Aphasia Neuroplasticity Review

van Hees et al. (2014)

Reference

Authorsvan Hees S, McMahon K, Angwin A, de Zubicaray G, Copland DA
TitleNeural activity associated with semantic versus phonological anomia treatments in aphasia
ReferenceBrain Lang 2014; 129: 47-57
PMID24556337
DOI10.1016/j.bandl.2013.12.004

Participants

LanguageAustralian English
Inclusion criteria
Number of individuals with aphasia8
Number of control participants14
Were any of the participants included in any previous studies?No
Is age reported for patients and controls, and matched?Yes (mean 56.4 + 9.2 years; range 41-69 years)
Is sex reported for patients and controls, and matched?Yes (males: 3; females: 5)
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 (mean 52.3 + 49.8 months; range 17-170 months)
To what extent is the nature of aphasia characterized?Comprehensive battery
Language evaluationWAB, BNT, PPT, CAT, picture naming from International Picture Naming Project Database
Aphasia severityAQ range 57.3-91.6; 5 mild, 2 moderate, 1 mild-moderate
Aphasia type6 anomic, 2 conduction
First stroke only?Yes
Stroke typeNot stated
To what extent is the lesion distribution characterized?Lesion overlay
Lesion extentNot stated
Lesion locationL hemisphere
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, 5-6 weeks later; note that "immediate improvement" was measured at the end of SLT, a week or two prior to T2 scan
If longitudinal, was there any intervention between the time points?SLT with alternating semantic and phonological sessions, 3 days/week, 4 weeks
Is the scanner described?Yes (Bruker MedSpec 4 Tesla)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?Yes
Design typeEvent-related
Total images acquired610
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?No (lesion impact not addressed)
Imaging notesslow event-related design; sparse sampling

Conditions

Are the conditions clearly described?Yes
ConditionResponse typeRepetitionsAll groups could do?All individuals could do?
picture naming (phonological trained items)Word (overt)30YesNo
picture naming (semantic trained items)Word (overt)30YesNo
picture naming (known items)Word (overt)30YesYes
viewing scrambled imagesNone30N/AN/A
Conditions notesSome patients named < 10% correct at T1

Contrasts

Are the contrasts clearly described?No (see specific limitation(s) below)

Contrast 1: picture naming (phonological trained items, correct trials) vs viewing scrambled images

Language conditionPicture naming (phonological trained items, correct trials)
Control conditionViewing scrambled images
Are the conditions matched for visual demands?Yes
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 notesControl data are described for naming untrained items; the data are reported only briefly in the text; it is notable that no speech motor, visual, or auditory activations are reported, as might be expected in a picture naming task
Contrast notesCorrect and incorrect trials were apparently modeled separately, but this is not clearly stated, nor are the criteria for deciding whether trials were correct; it is generally not clear which contrasts exactly were run

Contrast 2: picture naming (semantic trained items, correct trials) vs viewing scrambled images

Language conditionPicture naming (semantic trained items, correct trials)
Control conditionViewing scrambled images
Are the conditions matched for visual demands?Yes
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 notesControl data are described for naming untrained items; the data are reported only briefly in the text; it is notable that no speech motor, visual, or auditory activations are reported, as might be expected in a picture naming task
Contrast notesCorrect and incorrect trials were apparently modeled separately, but this is not clearly stated, nor are the criteria for deciding whether trials were correct; it is generally not clear which contrasts exactly were run

Analyses

Are the analyses clearly described?Yes

Voxelwise analysis 1

First level contrastPicture naming (phonological trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T1
CovariateSubsequent Δ (T2 vs T1) picture naming (phonological treated items)
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Somewhat (T1 behavioral measure should be included in model)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Voxelwise analysis 2

First level contrastPicture naming (semantic trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T1
CovariateSubsequent Δ (T2 vs T1) picture naming (semantic treated items)
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Somewhat (T1 behavioral measure should be included in model)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
Findings↑ L basal ganglia
Findings notes

Voxelwise analysis 3

First level contrastPicture naming (phonological trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T2
CovariatePrevious Δ (T2 vs T1) picture naming (phonological treated items)
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (T2 activation not an appropriate measure of treatment-induced recovery because it reflects T2 performance)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
Findings↑ L supramarginal gyrus
↑ R precuneus
Findings notes

Voxelwise analysis 4

First level contrastPicture naming (semantic trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T2
CovariatePrevious Δ (T2 vs T1) picture naming (semantic treated items)
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (T2 activation not an appropriate measure of treatment-induced recovery because it reflects T2 performance)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Voxelwise analysis 5

First level contrastPicture naming (phonological trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T1
CovariateSubsequent outcome (T2) picture naming
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (not appropriate to correlate T1 imaging with T2 behavior without T1 behavior in model)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Voxelwise analysis 6

First level contrastPicture naming (semantic trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T1
CovariateSubsequent outcome (T2) picture naming
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?No (not appropriate to correlate T1 imaging with T2 behavior without T1 behavior in model)
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Voxelwise analysis 7

First level contrastPicture naming (phonological trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T2
CovariatePicture naming T2
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Yes
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Voxelwise analysis 8

First level contrastPicture naming (semantic trained items, correct trials) vs viewing scrambled images
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia T2
CovariatePicture naming T2
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Yes
Is accuracy matched across the second level contrast?Yes, correct trials only
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on 3dClustSim
SoftwareAFNI
Voxelwise p.005
Cluster extent0.999 cc
Statistical details
FindingsNone
Findings notes

Notes

Excluded analysesIndividual patient analyses