001     14031
005     20210129210603.0
024 7 _ |2 pmid
|a pmid:21238594
024 7 _ |2 DOI
|a 10.1016/j.neuroimage.2011.01.014
024 7 _ |2 WOS
|a WOS:000288313800028
037 _ _ |a PreJuSER-14031
041 _ _ |a eng
082 _ _ |a 610
084 _ _ |2 WoS
|a Neurosciences
084 _ _ |2 WoS
|a Neuroimaging
084 _ _ |2 WoS
|a Radiology, Nuclear Medicine & Medical Imaging
100 1 _ |0 P:(DE-HGF)0
|a Rehme, A.K.
|b 0
245 _ _ |a Dynamic causal modeling of cortical activity from the acute to the chronic stage after stroke
260 _ _ |a Orlando, Fla.
|b Academic Press
|c 2011
300 _ _ |a 1147 - 1158
336 7 _ |0 PUB:(DE-HGF)16
|2 PUB:(DE-HGF)
|a Journal Article
336 7 _ |2 DataCite
|a Output Types/Journal article
336 7 _ |0 0
|2 EndNote
|a Journal Article
336 7 _ |2 BibTeX
|a ARTICLE
336 7 _ |2 ORCID
|a JOURNAL_ARTICLE
336 7 _ |2 DRIVER
|a article
440 _ 0 |0 4545
|a NeuroImage
|v 55
|x 1053-8119
|y 3
500 _ _ |a We thank our volunteers and are grateful to Dr. Marc Tittgemeyer, Dr. Michael von Mengershausen, and the MR staff for support. A.K.R. and C.G. were supported by Koeln Fortune (34/2010), Faculty of Medicine, University of Cologne (Germany). S.B.E. was funded by Human Brain Project (R01-MH074457-01A1) and Initiative and Networking Fund of the Helmholtz Association within the Helmholtz Alliance on Systems Biology (Human Brain Model).
520 _ _ |a Functional neuroimaging studies frequently demonstrated that stroke patients show bilateral activity in motor and premotor areas during movements of the paretic hand in contrast to a more lateralized activation observed in healthy subjects. Moreover, a few studies modeling functional or effective connectivity reported performance-related changes in the motor network after stroke. Here, we investigated the temporal evolution of intra- and interhemispheric (dys-) connectivity during motor recovery from the acute to the early chronic phase post-stroke. Twelve patients performed hand movements in an fMRI task in the acute (≤72 hours) and subacute stage (2 weeks) post-stroke. A subgroup of 10 patients participated in a third assessment in the early chronic stage (3-6 months). Twelve healthy subjects served as reference for brain connectivity. Changes in effective connectivity within a bilateral network comprising M1, premotor cortex (PMC), and supplementary motor area (SMA) were estimated by dynamic causal modeling. Motor performance was assessed by the Action Research Arm Test and maximum grip force. Results showed reduced positive coupling of ipsilesional SMA and PMC with ipsilesional M1 in the acute stage. Coupling parameters among these areas increased with recovery and predicted a better outcome. Likewise, negative influences from ipsilesional areas to contralesional M1 were attenuated in the acute stage. In the subacute stage, contralesional M1 exerted a positive influence on ipsilesional M1. Negative influences from ipsilesional areas on contralesional M1 subsequently normalized, but patients with poorer outcome in the chronic stage now showed enhanced negative coupling from contralesional upon ipsilesional M1. These findings show that the reinstatement of effective connectivity in the ipsilesional hemisphere is an important feature of motor recovery after stroke. The shift of an early, supportive role of contralesional M1 into enhanced inhibitory coupling might indicate maladaptive processes which could be a target of non-invasive brain stimulation techniques.
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|x 0
|c FUEK409
|a Funktion und Dysfunktion des Nervensystems (FUEK409)
536 _ _ |0 G:(DE-HGF)POF2-89572
|a 89572 - (Dys-)function and Plasticity (POF2-89572)
|c POF2-89572
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588 _ _ |a Dataset connected to Web of Science, Pubmed
650 _ 2 |2 MeSH
|a Aged
650 _ 2 |2 MeSH
|a Aged, 80 and over
650 _ 2 |2 MeSH
|a Bayes Theorem
650 _ 2 |2 MeSH
|a Cerebral Cortex: pathology
650 _ 2 |2 MeSH
|a Chronic Disease
650 _ 2 |2 MeSH
|a Female
650 _ 2 |2 MeSH
|a Forecasting
650 _ 2 |2 MeSH
|a Functional Laterality: physiology
650 _ 2 |2 MeSH
|a Humans
650 _ 2 |2 MeSH
|a Image Processing, Computer-Assisted
650 _ 2 |2 MeSH
|a Magnetic Resonance Imaging
650 _ 2 |2 MeSH
|a Male
650 _ 2 |2 MeSH
|a Middle Aged
650 _ 2 |2 MeSH
|a Models, Neurological
650 _ 2 |2 MeSH
|a Motor Cortex: pathology
650 _ 2 |2 MeSH
|a Neural Pathways: pathology
650 _ 2 |2 MeSH
|a Prognosis
650 _ 2 |2 MeSH
|a Psychomotor Performance: physiology
650 _ 2 |2 MeSH
|a Recovery of Function
650 _ 2 |2 MeSH
|a Stroke: etiology
650 _ 2 |2 MeSH
|a Stroke: pathology
650 _ 2 |2 MeSH
|a Transcranial Magnetic Stimulation
650 _ 7 |2 WoSType
|a J
653 2 0 |2 Author
|a Motor cortex
653 2 0 |2 Author
|a Longitudinal
653 2 0 |2 Author
|a Effective connectivity
653 2 0 |2 Author
|a Impairment
653 2 0 |2 Author
|a Recovery
700 1 _ |0 P:(DE-Juel1)131678
|a Eickhoff, S.B.
|b 1
|u FZJ
700 1 _ |0 P:(DE-Juel1)VDB75806
|a Wang, L.E.
|b 2
|u FZJ
700 1 _ |0 P:(DE-Juel1)131720
|a Fink, G.R.
|b 3
|u FZJ
700 1 _ |0 P:(DE-Juel1)VDB500
|a Grefkes, C.
|b 4
|u FZJ
773 _ _ |0 PERI:(DE-600)1471418-8
|a 10.1016/j.neuroimage.2011.01.014
|g Vol. 55, p. 1147 - 1158
|p 1147 - 1158
|q 55<1147 - 1158
|t NeuroImage
|v 55
|x 1053-8119
|y 2011
856 7 _ |u http://dx.doi.org/10.1016/j.neuroimage.2011.01.014
909 C O |o oai:juser.fz-juelich.de:14031
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914 1 _ |y 2011
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
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