1
|
Scimeca M, Peñaloza C, Kiran S. Multilevel factors predict treatment response following semantic feature-based intervention in bilingual aphasia. BILINGUALISM (CAMBRIDGE, ENGLAND) 2024; 27:246-262. [PMID: 38586504 PMCID: PMC10993298 DOI: 10.1017/s1366728923000391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Abstract
Semantic feature-based treatments (SFTs) are effective rehabilitation strategies for word retrieval deficits in bilinguals with aphasia (BWA). However, few studies have prospectively evaluated the effects of key parameters of these interventions on treatment outcomes. This study examined the influence of intervention-level (i.e., treatment language and treatment sessions), individual-level (baseline naming severity and age), and stimulus-level (i.e., lexical frequency, phonological length, and phonological neighborhood density) factors on naming improvement in a treated and untreated language for 34 Spanish-English BWA who completed 40 hours of SFT. Results revealed significant improvement over time in both languages. In the treated language, individuals who received therapy in their L1 improved more. Additionally, higher pre-treatment naming scores predicted greater response to treatment. Finally, a frequency effect on baseline naming accuracy and phonological effects on accuracy over time were associated with differential treatment gains. These findings indicate that multilevel factors are influential predictors of bilingual treatment outcomes.
Collapse
Affiliation(s)
- Michael Scimeca
- Department of Speech, Language, and Hearing Sciences, Boston University, MA, USA
| | - Claudia Peñaloza
- Department of Cognition, Development and Educational Psychology, Faculty of Psychology, University of Barcelona, Barcelona, Spain
- Institute of Neurosciences, University of Barcelona, Barcelona, Spain
- Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain
| | - Swathi Kiran
- Department of Speech, Language, and Hearing Sciences, Boston University, MA, USA
| |
Collapse
|
2
|
Varkanitsa M, Kiran S. Insights gained over 60 years on factors shaping post-stroke aphasia recovery: A commentary on Vignolo (1964). Cortex 2024; 170:90-100. [PMID: 38123405 PMCID: PMC10962385 DOI: 10.1016/j.cortex.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 12/01/2023] [Accepted: 12/04/2023] [Indexed: 12/23/2023]
Abstract
Aphasia is an acquired language disorder resulting from brain injury, including strokes which is the most common etiology, neurodegenerative diseases, tumors, traumatic brain injury, and resective surgery. Aphasia affects a significant portion of stroke survivors, with approximately one third experiencing its debilitating effects in the long term. Despite its challenges, there is growing evidence that recovery from aphasia is possible, even in the chronic phase of stroke. Sixty years ago, Vignolo (1964) outlined the primary challenges confronted by researchers in this field. These challenges encompassed the absence of an objective evaluation of language difficulties, the scarcity of evidence regarding spontaneous aphasia recovery, and the presence of numerous variables that could potentially influence the process of aphasia recovery. In this paper, we discuss the remarkable progress that has been made in the assessment of language and communication in aphasia as well as in understanding the factors influencing post-stroke aphasia recovery.
Collapse
Affiliation(s)
| | - Swathi Kiran
- Center for Brain Recovery, Boston University, USA
| |
Collapse
|
3
|
Goral M, Norvik MI, Antfolk J, Agrotou I, Lehtonen M. Cross-language generalization of language treatment in multilingual people with post-stroke aphasia: A meta-analysis. BRAIN AND LANGUAGE 2023; 246:105326. [PMID: 37994828 DOI: 10.1016/j.bandl.2023.105326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 09/09/2023] [Accepted: 09/26/2023] [Indexed: 11/24/2023]
Abstract
Studies on the efficacy of language treatment for multilingual people with post-stroke aphasia and its generalization to untreated languages have produced mixed results. We conducted a systematic review and a meta-analysis to examine within- and cross-language treatment effects and the variables that affect them. We searched PubMed, PsycINFO, CINAHL, and Google Scholar (February 2020; January 2023), identifying 40 studies reporting on 1573 effect sizes from 85 individuals. We synthesized effect sizes for treatment outcomes using a multi-level model to correct for multiple observations from the same individuals. The results showed significant treatment effects, with robust within-language treatment effects and weaker cross-language treatment effects. Age of language acquisition of the treatment language predicted within-language and cross-language effects. Our results suggest that treating multilingual people with aphasia in one language may generalize to their other languages, especially following treatment in an early-acquired language and a later-learned language that became the language of immersion.
Collapse
Affiliation(s)
- Mira Goral
- Lehman College, The City University of New York, Bronx, NY, USA; The Graduate Center, The City University of New York, New York, NY, USA; MultiLing Center for Multilingualism in Society Across the Lifespan, Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway.
| | - Monica I Norvik
- MultiLing Center for Multilingualism in Society Across the Lifespan, Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway; Department of Acquired Brain Injury, Statped, Oslo, Norway
| | - Jan Antfolk
- Department of Psychology, Abo Akademi University, Turku, Finland
| | - Ioulia Agrotou
- The Graduate Center, The City University of New York, New York, NY, USA
| | - Minna Lehtonen
- MultiLing Center for Multilingualism in Society Across the Lifespan, Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway; Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland; Turku Brain and Mind Center, University of Turku, Turku, Finland
| |
Collapse
|
4
|
Alotaibi S, Alsaleh A, Wuerger S, Meyer G. Rapid neural changes during novel speech-sound learning: An fMRI and DTI study. BRAIN AND LANGUAGE 2023; 245:105324. [PMID: 37741162 DOI: 10.1016/j.bandl.2023.105324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 09/05/2023] [Accepted: 09/12/2023] [Indexed: 09/25/2023]
Abstract
While the functional and microstructural changes that occur when we learn new language skills are well documented, relatively little is known about the time course of these changes. Here a combined functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) study that tracks neural change over three days of learning Arabic phonetic categorization as a new language (L-training) is presented. Twenty adult native English-speaking (L-native) participants are scanned before and after training to perceive and produce L-training phonetic contrasts for one hour on three consecutive days. A third (Chinese) language is used as a control language (L-control). Behavioral results show significant performance improvement for L-training in both learnt tasks; the perception and production task. Imaging analysis reveals that, training-related hemodynamic fMRI signal and fractional anisotropy (FA) value increasing can be observed, in the left inferior frontal gyrus (LIFG) and positively correlated with behavioral improvement. Moreover, post training functional connectivity findings show a significant increasing between LIFG and left inferior parietal lobule for L-training. These results indicate that three hours of phonetic categorization learning causes functional and microstructural changes that are typically associated with much more long-term learning.
