Post-stroke Fatigue and Brain Excitability: An Exploratory TMS Study.

IF 1.6 4区 医学 Q4 NEUROSCIENCES
Restorative neurology and neuroscience Pub Date : 2026-02-01 Epub Date: 2025-12-03 DOI:10.1177/09226028251396318
Hui-Ting Goh, Jill C Stewart, Yu-Chen Chung, Kevin Becker, Ty Shang
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引用次数: 0

Abstract

The purpose of this study was to explore the relationship between brain excitability indexed using different transcranial magnetic stimulation (TMS) measures and post-stroke fatigue (PSF) in individuals with mild to moderate motor impairment. We used single- and paired-pulse TMS to obtain various TMS outcomes from 24 participants with chronic stroke: resting motor threshold (RMT), motor evoked potential amplitude (MEP), Input-Output Curve (IOC) slope, short-interval intracortical inhibition (SICI), and intracortical facilitation (ICF). IO curve slope (ρ = -0.61, p = 0.02) and SICI (ρ = -0.51, p = .03) measured from the ipsilesional hemisphere correlated with PSF. Other TMS measures were not significantly correlated with PSF measures. Findings suggest that higher levels of fatigue were associated with lower brain excitability. Together with previous studies, our findings suggest that level of motor impairment and the tool used to assess fatigue might influence the relationship between brain excitability and PSF.

脑卒中后疲劳与脑兴奋性:一项探索性经颅磁刺激研究。
摘要本研究旨在探讨不同经颅磁刺激(TMS)指标与轻中度运动障碍患者脑卒中后疲劳(PSF)之间的关系。我们使用单脉冲和成对脉冲经颅磁刺激获得24名慢性卒中参与者的各种经颅磁刺激结果:静息运动阈值(RMT)、运动诱发电位振幅(MEP)、输入-输出曲线(IOC)斜率、短间隔皮质内抑制(SICI)和皮质内促进(ICF)。同侧半球测量的IO曲线斜率(ρ = -0.61, p = 0.02)和SICI (ρ = -0.51, p = 0.03)与PSF相关。其他经颅磁刺激测量与PSF测量无显著相关。研究结果表明,疲劳程度越高,大脑兴奋性越低。结合之前的研究,我们的研究结果表明,运动损伤水平和用于评估疲劳的工具可能会影响大脑兴奋性和PSF之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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