Protocol for the TRANSLATE prospective, multicentre, randomised clinical trial of prostate biopsy technique.

OBJECTIVES: Primary objectives: to determine whether local anaesthetic transperineal prostate (LATP) biopsy improves the detection of clinically significant prostate cancer (csPCa), defined as International Society of Urological Pathology (ISUP) Grade Group ≥2 disease (i.e., any Gleason pattern 4 disease), compared to transrectal ultrasound-guided (TRUS) prostate biopsy, in biopsy-naïve men undergoing biopsy based on suspicion of csPCa. SECONDARY OBJECTIVES: to compare (i) infection rates, (ii) health-related quality of life, (iii) patient-reported procedure tolerability, (iv) patient-reported biopsy-related complications (including bleeding, bruising, pain, loss of erectile function), (v) number of subsequent prostate biopsy procedures required, (vi) cost-effectiveness, (vii) other histological parameters, and (viii) burden and rate of detection of clinically insignificant PCa (ISUP Grade Group 1 disease) in men undergoing these two types of prostate biopsy. PATIENTS AND METHODS: The TRANSLATE trial is a UK-wide, multicentre, randomised clinical trial that meets the criteria for level-one evidence in diagnostic test evaluation. TRANSLATE is investigating whether LATP biopsy leads to a higher rate of detection of csPCa compared to TRUS prostate biopsy. Both biopsies are being performed with an average of 12 systematic cores in six sectors (depending on prostate size), plus three to five target cores per multiparametric/bi-parametric magnetic resonance imaging lesion. LATP biopsy is performed using an ultrasound probe-mounted needle-guidance device (either the 'Precision-Point' or BK UA1232 system). TRUS biopsy is performed according to each hospital's standard practice. The study is 90% powered to detect a 10% difference (LATP biopsy hypothesised at 55% detection rate for csPCa vs 45% for TRUS biopsy). A total of 1042 biopsy-naïve men referred with suspected PCa need to be recruited. CONCLUSIONS: This trial will provide robust prospective data to determine the diagnostic ability of LATP biopsy vs TRUS biopsy in the primary diagnostic setting.

Perceptual-Motor and Perceptual-Cognitive Skill Acquisition in Soccer: A Systematic Review on the Influence of Practice Design and Coaching Behavior.

Facilitating players' skill acquisition is a major challenge within sport coaches' work which should be supported by evidence-based recommendations outlining the most effective practice and coaching methods. This systematic review aimed at accumulating empirical knowledge on the influence of practice design and coaching behavior on perceptual-motor and perceptual-cognitive skill acquisition in soccer. A systematic search was carried out according to the PRISMA guidelines across the databases SPORTDiscus, PsycInfo, MEDLINE, and Web of Science to identify soccer-specific intervention studies conducted in applied experimental settings (search date: 22nd November 2020). The systematic search yielded 8,295 distinct hits which underwent an independent screening process. Finally, 34 eligible articles, comprising of 35 individual studies, were identified and reviewed regarding their theoretical frameworks, methodological approaches and quality, as well as the interventions' effectiveness. These studies were classified into the following two groups: Eighteen studies investigated the theory-driven instructional approaches Differential Learning, Teaching Games for Understanding, and Non-linear Pedagogy. Another seventeen studies, most of them not grounded within a theoretical framework, examined specific aspects of practice task design or coaches' instructions. The Downs and Black checklist and the Template for Intervention Description and Replication were applied to assess the quality in reporting, risk of bias, and the quality of interventions' description. Based on these assessments, the included research was of moderate quality, however, with large differences across individual studies. The quantitative synthesis of results revealed empirical support for the effectiveness of coaching methodologies aiming at encouraging players' self-exploration within representative scenarios to promote technical and tactical skills. Nevertheless, "traditional" repetition-based approaches also achieved improvements with respect to players' technical outcomes, yet, their impact on match-play performance remains widely unexplored. In the light of the large methodological heterogeneity of the included studies (e.g., outcomes or control groups' practice activities), the presented results need to be interpreted by taking the respective intervention characteristics into account. Overall, the current evidence needs to be extended by theory-driven, high-quality studies within controlled experimental designs to allow more consolidated and evidence-based recommendations for coaches' work.

