External Control of Knowledge of Results: Learner Involvement Enhances Motor Skill Transfer.

Providing the learner control over aspects of practice has improved the process of motor skill acquisition, and self-controlled knowledge of results (KR) schedules have shown specific advantages over externally controlled ones. A possible explanation is that self-controlled KR schedules lead learners to more active task involvement, permitting deeper information processing. This study tested this explanatory hypothesis. Thirty undergraduate volunteers of both sexes, aged 18 to 35, all novices in the task, practiced transporting a tennis ball in a specified sequence within a time goal. We compared a high-involvement group (involvement yoked, IY), notified in advance about upcoming KR trials, to self-controlled KR (SC) and yoked KR (YK) groups. The experiment consisted of three phases: acquisition, retention, and transfer. We found both IY and SC groups to be superior to YK for transfer of learning. Postexperiment participant questionnaires confirmed a preference for receiving KR after learner-perceived good trials, even though performance on those trials did not differ from performance on trials without KR. Equivalent IY and SC performances provide support for the benefits of task involvement and deeper information processing when KR is self-controlled in motor skill acquisition.

Provoked and spontaneous high-frequency, low-amplitude, respirophasic noise transients in patients with implantable cardioverter defibrillators.

INTRODUCTION: Ventricular oversensing (OS) of respirophasic noise transients may cause spurious detections and therapies and pacing inhibition among patients with implantable cardioverter defibrillators (ICDs). The incidence of OS and its relationship to clinical variables and ICD system design are unknown. METHODS AND RESULTS: Three hundred twenty-nine patients performed provocative respiratory maneuvers at rest during intrinsic rhythm and continuous ventricular pacing. OS resulting in spurious ventricular detections was provoked in 3 (0.9%) of 329 patients during intrinsic rhythm and 34 (10.3%) of 329 during pacing. Noise transients not recognized and marked as sensed events, but visually evident on the local endocardial ventricular electrogram, were provoked in an additional 23 (7.0%) of 329 patients. Multivariate logistic regression identified history of spontaneous OS (P < 0.0005, odds ratio 9.7, 95% confidence interval [CI] 1.9 to 50.0), automatic gain control device (P < 0.0005, odds ratio 5.3, 95% CI 2.6 to 10.8) or integrated bipolar lead (P = 0.05, odds ratio 2.6, 95% CI 1.0 to 7.25), and male gender (P = 0.008, odds ratio 3.7, 95% CI 1.2 to 11.1) as predictive of provocable OS. Spontaneous OS resulting in spurious ventricular detections and therapies occurred in 12 (3.6%) patients during follow-up. Eleven of 12 spontaneous episodes occurred in male patients during ventricular pacing; 11 of 12 patients had automatic gain control devices and integrated bipolar leads. CONCLUSION: OS is commonly provoked in ICD patients during ventricular pacing and may occur spontaneously, causing spurious tachyarrhythmia therapies and pacing inhibition. Differences in the incidence of spontaneous and provoked OS between ICD systems can be explained on the basis of unique features of automatic sensing systems and sensing lead design.

Effects of smoking abstinence on movement regulation.

The effect of smoking abstinence on performance of a reciprocal tapping task was investigated. 6 habitual smokers performed a single-plate and two versions of a two-plate tapping task. Fitts' Law was used to compute an index of difficulty (ID) in bits for the tasks which was 0 bits for the single-plate and 3.32 and 4.17 bits for the two-plate versions of the task. While smoking abstinence had no effect on performance of the single-plate tapping task, it increased movement time on performance of both two-plate task versions. These findings may provide a coherent explanation for the prior findings of nicotine deprivation on psychomotor performance in the literature. This explanation suggests that the effects of nicotine deprivation as incurred through smoking abstinence may be on the central mechanisms regulating information-processing rate for successful movement regulation. Thus nicotine deprivation may not affect performance of simple psychomotor tasks which require minimal information processing but will affect the performance of more complex tasks requiring significantly more information processing for successful movement regulation.

NASPE expert consensus document: use of i.v. (conscious) sedation/analgesia by nonanesthesia personnel in patients undergoing arrhythmia specific diagnostic, therapeutic, and surgical procedures.

