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Action observation (AO) and motor imagery (MI) have been used separately across different populations to alleviate movement impairment. Recently these two forms of covert motor simulation have been combined (combined action observation and motor imagery; AOMI), resulting in greater neurophysiological activity in the motor system, and more favourable behavioural outcomes when compared to independent AO and MI. This review aims to outline how some of the neural deficits associated with developmental coordination disorder (DCD) are evident during AO and MI, and highlight how these motor simulation techniques have been used independently to improve motor skill learning in children in this population. The growing body of evidence indicating that AOMI is superior to the independent use of either AO and MI is then synthesised and discussed in the context of children with DCD. To conclude, recommendations to optimise the delivery of AOMI for children with DCD are provided and future avenues for research are highlighted.

Background. Parkinson’s disease (PD) causes difficulties with hand movements, which few studies have addressed therapeutically. Training with action observation (AO) and motor imagery (MI) improves performance in healthy individuals, particularly when the techniques are applied simultaneously (AO + MI). Both AO and MI have shown promising effects in people with PD, but previous studies have only used these separately. Objective. This article describes the development and pilot testing of an intervention combining AO + MI and physical practice to improve functional manual actions in people with PD. Methods. The home-based intervention, delivered using a tablet computer app, was iteratively designed by an interdisciplinary team, including people with PD, and further developed through focus groups and initial field testing. Preliminary data on feasibility were obtained via a six-week pilot randomised controlled trial (ISRCTN 11184024) of 10 participants with mild to moderate PD (6 intervention; 4 treatment as usual). Usage and adherence data were recorded during training, and semistructured interviews were conducted with participants. Exploratory outcome measures included dexterity and timed action performance. Results. Usage and qualitative data provided preliminary evidence of acceptability and usability. Exploratory outcomes also suggested that subjective and objective performance of manual actions should be tested in a larger trial. The importance of personalisation, choice, and motivation was highlighted, as well as the need to facilitate engagement in motor imagery. Conclusions. The results indicate that a larger RCT is warranted, and the findings also have broader relevance for the feasibility and development of AO + MI interventions for PD and other conditions.

Researchers from multiple disciplines have studied the simulation of actions through motor imagery, action observation, or their combination. Procedures used in these studies vary considerably between research groups, and no standardized approach to reporting experimental protocols has been proposed. This has led to under-reporting of critical details, impairing the assessment, replication, synthesis, and potential clinical translation of effects. We provide an overview of issues related to the reporting of information in action simulation studies, and discuss the benefits of standardized reporting. We propose a series of checklists that identify key details of research protocols to include when reporting action simulation studies. Each checklist comprises A) essential methodological details, B) essential details that are relevant to a specific mode of action simulation, and C) further points that may be useful on a case-by-case basis. We anticipate that the use of these guidelines will improve the understanding, reproduction, and synthesis of studies using action simulation, and enhance the translation of research using motor imagery and action observation to applied and clinical settings.

Open practices: The study in this article earned an Open Materials badge for transparent practices. Materials and data for the study are available at https://e-space.mmu.ac.uk/id/eprint/624008. Copyright © 2019 The Authors. The dual-action simulation hypothesis proposes that both an observed and an imagined action can be represented simultaneously in the observer's brain. These two sensorimotor streams would either merge or compete depending on their relative suitability for action planning. To test this hypothesis, three forms of combined action observation and motor imagery (AO + MI) instructions were used in this repeated-measures experiment. Participants observed index finger abduction-adduction movements while imagining the same action (congruent AO + MI), little finger abduction-adduction (coordinative AO + MI), or a static hand (conflicting AO + MI). Single-pulse transcranial magnetic stimulation was applied to the left primary motor cortex. The amplitude of motor evoked potential responses were recorded from both the first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles of the right-hand while eye movements were tracked. When controlling for the influence of relevant eye movements, corticospinal excitability was facilitated relative to control conditions in the concurrently observed and imagined muscles for both congruent and coordinative AO + MI conditions. Eye-movement metrics and social validation data from post–experiment interviews provided insight into the attentional and cognitive mechanisms underlying these effects. The findings provide empirical support for the dual-action simulation hypothesis, indicating for the first time that it is possible to co-represent observed and imagined actions simultaneously.

Movement is important for children’s health and well-being. Most children find it easy to learn to move but children with developmental coordination disorder (DCD) find it hard. It can be tricky for them to plan and control their movements. DCD affects 1 in every 20 children. It makes important tasks difficult, like getting dressed or playing games and sports. Scientists have found that children with DCD have different activity in some brain areas compared to other children. Mental training can increase activity in these areas of the brain. One type of mental training is motor imagery, which involves imagining doing movements. Another type of mental training is action observation, which involves carefully watching how people make certain movements. These techniques can help children with DCD get better at moving. This means that doing mental training might help make life easier for children with DCD.

