Brain Plasticity following Intensive Bimanual Therapy in Children with Hemiparesis: Preliminary Evidence
Table 5
Diffusivity parameters in the affected corticospinal tract at 3 time points.
Affected CST
Less affected CST
Case
MD (×10−3 mm2/s)
FA (a.u.)
MD (×10−3 mm2/s)
FA (a.u.)
Behavior improv.
T1
T2
T3
T1
T2
T3
T1
T2
T3
T1
T2
T3
Camp intervention
Before
After
Follow-up
Before
After
Follow-up
Before
After
Follow-up
Before
After
Follow-up
1
0.79
0.76
0.59
0.6
0.59
0.77
0.74
0.76
0.61
0.62
0.61
Yes
2
0.8
—
0.56
—
Yes
3
0.8
0.84
0.81
0.55
0.55
0.55
0.8
0.8
0.54
0.56
Yes
4
0.79
0.85
0.84
0.58
0.6
0.88
0.62
0.58
Yes
5
0.73
0.74
0.78
0.61
0.58
0.6
0.72
0.71
0.75
0.6
0.6
0.6
Yes
6
0.76
0.74
0.74
0.59
0.58
0.6
No
7
0.84
0.82
0.6
0.62
0.74
0.73
0.75
0.62
0.6
0.65
Yes
8
0.89
0.87
0.56
0.56
0.73
0.76
0.62
0.62
Yes
Home intervention
Before
After
Before
After
Before
After
Before
After
9
0.83
0.6
0.76
0.61
Yes
10
0.79
0.82
0.62
0.58
0.79
0.65
0.61
Yes
11
0.81
0.81
0.62
0.6
0.75
0.76
0.63
0.6
Yes
12
—
—
—
—
—
—
—
—
Yes
MD = mean diffusivity (×10−3 mm2/s); FA = fractional diffusivity (arbitrary units). Significant improvement = >5% improvement. Due to large lesion size, we were unable to reconstruct this tract.