Use of IV (Conscious) Sedation/Analgesia by Nonanesthesia Personnel in Patients Undergoing Arrhythmia Specific Diagnostic, Therapeutic, and Surgical Procedures. This article is intended to inform practitioners, payers, and other interested parties of the opinion of the North American Society of Pacing and Electrophysiology (NASPE) concerning evolving areas of clinical practice or technologies or both, that are widely available or are new to the practice community. Expert consensus documents are so designated because the evidence base and experience with the technology or clinical practice are not yet sufficiently well developed, or rigorously controlled trials are not yet available that would support a more definitive statement. This article has been endorsed by the American College of Cardiology, October 1997.

The influence of reminder trials on contextual interference effects.

Two experiments investigated the proposition of the elaboration explanation for contextual interference that more than one task is present in working memory when multiple tasks are practiced in a random schedule but that only one task is present in working memory when multiple tasks are practiced in a blocked schedule. Three motor tasks were performed as fast as possible in either a random or blocked practice schedule. At the end of practice, a reminder trial for each task was either given or not given. Acquisition performance was slower for the random practice conditions than for the blocked practice conditions. Retention performance was faster for the random practice conditions than for the blocked practice condition that did not receive a reminder trial for each task. Importantly, performance differences were not found between the random practice conditions and the blocked practice condition that did receive a reminder trial for each task. A blocked practice condition with a beneficial acquisition and reminder task order pairing performed faster during both acquisition and retention than a comparable random practice condition. Reminder trials can facilitate detailing of task characteristics, and their effectiveness is determined by the elapsed time and number of intervening tasks during acquisition and retention.

Alterations of heart rate and of heart rate variability after radiofrequency catheter ablation of supraventricular tachycardia. Delineation of parasympathetic pathways in the human heart.

BACKGROUND: Persistent inappropriate sinus tachycardia has been reported as a complication after radiofrequency (RF) ablation of the fast atrioventricular (AV) nodal pathway. The purpose of this study was to evaluate the prevalence of this complication and its mechanism using heart rate variability analysis. METHODS AND RESULTS: Time and frequency domain analysis of heart rate was performed in the electrophysiology laboratory immediately before and immediately after RF ablation in 64 patients with supraventricular tachycardia. Ablation targets in these 64 patients included the fast AV nodal pathway (n = 3), the slow AV nodal pathway (n = 14), a posteroseptal accessory pathway (n = 23), and a left lateral accessory pathway (n = 24). A control group of 21 patients undergoing diagnostic study but not ablation underwent identical analysis immediately before and at the conclusion of their procedure. Patients undergoing ablation also had time and frequency domain analysis performed on ambulatory 24-hour Holter tapes recorded before ablation and at 1 day, 1 month, and 6 months after ablation. Compared with preablation values, time domain analysis immediately after ablation revealed a significant increase in mean heart rate and significant reductions in heart rate variability expressed as SD, MSSD, and PNN50 in patients undergoing AV nodal modification or posteroseptal accessory pathway ablation. Frequency domain analysis revealed marked attenuation of high frequency (0.15 to 0.40 Hz) components, indicating parasympathetic denervation. These acute changes were not seen after ablation of left lateral accessory pathways or after diagnostic study without ablation. Time and frequency domain analysis of 24-hour ambulatory Holter monitors performed serially after ablation revealed resolution of abnormalities of heart rate and of heart rate variability 1 to 6 months after ablation, with reappearance of the high frequency parasympathetic component suggestive of reinnervation. CONCLUSIONS: RF ablation in the anterior, mid, and posterior regions of the low interatrial septum may disrupt preganglionic or postganglionic parasympathetic fibers located in these regions that are destined to innervate the sinus node. Such fibers become more scarce along the left AV groove with increasing distance from the posteroseptal space. Parasympathetic denervation may be one mechanism for persistent inappropriate sinus tachycardia after RF ablation.

When forgetting benefits motor retention.

