Corticomuscular coherence in the acute and subacute phase after stroke

•Corticomuscular coherence (CMC) and intermuscular coherence (IMC) were reduced in acute and subacute stroke compared to healthy controls.•CMC was localized above the contralateral sensorimotor cortex in both patients and controls.•Improvement of hand motor performance did not require changes in CMC...

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Veröffentlicht in:Clinical neurophysiology 2017-11, Vol.128 (11), p.2217-2226
Hauptverfasser: Larsen, Lisbeth Hoejkjaer, Zibrandtsen, Ivan Chrilles, Wienecke, Troels, Kjaer, Troels Wesenberg, Christensen, Mark Schram, Nielsen, Jens Bo, Langberg, Henning
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container_end_page 2226
container_issue 11
container_start_page 2217
container_title Clinical neurophysiology
container_volume 128
creator Larsen, Lisbeth Hoejkjaer
Zibrandtsen, Ivan Chrilles
Wienecke, Troels
Kjaer, Troels Wesenberg
Christensen, Mark Schram
Nielsen, Jens Bo
Langberg, Henning
description •Corticomuscular coherence (CMC) and intermuscular coherence (IMC) were reduced in acute and subacute stroke compared to healthy controls.•CMC was localized above the contralateral sensorimotor cortex in both patients and controls.•Improvement of hand motor performance did not require changes in CMC or IMC. Stroke is one of the leading causes of physical disability due to damage of the motor cortex or the corticospinal tract. In the present study we set out to investigate the role of adaptations in the corticospinal pathway for motor recovery during the subacute phase after stroke. We examined 19 patients with clinically diagnosed stroke and 18 controls. The patients had unilateral mild to moderate weakness of the hand. Each patient attended two sessions at approximately 3days (acute) and 38days post stroke (subacute). Task-related changes in the communication between motor cortex and muscles were evaluated from coupling in the frequency domain between EEG and EMG during movement of the paretic hand. Corticomuscular coherence (CMC) and intermuscular coherence (IMC) were reduced in patients as compared to controls. Paretic hand motor performance improved within 4–6weeks after stroke, but no change was observed in CMC or IMC. CMC and IMC were reduced in patients in the early phase after stroke. However, changes in coherence do not appear to be an efficient marker for early recovery of hand function following stroke. This is the first study to demonstrate sustained reduced coherence in acute and subacute stroke.
doi_str_mv 10.1016/j.clinph.2017.08.033
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Stroke is one of the leading causes of physical disability due to damage of the motor cortex or the corticospinal tract. In the present study we set out to investigate the role of adaptations in the corticospinal pathway for motor recovery during the subacute phase after stroke. We examined 19 patients with clinically diagnosed stroke and 18 controls. The patients had unilateral mild to moderate weakness of the hand. Each patient attended two sessions at approximately 3days (acute) and 38days post stroke (subacute). Task-related changes in the communication between motor cortex and muscles were evaluated from coupling in the frequency domain between EEG and EMG during movement of the paretic hand. Corticomuscular coherence (CMC) and intermuscular coherence (IMC) were reduced in patients as compared to controls. Paretic hand motor performance improved within 4–6weeks after stroke, but no change was observed in CMC or IMC. 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subjects Adult
Aged
Aged, 80 and over
Brain Ischemia - complications
Brain Ischemia - physiopathology
Corticomuscular coherence
Female
Hand Strength - physiology
Hemiparesis
Humans
Intermuscular coherence
Ischemic stroke
Male
Middle Aged
Motor Cortex - physiopathology
Motor recovery
Muscle, Skeletal - physiopathology
Paresis - etiology
Paresis - physiopathology
Pyramidal Tracts - physiopathology
Stroke - complications
Stroke - physiopathology
Subacute phase
title Corticomuscular coherence in the acute and subacute phase after stroke
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