Embodied mental rotation ability in open- and closed-skill sports: pilot study with a new virtual paradigm.

Embodied mental rotation is the influence of the body on mental rotation ability. Sports expertise enhances embodied mental rotation ability. However, sport-skill-dependent effects remain unclear. Previous studies refer to the influence of body positions on mental rotation ability. Yet, in sports, the investigation of the effect of simultaneous body and mental rotation movements is essential. Athletes need to constantly mentally and physically adapt to environmental changes and new motor tasks while being in motion themselves. This study aimed to investigate embodied mental rotation ability with simultaneous body and mental rotation in individuals with different sport skills, i.e., in open- and closed-skill sports. Forty-eight men and women, divided into two groups depending on their sport, performed 32 trials of an extended embodied mental rotation task. Simultaneous body and mental rotation were enabled by a novel test method including Virtual Reality. Results revealed shorter response times to the task stimulus in closed-skill sports participants than in open-skill sports participants. This group difference was significant for trials in which rotation directions of the own body and the mental rotation stimulus were aligned. The results might be related to sport-specific skill development processes. Motor imitation skills, as relevant in many closed-skill sports, may facilitate cognitive processes when the motion direction of the own body and of the mental rotation stimulus are aligned. The novel test method identifies potential applications that should be increasingly explored in the future, both for cognitive science and sports research.

Arousal, interindividual differences and temporal binding a psychophysiological study.

The sense of agency varies as a function of arousal in negative emotional contexts. As yet, it is unknown whether the same is true for positive affect, and how inter-individual characteristics might predict these effects. Temporal binding, an implicit measure of the sense of agency, was measured in 59 participants before and after watching either an emotionally neutral film clip or a positive film clip with high or low arousal. Analyses included participants' individual differences in subjective affective ratings, physiological arousal (pupillometry, skin conductance, heart rate), striatal dopamine levels via eye blink rates, and psychopathy. Linear mixed models showed that sexual arousal decreased temporal binding whereas calm pleasure had no facilitation effect on binding. Striatal dopamine levels were positively linked whereas subjective and physiological arousal may be negatively associated with binding towards actions. Psychopathic traits reduced the effect of high arousal on binding towards actions. These results provide evidence that individual differences influence the extent to which the temporal binding is affected by high arousing states with positive valence.

Can mindfulness-based training impact explicit and implicit attitudes and sustainable nutrition behavior? A focus on vegetarianism.

OBJECTIVES: The aim of this study was to investigate the impact of a mindfulness intervention (IG) compared to an inactive control group (CG) on explicit and implicit attitudes toward vegetarian and meat-based foods, nutrition behavior measures, trait mindfulness and wellbeing. METHODS: In the IG (N = 66), we implemented a mindfulness-based intervention consisting of eight weekly group sessions online, along with an additional half-day session held on campus. The CG (N = 71) received no intervention or training. We employed a pre-/post-intervention design involving questionnaires (trait mindfulness, wellbeing, sustainable nutrition behavior scale), an online supermarket scenario, as well as an explicit rating task and an implicit association task using pictures of vegetarian and meat-based foods. Additionally, a voluntary follow-up testing was conducted two months after the final group session. RESULTS: No intervention effects were observed on explicit and implicit attitudes, wellbeing, or nutrition behavior measures. However, there was an increase in trait mindfulness within the IG. Exploratory cross-sectional findings indicated that trait mindfulness facets such as "Acting with Awareness" and "Outer Awareness", along with explicit attitudes, were significant predictors of self-reported sustainable consumption behavior. Additionally, sex and explicit attitudes were identified as significant predictors of vegetarian consumption behavior in the online supermarket task. CONCLUSION: Our findings could not substantiate previous claims regarding the potential causal effects of mindfulness practice on sustainable consumption behavior, specifically in the realm of sustainable and vegetarian nutrition, as well as subjective wellbeing. Future studies may benefit from implementing longer-term mindfulness-based interventions and considering other potential decisive factors, such as connectedness to nature and others. Integrating training elements focusing on these specific variables into the intervention could be valuable.

Does mindfulness help to overcome stereotype threat in mental rotation in younger and older adolescents?

