Perceptual and motor skills
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As it is adaptive to accurately detect and localize bodily threats, it has been proposed that the brain prioritizes somatosensory input at body locations where pain is expected. To test this proposition, the detection of tactile changes on a body location was investigated to assess whether detection was facilitated by threat of pain. Healthy participants (N = 47) indicated whether two consecutive patterns of three tactile stimuli were the same or not. ⋯ To induce bodily threat, a painful stimulus was occasionally administered to the non-dominant lower arm. Mean accuracy of tactile change detection as a function of location was analyzed using repeated-measures analysis of variance (ANOVA). Tactile changes on the threatened arm (i.e., when a tactile stimulus emerged at or disappeared from that arm), both at the exact pain location (lower arm) and at the other location (upper arm), were better detected than tactile changes on other limbs.
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Faces and written words are two of the most familiar types of visual patterns with the brain's selective response of N170 component in early perception. Using ERP adaptation paradigms, studies have found the N170 response is reduced when there is repeated presentation of upright faces relative to a control condition. ⋯ The present study showed that both alphabetic words and non-alphabetic words could produce a rapid N170 adaptation effect. Objects of expertise (e.g. words and faces) can produce a rapid N170 adaptation effect but other objects (e.g., houses) cannot, indicating that the specific stimuli have some specific mechanisms for the rapid N170 adaptation.
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Comparative Study
Differences in cognitive process-related skills between taxi and non-taxi drivers between 50 and 70 years old.
This study investigated differences between 50- to 70-yr.-old taxi and non-taxi drivers with respect to cognitive process-related skills. Psychological indicators associated with perceptuomotor, attentional, and spatial memory recall abilities were collected for 173 taxi drivers (7 women, 166 men; M age = 57.5 yr.) and 175 non-taxi drivers (85 women, 90 men; M age = 58.2 yr.). ⋯ There was an age-related decline in monocular vision detection on both sides, processing speed for fovea stimuli, and higher-level cognition for drivers. Accordingly, the frontal visual information processing speed of the taxi drivers was superior to the non-taxi drivers, but a distinct age-related decline was observed for all drivers.
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The ability to recognize the body parts blindfolded is called body schema. Chronic pain disrupts cognitive function and could lead to an altered body schema. Commonly competitive athletes have chronic pain, but still train and compete. ⋯ Neuropsychological performance was assessed with the Grooved Pegboard Test. There was no difference in body schema between groups; neuropsychological performance indicated better scores in the athlete group. This study showed that despite chronic pain, the athlete group presented unaltered body schema and better neuropsychological performance, perhaps explained by self-selection.
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Randomized Controlled Trial
Prehabilitation and quality of life three months after total knee arthroplasty: a pilot study.
Knee osteoarthritis (OA), which affects over 27 million Americans, decreases the individual's quality of life through decreasing mobility, deconditioning, reducing functional ability, and increasing knee pain. The present aim was to assess whether such patients engaging in exercise prior to surgery ("prehabilitation"; preoperative exercise intervention) rate higher quality of life 3 mo. after their surgery compared with ratings by patients who did not engage in prehabilitation. Standard populations consist of OA patients that do not participate in any preoperative exercise programs, such as a prehabilitation exercise intervention. 18 knee osteoarthritis patients were randomly assigned to a control or a prehabilitation group. ⋯ The control group participated in their usual preoperative care prescribed by the physician for all patients. Eight health-related quality of life domains were assessed at 3 mo. post surgery. These preliminary findings suggest efficacy of prehabilitation in facilitating quality of life of total knee arthroplasty (TKA) patients 3 mo. after surgery.