PTOTSLPRCTJournal of neuroengineering and rehabilitation2026

The reorganization mechanism of brain functional networks by long term actual exercise and exercise imagination training: spectrum and network topology analysis based on EEG.

Jinglong Wu, Wangjun Zou, Jinyan Zhang and 5 others

PMID 41913234

WHAT IT FOUND

Five days of physical ball rotation improved right-hand speed and stability more than imagining the movement.

However, even the no-training control group improved, and brain scans showed different patterns for doing versus imagining, meaning mental practice alone is not equivalent to physical execution.

Key findings

01Physical rotation training produced significantly greater improvement in right-hand performance than motor imagery, tactile holding, or no training.

02All groups, including those receiving no training, showed significant improvements in both left and right hand performance scores after five days.

03EEG analysis revealed distinct brain activity patterns: physical training increased frontal beta activity, while imagery training decreased it.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study was conducted on young, healthy adults, so results may not apply to patients with neurological impairments such as stroke or Parkinson's disease. The training period was only five days, capturing intermediate-term changes rather than long-term neuroplasticity. The control group improved significantly, indicating that practice effects, test-retest reliability, or simple time passage contributed to performance gains, which complicates the attribution of improvement solely to the specific interventions. The VGI group combined motor imagery with action observation (watching videos), so it is unclear how much of the neural effect was due to imagery versus observation. EEG has limited spatial resolution, so the precise brain structures involved in the network changes cannot be definitively identified.

Declared interests

The study was funded by the National Natural Science Foundation of China, Shenzhen Basic Research Program, Beijing Nova Program, and STI 2030-Major Projects. No specific conflicts of interest involving commercial entities were declared in the provided text.

The easy way to misread this

Do not conclude that motor imagery is ineffective; rather, recognize that it produces different neural adaptations than physical execution. Furthermore, be cautious of the significant improvement in the no-training control group, which suggests that part of the observed gain in all groups may be due to practice effects or test-retest variability rather than the specific training mechanism.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →