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Introduction: Stroke is the second leading cause of death in Europe. In the case of stroke survival (almost 70%), only 25% of patients recover completely, while the remaining 75% will undergo a rehabilitation phase that varying from months to years. The primary outcomes of a stroke involve motor impairment in the upper limbs, resulting in a partial or complete inability to move the limb on the right or left side, depending on the affected hemisphere. Furthermore, the motor deficit distorts the proprioception of the body and the embodiment ability of the injured limb. This could be rehabilitated through the paradigm of body illusion that modulates the motor rehabilitation. The present protocol aims to investigate the effectiveness of a Virtual Reality system for sensorimotor and proprioception upper limb deficit compared to a traditional upper limb rehabilitation program. Method: This study has a randomized and controlled design with control and experimental groups, and 4 measurement times: pre-intervention, immediately after the intervention, and two follow-ups (at 6 and 12 months). The inclusion criteria are: (a) Being 18 to 85 years old, both males and females; (b) Suffering from ischemic or haemorrhagic stroke; (c) The stroke event must have occurred from two to eighteen months before recruitment; (d) Patients must have moderate to severe upper limb motor deficit, and the alteration of sensorimotor and proprioception abilities of the injury upper limb; (e) Patients must understand and sign the written consent for enrolment. The rehabilitation last four weeks with three sessions per week at Bellaria Hospital of Bologna (Italy). The VR protocol uses two types of technology: immersive and non-immersive, and the control group follow the traditional rehabilitation program. [ABSTRACT FROM AUTHOR]

Background The present quasi-experimental study aimed to evaluate the effects of active breaks intervention (ABs) to promote physical and cognitive improvement in primary school. Methods The active breaks group (ABsG) performed 10 min of ABs three times per school day and the control group (CG) did normal lessons. The baseline and follow-up evaluation was conducted respectively in October 2019 and in May 2021. Cognitive performance was assessed using working memory test, physical performance was analyzed with ActiGraph accelerometers and physical fitness tests, quality of life was monitored using the Paediatric Quality of Life questionnaire (PedsQL) and classroom behavior was collected with an ad hoc questionnaire. Results We enrolled 153 children (age: 7.61 ± 1.41, 54.2% males). Working memory significantly increased in the ABsG (ΔWM: 1.30 ± 1.17) than in CG (ΔWM: 0.96 ± 1.20). The 6 min Cooper test increased in the ABsG (Δ: 1.77 ± 136.03) but not in CG (Δ: −156.42 ± 187.53), P  < 0.05. The weekly physical activity levels increased in both groups; however, the sedentary behavior significantly increased both in ABsG and CG. Children reported improvements in their quality of school life including feeling better in class and in school when using ABs; moreover, children improved their time on task behaviors in ABsG. Conclusion The present study has proven to be effective on children's physical and cognitive performance. [ABSTRACT FROM AUTHOR]

Imitation development was studied in a cross‐sectional design involving 174 primary‐school children (aged 6–10), focusing on the effect of actions' complexity and error analysis to infer the underlying cognitive processes. Participants had to imitate the model's actions as if they were in front of a mirror ('specularly'). Complexity varied across three levels: movements of a single limb; arm and leg of the same body side; or arm and leg of opposite body sides. While the overall error rate decreased with age, this was not true of all error categories. The rate of 'side' errors (using a limb of the wrong body side) paradoxically increased with age (from 9 years). However, with increasing age, the error rate also became less sensitive to the complexity of the action. This pattern is consistent with the hypothesis that older children have the working memory (WM) resources and the body knowledge necessary to imitate 'anatomically', which leads to additional side errors. Younger children might be paradoxically free from such interference because their WM and/or body knowledge are insufficient for anatomical imitation. Yet, their limited WM resources would prevent them from successfully managing the conflict between spatial codes involved in complex actions (e.g. moving the left arm and the right leg). We also found evidence that action side and content might be stored in separate short‐term memory (STM) systems: increasing the number of sides to be encoded only affected side retrieval, but not content retrieval; symmetrically, increasing the content (number of movements) of the action only affected content retrieval, but not side retrieval. In conclusion, results suggest that anatomical imitation might interfere with specular imitation at age 9 and that STM storages for side and content of actions are separate. [ABSTRACT FROM AUTHOR]

In this study we investigated with a priming paradigm whether uni and bimanual actions presented as primes differently affected language processing. Animals' (self-moving entities) and plants' (not self-moving entities) names were used as targets. As prime we used grasping hands, presented both as static images and videos. The results showed an interference effect with unimanual action primes (both static and moving) with plants' names. No modulation of responses for animals' names was found. We argue that in the present task plants elicit information on unimanual grasping actions they support, while the lack of effect for animals could be due to them being better characterized as active agents. (Contains 1 table and 2 figures.)

