Examining the equivalence between imagery and execution - Do imagined and executed movements code relative environmental features?

Imagined actions engage some of the same neural substrates and related sensorimotor codes as executed actions. The equivalency between imagined and executed actions has been frequently demonstrated by the mental and physical chronometry of movements; namely, the imagination and execution of aiming movements in a Fitts paradigm. The present study aimed to examine the nature or extent of this equivalence, and more specifically, whether imagined movements encompass the relative environmental features as do executed movements. In two separate studies, participants completed a series of imagined or executed reciprocal aiming movements between standard control targets (no annuli), perceptually small targets (large annuli) and perceptually large targets (small annuli) (Ebbinghaus illusions). The findings of both studies replicated the standard positive relation between movement time and index of difficulty for imagined and executed movements. Furthermore, movement times were longer for targets with surrounding annuli compared to the movement times without the annuli suggesting a general interference effect. Hence, the surrounding annuli caused a longer time, independent of the illusory target size, most likely to avoid a potential collision and more precisely locate the endpoint. Most importantly, this feature could not be discriminated as a function of the task (imagined vs. executed). These findings lend support to the view of a common domain for imagined and executed actions, while elaborating on the precision of their equivalence

The effect of action observation and motor imagery combinations on upper limb kinematics and EMG during dart-throwing

Recent research has begun to employ interventions that combine action observation and motor imagery (AOMI) with positive results. However, little is known about the underpinning facilitative effect on performance. Participants (n = 50) were randomly allocated to one of five training groups: action observation (AO), motor imagery (MI), simultaneous action observation and motor imagery (S‐AOMI), alternate action observation and motor imagery (A‐AOMI), and control. The task involved dart‐throwing at a concentric circle dartboard at pre‐ and post‐test. Interventions were conducted 3 times per week for 6 weeks. Data were collected from performance outcomes and mean muscle activation of the upper and forearm muscles. Angular velocity and peak angular velocity measurements of the elbow were also collected from the throwing arm. Results showed performance of the A‐AOMI group improved to a significantly greater degree than the AO (P = .04), MI (P = .04), and control group (P = .02), and the S‐AOMI group improved to a greater degree than the control group (P = .02). Mean muscle activation of the triceps brachii significantly reduced in the S‐AOMI and A‐AOMI (P < .01) groups, and participants in the AO (P = .04), A‐AOMI, and S‐AOMI (P < .01) groups significantly reduced activation in the bicep brachii from pre‐ to post‐test. Peak angular velocity significantly decreased from pre‐ to post‐test in both A‐AOMI and S‐AOMI (P < .01) groups. The results reaffirm the benefits of AOMI for facilitating skill learning and provide an insight how these interventions produce favorable changes in EMG and movement kinematics

Using PETTLEP imagery to improve music performance: A review

Imagery is commonly used by both athletes and musicians as an additional training aid to enhance performance. Although considerable research attention has been paid to this psychological intervention technique in sporting settings, studies investigating the beneficial effects of imagery on musical performance are less common. Imagery research that has been conducted in musical settings has tended to show that imagery is beneficial in improving performance, although few guidelines exist in the music literature regarding how musicians could use imagery to improve their performance. In this article, we review the research which has investigated the use of imagery as a performance enhancing technique in musical settings to date. We then outline a model for designing imagery interventions (known as the PETTLEP model) which has produced beneficial performance effects when implemented in sporting settings, and discuss how it could be used by musicians to enhance performance

Survey of ultrasound practice amongst podiatrists in the UK

Background: Ultrasound in podiatry practice encompasses musculoskeletal ultrasound imaging, vascular hand-held Doppler ultrasound and therapeutic ultrasound. Sonography practice is not regulated by the Health and Care Professions Council (HCPC), with no requirement to hold a formal qualification. The College of Podiatry does not currently define ultrasound training and competencies. This study aimed to determine the current use of ultrasound, training received and mentorship received and/or provided by podiatrists using ultrasound. Methods: A quantitative study utilising a cross-sectional, on-line, single-event survey was undertaken within the UK. Results: Completed surveys were received from 284 podiatrists; 173 (70%) use ultrasound as part of their general practice, 139 (49%) for musculoskeletal problems, 131 (46%) for vascular assessment and 39 (14%) to support their surgical practice. Almost a quarter (n=62) worked for more than one organisation; 202 (71%) were employed by the NHS and/or private sector (n=118, 41%). Nearly all (93%) respondents report using a hand-held vascular Doppler in their daily practice; 216 (82%) to support decisions regarding treatment options, 102 (39%) to provide diagnostic reports for other health professionals, and 34 (13%) to guide nerve blocks. Ultrasound imaging was used by 104 (37%) respondents primarily to aid clinical decision making (n=81) and guide interventions (steroid injections n=67; nerve blocks n=39). Ninety-three percent stated they use ultrasound imaging to treat their own patients, while others scan at the request of other podiatrists (n=28) or health professionals (n=18). Few use ultrasound imaging for research (n=7) or education (n=2). Only 32 (11%) respondents (n=20 private sector) use therapeutic ultrasound to treat patients presenting with musculoskeletal complaints, namely tendon pathologies. Few respondents (18%) had completed formal post-graduate CASE (Consortium for the Accreditation of Sonographic Education) accredited ultrasound courses. Forty (14%) respondents receive ultrasound mentorship; the majority from fellow podiatrists (n=17) or medical colleagues (n=15). Over half (n=127) who do not have ultrasound mentorship indicated they would like a mentor predominantly for ultrasound imaging. Fifty-five (19%) report they currently provide ultrasound mentorship for others. Conclusions: Understanding the scope of ultrasound practice, the training undertaken and the requirements for mentorship will underpin the development of competencies and recommendations defined by the College of Podiatry to support professional development and ensure safe practice.</p

