Objective: To analyze exercise-induced changes in functional connectivity (FC) using high-density EEG (HD-EEG) and primary motor cortex excitability via paired-pulse TMS (pp-TMS).
Methods: Ten healthy volunteers performed a 3 km high-intensity run. Neurophysiological assessments were conducted at baseline (T0), 24 h (T1), and 72 h (T2) post-exercise. FC was measured using HD-EEG, and primary motor cortex excitability was assessed with pp-TMS to measure short-interval intracortical inhibition (SICI) and facilitation (ICF).
Results: At T1, a significant hyperconnected network in the high-γ band was observed in several brain regions, including sensorimotor, limbic, temporal, and occipital lobes, which normalized by T2. Additionally, pp-TMS revealed disinhibition (reduced SICI) in M1 at ISI 2-3 ms at T1.
Conclusions: The study highlighted specific features of exercise-induced central fatigue. Post-exercise, the primary motor cortex became hyperexcitable, possibly as a compensatory response to peripheral fatigue. A complex network of cortical areas involved in cognition and behavior was hyperactivated, likely reflecting awareness of fatigue and self-protection decision-making processes. These changes were reversible, allowing subjects to return to baseline conditions.
Significance: This research provides insight into the neurophysiological mechanisms of central fatigue, emphasizing the brain's adaptive responses to intense physical activity and their temporal dynamics.
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http://dx.doi.org/10.1016/j.clinph.2025.02.274 | DOI Listing |
Handb Clin Neurol
March 2025
University School for Advanced Studies (IUSS-Pavia), Pavia, Italy; Dementia Research Center, IRCCS Mondino Foundation, Pavia, Italy. Electronic address:
Hemispheric asymmetry in pathologic involvement is frequently observed in neurodegenerative disorders (NDD) and is responsible for differences in cognitive and motor clinical manifestations in individual patients. While asymmetry is modest in typical Alzheimer disease (AD), atypical AD presentations with prominent language impairment [logopenic/phonologic variant of primary progressive aphasia (L/Phv-PPA)] are associated with prevalent involvement of the language-dominant hemisphere. Similarly, in the frontotemporal dementia-amyotrophic lateral sclerosis (FTD-ALS) spectrum, the semantic (Sv) and nonfluent/agrammatic (Nf/Av) variants of PPA are due to asymmetric pathology involving the language-dominant hemisphere.
View Article and Find Full Text PDFComplement Ther Med
March 2025
Dr. Burhan Nalbantoğlu State Hospital, Neurology Department, Nicosia, Northern Cyprus TR-10 Mersin, Turkey. Electronic address:
Objectives: To examine the effect of integrated motor learning clinical pilates protocol we developed for patients with Parkinson's Disease (pwPD) on providing enduring motor skills in walking, balance, reaction time, cadence, and functional mobility at 3-months follow-up.
Design: A parallel-group, randomized controlled trial (RCT).
Setting: XXX Medical Center, XXX, and XXX Physiotherapy and Rehabilitation Center, Nicosia.
Clin Neurophysiol
March 2025
Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Objective: To analyze exercise-induced changes in functional connectivity (FC) using high-density EEG (HD-EEG) and primary motor cortex excitability via paired-pulse TMS (pp-TMS).
Methods: Ten healthy volunteers performed a 3 km high-intensity run. Neurophysiological assessments were conducted at baseline (T0), 24 h (T1), and 72 h (T2) post-exercise.
Neurology
April 2025
Brain Health and Wellness Research Program, St. Michael's Hospital, Unity Health Toronto, Ontario, Canada.
Background And Objectives: Medical clearance for return to play (RTP) after sports-related concussion is based on clinical assessment. It is unknown whether brain physiology has entirely returned to preinjury baseline at the time of clearance. In this longitudinal study, we assessed whether concussed individuals show functional and structural MRI brain changes relative to preinjury levels that persist beyond medical clearance.
View Article and Find Full Text PDFJ Neurol
March 2025
Department of Clinical Research in Neurology, Center for Neurodegenerative Diseases and the Aging Brain, University of Bari 'Aldo Moro', "Pia Fondazione Cardinale G. Panico", Via San Pio X, 73039, Tricase, Lecce, Italy.
Background: Fatigue is a common non-motor symptom (NMS) in Parkinson's disease (PD), affecting up to 50% of patients. It is suggested that PD-related fatigue may contribute to the burden perceived by caregivers.
Objective: This study aims to evaluate the impact of PD-related fatigue on caregiver burden.
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