A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients

Abstract The usefulness of magnetic resonance imaging (MRI) in predicting gait ability in stroke patients remains unclear. Therefore, MRI evaluations have not yet been standardized in stroke rehabilitation. We performed a systematic review to consolidate evidence regarding the use of MRIs in predict...

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Autores principales:	Takeshi Imura, Tsubasa Mitsutake, Yuji Iwamoto, Ryo Tanaka
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4bb234c030c3436ca94f5342522d8a94
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spelling	oai:doaj.org-article:4bb234c030c3436ca94f5342522d8a942021-12-02T18:30:57ZA systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients10.1038/s41598-021-93717-42045-2322https://doaj.org/article/4bb234c030c3436ca94f5342522d8a942021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93717-4https://doaj.org/toc/2045-2322Abstract The usefulness of magnetic resonance imaging (MRI) in predicting gait ability in stroke patients remains unclear. Therefore, MRI evaluations have not yet been standardized in stroke rehabilitation. We performed a systematic review to consolidate evidence regarding the use of MRIs in predicting gait ability of stroke patients. The Medline, Cumulative Index to Nursing and Allied Health Literature, and SCOPUS databases were comprehensively searched. We included all literature published from each source’s earliest date to August 2020. We included 19 studies: 8 were classified as structure- or function-based MRI studies and 11 as neural tract integrity-based MRI studies. Most structure- or function-based MRI studies indicated that damage to motor-related areas (primary motor cortex, corona radiata, internal capsule, and basal ganglia) or insula was related to poor gait recovery. In neural tract integrity-based MRI studies, integrity of the corticospinal tract was related to gait ability. Some studies reported predictive value of the corticoreticular pathway. All included studies had some concerns, at least one, based on the Cochrane risk of bias instrument. This review suggests that MRIs are useful in predicting gait ability of stroke patients. However, we cannot make definitive conclusion regarding the predictive value, due to the lack of quantitative evaluations.Takeshi ImuraTsubasa MitsutakeYuji IwamotoRyo TanakaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Takeshi Imura Tsubasa Mitsutake Yuji Iwamoto Ryo Tanaka A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
description	Abstract The usefulness of magnetic resonance imaging (MRI) in predicting gait ability in stroke patients remains unclear. Therefore, MRI evaluations have not yet been standardized in stroke rehabilitation. We performed a systematic review to consolidate evidence regarding the use of MRIs in predicting gait ability of stroke patients. The Medline, Cumulative Index to Nursing and Allied Health Literature, and SCOPUS databases were comprehensively searched. We included all literature published from each source’s earliest date to August 2020. We included 19 studies: 8 were classified as structure- or function-based MRI studies and 11 as neural tract integrity-based MRI studies. Most structure- or function-based MRI studies indicated that damage to motor-related areas (primary motor cortex, corona radiata, internal capsule, and basal ganglia) or insula was related to poor gait recovery. In neural tract integrity-based MRI studies, integrity of the corticospinal tract was related to gait ability. Some studies reported predictive value of the corticoreticular pathway. All included studies had some concerns, at least one, based on the Cochrane risk of bias instrument. This review suggests that MRIs are useful in predicting gait ability of stroke patients. However, we cannot make definitive conclusion regarding the predictive value, due to the lack of quantitative evaluations.
format	article
author	Takeshi Imura Tsubasa Mitsutake Yuji Iwamoto Ryo Tanaka
author_facet	Takeshi Imura Tsubasa Mitsutake Yuji Iwamoto Ryo Tanaka
author_sort	Takeshi Imura
title	A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
title_short	A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
title_full	A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
title_fullStr	A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
title_full_unstemmed	A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
title_sort	systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4bb234c030c3436ca94f5342522d8a94
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A systematic review of the usefulness of magnetic resonance imaging in predicting the gait ability of stroke patients

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