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@ARTICLE{DiekhoffKrebs:834404,
author = {Diekhoff-Krebs, Svenja and Pool, Eva-Maria and Sarfeld,
Anna-Sophia and Rehme, Anne K. and Eickhoff, Simon and Fink,
Gereon R. and Grefkes, Christian},
title = {{I}nterindividual differences in motor network connectivity
and behavioral response to i{TBS} in stroke patients},
journal = {NeuroImage: Clinical},
volume = {15},
issn = {2213-1582},
address = {[Amsterdam u.a.]},
publisher = {Elsevier},
reportid = {FZJ-2017-04362},
pages = {559 - 571},
year = {2017},
abstract = {Cerebral plasticity-inducing approaches like repetitive
transcranial magnetic stimulation (rTMS) are of high
interest in situations where reorganization of neural
networks can be observed, e.g., after stroke. However, an
increasing number of studies suggest that improvements in
motor performance of the stroke-affected hand following
modulation of primary motor cortex (M1) excitability by rTMS
shows a high interindividual variability. We here tested the
hypothesis that in stroke patients the interindividual
variability of behavioral response to excitatory rTMS is
related to interindividual differences in network
connectivity of the stimulated region. Chronic stroke
patients (n = 14) and healthy controls (n = 12) were scanned
with functional magnetic resonance imaging (fMRI) while
performing a simple hand motor task. Dynamic causal modeling
(DCM) was used to investigate effective connectivity of key
motor regions. On two different days after the fMRI
experiment, patients received either intermittent
theta-burst stimulation (iTBS) over ipsilesional M1 or
control stimulation over the parieto-occipital cortex. Motor
performance and TMS parameters of cortical excitability were
measured before and after iTBS. Our results revealed that
patients with better motor performance of the affected hand
showed stronger endogenous coupling between supplemental
motor area (SMA) and M1 before starting the iTBS
intervention. Applying iTBS to ipsilesional M1 significantly
increased ipsilesional M1 excitability and decreased
contralesional M1 excitability as compared to control
stimulation. Individual behavioral improvements following
iTBS specifically correlated with neural coupling strengths
in the stimulated hemisphere prior to stimulation,
especially for connections targeting the stimulated M1.
Combining endogenous connectivity and behavioral parameters
explained $82\%$ of the variance in hand motor performance
observed after iTBS. In conclusion, the data suggest that
the individual susceptibility to iTBS after stroke is
influenced by interindividual differences in motor network
connectivity of the lesioned hemisphere},
cin = {INM-3 / INM-7},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-7-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572) / SMHB -
Supercomputing and Modelling for the Human Brain
(HGF-SMHB-2013-2017) / HBP - Human Brain Project (284941)},
pid = {G:(DE-HGF)POF3-572 / G:(DE-Juel1)HGF-SMHB-2013-2017 /
G:(EU-Grant)284941},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000410067200058},
pubmed = {28652969},
doi = {10.1016/j.nicl.2017.06.006},
url = {https://juser.fz-juelich.de/record/834404},
}