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@ARTICLE{Volz:807750,
      author       = {Volz, L. J. and Rehme, A. K. and Michely, J. and
                      Nettekoven, C. and Eickhoff, Simon and Fink, G. R. and
                      Grefkes, Christian},
      title        = {{S}haping {E}arly {R}eorganization of {N}eural {N}etworks
                      {P}romotes {M}otor {F}unction after {S}troke.},
      journal      = {Cerebral cortex},
      volume       = {26},
      number       = {6},
      issn         = {1460-2199},
      address      = {Oxford},
      publisher    = {Oxford Univ. Press},
      reportid     = {FZJ-2016-02168},
      pages        = {2882-2894},
      year         = {2016},
      abstract     = {Neural plasticity is a major factor driving cortical
                      reorganization after stroke. We here tested whether
                      repetitively enhancing motor cortex plasticity by means of
                      intermittent theta-burst stimulation (iTBS) prior to
                      physiotherapy might promote recovery of function early after
                      stroke. Functional magnetic resonance imaging (fMRI) was
                      used to elucidate underlying neural mechanisms. Twenty-six
                      hospitalized, first-ever stroke patients (time since stroke:
                      1-16 days) with hand motor deficits were enrolled in a
                      sham-controlled design and pseudo-randomized into 2 groups.
                      iTBS was administered prior to physiotherapy on 5
                      consecutive days either over ipsilesional primary motor
                      cortex (M1-stimulation group) or parieto-occipital vertex
                      (control-stimulation group). Hand motor function, cortical
                      excitability, and resting-state fMRI were assessed 1 day
                      prior to the first stimulation and 1 day after the last
                      stimulation. Recovery of grip strength was significantly
                      stronger in the M1-stimulation compared to the
                      control-stimulation group. Higher levels of motor network
                      connectivity were associated with better motor outcome.
                      Consistently, control-stimulated patients featured a
                      decrease in intra- and interhemispheric connectivity of the
                      motor network, which was absent in the M1-stimulation group.
                      Hence, adding iTBS to prime physiotherapy in recovering
                      stroke patients seems to interfere with motor network
                      degradation, possibly reflecting alleviation of post-stroke
                      diaschisis.},
      cin          = {INM-1 / INM-3},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-1-20090406 / I:(DE-Juel1)INM-3-20090406},
      pnm          = {571 - Connectivity and Activity (POF3-571)},
      pid          = {G:(DE-HGF)POF3-571},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:26980614},
      UT           = {WOS:000377917500041},
      doi          = {10.1093/cercor/bhw034},
      url          = {https://juser.fz-juelich.de/record/807750},
}