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Characterizing relationships of DTI, fMRI, and motor recovery in stroke rehabilitation utilizing brain-computer interface technology

Overview of attention for article published in Frontiers in Neuroengineering, July 2014
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Title
Characterizing relationships of DTI, fMRI, and motor recovery in stroke rehabilitation utilizing brain-computer interface technology
Published in
Frontiers in Neuroengineering, July 2014
DOI 10.3389/fneng.2014.00031
Pubmed ID
Authors

Jie Song, Brittany M. Young, Zack Nigogosyan, Leo M. Walton, Veena A. Nair, Scott W. Grogan, Mitchell E. Tyler, Dorothy Farrar-Edwards, Kristin E. Caldera, Justin A. Sattin, Justin C. Williams, Vivek Prabhakaran

Abstract

The relationship of the structural integrity of white matter tracts and cortical activity to motor functional outcomes in stroke patients is of particular interest in understanding mechanisms of brain structural and functional changes while recovering from stroke. This study aims to probe these underlying mechanisms using diffusion tensor imaging (DTI) and fMRI measures. We examined the structural integrity of the posterior limb of the internal capsule (PLIC) using DTI and corticomotor activity using motor-task fMRI in stroke patients who completed up to 15 sessions of rehabilitation therapy using Brain-Computer Interface (BCI) technology. We hypothesized that (1) the structural integrity of PLIC and corticomotor activity are affected by stroke; (2) changes in structural integrity and corticomotor activity following BCI intervention are related to motor recovery; (3) there is a potential relationship between structural integrity and corticomotor activity. We found that (1) the ipsilesional PLIC showed significantly decreased fractional anisotropy (FA) values when compared to the contralesional PLIC; (2) lower ipsilesional PLIC-FA values were significantly associated with worse motor outcomes (i.e., ipsilesional PLIC-FA and motor outcomes were positively correlated.); (3) lower ipsilesional PLIC-FA values were significantly associated with greater ipsilesional corticomotor activity during impaired-finger-tapping-task fMRI (i.e., ipsilesional PLIC-FA and ipsilesional corticomotor activity were negatively correlated), with an overall bilateral pattern of corticomotor activity observed; and (4) baseline FA values predicted motor recovery assessed after BCI intervention. These findings suggest that (1) greater vs. lesser microstructural integrity of the ipsilesional PLIC may contribute toward better vs. poor motor recovery respectively in the stroke-affected limb and demand lesser vs. greater cortical activity respectively from the ipsilesional motor cortex; and that (2) PLIC-FA is a promising biomarker in tracking and predicting motor functional recovery in stroke patients receiving BCI intervention.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 121 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 2%
Germany 2 2%
India 1 <1%
Switzerland 1 <1%
Unknown 115 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 29 24%
Researcher 24 20%
Student > Master 12 10%
Student > Bachelor 11 9%
Professor > Associate Professor 7 6%
Other 14 12%
Unknown 24 20%
Readers by discipline Count As %
Neuroscience 26 21%
Medicine and Dentistry 15 12%
Engineering 14 12%
Nursing and Health Professions 8 7%
Psychology 7 6%
Other 17 14%
Unknown 34 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 May 2015.
All research outputs
#17,724,588
of 22,760,687 outputs
Outputs from Frontiers in Neuroengineering
#56
of 82 outputs
Outputs of similar age
#154,450
of 228,918 outputs
Outputs of similar age from Frontiers in Neuroengineering
#14
of 16 outputs
Altmetric has tracked 22,760,687 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 82 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 26th percentile – i.e., 26% of its peers scored the same or lower than it.
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We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.