Effects on brain structural and functional in deaf children after aerobic exercise training: a pilot cluster randomized controlled study.

Abstract<bold>Purpose:</bold> To examine effects of aerobic exercise interventions on brain <italic>via</italic> the structural Magnetic Resonance Imaging (MRI), as well as functional change during working memory (WM) task using fMRI in deaf children.<bold>Method:</bold> The study applied a cluster randomized controlled design. Twelve deaf children in the intervention group were required to complete an eleven-week aerobic exercise intervention, while other twelve age and gender matched deaf children in the control group were required to keep their normal daily life. Task fMRI images of each participant were acquired in the baseline and post intervention period. The surface-based morphometry (SBM) analysis and functional activation analysis were employed to probe the effects of 11-week aerobic exercise on cerebral structural and functional in deaf children, respectively.<bold>Results:</bold> The 11-week aerobic exercise intervention did not change brain structure in deaf children. However, behavior performance (reaction time and mean accuracy rate) presented significant improvements after the 11-week aerobic exercise intervention. Compared to the control group, the intervention group showed decreased reaction time in the 2-back (<italic>p</italic> < 0.001) and 2-0 back (<italic>p</italic> < 0.001), and increased mean accuracy rate during 2-back (<italic>p</italic> = 0.034). Furthermore, enhanced brain activations in the left supplementary motor cortex (<italic>p</italic> < 0.05, FDR-corrected) and left paracentral lobule (<italic>p</italic> < 0.05, FDR-corrected) were observed in the intervention group.<bold>Conclusion:</bold> 11-week aerobic exercise intervention may not be able to modulate brain structure in deaf children, but may have significantly positive effects on behavior performance and brain functional activation during WM task. [ABSTRACT FROM AUTHOR]