Four Sites You Have To Visit

When you start a new blog about a niche topic like "sports and brains", you definitely need some friends along the way to get your stories out there and noticed by readers. So, I just wanted to take a time-out to thank and recommend four terrific sites and the people behind them.


First, Guy Kawasaki has not only blogged and Tweeted my stories to thousands of his readers but has now added this site to one of the coolest news/blog aggregators on the Web, Alltop.com. If you haven't visited Alltop, it is best described as an "online newsstand" where you can pick your favorite category from a few hundred and then see hand-picked sites and their most recent stories. Of course, I have a certain bias towards sports.alltop.com and fitness.alltop.com (scroll to the bottom of each page to see why!).


And, for a mix of news, rumors and the best of the Web, stop by another Guy creation, Truemors. Besides being a serial entrepreneur and venture capitalist, Guy is best known as a popular author and speaker. Take a look at his work here: Books by Guy Kawasaki.
Second, Hank Campbell over at ScientificBlogging.com has made a home for my ramblings and provides a very active and large audience of smart science readers. ScientificBlogging partners with LiveScience.com, Space.com and the other Imaginova sites to offer a great end-to-end science news and blogging resource. ScientificBlogging and LiveScience headlines can also be found on science.alltop.com, while Space can be found on, get this, space.alltop.com.

Third, Dave Munger, of Cognitive Daily fame, (psychology.alltop.com), started a unique indexing service at ResearchBlogging.org. When citing an academic article, the Research Blogging site will provide HTML code to include in the post, so that it can be spidered and indexed and then categorized on the RB site. You can see the RB logo and citations on any post where I discuss some academic research. Dave has been a great help answering questions and supporting the site.

And, for a really cool mashup of all of these resources in action, here is a link at Truemors: Sports Viewing Boosts Brain Power, which links to my latest story at ScientificBlogging which links to my home blog here, which includes a citation that indexes it to my page at Research Blogging!!


Finally, thanks to all of you who stop by "80% Mental" to catch up on the latest sport science and sports cognition research. I absolutely enjoy researching, writing and presenting these stories and if you ever have questions or topics you would like covered, just leave me a comment! Don't forget that you can always subscribe to 80% Mental via your favorite news reader or by e-mail.

Watching Sports Is Good For Your Brain

When was the last time you listened to a sporting event on the radio? If given a choice between watching the game on a big screen plasma in HD or turning on the AM radio, most of us would probably choose the visual sensation of television. But, for a moment, think about the active attention you need in order to listen to a radio broadcast and interpret the play-by-play announcer's descriptions. As you hear the words, your "mind's eye" paints the picture of the action so you can imagine the scene and situations. Your knowledge of the game, either from playing it or watching it for years helps you understand the narrative, the terms and the game's "lingo".


Now, imagine that you are listening to a broadcast about a sport you know nothing about. Hearing Bob Uecker or Vin Scully say, "With two out in the ninth, the bases are loaded and the Brewers' RBI leader has two strikes. The infield is in as the pitcher delivers. Its a hard grounder to third that he takes on the short hop and fires a bullet to first for the final out." If you have no baseball-specific knowledge, those sentences are meaningless. 

However, for those of us that have grown up with baseball, that description makes perfect sense and our mind's eye helped us picture the scene. That last sentence about the "hard grounder" and the thrown "bullet" may have even triggered some unconscious physical movements by you as your brain interpreted those action phrases. That sensorimotor reaction is at the base of what is called "embodied cognition". 
 
Sian Beilock, associate professor of psychology and leader of the Human Performance Lab at the University of Chicago, defined the term this way: "In contrast to traditional views of the mind as an abstract information processor, recent work suggests that our representations of objects and events are grounded in action. That is, our knowledge is embodied, in the sense that it consists of sensorimotor information about potential interactions that objects or events may allow." She cites a more complete definition of the concept in Six Views of Embodied Cognition by Margaret Wilson. Another terrific overview of the concept is provided by science writer Drake Bennet of the Boston Globe in his article earlier this year, "Don't Just Stand There, Think".


In a study released yesterday, "Sports Experience Changes the Neural Processing of Action Language", Dr. Beilock's team continued their research into the link between our learned motor skills and our language comprehension about those motor skills. Since embodied cognition connects the body with our cognition, the sports domain provides a logical domain to study it.


Their initial look at this concept was in a 2006 study titled, "Expertise and its embodiment: Examining the impact of sensorimotor skill expertise on the representation of action-related text", where the team designed an experiment to compare the knowledge representation skill of experienced hockey players and novices. Each group first read sentences describing both hockey-related action and common, "every-day" action, (i.e. "the referee saw the hockey helmet on the bench" vs. "the child saw the balloon in the air"). They were then shown pictures of the object mentioned in the sentences and were asked if the picture matched the action in the sentence they read.

Both groups, the athletes and the novices, responded equally in terms of accuracy and response time to the everyday sentences and pictures, but the athletes responded significantly faster to the hockey-specific sentences and pictures. The conclusion is that those with the sensorimotor experience of sport give them an advantage of processing time over those that have not had that same experience.


Now, you may be saying, "Ya' think!?" to this somewhat obvious statement that people who have played hockey will respond faster to sentence/picture relationships about hockey than non-hockey players. Stay with us here for a minute, as the 2006 study set the groundwork for Beilock's team to take the next step with the question, "is there any evidence that the athletes are using different parts of their brain when processing these match or no match decisions?" The link between our physical skill memory and our language comprehension would be at the base of the embodied cognition theory. 

So, in the latest research, the HPL team kept the same basic experimental design, but now wanted to watch the participants' brain activity using fMRI scanning. This time, there were three groups, hockey players, avid fans of hockey and novices who had no playing or viewing experience with hockey at all. First, all groups passively listened to sentences about hockey actions and also sentences about everyday actions while being monitored by fMRI.  Second, outside of the fMRI scanner, they again listened to hockey-related and everyday-related action sentences and then were shown pictures of hockey or every day action and asked if there was a match or mis-match between the sentence and the picture.


