Evidence map›Paper›PMID 41817928›Full record

ArticleGeroScience2026

Sensorimotor postural training induces multi-level cortical network reorganization in older adults enhancing efficiency and resilience.

Yi-Ching Chen, Gwo-Ching Chang, Yi-Ying Tsai, Chen-Guang Zhao, Ing-Shiou Hwang

Abstract read
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In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yi-Ching ChenDepartment of Physical Therapy, College of Medical Science and Technology, Chung Shan Medical University, Taichung City, Taiwan.
Gwo-Ching ChangDepartment of Information Engineering, I-Shou University, Kaohsiung, Taiwan.
Yi-Ying TsaiDepartment of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan City, 701, Taiwan.
Chen-Guang ZhaoDepartment of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan City, 701, Taiwan.
Ing-Shiou HwangDepartment of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan City, 701, Taiwan. ishwang@mail.ncku.edu.tw.ORCID http://orcid.org/0000-0002-5168-2940

Funding

Ministry of Science and Technology, Taiwan MOST 110-2314-B-006-035-MY3National Science and Technology Council NSTC 114-2410-H-040-015
6 · The paper itself

Abstract

Balance training in geriatric rehabilitation reduces fall risk by eliciting multifaceted cortical reorganization through repeated sensorimotor challenges, supporting more efficient postural control in aging. This study combined minimum spanning tree (MST) and k-iteration second-best MST analyses to characterize training-induced changes in cortical network efficiency and resilience. Twenty-four older adults (70.4 ± 3.3 years) completed 12 sessions of stabilometer training with real-time visual feedback. Pre- and post-test assessments evaluated EEG-derived backbone connectivity and postural fluctuation dynamics during goal-directed stance. Post-training, participants exhibited reduced sway magnitude (p = 0.004), increased signal complexity (p = 0.009), and higher movement frequency (p = 0.045), indicating enhanced postural regulation. MST analysis revealed a shift toward a more integrated, hierarchically organized network, evidenced by decreases in kappa (p = 0.011) and leaf fraction (p = 0.014), alongside an increase in maximum betweenness centrality (p = 0.005). Iterative second-best MST analysis further showed that relative total connectivity changes during the 15th-50th iterations were less negative post-training (p < 0.05), whereas algebraic connectivity (λ₂) in the 1st-5th iterations declined significantly (p < 0.05), indicating enhanced peripheral flexibility and consolidated core structure. In conclusion, short-term postural training induced layered cortical network reorganization that is mechanistically consistent with more efficient postural regulation in older adults.

Indexed as

EEGMotor learningNetwork resiliencePostural balanceSecond-best minimum spanning tree

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.