The authors used a modified Simon task (J. R. Simon, 1969) to assess the automatic recognition of handedness. Participants responded to the color of a circle in the center of the photograph of a right or a left hand, displayed in the center of the computer screen. A regular Simon effect was found for back views, whereas a reverse Simon effect was found for palm views. This pattern of results was found when the forearm was present (Experiment 2), when 1 finger at a time was rendered invisible (Experiment 3), and when the hands were connected to a body image (Experiment 4). When the hands were cut at the wrist, no effect emerged (Experiment 1). These findings suggest an automatic encoding of the relative position of the hand in relation to the body (imaginary or real) rather than the automatic encoding of handedness.

Acquired motor limits can be provoked by neurological lesions. Independently of the aetiologies, the lesions require patients to develop new coping strategies and adapt to the changed motor functionalities. In all of these occasions, what is defined as an assistive technology (AT) may represent a promising solution. The present work is a systematic review of the scientific AT-related literature published in the PubMed, Cinahl, and Psychinfo databases up to September 2022. This review was undertaken to summarise how the acceptance of AT is assessed in people with motor deficits due to neurological lesions. We review papers that (1) dealt with adults (≥18 years old) with motor deficits due to spinal cord or acquired brain injuries and (2) concerned user acceptance of hard AT. A total of 615 studies emerged, and 18 articles were reviewed according to the criteria. The constructs used to assess users' acceptance mainly entail people's satisfaction, ease of use, safety and comfort. Moreover, the acceptance constructs varied as a function of participants' injury severity. Despite the heterogeneity, acceptability was mainly ascertained through pilot and usability studies in laboratory settings. Furthermore, ad-hoc questionnaires and qualitative methods were preferred to unstandardized protocols of measurement. This review highlights the way in which people living with acquired motor limits greatly appreciate ATs. On the other hand, methodological heterogeneity indicates that evaluation protocols should be systematized and finely tuned. [ABSTRACT FROM AUTHOR]

In the macaque monkey, area V6A, located in the medial posterior parietal cortex, contains cells that encode the spatial position of a reaching target. It has been suggested that during reach planning this information is sent to the frontal cortex along a parieto-frontal pathway that connects V6A-premotor cortex-M1. A similar parieto-frontal network may also exist in the human brain, and we aimed here to study the timing of this functional connection during planning of a reaching movement toward different spatial positions. We probed the functional connectivity between human area V6A (hV6A) and the primary motor cortex (M1) using dual-site, paired-pulse transcranial magnetic stimulation with a short (4 ms) and a longer (10 ms) interstimulus interval while healthy participants (18 men and 18 women) planned a visually-guided or a memory-guided reaching movement toward positions located at different depths and directions. We found that, when the stimulation over hV6A is sent 4 ms before the stimulation over M1, hV6A inhibits motor-evoked potentials during planning of either right-ward or leftward reaching movements. No modulations were found when the stimulation over hV6A was sent 10 ms before the stimulation over M1, suggesting that only short medial parieto-frontal routes are active during reach planning. Moreover, the short route of hV6A-premotor cortex-M1 is active during reach planning irrespectively of the nature (visual or memory) of the reaching target. These results agree with previous neuroimaging studies and provide the first demonstration of the flow of inhibitory signals between hV6A and M1. [ABSTRACT FROM AUTHOR]

The aim of this study was to bring to the surface the strategic use of imitative processes in the context of a 2-route model: (a) direct imitation, used in reproducing new, meaningless actions, and (b) imitation based on stored semantic knowledge of familiar meaningful actions. Three experiments were carried out with healthy participants who reproduced meaningful and meaningless actions within an established time limit. The study investigated 3 factors that could potentially affect the selection of processes used for imitation: (a) the composition of the experimental list (blocked or mixed presentation), (b) the presence-absence of instructions (Experiments 1 and 2), and (c) the relative proportions of the stimuli (Experiment 3). Overall, the results suggest that each of these factors influences the selection of imitative strategies in healthy individuals with temporarily reduced capacities, as happens in the case of brain-damaged patients.