This comprehension test showed similar results as in 2006, but now the team could try to match the relative skill in comprehension to the neural activity shown in the fMRI scans when listening. Both the players and the fans showed increased activity in the left dorsal premotor cortex, a region thought to support the selection of well-learned action plans and procedures. 

You might be surprised that the fans' brains showed activity in the same regions as the athletes. We saw this effect in a previous post, "Does Practice Make Perfect", where those that practiced a new dance routine and those that only watched it showed similar brain area activity. On the other side, the total novices showed activity in the bilateral primary sensory-motor cortex, an area typically known for carrying out step by step instructions for new or novel tasks. 

So, the interesting finding here is that those with experience, either playing or watching, are actually calling on additional neural networks in their brains to help their normal language comprehension abilities. In other words, the memories of learned actions are linked and assist other cognitive tasks. That sounds pretty much like the definition of embodied cognition and Dr. Beilock's research has helped that theory take another step forward. In her words, "Experience playing and watching sports has enduring effects on language understanding by changing the neural networks that support comprehension to incorporate areas active in performing sports skills."


Take pride in your own brain the next time you hear, "Kobe dribbles the ball to the top of the key, crosses over, drives the lane, and finger rolls over Duncan for two." If you can picture that play in your mind, your left dorsal premotor cortex just kicked into gear!









S. L. Beilock, I. M. Lyons, A. Mattarella-Micke, H. C. Nusbaum, S. L. Small (2008). Sports experience changes the neural processing of action language Proceedings of the National Academy of Sciences DOI: 10.1073/pnas.0803424105


Lauren E. Holt, Sian L. Beilock (2006). Expertise and its embodiment: Examining the impact of sensorimotor skill expertise on the representation of action-related text Psychonomic Bulletin & Review, 13 (4), 694-701 PMID: 17201372

Video Games Move From The Family Room To The Locker Room

It sounds like a sales job from a 12 year old; "Actually, Dad, this is not just another video game. Its a virtual, scenario-based microcosm of real world experiences that will enhance my decision-making abilities and my cognitive perceptions of the challenges of the sport's environment."  You respond with, "So, how much is Madden 09?"  

With over 5 million copies of Madden 08 sold, the release of the latest version two weeks ago is rocketing up the charts.  Days and late nights are being spent all over the world creating rosters, customizing plays and playing entire seasons, all for pure entertainment purposes.  Can all of those hours spent with controller in hands actually be beneficial to young athletes?  Shouldn't they be outside in the fresh air and sunshine playing real sports?  Well, yes, to both questions.


Playing video games, (aka "gaming"), as a form of learning has been receiving increased recent attention from educational psychology researchers.  At this month's American Psychological Association annual convention, several groups of researchers presented studies of the added benefits of playing video games, from problem-solving and critical thinking to better scientific reasoning.  

In one of the studies by Fordham University psychologist Fran C. Blumberg, PhD, and Sabrina S. Ismailer, MSED, 122 fifth-, sixth- and seventh-graders' problem-solving behavior was observed while playing a video game that they had never seen before.  As the children played the game, they were asked to think aloud for 20 minutes. Researchers assessed their problem-solving ability by listening to the statements they were making while playing.   

The results showed that playing video games can improve cognitive and perceptual skills.  "Younger children seem more interested in setting short-term goals for their learning in the game compared to older children who are more interested in simply playing and the actions of playing," said Blumberg. "Thus, younger children may show a greater need for focusing on small aspects of a given problem than older children, even in a leisure-based situation such as playing video games."

Also, in a recent article on video game learning, David Williamson Shaffer, professor of educational psychology at the University of Wisconsin-Madision and author of the book "How Computer Games Help Children Learn", argues that if a game is realistically based on real-world scenarios and rules, it can help the child learn.  “The question though is," Shaffer said, "is what they are doing a good simulation of what is happening in the real world?"  Shaffer explains the research happening on this topic at his UW lab, named Epistemic Games:





Support for this new era of learning tools is coming from other interesting people, as well.  George Lucas of Star Wars fame has an educational foundation, Edutopia, which has shown recent interest in simulation learning.  Here is their introductory overview and accompanying video:

There are some words of caution out there.  In a recent article, educational psychologist Jane M. Healy, author of "Failure to Connect: How Computers Affect our Children's Minds and What We Can Do About It," urges educators to proceed carefully.  "The main question is whether the activity, whatever it is, is educationally valid and contributes significantly to whatever is being studied," she says.  "The point is not whether kids are 'playing' with learning, or what medium they are playing in — a ball field or a Wii setup or a physics lab or art studio — but rather why they are doing it.  Just because it is electronic does not make it any better, and it may turn out not to be as valuable."

If we accept that there is some validity to teaching/learning with video game simulations, how can we move this to the sports arena?  Obviously, there is no substitute for playing the real game with real players, opponents, pressure, etc., but more teams and coaches are turning to simulation games for greater efficiency in the learning process.  If the objective is to expose players to plays, tactics, field vision and critical thinking, then a gaming session can begin to introduce these concepts that will be validated later on the field during "real" practice.  

This homework can also be done at home, not requiring teammates, fields, equipment, etc.  As mentioned in the videos above, another driving factor in the use of games is to reach this young, Web 2.0 audience through a medium that they already know, understand and enjoy.  The motivation to learn is inherent with the use of games.  The "don't tell them its good for them" secret is key to seeing progress with this type of training.


One of the best examples of video game adaptation for sports learning is from XOS Technologies and their modified version of the Madden NFL game.  In 2007, they licensed the core development engine from EA Sports and created a football simulation, called SportMotion, that can be used for individual training.  

With the familiar Madden user interface, coaches can first load their playbook into the game, as well as their opponent's expected plays.  Then, the athlete can "play" the game but will now see their own team's plays being run by the virtual players.  Imagine the difference in learning style for a new quarterback.  Instead of studying static X's and O's on a two-dimensional piece of paper, they can now watch and then play a virtual simulation of the same play in motion against a variety of different defenses.  With a "first-person" view of the play unfolding, they will see the options available in a "real-time" mode which will force faster reaction and decision-making skills.  

