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To synthesize current evidence on the multi-object tracking (MOT) paradigm as both an assessment tool and a cognitive training intervention, with a focus on transfer effects and underlying perceptual-cognitive mechanisms.

The authors reviewed experimental and applied studies using MOT and 3D-MOT (including NeuroTracker) paradigms across cognitive science, sports, aging, and clinical research contexts. The review evaluated task parameters, cognitive mechanisms engaged, and evidence for near and far transfer outcomes following MOT training.

The review found consistent evidence supporting near-transfer effects of MOT training on attentional processes, processing speed, and visuospatial tracking. Evidence for far transfer to broader executive functions, sport performance, and real-world tasks was more variable and dependent on study design and contextual factors. The authors conclude that while MOT paradigms reliably engage core perceptual-cognitive systems, further research is needed to clarify mechanisms and optimize transfer to applied domains.

To evaluate whether 30 days of dark sweet cherry (DSC) consumption improves executive function, NeuroTracker 3D-MOT performance, neuropeptide levels, and circadian rhythm biomarkers in adults with obesity.

Method
• Single-blind randomized controlled trial
• 40 adults with BMI 30–40 kg/m²
• DSC drink (200 mL twice daily) vs isocaloric placebo for 30 days
• Executive function assessed using TMT, Digit Span (forward/backward), and DSST
• Visual Cognitive Performance (VCP) assessed via 15 NeuroTracker CORE sessions
• Blood biomarkers: neurotensin, substance P, oxytocin, cortisol, melatonin

NeuroTracker performance was evaluated using speed threshold changes across baseline (sessions 1–3) and final (sessions 13–15) blocks.

Executive Function
• Significant improvements in Digit Span Forward (p = 0.006) and Backward (p = 0.01) in the DSC group
• No between-group differences in TMT or DSST
• Benefits were more pronounced in females and higher BMI subgroup

NeuroTracker (VCP)
• Both cherry and placebo groups improved significantly over 15 sessions (practice effect)
• No significant between-group differences
• Mean change (Δ) VCP: Cherry 0.26 vs Placebo 0.25 (p = 0.94)

Biomarkers
• Neurotensin increased significantly in placebo group only
• Melatonin increased significantly in placebo group only
• No significant treatment effects on cortisol or oxytocin

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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This study investigated the effects of a simulated game-situation cognitive load (NeuroTracker) on lower limb biomechanics, using a landing task relevant to straining of the Anterior cruciate ligament (ACL). ACL injuries are known to be one of the most sports common injuries, and occurrence has been linked to cognitive factors.

7 college level healthy athletes (soccer, volleyball, football) performed 16 single-leg landing trials involving a jump forward and a lateral jump to the opposing leg. These movements were measured via force plates and motion capture of the legs and pelvis using 36 markers. The NeuroTracker task was assigned randomly to half of the trials (dual-task procedure), with jumps performed during the tracking phase.

While NeuroTracking hip and/or knee kinematics measurements were significantly different for all participants. The largest change was found with knee abduction angle, known to be most associated to ACL injury. Of the 7 participants, 4 showed biomechanical changes from the added NeuroTracker task that revealed increased ACL strain associated with ACL injury. Based on the preliminary findings, the researchers hypothesize that a NeuroTracker training intervention may reduce risk on of non-contact ACL injury, and will perform a larger study with more detailed biomechanical analysis.

To investigate the effectiveness of NeuroTracker training with elite volleyball players as a form of off-court cognitive performance training.

43 elite volleyball athletes performed pre—post NeuroTracker baselines, along with several transfer tests. The active group completed an 8-week NeuroTracker training program in-between pre-post tests, which also included volleyball specific dual-tasks. The control group did no NeuroTracker training, but completed regular volleyball training.

Controls showed no change in pre-post NeuroTracker baselines, while the active group approximately doubled their NeuroTracker speed thresholds. Near transfer tests for sustained attention and processing speed showed significant gains for the NeuroTracker group only. A far transfer motor-skill test was used but was of insufficient difficulty to signficantly differentiate the active and control groups. The researchers concluded that NeuroTracker provides an example of an effective method for improving athlete's cognitive capacities with an off-court training intervention.

