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Related Experiment Video

Updated: Jul 6, 2026

Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
06:37

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Dynamic topological changes of the motor network after stroke.

Antonello Baldassarre1, Roberto Guidotti1, Vittorio Pizzella1

  • 1Department of Neuroscience, Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy; Institute for Advanced Biomedical Technologies, ITAB, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.

Neuroimage. Clinical
|November 15, 2025
PubMed
Summary

Motor stroke alters dynamic brain network topology, impacting motor function recovery. A specific motor region (vCS) showed reduced high centrality in severely impaired patients, revealing key insights into stroke-related motor deficits.

Keywords:
Betweenness centralityDynamic functional connectivityGraph theoryMagnetic resonance imagingMotor functionStroke

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Area of Science:

  • Neuroscience
  • Systems Neuroscience
  • Clinical Neurology

Background:

  • Motor stroke impacts functional connectivity and topology of the motor system.
  • Time-varying connectivity is crucial for motor impairment and recovery.
  • The temporal dynamics of motor network topology after stroke remain largely unexplored.

Purpose of the Study:

  • Identify dynamic central motor nodes associated with motor impairment post-stroke.
  • Characterize dynamic interactions within the motor system using graph theory and dynamic functional connectivity MRI.
  • Investigate the clinical relevance of temporal dynamics in motor network organization.

Main Methods:

  • Utilized resting-state fMRI data from 20 acute stroke patients.
  • Applied a sliding window approach to estimate dynamic functional connectivity within the motor network.
  • Computed time-varying nodal betweenness centrality to identify dynamic central motor nodes and their association with upper limb impairment.

Main Results:

  • Identified a dynamic central motor node in the ipsilesional anterior ventral central sulcus (vCS).
  • Severely impaired patients showed shorter durations in high centrality mode compared to less impaired individuals.
  • Upper limb impairment correlated with reduced functional connectivity between the vCS node and specific left hemisphere and cerebellar regions.

Conclusions:

  • Acute motor stroke significantly affects the time-varying topological properties of motor network functional interactions.
  • These dynamic topological changes are linked to upper limb impairment severity.
  • Findings offer insights into the neural mechanisms underlying motor deficits after stroke.