To take the simulation one step further, XOS has added a virtual reality option that takes the game controller out of the player's hands and replaces it with a VR suit and goggles allowing him to physically play the game, throw the ball, etc. through his virtual eyes.  Take a look at this promotional video from XOS:





XOS is winning some high praise for its system, including none other than Phillip Fulmer, Head Coach of the University of Tennesee football team.  “We’re leading the nation by taking advantage of this cutting-edge technology and we couldn’t be more pumped about it,” Fulmer said. “UT football has a long and storied tradition of success and because we look to pioneer groundbreaking concepts before anyone else, we’ll proudly continue that history. The XOS PlayAction Simulator begins a new chapter for UT and we’re pleased to add it to our football training regiment.” 

Albert Tsai, vice president of advanced research at XOS Technologies, says, “We’ve basically added functionality to popular EA video games such as customizable playbooks, diagrams and testing sequences to better prepare athletes for specific opponents.  Additionally, the software includes built-in teaching and reporting tools so that coaches Fulmer, Cutcliffe and Cooter can analyze and track the tactical-skill development of the team. At the same time, the Volunteers can experience immediate benefits because the familiarity with the EA SPORTS brand requires little to no learning curve for their players.”

So, the next time your son (or daughter!) is begging for 10 more minutes on the Xbox to make sure the Packers destroy the Vikings once again (sorry, a little Wisconsin bias), you may want to reconsider pulling the plug.  Then, send them outside for that fresh air.

Inside An Olympian's Brain

Michael Phelps, Nastia Liukin, Misty May-Treanor and Lin Dan are four Olympic athletes who have each spent most of their life learning the skills needed to reach the top of their respective sports, swimming, gymnastics, beach volleyball and badminton (you were wondering about Lin, weren't you...) Their physical skills are obvious and amazing to watch. For just a few minutes, instead of being a spectator, try to step inside the heads of each of them and try to imagine what their brains must accomplish when they are competing and how different the mental tasks are for each of their sports.


On a continuum from repetitive motion to reactive motion, these four sports each require a different level of brain signal to muscle movement. Think of Phelps finishing off one more gold medal race in the last 50 meters. His brain has one goal; repeat the same stroke cycle as quickly and as efficiently as possible until he touches the wall. There isn't alot of strategy or novel movement based on his opponent's movements. Its simply to be the first one to finish. 

What is he consciously thinking about during a race? In his post-race interviews, he says he notices the relative positions of other swimmers, his energy level and the overall effort required to win (and in at least one race, the level of water in his goggles.) At his level, the concept of automaticity (as discussed in a previous post) has certainly been reached, where he doesn't have to consciously "think" about the components of his stroke. In fact, research has shown that those who do start analyzing their body movements during competition are prone to errors as they take themselves out of their mental flow.


Moving up the continuum, think about gymnastics. Certainly, the skills to perform a balance beam routine are practiced to the point of fluency, but the skills themselves are not as strictly repetitive as swimming. There are finer points of each movement being judged so gymnasts keep several mental "notes" about the current performance so that they can "remember" to keep their head up or their toes pointed or to gather speed on the dismount. There also is an order of skills or routine that needs to be remembered and activated.

While swimming and gymnastics are battles against yourself and previously rehearsed movements, sports like beach volleyball and badminton require reactionary moves directly based on your opponents' movements. Rather than being "locked-in" to a stroke or practised routine, athletes in direct competition with their opponents must either anticipate or react to be successful.

So, what is the brain's role in learning each of these varied sets of skills and what commands do our individual neurons control? Whether we are doing a strictly repetitive movement like a swim stroke or a unique, "on the fly" move like a return of a serve, what instructions are sent from our brain to our muscles? Do the neurons of the primary motor cortex (where movement is controlled in the brain) send out signals of both what to do and how to do it?

Researchers at the McGovern Institute for Brain Research at MIT led by Robert Ajemian designed an experiment to solve this "muscles or movement" question. They trained adult monkeys to move a video game joystick so that a cursor on a screen would move towards a target. While the monkeys learned the task, they measured brain activity with functional magnetic resonance imaging (fMRI) to compare the actual movements of the joystick with the firing patterns of neurons. 

The researchers then developed a model that allowed them to test hypotheses about the relationship between neuronal activity that they measured in the monkey's motor cortex and the resulting actions. They concluded that neurons do send both the specific signals to the muscles to make the movement and a goal-oriented instruction set to monitor the success of the movement towards the goal. Here is a video synopsis of a very similar experiment by Miguel Nicolelis, Professor of Neurobiology at Duke University:


To back this up, Andrew Schwartz, professor of neurobiology at the McGowan Institute for Regenerative Medicine at the University of Pittsburgh School of Medicine, and his team of researchers wanted to isolate the brain signals from the actual muscles and see if the neuron impulses on their own could produce both intent to move and the movement itself. They taught adult monkeys to feed themselves using a robotic arm while the monkey's own arms were restrained. Instead, tiny probes the width of a human hair were placed in the monkey's motor cortex to pick up the electrical impulses created by the monkey's neurons. These signals were then evaluated by software controlling the robotic arm and the resulting movement instructions were carried out. The monkeys were able to control the arm with their "thoughts" and feed themselves food. Here is a video sample of the experiment:

"In our research, we've demonstrated a higher level of precision, skill and learning," explained Dr. Schwartz. "The monkey learns by first observing the movement, which activates his brain cells as if he were doing it. It's a lot like sports training, where trainers have athletes first imagine that they are performing the movements they desire."


It seems these "mental maps" of neurons in the motor cortex are the end goal for athletes to achieve the automaticity required to either repeat the same rehearsed motions (like Phelps and Liukin) or to react instantly to a new situation (like May-Treanor and Dan). Luckily, we can just practice our own automaticity of sitting on the couch and watching in a mesemerized state.



