Evidence map›Paper›PMID 40492169›Full record

SynthesisFrontiers in neurology2025

A systematic review of alterations in brain activation and intensity following stroke: implications for integration and functional outcomes.

Amirul Azri, Noorazrul Yahya, Umi Nabilah Ismail, Muhammad Aminuddin Ashari, Hanani Abdul Manan

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amirul AzriMakmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Noorazrul YahyaDiagnostic Imaging and Radiotherapy Program, Centre of of Diagnostic and Applied Health Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Umi Nabilah IsmailMakmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Muhammad Aminuddin AshariDepartment of Radiology, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Hanani Abdul MananMakmal Pemprosesan Imej Kefungsian (Functional Image Processing Laboratory), Department of Radiology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke remains a leading cause of disability, making it critical to understand the underlying neurophysiological mechanisms for effective rehabilitation. Task-based functional Magnetic Resonance Imaging (fMRI) provides valuable insights into brain activation patterns; however, its correlation with clinical evaluations is not yet fully understood. This systematic review aims to explore the relationship between task-based fMRI findings and clinical assessments in stroke patients, comparing them to healthy controls. Methods: Using the PubMed database and adhering to PRISMA guidelines, we identified and analyzed 11 eligible studies. Total participant is 323 participant with 258 of them is stroke patients and 65 is HC. Results: Results reveal significant differences in brain activation patterns between stroke patients and healthy controls, with stroke patients displaying compensatory hyperactivation in certain brain regions such as cerebellum, inferior parietal cortex, and contralesional area. Additionally, longitudinal comparisons among stroke patients show notable improvements in activation patterns from baseline to the subacute and chronic stages following rehabilitation. These changes align with enhanced clinical outcomes, suggesting that fMRI may serve as a sensitive biomarker for recovery progress. Importantly, correlations between fMRI results and clinical scores highlight the potential of task-based fMRI to inform and refine rehabilitation strategies. Conclusion: This review underscores the value of integrating fMRI findings into clinical practice to better understand stroke recovery mechanisms. Further research is needed to deepen our understanding of these associations and optimize patient outcomes in stroke rehabilitation.

Indexed as

based functional magnetic resonance imagingbrain activitycompensationhemorrhage strokeischemic strokeneurorehabilitationrehabilitation

Identifiers

PMID40492169
PMCPMC12146161

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.