The long-term intensive gymnastic training influences functional stability and integration: A resting-state fMRI study.

ABSTRACT

INTRODUCTION: Long-term motor skill training has been shown to induce anatomical and functional neuroplasticity. World class gymnasts (WCGs) provide a unique opportunity to investigate the effect of long-term intensive training on neuroplasticity. Previous resting-state fMRI studies have demonstrated a high efficient information processing related to motor and cognitive functions in gymnasts compared with healthy controls (HCs). However, most research treated brain signals as static, overlooking the fact that the brain is a complex and dynamic system. In this study, we employed functional stability, a new metric based on dynamic functional connectivity (FC), to examine the impact of long-term intensive training on the functional architecture in the WCGs. METHODS: We first conducted a voxel-wise analysis of functional stability between the WCGs and HCs. Then, we applied FC density (FCD) to explore whether regions with modified functional stability were also accompanied by changes in connection patterns in the WCGs. We identified overlapping regions showing significant differences in both functional stability and FCD. Finally, we applied seed-based correlation analysis (SCA) to determine the detailed changes in connection patterns between the WCGs and HCs within these overlapping regions. RESULTS: Compared with the HCs, the WCGs exhibited higher functional stability in the bilateral angular gyrus (AG), bilateral inferior temporal gyrus (ITG), bilateral precentral gyrus, and right superior frontal gyrus and lower functional stability in the bilateral hippocampus, bilateral caudate, right rolandic operculum, left superior temporal gyrus, right middle frontal gyrus, right middle cingular cortex, and right precuneus than the HCs. We found that the bilateral AG and ITG not only showed higher functional stability but also increased global and long-range FCD in the WCGs relative to the HCs. The right precuneus displayed lower functional stability as well as decreased local, long-range, and global FCD in the WCGs. Both AG and ITG showed higher FC with regions in the default mode network (DMN) in the WCGs than in the HCs. CONCLUSIONS: The increased functional stability in the AG and ITG might be associated with enhanced functional integration within the DMN in the WCGs. These findings may offer new spatiotemporal evidence for the impact of long-term intensive training on neuroplasticity.