Collapse
Affiliation(s)
- Sahal Alotaibi
- Radiology Dept, Applied Medical Sciences, Taif University, Taif 21944, Saudi Arabia; Faculty of Health & Life Sciences, University of Liverpool, Liverpool L69 7ZA, United Kingdom
| | - Alanood Alsaleh
- Radiological Sciences Dept, Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sophie Wuerger
- Clinical and Cognitive Neuroscience Group, Dept of Psychology, University of Liverpool, Liverpool L69 7ZA, United Kingdom
| | - Georg Meyer
- Clinical and Cognitive Neuroscience Group, Dept of Psychology, University of Liverpool, Liverpool L69 7ZA, United Kingdom; Virtual Engineering Centre, Digital Innovation Facility, University of Liverpool, L69 3RF, United Kingdom.
| |
Collapse
|
5
|
Bihovsky A, Ben-Shachar M, Meir N. Language abilities, not cognitive control, predict language mixing behavior in bilingual speakers with aphasia. JOURNAL OF COMMUNICATION DISORDERS 2023; 105:106367. [PMID: 37579674 DOI: 10.1016/j.jcomdis.2023.106367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Revised: 07/14/2023] [Accepted: 07/14/2023] [Indexed: 08/16/2023]
Abstract
PURPOSE Language Mixing (LM) occurs among neurotypical bilinguals as well as among bilingual persons with aphasia (BiPWAs). The current study aimed to investigate whether LM in BiPWAs stems from a linguistic impairment, an impairment in cognitive control, or both. METHOD Twenty Russian-Hebrew-speaking BiPWAs were split into two groups based on aphasia severity (Severe/Moderate vs. Mild). Frequencies and patterns of LM in narrative production by BiPWAs in L1-Russian and in L2-Hebrew were analyzed. To investigate the underlying mechanisms of LM, all participants completed linguistic background questionnaires, the Bilingual Aphasia Test (BAT) in both languages, and a battery of 10 cognitive tests. RESULTS The results indicated an effect of aphasia severity and an effect of language. Higher LM frequency was observed in BiPWAs with severe/moderate aphasia symptoms as compared to BiPWAs with mild symptoms. In both groups, higher LM frequency was observed in L2-Hebrew narratives, the weaker post-stroke language for most participants in the sample. The results also showed qualitative LM differences in L1-Russsian and L2-Hebrew contexts. In L1-Russian narratives, BiPWAs mainly switched to L2-Hebrew nouns, while in L2-Hebrew narratives, they mainly inserted L1-Russian discourse markers and function words. CONCLUSIONS Linguistic factors such as pre- and post-stroke self-rated language proficiency and level of language impairment due to aphasia were found to predict LM frequency in L1-Russian and in L2-Hebrew. Cognitive abilities did not predict LM frequency. Based on our findings, we suggest that LM behavior in BiPWAs might be primarily related to language skills in L1 and L2, rather than to cognitive control impairments.
Collapse
Affiliation(s)
- Alina Bihovsky
- The Department of English Literature and Linguistics, Bar-Ilan University, Israel; The Sheba Rehabilitation Hospital, Israel.
| | - Michal Ben-Shachar
- The Department of English Literature and Linguistics, Bar-Ilan University, Israel; The Department of English Literature and Linguistics, The Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
| | - Natalia Meir
- The Department of English Literature and Linguistics, Bar-Ilan University, Israel; The Department of English Literature and Linguistics, The Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
| |
Collapse
|
6
|
Simic T, Desjardins MÈ, Courson M, Bedetti C, Houzé B, Brambati SM. Treatment-induced neuroplasticity after anomia therapy in post-stroke aphasia: A systematic review of neuroimaging studies. BRAIN AND LANGUAGE 2023; 244:105300. [PMID: 37633250 DOI: 10.1016/j.bandl.2023.105300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 05/02/2023] [Accepted: 06/21/2023] [Indexed: 08/28/2023]
Abstract
We systematically reviewed the literature on neural changes following anomia treatment post-stroke. We conducted electronic searches of CINAHL, Cochrane Trials, Embase, Ovid MEDLINE, MEDLINE-in-Process and PsycINFO databases; two independent raters assessed all abstracts and full texts. Accepted studies reported original data on adults with post-stroke aphasia, who received behavioural treatment for anomia, and magnetic resonance brain imaging (MRI) pre- and post-treatment. Search results yielded 2481 citations; 33 studies were accepted. Most studies employed functional MRI and the quality of reporting neuroimaging methodology was variable, particularly for pre-processing steps and statistical analyses. The most methodologically robust data were synthesized, focusing on pre- versus post-treatment contrasts. Studies more commonly reported increases (versus decreases) in activation following naming therapy, primarily in the left supramarginal gyrus, and left/bilateral precunei. Our findings highlight the methodological heterogeneity across MRI studies, and the paucity of robust evidence demonstrating direct links between brain and behaviour in anomia rehabilitation.
Collapse
Affiliation(s)
- Tijana Simic
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada; Département de Psychologie, Université de Montréal, 90 Vincent-d'Indy Avenue, Montréal, QC H2V 2S9, Canada; Hôpital du Sacré-Cœur de Montréal (HSCM), 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada.
| | - Marie-Ève Desjardins
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada; Département de Psychologie, Université de Montréal, 90 Vincent-d'Indy Avenue, Montréal, QC H2V 2S9, Canada; Hôpital du Sacré-Cœur de Montréal (HSCM), 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada
| | - Melody Courson
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada; Département de Psychologie, Université de Montréal, 90 Vincent-d'Indy Avenue, Montréal, QC H2V 2S9, Canada
| | - Christophe Bedetti
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada
| | - Bérengère Houzé
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada; Département de Psychologie, Université de Montréal, 90 Vincent-d'Indy Avenue, Montréal, QC H2V 2S9, Canada
| | - Simona Maria Brambati
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Queen Mary R.d., Montréal, QC H3W 1W4, Canada; Département de Psychologie, Université de Montréal, 90 Vincent-d'Indy Avenue, Montréal, QC H2V 2S9, Canada; Hôpital du Sacré-Cœur de Montréal (HSCM), 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada
| |
Collapse
|
7
|
Le Stanc L, Youssov K, Giavazzi M, Sliwinski A, Bachoud-Lévi AC, Jacquemot C. Language disorders in patients with striatal lesions: Deciphering the role of the striatum in language performance. Cortex 2023; 166:91-106. [PMID: 37354871 DOI: 10.1016/j.cortex.2023.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 03/22/2023] [Accepted: 04/13/2023] [Indexed: 06/26/2023]
Abstract
The classical neural model of language refers to a cortical network involving frontal, parietal and temporal regions. However, patients with subcortical lesions of the striatum have language difficulties. We investigated whether the striatum is directly involved in language or whether its role in decision-making has an indirect effect on language performance, by testing carriers of Huntington's disease (HD) mutations and controls. HD is a genetic neurodegenerative disease primarily affecting the striatum and causing language disorders. We asked carriers of the HD mutation in the premanifest (before clinical diagnosis) and early disease stages, and controls to perform two discrimination tasks, one involving linguistic and the other non-linguistic stimuli. We used the hierarchical drift diffusion model (HDDM) to analyze the participants' responses and to assess the decision and non-decision parameters separately. We hypothesized that any language deficits related to decision-making impairments would be reflected in the decision parameters of linguistic and non-linguistic tasks. We also assessed the relative contributions of both HDDM decision and non-decision parameters to the participants' behavioral data (response time and discriminability). Finally, we investigated whether the decision and non-decision parameters of the HDDM were correlated with brain atrophy. The HDDM analysis showed that patients with early HD have impaired decision parameters relative to controls, regardless of the task. In both tasks, decision parameters better explained the variance of response time and discriminability performance than non-decision parameters. In the linguistic task, decision parameters were positively correlated with gray matter volume in the ventral striatum and putamen, whereas non-decision parameters were not. Language impairment in patients with striatal atrophy is better explained by a deficit of decision-making than by a deficit of core linguistic processing. These results suggest that the striatum is involved in language through the modulation of decision-making, presumably by regulating the process of choice between linguistic alternatives.
Collapse
Affiliation(s)
- Lorna Le Stanc
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France; Université Paris Cité, LaPsyDÉ, CNRS, Paris, France
| | - Katia Youssov
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France; AP-HP, Centre de Référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, Créteil, France
| | - Maria Giavazzi
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France
| | - Agnès Sliwinski
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France; AP-HP, Centre de Référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, Créteil, France
| | - Anne-Catherine Bachoud-Lévi
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France; AP-HP, Centre de Référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, Créteil, France
| | - Charlotte Jacquemot
- Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France.
| |
Collapse
|
8
|
Masson-Trottier M, Dash T, Berroir P, Ansaldo AI. French Phonological Component Analysis and aphasia recovery: A bilingual perspective on behavioral and structural data. Front Hum Neurosci 2022; 16:752121. [PMID: 36211123 PMCID: PMC9535680 DOI: 10.3389/fnhum.2022.752121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 09/08/2022] [Indexed: 11/13/2022] Open
Abstract
Studies show bilingualism entails an advantage in cognitive control tasks. There is evidence of a bilingual advantage in the context of aphasia, resulting in better cognitive outcomes and recovery in bilingual persons with aphasia compared to monolingual peers. This bilingual advantage also results in structural changes in the right hemisphere gray matter. Very few studies have examined the so-called bilingual advantage by reference to specific anomia therapy efficacy. This study aims to compare the effect of French-Phonological Component Analysis (Fr-PCA) in monolinguals and bilingual persons with aphasia, both at the linguistic and cognitive control level, and to examine the structural impact of left hemisphere lesion location and right hemisphere structural data. Eight participants with chronic aphasia received Fr-PCA for a total of 15 h over 5 weeks. The results showed improved accuracy for treated words and generalization to untreated items and discourse in both groups, and improved Flanker task performance for some participants. Bilingual participants improved more than monolinguals for picture-naming tasks and narrative discourse. Damage to the left postcentral gyrus and the middle frontal gyrus was associated with less therapy-induced improvement. Additionally, left hemisphere damage to the inferior parietal gyrus and postcentral gyrus was associated with reduced cognitive control pre-therapy. Undamaged right hemisphere cortical thicknesses were significantly different between groups; the inferior frontal gyrus and the middle frontal gyrus were greater for the bilingual participants and correlated with cognitive control skills. These results suggest a bilingual advantage in anomia recovery following Fr-PCA, potentially resulting from enhanced cognitive control abilities that could be supported by right hemisphere neural reserve.
Collapse
Affiliation(s)
- Michèle Masson-Trottier
- Laboratoire de Plasticité Cérébrale, Communication et Vieillissement, Centre de Recherche de l’Institut de Gériatrie de Montréal, Montréal, QC, Canada
- École d’Orthophonie et d’Audiologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
| | - Tanya Dash
- Laboratoire de Plasticité Cérébrale, Communication et Vieillissement, Centre de Recherche de l’Institut de Gériatrie de Montréal, Montréal, QC, Canada
| | - Pierre Berroir
- Laboratoire de Plasticité Cérébrale, Communication et Vieillissement, Centre de Recherche de l’Institut de Gériatrie de Montréal, Montréal, QC, Canada
| | - Ana Inés Ansaldo
- Laboratoire de Plasticité Cérébrale, Communication et Vieillissement, Centre de Recherche de l’Institut de Gériatrie de Montréal, Montréal, QC, Canada
- École d’Orthophonie et d’Audiologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
- *Correspondence: Ana Inés Ansaldo,
| |
Collapse
|
9
|
Geva S, Schneider LM, Khan S, Lorca-Puls DL, Gajardo-Vidal A, Hope TMH, Green DW, Price CJ. Enhanced left superior parietal activation during successful speech production in patients with left dorsal striatal damage and error-prone neurotypical participants. Cereb Cortex 2022; 33:3437-3453. [PMID: 35965059 PMCID: PMC10068299 DOI: 10.1093/cercor/bhac282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 06/24/2022] [Accepted: 06/25/2022] [Indexed: 11/15/2022] Open
Abstract
Abstract
Functional imaging studies of neurotypical adults report activation in the left putamen during speech production. The current study asked how stroke survivors with left putamen damage are able to produce correct spoken responses during a range of speech production tasks. Using functional magnetic resonance imaging, activation during correct speech production responses was assessed in 5 stroke patients with circumscribed left dorsal striatal lesions, 66 stroke patient controls who did not have focal left dorsal striatal lesions, and 54 neurotypical adults. As a group, patients with left dorsal striatal damage (our patients of interest) showed higher activation than neurotypical controls in the left superior parietal cortex during successful speech production. This effect was not specific to patients with left dorsal striatal lesions as we observed enhanced activation in the same region in some patient controls and also in more error-prone neurotypical participants. Our results strongly suggest that enhanced left superior parietal activation supports speech production in diverse challenging circumstances, including those caused by stroke damage. They add to a growing body of literature indicating how upregulation within undamaged parts of the neural systems already recruited by neurotypical adults contributes to recovery after stroke.
Collapse
Affiliation(s)
- Sharon Geva
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
| | - Letitia M Schneider
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- Department of Cognition , Emotion, and Methods in Psychology, Faculty of Psychology, , Universitätsring 1, 1010 Vienna , Austria
- University of Vienna , Emotion, and Methods in Psychology, Faculty of Psychology, , Universitätsring 1, 1010 Vienna , Austria
| | - Shamima Khan
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
| | - Diego L Lorca-Puls
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- Sección Neurología , Departamento de Especialidades, Facultad de Medicina, , Victor Lamas 1290, Concepción, 4030000 , Chile
- Universidad de Concepción , Departamento de Especialidades, Facultad de Medicina, , Victor Lamas 1290, Concepción, 4030000 , Chile
| | - Andrea Gajardo-Vidal
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- Faculty of Health Sciences, Universidad del Desarrollo , Ainavillo 456, Concepción, 4070001 , Chile
| | - Thomas M H Hope
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
| | - David W Green
- Department of Experimental Psychology , Faculty of Brain Sciences, , 26 Bedford Way, London, WC1H 0AP , United Kingdom
- University College London , Faculty of Brain Sciences, , 26 Bedford Way, London, WC1H 0AP , United Kingdom
| | - Cathy J Price
- Wellcome Centre for Human Neuroimaging , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
- University College London , Institute of Neurology, , 12 Queen Square, London WC1N 3AR , United Kingdom
| | | |
Collapse
|
10
|
Li S, Li L, Zou L, Yan X, Zhang J, Yang M, Ding G. “Antagonistic” cooperation of control regions in bilingual language production: An effective connectivity study. Neuropsychologia 2022; 167:108165. [DOI: 10.1016/j.neuropsychologia.2022.108165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 01/17/2022] [Accepted: 01/23/2022] [Indexed: 11/25/2022]
|
11
|
Truzman T, Rochon E, Meltzer J, Leonard C, Bitan T. Simultaneous Normalization and Compensatory Changes in Right Hemisphere Connectivity during Aphasia Therapy. Brain Sci 2021; 11:1330. [PMID: 34679395 PMCID: PMC8534113 DOI: 10.3390/brainsci11101330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 10/01/2021] [Accepted: 10/03/2021] [Indexed: 11/17/2022] Open
Abstract
Changes in brain connectivity during language therapy were examined among participants with aphasia (PWA), aiming to shed light on neural reorganization in the language network. Four PWA with anomia following left hemisphere stroke and eight healthy controls (HC) participated in the study. Two fMRI scans were administered to all participants with a 3.5-month interval. The fMRI scans included phonological and semantic tasks, each consisting of linguistic and perceptual matching conditions. Between the two fMRI scans, PWA underwent Phonological Components Analysis treatment. Changes in effective connectivity during the treatment were examined within right hemisphere (RH) architecture. The results illustrate that following the treatment, the averaged connectivity of PWA across all perceptual and linguistic conditions in both tasks increased resemblance to HC, reflecting the normalization of neural processes associated with silent object name retrieval. In contrast, connections that were specifically enhanced by the phonological condition in PWA decreased in their resemblance to HC, reflecting emerging compensatory reorganization in RH connectivity to support phonological processing. These findings suggest that both normalization and compensation play a role in neural language reorganization at the chronic stage, occurring simultaneously in the same brain.