R AJEMIAN, A GREEN, D BULLOCK, L SERGIO, J KALASKA, S GROSSBERG (2008). Assessing the Function of Motor Cortex: Single-Neuron Models of How Neural Response Is Modulated by Limb Biomechanics Neuron, 58 (3), 414-428 DOI: 10.1016/j.neuron.2008.02.033

Meel Velliste, Sagi Perel, M. Chance Spalding, Andrew S. Whitford, Andrew B. Schwartz (2008). Cortical control of a prosthetic arm for self-feeding Nature, 453 (7198), 1098-1101 DOI: 10.1038/nature06996

Imagine Winning Gold In Beijing

Imagine winning a gold medal at the Beijing Olympics.  No really, go ahead, close your eyes and visualize it.  What did you see?  Were you standing on the medal platform looking out at the crowd, waving and taking in the scene through your own eyes, or were you a spectator in the crowd watching yourself getting the medal put around your neck?  This choice between "first-person" or "third-person" visualization actually makes a difference on our motivation to achieve a future goal.


Noelia A. Vasquez, at York University and Roger Buehler, at Wilfrid Laurier University wanted to see if there was a link between our visualization perspective and our motivation level to achieve the imagined goal.  They asked 47 university students to imagine the successful completion of a performance task that was in their near future, whether it be a speech in a class or an upcoming athletic competition.  They were also asked to assume that the task went extremely well.  One group of students were asked to imagine this scene "through their own eyes" seeing the environment as they would actually experience it.  The second group was told to use the third-person perspective, pretending they were "in the crowd" watching themselves as others would see them achieving this goal.  Next, they were given a survey that asked each group how motivated they were to now go make this successful scene a reality. 


As hypothesized, the group that saw the scene through their audience's eyes (third-person) ranked their motivation to now succeed significantly higher than those that imagined it through their own eye (first-person).  The authors' explanation for this is the perceived additional importance attached to the task when we consider other peoples' opinion of us and our natural desire to increase our status in our peer group.  Seeing this newly elevated social acceptance and approval of ourselves from the eyes of our peers motivates us even more to reach for our goals.


The road to achievements like an Olympic gold medal is a long one with many steps along the way.  Over the years, as athletes maintain their training regimen, they can keep imagining the future goal, but they may need to also look back and recognize the improvements they have made over time.  This "progress to date" assessment will also provide motivation to keep going once they realize the hard work is actually having the desired effect and moving them along the desired path.  So, as they review their past to present progress, does the first or third person perspective make a difference there as well?



Researchers from Cornell, Yale and Ohio State, led by Thomas Gilovich, professor of psychology at Cornell, designed an experiment to find out.  They recruited a group of university students who had described their high-school years as "socially awkward" to now recall those years and compare them with their social skill in college.  The first group was asked to recall the past from a first-person perspective, just as their memories would provide them.  The second group was asked to remember themselves through the perspective of their classmates (third-person).  Next, each group was asked to assess the personal change they had accomplished since then.


As predicted, the group that had recalled their former selves in the third person reported greater progress and change towards a more social and accepted person in college than the group that remembered in the first-person.  "We have found that perspective can influence your interpretation of past events. In a situation in which change is likely, we find that observing yourself as a third person -- looking at yourself from an outside observer's perspective -- can help accentuate the changes you've made more than using a first-person perspective," says Gilovich.  "When participants recalled past awkwardness from a third-person perspective, they felt they had changed and were now more socially skilled," said Lisa K. Libby, an assistant professor of psychology at Ohio State University. "That led them to behave more sociably and appear more socially skilled to the research assistant."


So, whether looking forward or backward, seeing yourself through other's eyes seems to provide more motivation to not only continue the road to success, but to appreciate the progress you have made. 


Then the actual day of competition arrives.  It is one hour before you take your position on the starting blocks at the "Bird's Nest" stadium in Beijing or on the mat at the National Indoor Stadium for the gymnastics final.  Should you be imagining the medal ceremony and listening to your country's national anthem at that point?  In a recent Denver Post article, Peter Haberl, senior sports psychologist for the U.S. Olympic Committee says, "It takes a great deal of ability and skill to stay focused on the task at hand."  

He distinguishes between an "outcome" goal, (receiving the medal) and "performance" (improving scores/times) and "process" (improving technique) goals.  "The difference is that these types of goals are much more under the control of the athlete," explains Haberl. "The process goal, in particular, directs attention to the here and now, which allows the athlete to totally focus on the doing of the activity; this is key to performing well.  This sounds simple but it really is quite difficult because the mind takes you to the past and the future all the time, particularly in the Olympic environment with its plethora of distractions and enticing rewards." 


Mental imagery is a well-known tool for every athlete to make distant and difficult goals seem attainable.  By seeing your future accomplishments through the eyes of others, you can attach more importance and reward to achieving them.  Just imagine yourself in London in 2012!



Vasquez, N.A. (2007). Seeing Future Success: Does Imagery Perspective Influence Achievement Motivation?. Personality and Social Psychology Bulletin, 33(10), 1392-1405.


Libby, L.K., Eibach, R.P., Gilovich, T. (2005). Here's Looking at Me: The Effect of Memory Perspective on Assessments of Personal Change.. Journal of Personality and Social Psychology, 88(1), 50-62. DOI: 10.1037/0022-3514.88.1.50

Lifting The Fog Of Sports Concussions

A concussion, clinically known as a Mild Traumatic Brain Injury (MTBI), is one of the most common yet least understood sports injuries.  According to the Centers for Disease Control, there are as many as 300,000 sports and recreation-related concussions each year in the U.S., yet the diagnosis, immediate treatment and long-term effects are still a mystery to most coaches, parents and even some clinicians.  

The injury can be deceiving as there is rarely any obvious signs of trauma.  If the head is not bleeding and the player either does not lose consciouness or regains it after a brief lapse, the potential damage is hidden and the usual "tough guy" mentality is to "shake it off" and get back in the game.


