Objective: The purpose of this research is to examine how motivational music immediately impacts the brain’s functional connectivity patterns in male athletes following a single session of intense endurance exercise, utilizing resting-state electroencephalography (EEG) and brain network analysis methods. Methods: The study involved 34 healthy male athletes who were tasked with performing incremental cycling exercises until exhaustion, both with and without music. Their resting-state EEG was recorded before and after the exercise. Brain functional networks were analyzed in the theta, alpha, and beta frequency bands based on changes in phase locking value (PLV). Specifically, the study examined the central executive network (CEN), default mode network (DMN), salience network (SN), sensorimotor network (SMN), and dorsal attention network (DAN), assessing their topological properties using graph theory methods. Results: Music significantly prolonged the time to exhaustion. Across frequency bands, the music condition exhibited higher global and local efficiency compared with the no-music condition. Following exhaustion without music, beta-band connectivity significantly increased, suggesting compensatory hyper-synchronization under fatigue. In contrast, music led to reduced alpha- and beta-band global connectivity post-exercise, accompanied by selective strengthening of functionally relevant couplings, particularly between SMN and CEN, and enhanced DAN–DMN coordination. Additionally, music prevented maladaptive connectivity shifts observed under fatigue, including excessive SN–CEN coupling. Conclusions: Exhaustive exercise without music induces widespread beta-band hyper-connectivity, reflecting increased neural cost under central fatigue. Music, however, promotes a more efficient and selectively integrated network configuration, supporting the neural efficiency hypothesis. These findings provide neurophysiological evidence that music optimizes large-scale brain network organization under physical stress, thereby contributing to enhanced endurance performance.

This study aimed to investigate the effects of acute exhaustion exercise on cognitive control in young men, a key higher cognitive function for goal-directed behavior. Although long-term regular exercise benefits cognition, the effects of acute exhaustion exercise on cognitive control and its neural mechanisms are not fully understood. 35 male college students completed a Stroop task before and after exhaustion exercise on a cycle ergometer with incremental load. Electroencephalogram data were collected synchronously during the task. Behavioral measures (accuracy, reaction time), Event-Related Potential components (N2, P3 amplitudes and latencies), and Event-Related Spectral Perturbation (energy changes in theta, alpha, beta frequency bands) were analyzed. Results: Behavioral results showed that task accuracy only significantly decreased under the conflict condition (incongruent trials) following exhaustive exercise. ERP analysis revealed that the P3 amplitude at the anterior site (Fz) was significantly reduced post-exercise, but specifically for the incongruent condition, while the N2 amplitude demonstrated a more widespread enhancement. Time–frequency analysis found a significant decrease in alpha-band power over the parietal region after exercise. Theta and beta band activities were not significantly affected by exercise-induced fatigue. Conclusions: Acute exhaustive exercise did not impair early conflict monitoring functions (as indicated by stable N2 component and theta oscillations), but it compromised later higher-order cognitive processes related to attentional resource allocation and conflict resolution (manifested as reduced anterior P3 amplitude), accompanied by decreased efficiency in neural oscillatory activity associated with inhibitory control (reduced alpha power). This suggests that fatigue primarily affects the neural mechanisms of the “implementation” stage rather than the “monitoring” stage in the cognitive control cascade.

Background/Objectives: Evidence for herbal ergogenic aids remains uncertain, and ashwagandha trials span heterogeneous performance domains. This review evaluated oral Withania somnifera supplementation on exercise performance and explored participant-, outcome-, formulation-, and supplementation-related moderators. Methods: PubMed, Web of Science, Cochrane Library, Embase, and SPORTDiscus-EBSCO were searched from inception to 1 April 2026. Eligible randomized controlled trials compared oral ashwagandha with placebo or control conditions and reported objective exercise-performance outcomes. Dependent effects were synthesized using restricted-maximum-likelihood three-level random-effects models; 95% prediction intervals, GRADE certainty ratings, subgroup analyses, and dose/duration meta-regressions were reported. Results: Thirteen trials involving 599 participants contributed 79 effect sizes. Samples were mainly young adults or athletes; reported ages included one 18–40-year trial and one late-adolescent athlete cohort aged 17.4 ± 1.7 years. Trial-level sex composition was four male-only, one female-only, three mixed-sex, and five incompletely reported cohorts. Ashwagandha improved overall exercise performance on average (Hedges’ g = 0.47, 95% CI [0.25, 0.69], p < 0.001; I² = 60%; 95% prediction interval [−0.40, 1.33]), but the prediction interval crossed zero. Exercise type was the clearest moderator (P_between = 0.006): evidence was most consistent for aerobic endurance (g = 0.54, 95% CI [0.22, 0.85], p = 0.002), whereas strength effects were positive but uncertain and power or muscular endurance evidence remained sparse. Dose analyses were hypothesis-generating; 500–600 mg/day was the most evidence-supported extract-dose range. Conclusions: Oral ashwagandha may improve selected exercise-performance outcomes, particularly aerobic endurance, but benefits are not uniform across contexts. Future trials should be preregistered, adequately powered, double-blind, formulation-standardized, sex-stratified, and include rigorous blinding checks, mechanistic endpoints, adverse-event monitoring, and sport-specific performance tests.

Background: Persistent Postural-Perceptual Dizziness (PPPD) is a chronic vestibular disorder that has been receiving more research attention lately. Nonetheless, there is a lack of systematic bibliometric overviews tracing the conceptual evolution, knowledge structure, and emerging research frontiers within this field. The utilization of bibliometric and visualization analyses can enhance the understanding of trends and central themes in PPPD research, offering valuable insights for future studies. Methods: Data were retrieved from the Web of Science Core Collection, yielding a final dataset of 370 bibliographic records (“DATA”). We employed CiteSpace, HistCite, the Alluvial Generator, and R software to conduct multi-dimensional statistical and visualization analyses on publication trends, collaborative networks (countries/institutions/authors), disciplinary distribution, citation bursts, and the evolution of keyword clusters. Results: Starting from 2005, there has been a notable increase in publication volume, reaching its peak in 2024. The United States and Germany are at the forefront of national collaboration, with the University of Munich and the Mayo Clinic being key research institutions. The research focus has transitioned from a primary emphasis on Psychiatry to a broader scope encompassing Neurosciences, Otorhinolaryngology, and General Medicine. Keyword analysis reveals a shift towards standardized terminology, transitioning from “phobic postural vertigo” to “diagnostic criteria” and “consensus documents”. Current research trends are centered around comorbidity mechanisms like “vestibular migraine”, therapeutic approaches such as “vestibular rehabilitation”, and quality of life assessments using the “dizziness handicap inventory”. The 2017 consensus document by the Bárány Society is highlighted as a pivotal publication with significant citation impact. Conclusions: The intellectual structure of the field, as revealed by this bibliometric analysis, has transitioned from a phenomenological description to a conceptual unification. The bibliometric analysis indicates that the field is currently in a conceptually stabilized stage characterized by a research focus on refining diagnostic precision and comorbidity exploration, while scholarly attention remains biologically exploratory regarding objective biomarkers and pathophysiological mechanisms.