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Impaired functional connectivity unmasked by simple repetitive motor task in early relapsing-remitting multiple sclerosis

Petsas, N., Tomassini, Valentina ORCID: https://orcid.org/0000-0002-7368-6280, Filippini, N., Sbardella, E., Tona, F., Piattella, M. C., Pozzilli, C., Wise, Richard Geoffrey ORCID: https://orcid.org/0000-0003-1700-2144 and Pantano, P. 2015. Impaired functional connectivity unmasked by simple repetitive motor task in early relapsing-remitting multiple sclerosis. Neurorehabilitation and Neural Repair 29 (6) , pp. 557-565. 10.1177/1545968314558600

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Abstract

BACKGROUND: Resting brain activity can be modulated by motor tasks to adapt to function. In multiple sclerosis (MS) patients, altered resting-state functional connectivity (RS-FC) has been reported and associated with impaired function and disability; little is known on how RS-FC is modulated by a simple repetitive motor task. OBJECTIVE: To assess changes in RS-FC in early relapsing-remitting MS (RRMS) patients associated with repetitive thumb flexions (RTFs). METHODS: A total of 20 right-handed patients with early RRMS and 14 healthy controls underwent a resting functional magnetic resonance imaging (fMRI) scan, before and after 25 minutes of alternate 30-s blocks of right RTF and rest. Dual-regression analysis of resting fMRI data followed the independent component analysis. Individual spatial maps of coherence between brain areas for 2 networks of interest, sensorimotor and cerebellar, were compared at the group level and correlated with measures of both clinical impairment and brain damage. RESULTS: Significant RTF-induced differences in RS-FC were observed between groups in the cerebellar network because of increased RS-FC in patients but not in controls. In the sensorimotor network, the RS-FC after RTF increased in both groups, with no significant between-group differences. The sensorimotor and the cerebellar RS-FC were intercorrelated only in patients and only after the RTF. The sensorimotor RS-FC increase in patients correlated with structural MRI alterations. CONCLUSIONS: Our study unmasked RS-FC changes of motor-related networks occurring after a simple repetitive motor task in early RRMS patients only. Evaluation of altered RSN dynamics might prove useful for anticipating neuroplasticity and for MRI-informed neurorehabilitation.

Item Type: Article
Date Type: Publication
Status: Published
Schools: MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Medicine
Neuroscience and Mental Health Research Institute (NMHRI)
Psychology
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: Sage
ISSN: 1545-9683
Last Modified: 28 Oct 2022 09:31
URI: https://orca.cardiff.ac.uk/id/eprint/74801

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