Aphasia Neuroplasticity Review

Menke et al. (2009)

Reference

AuthorsMenke R, Meinzer M, Kugel H, Deppe M, Baumgärtner A, Schiffbauer H, Thomas M, Kramer K, Lohmann H, Flöel A, Knecht S, Breitenstein C
TitleImaging short- and long-term training success in chronic aphasia
ReferenceBMC Neurosci 2009; 10: 118
PMID19772660
DOI10.1186/1471-2202-10-118

Participants

LanguageGerman
Inclusion criteriaModerate to severe anomia
Number of individuals with aphasia8
Number of control participants9
Were any of the participants included in any previous studies?No
Is age reported for patients and controls, and matched?Yes (range 34-67 years)
Is sex reported for patients and controls, and matched?Yes (males: 5; females: 3)
Is handedness reported for patients and controls, and matched?Yes (right: 8; left: 0)
Is time post stroke onset reported and appropriate to the study design?Yes (range 1.8-6.9 years)
To what extent is the nature of aphasia characterized?Comprehensive battery
Language evaluationAAT
Aphasia severity6 moderate-severe, 2 severe
Aphasia type7 Broca's, 1 global
First stroke only?Yes
Stroke typeMixed etiologies
To what extent is the lesion distribution characterized?Individual lesions
Lesion extentNot stated
Lesion locationL
Participants notes

Imaging

ModalityfMRI
Is the study cross-sectional or longitudinal?Longitudinal—chronic treatment
If longitudinal, at what time point(s) were imaging data acquired?T1: pre-treatment/chronic; T2: post-treatment, ~2 weeks later; T3: 8 months after the end of treatment
If longitudinal, was there any intervention between the time points?Intensive anomia training; 3 hours/day; 2 weeks
Is the scanner described?Yes (Philips Intera 3 Tesla)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?No (total images acquired not stated)
Design typeEvent-related
Total images acquiredprobably ~360, but not stated
Are the imaging acquisition parameters, including coverage, adequately described and appropriate?Yes (whole brain)
Is preprocessing and intrasubject coregistration adequately described and appropriate?Yes
Is first level model fitting adequately described and appropriate?Yes
Is intersubject normalization adequately described and appropriate?Yes
Imaging notes

Conditions

Are the conditions clearly described?Yes
ConditionResponse typeRepetitionsAll groups could do?All individuals could do?
picture naming (trained items)Word (overt)30NoNo
picture naming (untrained items)Word (overt)30NoNo
picture naming (already known items)Word (overt)30YesUnknown
restNoneimplicit baselineN/AN/A
Conditions notesPatients could not name trained and untrained items at baseline

Contrasts

Are the contrasts clearly described?Yes

Contrast 1: picture naming (trained items) vs rest

Language conditionPicture naming (trained items)
Control conditionRest
Are the conditions matched for visual demands?No
Are the conditions matched for auditory demands?No
Are the conditions matched for motor demands?No
Are the conditions matched for cognitive/executive demands?No
Is accuracy matched between the language and control tasks for all relevant groups?N/A, tasks not comparable
Is reaction time matched between the language and control tasks for all relevant groups?N/A, tasks not comparable
Behavioral data notes
Are control data reported in this paper or another that is referenced?Somewhat
Does the contrast selectively activate plausible relevant language regions in the control group?Unknown
Are activations lateralized in the control data?Unknown
Control activation notesTable of coordinates only
Contrast notes

Contrast 2: picture naming (untrained items) vs rest

Language conditionPicture naming (untrained items)
Control conditionRest
Are the conditions matched for visual demands?No
Are the conditions matched for auditory demands?No
Are the conditions matched for motor demands?No
Are the conditions matched for cognitive/executive demands?No
Is accuracy matched between the language and control tasks for all relevant groups?N/A, tasks not comparable
Is reaction time matched between the language and control tasks for all relevant groups?N/A, tasks not comparable
Behavioral data notes
Are control data reported in this paper or another that is referenced?Somewhat
Does the contrast selectively activate plausible relevant language regions in the control group?Unknown
Are activations lateralized in the control data?Unknown
Control activation notesTable of coordinates only
Contrast notes

Analyses

Are the analyses clearly described?No* (moderate limitation) (see specific limitation(s) below)

Voxelwise analysis 1

First level contrastPicture naming (trained items) vs rest
Analysis classLongitudinal correlation with language or other measure
Group(s)Aphasia T2 vs T1
CovariateSubsequent outcome (T2) picture naming of trained items outside the scanner
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (the logic behind correlating activation changes and language outcome is unclear)
Is accuracy matched across the second level contrast?Unknown, no test
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsMixed** (major limitation)
SoftwareSPM2
Voxelwise p.05, but at least one voxel in the cluster had to be p < .001
Cluster extent0.270 cc
Statistical detailsThere was an exclusive mask based on activation changes for untrained pictures, but it is unclear what the behavioral covariate was for the mask generation, nor were the regions in the mask reported
Findings↑ L occipital
↑ L hippocampus/MTL
↑ R precuneus
↑ R occipital
↑ R posterior cingulate
↑ R hippocampus/MTL
Findings notes

Voxelwise analysis 2

First level contrastPicture naming (untrained items) vs rest
Analysis classLongitudinal correlation with language or other measure
Group(s)Aphasia T3 vs T1
CovariateSubsequent outcome (T3) picture naming of trained items outside the scanner
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (the logic behind correlating activation changes and language outcome is unclear)
Is accuracy matched across the second level contrast?Unknown, no test
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsMixed** (major limitation)
SoftwareSPM2
Voxelwise p.05, but at least one voxel in the cluster had to be p < .001
Cluster extent0.270 cc
Statistical detailsThere was an exclusive mask based on activation changes for untrained pictures, but it is unclear what the behavioral covariate was for the mask generation, nor were the regions in the mask reported
Findings↑ R posterior STG/STS/MTG
↓ L SMA/medial prefrontal
↓ R inferior parietal lobule
↓ R posterior inferior temporal gyrus/fusiform gyrus
↓ R basal ganglia
Findings notes

Notes

Excluded analyses