Cholinergic degeneration is a key feature of dementia in neurodegenerative conditions including Alzheimer's disease (AD) and Parkinson's disease (PD). Quantitative electro-encephalography (EEG) metrics are altered in both conditions from early stages, and recent research in people with Lewy body and AD dementia suggests these changes may be associated with atrophy in cholinergic basal forebrain nuclei (cBF). To determine if these relationships exist in predementia stages of neurodegenerative conditions, we studied resting-state EEG and in vivo cBF volumes in 31 people with PD (without dementia), 21 people with mild cognitive impairment (MCI), and 21 age-matched controls. People with PD showed increased power in slower frequencies and reduced alpha reactivity compared to controls. Volumes of cholinergic cell clusters corresponding to the medial septum and vertical and horizontal limb of the diagonal band, and the posterior nucleus basalis of Meynert, correlated positively with; alpha reactivity in people with PD (p< 0.01); and pre-alpha power in people with MCI (p< 0.05). These results suggest that alpha reactivity and pre-alpha power are related to changes in cBF volumes in MCI and PD without dementia.

BackgroundParkinson’s disease (PD) causes difficulties with everyday manual activities, but few studies have addressed these therapeutically. Training with action observation (AO) and motor imagery (MI) can significantly improve performance in healthy individuals, particularly when these techniques are applied simultaneously (AO+MI). Both AO and MI have shown promising effects in PD, but previous studies have used these separately. This article describes the development and pilot testing of an intervention combining AO+MI and physical practice to improve functional manual actions in PD.MethodsThe home-based intervention, delivered using a tablet computer app, was iteratively designed by an interdisciplinary team including people with PD, and further developed through focus groups and initial testing. The intervention was then tested in a six-week randomised controlled trial (ISRCTN 11184024) of 10 participants with mild to moderate PD (6 intervention; 4 treatment as usual).Results and ConclusionsUsage and qualitative data provided preliminary evidence of acceptability and usability, indicating that a feasibility RCT is warranted. Exploratory analyses suggested potential improvements in manual actions. The importance of personalisation, choice, and motivation was highlighted, as well as the need to facilitate engagement in motor imagery. The findings also have broader relevance for AO+MI interventions in PD and other populations.

[Background] There is an urgent need to identify individuals at risk of postural instability and gait difficulties, and the resulting propensity for falls, in Parkinson's disease., [Objectives] Given known relationships between posture and gait and degeneration of the cholinergic pedunculopontine nucleus, we investigated whether metrics of pedunculopontine nucleus microstructural integrity hold independent utility for predicting future postural instability and gait difficulties and whether they could be combined with other candidate biomarkers to improve prognostication of these symptoms., [Methods] We used stereotactic mapping of the pedunculopontine nucleus and diffusion tensor imaging to extract baseline pedunculopontine nucleus diffusivity metrics in 147 participants with Parkinson's disease and 65 controls enrolled in the Parkinson's Progression Markers Initiative. We also recorded known candidate markers of posture and gait changes: loss of caudate dopamine and CSF β‐amyloid 1‐42 levels at baseline; as well as longitudinal progression motor symptoms over 72‐months., [Results] Survival analyses revealed that reduced dopamine in the caudate and increased axial diffusivity in the pedunculopontine nucleus incurred independent risk of postural instability and gait difficulties. Binary logistic regression and receiver operating characteristics analysis in 117 participants with complete follow‐up data at 60 months revealed that only pedunculopontine nucleus microstructure provided more accurate discriminative ability for predicting future postural instability and gait difficulties than clinical and demographic variables alone., [Conclusion] Dopaminergic and cholinergic loss incur independent risk for future postural instability and gait difficulties, and pedunculopontine nucleus microstructure can be used to prognosticate these symptoms from early Parkinson's disease stages. © 2020 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society., The Parkinson's Progression Markers Initiative is sponsored and partially funded by the Michael J. Fox Foundation for Parkinson's Research. Other funding partners include a consortium of industry players, nonprofit organizations, and private individuals. Additional funding to support the current analysis was provided by the Wellcome Trust.

BACKGROUND:Sensitivity-related trait characteristics involving physical and emotional sensitivities and high trait anxiety personality types have been observed in individuals with non-specific chronic low back pain (NSCLBP). High trait sensitivity to sensory stimulation combined with interpretation biases based on personality type may contribute to the development of central sensitisation (CS) symptoms. To date there is limited research that has considered both sensitivity levels and personality type in NSCLBP with CS. The purpose of this study was to investigate 1) relationships between trait sensory profiles, trait anxiety and CS symptoms, and 2) the predictive capacity of sensory profiles, trait anxiety and personality types on CS symptoms, in people with NSCLBP. METHODS:This was a cross-sectional observational study using four self-report measures on adults (N = 165, mean age = 45 +-12 SD) from physiotherapy clinics in England, Ireland and New Zealand. Inclusion: NSCLBP > 6 months, aged 18-64, predominant CS pain presentation, no other pathology. Parametric and non-parametric correlation statistics and regression analyses were used. RESULTS:Positive correlations were found between central sensitisation inventory (CSI) scores and sensory hyper-sensitivity profiles and trait anxiety. CSI score increases could be predicted by: Sensory Sensitive, Low Registration profiles, trait anxiety scores and extreme defensive high anxious personality type. CONCLUSIONS:Trait sensory hyper- and/or hypo-sensitivity and high trait-anxiety related personality type characteristics predicts the extent of CS symptoms in people with NSCLBP. Further investigation is required to establish causality between these characteristics and CS symptoms. This article is protected by copyright. All rights reserved.

