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bioRxiv · 10.64898/2026.07.09.737407

Brain Structural and Resting-state Functional Network Changes Following Expiratory Musculature Targeted Resistance Training in Healthy Young Adults: A Pilot Study

Krishnamurthy, R.·Schultz, D.·Wang, Y.·Barlow, S. M.·Dietsch, A. M.
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Abstract

Multimodal imaging approaches that combine structural and functional neuroimaging provide a robust framework for examining neuroplastic adaptations that may not be captured by any single modality. The present study investigated the effects of a four-week expiratory muscle strength training (EMST) program on structural and resting-state functional connectivity in healthy young adults. Five healthy young adult males (aged 19-35 years) completed a standard four-week EMST protocol and underwent pre- and post-training imaging assessments. Structural neuroimaging included T1-weighted and diffusion-weighted MRI, which were analyzed using voxel-based morphometry, surface-based morphometry, and white-matter structural connectivity. Functional neuroimaging consisted of resting-state fMRI to assess training-related changes in functional architecture, network connectivity, and global network measures. Structural MRI analyses revealed no significant changes in gray or white matter volume, cortical morphology, or white-matter structural connectivity following EMST (all FWE- or FDR-corrected p > .05). In contrast, resting-state fMRI demonstrated a significant increase in whole-brain functional connectivity (FDR-corrected p = .036), accompanied by greater network integration, reflected in increased local efficiency and transitivity and reduced modularity. Network-level analyses showed enhanced within- and between-network connectivity in sensorimotor and cognitive circuits. Our findings demonstrate robust functional reorganization following EMST, despite the absence of detectable macrostructural or large-scale white-matter connectivity changes, at least within the timescale and sample characteristics of the current study. These results reflect early-stage neuroplasticity, both globally and within the networks underlying speech and swallowing control and suggest that functional reorganization occurs early in training and likely precedes longer-term structural modifications in these networks.

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Krishnamurthy, R., Schultz, D., Wang, Y., Barlow, S. M., Dietsch, A. M.. 2026-07-15. Brain Structural and Resting-state Functional Network Changes Following Expiratory Musculature Targeted Resistance Training in Healthy Young Adults: A Pilot Study. https://doi.org/10.64898/2026.07.09.737407

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