Aphasia Neuroplasticity Review

Fridriksson (2010)

Reference

AuthorsFridriksson J
TitlePreservation and modulation of specific left hemisphere regions is vital for treated recovery from anomia in stroke
ReferenceJ Neurosci 2010; 30: 11558-11564
PMID20810877
DOI10.1523/jneurosci.2227-10.2010

Participants

LanguageUS English
Inclusion criteria
Number of individuals with aphasia19 (plus 7 excluded: 6 for making fewer than 5 correct responses in one or more sessions; 1 for excessive head motion)
Number of control participants0
Were any of the participants included in any previous studies?Yes ("several" patients overlapped with those reported by Fridriksson et al. (2009, 2010))
Is age reported for patients and controls, and matched?Yes (mean 59.7 ± 12.3 years)
Is sex reported for patients and controls, and matched?Yes (males: 12; females: 14)
Is handedness reported for patients and controls, and matched?No
Is time post stroke onset reported and appropriate to the study design?Yes (> 8 months; actual TPO not stated)
To what extent is the nature of aphasia characterized?Severity and type
Language evaluationWAB
Aphasia severityAQ mean 60.4 ± 25.6 (including excluded patients)
Aphasia type11 anomic, 10 Broca's, 3 conduction, 1 transcortical motor, 1 Wernicke's (including excluded patients)
First stroke only?Yes
Stroke typeIschemic only
To what extent is the lesion distribution characterized?Lesion overlay
Lesion extentNot stated
Lesion locationL MCA
Participants notesDemographic data includes excluded patients

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/~4 weeks later; note that there were two separate sessions per time point, as well as another two sessions midway through treatment that are not analyzed in this paper
If longitudinal, was there any intervention between the time points?Anomia treatment using a cueing hierarchy, 3 hours/day, 5 days/week, 2 weeks, with a 1-week gap between the two weeks
Is the scanner described?Yes (Siemens Trio 3 Tesla)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?No (timing of stimuli within the silent periods is unclear)
Design typeEvent-related
Total images acquired120
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 notessparse sampling

Conditions

Are the conditions clearly described?Yes
ConditionResponse typeRepetitionsAll groups could do?All individuals could do?
picture namingWord (overt)80YesUnknown
viewing abstract picturesNone40N/AN/A
Conditions notesPatients with fewer than 5 correct responses in any session were excluded; there were probably some patients who made 5 or more correct responses but less than 10%, but this is not reported

Contrasts

Are the contrasts clearly described?Yes

Contrast 1: picture naming (correct trials) vs viewing abstract pictures

Language conditionPicture naming (correct trials)
Control conditionViewing abstract pictures
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?No
Are activations lateralized in the control data?Somewhat
Control activation notesControl data in Fridriksson et al. (2007); motor activations are prominent; there is some L frontal activation but little temporal activation in either hemisphere.
Contrast notes

Analyses

Are the analyses clearly described?Yes

Voxelwise analysis 1

First level contrastPicture naming (correct trials) vs viewing abstract pictures
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?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 with with GRFT and lenient voxelwise p
SoftwareFSL 4.1
Voxelwise p~.01 (z > 2.3)
Cluster extentBased on GRFT
Statistical details
Findings↑ L dorsolateral prefrontal cortex
↑ L ventral precentral/inferior frontal junction
↑ L supramarginal gyrus
↑ L intraparietal sulcus
↑ L superior parietal
↑ L precuneus
Findings notesActivated regions were on the borders on the lesion distribution in the 19 included patients

Notes

Excluded analyses