Collapse
Affiliation(s)
- Tammar Truzman
- Communication Sciences and Disorders Department and IIPDM, University of Haifa, Haifa 3498838, Israel
- The Integrated Brain and Behavior Research Center, University of Haifa, Haifa 3498838, Israel
| | - Elizabeth Rochon
- Department of Speech Language Pathology and Rehabilitation Sciences Institute, University of Toronto, Toronto, ON M5G 1V7, Canada; (E.R.); (J.M.); (C.L.); (T.B.)
- KITE Research Institute, Toronto Rehab, University Health Network (UHN), Toronto, ON M5G 2A2, Canada
| | - Jed Meltzer
- Department of Speech Language Pathology and Rehabilitation Sciences Institute, University of Toronto, Toronto, ON M5G 1V7, Canada; (E.R.); (J.M.); (C.L.); (T.B.)
- Psychology Department, University of Toronto, Toronto, ON M5S 1A1, Canada
- Rotman Research Institute, Baycrest Health Sciences, Toronto, ON M6A 2E1, Canada
| | - Carol Leonard
- Department of Speech Language Pathology and Rehabilitation Sciences Institute, University of Toronto, Toronto, ON M5G 1V7, Canada; (E.R.); (J.M.); (C.L.); (T.B.)
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON K1H 8L1, Canada
| | - Tali Bitan
- The Integrated Brain and Behavior Research Center, University of Haifa, Haifa 3498838, Israel
- Department of Speech Language Pathology and Rehabilitation Sciences Institute, University of Toronto, Toronto, ON M5G 1V7, Canada; (E.R.); (J.M.); (C.L.); (T.B.)
- Psychology Department and IIPDM, University of Haifa, Haifa 3498838, Israel
| |
Collapse
|
12
|
Sandberg CW, Zacharewicz M, Gray T. Bilingual Abstract Semantic Associative Network Training (BAbSANT): A Polish-English case study. JOURNAL OF COMMUNICATION DISORDERS 2021; 93:106143. [PMID: 34364041 DOI: 10.1016/j.jcomdis.2021.106143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 07/08/2021] [Accepted: 07/16/2021] [Indexed: 06/13/2023]
Abstract
INTRODUCTION This article presents a novel approach to anomia therapy (i.e., BAbSANT: Bilingual Abstract Semantic Associative Network Training) for bilingual persons with aphasia (B-PWA) that capitalizes both on lexico-semantic theories in bilingualism and general theories of semantic organization and learning. Based on previous work, we hypothesized that training abstract words in either language would promote within-language generalization, while training in the nondominant language would promote both within- and cross-language generalization. METHODS This case study used a single-subject A1BA2CA3 design. The participant was living with aphasia secondary to stroke and spoke both Polish and English, with Polish being his native and dominant language. Phase B consisted of abstract word training in Polish and phase C consisted of abstract word training in English. Prior to initiating therapy, in addition to a comprehensive language battery, we administered a cognitive control task to explore the relationship between cognitive control and treatment outcome. RESULTS We found within-language generalization regardless of the trained language, replicating previous work in monolingual persons with aphasia, further supporting the utility of training abstract words. However, contrary to our second hypothesis, cross-language generalization only occurred when the stronger language was trained. CONCLUSIONS The discussion of the results of this case study is framed within previous work and theories of bilingualism. The lack of cross-language generalization when the weaker language was trained is discussed, taking into account nonverbal cognitive control deficits. In addition to showing the efficacy of BAbSANT, these results highlight the importance of considering cognitive control as a factor influencing therapeutic outcomes in anomia treatment in bilingual PWA.
Collapse
Affiliation(s)
- Chaleece W Sandberg
- Department of Communication Sciences and Disorders, Penn State University, 308 Ford Building, University Park, PA 16802, United States.
| | - Monika Zacharewicz
- Department of Speech, Language, and Hearing Sciences, San Francisco State University, 1600 Holloway Avenue, Burk Hall, Room 114, San Francisco, CA 94132, United States
| | - Teresa Gray
- Department of Speech, Language, and Hearing Sciences, San Francisco State University, 1600 Holloway Avenue, Burk Hall, Room 114, San Francisco, CA 94132, United States.
| |
Collapse
|
13
|
Sajid N, Friston KJ, Ekert JO, Price CJ, W. Green D. Neuromodulatory Control and Language Recovery in Bilingual Aphasia: An Active Inference Approach. Behav Sci (Basel) 2020; 10:E161. [PMID: 33096824 PMCID: PMC7588909 DOI: 10.3390/bs10100161] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 10/17/2020] [Accepted: 10/19/2020] [Indexed: 11/17/2022] Open
Abstract
Understanding the aetiology of the diverse recovery patterns in bilingual aphasia is a theoretical challenge with implications for treatment. Loss of control over intact language networks provides a parsimonious starting point that can be tested using in-silico lesions. We simulated a complex recovery pattern (alternate antagonism and paradoxical translation) to test the hypothesis-from an established hierarchical control model-that loss of control was mediated by constraints on neuromodulatory resources. We used active (Bayesian) inference to simulate a selective loss of sensory precision; i.e., confidence in the causes of sensations. This in-silico lesion altered the precision of beliefs about task relevant states, including appropriate actions, and reproduced exactly the recovery pattern of interest. As sensory precision has been linked to acetylcholine release, these simulations endorse the conjecture that loss of neuromodulatory control can explain this atypical recovery pattern. We discuss the relevance of this finding for other recovery patterns.
