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运动障碍性脑卒中患者前额叶网络的重组:静息态近红外功能光谱的证据。

Reorganization of prefrontal network in stroke patients with dyskinesias: evidence from resting-state functional near-infrared spectroscopy.

机构信息

School of Mechatronic Engineering and Automation, Foshan University, Foshan, China.

Department of Traditional Chinese Medicine, Beijing Rehabilitation Hospital of Capital Medical University, Beijing, China.

出版信息

J Biophotonics. 2022 Jul;15(7):e202200014. doi: 10.1002/jbio.202200014. Epub 2022 Apr 9.

Abstract

Stroke usually causes multiple functional disability. To develop novel rehabilitation strategies, it is quite necessary to improve the understanding of post-stroke brain plasticity. Here, we use functional near-infrared spectroscopy to investigate the prefrontal cortex (PFC) network reorganization in stroke patients with dyskinesias. The PFC hemodynamic signals in the resting state from 16 stroke patients and 10 healthy subjects are collected and analyzed with the graph theory. The PFC networks for both groups show small-world attributes. The stroke patients have larger clustering coefficient and transitivity and smaller global efficiency and small-worldness than healthy subjects. Based on the selected network features, the established support vector machine model classifies the two groups of subjects with an accuracy rate of 88.5%. Besides, the clustering coefficient and local efficiency negatively correlate with patients' motor function. This study suggests that the PFC of stroke patients with dyskinesias undergoes specific network reorganization.

摘要

中风通常会导致多种功能障碍。为了开发新的康复策略,有必要加深对中风后脑可塑性的理解。在这里,我们使用功能近红外光谱技术研究了伴有运动障碍的中风患者的前额叶皮层(PFC)网络重组。从 16 名中风患者和 10 名健康受试者中采集并分析了静息状态下的 PFC 血液动力学信号,利用图论进行分析。两组的 PFC 网络均具有小世界属性。与健康受试者相比,中风患者的聚类系数和传递性更大,全局效率和小世界性更小。基于选定的网络特征,所建立的支持向量机模型对两组受试者的分类准确率为 88.5%。此外,聚类系数和局部效率与患者的运动功能呈负相关。本研究表明,伴有运动障碍的中风患者的 PFC 经历了特定的网络重组。

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