Review: Approaches to Visual-motor Control in Baseball Batting.

SIGNIFICANCE: This review evaluates model-based online approaches to visual-motor control in baseball batting in light of research studies on this topic.Throughout the history of research on baseball batting, there has been a presumptive winner in terms of how visual-motor control occurs for this complex skill. Because of the severe time constraints and the short duration of the action, it has been assumed that a baseball swing must involve model-based control. That is, hitting involves using an open-loop, pre-programmed movement that is parameterized based on situational probabilities, advance cues from the pitcher's delivery, and information early in the ball flight, which are used by an internal model to predict the future location of the ball. In this review, the author contrasts two variants of this type of model-based control (a 3D world model and spatial memory of trajectories) with an online control approach in which the batter uses only currently available perceptual information to control the swing prospectively via information-movement coupling. It is shown that the assumed necessity of predictive control in baseball batting is based on too narrow of a conception of online control. Although work still needs to be done to elucidate the specifics of the control, it is argued here that online control provides an account of visual-motor control in baseball batting that is both more parsimonious and more consistent with published research findings.

Enskilment: an Ecological-Anthropological Worldview of Skill, Learning and Education in Sport.

The aim of this paper is to explore a different, more relational worldview of skill, learning and education in sport. To do this, we turn to the work of social anthropologist, Tim Ingold, leaning on the notion of enskilment, which proposes that learning is inseparable from doing and place. From this worldview, what is learned is not an established body of knowledge, transmitted into the mind of a passive recipient from an authorised being, but is a progressively deepening embodied-embedded attentiveness, where an individual learns to self-regulate by becoming more responsive to people and environmental features by 'looking, listening and feeling'. As we discuss, Ingold's perspectives on enskilment are rooted in the etymological connotations of education-ex-ducere, which roughly means 'to lead out'. In applying this notion to sport, we unpack three of its entangled components, taskscapes, guided attention, and wayfinding, detailing the implications of each for the growth of enskilled sports performers. To promote the translation of these ideas, in addition to encouraging their inquiry beyond the scope of what is discussed here, sporting examples are threaded throughout the paper.

A critical systematic review of the Neurotracker perceptual-cognitive training tool.

In this systematic review, we evaluate the scientific evidence behind "Neurotracker," one of the most popular perceptual-cognitive training tools in sports. The tool, which is also used in rehabilitation and aging research to examine cognitive abilities, uses a 3D multiple object-tracking (MOT) task. In this review, we examine Neurotracker from both a sport science and a basic science perspective. We first summarize the sport science debate regarding the value of general cognitive skill training, based on tools such as Neurotracker, versus sport-specific skill training. We then consider the several hundred MOT publications in cognitive and vision science from the last 30 years that have investigated cognitive functions and object tracking processes. This literature suggests that the abilities underlying object tracking are not those advertised by the Neurotracker manufacturers. With a systematic literature search, we scrutinize the evidence for whether general cognitive skills can be tested and trained with Neurotracker and whether these trained skills transfer to other domains. The literature has major limitations, for example a total absence of preregistered studies, which makes the evidence for improvements for working memory and sustained attention very weak. For other skills as well, the effects are mixed. Only three studies investigated far transfer to ecologically valid tasks, two of which did not find any effect. We provide recommendations for future Neurotracker research to improve the evidence base and for making better use of sport and basic science findings.

Changes in Movement Coordination Associated With Skill Acquisition in Baseball Batting: Freezing/Freeing Degrees of Freedom and Functional Variability.