Leigh Steinberg, agent and representative to some of the top professional athletes in the world (including NFL QBs Ben Roethlisberger and Matt Leinart), is tired of this ignorance and attitude.  "My clients, from the day they played Pop Warner football, are taught to believe ignoring pain, playing with pain and being part of the playing unit was the most important value," Steinberg said, "I was terrified at the understanding of how tender and narrow that bond was between cognition and consciousness and dementia and confusion".  Which is why he was the keynote speaker at last week's "New Developments in Sports-Related Concussions" conference hosted by the University of Pittsburgh Medical College Sport Medicine Department in Pittsburgh. 

Leading researchers gathered to discuss the latest research on sports-related concussions, their diagnosis and treatment.  "There's been huge advancement in this area," said Dr. Micky Collins, the assistant director for the UPMC Sports Medicine Program. "We've learned more in the past five years than the previous 50 combined."

So, what is a concussion?  The CDC defines a concussion as "a complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces secondary to direct or indirect forces to the head."  Being a "mild" form of traumatic brain injury, it is generally believed that there is no actual structural damage to the brain from a concussion, but more a disruption in the biochemistry and electrical processes between neurons.  

The brain is surrounded by cerebrospinal fluid, which is supposed to provide some protection from minor blows to the head.  However, a harder hit can cause rotational forces that affect a wide area of the brain, but most importantly the mid-brain and the reticular activating system which may explain the loss of consciousness in some cases.  

For some athletes, the concussion symptoms take longer to disappear in what is known as post-concussion syndrome.  It is not known whether this is from some hidden structural damage or more permanent disruption to neuronal activity.  Repeated concussions over time can lead to a condition known as dementia pugilistica, with long-term impairments to speech, memory and mental processing.

After the initial concussion, returning to the field before symptoms clear raises the risk of second impact syndrome, which can cause more serious, long-term effects.  As part of their "Heads Up" concussion awareness campaign, the CDC offers this video story of Brandon Schultz, a high school football player, who was not properly diagnosed after an initial concussion and suffered a second hit the following week, which permanently changed his life.  Without some clinical help, the player, parents and coach can only rely on the lack of obvious symptoms before declaring a concussion "healed".  

However, making this "return to play" decision is now getting some help from some new post-concussion tests.  The first is a neurological skills test called ImPACT (Immediate Post-Concussion and Cognitive Testing) created by the same researchers at UPMC.  It is an online test given to athletes after a concussion to measure their performance in attention span, working memory, sustained and selective attention time, response variability, problem solving and reaction time.  Comparing a "concussed" athlete's performance on the test with a baseline measurement will help the physician decide if the brain has healed sufficiently.

However, Dr. Collins and his team wanted to add physiological data to the psychological testing to see if there was a match between brain activity, skill testing and reported symptoms after a concussion.  In a study released last year in the journal Neurosugery, they performed functional MRI (fMRI) brain imaging studies on 28 concussed high-school athletes while they performed certain working memory tasks to see if there was a significant link between performance on the tests and changes in brain activation.  They were tested about one week after injury and again after the normal clinical recovery period.

“In our study, using fMRI, we demonstrate that the functioning of a network of brain regions is significantly associated with both the severity of concussion symptoms and time to recover,” said Jamie Pardini, Ph.D., a neuropsychologist on the clinical and research staff of the UPMC concussion program and co-author of the study.  
 "We identified networks of brain regions where changes in functional activation were associated with performance on computerized neurocognitive testing and certain post-concussion symptoms,” Dr. Pardini added. "Also, our study confirms previous research suggesting that there are neurophysiological abnormalities that can be measured even after a seemingly mild concussion.” 

Putting better assessment tools in the hands of athletic trainers and coaches will provide evidence-based coaching decisions that are best for the athlete's health.  Better decisions will also ease the minds of parents knowing their child has fully recovered from their "invisible" injury.




Lovell, M.R., Pardini, J.E., Welling, J., Collins, M.W., Bakal, J., Lazar, N., Roush, R., Eddy, W.F., Becker, J.T. (2007). FUNCTIONAL BRAIN ABNORMALITIES ARE RELATED TO CLINICAL RECOVERY AND TIME TO RETURN-TO-PLAY IN ATHLETES. Neurosurgery, 61(2), 352-360. DOI: 10.1227/01.NEU.0000279985.94168.7F

HGH - Human Growth Hoax?

Athletes, both professional and amateur, as well as the general public are convinced that human growth hormone (HGH), Erythropoietin (EPO) and anabolic-androgenic steroids (AAS) are all artificial and controversial paths to improved performance in sports.  The recent headlines that have included Barry Bonds, Marion Jones, Floyd Landis, Dwayne Chambers, Jose Canseco, Jason Giambi, Roger Clemens and many lesser known names (see the amazingly long list of doping cases in sport) have referred to these three substances interchangeably leaving the public confused about who took what from whom.  With so many athletes willing to gamble with their futures, they must be confident that they will see significant short-term results.  

So, is it worth the risk?  Two very interesting recent studies provide some answers on at least one of the substances, HGH.


A team at the Stanford University School of Medicine, led by Hau Liu MD, recently reviewed 27 historical studies on the effects of HGH on athletic performance, dating back to 1966 (see reference below).  They wanted to see if there were any definitive links between HGH use and improved results.  In some of the studies, test volunteers who received HGH did develop more lean body mass, but also developed more lactate during aerobic testing which inhibited rather than helped performance.  While their muscle mass increased, other markers of athletic fitness, such as VO2max remained unchanged.  “The key takeaway is that we don’t have any good scientific evidence that growth hormone improves athletic performance,” said senior author Andrew Hoffman, MD, professor of endocrinology, gerontology and metabolism.



Both Liu and Hoffman cautioned that the amounts of HGH given to these test subjects may be much lower than the the purported levels claimed to be taken by professional athletes.  They also pointed out that at a professional level, a very slight improvement might be all that is necessary to get an edge of your opponent.  Hoffman also added an insightful comment, “So much of athletic performance at the professional level is psychological.”  If an athlete takes HGH, sees some muscle mass growth and isn't 100% sure of its performance capabilities, might he assume he now has other "Superman" powers?



