Identifying the causal mechanisms of the quiet eye

Scientists who have examined the gaze strategies employed by athletes have determined that longer quiet eye (QE) durations (QED) are characteristic of skilled compared to less-skilled performers. However, the cognitive mechanisms of the QE and, specifically, how the QED affects performance are not yet fully understood. We review research that has examined the functional mechanism underlying QE and discuss the neural networks that may be involved. We also highlight the limitations surrounding QE measurement and its definition and propose future research directions to address these shortcomings. Investigations into the behavioural and neural mechanisms of QE will aid the understanding of the perceptual and cognitive processes underlying expert performance and the factors that change as expertise develops

Performing under pressure: Quiet eye training improves surgical knot-tying performance

Background: We examined the effectiveness of traditional technical training (TT) and quiet eye training (QET) on the performance of one-handed square knot tying in first-year surgery residents under normal and high anxiety conditions. Methods: Twenty surgery residents were assigned randomly to the two groups and completed pretest, training, and simple and complex retention tests under conditions of high and low anxiety. The TT group received traditional instruction on improving hand movements; the QET group received feedback on their gaze behaviors. Participants wore an eye tracker that recorded simultaneously their gaze and hand movements. Dependent variables were: knot tying performance (%), quiet eye duration (%), number of fixations, and total movement time (s). Results: Both groups improved their knot tying performance (p 0.05). The QET group also demonstrated more efficient gaze and hand movements post training. Conclusions: These data demonstrate the effectiveness of training gaze behaviors, not only to improve the effectiveness and efficiency of performance, but also to mediate any negative effects of anxiety on performance. These findings may have important implications for medical educators and practitioners, as well as surgeons who may be (re)training or learning new procedures

Quiet eye training improves surgical knot tying more than traditional technical training: A randomized controlled study

Background We examined the effectiveness of technical training (TT) and quiet eye training (QE) on the performance of one-handed square knot tying in surgical residents. Methods Twenty surgical residents were randomly assigned to the 2 groups and completed pretest, training, retention, and transfer tests. Participants wore a mobile eye tracker that simultaneously recorded their gaze and hand movements. Dependent variables were knot tying performance (%), QE duration (%), number of fixations, total movement time (s), and hand movement phase time (s). Results The QE training group had significantly higher performance scores, a longer QE duration, fewer fixations, faster total knot tying times, and faster movement phase times compared with the TT group. The QE group maintained performance in the transfer test, whereas the TT group significantly decreased performance from retention to transfer. Conclusions QE training significantly improved learning, retention, and transfer of surgical knot tying compared with a traditional technical approach. Both performance effectiveness (performance outcome) and movement efficiency (hand movement times) were improved using QE modeling, instruction, and feedback. © 2014 Elsevier Inc. All rights reserved

Atypical biological kinematics are represented during observational practice

The present study investigated the effect of stimulus-response compatibility on the representation of atypical biological kinematics during observational practice. A compatible group observed an atypical model that moved rightwards, whereas an incompatible group observed an atypical model that moved leftwards. Both groups were instructed to observe the model with the intention to later reproduce the movement trajectory. This was examined in a post-test where participants were asked to move rightwards with a kinematic profile that matched the atypical kinematics. Compared to a control group that did not engage in practice, and irrespective of whether the stimulus was observed in a spatially compatible or incompatible orientation, participants from both experimental groups reproduced velocity profiles that were comparable, and similar to the atypical biological kinematics. Bayesian analysis indicated equality between the two experimental groups, thus suggesting comparable sensorimotor processing. Therefore, by rotating the incompatible stimulus by 180 degrees during observational practice, the current study has isolated the processing and representation of atypical biological kinematics to the underlying sensorimotor processes, rather than spatial encoding of peak velocity via processes associated with stimulus-response compatibility

Facilitating sensorimotor integration via blocked practice underpins imitation learning of atypical biological kinematics in autism spectrum disorder

The reduced efficacy of voluntary imitation in autism is suggested to be underpinned by differences in sensorimotor processing. We examined whether the imitation of novel atypical biological kinematics by autistic adults is enhanced by imitating a model in a predictable blocked practice trial order. This practice structure is expected to facilitate trial-to-trial sensorimotor processing, integration and encoding of biological kinematics. The results showed that neurotypical participants were generally more effective at imitating the biological kinematics across all experimental phases. Importantly, and compared to a pre-test where imitation was performed in a randomised (unpredictable) trial order, the autistic participants learned to imitate the atypical kinematics more effectively following an acquisition phase of repeatedly imitating the same model during blocked practice. Data from the post-test showed that autistic participants remained effective at imitating the atypical biological kinematics when the models were subsequently presented in a randomised trial order. These findings show that the reduced efficacy of voluntary imitation in autism can be enhanced during learning by facilitating trial-to-trial processing and integration of sensorimotor information using blocked practice

Getting off to a shaky start: specificity in planning and feedforward control during sensorimotor learning in autism spectrum disorder

