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To investigate if real-time Neurofeedback can enhance learning rates for NeuroTracker training.

40 healthy adults were assigned to four training groups (ten each), performing either:-

• Standard NeuroTracker training

• No training (control group)

• NeuroTracker with EEG-Neurofeedback

• NeuroTracker with sham Neurofeedback

EEG-Neurofeedback involved closed-loop feedback that automatically detects when a participant has lost track of their targets and immediately reindexes them.

The standard NeuroTracker group, control group and EEG-Neurofeedback groups started a similar level, higher than the sham Neurofeedback group. However the EEG-Neurofeedback showed superior learning rates over all other groups over the course of 10 training sessions. The results show that a closed-loop learning paradigm is highly effective at enhancing learning outcomes on the NeuroTracker task.

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This study measured the capacity of older participants to improve their tracking speed thresholds (NeuroTracker), to investigate if age related cognitive decline can be reversed with a training intervention known to be directly relevant to the effects of healthy aging.

20 healthy younger adults (mean age 24 years old) and 20 healthy older adults (mean age 67 years old) performed 15 NeuroTracker training sessions distributed over 5 weeks.

Both groups obtained benefit from training with a similar rate of progression. Though the older group started off at a significantly lower level than the younger group, they obtained speed thresholds that were similar to those of untrained younger adults by the end of the training program. Furthermore, towards the end of the training program the rate of learning appeared to have slowed for the younger group, yet the older group still showed a strong learning curve, suggesting greater improvements with continued training. In conclusion, although healthy older people show a significant age-related deficit in the NeuroTracker task, they respond strongly to training effects and demonstrate an ability to fully reverse age-related functional decline with a short intervention of NeuroTracker training.

To determine timeframes required for baseline updates for NeuroTracker and ImPACT, based on long-term retest reliability.

At the start of two consecutive seasons, 30 athletes with no recent history of mTBI completed baseline assessments of NeuroTracker and ImPACT. The test–retest reliability of the results was assessed via three different statistical analyses.

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The Visual Motor Speed composite score of the ImPACT was the only component of the assessment with outcomes with acceptable retest reliability. NeuroTracker baselines also met these standards. The researchers concluded that NeuroTracker has an acceptable level of test–retest reliability after one year in comparison to ImPACT.

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To determine if variance in hydration status would be associated with cognitive performance, as assessed by NeuroTracker.

121 participants performed 15 NeuroTracker sessions across 10 days of visits to the laboratory. On the days of training, recent fluid intake, urine color (Urine color scale, UC), and body water (BIA) were documented.

Individuals with average urine color indicating good hydration performed significantly worse on NeuroTracker than those with a borderline dehydrated indicator, as based on urine color. Participants with no recent beverage consumption performed significantly better than those who had recently consumed water, tea, coffee , and milk. The researchers suggested that optimal hydration may not occur at the highest values of the urine color scale possibly due to moderate hyponatremia and hemodilution that could impact NeuroTracker performance.

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To to determine whether a hydration plan based off of an athlete’s sweat rate and sodium loss, improves anaerobic and neurocognitive performance during a moderate to hard training session, as well as heart rate recovery from the session.

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15 NCAA collegiate athletes from Merrimack College from multiple sports first underwent a qualitative assessment for hydration habits and knowledge, then were assessed for sweat loss, and randomly assigned to either a prescription hydration plan (PHP) or asked to continue with their normal hydration habits (NHP). All participants completed underwent performance assessments prior, during, and immediately after a moderate to hard sports-specific training session. Assessments included NeuroTracker baselines, standing long jump, heart rate and Vo2 Max monitoring, as well as sodium and sweat loss monitoring.

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NeuroTracker baselines provided a clear indication that a prescription hydration plan has a significantly better influence on perceptual-cognitive functions, both pre and post physical training, compared to a normal hydration plan. Overall, the researchers conclude that this is the first investigation to show that an individually tailored hydration plan improves athletic performance for collegiate athletes engaged in a variety of sports.

To investigate if cognitive training programs can reduce expected cognitive decline associated with aging.

44 participants of 60 years or older were equally divided into an experimental (with NeuroTracker) and a comparative group (without NeuroTracker) and completed 12 training sessions per week. Both groups practiced mnemonic memory training techniques. Pre and post assessments were also conducted, including a a sociodemographic questionnaire, neuropsychological assessment and NeuroTracker pre and post baseline measures.

Both groups experienced some benefits from the memory training, however only the NeuroTracker trained group achieved transfer benefits for attention, reaction time, visual processing speed, episodic, semantic, subjective and working memory as well as aspects of social cognition. The researchers concluded that NeuroTracker with memory training contributed to significantly improved cognitive performance over memory training alone, and that more research should be conducted for elderly populations with and without cognitive deficits.

To examine the effects of a high intensity intermittent exercise (HIIE) protocol on performance with a perceptual-cognitive task (NeuroTracker), and whether effects differ between children, young adults, and older adults.

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12 children, 12 young adults and 12 older adults completed a HIIE program consisting of eleven 30-second intervals at 90% VO2 max, interspersed with 2-minute active recovery periods at 50% VO2max. Before and during this exercise protocol, three sessions of NeuroTracker task were performed at 5, 15, and 25 minute intervals.

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Young adults had significantly higher absolute NeuroTracker scores than children and older adults. Apart children, NeuroTracker scores improved each session, despite the exercise demands (greatest for young adults). The findings suggest that intensive exercise protocols are suitable to be combined with NeuroTracker cognitive training with younger and older adults, but not with children.

To investigate the effects of motor and perceptual dual-task NeuroTracker training over time, and in particular to see if performing prior NeuroTracker consolidation training significantly influences these effects.

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71 participants were assigned either just NeuroTracker training (iMOT), NeuroTracker with a decisionmaking task (Combi), NeuroTracker consolidation training then with a decision-making task (Consol), or an isolated decision-making task (iDM). The decision-making task involved a motor-response reaction to a simulated birdie with a real badminton racket. Performance was measured through NeuroTracker speed threshold, decision accuracy, and reaction time.

Firstly the results demonstrated that the dual-task component significantly affects NeuroTracker speed thresholds. Secondly that this effect is reduced with training over time. Thirdly that this effect is reduced further when consolidation training on just NeuroTracker is completed beforehand. Additionally, decision-making speed, reaction time and accuracy improved with dual-task training. Overall this study provides evidence that NeuroTracker consolidation training is an effective method for accelerating learning rates across multiple performance domains.

To investigate if an unsupervised remote NeuroTracker training intervention could subjectively improve performance outcomes with elite athletes across a range of different sports.

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54 elite athletes from boxing, wrestling, women’s handball, women’s soccer, orienteering, biathlon, alpine skiing, sled hockey, badminton and table tennis completed at least four NeuroTracker sessions per week over a 5 week period. The athletes trained independently from the researchers, using personal NeuroTracker accounts. They were also not given any instructions on the training, to avoid potential biases. All the athletes completed pre and post Athlete Satisfaction Questionnaires (7 point Likert scale), to self-assess their current performance status.

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Almost all the participants completed at least the minimum of 4 NeuroTracker sessions per week, indicating a high compliance. On average the athletes experienced an improvement in normalized NeuroTracker speed thresholds of 39% by the end of the 5 weeks. The results of Athlete Satisfaction Questionnaires showed an improvement from a rating of 18.9, to 19.2.