A range of cognitive skills that support the development of sport potential have been suggested to be important for athletes and coaches. This study explored performers’ psychological characteristics within orienteers. The psychological skills of World Elite orienteers and athletes in the National Junior Squads of both Great Britain and Switzerland were assessed using the six-factor Psychological Characteristics of Excellence Questionnaire. Data suggested that, as juniors, elite orienteers reported less support for long-term success than the Swiss juniors, perhaps because of the earlier adoption of self-coaching, but were not significantly different from either junior group on all other factors. British juniors were not significantly different from the other two groups on any factor. Follow-up qualitative approaches explored possible reasons for the World Elites’ early reliance on “self” rather than “other”, the role of the coach and the self-coaching phenomenon. The role of orienteering in developing these skills is also discussed along with unique psychological challenges faced by high performing orienteers.

The internal modelling deficit (IMD) hypothesis suggests that motor control issues associated with Developmental Coordination Disorder (DCD) are the result of impaired predictive motor control. In this study, we examined the benefits of a combined action observation and motor imagery (AO + MI) intervention designed to alleviate deficits in internal modelling and improve eye-hand coordination during a visuomotor rotation task. Twenty children with DCD were randomly assigned to either an AO + MI group (who watched a video of a performer completing the task whilst simultaneously imagining the kinaesthetic sensations associated with action execution) or a control group (who watched unrelated videos involving no motor content). Each group then attempted to learn a 90° visuomotor rotation while measurements of completion time, eye-movement behaviour and movement kinematics were recorded. As predicted, after training, the AO + MI group exhibited quicker completion times, more target-focused eye-movement behaviour and smoother movement kinematics compared to the control group. No significant after-effects were present. These results offer further support for the IMD hypothesis and suggest that AO + MI interventions may help to alleviate such deficits and improve motor performance in children with DCD.

In this study, we compared the effectiveness of concurrent action observation and motor imagery (AO + MI), observing with the intent to imitate (active observation; AO), and passive observation (PO) training interventions for improving eye–hand coordination. Fifty participants were assigned to five groups [AO + MI, AO, PO, physical practice (PP); control] and performed a visuomotor rotation task, whilst eye movements were recorded. Each participant then performed 20 task trials in a training intervention before repeating the visuomotor rotation task in a post-test. As expected, PP produced the greatest improvement in task performance and eye–hand coordination. However, in comparison to the control group, AO + MI training produced a statistically significant increase in both task performance and eye–hand coordination, but no such improvements were found following AO or PO.

Action observation produces activity in similar regions of the brain to those involved in action execution and can offer an effective intervention for motor (re)learning, although optimal viewing conditions for such interventions remain to be established. In this experiment, single-pulse transcranial magnetic stimulation (TMS) and eye-tracking were used simultaneously to investigate the effect of manipulating background context on both corticospinal excitability and visual attention during action observation. Twenty-four participants observed four different videos: (i) a static hand holding a sponge (control condition); and an index finger-thumb pinch of a sponge against (ii) a plain black background; (iii) a background containing objects that were incongruent with the observed action; and (iv) a background containing objects that were congruent with the observed action. TMS was delivered to the hand representation of the left primary motor cortex, and motor evoked potentials were recorded from the first dorsal interosseous and abductor digiti minimi muscles of the right hand. Eye movements were recorded throughout the experiment. Results indicated that corticospinal excitability was facilitated during the congruent context condition compared to both the static hand and plain black background conditions. In addition, the number of fixations and percentage of time participants spent fixating on the background scene were significantly greater during the incongruent and congruent conditions compared to the static hand and plain black background conditions. These results indicate that the provision of additional visual information that is congruent with the observed movement contributes to a facilitation of corticospinal excitability by providing the observer with information regarding the goal and intention of the observed action. Providing congruent contextual information may enhance the efficacy of action observation interventions for motor (re)learning.

Background Physical therapy evaluations of motor control are currently based on subjective clinical assessments. Despite validation, these can still be inconsistent between therapists and between clinics, compromising the process of validating a therapeutic intervention and the subsequent generation of evidence-based practice (EBP) guidelines. EBP benefits from well-defined objective measurements that complement existing subjective assessments. Research question The aim of this study was to develop an objective measure of head/trunk control in children with Cerebral Palsy (CP) using previously developed video-based methods of head/trunk alignment and absence of external support and compare these with the existing subjective Segmental Assessment of Trunk Control (SATCo). Methods Twelve children with CP were recruited and an average of 3 (±1.1) SATCo tests performed per child. The full SATCo was concurrently video-recorded from a sagittal view; markers were placed on specific landmarks of the head, trunk and pelvis to track and estimate head/trunk segment position. A simplified objective rule was created for control and used on videos showing no external support. This replicated the clinical parameters and enabled identification of the segmental-loss-of-control. The subjectively and objectively identified segmental-loss-of-control were compared using a Pearson Correlation Coefficient. Results An angular-threshold of 17° from alignment showed the minimum bias between the subjectively and the objectively measured segmental-loss-of-control (mean error =−0.11 and RMSE = 1.5) and a significant correlation (r = 0.78, r2 = 0.61, p Significance This study showed that simple objective video-based measurements can be used to reconstruct the subjective assessment of segmental head/trunk control. This suggests that a clinically-friendly video-based objective measure has future potential to complement subjective assessments and to assist in the generation of EBP guidelines. Further development will increase the information that can be extracted from video images and enable generation of a fully automated objective measure.