We investigated gender differences in mental rotation performance in younger and older adolescents and effects of stereotype threat activation and a short mindfulness induction. Two hundred fifty younger adolescents from grades 5, 6, and 7 (119 boys) and 152 older adolescents from grades 10, 11, and 12 (80 boys) were divided into four groups with or without a mindfulness induction and with or without stereotype threat activation. All participants solved a mental rotation test and filled out a questionnaire about their gender stereotype beliefs and perceived abilities of masculine and feminine activities. Results illustrate that older adolescents outperformed younger adolescents, and gender differences in favor of males appeared only in the older age group. Independent of gender, the mindfulness induction had a significantly positive effect on adolescents' mental rotation performance that was significant only in the older age group. No effect of the stereotype activation was found. For gender stereotype beliefs and perceived abilities of gendered activities, the mindfulness intervention enhanced male stereotype beliefs and participants' perceived ability of masculine activities. A short mindfulness induction seems to have an enhancing effect on a subsequently performed stereotypically masculine cognitive task and consequently on adolescents' male stereotype beliefs and their perceived ability in masculine activities.

A clinical decision support system in back pain helps to find the diagnosis: a prospective correlation study.

The aim of this study is to show the concordance of an app-based decision support system and the diagnosis given by spinal surgeons in cases of back pain. 86 patients took part within 2 months. They were seen by spine surgeons in the daily routine and then completed an app-based questionnaire that also led to a diagnosis independently. The results showed a Cramer's V = .711 (p < .001), which can be taken as a strong relation between the tool and the diagnosis of the medical doctor. Besides, in 67.4% of the cases, the diagnosis was concordant. An overestimation of the severity of the diagnosis occurred more often than underestimation (15.1% vs. 7%). The app-based tool is a safe tool to support healthcare professionals in back pain diagnosis.

Diverging implicit measurement of sense of agency using interval estimation and Libet clock.

Besides relying on explicit agency ratings, research concerning the sense of agency seeks to employ implicit measures. One such measure is intentional binding, i.e., the shortening of the perceived temporal interval between an action and its consequence. Multiple paradigms have been used to measure intentional binding. Our aim was to compare two common paradigms within the same participants: interval estimation and the Libet clock paradigm. As both are supposed to measure intentional binding, we hypothesized the two measures correlated positively. In two experiments, we used Bayes factors as a stopping criterion for data collection in a correlational study design resulting in valid samples of 46 and 36 healthy adult students. Despite good reliability, Bayes factors showed moderate evidence for intentional binding from the two paradigms to be uncorrelated. Implications for future research of sense of agency and the necessity for nomological validity of its measures are discussed.

Mental rotation with colored cube figures.

Men usually outperform women in psychometric mental rotation tests with cube figures. This advantage could be pronounced due to the male stereotyped rotational objects. The present study aims to investigate whether gender differences in favor of men are absent when the stimuli are less male stereotyped. Therefore, 112 participants solved three psychometric mental rotation tests with cube figures colored in pink, blue, and grey. Men outperformed women independent of stimulus color. In the pink and the grey version of the test, participants with beliefs of spatial abilities as masculine performed better than those with feminine beliefs. The mental rotation test performance with pink figures was predicted by gender and gender stereotypes in spatial abilities. In the blue and grey version, gender and self-rated spatial abilities predicted the performance. It can be assumed that the stereotype activation by stimulus color was not sufficient to influence the performance.

Are explicit and implicit affective attitudes toward different body shape categories related to the own body-satisfaction in young women? The role of mindfulness, self-compassion and social media activity.

Implicit and explicit attitudes influence our behavior. Accordingly, it was the main goal of the paper to investigate if those attitudes are related to body image satisfaction. 134 young women between 18 and 34 years completed an explicit affective rating and an implicit affective priming task with pictures of women with different BMIs. Because it is well known that mindfulness, self-compassion and social media activity influence body image satisfaction, these variables were registered as well. The results confirmed an explicit positive affective bias toward pictures of slim women and a negative bias toward emaciated and obese body pictures. It adds to the literature that the explicit positive bias does not hold true for the strongest form of underweight, suggesting that instead of dividing different body shapes into two groups, different gradings of under- and overweight should be considered. Concerning the affective priming task, no significant differences between the different pictures could be carved out. Implicit and explicit affective attitudes were not related to the body satisfaction of the participating women. In line with former studies, body satisfaction was predicted by the actual-ideal weight discrepancy, the BMI, aspects of mindfulness and self-compassion. This study indicates that implicit and explicit affective attitudes toward underweight and overweight women are unrelated to the participants' body satisfaction.

Pupillometry as a measure of cognitive load in mental rotation tasks with abstract and embodied figures.

