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      Does physical activity benefit motor performance and learning of upper extremity tasks in older adults? – A systematic review

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          Abstract

          Upper extremity motor performance declines with increasing age. However, older adults need to maintain, learn new and relearn known motor tasks. Research with young adults indicated that regular and acute physical activity might facilitate motor performance and motor learning processes. Therefore, this review aimed to examine the association between chronic physical activity and acute bouts of exercise on motor performance and motor learning in upper extremity motor tasks in older adults. Literature was searched via Cochrane library, PubMED, PsycINFO and Scopus and 27 studies met all inclusion criteria. All studies dealt with the influence of chronic physical activity on motor performance or motor learning, no appropriate study examining the influence of an acute bout of exercise in older adults was found. Results concerning the association of chronic physical activity and motor performance are mixed and seem to be influenced by the study design, kind of exercise, motor task, and exercise intensity. Regarding motor learning, a high physical activity or cardiovascular fitness level seems to boost the initial phase of motor learning; results differ with respect to motor retention. Overall, (motor-coordinative) intervention studies seem to be more promising than cross-sectional studies.

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          On the practice of dichotomization of quantitative variables.

          The authors examine the practice of dichotomization of quantitative measures, wherein relationships among variables are examined after 1 or more variables have been converted to dichotomous variables by splitting the sample at some point on the scale(s) of measurement. A common form of dichotomization is the median split, where the independent variable is split at the median to form high and low groups, which are then compared with respect to their means on the dependent variable. The consequences of dichotomization for measurement and statistical analyses are illustrated and discussed. The use of dichotomization in practice is described, and justifications that are offered for such usage are examined. The authors present the case that dichotomization is rarely defensible and often will yield misleading results.
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            Reorganization and plasticity in the adult brain during learning of motor skills.

            On the basis of brain imaging studies, Doyon and Ungerleider recently proposed a model describing the cerebral plasticity that occurs in both cortico-striatal and cortico-cerebellar systems of the adult brain during learning of new motor skilled behaviors. This theoretical framework makes several testable predictions with regards to the contribution of these neural systems based on the phase (fast, slow, consolidation, automatization, and retention) and nature of the motor learning processes (motor sequence versus motor adaptation) acquired through repeated practice. There has been recent behavioral, lesion and additional neuroimaging studies that have addressed the assumptions made in this theory that will help in the revision of this model.
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              The Pervasive Problem With Placebos in Psychology: Why Active Control Groups Are Not Sufficient to Rule Out Placebo Effects.

              To draw causal conclusions about the efficacy of a psychological intervention, researchers must compare the treatment condition with a control group that accounts for improvements caused by factors other than the treatment. Using an active control helps to control for the possibility that improvement by the experimental group resulted from a placebo effect. Although active control groups are superior to "no-contact" controls, only when the active control group has the same expectation of improvement as the experimental group can we attribute differential improvements to the potency of the treatment. Despite the need to match expectations between treatment and control groups, almost no psychological interventions do so. This failure to control for expectations is not a minor omission-it is a fundamental design flaw that potentially undermines any causal inference. We illustrate these principles with a detailed example from the video-game-training literature showing how the use of an active control group does not eliminate expectation differences. The problem permeates other interventions as well, including those targeting mental health, cognition, and educational achievement. Fortunately, measuring expectations and adopting alternative experimental designs makes it possible to control for placebo effects, thereby increasing confidence in the causal efficacy of psychological interventions.
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                Author and article information

                Contributors
                lena.huebner@hsw.tu-chemnitz.de
                claudia.voelcker-rehage@hsw.tu-chemnitz.de
                Journal
                Eur Rev Aging Phys Act
                Eur Rev Aging Phys Act
                European Review of Aging and Physical Activity
                BioMed Central (London )
                1813-7253
                1861-6909
                12 September 2017
                12 September 2017
                2017
                : 14
                : 15
                Affiliations
                ISNI 0000 0001 2294 5505, GRID grid.6810.f, Sports Psychology, Institute of Human Movement Science and Health, Faculty of Behavioural and Social Sciences, , Chemnitz University of Technology, ; Thueringer Weg 11, 09126 Chemnitz, Germany
                Article
                181
                10.1186/s11556-017-0181-7
                5596935
                28919929
                cd3f87ba-fb1a-4a21-8ba7-6bea080f0a21
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 16 March 2017
                : 13 July 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001659, Deutsche Forschungsgemeinschaft;
                Award ID: VO-15/1 Re-LOAD
                Award Recipient :
                Categories
                Review Article
                Custom metadata
                © The Author(s) 2017

                Medicine
                physical activity,cardiovascular exercise,acute exercise,coordinative exercise,aging,motor performance,motor learning

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