A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients.
A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients.
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DOI：
10.1038/s41598-021-93717-4
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发表时间：
2021-07-12
影响因子：
4.6
通讯作者：
Tanaka R
中科院分区：
文献类型：
--
作者：
Imura T;Mitsutake T;Iwamoto Y;Tanaka R
磁共振成像（MRI）在预测中风患者步态能力方面的有用性尚不清楚。因此，MRI评价在卒中康复中尚未标准化。我们进行了一项系统的回顾，以巩固有关使用MRI预测中风患者步态能力的证据。综合检索了Medline、Cumulative Index to Nursing and Allied Health Literature和SCOPUS数据库。我们纳入了从每个来源的最早日期到2020年8月发表的所有文献。我们纳入了19项研究：8项分类为基于结构或功能的MRI研究，11项分类为基于神经束完整性的MRI研究。大多数基于结构或功能的MRI研究表明，运动相关区域（初级运动皮层、放射冠、内囊和基底神经节）或小脑的损伤与步态恢复不良有关。在基于神经束完整性的MRI研究中，皮质脊髓束的完整性与步态能力相关。一些研究报道了皮质网状通路的预测价值。根据科克伦偏倚风险工具，所有纳入的研究都有一些问题，至少有一个问题。本文综述了MRI在预测脑卒中患者步态能力方面的应用。然而，由于缺乏定量评估，我们无法对预测值做出明确的结论。
The usefulness of magnetic resonance imaging (MRI) in predicting gait ability in stroke patients remains unclear. Therefore, MRI evaluations have not yet been standardized in stroke rehabilitation. We performed a systematic review to consolidate evidence regarding the use of MRIs in predicting gait ability of stroke patients. The Medline, Cumulative Index to Nursing and Allied Health Literature, and SCOPUS databases were comprehensively searched. We included all literature published from each source’s earliest date to August 2020. We included 19 studies: 8 were classified as structure- or function-based MRI studies and 11 as neural tract integrity-based MRI studies. Most structure- or function-based MRI studies indicated that damage to motor-related areas (primary motor cortex, corona radiata, internal capsule, and basal ganglia) or insula was related to poor gait recovery. In neural tract integrity-based MRI studies, integrity of the corticospinal tract was related to gait ability. Some studies reported predictive value of the corticoreticular pathway. All included studies had some concerns, at least one, based on the Cochrane risk of bias instrument. This review suggests that MRIs are useful in predicting gait ability of stroke patients. However, we cannot make definitive conclusion regarding the predictive value, due to the lack of quantitative evaluations.
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DOI：
10.1016/s0003-9993(95)80038-7
发表时间：
1995-01-01
影响因子：
4.3
作者：
JORGENSEN, HS;NAKAYAMA, H;OLSEN, TS
通讯作者：
OLSEN, TS
影响因子：
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作者：
Menon B;Salini P;Habeeba K;Conjeevaram J;Munisusmitha K
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影响因子：
3.1
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Lee KB;Kim JS;Hong BY;Sul B;Song S;Sung WJ;Hwang BY;Lim SH
通讯作者：
Lim SH
DOI：
10.1016/s0003-9993(03)00030-3
发表时间：
2003-08-01
影响因子：
4.3
作者：
Hsu, AL;Tang, PF;Jan, MH
通讯作者：
Jan, MH