Collapse
Affiliation(s)
- Noor Sajid
- Wellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London WC1N 3AR, UK; (K.J.F.); (J.O.E.); (C.J.P.)
| | - Karl J. Friston
- Wellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London WC1N 3AR, UK; (K.J.F.); (J.O.E.); (C.J.P.)
| | - Justyna O. Ekert
- Wellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London WC1N 3AR, UK; (K.J.F.); (J.O.E.); (C.J.P.)
| | - Cathy J. Price
- Wellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London WC1N 3AR, UK; (K.J.F.); (J.O.E.); (C.J.P.)
| | - David W. Green
- Experimental Psychology, University College London, Gower Street, London WC1E 6BT, UK;
| |
Collapse
|
14
|
Goral M, Lerman A. Variables and Mechanisms Affecting Response to Language Treatment in Multilingual People with Aphasia. Behav Sci (Basel) 2020; 10:E144. [PMID: 32971777 PMCID: PMC7551033 DOI: 10.3390/bs10090144] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 09/15/2020] [Accepted: 09/18/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Despite substantial literature exploring language treatment effects in multilingual people with aphasia (PWA), inconsistent results reported across studies make it difficult to draw firm conclusions. METHODS We highlight and illustrate variables that have been implicated in affecting cross-language treatment effects in multilingual PWA. MAIN CONTRIBUTION We argue that opposing effects of activation and inhibition across languages, influenced by pertinent variables, such as age of language acquisition, patterns of language use, and treatment-related factors, contribute to the complex picture that has emerged from current studies of treatment in multilingual PWA. We propose a new integrated model-Treatment Effects in Aphasia in Multilingual people (the TEAM model)-to capture this complexity.
Collapse
Affiliation(s)
- Mira Goral
- Speech-Language-Hearing Sciences, Graduate Center & Lehman College, City University of New York, New York, NY 10016, USA
- MultiLing Center for Multilingualism in Society across the Lifespan, University of Oslo, 0313 Oslo, Norway
| | - Aviva Lerman
- Program of Communication Disorders, Hadassah Academic College, Jerusalem 9101001, Israel;
| |
Collapse
|
15
|
Neuropsychology and Neuroanatomy of Code Switching: Test Development and Application. PSYCHOLOGICAL STUDIES 2020. [DOI: 10.1007/s12646-019-00548-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
|
16
|
Seghier ML, Fahim MA, Habak C. Educational fMRI: From the Lab to the Classroom. Front Psychol 2019; 10:2769. [PMID: 31866920 PMCID: PMC6909003 DOI: 10.3389/fpsyg.2019.02769] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 11/25/2019] [Indexed: 12/23/2022] Open
Abstract
Functional MRI (fMRI) findings hold many potential applications for education, and yet, the translation of fMRI findings to education has not flowed. Here, we address the types of fMRI that could better support applications of neuroscience to the classroom. This 'educational fMRI' comprises eight main challenges: (1) collecting artifact-free fMRI data in school-aged participants and in vulnerable young populations, (2) investigating heterogenous cohorts with wide variability in learning abilities and disabilities, (3) studying the brain under natural and ecological conditions, given that many practical topics of interest for education can be addressed only in ecological contexts, (4) depicting complex age-dependent associations of brain and behaviour with multi-modal imaging, (5) assessing changes in brain function related to developmental trajectories and instructional intervention with longitudinal designs, (6) providing system-level mechanistic explanations of brain function, so that useful individualized predictions about learning can be generated, (7) reporting negative findings, so that resources are not wasted on developing ineffective interventions, and (8) sharing data and creating large-scale longitudinal data repositories to ensure transparency and reproducibility of fMRI findings for education. These issues are of paramount importance to the development of optimal fMRI practices for educational applications.
Collapse
Affiliation(s)
- Mohamed L Seghier
- Cognitive Neuroimaging Unit, Emirates College for Advanced Education (ECAE), Abu Dhabi, United Arab Emirates
| | - Mohamed A Fahim
- Cognitive Neuroimaging Unit, Emirates College for Advanced Education (ECAE), Abu Dhabi, United Arab Emirates
| | - Claudine Habak
- Cognitive Neuroimaging Unit, Emirates College for Advanced Education (ECAE), Abu Dhabi, United Arab Emirates
| |
Collapse
|
17
|
Kiran S, Meier EL, Johnson JP. Neuroplasticity in Aphasia: A Proposed Framework of Language Recovery. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:3973-3985. [PMID: 31756154 PMCID: PMC7203519 DOI: 10.1044/2019_jslhr-l-rsnp-19-0054] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 06/21/2019] [Accepted: 08/27/2019] [Indexed: 05/20/2023]
Abstract
Purpose Despite a tremendous amount of research in this topic, the precise neural mechanisms underlying language recovery remain unclear. Much of the evidence suggests that activation of remaining left-hemisphere tissue, including perilesional areas, is linked to the best treatment outcomes, yet recruitment of the right hemisphere for various language tasks has also been linked to favorable behavioral outcomes. In this review article, we propose a framework of language recovery that incorporates a network-based view of the brain regions involved in recovery. Method We review evidence from the extant literature and work from our own laboratory to identify findings consistent with our proposed framework and identify gaps in our current knowledge. Results Expanding on Heiss and Thiel's (2006) hierarchy of language recovery, we identify 4 emerging themes: (a) Several bilateral regions constitute a network engaged in language recovery; (b) spared left-hemisphere regions are important components of the network engaged in language recovery; (c) as damage increases in the left hemisphere, activation expands to the right hemisphere and domain-general regions; and (d) patients with efficient, control-like network topology show greater improvement than patients with abnormal topology. We propose a mechanistic model of language recovery that accounts for individual differences in behavior, network topology, and treatment responsiveness. Conclusion Continued work in this topic will lead us to a better understanding of the mechanisms underlying language recovery, biomarkers that influence recovery, and, consequently, more personalized treatment options for individual patients. Presentation Video https://doi.org/10.23641/asha.10257590.
Collapse
Affiliation(s)
- Swathi Kiran
- Department of Speech, Language & Hearing Sciences, College of Health & Rehabilitation Sciences: Sargent College, Boston University, MA
| | - Erin L. Meier
- Department of Neurology, School of Medicine, Johns Hopkins University, Baltimore, MD
| | - Jeffrey P. Johnson
- Geriatric Research Education and Clinical Center, VA Pittsburgh Healthcare System, PA
- Audiology and Speech Pathology Program, VA Pittsburgh Healthcare System, PA
| |
Collapse
|
18
|
Kim S, Jeon SG, Nam Y, Kim HS, Yoo DH, Moon M. Bilingualism for Dementia: Neurological Mechanisms Associated With Functional and Structural Changes in the Brain. Front Neurosci 2019; 13:1224. [PMID: 31798405 PMCID: PMC6868000 DOI: 10.3389/fnins.2019.01224] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 10/29/2019] [Indexed: 01/17/2023] Open
Abstract
As the number of older adults increases, the prevalence of dementias, such as Alzheimer's dementia (AD), vascular dementia, dementia with Lewy bodies, and frontotemporal dementias, also increases. Despite research into pharmacological approaches for treating diverse diseases, there is still no cure. Recently, novel non-pharmacological interventions are attracting attention. Non-pharmacological approaches include cognitive stimulation, alterations in diet, physical activity, and social engagement. Cognitive stimulating activities protect against the negative effects of cognitive decline caused by age-related neurogenerative diseases. Bilingualism is one form of cognitive stimulation that requires multiple aspects of brain activity and has been shown to delay the onset of dementia symptoms in patients by approximately 4-5 years as compared with monolingual patients through cognitive reserve. The purpose of this review was to bilingualism protects against cognitive decline associated with AD and other dementias. We discuss potential underlying neurological mechanisms, including: (1) stimulating adult neurogenesis, (2) enhancing synaptogenesis, (3) strengthening functional connectivity that bilingualism may delay clinical AD symptoms, (4) protecting white matter integrity, and (5) preserving gray matter density.