Online corrections can occur within movement imagery: An investigation of the motor-cognitive model

The motor-cognitive model proposes that movement imagery additionally requires conscious monitoring owing to an absence of veridical online sensory feedback. Therefore, it is predicted that there would be a comparatively limited ability for individuals to update or correct movement imagery as they could within execution. To investigate, participants executed and imagined target-directed aiming movements featuring either an unexpected target perturbation (Exp. 1) or removal of visual sensory feedback (Exp. 2). The results of both experiments indicated that the time-course of executed and imagined movements was equally influenced by each of these online visual manipulations. Thus, contrary to some of the tenets of the motor-cognitive model, movement imagery holds the capacity to interpolate online corrections despite the absence of veridical sensory feedback. The further theoretical implications of these findings are discussed

The Effects of Combining PETTLEP Imagery and Action Observation on Bicep Strength: A Single-Case Design

© 2019, © 2019 Association for Applied Sport Psychology. We investigated the effects of PETTLEP imagery combined with action observation on bicep curl performance. Using a single-case design, four participants completed a baseline phase followed by PETTLEP imagery with and without an observational aid. Results indicated that using an observational aid in conjunction with PETTLEP imagery can improve bicep curl performance, but not to a greater degree than PETTLEP imagery alone. This indicates that observational aids may not be an essential addition to imagery interventions. The study highlights further the benefit of using PETTLEP imagery for enhancing strength performance, which should be considered by practitioners delivering resistance training programs

Forefoot pathology in rheumatoid arthritis identified with ultrasound may not localise to areas of highest pressure: cohort observations at baseline and twelve months

BackgroundPlantar pressures are commonly used as clinical measures, especially to determine optimum foot orthotic design. In rheumatoid arthritis (RA) high plantar foot pressures have been linked to metatarsophalangeal (MTP) joint radiological erosion scores. However, the sensitivity of foot pressure measurement to soft tissue pathology within the foot is unknown. The aim of this study was to observe plantar foot pressures and forefoot soft tissue pathology in patients who have RA.Methods A total of 114 patients with established RA (1987 ACR criteria) and 50 healthy volunteers were assessed at baseline. All RA participants returned for reassessment at twelve months. Interface foot-shoe plantar pressures were recorded using an F-Scan® system. The presence of forefoot soft tissue pathology was assessed using a DIASUS musculoskeletal ultrasound (US) system. Chi-square analyses and independent t-tests were used to determine statistical differences between baseline and twelve months. Pearson’s correlation coefficient was used to determine interrelationships between soft tissue pathology and foot pressures.ResultsAt baseline, RA patients had a significantly higher peak foot pressures compared to healthy participants and peak pressures were located in the medial aspect of the forefoot in both groups. In contrast, RA participants had US detectable soft tissue pathology in the lateral aspect of the forefoot. Analysis of person specific data suggests that there are considerable variations over time with more than half the RA cohort having unstable presence of US detectable forefoot soft tissue pathology. Findings also indicated that, over time, changes in US detectable soft tissue pathology are out of phase with changes in foot-shoe interface pressures both temporally and spatially.Conclusions We found that US detectable forefoot soft tissue pathology may be unrelated to peak forefoot pressures and suggest that patients with RA may biomechanically adapt to soft tissue forefoot pathology. In addition, we have observed that, in patients with RA, interface foot-shoe pressures and the presence of US detectable forefoot pathology may vary substantially over time. This has implications for clinical strategies that aim to offload peak plantar pressures

The effects of medium chain triglyceride (MCT) supplementation using a C8:C10 ratio of 30:70 on cognitive performance in healthy young adults.

