PMID- 26391958 OWN - NLM STAT- MEDLINE DCOM- 20160718 LR - 20181113 IS - 1433-0407 (Electronic) IS - 0028-2804 (Linking) VI - 86 IP - 10 DP - 2015 Oct TI - [Polymorphism of brain derived neurotrophic factor and recovery of functions after ischemic stroke]. PG - 1255-60 LID - 10.1007/s00115-015-4325-6 [doi] AB - BACKGROUND: After ischemic stroke, many factors influence the restitution of functions. In particular they include the patient age, the initial stroke severity and the presence of cognitive and neuropsychological deficits. In this study we investigated whether a polymorphism in the gene encoding for brain derived neurotrophic factor (BDNF) influences improvements of motor functions and everyday activities. METHODS: Patients with subacute ischemic stroke (n = 67) were examined at the beginning of an inpatient neurological rehabilitation, after 4 weeks of treatment and after 6 months. The Barthel index (BI) and the Rivermead motor assessment (RMA) were used to measure motor functions and everyday activities. Patients were allocated to three groups (valine [Val]/valine, val/methionine [Met] and Met/Met) depending on the BDNF polymorphism at codon 66. RESULTS: The 3 groups (Val/Val, n = 34 patients, Val/Met, n = 26 and Met/Met, n = 7) showed significant improvements in BI and RMA after 4 weeks and after 6 months as compared to the preceding measurements. The BI and RMA were positively correlated. The three groups did not differ with respect to the extent of improvement. CONCLUSION: After ischemic stroke, motor functions and everyday activities improved continuously over a period of at least 6 months. The BDNF polymorphism did not influence this development. FAU - Liepert, J AU - Liepert J AD - Abteilung fur Neurorehabilitation, Kliniken Schmieder, Zum Tafelholz 8, 78476, Allensbach, Deutschland. j.liepert@kliniken-schmieder.de. FAU - Heller, A AU - Heller A AD - Abteilung fur Neurorehabilitation, Kliniken Schmieder, Zum Tafelholz 8, 78476, Allensbach, Deutschland. FAU - Behnisch, G AU - Behnisch G AD - Abteilung fur Verhaltensneurologie, Leibniz Institut fur Neurobiologie, Magdeburg, Deutschland. FAU - Schoenfeld, A AU - Schoenfeld A AD - Abteilung fur Neurorehabilitation, Kliniken Schmieder, Zum Tafelholz 8, 78476, Allensbach, Deutschland. AD - Abteilung fur Verhaltensneurologie, Leibniz Institut fur Neurobiologie, Magdeburg, Deutschland. AD - Neurologische Klinik, Otto-von-Guericke Universitat, Magdeburg, Deutschland. LA - ger PT - Journal Article TT - Polymorphismus des "brain derived neurotrophic factor" und Erholung nach Schlaganfall. PL - Germany TA - Nervenarzt JT - Der Nervenarzt JID - 0400773 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Genetic Markers) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Aged MH - Brain-Derived Neurotrophic Factor/*genetics MH - Causality MH - Female MH - Genetic Markers/genetics MH - Genetic Predisposition to Disease/epidemiology/genetics MH - Germany/epidemiology MH - Humans MH - Incidence MH - Longitudinal Studies MH - Male MH - Movement Disorders/epidemiology/*genetics/*rehabilitation MH - Polymorphism, Single Nucleotide/*genetics MH - Recovery of Function/*genetics MH - Risk Assessment MH - Stroke/epidemiology/*genetics MH - Stroke Rehabilitation OTO - NOTNLM OT - BDNF OT - Barthel index OT - Ischemic stroke OT - Recovery of functions OT - Rivermead motor assessment EDAT- 2015/09/24 06:00 MHDA- 2016/07/19 06:00 CRDT- 2015/09/23 06:00 PHST- 2015/09/23 06:00 [entrez] PHST- 2015/09/24 06:00 [pubmed] PHST- 2016/07/19 06:00 [medline] AID - 10.1007/s00115-015-4325-6 [pii] AID - 10.1007/s00115-015-4325-6 [doi] PST - ppublish SO - Nervenarzt. 2015 Oct;86(10):1255-60. doi: 10.1007/s00115-015-4325-6.