Collapse
Affiliation(s)
- Sujin Kim
- Department of Biochemistry, College of Medicine, Konyang University, Daejeon, South Korea
| | - Seong Gak Jeon
- Department of Biochemistry, College of Medicine, Konyang University, Daejeon, South Korea
| | - Yunkwon Nam
- Department of Biochemistry, College of Medicine, Konyang University, Daejeon, South Korea
| | - Hyeon soo Kim
- Department of Biochemistry, College of Medicine, Konyang University, Daejeon, South Korea
| | - Doo-Han Yoo
- Department of Occupational Therapy, Konyang University, Daejeon, South Korea
| | - Minho Moon
- Department of Biochemistry, College of Medicine, Konyang University, Daejeon, South Korea
| |
Collapse
|
19
|
L2 speech perception in noise: An fMRI study of advanced Spanish learners. Brain Res 2019; 1720:146316. [PMID: 31278936 DOI: 10.1016/j.brainres.2019.146316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 05/03/2019] [Accepted: 06/27/2019] [Indexed: 10/26/2022]
Abstract
This experiment examined the neural correlates of second language (L2) speech perception in noise in advanced Spanish students. Participants completed a speech perception task in quiet and noise in their first language (L1 = English) and L2 during fMRI. Behavioral tests of L2 Spanish sentence recognition confirmed that advanced learners of Spanish can recognize sentences in quiet and in noise with an average of 85.45% and 74.43% accuracy, respectively. While listening to degraded sentences in the L2, both auditory and executive processing regions (specifically those of attention) were activated. While listening to L2 sentences in noise, learners focused on decoding the speech signal at the perceptual level, indicating a bottom-up processing strategy relying heavily on the signal's phonetic detail. During the processing of L1 in noise there was only significant activation in executive processing regions like the cingulate cortex and a region linked to lexical-semantic access (LIFG). In this case, participants appear to use a top-down strategy for sentence recognition, relying on lexical resources using a holistic strategy for perception. These findings suggest that L2 learners use fundamentally different perceptual strategies and neural circuits for understanding speech in noise in their L1 and L2.
Collapse
|
20
|
Calvo N, Abrevaya S, Martínez Cuitiño M, Steeb B, Zamora D, Sedeño L, Ibáñez A, García AM. Rethinking the Neural Basis of Prosody and Non-literal Language: Spared Pragmatics and Cognitive Compensation in a Bilingual With Extensive Right-Hemisphere Damage. Front Psychol 2019; 10:570. [PMID: 30941077 PMCID: PMC6433823 DOI: 10.3389/fpsyg.2019.00570] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 02/28/2019] [Indexed: 11/13/2022] Open
Abstract
Above and beyond the critical contributions of left perisylvian regions to language, the neural networks supporting pragmatic aspects of verbal communication in native and non-native languages (L1s and L2, respectively) have often been ascribed to the right hemisphere (RH). However, several reports have shown that left-hemisphere activity associated with pragmatic domains (e.g., prosody, indirect speech, figurative language) is comparable to or even greater than that observed in the RH, challenging the proposed putative role of the latter for relevant domains. Against this background, we report on an adult bilingual patient showing preservation of pragmatic verbal skills in both languages (L1: Spanish, L2: English) despite bilateral damage mainly focused on the RH. After two strokes, the patient sustained lesions in several regions previously implicated in pragmatic functions (vast portions of the right fronto-insulo-temporal cortices, the bilateral amygdalae and insular cortices, and the left putamen). Yet, comparison of linguistic and pragmatic skills with matched controls revealed spared performance on multiple relevant tasks in both her L1 and L2. Despite mild difficulties in some aspects of L2 prosody, she showed no deficits in comprehending metaphors and idioms, or understanding indirect speech acts in either language. Basic verbal skills were also preserved in both languages, including verbal auditory discrimination, repetition of words and pseudo-words, cognate processing, grammaticality judgments, equivalent recognition, and word and sentence translation. Taken together, the evidence shows that multiple functions of verbal communication can be widely spared despite extensive damage to the RH, and that claims for a putative relation between pragmatics and the RH may have been overemphasized in the monolingual and bilingual literature. We further discuss the case in light of previous reports of pragmatic and linguistic deficits following brain lesions and address its relation to cognitive compensation in bilingual patients.
Collapse
Affiliation(s)
- Noelia Calvo
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council, Buenos Aires, Argentina.,Faculty of Psychology, National University of Córdoba, Córdoba, Argentina
| | - Sofía Abrevaya
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council, Buenos Aires, Argentina
| | - Macarena Martínez Cuitiño
- Faculty of Psychology, National University of Córdoba, Córdoba, Argentina.,Laboratory of Language Research (LILEN), Institute of Cognitive and Translational Neuroscience (INCYT), Buenos Aires, Argentina
| | - Brenda Steeb
- Laboratory of Language Research (LILEN), Institute of Cognitive and Translational Neuroscience (INCYT), Buenos Aires, Argentina
| | - Dolores Zamora
- Laboratory of Language Research (LILEN), Institute of Cognitive and Translational Neuroscience (INCYT), Buenos Aires, Argentina
| | - Lucas Sedeño
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council, Buenos Aires, Argentina
| | - Agustín Ibáñez
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council, Buenos Aires, Argentina.,Universidad Autónoma del Caribe, Barranquilla, Colombia.,Department of Psychology, Universidad Adolfo Ibáñez, Santiago, Chile.,Centre of Excellence in Cognition and Its Disorders, Australian Research Council, Sydney, NSW, Australia
| | - Adolfo M García
- Laboratory of Experimental Psychology and Neuroscience, Institute of Cognitive and Translational Neuroscience, INECO Foundation, Favaloro University, Buenos Aires, Argentina.,National Scientific and Technical Research Council, Buenos Aires, Argentina.,Faculty of Education, National University of Cuyo, Mendoza, Argentina
| |
Collapse
|
21
|
Kuzmina E, Goral M, Norvik M, Weekes BS. What Influences Language Impairment in Bilingual Aphasia? A Meta-Analytic Review. Front Psychol 2019; 10:445. [PMID: 31024369 PMCID: PMC6460996 DOI: 10.3389/fpsyg.2019.00445] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 02/13/2019] [Indexed: 12/04/2022] Open
Abstract
Patterns of language impairment in multilingual speakers with post-stroke aphasia are diverse: in some cases the language deficits are parallel, that is, all languages are impaired relatively equally, whereas in other cases deficits are differential, that is, one language is more impaired than the other(s). This diversity stems from the intricate structure of the multilingual language system, which is shaped by a complex interplay of influencing factors, such as age of language acquisition, frequency of language use, premorbid proficiency, and linguistic similarity between one's languages. Previous theoretical reviews and empirical studies shed some light on these factors, however no clear answers have been provided. The goals of this review were to provide a timely update on the increasing number of reported cases in the last decade and to offer a systematic analysis of the potentially influencing variables. One hundred and thirty cases from 65 studies were included in the present systematic review and effect sizes from 119 cases were used in the meta-analysis. Our analysis revealed better performance in L1 compared to L2 in the whole sample of bilingual speakers with post-stroke aphasia. However, the magnitude of this difference was influenced by whether L2 was learned early in childhood or later: those who learned L2 before 7 years of age showed comparable performance in both of their languages contrary to the bilinguals who learned L2 after 7 years of age and showed better performance in L1 compared to L2. These robust findings were moderated mildly by premorbid proficiency and frequency of use. Finally, linguistic similarity did not appear to influence the magnitude of the difference in performance between L1 and L2. Our findings from the early bilingual subgroup were in line with the previous reviews which included mostly balanced early bilinguals performing comparably in both languages. Our findings from the late bilingual subgroup stressed the primacy of L1 and the importance of age of L2 learning. In addition, the evidence from the present review provides support for theories emphasizing the role of premorbid proficiency and language use in language impairment patterns in bilingual aphasia.
