Evaluating interhemispheric synchronization and cortical activity in acute stroke patients using optical hemodynamic oscillations

Van Truong Nguyen, Yi Hsuan Lu, Chun Wei Wu, Pi Shan Sung, Chou Ching Lin, Pei Yi Lin, Shun Min Wang, Fu Yu Chen, Jia Jin Jason Chen

研究成果: Article同行評審

3 引文 斯高帕斯(Scopus)


Objective. An understanding of functional interhemispheric asymmetry in ischemic stroke patients is a crucial factor in the designs of efficient programs for post-stroke rehabilitation. This study evaluates interhemispheric synchronization and cortical activities in acute stroke patients with various degrees of severity and at different post-stroke stages. Approach. Twenty-three patients were recruited to participate in the experiments, including resting-state and speed finger-tapping tasks at week-1 and week-3 post-stroke. Multichannel near-infrared spectroscopy (NIRS) was used to measure the changes in hemodynamics in the bilateral prefrontal cortex (PFC), the supplementary motor area (SMA), and the sensorimotor cortex (SMC). The interhemispheric correlation coefficient (IHCC) measuring the synchronized activities in time and the wavelet phase coherence (WPCO) measuring the phasic activity in time-frequency were used to reflect the symmetry between the two hemispheres within a region. The changes in oxyhemoglobin during the finger-tapping tasks were used to present cortical activation. Main results. IHCC and WPCO values in the severe-stroke were significantly lower than those in the minor-stroke at low frequency bands during week-3 post-stroke. Cortical activation in all regions in the affected hemisphere was significantly lower than that in the unaffected hemisphere in the moderate-severe stroke measured in week-1, however, the SMC activation on the affected hemisphere was significantly enhanced in week-3 post-stroke. Significance. In this study, non-invasive NIRS was used to observe dynamic synchronization in the resting-state based on the IHCC and WPCO results as well as hemodynamic changes in a motor task in acute stroke patients. The findings suggest that NIRS could be used as a tool for early stroke assessment and evaluation of the efficacy of post-stroke rehabilitation.

期刊Journal of Neural Engineering
出版狀態Published - 2022 6月 1

All Science Journal Classification (ASJC) codes

  • 生物醫學工程
  • 細胞與分子神經科學


深入研究「Evaluating interhemispheric synchronization and cortical activity in acute stroke patients using optical hemodynamic oscillations」主題。共同形成了獨特的指紋。