Aphasia Neuroplasticity Review

Heiss et al. (1997)

Reference

AuthorsHeiss WD, Kessler J, Karbe H, Fink GR, Pawlik G
TitleSpeech-induced cerebral metabolic activation reflects recovery from aphasia
ReferenceJ Neurol Sci 1997; 145: 213-217
PMID9094051
DOI10.1016/s0022-510x(96)00252-3

Participants

LanguageGerman
Inclusion criteria
Number of individuals with aphasia6
Number of control participants6
Were any of the participants included in any previous studies?No
Is age reported for patients and controls, and matched?Yes (range 33-66 years)
Is sex reported for patients and controls, and matched?Yes (males: 4; females: 2)
Is handedness reported for patients and controls, and matched?Yes (right: 6; left: 0)
Is time post stroke onset reported and appropriate to the study design?Yes (T1: ~4 weeks; T2: ~12-18 months)
To what extent is the nature of aphasia characterized?Severity only
Language evaluationVerbal repetition, confrontation naming, oral and written comprehension, reading abilities, TT, phonemic fluency, clinical impression, family interview
Aphasia severityT1: TT range 37-48; T2: TT range 3-39 (1 missing)
Aphasia typeT1: 5 global, 1 Wernicke's; T2: not stated
First stroke only?Yes
Stroke typeIschemic only
To what extent is the lesion distribution characterized?Individual lesions
Lesion extentRange 27.2-133.2 cc
Lesion locationL MCA; 5 patients had superior temporal damage and 1 had subcortical damage underlying posterior superior temporal cortex
Participants notes

Imaging

ModalityPET (rCMRgl)
Is the study cross-sectional or longitudinal?Longitudinal—recovery
If longitudinal, at what time point(s) were imaging data acquired?T1: ~4 weeks; T2: ~12-18 months
If longitudinal, was there any intervention between the time points?Not stated
Is the scanner described?Yes (Siemens ECAT EXACT HR)
Is the timing of stimulus presentation and image acquisition clearly described and appropriate?Yes
Design typePET
Total images acquired2
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?N/A—no intersubject normalization
Imaging notes

Conditions

Are the conditions clearly described?No (no information about repetition rate, or whether repetition was overt or covert)
ConditionResponse typeRepetitionsAll groups could do?All individuals could do?
word repetitionWord (overt)1UnknownUnknown
restNone1N/AN/A
Conditions notes

Contrasts

Are the contrasts clearly described?Yes

Contrast 1: word repetition vs rest

Language conditionWord repetition
Control conditionRest
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?No
Control activation notesThe only control data is extent of activation and mean signal increase in L and R superior temporal cortex; both of these measures were slightly L-lateralized
Contrast notes

Analyses

Are the analyses clearly described?Yes

Voxelwise analysis 1

First level contrastWord repetition vs rest
Analysis classLongitudinal between two groups with aphasia
Group(s)(Aphasia with good recovery (n = 3) T2 vs T1) vs (aphasia with poor recovery (n = 3) T2 vs T1)
Covariate
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Somewhat (TT not optimal measure of overall language function)
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 analysisVoxelwise
Search volumeWhole brain
Correction for multiple comparisonsNo direct comparison
Softwarenot stated
Voxelwise p
Cluster extent
Statistical detailsQualitative generalization across individuals on pp. 214-6
Findings↑ L posterior STG/STS/MTG
↓ R posterior STG/STS/MTG
Findings notesThe consistent aspects of the findings were that there was an emergence of L posterior temporal activation in patients with better recovery, and R posterior temporal activation in patients with worse recovery

ROI analysis 1

First level contrastWord repetition vs rest
Analysis classLongitudinal between two groups with aphasia
Group(s)(Aphasia with good recovery (n = 3) T2 vs T1) vs (aphasia with poor recovery (n = 3) T2 vs T1)
Covariate
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved?Somewhat (TT not optimal measure of overall language function)
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 analysisRegions of interest (ROI)
ROI typeAnatomical
How many ROIs are there?2
What are the ROI(s)?(1) L superior temporal cortex; (2) R superior temporal cortex
How are the ROI(s) defined?Individual anatomical images; activation quantified in terms of extent exceeding 10% signal change, and mean % increase over the activation
Correction for multiple comparisonsNo direct comparison
Statistical detailsQualitative generalization across individuals on pp. 214, 216
Findings↑ L posterior STG/STS/MTG
↑ L Heschl's gyrus
Findings notes

Notes

Excluded analyses