Aphasia Neuroplasticity Review

Wright et al. (2012)

Reference

AuthorsWright P, Stamatakis EA, Tyler LK
TitleDifferentiating hemispheric contributions to syntax and semantics in patients with left-hemisphere lesions
ReferenceJ Neurosci 2012; 32: 8149-8157
PMID22699896
DOI10.1523/jneurosci.0485-12.2012

Participants

LanguageUK English
Inclusion criteria
Number of individuals with aphasia21
Number of control participants21
Were any of the participants included in any previous studies?Yes (unclear how many, if any, patients were included in previous studies from this group; design is identical to Tyler et al. (2010))
Is age reported for patients and controls, and matched?Yes (mean 57.4 ± 12.5 years)
Is sex reported for patients and controls, and matched?Yes (males: 15; females: 6)
Is handedness reported for patients and controls, and matched?Yes (right: 21; left: 0)
Is time post stroke onset reported and appropriate to the study design?Yes (mean 6.5 ± 7.5 years, > 1.4 years)
To what extent is the nature of aphasia characterized?Not at all
Language evaluationSentence-picture matching
Aphasia severityNot stated
Aphasia typeNot stated
First stroke only?Yes
Stroke typeNot stated
To what extent is the lesion distribution characterized?Lesion overlay
Lesion extentNot stated
Lesion locationL MCA
Participants notes3 of the 21 patients were not stroke, but were post resective surgery

Imaging

ModalityfMRI
Is the study cross-sectional or longitudinal?Cross-sectional
If longitudinal, at what time point(s) were imaging data acquired?
If longitudinal, was there any intervention between the time points?
Is the scanner described?Yes (Siemens Trio 3 Tesla)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?No* (moderate limitation) (there was only one block per condition per run, so condition could be confounded with low frequency drift; also, the length of the sentences is not stated so it is unclear how well the HRF peak aligns with the sparse acquisitions)
Design typeBlock
Total images acquired69
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?
listening to normal sentences and detecting a target wordButton press2YesYes
listening to grammatical but meaningless sentences and detecting a target wordButton press2YesYes
listening to scrambled sentences and detecting a target wordButton press2YesYes
listening to "musical rain" and detecting a period of white noiseButton press2YesYes
restNone2N/AN/A
Conditions notesAuditory presentation; target detection task with early and late targets; 12-15 trials per block with single sparse acquisition each, but only one block of each condition per run, in fixed order

Contrasts

Are the contrasts clearly described?Yes

Contrast 1: listening to normal sentences and detecting a target word vs rest

Language conditionListening to normal sentences and detecting a target word
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?Yes
Does the contrast selectively activate plausible relevant language regions in the control group?No
Are activations lateralized in the control data?No
Control activation notesBilateral superior temporal, sensorimotor and visual
Contrast notes

Contrast 2: listening to grammatical but meaningless sentences and detecting a target word vs rest

Language conditionListening to grammatical but meaningless sentences and detecting a target word
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 notes

Analyses

Are the analyses clearly described?Yes

Voxelwise analysis 1

First level contrastListening to normal sentences and detecting a target word vs rest
Analysis classCross-sectional aphasia vs control
Group(s)Aphasia vs control
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?Yes, matched
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsNo correction
SoftwareSPM5
Voxelwise p.01
Cluster extent
Statistical details
Findings↓ L posterior STG/STS/MTG
↓ L Heschl's gyrus
↓ L mid temporal
Findings notesAt a more stringent threshold of p < .001, with correction for multiple comparisons based on GRFT and cluster extent, only L HG showed reduced activity in patients

Complex analysis 1

First level contrastListening to normal sentences and detecting a target word vs rest
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia
CovariateSee statistical details
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?Unknown, not reported
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisComplex
Statistical detailsJoint ICA was performed on structural and functional contrast images for each of the two contrasts using FIT 2.0b. Seven components were derived, of which 2 were further investigated since their loadings correlated with relevant behavioral measures. Functional components were thresholded at p < .001, cluster-corrected for multiple comparisons, minimum cluster extent = 1.27 cc. Component 1 was considered a "semantics component" because it correlated with the semantic behavioral measure and not with either of the two syntactic measures. This component did not have any anatomical aspect to it. Component 2 was considered a "syntax component" because it correlated with both syntactic behavioral measures and not with the semantic measure. This conceptualization seems somewhat speculative, given that WPE NP and WPE AP are rather indirect measures of syntactic and semantic processing. Component 2 involved damage to left frontal and insular cortex, and underlying dorsal white matter.
FindingsOther
Findings notesContrast 1 loaded primarily on the R STG for component 1 (the "semantics component") and on the L ITG for component 2 (the "syntax component").

Complex analysis 2

First level contrastListening to grammatical but meaningless sentences and detecting a target word vs rest
Analysis classCross-sectional correlation with language or other measure
Group(s)Aphasia
CovariateSee statistical details
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?Unknown, not reported
Is reaction time matched across the second level contrast?Unknown, not reported
Behavioral data notes
Type of analysisComplex
Statistical detailsJoint ICA was performed on structural and functional contrast images for each of the two contrasts using FIT 2.0b. Seven components were derived, of which 2 were further investigated since their loadings correlated with relevant behavioral measures. Functional components were thresholded at p < .001, cluster-corrected for multiple comparisons, minimum cluster extent = 1.27 cc. Component 1 was considered a "semantics component" because it correlated with the semantic behavioral measure and not with either of the two syntactic measures. This component did not have any anatomical aspect to it. Component 2 was considered a "syntax component" because it correlated with both syntactic behavioral measures and not with the semantic measure. This conceptualization seems somewhat speculative, given that WPE NP and WPE AP are rather indirect measures of syntactic and semantic processing. Component 2 involved damage to left frontal and insular cortex, and underlying dorsal white matter.
FindingsOther
Findings notesContrast 2 loaded primarily on the R posterior STG for component 1 (the "semantics component") and on the L posterior STG and L IFG for component 2 (the "syntax component").

Notes

Excluded analyses