How do baseball batters solve the problem of coordinating the timing of the different phases of movement to generate a powerful swing that is appropriately adjusted for the trajectory of the pitch? How does the development of this coordination solution depend on the structure of practice? Previously unpublished ground reaction force (GRF) data were analyzed to investigate the swing coordination changes that were associated with the changes in batting performance found in the training study by Gray (2017). From pre-post training, there were significant increases in the magnitude of correlations between adjacent swing phases, significant increases in good variability (changes that keep the swing within the required temporal constraint), significant decreases in bad variability (changes that move the swing outside the temporal constraint), and stronger evidence of online adjustments of the different swing phases. These effects were significantly larger for the virtual environment (VE) Adaptive group from the Gray (2017) study that had higher variability in practice conditions. Across all participants, there were significant correlations between the changes in good and bad variability from pre-post training and measures of batting from VE and real hitting tests, and statistics from league play. These findings suggest that baseball batters solve the problem of coordination by developing functional variability and coupling between swing phases (Katsumata, 2007), which can be facilitated by having more variability in practice conditions.

Linking contemporary research to the classics: Celebrating 125 years at APA.

APA is celebrating 125 years this year and at the journal we are commemorating this milestone with a special issue. The inspiration came from our editorial team, who wished to acknowledge the links between game-changing articles that have influenced our research community in the past-we call them classics for short-and contemporary works. The main idea was to feature the work of nine contemporary research teams, while at the same time drawing readers' attention to their links with the classics. In this introduction, we have organized the articles according to several broad themes: active perception, perception for action, action alters perception, perception of our bodies in action, and acting on selective perceptions. As all who have read and contributed to the journal over the past few years have come to realize, it is no longer possible to study perception without considering its role in action. Nor is it possible to study action (formerly called performance, as reflected in the journal title) without understanding the perceptual contributions to action. These nine articles each exemplify, in their own way, how these dynamic interactions play out in contemporary research in our field. (PsycINFO Database Record

Investigating Team Coordination in Baseball Using a Novel Joint Decision Making Paradigm.

A novel joint decision making paradigm for assessing team coordination was developed and tested using baseball infielders. Balls launched onto an infield at different trajectories were filmed using four video cameras that were each placed at one of the typical positions of the four infielders. Each participant viewed temporally occluded videos for one of the four positions and were asked to say either "ball" if they would attempt to field it or the name of the bag that they would cover. The evaluation of two experienced coaches was used to assign a group coordination score for each trajectory and group decision times were calculated. Thirty groups of 4 current college baseball players were: (i) teammates (players from same team/view from own position), (ii) non-teammates (players from different teams/view from own position), or (iii) scrambled teammates (players from same team/view not from own position). Teammates performed significantly better (i.e., faster and more coordinated decisions) than the other two groups, whereas scrambled teammates performed significantly better than non-teammates. These findings suggest that team coordination is achieved through both experience with one's teammates' responses to particular events (e.g., a ball hit up the middle) and one's own general action capabilities (e.g., running speed). The sensitivity of our joint decision making paradigm to group makeup provides support for its use as a method for studying team coordination.

I'll Show You the Way: Risky Driver Behavior When "Following a Friend".

Previous research examining social influences on driving behavior has primarily focused on the effects of passengers and surrounding vehicles (e.g., speed contagion). Of current interest was the interaction between drivers that occurs in a "following a friend" scenario, i.e., the driver of one vehicle (the leader) knows how to get to the desired destination while the driver of a second vehicle (the follower) does not. Sixteen participants drove through a simulated city in a driving simulator under three conditions: (i) a baseline condition in which they could choose their own route, (ii) a navigation system condition in which they were given audible route instructions, and (iii) a "follow a friend" condition in which they required to follow a simulated vehicle. In the follow a friend condition, drivers engaged in significantly more risky behaviors (in comparison to the other conditions) such as making more erratic and higher speed turns and lane changes, maintaining overall higher speed, as well as maintaining a shorter time headway when following a lead vehicle. These effects suggest a relationship to time pressure caused by a fear of getting lost.

Research Article.

In this study, we demonstrate the effects of anxiety and cognitive load on eye movement planning in an instrument flight task adhering to a single-sensor-single-indicator data visualisation design philosophy. The task was performed in neutral and anxiety conditions, while a low or high cognitive load, auditory n-back task was also performed. Cognitive load led to a reduction in the number of transitions between instruments, and impaired task performance. Changes in self-reported anxiety between the neutral and anxiety conditions positively correlated with changes in the randomness of eye movements between instruments, but only when cognitive load was high. Taken together, the results suggest that both cognitive load and anxiety impact gaze behavior, and that these effects should be explored when designing data visualization displays.

