Evidence map›Paper›PMID 15733022›Full record

ReviewDrugs & aging2005

Poststroke aphasia : epidemiology, pathophysiology and treatment.

Marcelo L Berthier

5 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Drugs & aging, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 166 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed, 13 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00196690 phase4completednot on this map

Treatment With Donepezil of Chronic Aphasia and Sensorimotor Deficits Associated to Cerebrovascular Accidents: a Double-Blind,Placebo-Controlled, Randomized Parallel Trial.

TypeinterventionalSponsorGabinete Berthier y MartínezRan2003 to 2005Enrolled30ConditionsStroke, AphasiaArmsDonepezil
NCT02615132 nacompletednot on this mapstarted 2015, after this paper: background citation

TeleRehab for Patients With Post-Stroke Communication Deficits Using Mobile Technology

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2015 to 2017Enrolled20ConditionsStrokeArmsiPad
NCT03588572 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomized, Single Blind, Controlled, Longitudinal Study of the Effects of Venlafaxine Hydrochloride Capsules on the Language Function of Stroke Patients With Subcortical Aphasia Using fMRI

TypeinterventionalSponsorGuangzhou General Hospital of Guangzhou Military CommandRan2018 to 2019Enrolled43ConditionsSubcortical Aphasia, Ischemic StrokeArmsVenlafaxine hydrochloride capsules
NCT03668132 completednot on this mapstarted 2016, after this paper: background citation

The Language Functional Reorganization Following Subcortical Cerebral Infarction: A Longitudinal fMRI Study

TypeobservationalSponsorGuangzhou General Hospital of Guangzhou Military CommandRan2016 to 2017Enrolled80ConditionsSubcortical Aphasia, Ischemic StrokeArmsischemic brain damage
NCT04134416 phase3completednot on this mapstarted 2019, after this paper: background citation

Effects of Combining Donepezil, Intensive Language Rehabilitation and Transcranial Direct Current Stimulation on Language Recovery and Brain Reorganization in Chronic Post-stroke Aphasia

TypeinterventionalSponsorUniversity of MalagaRan2019 to 2020Enrolled20ConditionsAphasia, StrokeArmsDonepezil, Intensive-Language Action Therapy, Transcranial direct current stimulation
3 · Its place in the literature

Who cites it

166 citing papers in PubMed, 13 syntheses or guidelines pooled it, 440 citations in OpenAlex.

  1. Rehabilitation interventions for Wernicke's aphasia and related fluent aphasia: A systematic review of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Cognitive impairment after a stroke in young adults: A systematic review and meta-analysis.International journal of stroke : official journal of the International Stroke Society · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. The effect of music therapy on language recovery in patients with aphasia after stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  10. Pooled it
  11. Effects of virtual reality in post-stroke aphasia: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

106 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Marcelo L BerthierCentro de Investigaciones Médico-Sanitarias (CIMES), Departamento de Medicina, Universidad de Málaga, Campus Universitario Teatinos, University of Málaga, Málaga, Spain.
Universidad de Málaga · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aphasia, the loss or impairment of language caused by brain damage, is one of the most devastating cognitive impairments of stroke. Aphasia is present in 21-38% of acute stroke patients and is associated with high short- and long-term morbidity, mortality and expenditure. Recovery from aphasia is possible even in severe cases. While speech-language therapy remains the mainstay treatment of aphasia, the effectiveness of conventional therapies has not been conclusively proved. This has motivated attempts to integrate knowledge from several domains in an effort to plan more rational therapies and to introduce other therapeutic strategies, including the use of intensive language therapy and pharmacological agents. Several placebo-controlled trials suggest that piracetam is effective in recovery from aphasia when started soon after the stroke, but its efficacy vanishes in patients with chronic aphasia. Drugs acting on catecholamine systems (bromocriptine, dexamfetamine) have shown varying degrees of efficacy in case series, open-label studies and placebo-controlled trials. Bromocriptine is useful in acute and chronic aphasias, but its beneficial action appears restricted to nonfluent aphasias with reduced initiation of spontaneous verbal messages. Dexamfetamine improves language function in subacute aphasia and the beneficial effect is maintained in the long term, but its use is restricted to highly selected samples. Pharmacological agents operating on the cholinergic system (e.g. donepezil) have shown promise. Data from single-case studies, case series and an open-label study suggest that donepezil may have beneficial effects on chronic poststroke aphasia. Preliminary evidence suggests that donepezil is well tolerated and its efficacy is maintained in the long term. Randomised controlled trials of donepezil and other cholinergic agents in poststroke aphasia are warranted.

Indexed as

AdultAgedAphasiaClinical Trials as TopicHumansMiddle AgedStroke

Identifiers

PMID15733022
OpenAlexW1995425807

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.