Evidence map›Paper›PMID 34406705›Full record

ArticleAnnals of clinical and translational neurology2021

Cortical microstructural changes associated with treated aphasia recovery.

Allen J Chang, Janina Wilmskoetter, Julius Fridriksson, Emilie T McKinnon, Lorelei P Johnson, Alexandra Basilakos, Jens H Jensen, Chris Rorden, Leonardo Bonilha

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 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. Review
  3. Using unsupervised dimensionality reduction to identify lesion patterns predictive of post-stroke aphasia severity.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Longitudinal Progression of White Matter Hyperintensity Severity in Chronic Stroke Aphasia.Archives of rehabilitation research and clinical translation · 2023
    Article
  8. Article
  9. Diabetes, brain health, and treatment gains in post-stroke aphasia.Cerebral cortex (New York, N.Y. : 1991) · 2023
    Article
  10. 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

9 authors at 2 institutions in 1 country.

Allen J ChangCollege of Graduate Studies, Neuroscience Institute, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0001-8483-3226
Janina WilmskoetterDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-1083-7301
Julius FridrikssonDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia, South Carolina, USA.
Emilie T McKinnonDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Lorelei P JohnsonDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia, South Carolina, USA.
Alexandra BasilakosDepartment of Communication Sciences and Disorders, University of South Carolina, Columbia, South Carolina, USA.ORCID 0000-0003-0053-1082
Jens H JensenDepartment of Neuroscience, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Chris RordenDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA.
Leonardo BonilhaDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Medical University of South Carolina · USUniversity of South Carolina · US

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HICKOK, GREGORY · 2016 to 2025
$25.0M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
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
American Heart Association SFDRN26030003NIDCD NIH HHS DC011739NIDCD NIH HHS DC014021NIDCD NIH HHS DC014435NIDCD NIH HHS DC014664NIDCD NIH HHS P50 DC014664NIDCD NIH HHS R01 DC014021NIDCD NIH HHS T32 DC014435NIDCD NIH HHS U01 DC011739NIGMS NIH HHS P20 GM109040NIH HHS
6 · The paper itself

Abstract

objectivesTo investigate the hypothesis that language recovery in post-stroke aphasia is associated with structural brain changes.

methodsWe evaluated whether treatment-induced improvement in naming is associated with reorganization of tissue microstructure within residual cortical regions. To this end, we performed a retrospective longitudinal treatment study using comprehensive language-linguistic assessments and diffusion MRI sequences optimized for the assessment of complex microstructure (diffusional kurtosis imaging) to evaluate the relationship between language treatment response and cortical changes in 26 individuals with chronic stroke-induced aphasia. We employed elastic net statistical models controlling for baseline factors including age, sex, and time since the stroke, as well as lesion volume.

resultsWe observed that improved naming accuracy (Philadelphia Naming Test) was statistically associated with increased post-treatment microstructural integrity in the left posterior superior temporal gyrus. Moreover, increase in microstructural integrity in the left middle temporal gyrus and left inferior temporal gyrus was specifically associated with a decrease in semantic paraphasias. This longitudinal relationship between brain tissue integrity and language improvement was not observed in other non-language related brain regions.

interpretationOur findings provide evidence that structural brain changes in the preserved left hemisphere regions are associated with treatment-induced language recovery in aphasia and are part of the mechanisms supporting language and brain injury recovery.

Indexed as

Stroke RehabilitationAdultAgedAphasiaDiffusion Magnetic Resonance ImagingHumansLongitudinal StudiesMaleMiddle AgedOutcome Assessment, Health CarePsycholinguisticsRecovery of FunctionRetrospective StudiesStrokeTemporal Lobe

Identifiers

PMID34406705
PMCPMC8419405
OpenAlexW3193604285

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.