Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. Physical Therapy / 物理治療學系所
  4. Structure Integrity of the Corticospinal Tracts Relates to the Motor Function of the Affected Lower Extremity n Stroke with Subcortical Infarction
 
  • Details

Structure Integrity of the Corticospinal Tracts Relates to the Motor Function of the Affected Lower Extremity n Stroke with Subcortical Infarction

Date Issued
2008
Date
2008
Author(s)
Luo, Zheng-An
URI
http://ntur.lib.ntu.edu.tw//handle/246246/181443
Abstract
Backgrond and Purposes:This study aimed to find the differences of the structural integrity of bilateral corticospinal tracts (CST) between persons with subcortical infarction at the mid- and long-term durations after stroke (< 20-30 days (D30), 90th day (D90) and 180th day (D180)) and healthy adults, the changes of structural integrity in stroke group between the three times, and the relationships between the integrity of the affected CST and the motor function of the affected lower extremity.ethods:Five hemiplegic patients (63.1 ± 5.6 yrs) received clinical assessments and the diffusion spectrum imaging (DSI) scan at D30, D90 and D180, respectively. The motor function of the affected lower extremity was evaluated for each patient by the lower-extremity motor part of the Fugl-Meyer Assessment scale (FMA-LE). Five healthy adults who matched stroke with age, gender and footedness (64.3 ± 4.2 yrs) received clinical assessments and the DSI scan one time. For DSI data analysis, the generalized fractional anisotropy (GFA) and the relative GFA (rGFA) values of different segments (cerebral peduncle (CP), internal capsule (IC), above IC and above CP for both groups; below lesion, lesion and above lesion for stroke group only) of bilateral CSTs were calculated by tract-specific (TS) quantitative analysis for each subject. We also used the traditional region of interest (ROI) analysis to calculate the GFA and the rGFA values of bilateral posterior limb of the internal capsule (PLIC) for each subject so that we could understand the validity of the GFA and rGFA values by TS analysis. Independent t test was applied for comparions of the GFA and rGFA values between stroke and healthy groups. Two-way (hemisphere x post-stroke day) repeated measures of ANOVA was used to investigate differences in the GFA values of different segments of bilateral CSTs by TS analysis and those by ROI analysis between the three testing times. One-way (post-stroke day) repeated measures of ANOVA was used to investigate differences in the rGFA values of the CST by TS analysis and those by ROI analysis between the three testing times. Spearman correlation coefficient was used for the correlations between these GFA and rGFA values with the FMA-LE at three testing times concurrently and the correlations between these GFA and rGFA values at D30 and D90 with the FMA-LE at D90 and D180, respectively. esults:The GFA and rGFA values by TS analysis highly related to those by ROI analysis in stroke at all three testing times (r= 0.6-0.9). The GFA values of the affected CST in stroke at all three testing time, except the CP and IC segments at D180 were significantly lower than those of bilateral CSTs in healthy adults (p< 0.05), but the GFA values of the unaffected CST were the same as those of healthy adults (p> 0.05). Only the rGFA values of the IC segment at D30 and D90 in stroke were higher than those in healthy adults (p< 0.05). The GFA and the rGFA values of above lesion and above CP segments of the affected CST of the stroke changed between different testing times (p< 0.05). The rGFA value of the IC segment of the CST by TS analysis and by ROI analysis at D30 highly related to the FMA-LE at D90 and D180, respectively (r= -0.894, p= 0.041). The GFA and rGFA values of the lesion segment and the GFA value of the IC segment of the affected CST by TS analysis at D90 highly related to the FMA-LE at D90 and D180, respectively (r= 0.894, -0.894 and 0.894, p= 0.041). iscussion and Conclusions:The results indicate that the GFA and rGFA values by TS analysis have high validity due to high correlations between those values by TS analysis and by ROI analysis. Structural integrity of the affected CST highly relates to the motor function of the affected lower extremity concurrently and predictively. No significant change of structural integrity of the lesion segment of the affected CST was found due to different trends between patients with better motor recovery and those with poor recovery. In future, we can measure the test-retest reliability of the integrity in healthy adults, and find relationships between integrity of the affected CST and motor functions of the affected upper extremity in stroke and the differences of the changes between stroke with different severity.
Subjects
corticospinal tract
diffusion spectrum imaging
motor function of the lower extremity
stroke and correlation
File(s)
Loading...
Thumbnail Image
Name

ntu-97-R95428011-1.pdf

Size

23.32 KB

Format

Adobe PDF

Checksum

(MD5):91e28632601dba577e968c17587b058e

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science