Centre for Systemic Risk Analysis, University of Warsaw, 26/28 Krakowskie Przedmiescie Street, 00-927, Warsaw, Poland.
Laboratory of Neurophysiology of Mind, Nencki Institute of Experimental Biology, Polish Academy of Sciences, 3 Pasteur Street, 02-093, Warsaw, Poland.
Sci Rep. 2024 Oct 10;14(1):23774. doi: 10.1038/s41598-024-75259-7.
Stroke and subsequent neuroregenerative processes cause changes in neural organization of attentional functions. In this study, we attempted to identify differences in neural synchronization patterns during a visual Go/No-Go task in people with post-stroke aphasia in both subacute and chronic stroke phases. To identify neuronal underpinnings of the behavioral differences we investigated pairwise connectivity patterns using corrected imaginary phase locking value and graph-theoretic measures (efficiency, modularity and clustering coefficient) at global and local level in subacute (n = 13) and chronic stroke phases (n = 14) during a Go/No-Go task. We observed significantly lower phase synchronization in the Subacute Group in the alpha band in the connections spanning frontal and central areas of both hemispheres alongside lower local efficiency and clustering coefficient in the left frontal region. Additionally, we observed higher modularity in the beta band in the unaffected right parietal region in the Subacute Group which may denote inhibition of motor and attention functions. Those mechanisms could serve to align cognitive abilities between the damaged and healthy hemispheres, harmonizing the activity of the neuronal networks of both hemispheres disrupted by the effects of the stroke. Our findings have potential implications for rehabilitation therapies, which should take into account the pattern of connectivity changes during different phases of reovery.
中风及其后续的神经再生过程会引起注意力功能的神经组织变化。在这项研究中,我们试图在亚急性期和慢性期中风阶段,识别出中风后失语症患者在进行视觉 Go/No-Go 任务时的神经同步模式差异。为了确定行为差异的神经元基础,我们使用校正的想象相位锁定值以及在全局和局部水平上的图论度量(效率、模块性和聚类系数),在亚急性期(n=13)和慢性期(n=14)中风期间研究了对连接模式。我们观察到,在跨越双侧额中和中央区域的连接中,亚急性期组的 alpha 波段中的相位同步显著降低,同时左侧额区的局部效率和聚类系数也降低。此外,我们还观察到亚急性期组在未受影响的右侧顶叶区域的 beta 波段中,模块性更高,这可能表示运动和注意力功能受到抑制。这些机制可以帮助协调受损和健康半球之间的认知能力,协调因中风影响而中断的两个半球的神经网络活动。我们的研究结果对康复治疗具有潜在的意义,因为康复治疗应考虑到恢复的不同阶段中连接变化的模式。