Collapse
Affiliation(s)
- Ekaterina Kuzmina
- Faculty of Humanities, Center for Multilingualism in Society Across the Lifespan, University of Oslo, Oslo, Norway
| | - Mira Goral
- Faculty of Humanities, Center for Multilingualism in Society Across the Lifespan, University of Oslo, Oslo, Norway
- The Graduate Center and Lehman College, City University of New York, New York, NY, United States
| | - Monica Norvik
- Faculty of Humanities, Center for Multilingualism in Society Across the Lifespan, University of Oslo, Oslo, Norway
- Department of Speech and Language Disorders, Statped, Oslo, Norway
- Department of Language and Literature, Norwegian University of Science and Technology, Trondheim, Norway
| | - Brendan S. Weekes
- Melbourne Graduate School of Education, University of Melbourne, Melbourne, VIC, Australia
- Laboratory for Communication Science, Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong
- State Key Laboratory for Brain and Cognitive Sciences, The University of Hong Kong, Pokfulam, Hong Kong
| |
Collapse
|
22
|
Kiran S, Thompson CK. Neuroplasticity of Language Networks in Aphasia: Advances, Updates, and Future Challenges. Front Neurol 2019; 10:295. [PMID: 31001187 PMCID: PMC6454116 DOI: 10.3389/fneur.2019.00295] [Citation(s) in RCA: 109] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 03/06/2019] [Indexed: 11/13/2022] Open
Abstract
Researchers have sought to understand how language is processed in the brain, how brain damage affects language abilities, and what can be expected during the recovery period since the early 19th century. In this review, we first discuss mechanisms of damage and plasticity in the post-stroke brain, both in the acute and the chronic phase of recovery. We then review factors that are associated with recovery. First, we review organism intrinsic variables such as age, lesion volume and location and structural integrity that influence language recovery. Next, we review organism extrinsic factors such as treatment that influence language recovery. Here, we discuss recent advances in our understanding of language recovery and highlight recent work that emphasizes a network perspective of language recovery. Finally, we propose our interpretation of the principles of neuroplasticity, originally proposed by Kleim and Jones (1) in the context of extant literature in aphasia recovery and rehabilitation. Ultimately, we encourage researchers to propose sophisticated intervention studies that bring us closer to the goal of providing precision treatment for patients with aphasia and a better understanding of the neural mechanisms that underlie successful neuroplasticity.
Collapse
Affiliation(s)
- Swathi Kiran
- Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, United States
| | - Cynthia K. Thompson
- Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, United States
- Department of Neurology, The Cognitive Neurology and Alzheimer's Disease Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| |
Collapse
|
23
|
Nickels L, Hameau S, Nair VKK, Barr P, Biedermann B. Ageing with bilingualism: benefits and challenges. SPEECH, LANGUAGE AND HEARING 2019. [DOI: 10.1080/2050571x.2018.1555988] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Lyndsey Nickels
- Department of Cognitive Science, Macquarie University, Sydney, Australia
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
| | - Solène Hameau
- Department of Cognitive Science, Macquarie University, Sydney, Australia
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
| | - Vishnu K. K. Nair
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
- Department of Communicative Sciences and Disorders, New York University, New York, NY, USA
| | - Polly Barr
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
- The Brain and Mind Centre, University of Sydney, Sydney, Australia
| | - Britta Biedermann
- ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Australia
| |
Collapse
|
24
|
Chu R, Meltzer JA, Bitan T. Interhemispheric interactions during sentence comprehension in patients with aphasia. Cortex 2018; 109:74-91. [PMID: 30312780 DOI: 10.1016/j.cortex.2018.08.022] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Revised: 05/03/2018] [Accepted: 08/28/2018] [Indexed: 02/06/2023]
Abstract
Right-hemisphere involvement in language processing following left-hemisphere damage may reflect either compensatory processes, or a release from homotopic transcallosal inhibition, resulting in excessive right-to-left suppression that is maladaptive for language performance. Using fMRI, we assessed inter-hemispheric effective connectivity in fifteen patients with post-stroke aphasia, along with age-matched and younger controls during a sentence comprehension task. Dynamic Causal Modeling was used with four bilateral regions including inferior frontal gyri (IFG) and primary auditory cortices (A1). Despite the presence of lesions, satisfactory model fit was obtained in 9/15 patients. In young controls, the only significant homotopic connection (RA1-LA1), was excitatory, while inhibitory connections emanated from LIFG to both left and right A1's. Interestingly, these connections were also correlated with language comprehension scores in patients. The results for homotopic connections show that excitatory connectivity from RA1-to-LA1 and inhibitory connectivity from LA1-to-RA1 are associated with general auditory verbal comprehension. Moreover, negative correlations were found between sentence comprehension and top-down coupling for both heterotopic (LIFG-to-RA1) and intra-hemispheric (LIFG-to-LA1) connections. These results do not show an emergence of a new compensatory right to left excitation in patients nor do they support the existence of left to right transcallosal suppression in controls. Nevertheless, the correlations with performance in patients are consistent with some aspects of both the compensation model, and the transcallosal suppression account for the role of the RH. Altogether our results suggest that changes to both excitatory and inhibitory homotopic and heterotopic connections due to LH damage may be maladaptive, as they disrupt the normal inter-hemispheric coordination and communication.