Transfer of Training from Virtual to Real Baseball Batting.

The use of virtual environments (VE) for training perceptual-motors skills in sports continues to be a rapidly growing area. However, there is a dearth of research that has examined whether training in sports simulation transfers to the real task. In this study, the transfer of perceptual-motor skills trained in an adaptive baseball batting VE to real baseball performance was investigated. Eighty participants were assigned equally to groups undertaking adaptive hitting training in the VE, extra sessions of batting practice in the VE, extra sessions of real batting practice, and a control condition involving no additional training to the players' regular practice. Training involved two 45 min sessions per week for 6 weeks. Performance on a batting test in the VE, in an on-field test of batting, and on a pitch recognition test was measured pre- and post-training. League batting statistics in the season following training and the highest level of competition reached in the following 5 years were also analyzed. For the majority of performance measures, the adaptive VE training group showed a significantly greater improvement from pre-post training as compared to the other groups. In addition, players in this group had superior batting statistics in league play and reached higher levels of competition. Training in a VE can be used to improve real, on-field performance especially when designers take advantage of simulation to provide training methods (e.g., adaptive training) that do not simply recreate the real training situation.

Robotic assisted laparoscopic partial nephrectomy using contrast-enhanced ultrasound scan to map renal blood flow.

OBJECTIVE: The paper describes novel real-time 'in situ mapping' and 'sequential occlusion angiography' to facilitate selective ischaemia robotic partial nephrectomy (RPN) using intraoperative contrast enhanced ultrasound scan (CEUS). MATERIALS AND METHODS: Data were collected and assessed for 60 patients (61 tumours) between 2009 and 2013. 31 (50.8%) tumours underwent 'Global Ischaemia', 27 (44.3%) underwent 'Selective Ischaemia' and 3 (4.9%) were removed 'Off Clamp Zero Ischaemia'. Demographics, operative variables, complications, renal pathology and outcomes were assessed. RESULTS: Median PADUA score was 9 (range 7-10). The mean warm ischaemia time in selective ischaemia was less and statistically significant than in global ischaemia (17.1 and 21.4, respectively). Mean operative time was 163 min. Postoperative complications (n = 10) included three (5%) Clavien grade 3 or above. Malignancy was demonstrated in 47 (77%) with negative margin in 43 (91.5%) and positive margin in four (8.5%). Long-term decrease in eGFR post selective ischaemia robotic partial nephrectomy was less compared with global ischaemia (four and eight, respectively) but not statistically significant. CONCLUSIONS: This technique is safe, feasible and cost-effective with comparable perioperative outcomes. The technical aspects elucidate the role of intraoperative CEUS to facilitate and ascertain selective ischaemia. Further work is required to demonstrate long-term oncological outcomes. © 2016 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons, Ltd.

Ironic and Reinvestment Effects in Baseball Pitching: How Information About an Opponent Can Influence Performance Under Pressure.

Are pressure-induced performance errors in experts associated with novice-like skill execution (as predicted by reinvestment/conscious processing theories) or expert execution toward a result that the performer typically intends to avoid (as predicted by ironic processes theory)? The present study directly compared these predictions using a baseball pitching task with two groups of experienced pitchers. One group was shown only their target, while the other group was shown the target and an ironic (avoid) zone. Both groups demonstrated significantly fewer target hits under pressure. For the target-only group, this was accompanied by significant changes in expertise-related kinematic variables. In the ironic group, the number of pitches thrown in the ironic zone was significantly higher under pressure, and there were no significant changes in kinematics. These results suggest that information about an opponent can influence the mechanisms underlying pressure-induced performance errors.

Staying Connected on the Road: A Comparison of Different Types of Smart Phone Use in a Driving Simulator.