To examine the effects of 14-days ATP supplementation (adenosine 5′-triphosphate) on NeuroTracker visual tracking speed, reaction time, mood and cognition in a double-blind crossover study.

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22 adults were randomized to either an active PeakATP® group or a placebo control group and supplemented for 14-days. They then tested on 3 minutes of maximum intensity cycling. Pre, immediately post, and 60-minutes post, all participants completed a NeuroTracker baseline, a visuomotor reaction test (Dynavision D2), a Profile of Mood States Questionnaire and a cognition assessment (ANAM). After another 14 days of no supplementation, the active and control groups were then reversed and the whole procedure was repeated.

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NeuroTracker results improved on the second testing procedure, however average differences between active and control groups were negligible. No significant interactions were found on the other assessments, apart from reaction time performance, which improved meaningfully with post ATP supplementation. The results suggest ATP may help decrease fatigue related effects from intense bouts of exercise, but not higher-level cognitive functions.

This was a pilot study with a selection of elementary school children based on test measures showing significant attention problems and impulse control, but not clinically diagnosed as ADHD. The purpose of this pilot study was to see if NeuroTracker has the potential be an efficacious short-term intervention for young students with severe attention impairments, based on changes in standardised neuropsychological assessments.

A test and control group of 5 Elementary school students each were included in the study, selected based on severely impaired rating on the IVA+PlusTM Continuous Performance Test. Both groups produced NeuroTracker initial baselines with statistically insignificant differences. The test group completed 21 five-minute NeuroTracker training sessions distributed over 3.5 weeks, the control group did no training. Both groups were then retested on the neuropsychological assessments.

The Test Group improved NeuroTracker speed thresholds by an average of 61% over the course of the training. The control group showed negligible difference in pre-post neuropsychological assessments scores, whereas the trained group showed variable but significant improvements across a range of visual and auditory measures. Gains were most pronounced in Prudence, Consistency and Focus in both visual and auditory domains, matching previous findings, and suggesting cross-modal performance transfer.In general the improvement ratios suggested that a short-term NeuroTracker training intervention can improve severe attention deficits towards moderate attention deficits in this population, with potential to positively impact learning outcomes at a young age.

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To examine physiological and cognitive differences between starters and non-starters in women’s soccer over the course of a season.

28 NCAA Division I female soccer players were tested at preseason and postseason on battery of assessments. This battery included a one session baseline NeuroTracker, vertical jump power, repeated line drills, reaction time, cognitive questionnaires, and finally, muscle architecture changes using ultrasonography.

Over the season, both groups had very similar NeuroTracker baselines, and both group’s speed thresholds improved significantly from pre-season to post-season. As there was no training intervention, the researchers concluded that this improvement effect revealed the positive influence of daily soccer practice on cognitive functions. This suggests NeuroTracker is a sensitive measure of the cumulative effects of sports training over time. These measures contrasted the cognitive questionnaire results, where the soccer player self-reported decreases in energy, focus and alertness, in line with increased fatigue, over the season.

This paper covers foundational concepts of NeuroTracker’s relevance to training of cognitive capacities deemed critical in sports performance, particularly in dynamic team-sports. It also contains a study investigating the effects of attentional loads in learning paradigms, with the aim of understanding optimal load conditions for training perceptual-cognitive ability.

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4 elite professional sports teams trained their athletes on NeuroTracker (15-30 sessions) during their competition seasons. An English Premier Team club, a National Hockey League team, and a European Rugby team were all trained in the standard sitting down position to isolate any influence from attentional mechanisms involved in posture control. Another NHL team performed the training in standing position, involving basic balance demands on attention.

Taking the statistical average for learning progression on NeuroTracker, the three professional sports teams training in sitting position showed near identical progression, with rapid early learning slowing down towards longer term but continued learning. The standing sports team showed much lower NeuroTracker scores, but more importantly slower overall learning progression, with a large magnitude of difference to the other teams. The findings clearly demonstrate the link between balance control mechanisms and perceptual-cognitive demands solicited by NeuroTracker training. This demonstrates that cognitive training loads need to be sensitively optimized to attentional thresholds in order to generate effective short and longer term learning adaptations.

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