Aphasia Neuroplasticity Review

Raboyeau et al. (2008)

Reference

AuthorsRaboyeau G, De Boissezon X, Marie N, Balduyck S, Puel M, Bézy C, Démonet JF, Cardebat D
TitleRight hemisphere activation in recovery from aphasia: lesion effect or function recruitment?
ReferenceNeurology 2008; 70: 2900-298
PMID18209203
DOI10.1212/01.wnl.0000287115.85956.87

Participants

LanguageFrench
Inclusion criteriaNaming deficit; good comprehension
Number of individuals with aphasia10
Number of control participants20
Were any of the participants included in any previous studies?No
Is age reported for patients and controls, and matched?No (mean 53.8 ± 14.7 years; controls were younger)
Is sex reported for patients and controls, and matched?Yes (males: 6; females: 4)
Is handedness reported for patients and controls, and matched?Yes (right: 10; left: 0)
Is time post stroke onset reported and appropriate to the study design?Yes (range 7-102 months)
To what extent is the nature of aphasia characterized?Severity and type
Language evaluationMontreal-Toulouse Aphasia Battery
Aphasia severityMild (but had initially been severe)
Aphasia type4 anomic, 3 conduction, 2 Broca's, 1 AoS
First stroke only?Yes
Stroke typeNot stated
To what extent is the lesion distribution characterized?Individual lesions
Lesion extentRange 29.9-195.2 cc
Lesion locationL MCA
Participants notes

Imaging

ModalityPET (rCBF)
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, ~4 weeks later
If longitudinal, was there any intervention between the time points?Lexical training, 15 minutes/day, 5 days/week, 4 weeks; the control group were trained to relearn foreign words that they had learned in school but since mostly forgotten
Is the scanner described?Yes (Siemens ECAT HR+)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?Yes
Design typePET
Total images acquired6
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 notes

Conditions

Are the conditions clearly described?Yes
ConditionResponse typeRepetitionsAll groups could do?All individuals could do?
picture naming (native language)Word (overt)aphasia: 4; control: 2YesUnknown
picture naming (relearned foreign language) (controls only)Word (overt)2YesUnknown
restNone2N/AN/A
Conditions notesPicture naming in native language in controls not analyzed in this paper

Contrasts

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

Contrast 1: picture naming (native in patients; relearned foreign in controls) vs rest

Language conditionPicture naming (native in patients; relearned foreign in controls)
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?No
Does the contrast selectively activate plausible relevant language regions in the control group?Unknown
Are activations lateralized in the control data?Unknown
Control activation notes
Contrast notesPresumably only the relearned foreign condition was used in controls (not the native condition), but this is not stated explicitly

Analyses

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

Voxelwise analysis 1

First level contrastPicture naming (native in patients; relearned foreign in controls) vs rest
Analysis classLongitudinal aphasia vs control
Group(s)(Aphasia T2 vs T1) vs (control T2 vs T1)
Covariate
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?No, but attempt made
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notesRelearned foreign language was an attempt to equate to recovery in patients; still, patients improved less than controls, as shown by a significant interaction of group by time (p < .0001)
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsClusterwise correction based on arbitrary cluster extent
SoftwareSPM2
Voxelwise p.01
Cluster extent30 voxels (size not stated)
Statistical detailsNature of control contrast not clear; negative tail of contrast was masked to exclude lesioned areas, but the mask may have been more extensive than that
Findings↑ L orbitofrontal
Findings notes

Voxelwise analysis 2

First level contrastPicture naming (native in patients; relearned foreign in controls) vs rest
Analysis classLongitudinal correlation with language or other measure
Group(s)Aphasia T2 vs T1
CovariateΔ picture naming accuracy
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?Accuracy is covariate
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 arbitrary cluster extent
SoftwareSPM2
Voxelwise p.01
Cluster extent30 voxels (size not stated)
Statistical detailsNature of control contrast not clear
Findings↑ R insula
↑ R SMA/medial prefrontal
↑ R orbitofrontal
↑ R anterior cingulate
↓ L intraparietal sulcus
↓ L precuneus
↓ L posterior cingulate
↓ R dorsal precentral
↓ R precuneus
Findings notes

Notes

Excluded analysesConjunction analysis, because it collapsed across patients and controls