Recent research (Lee & Weeks, 1987; Weeks, Lee, & Elliott, 1987) investigating the processes responsible for the contextual interference phenomenon has used a modified short-term motor retention paradigm to support the reconstruction explanation (Lee & Magill, 1985; Magill, 1989; Magill & Hall, 1990). The present experiment was an extension of these experiments in which forgetting of an acquisition task was induced through performance of either a similar or dissimilar distractor task during the intertrial interval. The effects of an extra practice trial with the acquisition task as well as no activity during the intertrial interval were also investigated. In addition, forgetting of the acquisition task was assessed prior to a reconstruction trial, which immediately preceded a 2-min filled retention interval. Both similar and dissimilar distractor tasks caused equivalent amounts of forgetting of the acquisition task prior to the reconstruction trial. However, retention of the acquisition task was significantly improved if its reconstruction occurred following forgetting due to interference from performance of a similar distractor task. These findings suggest forgetting and subsequent reconstruction alone are not sufficient for improved retention. These processes must occur in the context of a similar task for improved retention.

Motor control.

The acquisition of motor skills involves learning, memory, and transfer as well as attention. The aspects of motor control most relevant for everyday practice are the conditions of practice, the knowledge of results, and the assessment of athletes to identify talented performers. The optimal conditions for practice and methods for developing a test battery for use in a sports tryout are discussed.

Orienting task specificity in incidental motor learning.

The manipulation of the retention of a linear movement by means of different orienting tasks in an incidental learning paradigm was investigated. Subjects were presented with a target position followed by a different nontarget position on each of four presentation trials. After the presentation trials subjects were required to recall the target and nontarget positions. One group made verbal estimates of the distance between the target and nontarget positions, another group discriminated between the target and nontarget positions, while no verbal responses were required for a third group. The verbal-response groups, while not differing from each other, had less error at recall than the nonverbalizing group. These findings were discussed in terms of the levels of processing framework for memory research (Craik & Lockhart, 1972).

Levels of processing and the coding of position cues in motor short-term memory.

The present study investigated the appropriateness of the levels-of-processing framework of memory for explaining retention of information in motor short-term memory. Subjects were given labels descriptive of the positions to be remembered by the experimenter (EL), were given no labels (NL), or provided their own labels (SL). A control group (CONT) was required to count backwards during the presentation of the criterion positions. The inclusion of a 30-sec filled retention interval as well as 0-sec and 30-sec unfilled retention intervals tested a prediction by Craik and Lockhart (1972), when attention is diverted from an item, information will be lost at a rate appropriate to its level of processing - that is, slower rates for deeper levels. Groups EL and SL had greater accuracy at recall for all three retention intervals than groups CONT and NL. In addition, there was no significant increase in error between 30-sec unfilled and 30-sec filled intervals for groups EL and SL, while there was a significant increase in error for groups CONT and NL. The data were interpreted in terms of Craik and Lockhart's (1972) levels-of-processing approach to memory.

Effects of relative frequency of knowledge of results on retention of a motor skill.

The effects of relative frequency of knowledge of results on the retention of a motor skill was studied. Adams' theory (1971) contends that the perceptual trace of a criterion position gains on increment of strenth each time the feedback stimuli associated with the criterion position are experienced and that it is the strength of the perceptual trace that determines retention. Schmidt's theory (1975), however, suggests that the recognition schema is updated only on trials on which the feedback stimuli associated with the criterion position are experienced in conjunction with knowledge of results and that it is the precision of the recognition schema that determines retention. Two experiments were conducted. The results provided evidence contrary to Adams' theory. Schmidt's theory, however, was only partially supported.

The effects on skill acquisition of an interpolated motor short-term memory task during the kr-delay interval.

The effects of an interpolated motor short-term memory task during the KR-delay interval on skill acquisition was investigated. On each trial subjects estimated two positions on a linear-positioning apparatus. One group of subjects was presented two biasing movements, which they immediately recalled, during the KR-delay interval. The interpolated motor short-term memory task interfered with skill acquisition and retention.

A note on delay of knowledge of results in positioning responses.

Earlier studies of knowledge of results delay in positioning responses have required subjects to move "briskly" to the target position, creating a potential bias in the interpretation of the results for recall and recognition memory mechanisms. The present experiment varied delay (2 or 30 sec) in two groups of 20 females. Subjects were instructed to move very slowly and the starting positions were varied to prevent pre-programmed movements of a given extent. Even with these methodological changes, there was no evidence that the delay variable was relevant for learning in positioning responses.