We investigated sex differences in behavioral performance and cognitive load in chronometric mental rotation tasks with abstract and embodied figures. Eighty participants (44 females and 36 males) completed 126 items, which included cube figures, body postures, and human figures, which were all comparable in shape and color. Reaction time, accuracy, and cognitive load, measured by changes in pupil dilation, were analyzed. As a function of angular disparity, participants showed shorter reaction times and higher accuracy rates for embodied stimuli than cube figures. Changes in pupil dilation showed a similar pattern, indicating that mental rotation of embodied figures caused less cognitive load to solve the task. No sex differences appeared in any of the measurements.

Affective explicit and implicit attitudes towards vegetarian and vegan food consumption: The role of mindfulness.

OBJECTIVES: It was the main goal of this study to investigate the explicit and implicit affective attitudes towards vegetarian food and the role of mindfulness. The results were related to goal intention in the stage model of self-regulated sustainable behavior change. METHODS: 182 participants completed a demographic questionnaire, a mindfulness and a compassion scale, and answered questions about goal intention, personal and social norms. Besides, they completed an explicit rating task and an affective priming task. RESULTS: The results showed that people with an omnivorous diet explicitly rated meat-based food as more positive, while vegetarians and vegans rated vegetarian food as more positive. However, all participants rated vegetarian food implicitly as more positive. The observing aspect of mindfulness correlated only with the explicit attitude and with goal intention. The relation between observing and goal intention was mediated by personal norms. Compassion was not related to any attitude. CONCLUSION: This study provides first evidence, that the relation of mindfulness with the explicit and implicit attitude towards vegetarian food differs and that explicit attitudes are influenced by the own nutrition habit. The results are discussed with respect to the topic of sustainability.

Non-invasive brain stimulation in modulation of mental rotation ability: A systematic review and meta-analysis.

Mental rotation, the ability to manipulate mental images, is an important function in human cognition. This systematic review and meta-analysis investigates the potential of non-invasive brain stimulation in modulation of this component of visuo-spatial perception. The PubMed database was reviewed prior to 31 September 2020 on randomized controlled trials investigating the effects of repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), and transcranial alternating current stimulation (tACS) on the mental rotation ability in healthy persons. A total of 17 studies (including 485 subjects) matched our inclusion criteria. Within their scope, overall, 46 sham-controlled experiments were performed. Methodology and results of each experiment are presented in a meta-analysis. The data show a large variety of methods and effects. The influence of (1) stimulation-technique (tDCS, tACS, and rTMS), (2) stimulation protocol (anodal, cathodal, bilateral tDCS, tACS, high-frequency rTMS, low-frequency rTMS, paired pulse rTMS, and theta burst stimulation), (3) stimulation timing (preconditioning and simultaneous), (4) stimulation location (left, right hemisphere, frontal, and parietal area), and (5) stimulus type (bodily and non-bodily) is discussed. The data indicate a beneficial effect of anodal tDCS and of tACS and no effect of cathodal tDCS on the mental rotation ability. Bilateral tDCS protocols both improved and worsened the parameters assessed. The small effect sizes obtained in mostly rTMS experiments require cautious interpretation.

Aquatic therapy in stroke rehabilitation: systematic review and meta-analysis.

The main object of this systematic review and meta-analysis is to collect the available evidence of aquatic therapy in stroke rehabilitation and to investigate the effect of this intervention in supporting stroke recovery. The PubMed, the Cochrane Central Register of Controlled Trials and the PEDro databases were searched from their inception through to 31/05/2020 on randomized controlled trials evaluating the effect of aquatic therapy on stroke recovery. Subjects´ characteristics, methodological aspects, intervention description, and outcomes were extracted. Effect sizes were calculated for each study and outcome. Overall, 28 appropriate studies (N = 961) have been identified. A comparison with no intervention indicates that aquatic therapy is effective in supporting walking, balance, emotional status and health-related quality of life, spasticity, and physiological indicators. In comparison with land-based interventions, aquatic therapy shows superior effectiveness on balance, walking, muscular strength, proprioception, health-related quality of life, physiological indicators, and cardiorespiratory fitness. Only on independence in activities of daily living the land- and water-based exercise induce similar effects. Established concepts of water-based therapy (such as the Halliwick, Ai Chi, Watsu, or Bad Ragaz Ring methods) are the most effective, aquatic treadmill walking is the least effective. The current evidence is insufficient to support this therapy form within evidence-based rehabilitation. However, the available data indicate that this therapy can significantly improve a wide range of stroke-induced disabilities. Future research should devote more attention to this highly potent intervention.

Are implicit affective evaluations related to mental rotation performance?