Action observation has been suggested to be an effective adjunct to physical practice in motor (re)learning settings. However, optimal viewing conditions for interventions are yet to be established. Single-pulse transcranial magnetic stimulation (TMS) was used to investigate the effect of two different screen positions and participants’ screen position viewing preference on the amplitude of motor evoked potentials (MEPs) during observation of a ball pinch action. Twenty-four participants observed four blocked conditions that contained either a dynamic index finger-thumb ball pinch or a static hand holding a ball in a similar position on a horizontally or vertically positioned screen. TMS was delivered to the hand representation of the left primary motor cortex and MEPs were recorded from the first dorsal interosseous muscle of the right hand. Initial analysis of the normalized MEP amplitude data showed no significant differences between conditions. In a follow-up procedure, participants engaged in individual semi-structured interviews and completed a questionnaire designed to assess viewing affect and screen position viewing preference. The MEP data were subsequently split by screen position preference and re-analyzed using a 2 × 2 repeated measures ANOVA. Main effects indicated that participants who preferred the horizontal screen position (n = 16) demonstrated significantly greater MEP amplitudes during observation of the ball-pinch action compared to the static hand condition irrespective of screen position, and during the horizontal compared to the vertical screen position irrespective of video type. These results suggest that ensuring anatomical and perceptual congruency with the physical task, alongside consideration of participants’ screen position viewing preferences, may be an important part of optimizing action observation interventions.

The combined event is a crucial aspect of the modern pentathlon competition, but little is known about how shooting performance changes through the event. This study aimed to identify (i) how performance-related variables changed within each shooting series and (ii) how performance-related variables changed between each shooting series. Seventeen modern pentathletes completed combined event trials. An optoelectronic shooting system recorded score and pistol movement, and force platforms recorded centre of pressure movement 1 s prior to every shot. Heart rate and blood lactate values were recorded throughout the event. Whilst heart rate and blood lactate significantly increased between series (P 0.05). Thus, combined event shooting performance following each running phase appears similar to shooting performance following only 20 m of running. This finding has potential implications for the way in which modern pentathletes train for combined event shooting, and highlights the need for modern pentathletes to establish new methods with which to enhance shooting accuracy.

Full trunk control in sitting is demonstrated only when the head-trunk are aligned and upper limbs remain free of contact from mechanical support. These components represent a Controlled Kinetic Chain and can be evaluated in people with neuromotor disability using the Segmental Assessment of Trunk Control (SATCo) when a therapist provides manual trunk support at different segmental levels. However, the SATCo, as with other clinical assessments of control, is subjective. The SATCo was translated to objective rules relating the position of the hands and elbows to the head-trunk and then tested to determine the extent to which this automated objective method replicated the clinical judgement. Clinical evaluation used video to determine whether the upper limb was free of mechanical support while the objective evaluation used 3D motion capture of the trunk and upper limbs with a classification rule. The agreement between clinical and objective classification was calculated for three conditions of a distance-from-support-surface threshold parameter in five healthy adults and five children with cerebral palsy. The unfitted (zero-threshold values) method replicated the clinical judgement in part (68.26%±15.7, adults, 48.3%±33.9 children). The fitted (level-of-support determined) agreement showed that the process could be refined using trial specific parameters (88.32%±5.3 adults, 89.84%±10.2 children). The fixed-values agreement showed high values when using general group parameters (80.80%±3.1 adults, 74.31%±21.5 children). This objective classification of the upper limb component of trunk control largely captures the clinical evaluation. It provides the first stages in development of a clinically-friendly fully automated method.

Motor imagery (MI) and action observation (AO) have traditionally been viewed as two separate techniques, which can both be used alongside physical practice to enhance motor learning and rehabilitation. Their independent use has largely been shown to be effective, and there is clear evidence that the two processes can elicit similar activity in the motor system. Building on these well-established findings, research has now turned to investigate the effects of their combined use. In this article, we first review the available neurophysiological and behavioral evidence for the effects of combined action observation and motor imagery (AO+MI) on motor processes. We next describe a conceptual framework for their combined use, and then discuss several areas for future research into AO+MI processes. In this review, we advocate a more integrated approach to AO+MI techniques than has previously been adopted by movement scientists and practitioners alike. We hope that this early review of an emergent body of research, along with a related set of research questions, can inspire new work in this area. We are optimistic that future research will further confirm if, how, and when this combined approach to AO+MI can be more effective in motor learning and rehabilitation settings, relative to the more traditional application of MI or AO independently.

Advances in technology have allowed research in cognitive neuroscience to contribute significantly to the discipline of sport psychology. In most cases, the research has become more rigorous and has directed current thinking on the mechanisms subserving a number of psychological theories and models of practice. Currently, the three most common neuroscience techniques informing sport and exercise research are electroencephalography, transcranial magnetic stimulation and functional magnetic resonance imaging. In this review, we highlight and discuss the contributions to sport psychology that have been made in recent years by applying these techniques, with a focus on the development of expertise, motor cognition, motor imagery and action observation.

Action observation (AO) and movement imagery (MI) have been reported to share similar neural networks. This study investigated the congruency between AO and MI using the eye gaze metrics, dwell time and fixation number. A simple reach–grasp–place arm movement was observed and, in a second condition, imagined where the movement was presented from the first person perspective (1PP) and the third person perspective (3PP). Dwell time and number of fixations were calculated for whole scene and regions of interest (ROIs). For whole scene, no significant differences were found in the number of fixations for condition (AO, MI) or perspective. Dwell time, however, was significantly longer in AO than MI. For ROIs, the number of fixations was significantly greater in 1PP than 3PP. The data provide support for congruence between motor simulation states but also indicate some functional differences.