Previous research on smart phone use while driving has primarily focused on phone calls and texting. Drivers are now increasingly using their phone for other activities during driving, in particular social media, which have different cognitive demands. The present study compared the effects of four different smart phone tasks on car-following performance in a driving simulator. Phone tasks were chosen that vary across two factors: interaction medium (text vs image) and task pacing (self-paced vs experimenter-paced) and were as follows: Text messaging with the experimenter (text/other-paced), reading Facebook posts (text/self-paced), exchanging photos with the experimenter via Snapchat (image, experimenter-paced), and viewing updates on Instagram (image, experimenter-paced). Drivers also performed a driving only baseline. Brake reaction times (BRTs) were significantly greater in the text-based conditions (Mean = 1.16 s) as compared to both the image-based conditions (Mean = 0.92 s) and the baseline (0.88 s). There was no significant difference between BRTs in the image-based and baseline conditions and there was no significant effect of task-pacing. Similar results were obtained for Time Headway variability. These results are consistent with the picture superiority effect found in memory research and suggest that image-based interfaces could provide safer ways to "stay connected" while driving than text-based interfaces.

Warning Drivers about Impending Collisions Using Vibrotactile Flow.

Vibrotactile collision warning signals that create a sensation of motion across a driver's body result in faster brake reaction times (BRTs) to potential collision events. To date, however, such warnings have only simulated linear motion. We extended this research by exploring the effectiveness of collision warnings that incorporate vibrotactile patterns or "vibrotactile flow". In Experiment 1, expanding and contracting vibrotactile flow warnings were compared with a static warning (all tactors activated simultaneously) and a no warning condition in a car following scenario. Both vibrotactile flow warnings produced significantly faster BRTs than the static and no warning conditions. However, there was no directional effect. That is, there was no significant difference between contracting and expanding signals. Warnings that utilize vibrotactile flow therefore appear to provide an effective means of informing drivers about potential collision events. However, unlike comparable warnings utilizing linear motion, their effectiveness does not seem to depend on the precise relationship between the warning and collision events. Experiment 2 demonstrated that a tactile warning incorporating linear motion produced significantly faster BRTs than an expanding vibrotactile flow warning. Taken together, these results suggest that vibrotactile warnings that simulate linear motion may be more effective than vibrotactile flow warnings.

Acting is perceiving!

We challenge Firestone & Scholl's (F&S's) narrow conceptualization of what perception is and - most important - what it is for. Perception guides our (inter)actions with the environment, with attention ensuring that the actor is attuned to information relevant for action. We dispute F&S's misconceived (and counterfactual) view of perception as a module that functions independently from cognition, attention, and action.

EFFECTS OF STROBOSCOPIC VISUAL TRAINING ON VISUAL ATTENTION, MOTION PERCEPTION, AND CATCHING PERFORMANCE.

UNLABELLED: It has been shown recently that stroboscopic visual training can improve visual-perceptual abilities, such as central field motion sensitivity and anticipatory timing. Such training should also improve a sports skill that relies on these perceptual abilities, namely ball catching. Thirty athletes (12 women, 18 men; M age=22.5 yr., SD=4.7) were assigned to one of two types of stroboscopic training groups: a variable strobe rate (VSR) group for which the off-time of the glasses was systematically increased (as in previous research) and a constant strobe rate group (CSR) for which the glasses were always set at the shortest off-time. Training involved simple, tennis ball-catching drills (9×20 min.) occurring over a 6-wk. PERIOD: In pre- and post-training, the participants completed a one-handed ball-catching task and the Useful Field of View (UFOV) and the Motion in Depth Sensitivity (MIDS) tests. Since the CSR condition used in the present study has been shown to have no effect on catching performance, it was predicted that the VSR group would show significantly greater improvement pre-post-training. There were no significant differences between the CSR and VSR on any of the tests. However, changes in catching performance (total balls caught) pre-post-training were significantly correlated with changes in scores for the UFOV single-task and MIDS tests. That is, regardless of group, participants whose perceptual-cognitive performance improved in the post-test were significantly more likely to improve their catching performance. This suggests that the perceptual changes observed in previous stroboscopic training studies may be linked to changes in sports skill performance.