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Relationship of Interhemispheric Signal Propagation and Severity of Stroke-induced Damage and Unilateral Neglect: A Retrospective Study

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Rehabil, Beijing, Peoples R China [2]Capital Med Univ, Beijing Rehabil Hosp, Dept Orthoped, Beijing, Peoples R China [3]Xiongan Xuanwu Hosp, Dept Rehabil, Hebei, Peoples R China [4]Xuanwu Hosp, Jinan Hosp, Dept Rehabil, Jinan, Shandong, Peoples R China
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关键词: Stroke Unilateral neglect TMS-EEG ISP

摘要:
Unilateral neglect (UN) is a common post-stroke neurocognitive deficit linked to interhemispheric interactions, though mechanisms remain unclear. This study evaluated the 'bimodal balance recovery' model in UN, exploring its relationship with interhemispheric connectivity and proposing a stratification framework for patient categorization. Thirty stroke patients with UN and 15 healthy controls were recruited. Interhemispheric signal propagation (ISP) was assessed using transcranial magnetic stimulation-electroencephalography. UN severity was quantified using a battery of paper-and-pencil tasks, and overall patient functioning was evaluated using the Activities of Daily Living Scale, Fugl-Meyer Assessment, and Berg Balance Scale. Analyses of the Schenkenberg Line Bisection Test, Albert's Cancellation Task, and Ota's Cancellation Task indicated that quadratic models provided a better fit than linear regressions. A novel metric, the PenPCA Index, was derived using Principal Component Analysis (PCA) to assess the complex relationship between ISP and UN. This index demonstrated a bimodal relationship with ISP, effectively distinguishing between negative and positive correlations with the PenPCA Index. This study introduces the PenPCA Index, underscores the bimodal UN-ISP relationship, and offers a stratified assessment framework for stroke patients.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学 4 区 临床神经病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学 4 区 临床神经病学
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出版当年[2023]版:
Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2024]版:
Q2 CLINICAL NEUROLOGY Q2 NEUROSCIENCES

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Rehabil, Beijing, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Rehabil, Beijing, Peoples R China [3]Xiongan Xuanwu Hosp, Dept Rehabil, Hebei, Peoples R China [4]Xuanwu Hosp, Jinan Hosp, Dept Rehabil, Jinan, Shandong, Peoples R China
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