Evidence map›Paper›PMID 33719732›Full record

ArticleNeurorehabilitation and neural repair2021

Indirect White Matter Pathways Are Associated With Treated Naming Improvement in Aphasia.

Janina Wilmskoetter, Julius Fridriksson, Alexandra Basilakos, Lorelei Phillip Johnson, Barbara Marebwa, Chris Rorden, Graham Warner, Gregory Hickok, Argye E Hillis, Leonardo Bonilha

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07688551 (Transcranial Direct Current Stimulation to Treat Aphasia), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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.

NCT07688551 phase2 / phase3recruitingnot on this mapstarted 2026, after this paper: background citation

Transcranial Direct Current Stimulation to Treat Aphasia: A Superiority Study

TypeinterventionalSponsorUniversity of South CarolinaRan2026 to 2030Enrolled130ConditionsAphasia, Broca's AphasiaArmstDCS
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Digital Twin Model of Treatment Outcomes in Post-Stroke Aphasia.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. The elusive metric of lesion load.Brain structure & function · 2023
    Review
  9. Article
  10. Preserved anatomical bypasses predict variance in language functions after stroke.Cortex; a journal devoted to the study of the nervous system and behavior · 2022
    Article
  11. Article
  12. Cerebral blood flow in patients recovered from mild COVID-19.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

10 authors at 4 institutions in 1 country.

Janina WilmskoetterMedical University of South Carolina, Charleston, SC, USA.ORCID 0000-0002-1083-7301
Julius FridrikssonUniversity of South Carolina, Columbia, SC, USA.
Alexandra BasilakosUniversity of South Carolina, Columbia, SC, USA.ORCID 0000-0003-0053-1082
Lorelei Phillip JohnsonUniversity of South Carolina, Columbia, SC, USA.
Barbara MarebwaMedical University of South Carolina, Charleston, SC, USA.
Chris RordenUniversity of South Carolina, Columbia, SC, USA.
Graham WarnerMedical University of South Carolina, Charleston, SC, USA.
Gregory HickokUniversity of California, Irvine, CA, USA.
Argye E HillisJohns Hopkins University, Baltimore, MD, USA.
Leonardo BonilhaMedical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USUniversity of South Carolina · USJohns Hopkins University · USUniversity of California, Irvine · US

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2016 to 2025
$25.0M
Neural Basis of Lexical Deficits in Hyperacute StrokeR01DC005375 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI Argye E. Hillis · 2002 to 2026
$11.8M
Cortical and Subcortical Organization of Language-Related Semantic Processing in Alzheimer's DiseaseR01DC014021 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BONILHA, LEONARDO F · 2014 to 2023
$4.7M
Trans-cranial Direct Current Stimulation to Treat Aphasia: Phase II TrialU01DC011739 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2012 to 2016
$4.4M
Interdisciplinary Research Training in Otolaryngology and Communication SciencesT32DC014435 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DUBNO, JUDY R · 2015 to 2024
$2.9M
NIDCD NIH HHS P50 DC014664NIDCD NIH HHS R01 DC005375NIDCD NIH HHS R01 DC014021NIDCD NIH HHS T32 DC014435NIDCD NIH HHS U01 DC011739
6 · The paper itself

Abstract

backgroundWhite matter disconnection of language-specific brain regions associates with worse aphasia recovery. Despite a loss of direct connections, many stroke survivors may maintain indirect connections between brain regions.

objectiveTo determine (1) whether preserved direct connections between language-specific brain regions relate to better poststroke naming treatment outcomes compared to no direct connections and (2) whether for individuals with a loss of direct connections, preserved indirect connections are associated with better treatment outcomes compared to individuals with no connections.

methodsWe computed structural whole-brain connectomes from 69 individuals with chronic left-hemisphere stroke and aphasia who completed a 3-week-long language treatment that was supplemented by either anodal transcranial direct current stimulation (A-tDCS) or sham stimulation (S-tDCS). We determined differences in naming improvement between individuals with direct, indirect, and no connections using 1-way analyses of covariance and multivariable linear regressions.

resultsIndependently of tDCS modality, direct or indirect connections between the inferior frontal gyrus pars opercularis and angular gyrus were both associated with a greater increase in correct naming compared to no connections (

conclusionsPoststroke preservation of indirect white matter connections is associated with better treated naming improvement in aphasia even when direct connections are damaged. This mechanistic information can be used to stratify and predict treated naming recovery in individuals with aphasia.

Indexed as

Stroke RehabilitationTranscranial Direct Current StimulationAdultAgedAphasiaChronic DiseaseHumansIschemic StrokeMagnetic Resonance ImagingMiddle AgedNerve NetNeural PathwaysOutcome Assessment, Health CareWhite Matteraphasiabrain connectomicsmagnetic resonance imagingrehabilitationstrokewhite matter

Identifiers

PMID33719732
PMCPMC8068606
OpenAlexW3134889061

What OpenQuestion holds

Textmetadata
LicenceTDM
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.