This is still useless since you're predicting stuff rather than delivering EXACT REHAB PROTOCOLS!
They'll want those recovery protocols
when they are the 1 in 4 per WHO that has a stroke!
When you have a stroke you'll want recovery and you'll kick yourself for not doing that job when you could.
Structural Integrity of the Cerebellar Outflow Tract Predicts Long-Term Motor Function After Middle Cerebral Artery Ischemic Stroke
Abstract
Background
The
cerebellum plays a crucial role in functional movement by influencing
sensorimotor coordination and learning. However, the effects of
cortico-cerebellar connectivity on the recovery of upper extremity motor
function after stroke have not been investigated. We hypothesized that
the integrity of the cortico-cerebellar connections would be reduced in
patients with a subacute middle cerebral artery (MCA) stroke, and that
this reduction may help to predict chronic upper extremity motor
function.
Methods
We
retrospectively analyzed the diffusion-tensor imaging of 25 patients
with a subacute MCA stroke (mean age: 62.2 ± 2.7 years; 14 females) and
25 age- and sex-matched healthy controls. We evaluated the
microstructural integrity of the corticospinal tract (CST),
dentatothalamocortical tract (DTCT), and corticopontocerebellar tract
(CPCT). Furthermore, we created linear regression models to predict
chronic upper extremity motor function based on the structural integrity
of each tract.
Results
In
stroke patients, the affected DTCT and CST showed significantly
impaired structural integrity compared to unaffected tracts and the
tracts in controls. When all models were compared, the model that used
the fractional anisotropy (FA) asymmetry indices of CST and DTCT as
independent variables best predicted chronic upper extremity motor
function (R2 = .506, P = .001). The extent of
structural integrity of the CPCT did not significantly differ between
hemispheres or groups and was not predictive of motor function.
Conclusions
We
found evidence that microstructural integrity of the DTCT in the
subacute phase of an MCA stroke helped to predict chronic upper
extremity motor function, independent of CST status.
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