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—We are honored by Dr Wertz' concise response to our article; we shall not debate his conclusion that we have "completed one of the more carefully conducted aphasia treatment studies."First, our patients were randomly selected for treatment modality after they had been ascertained to meet entry criteria, to be not too sick, and not too well, and willing to provide informed consent. No ethical clinical research can be accomplished otherwise. Second, our shift to unequal assignment to treatment categories during the last phases of case recruitment in order to equalize groups was planned at the outset. The gender ratios in our two treatment groups were not significantly different (statistically). We did not make a big deal about social milieu because the variation between the randomized groups was obviously negligible, and because there was no reasonable way of measuring differences among nursing homes or among different families. Third, all "new
Landau WM, Hartman JS. Aphasia Therapy Works-Reply. Arch Neurol. 1988;45(4):373. doi:10.1001/archneur.1988.00520280015006