Maintenance of a vertically aligned posture of the head and trunk in sitting is a fundamental skill that demonstrates the presence of neuromotor control. Clinical assessments of posture are generally subjective. Studies have quantified posture using different technologies, but the application of such technologies in a clinical environment remains difficult. Video recordings, however, are easily used clinically and have potential for quantitative analysis of movement. This study used a video-based method to generate a numerical measure of postural alignment of the head and trunk in sitting. Static and dynamic trials of 12 healthy seated adults were simultaneously recorded with a sagittal video camera and a 3D motion capture system. Segmental angles were calculated for the Head, Neck and six Trunk segments. An agreed definition of aligned static sitting posture agreed was used by five clinically experienced experts to identify video frames where the participants’ posture was aligned. The five subsets of frames that defined the aligned posture were combined to give aligned segments (mean ± SD) for each participant. Agreement between experts in the definition (mean) of aligned segmental angles was excellent (ICC = 0.99) and intra-assessor reliability (SD) lay within 2.1°–11.6°. Agreement between the video-based method and the 3D system was below 3.8° and 8.4° for static and dynamic trials respectively. This video-based method allowed the quantification of sitting posture and provided greater detail of the trunk/spinal profile than previous methods. It has potential as a complementary tool, alongside subjective assessments, for patients with a wide variety of pathologies.

Background: Self-led therapy has the potential to extend rehabilitation and enhance recovery after stroke. Evolving technology can add support and structure to this approach. Our objective was to develop and evaluate the See, Imagine, Move; Upper Limb Action Therapy (SIMULATe) application; an iPad-based, cognitive and physical training intervention focused on (re)learning activities of daily living after stroke. Method: The SIMULATe application was developed using a user-centered approach (ISO 9241-210). The therapy exploits the putative human mirror neuron system to enhance physical practice and positive affect. To evaluate SIMULATe, community dwelling stroke survivors (N=13) between 3 months and 5 years after stroke entered a single group trial. Participants accessed SIMULATe via an iPadTM and observed, imagined and physically practiced functional activities for up to 90 minutes a day for 18 consecutive days. Primary outcome measures included: adherence; retention; usability (System Usability Scale; SUS); and adverse effects. Secondary measures (pre- and post-test) included: the Action Research Arm Test (ARAT); 9 Hole Peg Test (9HPT); Grip Strength (GS); and the Positive and Negative Affect Scale (PANAS). Where appropriate, results are reported as median scores (IQR). Results: The intervention was feasible. There was >80% retention, participants completed >33% of the maximum target time, the usability (SUS: 0-100) was 91.2 (87.5 - 92.5) and no adverse effects were reported. ARAT scores (0-57) increased from 43.0 (39.5-54.0) to 45.0 (39.0-53.0); GS (N=11*) increased from 28.3 (26.0-44.3) to 35.7 (30.2 - 49.2); 9HPT (N=7*) decreased from 81.1 (38.2-132.83) to 39.9 (33.51-55.7); Positive Affect (10-50; N=10*) increased from 34.2 (29.5-38.0) to 36.0 (32.5-47) and Negative Affect (10-50; N=10*) decreased from 22.0 (13.2-29.2) to 16.5 (11.5-23.25). *Some participants could not complete all measures. Conclusion: Technology-dependent, self-led therapy appears to be feasible, safe and acceptable to stroke survivors. Further development and investigation in a randomized controlled trial with a usual care comparator is warranted.

Attentional biases reflect an individual's selective attention to salient stimuli within their environment, for example an experience of back pain. Eysenck suggests that different personality types show different attentional biases to threatening information. This study is the first to test Eysenck's theory within a chronic back pain population by investigating the attentional biases of four different personality types using a back pain specific dot-probe paradigm. Participants were 70 volunteers (45 female) recruited from a back rehabilitation program at an NHS Trust. The four groups were selected on their trait anxiety and defensiveness scores: defensive high-anxious; high-anxious; repressor and non-extreme. Participants completed a dot probe task comprising 20 practice trials and 250 experimental trials. The experimental trials contained 100 threat-neutral pairs, 100 positive-neutral pairs and 50 neutral-neutral image pairings. The threat images were taken from the Photograph Series of Daily Activities (PHODA) and the neutral and positive images from the International Affective Picture System (IAPS) image bank. The results provided partial support for Eysenck's theory; defensive high-anxious individuals showed an attentional bias for threatening information compared to high-anxious individuals who demonstrated no bias. Repressors showed an avoidant bias to threatening images and an attentional bias to positive stimuli relative to neutral images. The clear difference in responses demonstrated by high-anxious individuals who vary in defensiveness highlight the need for separate investigation of these heterogeneous groups and help to explain the cognitive processes of defensive high-anxious individuals within a pain population. The demonstration of an attentional bias in this group to threatening information could explain why defensive high-anxious individuals are more likely to re-present for treatment.

