Evidence map›Paper›PMID 26399192›Full record

Trial reportMedical science monitor : international medical journal of experimental and clinical research2015

Constraint-Induced Aphasia Therapy for Treatment of Chronic Post-Stroke Aphasia: A Randomized, Blinded, Controlled Pilot Trial.

Jerzy P Szaflarski, Angel L Ball, Jennifer Vannest, Aimee R Dietz, Jane B Allendorfer, Amber N Martin, Kimberly Hart, Christopher J Lindsell

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical science monitor : international medical journal of experimental and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Neuroimaging Correlates of Post-Stroke Aphasia Rehabilitation in a Pilot Randomized Trial of Constraint-Induced Aphasia Therapy.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Trial
  7. Article
  8. Article
  9. Review
  10. Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke.Current neurology and neuroscience reports · 2022
    Review
  11. Article
  12. Article
  13. Speech Entrainment for Aphasia Recovery (SpARc) phase II trial design.Contemporary clinical trials communications · 2021
    Article
  14. Review
  15. Article
  16. Is Aphasia Treatment Beneficial for the Elderly? A Review of Recent Evidence.Current physical medicine and rehabilitation reports · 2020
    Article
  17. Review
  18. Constrained-Induced Dysarthria Therapy: Case Report.Annals of rehabilitation medicine · 2019
    Article
  19. Article
  20. Article
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

8 authors at 5 institutions in 1 country.

Jerzy P SzaflarskiDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Angel L BallDepartment of Clinical Health Sciences, Texas A&M University Kingsville, Kingsville, TX, USA.
Jennifer VannestDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Aimee R DietzDepartment of Communication Sciences and Disorders, College of Allied Health Sciences, University of Cincinnati, Cincinnati, OH, USA.
Jane B AllendorferDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Amber N MartinDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Kimberly HartDepartment of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA.
Christopher J LindsellDepartment of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA.
University of Alabama at Birmingham · USUniversity of Cincinnati · USCincinnati Children's Hospital Medical Center · USTexas A&M University – Kingsville · USUniversity of Cincinnati Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
fMRI of Language Recover Following Stroke in AdultsR01NS048281 · NINDS · UNIVERSITY OF CINCINNATI · PI SZAFLARSKI, JERZY P · 2008 to 2012
$2.3M
NCATS NIH HHS UL1 TR001425NCRR NIH HHS UL1 RR026314NCRR NIH HHS UL1-RR026314NINDS NIH HHS R01 NS 048281NINDS NIH HHS R01 NS048281
6 · The paper itself

Abstract

backgroundTo provide a preliminary estimate of efficacy of constraint-induced aphasia therapy (CIAT) when compared to no-intervention in patients with chronic (>1 year) post-stroke aphasia in order to plan an appropriately powered randomized controlled trial (RCT). MATERIAL AND

methodsWe conducted a pilot single-blinded RCT. 24 patients were randomized: 14 to CIAT and 10 to no-intervention. CIAT groups received up to 4 hours/day of intervention for 10 consecutive business days (40 hours or therapy). Outcomes were assessed within 1 week of intervention and at 1 and 12 weeks after intervention and included several linguistic measures and a measure of overall subjective communication abilities (mini-Communicative Abilities Log (mini-CAL)). Clinicians treating patients (CIAT group) did not communicate with other team members to maintain blinding and the testing team members were blinded to treatment group assignment.

resultsOverall, the results of this pilot RCT support the results of previous observational studies that CIAT may lead to improvements in linguistic abilities. At 12 weeks, the treatment group reported better subjective communication abilities (mini-CAL) than the no-intervention group (p=0.019). Other measures trended towards better performance in the CIAT group.

conclusionsIn this pilot RCT intensive language therapy led to an improvement in subjective language abilities. The effects demonstrated allow the design of a definitive trial of CIAT in patients with a variety of post-stroke aphasia types. In addition, our experiences have identified important considerations for designing subsequent trial(s) of CIAT or other interventions for post-stroke aphasia.

Indexed as

Stroke RehabilitationAdultAgedAphasiaChronic DiseaseCommunicationFemaleHumansLanguage TherapyMaleMiddle AgedNeuropsychological TestsPilot ProjectsResearch DesignSingle-Blind MethodStroke

Identifiers

PMID26399192
PMCPMC4588672
OpenAlexW2205393449

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.