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Abstract #4418

Evolution of resting-state network efficiency after stroke: an individual confrontation with the norm.

Liesjet E.H. van Dokkum1, Jeremy Deverdun1, Guillaume Clain1, Nicolas Menjot de Champfleur2,3, Isabelle Laffont4,5, and Emmanuelle le Bars1
1I2FH, CHU Montpellier, Montpellier, France, 2Neuroradiology, CHU Montpellier, Montpellier, France, 3Charles Coulomb Laboratory, UM Montpellier, Montpellier, France, 4Physical Rehabilitation Medicine, CHU Montpellier, Montpellier, France, 5Euromov DHM, UM Montpellier, Montpellier, France

Synopsis

Keywords: Functional Connectivity, fMRI (resting state), rehabilitation

Motivation: To provide personalized rehabilitation after stroke, we need to identify brain biomarkers that inform us about what differs from a normal organization to target rehabilitation accordingly.

Goal(s): Evaluate the potential of a norm-based functional brain network organization analysis in the individual follow-up post-stroke.

Approach: Compare fMRI resting-state network functioning of 21 people post-stroke before and after rehabilitation with the norm, based on 569 controls, while taking into account the motor deficit.

Results: Using a norm, we showed that targeted motor rehabilitation improves the motor network efficiency for recovering patients, whereas executive network efficiency remained suboptimal, potentially negatively interfering with motor recovery.

Impact: Comparing people with a norm, not only post-stroke but also with other central neurological deficits, facilitates personalized medicine, for instance by providing targets for non-invasive brain stimulation, or by identifying processes that require specific training, like attention direction or proprioception.

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Keywords