Evidence map›Paper›PMID 21845354›Full record

ReviewNeuropsychology review2011

Drug therapy of post-stroke aphasia: a review of current evidence.

Marcelo L Berthier, Friedemann Pulvermüller, Guadalupe Dávila, Natalia García Casares, Antonio Gutiérrez

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Neuropsychology review, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 17% 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.

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
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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Diagnosing and managing post-stroke aphasia.Expert review of neurotherapeutics · 2021
    Trial
  7. Trial
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Outcomes in Patients with Minor Stroke: Diagnosis and Management in the Post-thrombectomy Era.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  15. Article
  16. Review
  17. A Global Multiregional Proteomic Map of the Human Cerebral Cortex.Genomics, proteomics & bioinformatics · 2022
    Article
  18. Review
  19. Review
  20. Review
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

5 authors at 2 institutions in 2 countries.

Marcelo L BerthierUnit of Cognitive Neurology and Aphasia, Centro de Investigaciones Médico-Sanitarias (CIMES), University of Malaga, C/Marques de Beccaria 3, 29010 Malaga, Spain. mbt@uma.es
Friedemann Pulvermüller
Guadalupe Dávila
Natalia García Casares
Antonio Gutiérrez
Universidad de Málaga · ESMedical Research Council · GB

Funding

Medical Research Council MC_U105580445Medical Research Council MC_US_A060_0034Medical Research Council U1055.04.003.00001.01
6 · The paper itself

Abstract

This review considers the role of drug therapy in the treatment of post-stroke aphasia, the evidence for efficacy of different agents, and the theory-based explanations of drug-related benefits for aphasia rehabilitation. Pharmacological interventions modulating stroke-induced disruption of diverse neurotransmitters may improve language and communication deficits in aphasic patients through facilitation of brain plasticity and long-term potentiation. However, benefits are not evident for all compounds and refinement in clinical trial designs is required. Some pharmacological trials have failed because drug treatment was not combined with speech-language therapy, while other trials combining drugs with intensive model-driven therapies also failed probably because of short-trial duration, inadequate sample selection, or lack of drug action. Preliminary data reveals that combining neuroscience-based intensive aphasia techniques (constraint-induced aphasia therapy) and drugs acting on cholinergic and glutamatergic neurotransmitter systems are associated with better outcomes than other strategies and long-term maintenance of benefits. Although further studies are needed, current state of the evidence suggests that drug therapy may play a key role in the treatment of post-stroke aphasia.

Indexed as

AphasiaBrainHumansMemantineNeurotransmitter AgentsNootropic AgentsStrokeMemantineNeurotransmitter AgentsNootropic Agents

Identifiers

PMID21845354
OpenAlexW2032982103

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.