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Cited by 16Optical Imaging and Spectroscopy TechniquesStroke Rehabilitation and RecoveryAcute Ischemic Stroke Management

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Brain Function Changes Induced by Intermittent Sequential Pneumatic Compression in Patients With Stroke as Assessed by Functional Near-Infrared Spectroscopy

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Xie, Hui, Xu, Gongcheng, Huo, Congcong, Li, Wenhao, Zhao, Haihong, Lv, Zeping, Li, Zengyong·2021·Physical Therapy
DOI 10.1093/ptj/pzab140

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Abstract

Objective: Intermittent sequential pneumatic compression (ISPC) can effectively promote cerebral perfusion and collateral blood supply in patients with stroke. However, the effects of ISPC on cerebral oscillations are still unclear. Methods: The tissue concentration of oxyhemoglobin and deoxyhemoglobin oscillations were measured by functional near-infrared spectroscopy under resting and ISPC conditions in 27 right-handed adult patients with stroke. Five characteristic frequency signals (I, 0.6–2 Hz; II, 0.145–0.6 Hz; III, 0.052–0.145 Hz; IV, 0.021–0.052 Hz; and V, 0.0095–0.021 Hz) were identified using the wavelet method. The wavelet amplitude (WA) and laterality index (LI) were calculated to describe the frequency-specific cortical activities. Results: The ISPC state of patients with ischemic stroke showed significantly increased WA values of the ipsilesional motor cortex (MC) in the frequency intervals III (F37 = 8.017), IV (F37 = 6.347), and V (F37 = 5.538). There was no significant difference in the WA values in the ISPC state compared with the resting state in patients with hemorrhagic stroke. Also, the LI values of the prefrontal cortex and MC in patients decreased more obviously in the ISPC state than in the resting state despite no significant difference. Conclusion: The significantly increased WA values in the frequency intervals III, IV, and V in the MC of patients with ischemic stroke might be related to cortical activity in the MC in addition to increased cerebral perfusion. The decreased LI values in the prefrontal cortex and MC indicated that the ISPC may have had a positive effect on the functional rehabilitation of these regions. Impact: This study provides a method for assessing the effects of ISPC on cerebral oscillations, and the results benefit the optimization of ISPC parameters in personalized treatment for the functional recovery of patients with stroke.

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Metadata

Authors
Xie, H., Xu, G., Huo, C., Li, W., Zhao, H., Lv, Z., & Li, Z.
Affiliations
  • National Research Center for Rehabilitation Technical Aids (CN)
  • Ministry of Civil Affairs (CN)
Corresponding author
Li, Zengyong
ORCID
Venue
Physical Therapy
Publisher
Oxford University Press (OUP)
Published
2021-05-31
Volume
101
Issue
9
ISSN
  • 0031-9023 (ISSN-L)
  • 1538-6724
DOI
10.1093/ptj/pzab140
OpenAlex
W3165709904
Cited by
16
References
1
Citations by year
2026: 4 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 1
FWCI
1.06
Type
journal article
Language
en
Open access
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • Physical Therapy (publishedVersion)
  • Research Square (acceptedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Key Research and Development Project of Jiangxi Province (20202BBGL73057)
  • Fundamental Research Funds for Central Public Welfare Research Institutes (118009001000160001)
  • National Natural Science Foundation of China (61675013, 11732015, 31771071)
  • National Key Research and Development Project (2020YFC2004200)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Optical Imaging and Spectroscopy Techniques
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Keywords
stroke, cerebral hemodynamics, ischemic stroke, hemorrhagic stroke, motor cortex, prefrontal cortex, laterality index, functional recovery, cerebral perfusion
MeSH terms
Stroke Rehabilitation, Aged, Female, Humans, Male, Middle Aged, Regional Blood Flow, Task Performance and Analysis, Prefrontal Cortex, Spectroscopy, Near-Infrared, Recovery of Function, Stroke

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