<?xml version="1.0" encoding="UTF-8"?>
<article xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.1" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id>authorea</journal-id>
      <publisher>
        <publisher-name>Authorea</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.36227/techrxiv.170775143.35937204/v2</article-id>
      <title-group>
        <article-title>Dynamic interaction of the&amp;#xA0;corticospinal tract with the reticulospinal
tract across various phases of&amp;#xA0;stroke</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <contrib-id contrib-id-type="orcid">0000-0003-1051-0031</contrib-id>
          <name>
            <surname>Kim</surname>
            <given-names>Dongwon</given-names>
          </name>
          <address>
            <institution>Shirley Ryan AbilityLab</institution>
          </address>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name>
            <surname>O'Shea</surname>
            <given-names>Leah M</given-names>
          </name>
          <address>
            <institution>Shirley Ryan AbilityLab</institution>
          </address>
        </contrib>
        <contrib contrib-type="author" corresp="no">
          <name>
            <surname>Aghamohammadi</surname>
            <given-names>Naveed</given-names>
          </name>
          <address>
            <institution>Shirley Ryan AbilityLab</institution>
          </address>
        </contrib>
      </contrib-group>
      <pub-date date-type="preprint" publication-format="electronic">
        <day>19</day>
        <month>2</month>
        <year>2024</year>
      </pub-date>
      <self-uri xlink:href="https://doi.org/10.36227/techrxiv.170775143.35937204/v2">This preprint is available at https://doi.org/10.36227/techrxiv.170775143.35937204/v2</self-uri>
      <abstract abstract-type="abstract">
        <p>To date, the dynamic mechanisms by which the corticospinal tract (CST)
and its alternative tract (i.e. the reticulospinal tract (RST)) interact
and evolve after the CST has been damaged by stroke has not been fully
explored. To gain insight into the mechanisms, we construct a
computational model to reproduce several critical features of subscore
distributions of the Fugl-Meyer assessment (FMA) for the upper extremity
following stroke. Subscores of the FMA present clues about the working
neural substrates affected by stroke, potentially distinguishing
preferential uses of the CST and RST. A stochastic gradient descent
method is employed to emulate biologically plausible phenomena,
including activity- or use-dependent plasticity and the preferred use of
more strongly connected neural circuits. The model replicates several
segments of empirical evidence presented by imaging and
neurophysiological studies. One of the main predictions is that
substantial CST recovery is achievable unless the initial degree of
residual corticospinal neurons following stroke falls below a certain
level. Another prediction is that while the functional capabilities of
the CST and RST increase in a harmonic way post-stroke, the degrees of
functional capability those tracts reach are in a competitive
relationship. We confirm that the neural system prioritizes optimizing a
more strongly connected motor tract and uses the other tract in a
supplementary manner to enhance overall motor capability. This model
presents insights into efficient therapy designs.</p>
      </abstract>
      <kwd-group kwd-group-type="author-created">
        <kwd>Fugl-Meyer assessment</kwd>
        <kwd>bioengineering</kwd>
        <kwd>corticospinal tract</kwd>
        <kwd>reticulospinal tract</kwd>
        <kwd>stroke</kwd>
        <kwd>synergy</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
