PMID- 31703409 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 8 IP - 11 DP - 2019 Nov 7 TI - Systematic Balance Exercises Influence Cortical Activation and Serum BDNF Levels in Older Adults. LID - 10.3390/jcm8111910 [doi] LID - 1910 AB - : We sought to investigate whether systematic balance training modulates brain area activity responsible for postural control and influence brain-derived neurotrophic factor (BDNF) mRNA protein expression. Seventy-four older adults were randomly divided into three groups (mean age 65.34 +/- 3.79 years, 30 females): Classic balance exercises (CBT), virtual reality balance exercises (VBT), and control (CON). Neuroimaging studies were performed at inclusion and after completion of the training or 12 weeks later (CON). Blood samples were obtained to measure BDNF expression. The study revealed significant interaction of sessions and groups: In the motor imagery (MI) condition for supplementary motor area (SMA) activity (F(at peak) = 5.25, p < 0.05); in the action observation (AO) condition for left and right supramarginal gyrus/posterior insula (left: F(at peak) = 6.48, p < 0.05; right: F(at peak) = 6.92, p < 0.05); in the action observation together with motor imagery (AOMI) condition for the middle occipital gyrus (laterally)/area V5 (left: F(at peak) = 6.26, p < 0.05; right: F(at peak) = 8.37, p < 0.05), and in the cerebellum-inferior semilunar lobule/tonsil (F(at peak) = 5.47, p < 0.05). After the training serum BDNF level has increased in CBT (p < 0.001) and in CBT compared to CON (p < 0.05). Systematic balance training may reverse the age-related cortical over-activations and appear to be a factor mediating neuroplasticity in older adults. FAU - Kubica, Jadwiga AU - Kubica J AD - Institute of Physiotherapy, Faculty of Health Science, Jagiellonian University Medical College, 31-126 Krakow, Poland. FAU - Szymura, Jadwiga AU - Szymura J AD - Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education in Krakow, 31-571 Krakow, Poland. FAU - Domagalik, Aleksandra AU - Domagalik A AD - Brain Imaging Core Facility, Malopolska Centre of Biotechnology, Jagiellonian University, 30-387 Krakow, Poland. FAU - Golda, Slawomir AU - Golda S AD - Department of Molecular Neuropharmacology, Institute of Pharmacology, Polish Academy of Sciences, 31-343 Krakow, Poland. FAU - Wiecek, Magdalena AU - Wiecek M AD - Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, University of Physical Education in Krakow, 31-571 Krakow, Poland. FAU - Fafrowicz, Magdalena AU - Fafrowicz M AD - Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Krakow, Poland. FAU - Marek, Tadeusz AU - Marek T AD - Department of Cognitive Neuroscience and Neuroergonomics, Institute of Applied Psychology, Jagiellonian University, 30-348 Krakow, Poland. FAU - Pera, Joanna AU - Pera J AD - Department of Neurology, Faculty of Medicine, Jagiellonian University Medical College, 31-503 Krakow, Poland. LA - eng GR - 2014/15/N/NZ7/02970/National Science Center/ GR - K/ZDS/006181/Jagiellonian University Medical College grant/ PT - Journal Article DEP - 20191107 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC6912622 OTO - NOTNLM OT - balance training OT - fMRI OT - neuroplasticity OT - older adult COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2019/11/11 06:00 MHDA- 2019/11/11 06:01 PMCR- 2019/11/07 CRDT- 2019/11/10 06:00 PHST- 2019/09/20 00:00 [received] PHST- 2019/10/23 00:00 [revised] PHST- 2019/11/05 00:00 [accepted] PHST- 2019/11/10 06:00 [entrez] PHST- 2019/11/11 06:00 [pubmed] PHST- 2019/11/11 06:01 [medline] PHST- 2019/11/07 00:00 [pmc-release] AID - jcm8111910 [pii] AID - jcm-08-01910 [pii] AID - 10.3390/jcm8111910 [doi] PST - epublish SO - J Clin Med. 2019 Nov 7;8(11):1910. doi: 10.3390/jcm8111910.