Journal of Innovative Optical Health Sciences, Volume. 16, Issue 6, 2340003(2023)

Motor network reorganization in stroke patients with dyskinesias during a shoulder-touching task: A fNIRS study

Yizheng Zhang1、||, Dan Wang2、||, Dongyang Wang1, Kecheng Yan1, Li Yi1, Shuoshu Lin1, Guangjian Shao1, Zhiyong Shao1, Jinyan Sun3、*, and Aoran Yang2、**
Author Affiliations
  • 1School of Mechatronic Engineering and Automation, Foshan University, Foshan, P. R. China
  • 2Department of Traditional Chinese Medicine, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, P. R. China
  • 3School of Medicine, Foshan University, Foshan, P. R. China
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    Hemiplegia after stroke has become a major cause of the world’s high disabilities, and it is vital to enhance our understanding of post-stroke neuroplasticity to develop efficient rehabilitation programs. This study aimed to explore the brain activation and network reorganization of the motor cortex (MC) with functional near-infrared spectroscopy (fNIRS). The MC hemodynamic signals were gained from 22 stroke patients and 14 healthy subjects during a shoulder-touching task with the right hand. The MC activation pattern and network attributes analyzed with the graph theory were compared between the two groups. The results revealed that healthy controls presented dominant activation in the left MC while stroke patients exhibited dominant activation in the bilateral hemispheres MC. The MC networks for the two groups had small-world properties. Compared with healthy controls, patients had higher transitivity and lower global efficiency (GE), mean connectivity, and long connections (LCs) in the left MC. In addition, both MC activation and network attributes were correlated with patient’s upper limb motor function. The results showed the stronger compensation of the unaffected motor area, the better recovery of the upper limb motor function for patients. Moreover, the MC network possessed high clustering and relatively sparse inter-regional connections during recovery for patients. Our results promote the understanding of MC reorganization during recovery and indicate that MC activation and network could provide clinical assessment significance in stroke patients. Given the advantages of fNIRS, it shows great application potential in the assessment and rehabilitation of motor function after stroke.

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    Yizheng Zhang, Dan Wang, Dongyang Wang, Kecheng Yan, Li Yi, Shuoshu Lin, Guangjian Shao, Zhiyong Shao, Jinyan Sun, Aoran Yang. Motor network reorganization in stroke patients with dyskinesias during a shoulder-touching task: A fNIRS study[J]. Journal of Innovative Optical Health Sciences, 2023, 16(6): 2340003

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    Paper Information

    Category: Research Articles

    Received: Jan. 17, 2023

    Accepted: May. 3, 2023

    Published Online: Dec. 23, 2023

    The Author Email: Sun Jinyan (jinyansun@fosu.edu.cn), Yang Aoran (yppyar@126.com)

    DOI:10.1142/S1793545823400035

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