The way human bodies are represented is central in everyday activities. The cognitive system must combine internal, visceral, and somatosensory, signals to external, visually driven information generated from the spatial placement of others' bodies and the own body in the space. However, how different body representations covertly interact among them when observing human body parts is still unclear. Therefore, we investigated the implicit processing of body parts by manipulating either the body part stimuli' posture (conditions a and b) or the participants' response body posture (conditions c, d, and e) in healthy participants (N = 70) using a spatial compatibility task called Sidedness task. The task requires participants to judge the colour of a circle superimposed on a task‐irrelevant body part picture. Responses are facilitated when the spatial side of the responding hand corresponds to the spatial code generated by the hand stimulus's position with respect to a body of reference. Results showed that the observation of the task‐irrelevant body parts oriented participants' attention and facilitated responses that were spatial compatible with the spatial position such body parts have within a configural representation of the body structure (i.e., Body Structural Representation) in all the five experimental conditions. Notably, the body part stimuli were mentally attached to the body according to the most comfortable and less awkward postures, following the anatomo‐physiological constraints. Moreover, the pattern of the results was not influenced by manipulating the participants' response postures, suggesting that the automatic and implicit coding of the body part stimuli does not rely on proprioceptive information about one's body (i.e., Body Schema). We propose that the human body's morphometry knowledge is enriched by biomechanical and anatomo‐physiological information about the real body movement possibilities. Moreover, we discuss the importance of the automatic orienting of attention based on the sidedness within the context of imitational learning. [ABSTRACT FROM AUTHOR]

Background: Acquired brain injury and spinal cord injury are leading causes of severe motor disabilities impacting a person's autonomy and social life. Enhancing neurological recovery driven by neurogenesis and neuronal plasticity could represent future solutions; however, at present, recovery of activities employing assistive technologies integrating artificial intelligence is worthy of examining. MAIA (Multifunctional, adaptive, and interactive AI system for Acting in multiple contexts) is a human-centered AI aiming to allow end-users to control assistive devices naturally and efficiently by using continuous bidirectional exchanges among multiple sensorimotor information. Methods: Aimed at exploring the acceptability of MAIA, semi-structured interviews (both individual interviews and focus groups) are used to prompt possible end-users (both patients and caregivers) to express their opinions about expected functionalities, outfits, and the services that MAIA should embed, once developed, to fit end-users needs. Discussion: End-user indications are expected to interest MAIA technical, health-related, and setting components. Moreover, psycho-social issues are expected to align with the technology acceptance model. In particular, they are likely to involve intrinsic motivational and extrinsic social aspects, aspects concerning the usefulness of the MAIA system, and the related ease to use. At last, we expect individual factors to impact MAIA: gender, fragility levels, psychological aspects involved in the mental representation of body image, personal endurance, and tolerance toward AT-related burden might be the aspects end-users rise in evaluating the MAIA project. [ABSTRACT FROM AUTHOR]

The cognitive system selects the most appropriate action imitative process: a semantic process – relying on long-term memory representations for known actions, and low-level visuomotor transformations for unknown actions. These two processes work in parallel; however, how context regularities and cognitive control modulate them is unclear. In this study, process selection was triggered contextually by presenting mixed known and new actions in predictable or unpredictable lists, while a cue on the forthcoming action triggered top-down control. Known were imitated faster than the new actions in the predictable lists only. Accuracy was higher and reaction times faster in the uncued conditions, and the predictable faster than the unpredictable list in the uncued condition only. In the latter condition, contextual factors modulate process selection, as participants use statistical regularities to perform the task at best. With the cue, the cognitive system tries to control response selection, resulting in more errors and longer reaction times. [ABSTRACT FROM AUTHOR]

Boxing athletes code the opponents' intention to act in advance to plan and perform the most appropriate counterattack responses; in contrast, non-athletes respond with a defence action (Ottoboni, Russo, Tessari, 2015). We investigated whether such difference is limited at elaborating the most appropriate motor response or relies on different visual and attentional strategies during the early visual analysis of the opponent. We recorded saccades as indexes of visual attentional orienting during an implicit paradigm (i.e., a Simon-like task): nine experienced boxers and nine controls observed photographs of boxing attacks (jab and cross) or a neutral position (guard) and judged the colour of body parts either salient or not for elaborating the attack action (gloves vs. shorts, respectively) by shifting their gaze towards one of two lateral response boxes. Release reaction times (i.e., time between the start of the first saccade away from the fixation rectangle toward the response box) were faster toward the arm that seemed about to attack for the jab stance (the most dynamic one as implying motion) when judging the glove colour in both athletes and controls. No effect emerged when focusing on the shorts that provide irrelevant information for elaborating a defence or attack action. Therefore, athletes and controls seem to use the same visual strategies (saccadic movements) when analysing the opponent's posture before acting. However, if expertise brings better motor response processing as previously found, the difference between athletes and non-athletes must lay in a later cognitive stage (other than the visual one) devoted to plane the most effective motor response. [ABSTRACT FROM AUTHOR]

