Longitudinal prediction of motor dysfunction after stroke: A disconnectome study
Publication year
2022Number of pages
14 p.
Source
Brain Structure and Function, 227, 9, (2022), pp. 3085-3098ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ DCC PL
Journal title
Brain Structure and Function
Volume
vol. 227
Issue
iss. 9
Languages used
English (eng)
Page start
p. 3085
Page end
p. 3098
Subject
PsycholinguisticsAbstract
Motricity is the most commonly affected ability after a stroke. While many clinical studies attempt to predict motor symptoms at different chronic time points after a stroke, longitudinal acute-to-chronic studies remain scarce. Taking advantage of recent advances in mapping brain disconnections, we predict motor outcomes in 62 patients assessed longitudinally two weeks, three months, and one year after their stroke. Results indicate that brain disconnection patterns accurately predict motor impairments. However, disconnection patterns leading to impairment differ between the three-time points and between left and right motor impairments. These results were cross-validated using resampling techniques. In sum, we demonstrated that while some neuroplasticity mechanisms exist changing the structure-function relationship, disconnection patterns prevail when predicting motor impairment at different time points after stroke.
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