AUTHOR=Fan Yang-teng , Wu Ching-yi , Liu Ho-ling , Lin Keh-chung , Wai Yau-yau , Chen Yao-liang TITLE=Neuroplastic changes in resting-state functional connectivity after stroke rehabilitation JOURNAL=Frontiers in Human Neuroscience VOLUME=9 YEAR=2015 URL=https://www.frontiersin.org/journals/human-neuroscience/articles/10.3389/fnhum.2015.00546 DOI=10.3389/fnhum.2015.00546 ISSN=1662-5161 ABSTRACT=

Most neuroimaging research in stroke rehabilitation mainly focuses on the neural mechanisms underlying the natural history of post-stroke recovery. However, connectivity mapping from resting-state fMRI is well suited for different neurological conditions and provides a promising method to explore plastic changes for treatment-induced recovery from stroke. We examined the changes in resting-state functional connectivity (RS-FC) of the ipsilesional primary motor cortex (M1) in 10 post-acute stroke patients before and immediately after 4 weeks of robot-assisted bilateral arm therapy (RBAT). Motor performance, functional use of the affected arm, and daily function improved in all participants. Reduced interhemispheric RS-FC between the ipsilesional and contralesional M1 (M1-M1) and the contralesional-lateralized connections were noted before treatment. In contrast, greater M1-M1 functional connectivity and disturbed resting-state networks were observed after RBAT relative to pre-treatment. Increased changes in M1-M1 RS-FC after RBAT were coupled with better motor and functional improvements. Mediation analysis showed the pre-to-post difference in M1-M1 RS-FC was a significant mediator for the relationship between motor and functional recovery. These results show neuroplastic changes and functional recoveries induced by RBAT in post-acute stroke survivors and suggest that interhemispheric functional connectivity in the motor cortex may be a neurobiological marker for recovery after stroke rehabilitation.