Association between lesion location and sensorimotor rhythms in stroke - a systematic review with narrative synthesis.

Association between lesion location and sensorimotor rhythms in stroke - a systematic review with narrative synthesis.
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DOI:
10.1007/s10072-023-06982-8
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发表时间:
2023-12
影响因子:
3.3
通讯作者:
Vansteensel, Mariska J. J.
Vansteensel, Mariska J. J.
中科院分区:
医学4区
文献类型:
--
作者:
Kancheva, Ivana;van der Salm, Sandra M. A.;Ramsey, Nick F. F.;Vansteensel, Mariska J. J.

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中风会引起大脑感觉运动节律(SMR)的变化。然而,病变部位对SMR的影响却鲜为人知。了解这种关系对于SMR在辅助和康复治疗中的使用是相关的,例如脑机接口(BCI)。我们通过系统地搜索PubMed和Embase,回顾了关于卒中病变位置和SMR之间关联的现有证据,并生成了研究结果的叙述性综合。我们纳入了12篇报道161名患者的文章。在静息状态研究中,皮质和桥脑损伤与阿尔法(∼8-12赫兹)的总体下降和三角洲(∼1-4赫兹)功率的增加有关。在运动范式研究中,与对照组相比,中风患者在(尝试)瘫痪手部运动期间出现了衰减的α和β(∼15-25赫兹)事件相关去同步化。与对侧大脑半球相比,皮质区病变患侧的α和βERD降低更明显。皮质下卒中被发现影响双侧ERD和ERS,但结果具有很高的变异性。研究结果提示卒中病变部位和SMR改变之间存在联系,但研究的异质性和有限的病变部位描述排除了荟萃分析。未来的研究将受益于更统一定义的结果衡量标准、同质方法和改进的病变位置报告。网上版载有补充材料,可在10.1007/s10072-023-06982-8查阅。
Stroke causes alterations in the sensorimotor rhythms (SMRs) of the brain. However, little is known about the influence of lesion location on the SMRs. Understanding this relationship is relevant for the use of SMRs in assistive and rehabilitative therapies, such as Brain-Computer Interfaces (BCIs).. We reviewed current evidence on the association between stroke lesion location and SMRs through systematically searching PubMed and Embase and generated a narrative synthesis of findings. We included 12 articles reporting on 161 patients. In resting-state studies, cortical and pontine damage were related to an overall decrease in alpha (∼8–12 Hz) and increase in delta (∼1–4 Hz) power. In movement paradigm studies, attenuated alpha and beta (∼15–25 Hz) event-related desynchronization (ERD) was shown in stroke patients during (attempted) paretic hand movement, compared to controls. Stronger reductions in alpha and beta ERD in the ipsilesional, compared to contralesional hemisphere, were observed for cortical lesions. Subcortical stroke was found to affect bilateral ERD and ERS, but results were highly variable. Findings suggest a link between stroke lesion location and SMR alterations, but heterogeneity across studies and limited lesion location descriptions precluded a meta-analysis. Future research would benefit from more uniformly defined outcome measures, homogeneous methodologies, and improved lesion location reporting. The online version contains supplementary material available at 10.1007/s10072-023-06982-8.
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