論文

査読有り 筆頭著者 責任著者
2020年

Outcome in Stroke Patients Is Associated with Age and Fractional Anisotropy in the Cerebral Peduncles: A Multivariate Regression Study.

Progress in rehabilitation medicine
  • Tetsuo Koyama
  • ,
  • Yuki Uchiyama
  • ,
  • Kazuhisa Domen

5
0
開始ページ
20200006
終了ページ
20200006
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2490/prm.20200006
出版者・発行元
Japanese Association of Rehabilitation Medicine

Objectives: Diffusion tensor fractional anisotropy (FA) in the corticospinal tracts has been used to assess the long-term outcome in stroke patients. Patient age and the type of stroke may also affect outcomes. In this study, we investigated the associations of age, type of stroke, and FA in the ipsilesional and contralesional cerebral peduncles with stroke outcomes. Methods: This study involved 80 patients with stroke (40 hemorrhagic, 40 ischemic) that we had investigated previously. Diffusion tensor FA images were obtained between 14 and 21 days post-stroke. FA values in the ipsilesional and contralesional cerebral peduncles were extracted and their ratio (rFA) was calculated. Outcome was assessed using the Brunnstrom stage, the motor component of the Functional Independence Measure (FIM-motor) at discharge, and the length of stay until discharge from rehabilitation. Using forward stepwise multivariate regression, we assessed the associations of rFA, contralesional FA, age, and type of stroke with outcome measures. Results: rFA and contralesional FA were included in the final model for the Brunnstrom stage in the upper limbs. There was a strong association between hemorrhagic stroke and poorer lower extremity function. rFA, contralesional FA, and age were included in the final model for FIM-motor and length of stay. The effect of rFA on all outcome measures was stronger than that of contralesional FA. The effect of age on FIM-motor was as strong as that of rFA. Conclusions: Neural damage in the corticospinal tracts (indicated by rFA) had the strongest effect on outcome measures, whereas the level of disability (measured by FIM-motor) was associated with a broader range of factors, including age.

リンク情報
DOI
https://doi.org/10.2490/prm.20200006
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32789274
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365210
URL
https://www.jstage.jst.go.jp/article/prm/5/0/5_20200006/_pdf
ID情報
  • DOI : 10.2490/prm.20200006
  • eISSN : 2432-1354
  • PubMed ID : 32789274
  • PubMed Central 記事ID : PMC7365210

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