Transcranial magnetic stimulation (TMS) has been used widely in research investigating corticospinal (CS) excitability during action observation. Generally, this work has shown that observation of an action performed by others, in the absence of overt movement, modulates the excitability of the CS pathway in humans. Despite the extent of the literature exploring action observation effects, however, there has been little research to date that has compared observation with the combination of observation and execution directly. Here, we report a single-pulse TMS study that investigated whether CS excitability during action observation was modulated by actions performed by the observers prior to viewing a ball pinching action. The results showed that CS excitability during action observation increased when compared to observation of a static hand, but that there was no additional motor facilitation when participants performed the same action prior to observing it. Our findings highlight the importance of action observation and its consequences on the CS system, whilst also illustrating the limited effect of prior action execution on the CS pathway for a simple action task.

Studies using transcranial magnetic stimulation have demonstrated that action observation can modulate the activity of the corticospinal system. This has been attributed to the activity of an 'action observation network', whereby premotor cortex activity influences corticospinal excitability. Neuroimaging studies have demonstrated that the context in which participants observe actions (i.e. whether they simply attend to an action, or observe it with the intention to imitate) modulates action observation network activity. The study presented here examined whether the context in which actions were observed revealed similar modulatory effects on corticospinal excitability. Eight human participants observed a baseline stimulus (a fixation cross), observed actions in order to attend to them, or observed the same actions with the intention to imitate them. Whereas motor evoked potentials elicited from the first dorsal interosseus muscle of the hand were facilitated by attending to actions, observing the same actions in an imitative capacity led to no facilitation effect. Furthermore, no motor facilitation effects occurred in a control muscle. Electromyographic data collected when participants physically imitated the observed actions revealed that the activity of the first dorsal interosseus muscle increased significantly during action execution compared with rest. These data suggest that an inhibitory mechanism acts on the corticospinal system to prevent the immediate overt imitation of observed actions. These data provide novel insight into the properties of the human action observation network, demonstrating for the first time that observing actions with the intention to imitate them can modulate the effects of action observation on corticospinal excitability.

It is commonly reported that transcranial magnetic stimulation (TMS) of the motor cortex during action observation and motor imagery results in increases in the amplitude of motor evoked potentials (MEPs) in muscles specific to the observed or imagined action. This study aimed to determine whether MEP amplitude was related to the motor imagery ability of participants. Participants were 15 healthy, right-handed adults (five male), with a mean age of 29.7 years. Motor imagery ability was measured using the Vividness of Movement Imagery Questionnaire-2 (VMIQ-2) and a hand rotation task. TMS was delivered during observation and imagery of a finger-thumb opposition sequence and MEPs were measured in the abductor pollicis brevis. Significant increases in MEP amplitude, from baseline, were recorded during observation and imagery conditions. The change in amplitude to both observation and imagery was expressed as a percentage of baseline amplitude. There was a significant correlation between MEP change for the imagery condition and imagery ability, with greater change linked to more vivid images and faster response times. The relationship between MEP change for the observation condition and imagery ability was less salient. This is the first study to show that the strength of corticospinal activation during imagery, which may be a determinant of the effectiveness of imagery training, is related to imagery ability in the general population, and has implications for clinical programs.

Action observation interventions may have the potential to contribute to improved motor function in motor (re)learning settings by promoting functional activity and plasticity in the motor regions of the brain. Optimal methods for delivering such interventions, however, have yet to be established. This experiment investigated the effect on corticospinal excitability of manipulating the viewing instructions provided to participants (N = 21) prior to action observation. Specifically, motor evoked potential responses measured from the right hand muscles following single-pulse transcranial magnetic stimulation (TMS) to the left motor cortex were compared when participants were instructed to observe finger-thumb opposition movement sequences: (i) passively; (ii) with the intent to imitate the observed movement; or (iii) whilst simultaneously and actively imagining that they were performing the movement as they observed it. All three action observation viewing instructions facilitated corticospinal excitability to a greater extent than did observation of a static hand. In addition, the extent to which corticospinal excitability was facilitated was greater during combined observation and imagery, compared to passive observation. These findings have important implications for the design of action observation interventions in motor (re)learning settings, where instructions that encourage observers to simultaneously imagine themselves performing the observed movement may offer the current optimal method for improving motor function through action observation.

In this study, we examined whether movement imagery results in greater physiological responses and greater imagery ability when the imagery script is generated by the participant than when generated by the experimenter. Electromyography (EMG) was used to measure left and right biceps brachii and triceps muscle activity in 19 participants during physical and imagined performance of a set of 16 repetitions of a dumbbell curl performed with the right arm. EMG was measured during a relaxed baseline, physical trial and experimenter-generated and participant-generated imagery conditions. The experimenter-generated scripts were based on previously published imagery studies using the same task, whereas the participant-generated scripts were based on the self-reported stimulus and response propositions of the participants. The results showed that self-reported imagery ability ratings were higher, and EMG activity in the right bicep was greater, when the participants generated their own imagery scripts than when the script was produced by the experimenter. Results also showed that this effect was specific to the task-relevant muscle and arm. These results support Lang's (1979, 1985) bioinformational theory and emphasize the importance of personalizing imagery interventions to produce a vivid imagery experience that is accompanied by task-specific physiological responses.

