1. Task-induced subjective fatigue and resting-state striatal connectivity following traumatic brain injury
- Author
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J, Bruijel, C W E M, Quaedflieg, T, Otto, V, van de Ven, S Z, Stapert, C, van Heugten, A, Vermeeren, Section Neuropsychology, RS: FPN NPPP I, Section Work & Organisational Psychology, RS: FPN WSP I, Perception, RS: FPN CN 3, Psychiatrie & Neuropsychologie, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Section Psychopharmacology, and RS: FPN NPPP II
- Subjects
COGNITIVE FATIGUE ,Cognitive Neuroscience ,ROI, region of interest ,Computer applications to medicine. Medical informatics ,R858-859.7 ,FC, functional connectivity ,Default mode network (DMN) ,Gyrus Cinguli ,TBI, traumatic brain injury ,Striatum ,Functional connectivity ,RSME, Rating Scale for Mental Effort ,rsFC, resting-state functional connectivity ,Brain Injuries, Traumatic ,Humans ,Radiology, Nuclear Medicine and imaging ,Resting-state fMRI ,HC, healthy controls ,RC346-429 ,Traumatic brain injury (TBI) ,Fatigue ,SCALE ,Brain Mapping ,ATTENTION DEFICITS ,Brain ,mPFC, medial prefrontal cortex ,Regular Article ,Magnetic Resonance Imaging ,PCC, posterior cingulate cortex ,SLEEP ,Corpus Striatum ,nervous system diseases ,DMN, default mode network ,SEVERITY ,Neurology ,nervous system ,DEFAULT-MODE NETWORK ,VAS-f, visual analogue scale for fatigue ,Neurology (clinical) ,Neurology. Diseases of the nervous system ,EPI, Echo-Planar Imaging ,MRI, magnetic resonance imaging ,rs-fMRI, resting-state functional magnetic resonance imaging - Abstract
Highlights • Fatigue is a very frequent and disabling symptom in traumatic brain injury (TBI). • Effects of task-induced fatigue on resting-state functional connectivity (rsFC). • Striatal rsFC relates differently to subjective fatigue in TBI compared to controls. • Default mode network rsFC relates similar to subjective fatigue in TBI and controls., Background People with traumatic brain injury (TBI) often experience fatigue, but an understanding of the neural underpinnings of fatigue following TBI is still lacking. This study used resting-state functional magnetic resonance imaging (rs-fMRI) to examine associations between functional connectivity (FC) changes and task-induced changes in subjective fatigue in people with moderate-severe TBI. Methods Sixteen people with moderate-severe TBI and 17 matched healthy controls (HC) performed an adaptive N-back task (working memory task) to induce cognitive fatigue. Before and after the task they rated their state fatigue level and underwent rs-fMRI. Seed-to-voxel analyses with seeds in areas involved in cognitive fatigue, namely the striatum and default mode network (DMN) including, medial prefrontal cortex and posterior cingulate cortex, were performed. Results The adaptive N-back task was effective in inducing fatigue in both groups. Subjective task-induced fatigue was positively associated with FC between striatum and precuneus in people with TBI, while there was a negative association in HC. In contrast, subjective task-induced fatigue was negatively associated with FC between striatum and cerebellum in the TBI group, while there was no association in HC. Similar associations between task-induced subjective fatigue and DMN FC were found across the groups. Conclusions Our results suggest that the subjective experience of fatigue was linked to DMN connectivity in both groups and was differently associated with striatal connectivity in people with moderate-severe TBI compared to HC. Defining fatigue-induced neuronal network changes is pertinent to the development of treatments that target abnormal neuronal activity after TBI.
- Published
- 2022