That is exactly the premise that a research team from Garvan Institute of Medical Research in Sydney, Australia used to find out if HGH users simply relied on a placebo effect.  Sixty-four participants, young adult recreational athletes, were divided into two groups of 32 and tested for a baseline of athletic ability in endurance, strength, power and sprinting.  One group received growth hormone and the other group received a simple placebo.  It was a "double-blind" study in that neither the participants nor the researchers knew during the testing which substance each group received.



At the end of the 8 week treatment, the athletes were asked if they thought they were in the HGH group or the placebo group.  Half of the group that had received the placebo incorrectly guessed that they were on HGH.  Not too surprisingly, the majority of the "incorrect guessers" were men.  Here's where it gets interesting.  The incorrect guessers also thought that their athletic abilities had improved over the 8 week period.  The team retested all of the placebo group and actually did find improvement across all of the tests, but only significantly in the high-jump test.


Jennifer Hansen, a nurse researcher and Dr. Ken Ho, head of the pituitary research unit at Garvan have not released the data on the group that did receive the HGH, but they will in their final report coming soon.



So, let's recap.  On the one hand, we have a research review that claims there is not yet any scientific evidence that HGH actually improves sports performance.  Yet, we have hundreds, if not thousands, of athletes illegally using HGH for performance gain.  Showing the effect of the "if its good enough for them, its good enough for me" beliefs of the public regarding professional athlete use of HGH, we now have research that shows even those who received a placebo, but believed they were taking HGH not only thought they were improving but actually did improve a little.  Once again, we see the power of our own natural, non-supplemented brain to convince (or fool) ourselves to perform at higher levels than we thought possible.








Liu, H., Bravata, D.M., Olkin, I., Friedlander, A., Liu, V., Roberts, B., Bendavid, E., Saynina, O., Salpeter, S.R., Garber, A.M. (2008). Systematic review: the effects of growth hormone on athletic performance.. Annals of Internal Medicine, 148(10), 747-758.

Sideline Raging Soccer Moms (and Dads!)

Visit any youth soccer field, baseball diamond, basketball court or football field and you will likely see them:  parents behaving badly.  Take a look at this Good Morning America report:

These are the extremes, but at most games, you can find at least one adult making comments at the referee, shouting at their child, or having a verbal exchange with another parent.  Thankfully, these parents represent only a small percentage of those attending the game.  Does that mean the others don't become upset at something during the game?  Usually not, as there are lots of opportunities to dispute a bad call or observe rough play or react to one of these loud parents.  

The difference is in our basic personality psyche, according to Jay Goldstein, a kinesiology doctoral student at the University of Maryland School of Public Health.  His thesis, recently published in the Journal of Applied Social Psychology (see reference below), hypothesized that a parent with "control-oriented" personality would react to events at a game more than a parent with an "autonomy-oriented" personality.

According to Goldstein, defending our ego is what usually gets us in trouble when we feel insulted or take something personally.  At youth sports games, we transfer this pride to our kids, so if someone threatens their success on the field, we often take it personally.  The control-oriented parent is more likely to react with a verbal or sometimes physical response, while an autonomy-oriented parent is better able to internalize and maintain their emotions.  This "control" vs. "autonomy" comparison has also been seen in research on "road rage", when drivers react violently to another driver's actions.

Goldstein and his team focused their research on suburban Washington soccer parents back in 2004.  They designed a survey for parents to fill out prior to watching a youth soccer game that would help categorize them as control or autonomy-oriented.  Immediately after the game ended, another survey was given to the parents that asked about any incidents during the game that made them angry on a scale of 1, slightly angry, to 7, furious.  They were also asked what action they took when they were angry.  Choices included "did nothing" to more aggressive acts like walking towards the field and/or yelling or confronting either the referee, their own child, or another player/parent.  53% of the 340 parents surveyed reported getting angry at something during the game, while about 40% reported doing something about their anger.

There was a direct and significant correlation between control-oriented parents, as identified in the pre-game survey, and the level of angry actions they took during the game.  Autonomy-oriented parents still got mad, but reported less aggressive reactions.  As Goldstein notes, “Regardless of their personality type, all parents were susceptible to becoming more aggressive as a result of viewing actions on the field as affronts to them or their kids.  However, that being said, it took autonomy-oriented parents longer to get there as compared to the control-oriented parents.”

So, now that we know the rather obvious conclusion that parents who yell at other motorists are also likely to yell at referees, what can we do about it?  Goldstein sees this study as a first step.  He hopes to study a wider cross-section of sports and socio-economic populations.  Many youth sports organizations require parents to sign a pre-season "reminder" code of conduct, but those are often forgotten in the heat of the battle on the field.  

Maybe by offering the same type of personality survey prior to the season, the "control-oriented" parents can be offered resources to help them manage their tempers and reactions during a game.  Since referees were the number one source of frustration reported by parents, two solutions are being explored by many organizations; more thorough referee training and quality control while also better training of parents on the rules of the game which often cause the confusion.

Sports contests will always be emotional, from kids' games all the way up to professionals.  Keeping the games in perspective and our reactions positive are tough things to do but when it comes to our kids, it is required.



Goldstein, J.D., Iso-Ahola, S.E. (2008). Determinants of Parents' Sideline-Rage Emotions and Behaviors at Youth Soccer Games. Journal of Applied Social Psychology, 38(6), 1442-1462. DOI: 10.1111/j.1559-1816.2008.00355.x

Does Practice Make Perfect?

For years, sport science and motor control research has added support to the fundamental assertions that "practice makes perfect" and "repetition is the mother of habit".  Shooting 100 free throws, kicking 100 balls on goal or fielding 100 ground balls must certainly build the type of motor programs in the brain that will only help make the 101st play during the game.  K. Anders Ericsson, the "expert on experts", has defined the minimum amount of "deliberate practice" necessary to raise any novice to the level of expert as 10 years or 10,000 hours.

However, many questions still exist as to exactly how we learn these skills.  What changes happen in our brains when we teach ourselves a new task?  What is the most effective and efficient way to master a skill?  Do we have to be actually performing the skill to learn it, or could we just watch and learn? 

