The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
Neural function, injury, and stroke subtype predict treatment gains after stroke
Open accessAbstract
Objective: This study was undertaken to better understand the high variability in response seen when treating human subjects with restorative therapies poststroke. Preclinical studies suggest that neural function, neural injury, and clinical status each influence treatment gains; therefore, the current study hypothesized that a multivariate approach incorporating these 3 measures would have the greatest predictive value. Methods: Patients 3 to 6 months poststroke underwent a battery of assessments before receiving 3 weeks of standardized upper extremity robotic therapy. Candidate predictors included measures of brain injury (including to gray and white matter), neural function (cortical function and cortical connectivity), and clinical status (demographics/medical history, cognitive/mood, and impairment). Results: Among all 29 patients, predictors of treatment gains identified measures of brain injury (smaller corticospinal tract [CST] injury), cortical function (greater ipsilesional motor cortex [M1] activation), and cortical connectivity (greater interhemispheric M1–M1 connectivity). Multivariate modeling found that best prediction was achieved using both CST injury and M1–M1 connectivity (r2 = 0.44, p = 0.002), a result confirmed using Lasso regression. A threshold was defined whereby no subject with >63% CST injury achieved clinically significant gains. Results differed according to stroke subtype; gains in patients with lacunar stroke were best predicted by a measure of intrahemispheric connectivity. Interpretation: Response to a restorative therapy after stroke is best predicted by a model that includes measures of both neural injury and function. Neuroimaging measures were the best predictors and may have an ascendant role in clinical decision making for poststroke rehabilitation, which remains largely reliant on behavioral assessments. Results differed across stroke subtypes, suggesting the utility of lesion‐specific strategies. ANN NEUROL 2015;77:132–145
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Kernan, W. N., Ovbiagele, B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., Fang, M. C., Fisher, M., Furie, K. L., Heck, D. V., et al. (2014) · Stroke · doi:10.1161/str.0000000000000024 · Cited by 5,170
Conn : A Functional Connectivity Toolbox for Correlated and Anticorrelated Brain Networks
Whitfield-Gabrieli, S., & Nieto-Castanon, A. (2012) · Brain Connectivity · doi:10.1089/brain.2012.0073 · Cited by 4,885
Patterns of Brain Activation in People at Risk for Alzheimer's Disease
Bookheimer, S. Y., Strojwas, M. H., Cohen, M. S., Saunders, A. M., Pericak-Vance, M. A., Mazziotta, J. C., & Small, G. W. (2000) · New England Journal of Medicine · doi:10.1056/nejm200008173430701 · Cited by 1,328
Kolominsky-Rabas, P. L., Weber, M., Gefeller, O., Neundoerfer, B., & Heuschmann, P. U. (2001) · Stroke · doi:10.1161/hs1201.100209 · Cited by 1,281
Hermann, D. M., & Chopp, M. (2012) · The Lancet Neurology · doi:10.1016/s1474-4422(12)70039-x · Cited by 333
Statistical Analysis of the Primary Outcome in Acute Stroke Trials
Bath, P. M. W., Lees, K. R., Schellinger, P. D., Altman, H., Bland, M., Hogg, C., Howard, G., & Saver, J. L. (2012) · Stroke · doi:10.1161/strokeaha.111.641456 · Cited by 266 · cited 1×
“This extends to clinical trials, where higher intersubject variance means reduced study power and increased cost.(1) This issue has undergone considerable discussion in relation to acute stroke trials, where computed tomography and magnetic resonance imaging (MRI) measures are under study to improve prediction of indi…”
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Boyd, L. A., Hayward, K. S., Ward, N. S., Stinear, C. M., Rosso, C., Fisher, R. J., Carter, A. R., Leff, A. P., Copland, D. A., Carey, L. M., et al. (2017) · International Journal of Stroke · doi:10.1177/1747493017714176 · Cited by 417
Self-citationIntensive upper limb neurorehabilitation in chronic stroke: outcomes from the Queen Square programme
Ward, N. S., Brander, F., & Kelly, K. (2019) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp-2018-319954 · Cited by 341
Dawson, J., Pierce, D., Dixit, A., Kimberley, T. J., Robertson, M., Tarver, B., Hilmi, O., McLean, J., Forbes, K., Kilgard, M. P., et al. (2016) · Stroke · doi:10.1161/strokeaha.115.010477 · Cited by 300
Self-citationSpontaneous and Therapeutic-Induced Mechanisms of Functional Recovery After Stroke
Cassidy, J. M., & Cramer, S. C. (2017) · Translational Stroke Research · doi:10.1007/s12975-016-0467-5 · Cited by 292
Self-citationA large, open source dataset of stroke anatomical brain images and manual lesion segmentations
Liew, S.-L., Anglin, J. M., Banks, N. W., Sondag, M., Ito, K. L., Kim, H., Chan, J., Ito, J., Jung, C., Khoshab, N., et al. (2018) · Scientific Data · doi:10.1038/sdata.2018.11 · Cited by 283
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Metadata
- Authors
- Burke Quinlan, E., Dodakian, L., See, J., McKenzie, A., Le, V., Wojnowicz, M., Shahbaba, B., & Cramer, S. C.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2014-12-04
- Volume
- 77
- Issue
- 1
- Pages
- 132-145
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W1503485798
- Cited by
- 202
- References
- 6
- FWCI
- 17.06
- Type
- journal article
- Language
- en
- Open access
- green
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