PURPOSE: The brain can utilise medium chain triglycerides (MCTs) as an alternative fuel than glucose, and research has shown that MCT ingestion improves cognitive function in diseased and/or elderly individuals. The aim of this study is to determine if these improvements can also be observed in young, healthy adults. Furthermore, we aim to establish the ideal dosage and timeframe necessary for an effect. METHODS: Participants were divided equally into three groups of 10 (Placebo (0g), 12g and 18g MCT/day) and were supplemented for 4 weeks. The supplement had a C8:C10 ratio of 30:70. Participants visited the laboratory once a week for 5 weeks (baseline, test weeks 1-4) to undergo a battery of cognitive tests; Trail Making, Digit Span, Spatial Span, Covert Shift of Attention, and Rapid Visual Information Processing. RESULTS: After 2-3 weeks of supplementation, MCT ingestion enhanced performance in cognitive tasks, including: Trail Making A/B and Digit Span Forwards/Backwards (ps0.05). There were also null results in tasks measuring attention and reaction time (ps>0.05). CONCLUSIONS: MCT ingestion improved cognitive performance after 2-3 weeks, with minimal difference between taking 12g and 18g MCT/day groups, suggesting a possible dose-response threshold at 12g MCT/day when supplementing over a short period

Medium chain triglycerides with a C8:C10 ratio of 30:70 enhances cognitive performance and mitigates the cognitive decline associated with prolonged exercise in young and healthy adults

Introduction Prolonged exercise has been linked to a decline in cognitive function due to a variety of factors, such as a drop in oxygen in the prefrontal cortex and an increase in stress hormones and neurotransmitters. Medium chain triglycerides (MCTs) may possibly offset this decline as they provide energy for the brain via both direct and indirect pathways, alongside promoting chronic physiological adaptations within the brain. Methods Participants were divided into two groups; MCT (n = 9) and Placebo (n = 10). The MCT gels contained 6 g of MCT with a C8:C10 ratio of 30:70, whereas the placebo gels contained carbohydrates of similar calorific value to the MCT gels. Participants visited the laboratory on three occasions (familiarisation/fitness test, pre supplementation, post-supplementation), during which they performed a battery of cognitive tasks assessing domains such as processing speed, working memory, selective attention, decision making and coordination, before and after a prolonged bout of exercise (60 mins at 90% gas exchange threshold (GET). A 2-week supplementation period between visits 2 and 3 involved the ingestion of 2 gels per day. Results Exercise resulted in detriments in most cognitive tasks pre-supplementation for both groups, and post-supplementation for the Placebo group (main effect ps 0.05). Furthermore, MCT supplementation enhanced before-exercise cognitive performance and in some measures, such as working memory, this was maintained after-exercise (interaction effect ps> 0.05). Conclusions Chronic MCT supplementation enhanced before-exercise cognitive performance and offset the cognitive decline caused by a prolonged bout of exercise. In some cases, improvements in before-exercise cognitive performance were maintained after-exercise

Modelling Future Coronary Heart Disease Mortality to 2030 in the British Isles.

OBJECTIVE: Despite rapid declines over the last two decades, coronary heart disease (CHD) mortality rates in the British Isles are still amongst the highest in Europe. This study uses a modelling approach to compare the potential impact of future risk factor scenarios relating to smoking and physical activity levels, dietary salt and saturated fat intakes on future CHD mortality in three countries: Northern Ireland (NI), Republic of Ireland (RoI) and Scotland. METHODS: CHD mortality models previously developed and validated in each country were extended to predict potential reductions in CHD mortality from 2010 (baseline year) to 2030. Risk factor trends data from recent surveys at baseline were used to model alternative future risk factor scenarios: Absolute decreases in (i) smoking prevalence and (ii) physical inactivity rates of up to 15% by 2030; relative decreases in (iii) dietary salt intake of up to 30% by 2030 and (iv) dietary saturated fat of up to 6% by 2030. Probabilistic sensitivity analyses were then conducted. RESULTS: Projected populations in 2030 were 1.3, 3.4 and 3.9 million in NI, RoI and Scotland respectively (adults aged 25-84). In 2030: assuming recent declining mortality trends continue: 15% absolute reductions in smoking could decrease CHD deaths by 5.8-7.2%. 15% absolute reductions in physical inactivity levels could decrease CHD deaths by 3.1-3.6%. Relative reductions in salt intake of 30% could decrease CHD deaths by 5.2-5.6% and a 6% reduction in saturated fat intake might decrease CHD deaths by some 7.8-9.0%. These projections remained stable under a wide range of sensitivity analyses. CONCLUSIONS: Feasible reductions in four cardiovascular risk factors (already achieved elsewhere) could substantially reduce future coronary deaths. More aggressive polices are therefore needed in the British Isles to control tobacco, promote healthy food and increase physical activity