Transcranial magnetic stimulation (TMS) research has shown that corticospinal excitability is facilitated during the observation of human movement. However, the relationship between corticospinal excitability and participants' visual attention during action observation is rarely considered. Nineteen participants took part in four conditions: (i) a static hand condition, involving observation of a right hand holding a ball between the thumb and index finger; (ii) a free observation condition, involving observation of the ball being pinched between thumb and index finger; and (iii and iv) finger-focused and ball-focused conditions, involving observation of the same ball pinch action with instructions to focus visual attention on either the index finger or the ball. Single-pulse TMS was delivered to the left motor cortex and motor evoked potentials (MEPs) were recorded from the first dorsal interosseous (FDI) and abductor digiti minimi muscles of the right hand. Eye movements were recorded simultaneously throughout each condition. The ball-focused condition produced MEPs of significantly larger amplitude in the FDI muscle, compared to the free observation or static hand conditions. Furthermore, regression analysis indicated that the number of fixations on the ball was a significant predictor of MEP amplitude in the ball-focused condition. These results have important implications for the design and delivery of action observation interventions in motor (re)learning settings. Specifically, providing viewing instructions that direct participants to focus visual attention on task-relevant objects affected by the observed movement promotes activity in the motor system in a more optimal manner than free observation or no instructions.

We report a patient with severe anosognosia for hemiplegia, who recovered instantly and permanently when viewing herself in a video replay. We believe the observed dramatic reinstatement of the patient's awareness related to her self-observation 'from the outside' (3rd person perspective) and 'off-line' (at a time later than the actual attempt to execute a movement); her anosognosia had been unaltered when she observed her plegic arm in her ipsilateral visual field (self-observation from a 1st-person perspective and 'on-line'). To our knowledge, the role of self-observation in videos or mirrors has not being assessed in AHP to date. Our study provides preliminary evidence that, when right hemisphere damage impairs the ability to update one's body representation, judgements relying on 3rd-person and off-line self-observation may be spared in some patients and may facilitate 1st person awareness.

Background and Purpose: Stroke rehabilitation coordinated by specialist teams and oriented toward functional activities is now common. However, the potential remains for improved outcome, and new methods for improving rehabilitation are being developed. Observation of functional, meaningful activities, via DVD, has been suggested as a technique that may be effective. This case study aimed to investigate the effect of an individualized program of observation for functional status after stroke. Case Description: The case study participant was a 44-year-old man, 12 months after a right intracerebral hemorrhage, with a Scandinavian Stroke Scale (SSS) score of 42. He was independently mobile using a cane. He viewed, with the instructions to understand and imitate, four DVDs of meaningful daily activities filmed from first- and third-person visual perspectives. Pre- and postintervention measures administered in the participant's home were the SSS, Postural Assessment Scale (PASS), Timed Up and Go test (TUG) with manual and cognitive components, a fluidity scale, and the Stroke-Specific Quality of Life Scale. Outcomes: Improvements were observed in the TUG and the fluidity scale. Small but clinically insignificant changes were observed in the PASS. The patient also felt confident to progress to walking without his cane. Discussion: The findings suggest that, for this relatively young and motivated individual, observation of meaningful activities was an important part of his stroke rehabilitation. (C) 2008 Neurology Section, APTA

The aim of this study was to test the conflicting predictions of processing efficiency theory (PET) and the conscious processing hypothesis (CPH) regarding effort's role in influencing the effects of anxiety on a golf putting task. Mid-handicap golfers made a series of putts to target holes under two counterbalanced conditions designed to manipulate the level of anxiety experienced. The effort exerted on each putting task was assessed though self-report, psychophysiological (heart rate variability) and behavioural (pre-putt time and glances at the target) measures. Performance was assessed by putting error. Results were generally more supportive of the predictions of PET rather than the CPH as performance was maintained for some performers despite increased state anxiety and a reduction in processing efficiency. The findings of this study support previous research suggesting that both theories offer useful theoretical frameworks for examining the relationship between anxiety and performance in sport.

Attentional biases reflect an individual’s selective attention to salient stimuli within their environment, for example an experience of back pain. Eysenck suggests that different personality types show different attentional biases to threatening information. This study is the first to test Eysenck’s theory within a chronic back pain population by investigating the attentional biases of four different personality types using a back pain specific dot-probe paradigm. Participants were 70 volunteers (45 female) recruited from a back rehabilitation program at an NHS Trust. The four groups were selected on their trait anxiety and defensiveness scores: defensive high-anxious; high-anxious; repressor and non-extreme. Participants completed a dot probe task comprising 20 practice trials and 250 experimental trials. The experimental trials contained 100 threat-neutral pairs, 100 positive-neutral pairs and 50 neutral-neutral image pairings. The threat images were taken from the Photograph Series of Daily Activities (PHODA) and the neutral and positive images from the International Affective Picture System (IAPS) image bank. The results provided partial support for Eysenck’s theory; defensive high-anxious individuals showed an attentional bias for threatening information compared to high-anxious individuals who demonstrated no bias. Repressors showed an avoidant bias to threatening images and an attentional bias to positive stimuli relative to neutral images. The clear difference in responses demonstrated by high-anxious individuals who vary in defensiveness highlight the need for separate investigation of these heterogeneous groups and help to explain the cognitive processes of defensive high-anxious individuals within a pain population. The demonstration of an attentional bias in this group to threatening information could explain why defensive high-anxious individuals are more likely to re-present for treatment.