Conscious and unconscious emotions are related to mental rotation. In this study, we investigated if also unconscious emotional evaluations of the stimuli are related to mental rotation performance. 114 students (39 men, 75 women) solved implicit and explicit affective evaluations and a psychometric mental rotation test with cube and pellet figures. Furthermore, the use of spatial toys, the stereotyping of spatial abilities, and the self-rating in spatial abilities were registered. The mental rotation test with pellet figures was more difficult than the one with cube figures. Mental rotation performance was predicted by the self-rating of spatial abilities. For the cube figures, it was additionally predicted by the implicit affective evaluation of those figures. The results did not differ between men and women. The study provides evidence for a relation between affective emotional evaluations and mental imagery processes, although this does not hold true for all stimulus types.

[Quality management in the field of gastroenterology - Proposals of the Quality Commission of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) for Outpatient and Inpatient Quality Assurance]. / Qualität in der Gastroenterologie ­ "Vorschläge der Kommission Qualität der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten zur ambulanten und stationären Qualitätssicherung".

The quality of the medical care depends on numerous factors that can often be influenced by the doctor itself. It is a great challenge to follow the constant scientific progress in practice. Scientific standards in gastroenterology are defined in DGVS guidelines and regularly revised. The implementation of evidence-based recommendations in practice remains challenging. On the basis of the DGVS guidelines, the Quality Commission has therefore developed a selection of quality indicators with particular relevance using standardized criteria, the broad implementation of which could contribute to improved patient care in gastroenterology.

Mental rotation with abstract and embodied objects as stimuli: evidence from event-related potential (ERP).

This study investigated sex differences in performance and neuronal activity in a mental rotation task with abstract and embodied figures. Fifty-eight participants (26 females and 32 males) completed a chronometric mental rotation task with cube figures, human figures, and body postures. The results are straightforward: depending on angular disparity, participants had a faster reaction time and a higher accuracy rate for embodied stimuli compared to cube figures. The electroencephalogram (EEG) activity pattern showed a higher negative amplitude modulation in the frontal electrodes for females compared to males during the late (400-600 ms) time interval. From 200 to 400 ms after stimulus onset, there was a different activation pattern in the parietal and central electrodes, whereas frontal electrodes did not show differences between embodied and abstract stimuli. From 400 to 600 ms after stimulus onset, there was a different pattern in the central and frontal electrodes but not in the parietal areas for embodied figures in compared to cube figures. Concluding, even though there were no sex differences in the behavioral data, the EEG data did show alterations at the late time interval. Thus, the disparate results regarding sex differences that depend on the type of analysis (behavioral versus neurophysiological) should be more thoroughly investigated. Furthermore, the difference in processing embodied stimuli in an object-based mental rotation task could be confirmed in EEG activity pattern for the first time.

Ergometer Training in Stroke Rehabilitation: Systematic Review and Meta-analysis.

OBJECTIVE: Ergometer training is routinely used in stroke rehabilitation. Through this meta-analysis, we sought to discover the strength of evidence of its effects. DATA SOURCE: The PubMed database and PEDro database were reviewed prior to January 22, 2019. STUDY SELECTION: Randomized controlled trials investigating the effects of ergometer training on stroke recovery were selected. DATA EXTRACTION: Two reviewers independently selected the studies, performed independent data extraction, and assessed the risk of bias. DATA SYNTHESIS: A total of 28 studies (including 1115 subjects with stroke) were included. The data indicates that (1) ergometer training leads to a significant improvement in walking ability, cardiorespiratory fitness, motor function, muscular force of the lower limbs, balance and postural control, spasticity, cognitive abilities, and the brain's resistance to damage and degeneration; (2) neuromuscular functional electrical stimulation-assisted ergometer training is more efficient than ergometer training alone; (3) high-intensity ergometer training is more efficient that low-intensity ergometer training; and (4) ergometer training is more efficient than other therapies in supporting cardiorespiratory fitness, independence in activities of daily living, and balance and postural control, but less efficient in improving walking ability. CONCLUSIONS: Ergometer training can support motor recovery after stroke. However, current data is insufficient for evidence-based rehabilitation. More data is required about the effects of ergometer training on cognitive abilities, emotional status, and quality of life in subjects with a history of stroke.

Resistance training in stroke rehabilitation: systematic review and meta-analysis.

