高级检索
当前位置: 首页 > 详情页

Resting-state connectivity and task-based cortical response in post-stroke executive dysfunction: A fNIRS study

文献详情

资源类型:
Pubmed体系:
机构: [1]Body & Soul Medical Clinics, Shanghai, China. [2]School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China. [3]Department of Rehabilitation Medicine, Shanghai No.3 Rehabilitation Hospital, Shanghai, China. [4]Engineering Research Center of Traditional Chinese Medicine Intelligent Rehabilitation, Ministry of Education, Shanghai, China. [5]Department of Rehabilitation Medicine, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [6]Institute of Rehabilitation, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出处:

关键词: Post-stroke executive dysfunction (PSED) Functional near-infrared spectroscopy (fNIRS) Functional connectivity Cortical activation Neural reorganization

摘要:
This study attempted to investigate the frontoparietal cortical reorganization associated with executive function (EF) in post-stroke executive dysfunction (PSED) patients, focusing on resting-state, Stroop and 1-back task-based functional connectivity (FC) using functional near-infrared spectroscopy (fNIRS).We recorded oxygenated hemoglobin concentration signals from bilateral inferior parietal lobule (R_IPL/L_IPL), pre-motor area (R_PMA/L_PMA), dorsolateral prefrontal cortex (R_DLPFC/L_DLPFC), Broca's area (R_Broca/L_Broca) and frontopolar cortex (FPC) of 20 PSED patients and 20 healthy controls (HCs). We compared group differences in cortical response, including functional connectivity (FC) during resting-state, task-based FC during Stroop and 1-back task as well as cortical activation during these tasks. Additionally, we analyzed the correlation between MoCA scores, task performance, and any specific cortical response that showed differences.PSED patients exhibited hypoactivation in executive-related regions during both Stroop and 1-back tasks compared to HCs. During the Stroop task, cross-hemispheric hyperconnectivity from the left inferior parietal lobule (IPL) to the right Broca's area suggested compensatory adaptation. During the 1-back task, within-frontal and intra-hemispheric hypoconnectivity indicated maladaptive neural reorganization. Correlation analyses revealed that increased directed FC from the left IPL to right Broca was positively associated with Stroop reaction time, while decreased directed FC from the right IPL to the frontopolar cortex (FPC) was negatively associated with 1-back task performance in PSED patients.Our study highlights the importance of including the parietal cortex in fNIRS studies of PSED to obtain a comprehensive understanding of EF deficits. From the investigation of task-based cortical response, PSED patients exhibited different patterns of FC despite reduced task-based cortical activation: compensatory cross-hemispheric hyperconnectivity during the Stroop task, while maladaptive within-frontal and between IPL and frontopolar hypoconnectivity during the 1-back task. Incorporating the insights gained from our study, future research can explore multi-targeted neuromodulation strategies that address frontal and parietal cortices may be more effective in improving cognitive outcomes in stroke survivors.© 2025 The Authors.

基金:
语种:
PubmedID:
第一作者:
第一作者机构: [1]Body & Soul Medical Clinics, Shanghai, China. [2]School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
共同第一作者:
通讯作者:
通讯机构: [2]School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China. [4]Engineering Research Center of Traditional Chinese Medicine Intelligent Rehabilitation, Ministry of Education, Shanghai, China. [5]Department of Rehabilitation Medicine, Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [6]Institute of Rehabilitation, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:28508 今日访问量:0 总访问量:1584 更新日期:2025-09-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学附属北京同仁医院 技术支持:重庆聚合科技有限公司 地址:北京市东城区东交民巷1号(100730)