Then, once we have learned a new skill and can repeat it with good consistency, why can't we perform it perfectly every time?  Why can't we make every free throw, score with every shot on goal, and field each ground ball with no errors?  We would expect our brain to just be able to repeat this learned motor program with the same level of accuracy.
To answer these questions, we look at two recent studies.  The first, by a team at Dartmouth's Department of Psychological and Brain Sciences, led by Emily Cross, who is now a post-doc at Max Planck Institute for Cognitive and Brain Sciences in Leipzig, Germany, wanted to know if we need to physically perform a new task to learn it, or if merely observing others doing it would be enough. 

The "task" they chose was to learn new dance steps from a video game eerily similar to "Dance, Dance Revolution".  If you (or your kids) have never seen this game, its a video game that you actually get up off the couch and participate in, kind of like the Nintendo Wii.  In this game, a computer screen (or TV) shows you the dance moves and you have to imitate them on a plastic mat on the floor connected to the game.  If you make the right steps, timed to the music, you score higher.

Cross and the team "taught" their subjects in three groups.  The first group was able to view and practice the new routine.  The second group only was allowed to watch the new routine, but not physically practice it.  The third group was a control group that did not get any training at all.  The subjects were later scanned using functional magnetic resonance imaging (fMRI) while they watched the same routine they had either learned (actively or passively) or not seen (the control group).

As predicted, they found that the two trained groups showed common activity in the Action Observance Network (AON) in the brain (see image on left), a group of neural regions found mostly in the inferior parietal and premotor cortices of the brain (near the top of the head) responsible for motor skills and some memory functions.  In other words, whether they physically practised the new steps or just watched the new steps, the same areas of the brain were activated and their performance of the new steps were significantly similar.  The team put together a great video summarizing the experiment.  

One of the themes from this study is that, indeed, learning a motor skill takes place in the brain.  This may seem like an obvious statement, but its important to accept that the movements that our limbs make when performing a skill are controlled by the instructions provided from the brain.  So, what happens when the skill breaks down?  Why did the quarterback throw behind the receiver when we have seen him make that same pass accurately many times?  

To stay true to our theme, we have to blame the brain.  It may be more logical to point to a mechanical breakdown in the player's form or body movements, but the "set-up" for those movements starts with the mental preparation performed by the brain.

In the second study, electrical engineers at Stanford University took a look at these questions to try to identify where the inconsistencies of movement start.  They chose to focus on the "mental preparation" stage which occurs just before the actual movement.  During this stage, the brain plans the coordination and goal for the movement prior to initiating it.  The team designed a test where monkeys would reach for a green dot or a red dot.  If green, they were trained to reach slowly for the dot; if red, to reach quickly.  By monitoring the areas of the monkeys' brains through fMRI, they observed activity in the AON prior to the move and during the move.  

Over repeated trials, changes in reach speed were associated with changes in pre-movement activity.  So, instead of perfectly consistent reach times by the monkeys, they saw variation, like we might see when trying to throw strikes with a baseball many times in a row.  Their conclusion was that this planning activity in the brain does have an effect on the outcome of the activity.  Previously, research had focused only on breakdowns during the actual move and in the mechanics of muscles.  This study shows that the origin of the error may start earlier.

As electrical engineering Assistant Professor Krishna Shenoy stated, "the main reason you can't move the same way each and every time, such as swinging a golf club, is that your brain can't plan the swing the same way each time."  
Postdoctoral researcher and co-author Mark Churchland added, "The nervous system was not designed to do the same thing over and over again.  The nervous system was designed to be flexible. You typically find yourself doing things you've never done before." 
The Stanford team also has made a nice short video synopsis of their study.

Does practice make perfect?  First, we must define "practice".  We saw that it could be either active or passive.  Second, we know sports skills are never "perfect" all the time, and need to understand where the error starts before we can begin to fix it.

Stats Vs. Hunches - The Moneyball Era In Sports

Most baseball general managers live in obscurity most of their careers.  Its their first hire, the manager, that usually gets the red hot spotlight, after every win and loss, second-guessed by reporters with recorders and then later by fans.  The GM puts the players on the field and lets the manager and his coaches take it from there.  Billy Beane , Oakland A's general manager, could have also been an unknown, albeit interesting, name to the baseball audience if it were not for author Michael Lewis' 2003 book, Moneyball .  Moneyball was a runaway hit (even today, 5 years later, it is #19 on Amazon's list of baseball books).  It has morphed into a full-fledged catchphrase philosophy used by everyone from Wall Street (where Beane borrowed the concept) to business consulting.  The general theme is to find undervalued assets (ballplayers) by focusing on statistics that your competition is ignoring.  Of course, you have to believe in your metrics and their predictive value for success (why has everyone else ignored these stats?)  The source of most of Beane's buried treasure of stats was Bill James and his Sabrmetrics.  Like picking undervalued stocks of soon to explode companies, Beane looked for the diamond in the dust (pun intended) and sign the player while no one was looking.  Constrained by his "small-market" team revenues, or maybe by his owners' crowbar-proof wallets, he needed to make the most from every dollar.


The combination of a GM's shrewd player selection and a manager who can develop that talent should reward the owner with the best of both worlds: an inexpensive team that wins.  This salary vs. performance metric is captured perfectly in this "real-time" graphic at BenFry.com .  It connects the updated win-loss record for each MLB team with its payroll to show the "bang for the buck" that the GMs/managers are getting from their players.  Compare the steep negative relationship for the Mets, Yankees, Tigers and Mariners with the amazing results of the Rays, Twins and Beane's own A's.  While the critics of Moneyball tactics would rightly point to the A's lack of a World Series win or even appearance, the "wins to wages" ratio has not only kept Beane in a job but given him part ownership in the A's and now the newly resurrected San Jose Earthquakes of soccer's MLS.  Beane believes the same search for meaningful and undiscovered metrics in soccer can give the Quakes the same arbitrage advantage.  In fact, there are rumours that he will focus full-time on conquering soccer as he knows there are much bigger opportunities worldwide if he can prove his methods within MLS.

