{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:25:11Z","timestamp":1786631111478,"version":"build-2736575974"},"reference-count":59,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Science Centre, Poland","award":["2017\/25\/B\/NZ7\/02795"],"award-info":[{"award-number":["2017\/25\/B\/NZ7\/02795"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Animal models suggest that intensive physical training may promote neuroplasticity in Parkinson\u2019s disease (PD), but its effects in humans remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To investigate the effects of aerobic interval training (AIT) on brain-derived neurotrophic factor (BDNF) levels, striatal [\n                      <jats:sup>18<\/jats:sup>\n                      F]fluorodopa positron emission tomography\/computed tomography (PET\/CT) uptake ([\n                      <jats:sup>18<\/jats:sup>\n                      F]DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      ), electroencephalography (EEG), and motor function, and to explore their interrelations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty PD patients were randomly assigned to a 12-week moderate-intensity AIT group (PD Training Group [PD-TR], n\u2009=\u200915) or a non-training group (PD Non-Training Group, n\u2009=\u200915). Pre- and post-intervention assessments included BDNF levels, striatal [\n                      <jats:sup>18<\/jats:sup>\n                      F]DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      , EEG during motor task-evoked desynchronization (ERD\n                      <jats:sub>MT<\/jats:sub>\n                      ) and rest-evoked synchronization (ERS\n                      <jats:sub>REST<\/jats:sub>\n                      ) in primary motor cortex (M1) and\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/journals.sagepub.com\/doi\/suppl\/10.1177\/15459683251360729\">supplementary motor area (SMA)<\/jats:ext-link>\n                      , and motor function assessed using the Unified PD Rating Scale (UPDRS) Part III and the Manual Bradykinesia Score for the Affected Upper Extremity (MBS-AUE) calculated as the sum of UPDRS items 3.4 to 3.6.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The PD-TR group showed increased BDNF levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and improved motor scores (UPDRS III and MBS-AUE;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05). Both groups exhibited increased EEG-ERS\n                      <jats:sub>REST<\/jats:sub>\n                      M1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05) over time, with no changes in striatal [\n                      <jats:sup>18<\/jats:sup>\n                      F]DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      uptake. Significant group differences were observed in correlations between changes (\u0394\u2009=\u2009POST minus PRE) in: \u0394BDNF with \u0394[\n                      <jats:sup>18<\/jats:sup>\n                      F] DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      uptake in the putamen and \u0394EEG-ERD\n                      <jats:sub>MT<\/jats:sub>\n                      M1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001); \u0394[\n                      <jats:sup>18<\/jats:sup>\n                      F]DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      uptake in the putamen with \u0394[\n                      <jats:sup>18<\/jats:sup>\n                      F]DOPA\n                      <jats:sub>PET\/CT<\/jats:sub>\n                      uptake in the caudate and \u0394EEG-ERS\n                      <jats:sub>REST<\/jats:sub>\n                      SMA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05); \u0394MBS-AUE scores with \u0394EEG-ERS\n                      <jats:sub>REST<\/jats:sub>\n                      SMA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Twelve-week AIT enhanced BDNF levels and motor function in PD-TR, with central nervous system neuroplasticity supporting motor recovery.<\/jats:p>\n                  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