Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference

Corticomuscular coupling (CMC) can quantify the information interaction between the brain and muscles during motor control. However, current research regarding changes in CMC after stroke is inconsistent. To address this, this paper propose a novel use of <inline-formula> <tex-math notation...

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Main Authors: Hui Chang, Rong Xin, Yixuan Sheng, Zhiyong Wang, Ruikai Cao, Xianxian Yu, Pu Wang, Honghai Liu
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/10982247/
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author Hui Chang
Rong Xin
Yixuan Sheng
Zhiyong Wang
Ruikai Cao
Xianxian Yu
Pu Wang
Honghai Liu
author_facet Hui Chang
Rong Xin
Yixuan Sheng
Zhiyong Wang
Ruikai Cao
Xianxian Yu
Pu Wang
Honghai Liu
author_sort Hui Chang
collection DOAJ
description Corticomuscular coupling (CMC) can quantify the information interaction between the brain and muscles during motor control. However, current research regarding changes in CMC after stroke is inconsistent. To address this, this paper propose a novel use of <inline-formula> <tex-math notation="LaTeX">$\textit {CMC}_{\textit {dif}}$ </tex-math></inline-formula> as an indicator to assess motor function after stroke. This indicator include <inline-formula> <tex-math notation="LaTeX">$\textit {WC}_{\textit {dif}}$ </tex-math></inline-formula>, derived from wavelet coherence analysis and <inline-formula> <tex-math notation="LaTeX">$\textit {TSE}_{\textit {dif}}$ </tex-math></inline-formula>, derived from transfer spectral entropy analysis. Twelve stroke patients and twelve healthy controls were included in this study, with an experimental paradigm of upper limb isokinetic push-pull movements. The results revealed that <inline-formula> <tex-math notation="LaTeX">$\textit {WC}_{\textit {dif}}$ </tex-math></inline-formula> were significantly higher in the stroke patient group compared to the healthy group. Moreover, the <inline-formula> <tex-math notation="LaTeX">$\textit {TSE}_{\textit {dif}}$ </tex-math></inline-formula> of stroke group is higher than healthy group on the efferent pathway, but no difference on the afferent pathway. Utilizing the validated <inline-formula> <tex-math notation="LaTeX">$\textit {CMC}_{\textit {dif}}$ </tex-math></inline-formula> indices, we developed a motor function assessment model that showed strong relation with clinical assessment outcomes (<inline-formula> <tex-math notation="LaTeX">${R}^{{2}}={0}.{873}$ </tex-math></inline-formula>, <inline-formula> <tex-math notation="LaTeX">${p}={0}.{003}$ </tex-math></inline-formula>). These findings provide a new insight to understand the mechanisms underlying CMC changes after stroke. The combined use of linear and nonlinear indicators enhances the potential of CMC for clinical motor function assessment in stroke patients.
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language English
publishDate 2025-01-01
publisher IEEE
record_format Article
series IEEE Transactions on Neural Systems and Rehabilitation Engineering
spelling doaj-art-a74d4425a4f54a08813d9e3753cce3212025-08-20T01:50:29ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-01331817182610.1109/TNSRE.2025.356653310982247Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere DifferenceHui Chang0https://orcid.org/0000-0002-0454-7260Rong Xin1https://orcid.org/0000-0002-7935-1860Yixuan Sheng2https://orcid.org/0000-0003-1022-7690Zhiyong Wang3https://orcid.org/0000-0001-5546-6666Ruikai Cao4Xianxian Yu5Pu Wang6Honghai Liu7https://orcid.org/0000-0002-2880-4698The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaThe Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaState Key Laboratory of Robotics and Systems, Harbin Institute of Technology at Shenzhen, Shenzhen, ChinaState Key Laboratory of Robotics and Systems, Harbin Institute of Technology at Shenzhen, Shenzhen, ChinaState Key Laboratory of Robotics and Systems, Harbin Institute of Technology at Shenzhen, Shenzhen, ChinaThe Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaThe Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaThe Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaCorticomuscular coupling (CMC) can quantify the information interaction between the brain and muscles during motor control. However, current research regarding changes in CMC after stroke is inconsistent. To address this, this paper propose a novel use of <inline-formula> <tex-math notation="LaTeX">$\textit {CMC}_{\textit {dif}}$ </tex-math></inline-formula> as an indicator to assess motor function after stroke. This indicator include <inline-formula> <tex-math notation="LaTeX">$\textit {WC}_{\textit {dif}}$ </tex-math></inline-formula>, derived from wavelet coherence analysis and <inline-formula> <tex-math notation="LaTeX">$\textit {TSE}_{\textit {dif}}$ </tex-math></inline-formula>, derived from transfer spectral entropy analysis. Twelve stroke patients and twelve healthy controls were included in this study, with an experimental paradigm of upper limb isokinetic push-pull movements. The results revealed that <inline-formula> <tex-math notation="LaTeX">$\textit {WC}_{\textit {dif}}$ </tex-math></inline-formula> were significantly higher in the stroke patient group compared to the healthy group. Moreover, the <inline-formula> <tex-math notation="LaTeX">$\textit {TSE}_{\textit {dif}}$ </tex-math></inline-formula> of stroke group is higher than healthy group on the efferent pathway, but no difference on the afferent pathway. Utilizing the validated <inline-formula> <tex-math notation="LaTeX">$\textit {CMC}_{\textit {dif}}$ </tex-math></inline-formula> indices, we developed a motor function assessment model that showed strong relation with clinical assessment outcomes (<inline-formula> <tex-math notation="LaTeX">${R}^{{2}}={0}.{873}$ </tex-math></inline-formula>, <inline-formula> <tex-math notation="LaTeX">${p}={0}.{003}$ </tex-math></inline-formula>). These findings provide a new insight to understand the mechanisms underlying CMC changes after stroke. The combined use of linear and nonlinear indicators enhances the potential of CMC for clinical motor function assessment in stroke patients.https://ieeexplore.ieee.org/document/10982247/Motor function assessmentcortico-muscular couplingwavelet coherencetransfer spectrum entropy
spellingShingle Hui Chang
Rong Xin
Yixuan Sheng
Zhiyong Wang
Ruikai Cao
Xianxian Yu
Pu Wang
Honghai Liu
Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Motor function assessment
cortico-muscular coupling
wavelet coherence
transfer spectrum entropy
title Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
title_full Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
title_fullStr Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
title_full_unstemmed Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
title_short Post-Stroke Corticomuscular Coupling Assessment Based on Bilateral Cerebral Hemisphere Difference
title_sort post stroke corticomuscular coupling assessment based on bilateral cerebral hemisphere difference
topic Motor function assessment
cortico-muscular coupling
wavelet coherence
transfer spectrum entropy
url https://ieeexplore.ieee.org/document/10982247/
work_keys_str_mv AT huichang poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT rongxin poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT yixuansheng poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT zhiyongwang poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT ruikaicao poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT xianxianyu poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT puwang poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference
AT honghailiu poststrokecorticomuscularcouplingassessmentbasedonbilateralcerebralhemispheredifference