In baseball, Beane relied on the uber-stat guru, Bill James, for creative and more relevant statistical slices of the game.  In soccer, he is working with some top clubs including his new favorite, Tottenham-Hotspur, of the English Premier League.  While he respects the history and tradition of the game, he is confident that his search for a competitive advantage will uncover hidden talents.  Analytical tools from companies such as Opta in Europe and Match Analysis in the U.S. have combined video with detailed stat breakdowns of every touch of the ball for every player in each game.  Finding the right pattern and determinant of success has become the key, according to Match Analysis president Mark Brunkhart as quoted earlier this year,
"You don't need statistics to spot the real great players or the really bad ones. The trick is to take the players between those two extremes and identify which are the best ones.  If all you do is buy the players that everyone else wants to buy then you will end up paying top dollar. But if you take Beane's approach - to use a disciplined statistical process to influence the selection of players who will bring the most value - then you are giving yourself the best chance of success. Who would not want to do that?"

Not to feel left out (or safe from scrutiny), the NBA now has its own sport-specific zealots.  The Association for Professional Basketball Research (APBR) devotes its members time and research to finding the same type of meaningful stats that have been ignored by players, coaches and fans.  They, too, have their own Moneyball-bible, "The Wages of Wins " by David Berri, Martin Schmidt, and Stacey Brook.  David Berri's WoW journal/blog regularly posts updates and stories related to the current NBA season and some very intriguing analysis of its players and the value of their contributions.  None other than Malcolm Gladwell, of Tipping Point and Blink fame, provided the review of Wages of Wins for the New Yorker.  One of the main stats used is something called a player's "Win Score" which attempts to measure the complete player, not just points, rebounds and assists.

Win Score (WS) = PTS + REB + STL + ½*BLK + ½*AST – FGA – ½*FTA – TO – ½*PF.   (Points, Rebounds, Steals, Blocked Shots, Assists, Field Goal Attempts, Free Throw Attempts, Turnovers, Personal Fouls)

WS is then adjusted for minutes played with the stat, WS48.  Of course, different player positions will have different responsibilities, so to compare players of different positions the Position Adjusted Win Score per 48 minutes or PAWS48 is calculated as: WS48 – Average WS48 at primary position played.  This allows an apples to apples comparison between players at a position, and a reasonable comparison of players' values across positions.  Berri's latest article looks at the fascination with Michael Beasley and some early comparisons in the Orlando Summer League. 

Will these statistics-based approaches to player evaluation be accepted by the "establishment"?  Judging by the growing number of young, MBA-educated GMs in sports, there is a movement towards more efficient and objective selection criteria.  Just as we saw in previous evidence-based coaching articles , the evidence-based general manager is here to stay.

Play Better Golf By Playing Bigger Holes

Here are some quotes we have all heard (or said ourselves) on the golf course or at the ball diamond.

On a good day:
"It was like putting into the Grand Canyon"
"The baseball looked like a beach ball up there today"

On a bad day:
"The hole was as small as a thimble"
"I don't know, it looked like he was throwing marbles"

The baseball and the golf hole are the same size every day, so are these comments meaningless or do we really perceive these objects differently depending on the day's performance? And, does our performance influence our perception or does our perception help our performance?

Jessica Witt, an assistant professor of psychological science at the University of Virginia has made two attempts at the answer. First, in a 2005 study, "See the Ball, Hit the Ball", her team studied softball players by designing an experiment that tried to correlate perceived softball size to performance. She interviewed players immediately after a game and asked them to estimate the size of the softball by picking a circle off of a board that contained several different sizes. She then found out how that player had done at the plate that day. 

As expected, the players that were hitting well chose the larger sized circles to represent the ball size, while the underperforming hitters chose the smaller circles. The team was not able to answer the question of causality, so they expanded the research to other sports.

Fast forward to July, 2008 and Witt and her team have just released a very similar study focused on golf, "Putting to a bigger hole: Golf performance relates to perceived size". Using the same experiment format, players who had just finished a round of golf were asked to pick out the perceived size of the hole from a collection of holes that varied in diameter by a few centimeters. Once again, the players who had scored well that day picked the larger holes and vice versa for that day's hackers. So, the team came to the same conclusion that there is some relationship between perception and performance, but could not figure out the direction of the effect. Ideally, a player could "imagine" a larger hole and then play better because of that visual cue.

Researchers at Vanderbilt University may have the answer. In a study, "The Functional Impact of Mental Imagery on Conscious Perception", the team led by Joel Pearson, wanted to see what influence our "Mind's Eye" has on our actual perception. In their experiment, they asked volunteers to imagine simple patterns of vertical or horizontal stripes. Then, they showed each person a pattern of green horizontal stripes in one eye and red vertical stripes in the other eye. This would induce what is known as the "binocular rivalry" condition where each image would fight for control of perception and would appear to alternate from one to the other. In this experiment, however, the subjects reported seeing the image they had first imagined more often. So, if they had imagined vertical stripes originally, they would report seeing the red vertical stripes predominantly.

The team concluded that mental imagery does have an influence over what is later seen. They also believe that the brain actually processes imagined mental images the same way it handles actual scenes. "More recently, with advances in human brain imaging, we now know that when you imagine something parts of the visual brain do light up and you see activity there," Pearson says. "So there's more and more evidence suggesting that there is a huge overlap between mental imagery and seeing the same thing. Our work shows that not only are imagery and vision related, but imagery directly influences what we see."

So, back to our sports example, if we were able to imagine a large golf hole or a huge baseball, this might affect our actual perception of the real thing and increase our performance. This link has not been tested, but its a step in the right direction. Another open question is the effect that our emotions and confidence have on our perceived task. That hole may look like the Grand Canyon, but the sand trap might look like the Sahara Desert!



Witt, J.K. (2008). Putting to a bigger hole: golf performance relates to perceived size. Psychonomic Bulletin & Review, 15