Aphasia Neuroplasticity Review

Sharp et al. (2010)

Reference

AuthorsSharp DJ, Turkheimer FE, Bose SK, Scott SK, Wise RJ
TitleIncreased frontoparietal integration after stroke and cognitive recovery
ReferenceAnn Neurol 2010; 68: 753-756
PMID20687116
DOI10.1002/ana.21866

Participants

LanguageUK English
Inclusion criteriaLesion in vicinity of L STG; no extensive frontal damage; no inferior temporal damage; able to perform tasks
Number of individuals with aphasia9
Number of control participants18
Were any of the participants included in any previous studies?Yes (additional analysis of same dataset as Sharp et al. (2004))
Is age reported for patients and controls, and matched?Yes (median 58 years, range 39-72 years)
Is sex reported for patients and controls, and matched?Yes (males: 8; females: 1)
Is handedness reported for patients and controls, and matched?Yes (right: 9; left: 0)
Is time post stroke onset reported and appropriate to the study design?Yes (mean 45 months, range 14-145 months)
To what extent is the nature of aphasia characterized?Severity only
Language evaluationSubtests from CAT, subtests from PALPA, Action for dysphasic adults, TROG, PPT
Aphasia severityMild
Aphasia typeNot stated
First stroke only?Yes
Stroke typeNot stated
To what extent is the lesion distribution characterized?Lesion overlay
Lesion extentNot stated
Lesion locationLesion in vicinity of L STG; no extensive frontal damage; no inferior temporal damage
Participants notes

Imaging

ModalityPET (rCBF)
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 HR++ 966)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?Yes
Design typePET
Total images acquired16
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?
semantic decisionWord (overt)aphasia: 8; control: 4YesYes
syllable count decisionWord (overt)aphasia: 8; control: 4YesUnknown
semantic decision (noise vocoded) (control only)Word (overt)4 (control)YesYes
syllable count decision (noise vocoded) (control only)Word (overt)4 (control)YesYes
Conditions notesSeems the response was a spoken word, but this is not stated explicitly; assuming all individuals could do the semantic task because this was an inclusion criterion and behavioral data (PPT) supports, but not sure about the phonological task

Contrasts

Are the contrasts clearly described?Yes

Contrast 1: semantic decision (clear in patients; average of clear and noise vocoded in controls) vs syllable count decision (clear in patients; average of clear and noise vocoded in controls)

Language conditionSemantic decision (clear in patients; average of clear and noise vocoded in controls)
Control conditionSyllable count decision (clear in patients; average of clear and noise vocoded in controls)
Are the conditions matched for visual demands?Yes
Are the conditions matched for auditory demands?Yes
Are the conditions matched for motor demands?Yes
Are the conditions matched for cognitive/executive demands?Yes
Is accuracy matched between the language and control tasks for all relevant groups?No, different
Is reaction time matched between the language and control tasks for all relevant groups?No, different
Behavioral data notesSignificant differences per Sharp et al. (2004)
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?Somewhat
Are activations lateralized in the control data?Yes
Control activation notesNot stated exactly what contrast was used in controls
Contrast notes

Analyses

Are the analyses clearly described?Yes

ROI analysis 1

First level contrastSemantic decision (clear in patients; average of clear and noise vocoded in controls) vs syllable count decision (clear in patients; average of clear and noise vocoded in controls)
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?No, but attempt made
Is reaction time matched across the second level contrast?Appear similar
Behavioral data notesAccuracy and RT were not significantly different for the semantic task; statistics are not reported for the syllable counting task, but the data provided suggest that accuracy was probably not matched, while RT probably was
Type of analysisRegions of interest (ROI)
ROI typeOther
How many ROIs are there?12
What are the ROI(s)?Functional connectivity between pairs of spared nodes of the L hemisphere semantic network and R hemisphere homotopic regions: (1) L SFG-L AG; (2) L SFG-L IFG; (3) L SFG-L IT; (4) L AG-L IFG; (5) L AG-L IT; (6) L IFG-L IT; (7-12) homotopic counterparts
How are the ROI(s) defined?Partial correlations between nodes
Correction for multiple comparisonsNo direct comparison
Statistical details
FindingsOther
Findings notesPatients showed greater connectivity between L SFG and L AG than controls while performing the semantic task; this was not the case for the syllable counting task, however connectivity during performance of the two tasks was not compared directly

Notes

Excluded analyses(1) correlations between connection strength of AG-IT and language performance, because there was no functional control condition; (2) controls showed greater connectivity between L SFG and L AG while performing the semantic task with noise vocoded speech relative to clear speech, supporting the interpretation that greater connectivity reflects effortful processing