between karate athletes and non-athletes. Athletes&#x2019; need to quickly scan the field and process information for decision-making likely enhances their speed of recognition.<sup><xref ref-type="bibr" rid="CIT0006">6</xref></sup></p>
<p>Peripheral awareness also showed significant differences between rugby and netball players. This aligns with David et al.,<sup><xref ref-type="bibr" rid="CIT0053">53</xref></sup> who found males superior in peripheral vision when assessing children&#x2019;s sensitivity to traffic hazards. However, Adhilakshmi et al.<sup><xref ref-type="bibr" rid="CIT0054">54</xref></sup> found no gender differences in peripheral field vision. Women may use route-imagining and reference place strategies more effectively,<sup><xref ref-type="bibr" rid="CIT0021">21</xref></sup> and hormonal effects during adolescence could influence spatial experiences and preferences, leading to gender disparities.<sup><xref ref-type="bibr" rid="CIT0055">55</xref>,<xref ref-type="bibr" rid="CIT0056">56</xref></sup> Experienced soccer players also showed differences in peripheral vision compared to novices,<sup><xref ref-type="bibr" rid="CIT0057">57</xref></sup> although Ward et al.<sup><xref ref-type="bibr" rid="CIT0058">58</xref></sup> found little difference in peripheral awareness among football players of varying experience. The enhanced peripheral awareness in athletes may stem from visual training, physical conditioning and mental focus.<sup><xref ref-type="bibr" rid="CIT0047">47</xref></sup></p>
<p>Rugby players demonstrated superior hand-eye coordination compared to netball players, aligning with Swathi et al.,<sup><xref ref-type="bibr" rid="CIT0059">59</xref></sup> who found men had an advantage in hand kinematics and tracking accuracy. However, Orhan et al.<sup><xref ref-type="bibr" rid="CIT0060">60</xref></sup> found no gender differences in overall eye coordination. Evolutionary pressures may have led to sex-specific spatial abilities, giving males an edge in such tasks.<sup><xref ref-type="bibr" rid="CIT0061">61</xref></sup> Sex hormones, such as estrogens and androgens, along with differences in hemispheric language processing differences in women may also contribute these findings.<sup><xref ref-type="bibr" rid="CIT0019">19</xref>,<xref ref-type="bibr" rid="CIT0062">62</xref></sup> Both rugby and netball players showed superior hand-eye coordination compared to the control group, supporting findings by Mathe et al.<sup><xref ref-type="bibr" rid="CIT0014">14</xref></sup> and contrasting with results for badminton players.<sup><xref ref-type="bibr" rid="CIT0063">63</xref></sup> Athletic training likely enhances VSI and eye-hand reaction time.<sup><xref ref-type="bibr" rid="CIT0064">64</xref></sup></p>
<p>Finally, rugby players exhibited superior visual memory compared to netball players, which was controversial to other studies showing females have better visual memory post-concussion.<sup><xref ref-type="bibr" rid="CIT0065">65</xref></sup> Other studies, however, found no gender differences in visual memory among adolescent soccer players.<sup><xref ref-type="bibr" rid="CIT0066">66</xref></sup> Superior visual memory in females may result from analytical, detail-oriented approaches,<sup><xref ref-type="bibr" rid="CIT0067">67</xref></sup> while males typically use holistic strategies.<sup><xref ref-type="bibr" rid="CIT0068">68</xref></sup> There was no significant difference in visual memory between rugby players and the sedentary control group, consistent with findings by Tomczyk et al.<sup><xref ref-type="bibr" rid="CIT0069">69</xref></sup> and Mathe et al.<sup><xref ref-type="bibr" rid="CIT0014">14</xref></sup> Athletes&#x2019; need to memorise and retain pertinent information likely enhances cognitive functions and motor skills, contributing to overall athletic performance.<sup><xref ref-type="bibr" rid="CIT0070">70</xref></sup></p>
</sec>
<sec id="s0016">
<title>Conclusion</title>
<p>The identified superiority of certain VSS within this study carries broad implications for theories of vision, test selection and the development of sport-specific VSS testing batteries. While confirming the hypothesis that athletes, particularly rugby and netball players, exhibit superior VSS compared to non-athletes, the study also revealed that this superiority does not extend to all aspects of VSS, such as visual memory. In addition, utilising a hand-eye coordination specific VSS test battery effectively differentiated between different sports, showing significant differences in three out of six VSS tests, with rugby players outperforming the netball players. However, this trend was not consistent across all VSS tests, suggesting that future research should explore the training methods employed by both sports, as these may account for the observed differences.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to extend their gratitude to optometrist Graham Chrich, director of Nevada Cloud, for providing the Spectrum Eye Care Software to enable the optometric assessments.</p>
<sec id="s20017" sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.</p>
</sec>
<sec id="s20018">
<title>Authors&#x2019; contributions</title>
<p>L.M., G.J.B. and N.M. contributed to the article equally and approved the submitted version.</p>
</sec>
<sec id="s20020" sec-type="data-availability">
<title>Data availability</title>
<p>The authors confirm that the data supporting the findings of this study are available within the article.</p>
</sec>
<sec id="s20021">
<title>Disclaimer</title>
<p>The views and opinions expressed in this article are those of the authors and are the product of professional research. The article does not necessarily reflect the official policy or position of any affiliated institution, funder, agency, or that of the publisher. The authors are responsible for this article&#x2019;s results, findings and content.</p>
</sec>
</ack>
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<fn><p><bold>How to cite this article:</bold> Millard L, Breukelman GJ, Mathe N. Comparing visio-spatial intelligence in amateur rugby and netball players using hand-eye coordination tests. Afr Vision Eye Health. 2024;83(1), a955. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4102/aveh.v83i1.955">https://doi.org/10.4102/aveh.v83i1.955</ext-link></p></fn>
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