OBJECTIVE: This systematic review and meta-analysis investigates the effects of resistance training in supporting the recovery in stroke patients. DATA SOURCES: PubMed, the Cochrane Central Register of Controlled Trials and the PEDro databases were reviewed up to 30 April 2020. REVIEW METHODS: Randomized controlled trials were included, who compared: (i) resistance training with no intervention, (ii) resistance training with other interventions and (iii) different resistance training protocols in stroke rehabilitation. RESULTS: Overall 30 trials (n = 1051) were enrolled. The parameters evaluated were: (1) gait, (2) muscular force and motor function, (3) mobility, balance and postural control, (4) health related quality of life, independence and reintegration, (5) spasticity and hypertonia, (6) cardiorespiratory fitness, (7) cognitive abilities and emotional state and (8) other health-relevant physiological indicators. The data indicates that: (i) resistance training is beneficial for the majority of parameters observed, (ii) resistance training is superior to other therapies on muscular force and motor function of lower and upper limbs, health related quality of life, independence and reintegration and other health-relevant physiological indicators, not significantly different from other therapies on walking ability, mobility balance and postural control and spasticity and hypertonia, and inferior to ergometer training on cardiorespiratory fitness and (iii) the type of resistance training protocol significantly impacts its effect; leg press is more efficient than knee extension and high intensity training is superior than low intensity training. CONCLUSION: Current data indicates that resistance training may be beneficial in supporting the recovery of stroke patients. However, the current evidence is insufficient for evidence-based rehabilitation.

["Choosing wisely" - mission and aims]. / Was wollen wir mit "Klug entscheiden" erreichen?

"Klug entscheiden" addresses the problem of over- and undersupply in medicine. Following the American model "Choosing wisely" an interdisciplinary team of all internal medicine societies develops evidence-based recommendations to improve the quality of indications. In contrast to guidelines, the initiative does not provide comprehensive medical recommendations, but focuses on problems that are particularly relevant to health care. In addition, it is intended to promote communication between doctors and patients, but also the national debate on the responsible and sensible use of medical resources.

Prevention of severe knee injuries in men's elite football by implementing specific training modules.

PURPOSE: Injury prevention of knee injuries by means of training and warm-up exercises has been investigated in several studies in amateur football. However, the number of investigations in elite football is limited despite the currently higher injury incidence of severe knee injuries. Therefore, the purpose of this study was to investigate whether specifically adapted preventive training modules may reduce severe knee injuries in elite football. METHODS: In a prospective controlled cohort study of elite football players in Germany, an injury prevention programme with 5 modules was implemented in the season of 2015-2016. The training modules were specifically adapted to this skill level and based on scientific evidence, team coach preferences, and the specific environment of this playing level. Of the 62 teams taking part in this study, 26 used the new trainings modules and 36 continued their standard programme as a control group. Success of the programme was documented by means of an injury report over one season. The primary outcome was reduction in severe knee injuries. RESULTS: A pre-seasonal investigation had identified five modules to be implemented in the training routine. Postural stability, mobilisation of lower extremity joints, leg and trunk stabilisation, jumping, and landing exercises as well as agility movements were incorporated into the programme to prevent severe knee injuries in elite football. Over the season, the study group (529 players) with the adapted training modules had sustained 52 severe knee injuries (incidence: 0.38 per 1000 h football exposure; prevalence: 9.8%) compared to 108 severe knee injuries in the control group (601 players) using the standard programme (incidence: 0.68 per 1000 h football exposure; prevalence: 18.0%; p < 0.05). The overall injury incidence for any other type of injury was comparable between the two groups (3.3 vs. 3.4 in h 1000 football, n.s.). CONCLUSION: Appropriate preventive training modules reduce severe knee injuries in elite football significantly. The key for the sustainability of preventive training measures are programmes specifically adapted to the demands of the playing level and to the preferences of the coaches LEVEL OF EVIDENCE: II.

The relation between mental rotation and handedness is a consequence of how handedness is measured.

This study investigates the mental rotation performance of right- and left-handers on a chronometric mental rotation task. Hand preference as well as different types of hand performance were measured. Previous studies have reported slightly better mental rotation performance in right-handers compared with left-handers. However, different forms of hand performance were not considered in these studies. In this research, 61 participants completed a chronometric mental rotation task with cube figures. Handedness was measured using the Edinburgh Handedness Inventory, finger tapping, grip strength and the Grooved Pegboard Test. Our results showed that right-handers do not generally show faster reaction times than left-handers on mental rotation tasks, when handedness is measured using a typical handedness questionnaire. However, using a handedness measure of visuo-motor control and manipulation skill, we found that individuals who solved the task faster with their right hand significantly outperformed participants who solved the same test faster with their left hand.