What is it about?

After a stroke, some patients recover better than others, but it’s still difficult to predict early on who will improve the most. In our study, we looked at brain activity in mice shortly after they had a stroke affecting the motor areas of the brain. We recorded brain signals just two days after the stroke and later measured how well the mice regained their motor skills one month later. By analyzing the early brain signals with machine learning, we found that certain patterns (especially from the contra-lesional hemisphere of the brain) could reliably predict how much the mice would recover. Interestingly, the brain's activity before the stroke didn't help in making predictions, suggesting that what happens after the injury is more important for recovery. These results open the door to using early post-stroke brain monitoring to forecast recovery potential and, eventually, to guide treatment decisions in stroke patients.

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Why is it important?

Our study shows that the brain’s electrical activity, recorded just two days after a stroke, already holds valuable clues about its natural potential for long-term recovery. Unlike many studies that focus on improvements driven by therapy, we specifically investigated spontaneous motor recovery, i.e., the brain’s ability to reorganize and heal itself without any rehabilitative intervention. Our findings suggest that early patterns of neural activity, especially in the healthy hemisphere, could help predict how well an individual will recover over time.

Perspectives

Looking ahead, we aim to test whether similar patterns of brain activity can predict recovery across different types of strokes and brain regions. We are also working toward translating their findings to less invasive methods, like electroencephalograms (EEGs), which are routinely used in clinical settings. In the future, this approach could lead to the development of bedside tools that help doctors predict recovery outcomes soon after a stroke, allowing for earlier and more personalized rehabilitation strategies.

Nicolo Meneghetti
Scuola Superiore Sant'Anna

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This page is a summary of: Post-stroke spontaneous motor recovery in mice can be predicted from acute-phase local field potential using machine learning, APL Bioengineering, April 2025, American Institute of Physics,
DOI: 10.1063/5.0263191.
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