Objective: To investigate how two types of body representation (body schema and body image) were affected in people with and without apraxia following a supratentorial stroke. Design: Observational cross-sectional study Setting: Level 1 Specialist Neurological Rehabilitation Unit Participants: 30 participants post-stroke diagnosed with (n = 10) and without apraxia (n = 20) according to a modified version of the short Ideomotor Apraxia Test. Interventions: Not applicable Main Outcome Measures: Body schema assessed using the hand laterality recognition test and body part knowledge test; Implicit body image assessed using the sidedness test. Results: Left-sided lesions were more common in the apraxic group. Compared to people without apraxia post-stroke, those with apraxia showed significantly reduced accuracy and longer reaction times on the hand laterality test and fewer correct responses on the body part knowledge test. There was no between-groups difference in the sidedness test. Conclusions: People with apraxia showed deficits in online body representations (body schema) that are used to plan and execute actions. Future research studies could target body schema deficits as an adjunct in the rehabilitation of apraxia. [ABSTRACT FROM AUTHOR]

INTRODUCTION: The visual scanning techniques used by helicopter pilots are a critical skill to accomplish safe and correct landing. According to the human information processing theory, visual scanning techniques can be analyzed as a function of fixation location, number, and duration of fixations. METHODS: This study assessed these techniques in expert and novice pilots during an open sea flight simulation in a low-workload condition, consisting of a daylight and good weather simulation, and in a high-workload condition of night-time, low visibility, and adverse weather conditions. Taking part in the study were 12 helicopter pilots. Mental workload was assessed through psychological measures (NASA-TLX). The pilots' performance was assessed and eye movements were recorded using an eye-tracker during four phases of the flight simulations. RESULTS: Overall, pilots made more fixations out of the window (OTW; 22.54) than inside the cockpit (ITC; 11.08), Fixations were longer OTW (830.17 ms) than ITC (647.97 ms) and they were shorter in the low-demand condition (626.27 ms). Further, pilots reported higher mental workload (NASA-TLX) in the high-demand condition compared to the low-demand condition, regardless of their expertise, and expert pilots reported a lower mental workload compared to novice pilots. DISCUSSION: Pilots' performance and perceived mental workload varied as a function of expertise and flight conditions. Pilots rely on instrument support during the cruise phase and external visual cues during the landing phase. The implications for a new visual landing system design are discussed. [ABSTRACT FROM AUTHOR]

There is evidence that preparing and maintaining a motor plan ('motor attention') can bias visual selective attention. For example, a motor attended grasp biases visual attention to select appropriately graspable object features (Symes, Tucker, Ellis, Vainio, & Ottoboni, 2008). According to the biased competition model of selective attention, the relative weightings of stimulus-driven and goal-directed factors determine selection. The current study investigated how the goal-directed bias of motor attention might operate when the stimulus-driven salience of the target was varied. Using a change detection task, two almost identical photographed scenes of simplistic graspable objects were presented flickering back and forth. The target object changed visually, and this change was either high or low salience. Target salience determined whether or not the motor attended grasp significantly biased visual selective attention. Specifically, motor attention only had a reliable influence on target detection times when the visual salience of the target was low.

Our commentary addresses two issues that are not developed enough in the target article. First, the model does not clearly address the distinction among external objects, external body parts, and internal bodies. Second, the authors could have discussed further the role of body schema with regard to its dynamic character, and its role in perspective and in imitation.

The present study investigates whether sport activities involving children with a disability can reduce negative attitudes towards disability in children without disability. We compared the effect of being schoolmate or member of the same football team whereby a child with disability was member of the class/team or not. This lead to four groups that were assessed both at the beginning and at the end of the school year. Two measures were collected: an ad-hoc questionnaire and an Implicit Association Test. The two assessments were designed to measure explicit and implicit attitudes towards children with disabilities. Results suggested that sport activities over one school year reduced more (p < .001) the implicit negative attitude towards disability (Mean = -.17, sd = .10) than the contact with the classmate in the school context (Mean = -.03, sd = .14), possibly due to their team building characteristic. [ABSTRACT FROM AUTHOR]

