Introduction: Elite/skilled athletes participating in sports that require the initiation of targeted movements in response to visual cues under critical time pressure typically outperform nonathletes in a visuomotor reaction task. However, the exact physiological mechanisms of this advantage remain unclear. Therefore, this study aimed to determine the neurophysiological processes contributing to superior visuomotor performance in athletes using visual evoked potential (VEP). Methods: Central and peripheral determinants of visuomotor reaction time were investigated in 15 skilled badminton players and 28 age-matched nonathletic controls. To determine the speed of visual signal perception in the cortex, chromatic and achromatic pattern reversal stimuli were presented, and VEP values were recorded with a 64-channel EEG system. Further, a simple visuomotor reaction task was performed to investigate the transformation of the visual into a motor signal in the brain as well as the timing of muscular activation. Results: Amplitude and latency of VEP (N75, P100, and N145) revealed that the athletes did not significantly differ from the nonathletes. However, visuomotor reaction time was significantly reduced in the athletes compared with nonathletes (athletes = 234.9 ms, nonathletes = 260.3 ms, P = 0.015). This was accompanied by an earlier activation of the premotor and supplementary motor areas (athletes = 163.9 ms, nonathletes = 199.1 ms, P = 0.015) as well as an earlier EMG onset (athletes = 167.5 ms, nonathletes = 206.5 ms, P < 0.001). The latency of premotor and supplementary motor area activation was correlated with EMG onset (r = 0.41) and visuomotor reaction time (r = 0.43). Conclusion: The results of this study indicate that superior visuomotor performance in athletes originates from faster visuomotor transformation in the premotor and supplementary motor cortical regions rather than from earlier perception of visual signals in the visual cortex.
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