Exploring the Effects of Action Observation Therapy on Swallowing Disorders in Stroke: A Functional Connectivity–Based fMRI Study

Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing nov...

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Published inJournal of neural transplantation & plasticity Vol. 2025; no. 1; p. 8176431
Main Authors Chen, Xuting, Sun, Xiaolin, Shen, Fang, Wang, Zhongli, Zhu, Meihong, Fu, Jianming, Yao, Yunhai, Wang, Jie, Tao, Linhua, Ma, Lianjie, Zeng, Ming, Gu, Xudong
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Published United States John Wiley & Sons, Inc 01.01.2025
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Abstract Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4‐week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
AbstractList Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849.Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849.
Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849 Keywords: action observation therapy, degree centrality (DC), dysphagia, functional connectivity (FC), regional homogeneity (ReHo), resting-state functional magnetic resonance imaging, stroke
Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Chinese Clinical Trial Registry: ChiCTR1900021849.
Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients.Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4-week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects.Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment.Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper.Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic resonance imaging (fMRI) technology, the study will examine adjustments in brain activity and functional connectivity (FC), providing novel insights for the rehabilitation of swallowing function in stroke patients. Methods: In this study, 11 healthy controls (HCs) and 11 stroke patients were included. The stroke patients underwent a 4‐week AOT. To assess the differences in brain region activity between the patients before and after treatment and the HCs, regional homogeneity (ReHo), and degree centrality (DC) were calculated based on fMRI data separately. Important brain regions were selected as regions of interest (ROIs) for subsequent FC analysis, and finally, comparisons were made to evaluate the therapeutic effects. Results: Comparing stroke patients before treatment with HCs, the ReHo values were relatively higher in the inferior temporal gyrus, median cingulate, and paracingulate gyri, and relatively lower in the calcarine fissure and surrounding cortex, middle occipital gyrus, and paracentral lobule. The DC values were relatively higher in the cerebellum, middle frontal gyrus, inferior temporal gyrus, inferior frontal gyrus, orbital part, middle frontal gyrus, and supramarginal gyrus, and relatively lower in the cuneus and paracentral lobule. The FC between the parahippocampal gyrus and the superior parietal gyrus was relatively high, and the FC between the superior occipital gyrus and the superior parietal gyrus was relatively low. Comparing stroke patients after treatment with HCs, the ReHo values were relatively higher in the caudate nucleus, and relatively lower in the cerebellum, superior frontal gyrus, medial orbital, calcarine fissure and surrounding cortex, and middle temporal gyrus. The DC values were relatively higher in the middle frontal gyrus and superior frontal gyrus, and relatively lower in the temporal pole: superior temporal gyrus, calcarine fissure, and surrounding cortex. The FC between the caudate nucleus and the superior parietal gyrus was relatively high, and the FC between the calcarine fissure and surrounding cortex, middle frontal gyrus, orbital part, and the superior parietal gyrus was relatively low. There was no significant difference in ReHo values between stroke patients before and after treatment. The DC value in the superior parietal gyrus increased, and the FC in the superior parietal gyrus and precuneus gyrus was also significantly enhanced before and after treatment. Conclusion: The results of this study indicate that the AOT has a positive effect on enhancing the functional connection and information transmission capabilities of specific brain regions. The impact of this therapy on brain function helps us understand the potential mechanisms of swallowing function network reorganization deeper. Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
Audience Academic
Author Sun, Xiaolin
Ma, Lianjie
Fu, Jianming
Tao, Linhua
Chen, Xuting
Wang, Zhongli
Yao, Yunhai
Gu, Xudong
Shen, Fang
Zeng, Ming
Zhu, Meihong
Wang, Jie
AuthorAffiliation Department of Rehabilitation Medicine, The Second Hospital of Jiaxing City, The Second Affiliated Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/40201620$$D View this record in MEDLINE/PubMed
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Copyright Copyright © 2025 Xuting Chen et al. Neural Plasticity published by John Wiley & Sons Ltd.
COPYRIGHT 2025 John Wiley & Sons, Inc.
Copyright © 2025 Xuting Chen et al. Neural Plasticity published by John Wiley & Sons Ltd. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright © 2025 Xuting Chen et al. Neural Plasticity published by John Wiley & Sons Ltd. 2025
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Issue 1
Keywords resting-state functional magnetic resonance imaging
regional homogeneity (ReHo)
action observation therapy
degree centrality (DC)
dysphagia
functional connectivity (FC)
stroke
Language English
License Copyright © 2025 Xuting Chen et al. Neural Plasticity published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Snippet Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional...
This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional magnetic...
Trial Registration: Chinese Clinical Trial Registry: ChiCTR1900021849
Objective: This study aims to investigate the impact of action observation therapy (AOT) on swallowing disorders following a stroke. Utilizing functional...
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SubjectTerms Adult
Aged
Brain
Brain - diagnostic imaging
Brain - physiopathology
Care and treatment
Clinical medicine
Deglutition disorders
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Deglutition Disorders - rehabilitation
Female
Humans
Information management
Ischemia
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medical research
Middle Aged
Patients
Rehabilitation
Somatotropin
Stroke
Stroke - complications
Stroke - diagnostic imaging
Stroke - physiopathology
Stroke Rehabilitation - methods
Swallowing
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Title Exploring the Effects of Action Observation Therapy on Swallowing Disorders in Stroke: A Functional Connectivity–Based fMRI Study
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