One single bout of exercise can be associated with positive effects on cognition, due to physiological changes associated with muscular activity, increased arousal, and training of cognitive skills during exercise. While the positive effects of life-long physical activity on cognitive ageing are well demonstrated, it is not well established whether one bout of exercise is sufficient to register such benefits in older adults. The aim of this study was to test the effect of one bout of exercise on two cognitive processes essential to daily life and known to decline with ageing: audio-visual perception and immediate memory. Fifty-eight older adults took part in a quasi-experimental design study and were divided into three groups based on their habitual activity (open skill exercise (mean age = 69.65, SD = 5.64), closed skill exercise, N = 18, 94% female; sedentary activity-control group, N = 21, 62% female). They were then tested before and after their activity (duration between 60 and 80 minutes). Results showed improvement in sensitivity in audio-visual perception in the open skill group and improvements in one of the measures of immediate memory in both exercise groups, after controlling for baseline differences including global cognition and health. These findings indicate that immediate benefits for cross-modal perception and memory can be obtained after open skill exercise. However, improvements after closed skill exercise may be limited to memory benefits. Perceptual benefits are likely to be associated with arousal, while memory benefits may be due to the training effects provided by task requirements during exercise. The respective role of qualitative and quantitative differences between these activities in terms of immediate cognitive benefits should be further investigated. Importantly, the present results present the first evidence for a modulation of cross-modal perception by exercise, providing a plausible avenue for rehabilitation of cross-modal perception deficits, which are emerging as a significant contributor to functional decline in ageing. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between laterality recognition after stroke and impairments in attention, 3D object rotation and functional ability. Design: Observational cross-sectional study. Setting: Acute care teaching hospital. Participants: Thirty-two acute and sub-acute people with stroke and 36 healthy, age-matched controls. Main outcome measures: Laterality recognition, attention and mental rotation of objects. Within the stroke group, the relationship between laterality recognition and functional ability, neglect, hemianopia and dyspraxia were further explored. Results: People with stroke were significantly less accurate (69% vs 80%) and showed delayed reaction times (3.0 vs 1.9 seconds) when determining the laterality of a pictured hand. Deficits either in accuracy or reaction times were seen in 53% of people with stroke. The accuracy of laterality recognition was associated with reduced functional ability (R2 = 0.21), less accurate mental rotation of objects (R2 = 0.20) and dyspraxia (p = 0.03). Conclusion: Implicit motor imagery is affected in a significant number of patients after stroke with these deficits related to lesions to the motor networks as well as other deficits seen after stroke. This research provides new insights into how laterality recognition is related to a number of other deficits after stroke, including the mental rotation of 3D objects, attention and dyspraxia. Further research is required to determine if treatment programmes can improve deficits in laterality recognition and impact functional outcomes after stroke. [ABSTRACT FROM AUTHOR]

When two athletes meet inside the ropes of the boxing ring to fight, their cognitive systems have to respond as quickly as possible to a manifold of stimuli to assure victory. In the present work, we studied the pre-attentive mechanisms, which form the basis of an athlete’s ability in reacting to an opponent’s punches. Expert boxers, beginner boxers and people with no experience of boxing performed a Simon-like task where they judged the colour of the boxing gloves worn by athletes in attack postures by pressing two lateralised keys. Although participants were not instructed to pay attention to the direction of the punches, beginner boxers’ responses resembled a defence-related pattern, expert boxers’ resembled counterattacks, whereas non-athletes’ responses were not influenced by the unrelated task information. Results are discussed in the light of an expertise-related action simulation account. [ABSTRACT FROM PUBLISHER]

In his article Grush proposes a potentially useful framework for explaining motor control, imagery, and perception. In our commentary we will address two issues that the model does not seem to deal with appropriately: one concerns motor control, and the other, the visual and motor imagery domains. We will consider these two aspects in turn.

Consistent evidence shows that practising with spatially incompatible stimulus–response trials modulates performance on following tasks requiring the solution of cognitive conflict such as the Simon and Stroop tasks. In the present study we assessed whether a spatially incompatible practice can modulate another effect that is thought to be due to a conflict between two response alternatives, the affordance effect. To this end, we requested participants to categorize pictures of common objects on the basis of their upright or inverted orientation. A group of participants performed the categorization task alone, while the other two groups performed the categorization task after practising with a spatial compatibility task with either a compatible or an incompatible mapping. Results showed that the spatially incompatible practice eliminated the affordance effect. These results indicate that the conflict at the basis of the affordance effect is not unavoidable but it rather permeable to modulations affecting the response selection stage. Indeed the “emit the alternative spatial response” rule acquired during the spatially incompatible task can transfer to and modulate how the subsequent affordance task is performed. [ABSTRACT FROM AUTHOR]