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review article

Brain networks and their relevance for stroke rehabilitation

Guggisberg, Adrian G.
•
Koch, Philipp J.
•
Hummel, Friedhelm C.
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April 8, 2019
Clinical Neurophysiology

Stroke has long been regarded as focal disease with circumscribed damage leading to neurological deficits. However, advances in methods for assessing the human brain and in statistics have enabled new tools for the examination of the consequences of stroke on brain structure and function. Thereby, it has become clear that stroke has impact on the entire brain and its network properties and can therefore be considered as a network disease. The present review first gives an overview of current methodological opportunities and pitfalls for assessing stroke-induced changes and reorganization in the human brain. We then summarize principles of plasticity after stroke that have emerged from the assessment of networks. Thereby, it is shown that neurological deficits do not only arise from focal tissue damage but also from local and remote changes in white-matter tracts and in neural interactions among wide-spread networks. Similarly, plasticity and clinical improvements are associated with specific compensatory structural and functional patterns of neural network interactions. Innovative treatment approaches have started to target such network patterns to enhance recovery. Network assessments to predict treatment response and to individualize rehabilitation is a promising way to enhance specific treatment effects and overall outcome after stroke.

  • Details
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Type
review article
DOI
10.1016/j.clinph.2019.04.004
Author(s)
Guggisberg, Adrian G.
Koch, Philipp J.
Hummel, Friedhelm C.
Buetefisch, Cathrin
Date Issued

2019-04-08

Published in
Clinical Neurophysiology
Volume

130

Issue

7

Start page

1098

End page

1124

Subjects

stroke

•

plasticity

•

network

•

rehabilitation

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPHUMMEL  
Available on Infoscience
April 25, 2019
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/156126
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