Chronic Stroke Sensorimotor Impairment Is Related to Smaller Hippocampal Volumes: An ENIGMA Analysis Article Swipe
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1161/jaha.121.025109
Background Persistent sensorimotor impairments after stroke can negatively impact quality of life. The hippocampus is vulnerable to poststroke secondary degeneration and is involved in sensorimotor behavior but has not been widely studied within the context of poststroke upper‐limb sensorimotor impairment. We investigated associations between non‐lesioned hippocampal volume and upper limb sensorimotor impairment in people with chronic stroke, hypothesizing that smaller ipsilesional hippocampal volumes would be associated with greater sensorimotor impairment. Methods and Results Cross‐sectional T1‐weighted magnetic resonance images of the brain were pooled from 357 participants with chronic stroke from 18 research cohorts of the ENIGMA (Enhancing NeuoImaging Genetics through Meta‐Analysis) Stroke Recovery Working Group. Sensorimotor impairment was estimated from the FMA‐UE (Fugl‐Meyer Assessment of Upper Extremity). Robust mixed‐effects linear models were used to test associations between poststroke sensorimotor impairment and hippocampal volumes (ipsilesional and contralesional separately; Bonferroni‐corrected, P <0.025), controlling for age, sex, lesion volume, and lesioned hemisphere. In exploratory analyses, we tested for a sensorimotor impairment and sex interaction and relationships between lesion volume, sensorimotor damage, and hippocampal volume. Greater sensorimotor impairment was significantly associated with ipsilesional ( P =0.005; β=0.16) but not contralesional ( P =0.96; β=0.003) hippocampal volume, independent of lesion volume and other covariates ( P =0.001; β=0.26). Women showed progressively worsening sensorimotor impairment with smaller ipsilesional ( P =0.008; β=−0.26) and contralesional ( P =0.006; β=−0.27) hippocampal volumes compared with men. Hippocampal volume was associated with lesion size ( P <0.001; β=−0.21) and extent of sensorimotor damage ( P =0.003; β=−0.15). Conclusions The present study identifies novel associations between chronic poststroke sensorimotor impairment and ipsilesional hippocampal volume that are not caused by lesion size and may be stronger in women.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1161/jaha.121.025109
- https://www.ahajournals.org/doi/pdf/10.1161/JAHA.121.025109
- OA Status
- gold
- Cited By
- 8
- References
- 55
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4280489534
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4280489534Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1161/jaha.121.025109Digital Object Identifier
- Title
-
Chronic Stroke Sensorimotor Impairment Is Related to Smaller Hippocampal Volumes: An ENIGMA AnalysisWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-05-16Full publication date if available
- Authors
-
Artemis Zavaliangos‐Petropulu, Bethany Lo, Miranda R. Donnelly, Nicolas Schweighofer, Keith R. Lohse, Neda Jahanshad, Giuseppe Barisano, Nerisa Banaj, Michael R. Borich, Lara A. Boyd, Cathrin M. Buetefisch, Winston D. Byblow, Jessica M. Cassidy, Charalambos C. Charalambous, Adriana Bastos Conforto, Julie A. DiCarlo, Adrienne N. Dula, Natalia Egorova, Mark R. Etherton, Wuwei Feng, Kelene A. Fercho, Fatemeh Geranmayeh, Colleen A. Hanlon, Kathryn S. Hayward, Brenton Hordacre, Steven A. Kautz, Mohamed Salah Khlif, Hosung Kim, Amy Kuceyeski, David J. Lin, Jingchun Liu, Martín Lotze, Bradley J. MacIntosh, John L. Margetis, Feroze B. Mohamed, Fabrizio Piras, Ander Ramos‐Murguialday, Kate Revill, Pamela Roberts, Andrew D. Robertson, Heidi M. Schambra, Na Jin Seo, Mark S. Shiroishi, Cathy M. Stinear, Surjo R. Soekadar, Gianfranco Spalletta, Myriam Taga, Wai Kwong Tang, Gregory Thielman, Daniela Vecchio, Nick Ward, Lars T. Westlye, Emilio Werden, Carolee J. Winstein, George F. Wittenberg, Steven L. Wolf, Kristin A. Wong, Chunshui Yu, Amy Brodtmann, Steven C. Cramer, Paul M. Thompson, Sook‐Lei LiewList of authors in order
- Landing page
-
https://doi.org/10.1161/jaha.121.025109Publisher landing page
- PDF URL
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https://www.ahajournals.org/doi/pdf/10.1161/JAHA.121.025109Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.ahajournals.org/doi/pdf/10.1161/JAHA.121.025109Direct OA link when available
- Concepts
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Medicine, Stroke (engine), Physical medicine and rehabilitation, Cognitive impairment, Hippocampal formation, Functional impairment, Chronic stroke, Cardiology, Internal medicine, Physical therapy, Rehabilitation, Disease, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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8Total citation count in OpenAlex
- Citations by year (recent)
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2024: 1, 2023: 6, 2022: 1Per-year citation counts (last 5 years)
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55Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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