Altered Structural-functional Connectivity Coupling on Chronic Subcortical Stroke
Study Details
Study Description
Brief Summary
The current study aims to reveal the SC-FC coupling pattern and its relationship with motor function in post-stroke survivors with motor dysfunction by multimodal MRI.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Stroke is the leading cause of death and disability in China. Recently, many previous studies suggested exploring the functional reorganization of the motor function among post-stroke survivors is urgent to be solved in both clinical work and applied basic research. Investigating the structural connectivity (SC) of the brain could visualize the anatomical connections between different brain regions and exploring the functional connectivity (FC) could reveal the functional activity patterns of the human brain in resting- and task- states. Previous studies suggested that SC-FC coupling analysis may shed light on exploring biological markers for the assessment and treatment of motor deficits in post-stroke survivors. The current study aims to reveal the SC-FC coupling pattern and its relationship with motor function in post-stroke survivors with motor dysfunction by multimodal MRI.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Stroke group Chronic subcortical stroke participants with motor dysfunction |
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Healthy controls group Well-matched healthy controls |
Outcome Measures
Primary Outcome Measures
- Structural-functional Connectivity Coupling [Within 1 week after enrollment]
The coupling between structural connectivity and functional connectivity
- Fugl-Meyer Assessment [Within 1 week after enrollment]
Assessing the motor function in post-stroke participants
Secondary Outcome Measures
- Chinese version of Modified Barthel Index [Within 1 week after enrollment]
Assessing the activities of daily living in post-stroke participants
- Broetz Hand Test [Within 1 week after enrollment]
Assessing the hemiplegic hand performance in post-stroke participants
- Placebo Questionnaire [Within 1 week after enrollment]
Self-evaluation of rehabilitation treatment in post-stroke participants
- Hamilton Depression Rating Scale [Within 1 week after enrollment]
Assessing the depression in post-stroke participants
- Chinese (Putonghua) Version of Oxford Cognitive Screen [Within 1 week after enrollment]
Assessing the cognition in post-stroke participants
Eligibility Criteria
Criteria
Inclusion Criteria:
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Comply with the diagnostic criteria of "Stroke" in the 2010 "Guidelines for the Prevention and Treatment of Cerebrovascular Diseases in China," and confirmed by head CT or MRI.
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First onset unilateral subcortical stroke (basal ganglia, thalamus, internal capsule, corona radiata, lateral ventricles, etc.).
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Age ranged from 30 to 75 years old.
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Right-handedness before stroke.
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Greater than three months since stroke onset and Brunnstrom graded as III-VI; 6. The condition and vital signs are stable.
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Sign the informed consent form.
Exclusion Criteria:
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Any contraindications for the MRI examination.
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History of other brain diseases and drug dependency.
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Unstable conditions or accompanied by malignant and rapidly progressing diseases, such as severe atrial fibrillation.
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Serious communication barriers, cognitive impairment, or cooperation with difficulties.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Nanjing Drum Tower Hospital | Nanjing | Jiangsu | China | 210008 |
Sponsors and Collaborators
- The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Investigators
- Study Chair: Wenjun Hong, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2022-LCYJ-PY-27