This chapter describes important issues regarding research students' participation in a virtual community. Within a virtual community, university staff can communicate with research students without geographical/space constraints, and research students can exchange views, materials, and experience with their peers and/or academics in a flexible learning environment. Students' participation in virtual communities is mainly based on socio-emotional and informational motivations. Initially, this chapter describes the conditions of research in a traditional environment and the role of students and academics in it, along with the role of pedagogical and psychological aspects in virtual communities. Examples from a university virtual community developed in a Virtual Learning Environment and a Facebook™ closed group are presented. Apart from discussion forums, blended learning activities also increase students' engagement in virtual communities. Technical issues and difficulties based on different learning environments and university members' experience and familiarity with technology are highlighted and discussed.

Motor imagery, or the mental rehearsal of actions in the absence of physical movement, is an increasingly popular construct in fields such as neuroscience, cognitive psychology and sport psychology. Unfortunately, few models of motor imagery have been postulated to date. Nevertheless, based on the hypothesis of functional equivalence between imagery, perception and motor execution, Holmes and Collins in 2001 developed the PETTLEP model of motor imagery in an effort to provide evidence-based guidelines for imagery practice in sport psychology. Given recent advances in theoretical understanding of functional equivalence, however, it is important to provide a contemporary critical reflection on motor imagery research conducted using this model. The present article addresses this objective. We begin by explaining the background to the development of the PETTLEP model. Next, we evaluate key issues and findings in PETTLEP-inspired research. Finally, we offer suggestions for, and new directions in, research in this field. Author has checked copyright kpw13/5/13

To date, no research has investigated score predictions and anxiety interpretation in high-anxious, low-anxious, defensive high-anxious and repressor individuals. This study examined Eysenck’s (1997) predictions for cognitive biases on future performance expectations in all four groups. This study was conducted in an ecologically-valid sporting environment. Competitive shooters completed the Marlowe–Crowne Social Desirability Scale and the Sport Anxiety Scale prior to a major competition. Percentile splits identified the four defensiveness/anxiety groups. The modified Competitive Sport Anxiety Inventory-2 was used to assess the intensity and direction of anxiety prior to competition. Participants predicted their expected shooting score. The hypothesis that repressors would interpret their anxiety as more facilitative to performance compared to low-anxious individuals was partially supported. Repressors were more optimistic in their performance prediction in contrast to defensive high-anxious performers who, in turn, were more pessimistic compared to the other two groupings. High-anxious performers, contrary to predictions, demonstrated optimism in their future performance. The findings of this study corroborate the theoretical predictions and the evidence from previous studies with sport performers. Future research should continue to investigate the influence of cognitive biases on performance predictions in sporting environments using Weinberger et al.’s classifications.

The authors' aim in this study was to consider the functional equivalence of internal imagery, external imagery, and action execution. Sixteen elite gymnasts imaged and performed a complex gymnastic vault. Ten performers imaged from an internal perspective, and 6 used an external perspective. Although the results revealed that the time to image the entire motor task did not significantly differ from the time required to physically perform it, irrespective of the imagery perspective used, the temporal organization of the action was different within the imagery conditions than it was in the physical condition. The results do not provide support for the principle of temporal functional equivalence. The authors discuss the results in light of recent findings from the cognitive neuroscience and psychology literatures.

Imagery can improve sport performance, although its efficacy is mediated by the ease with which athletes can generate images. Establishing techniques that improve this imagery ability factor is desirable to enhance the effectiveness of imagery interventions. Twenty-seven club-level female golfers were assigned to imagery, action observation, or physical practice training groups (n = 9). Changes in image generation ease were assessed using the Revised Movement Imagery Questionnaire over an 8-week period. Imagery and action observation training were both effective in improving aspects of imagery ability. Action observation can provide sport psychologists with an effective tool for improving visual imagery ability in athletes.

Observation and imagery of movement both activate similar brain regions to those involved in movement execution. As such, both are recommended as techniques for aiding the recovery of motor function following stroke. Traditionally, action observation and movement imagery have been considered as independent intervention techniques. Researchers have however begun to consider the possibility of combining the two techniques into a single intervention strategy. This study investigated the effect of combined action observation and movement imagery on corticospinal excitability in comparison to either observation or imagery alone. Single-pulse transcranial magnetic stimulation was delivered to the hand representation of the left motor cortex during combined action observation and movement imagery, passive observation, or movement imagery of right index finger abduction-adduction movements or control conditions. Motor evoked potential (MEPs) were recorded from the first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles of the right hand. The combined action observation and movement imagery condition produced MEPs of larger amplitude than were obtained during passive observation and control conditions. This effect was only present in the FDI muscle, indicating the facilitation of corticospinal excitability during the combined condition was specific to the muscles involved in the observed/imagined task. These findings have implications for stroke rehabilitation, where combined action observation and movement imagery interventions may prove to be more effective than observation or imagery alone.

This study examined the effect of various imagery modalities on golf putting performance. Forty experienced male golfers were randomly assigned to one of four groups. A “written script” group received a personalized, response proposition-laden script. Participants in the audio and video groups either listened to an audiotape or watched an internal-perspective videotape of themselves putting. Control participants spent an equivalent amount of time reading golf literature. Each participant completed a 15-ball putting task twice a week for 6 weeks and also performed his imagery or reading daily during this period. Pretests revealed no significant differences in performance. Posttests, however, showed that the video and audio groups performed significantly better than the written script and control groups. This indicates that the form in which an imagery intervention is delivered can have a significant impact on its performance effectiveness.