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Efficacy of physical exercise on cortical activity modulation in mild cognitive impairment: a systematic review
Pedroso RV, Lima-Silva AE, Tarachuque PE, Fraga FJ, Stein AM
Archives of Physical Medicine and Rehabilitation 2021 Dec;102(12):2393-2401
systematic review

OBJECTIVE: To investigate the effects of physical exercise on cortical activity measured via EEG in individuals with Mild Cognitive Impairment (MCI). DATA SOURCES: PubMed, Web of Science, PsycINFO, SciELO databases were searched, using: "physical exercise"; "physical activity"; "physical therapy"; "exercise"; "training"; "electroencephalogram"; "electroencephalography"; "EEG"; "mild cognitive impairment"; "cognitive dysfunction"; "MCI". PRISMA statement was followed and the PEDro scale was used to assess the risk of bias of each study. STUDY SELECTION: Original articles, sample including individuals with MCI, physical exercise intervention, use of EEG to measure cortical activity. DATA EXTRACTION: Sample characteristics, physical exercise protocol characteristics, results related to effects of physical exercise on parameters derived from EEG signals and on other cognitive assessments, strengths, limitations and conclusions of the studies were selected by two investigators. DATA SYNTHESIS: 365 articles were identified in electronic databases. After the selection stage, seven studies were included. Although there was a large spectrum of type of exercise (aerobic, resistance, multimodal, exergames and combined exercise with cognitive training), all exercise protocols altered cortical activity in MCI patients. An exercise session (acute response) causes power reduction of delta band and increases complexity and P300 amplitude in resting-state EEG. After an intervention with an exercise program (chronic response), there was a reduction in the power of delta and theta bands and an increase in beta and alpha bands, as well an increase in complexity in resting-state EEG. CONCLUSIONS: Physical exercise seems to play a role in cortical activity in MCI patients, suggesting neural plasticity in such individuals.

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