Whilst autistic individuals develop new internal action models during sensorimotor learning, the acquired movements are executed less accurately and with greater variability. Such movement profiles are related to differences in sensorimotor integration and/or altered feedforward/feedback sensorimotor control. We investigated the processes underlying sensorimotor learning in autism by quantifying accuracy and variability, relative timing, and feedforward and feedback control. Although autistic individuals demonstrated significant sensorimotor learning across trials, which was facilitated by processing knowledge-of-results feedback, motor execution was less accurate than non-autistic individuals. Kinematic analysis indicated that autistic individuals showed significantly greater spatial variability at peak acceleration, but comparable spatial variability at peak velocity. These kinematic markers suggest that autistic movement profiles are driven by specific differences in sensorimotor control processes (i.e., internal action models) associated with planning and regulating the forces required to execute the movement. The reduction of variability at peak velocity indicates intact early feedback-based sensorimotor control in autism. Understanding how feedforward and feedback-based control processes operate provides an opportunity to explore how these control processes influence the acquisition of socio-motor actions in autism

Atypical biological kinematics are represented during observational practice

The present study investigated the effect of stimulus-response compatibility on the representation of atypical biological kinematics during observational practice. A compatible group observed an atypical model that moved rightward, whereas an incompatible group observed an atypical model that moved leftward. Both groups were instructed to observe the model with the intention to later reproduce the movement trajectory. This was examined in a posttest where participants were asked to move rightward with a kinematic profile that matched the atypical kinematics. Compared to a control group that did not engage in practice, and irrespective of whether the stimulus was observed in a spatially compatible or incompatible orientation, participants from both experimental groups reproduced velocity profiles that were comparable and similar to the atypical biological kinematics. Bayesian analysis indicated equality between the 2 experimental groups, thus suggesting comparable sensorimotor processing. Therefore, by rotating the incompatible stimulus by 180 degrees during observational practice, the current study has isolated the processing and representation of atypical biological kinematics to the underlying sensorimotor processes, rather than spatial encoding of peak velocity via processes associated with stimulus-response compatibility. (PsycINFO Database Recor

Effect of the look-up line on the gaze and head orientation of elite ice hockey players

A “look-up-line” (LUL) has been proposed for ice hockey, which is an orange 1 m (40 in) warning line (WL) painted on the ice at the base of the boards. The LUL purports to provide an early warning to players to keep their head up prior to, and as they are being checked. We determined if players looked-up more on a rink with the LUL compared to a traditional Control rink. Elite offensive (O) and defensive (D) players competed 1 vs 1, while wearing an eye tracker that recorded their quiet eye (QE) and fixation tracking (F-T) and an electro-goniometer that measured head angle. External cameras recorded skate duration during four skate phases: P1 preparation, P2 decision-making, P3 cut to boards, P4 contact. The QE was the final fixation prior to contact between O and D as they skated toward and across the WL during P3 and P4. Skate phase durations (%) did not differ by rink or rink by position. More QE and F-T occurred on the WL on the LUL rink than on the Control. The expected increase in head angle on the LUL rink did not occur during P3 or P4. Post-hoc results also showed O and D skated further from the boards on the LUL rink, suggesting the players preferred to control the puck on white ice, rather than the orange color of the LUL rink. More research is needed to determine if these results apply to the competitive setting

A novel point-of-care testing strategy for sexually transmitted infections among pregnant women in high-burden settings: Results of a feasibility study in Papua New Guinea

© 2016 The Author(s). Sexually transmitted and genital infections in pregnancy are associated with an increased risk of adverse maternal and neonatal health outcomes. High prevalences of sexually transmitted infections have been identified among antenatal attenders in Papua New Guinea. Papua New Guinea has amongst the highest neonatal mortality rates worldwide, with preterm birth and low birth weight major contributors to neonatal mortality. The overall aim of our study was to determine if a novel point-of-care testing and treatment strategy for the sexually transmitted and genital infections Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Trichomonas vaginalis (TV) and Bacterial vaginosis (BV) in pregnancy is feasible in the high-burden, low-income setting of Papua New Guinea. Methods: Women attending their first antenatal clinic visit were invited to participate. CT/NG and TV were tested using the GeneXpert platform (Cepheid, USA), and BV tested using BVBlue (Gryphus Diagnostics, USA). Participants received same-day test results and antibiotic treatment as indicated. Routine antenatal care including HIV and syphilis screening were provided. Results: Point-of-care testing was provided to 125/222 (56 %) of women attending routine antenatal care during the three-month study period. Among the 125 women enrolled, the prevalence of CT was 20.0 %; NG, 11.2 %; TV, 37.6 %; and BV, 17.6 %. Over half (67/125, 53.6 %) of women had one or more of these infections. Most women were asymptomatic (71.6 %; 47/67). Women aged 24 years and under were more likely to have one or more STI compared with older women (odds ratio 2.38; 95 % CI: 1.09, 5.21). Most women with an STI received treatment on the same day (83.6 %; 56/67). HIV prevalence was 1.6 % and active syphilis 4.0 %. Conclusion: Point-of-care STI testing and treatment using a combination of novel, newly-available assays was feasible during routine antenatal care in this setting. This strategy has not previously been evaluated in any setting and offers the potential to transform STI management in pregnancy and to prevent their associated adverse health outcomes