Evidence map›Paper›PMID 29273692›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2018

Efficacy of intensive aphasia therapy in patients with chronic stroke: a randomised controlled trial.

Benjamin Stahl, Bettina Mohr, Verena Büscher, Felix R Dreyer, Guglielmo Lucchese, Friedemann Pulvermüller

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04318951 (Impact of Intensive Social Interaction on Post-Stroke Depression in Individuals With Aphasia), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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.

NCT04318951 nacompletednot on this mapstarted 2020, after this paper: background citation

Impact of Intensive Social Interaction on Post-Stroke Depression in Individuals With Aphasia

TypeinterventionalSponsorUniversity Medicine GreifswaldRan2020 to 2022Enrolled60ConditionsPost-stroke Depression, Post-stroke AphasiaArmsIntensive communicative-pragmatic social interaction., Standard care.
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  9. Advances in Neuromodulation Techniques for Aphasia Rehabilitation: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
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  12. BMJ open · 2024
    Article
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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

6 authors at 3 institutions in 1 country.

Benjamin StahlDepartment of Neurology, Charité Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany.
Bettina MohrDepartment of Psychiatry, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Verena BüscherDepartment of Philosophy and Humanities, Brain Language Laboratory, Freie Universität Berlin, Berlin, Germany.
Felix R DreyerDepartment of Philosophy and Humanities, Brain Language Laboratory, Freie Universität Berlin, Berlin, Germany.
Guglielmo LuccheseDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.
Friedemann PulvermüllerDepartment of Philosophy and Humanities, Brain Language Laboratory, Freie Universität Berlin, Berlin, Germany.
Freie Universität Berlin · DECharité - Universitätsmedizin Berlin · DEMax Planck Institute for Human Cognitive and Brain Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecent evidence has fuelled the debate on the role of massed practice in the rehabilitation of chronic post-stroke aphasia. Here, we further determined the optimal daily dosage and total duration of intensive speech-language therapy.

methodsIndividuals with chronic aphasia more than 1 year post-stroke received Intensive Language-Action Therapy in a randomised, parallel-group, blinded-assessment, controlled trial. Participants were randomly assigned to one of two outpatient groups who engaged in either highly-intensive practice (Group I: 4 hours daily) or moderately-intensive practice (Group II: 2 hours daily). Both groups went through an initial waiting period and two successive training intervals. Each phase lasted 2 weeks. Co-primary endpoints were defined after each training interval.

resultsThirty patients-15 per group-completed the study. A primary outcome measure (Aachen Aphasia Test) revealed no gains in language performance after the waiting period, but indicated significant progress after each training interval (gradual 2-week

conclusionsOur results suggest no added value from more than 2 hours of daily speech-language therapy within 4 weeks. Instead, these results demonstrate that even a small 2-week increase in treatment duration contributes substantially to recovery from chronic post-stroke aphasia.

Indexed as

Language TherapySpeech TherapyAgedAphasiaChronic DiseaseFemaleHumansMaleMiddle AgedRecovery of FunctionStrokeTime FactorsTreatment Outcome

Identifiers

PMID29273692
PMCPMC6031278
OpenAlexW2780086059

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.