Collapse
Affiliation(s)
- Ronald Chu
- Baycrest Health Sciences, Rotman Research Institute, Toronto, ON, Canada; University of Toronto, Department of Psychology, Toronto, ON, Canada.
| | - Jed A Meltzer
- Baycrest Health Sciences, Rotman Research Institute, Toronto, ON, Canada; University of Toronto, Department of Psychology, Toronto, ON, Canada; University of Toronto, Department of Speech-Language Pathology, Toronto, ON, Canada; Canadian Partnership for Stroke Recovery, Ottawa, ON, Canada
| | - Tali Bitan
- University of Toronto, Department of Speech-Language Pathology, Toronto, ON, Canada; University of Haifa, Department of Psychology and IIPDM, Haifa, Israel
| |
Collapse
|
25
|
Calabria M, Costa A, Green DW, Abutalebi J. Neural basis of bilingual language control. Ann N Y Acad Sci 2018; 1426:221-235. [PMID: 29917244 DOI: 10.1111/nyas.13879] [Citation(s) in RCA: 65] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 05/15/2018] [Accepted: 05/22/2018] [Indexed: 02/05/2023]
Abstract
Acquiring and speaking a second language increases demand on the processes of language control for bilingual as compared to monolingual speakers. Language control for bilingual speakers involves the ability to keep the two languages separated to avoid interference and to select one language or the other in a given conversational context. This ability is what we refer with the term "bilingual language control" (BLC). It is now well established that the architecture of this complex system of language control encompasses brain networks involving cortical and subcortical structures, each responsible for different cognitive processes such as goal maintenance, conflict monitoring, interference suppression, and selective response inhibition. Furthermore, advances have been made in determining the overlap between the BLC and the nonlinguistic executive control networks, under the hypothesis that the BLC processes are just an instantiation of a more domain-general control system. Here, we review the current knowledge about the neural basis of these control systems. Results from brain imaging studies of healthy adults and on the performance of bilingual individuals with brain damage are discussed.
Collapse
Affiliation(s)
- Marco Calabria
- Center for Brain and Cognition, Pompeu Fabra University, Barcelona, Spain
| | - Albert Costa
- Center for Brain and Cognition, Pompeu Fabra University, Barcelona, Spain
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
| | - David W Green
- Experimental Psychology, Faculty of Brain Sciences, University College London, London, UK
| | - Jubin Abutalebi
- Centre for Neurolinguistics and Psycholinguistics, Vita-Salute San Raffaele University, Milan, Italy
| |
Collapse
|
26
|
Van der Linden L, Verreyt N, De Letter M, Hemelsoet D, Mariën P, Santens P, Stevens M, Szmalec A, Duyck W. Cognate effects and cognitive control in patients with parallel and differential bilingual aphasia. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2018; 53:515-525. [PMID: 29314421 DOI: 10.1111/1460-6984.12365] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 09/17/2017] [Accepted: 11/03/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Until today, there is no satisfying explanation for why one language may recover worse than another in differential bilingual aphasia. One potential explanation that has been largely unexplored is that differential aphasia is the consequence of a loss of language control rather than a loss of linguistic representations. Language control is part of a general control mechanism that also manages non-linguistic cognitive control. If this system is impaired, patients with differential aphasia could still show bilingual language activation, but they may be unable to manage activation in non-target languages, so that performance in another language is hindered. AIMS To investigate whether a loss of cognitive control, rather than the loss of word representations in a particular language, might underlie differential aphasia symptoms. METHODS & PROCEDURES We compared the performance of seven bilinguals with differential and eight bilinguals with parallel aphasia with 19 control bilinguals in a lexical decision and a flanker task to assess bilingual language co-activation and non-linguistic control respectively. OUTCOMES & RESULTS We found similar cognate effects in the three groups, indicating similar lexical processing across groups. Additionally, we found a larger non-linguistic control congruency effect only for the patients with differential aphasia. CONCLUSIONS & IMPLICATIONS The present data indicate preserved language co-activation for patients with parallel as well as differential aphasia. Furthermore, the results suggest a general cognitive control dysfunction, specifically for differential aphasia. Taken together, the results of the current study provide further support for the hypothesis of impaired cognitive control abilities in patients with differential aphasia, which has both theoretical and practical implications.
Collapse
Affiliation(s)
- Lize Van der Linden
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Nele Verreyt
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Miet De Letter
- Department of ORL & Logopaedic and Audiologic Sciences, Ghent University Hospital, Ghent, Belgium
| | | | - Peter Mariën
- Department of Neurology, ZNA Middelheim Hospital, Antwerp, Belgium
- Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Brussels, Belgium
| | - Patrick Santens
- Department of Neurology, University Hospital Ghent, Ghent, Belgium
| | - Michaël Stevens
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Arnaud Szmalec
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Wouter Duyck
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| |
Collapse
|
27
|
Santhanam P, Duncan ES, Small SL. Therapy-Induced Plasticity in Chronic Aphasia Is Associated with Behavioral Improvement and Time Since Stroke. Brain Connect 2018; 8:179-188. [PMID: 29338310 PMCID: PMC5899281 DOI: 10.1089/brain.2017.0508] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Cortical reorganization after stroke is thought to underlie functional improvement. Patterns of reorganization may differ depending on the amount of time since the stroke or the degree of improvement. We investigated these issues in a study of brain connectivity changes with aphasia therapy. Twelve individuals with chronic aphasia participated in a 6-week trial of imitation-based speech therapy. We assessed improvement on a repetition test and analyzed effective connectivity during functional magnetic resonance imaging of a speech observation task before and after therapy. Using structural equation modeling, patient networks were compared with a model derived from healthy controls performing the same task. Independent of the amount of time since the stroke, patients demonstrating behavioral improvement had networks that reorganized to be more similar to controls in two functional pathways in the left hemisphere. Independent of behavioral improvement, patients with remote infarcts (2-7 years poststroke; n = 5) also reorganized to more closely resemble controls in one of these pathways. Patients with far removed injury (>10 years poststroke; n = 3) did not show behavioral improvement and, despite similarities to the normative model and overall network heterogeneity, reorganized to be less similar to controls following therapy in a distinct right-lateralized pathway. Behavioral improvement following aphasia therapy was associated with connectivity more closely approximating that of healthy controls. Individuals who had a stroke more than a decade before testing also showed plasticity, with a few pathways becoming less like controls, possibly representing compensation. Better understanding of these mechanisms may help direct targeted brain stimulation.
Collapse
Affiliation(s)
- Priya Santhanam
- Department of Neurology, The University of Chicago, Chicago, Illinois
| | - E. Susan Duncan
- Department of Neurology, University of California, Irvine, Orange, California
- Department of Communication Sciences & Disorders, Louisiana State University, Baton Rouge, Louisiana
| | - Steven L. Small
- Department of Neurology, The University of Chicago, Chicago, Illinois
- Department of Neurology, University of California, Irvine, Orange, California
- Department of Neurobiology and Behavior, University of California, Irvine, California
| |
Collapse
|
28
|
Abstract
Computational theories of brain function have become very influential in neuroscience. They have facilitated the growth of formal approaches to disease, particularly in psychiatric research. In this paper, we provide a narrative review of the body of computational research addressing neuropsychological syndromes, and focus on those that employ Bayesian frameworks. Bayesian approaches to understanding brain function formulate perception and action as inferential processes. These inferences combine ‘prior’ beliefs with a generative (predictive) model to explain the causes of sensations. Under this view, neuropsychological deficits can be thought of as false inferences that arise due to aberrant prior beliefs (that are poor fits to the real world). This draws upon the notion of a Bayes optimal pathology – optimal inference with suboptimal priors – and provides a means for computational phenotyping. In principle, any given neuropsychological disorder could be characterized by the set of prior beliefs that would make a patient’s behavior appear Bayes optimal. We start with an overview of some key theoretical constructs and use these to motivate a form of computational neuropsychology that relates anatomical structures in the brain to the computations they perform. Throughout, we draw upon computational accounts of neuropsychological syndromes. These are selected to emphasize the key features of a Bayesian approach, and the possible types of pathological prior that may be present. They range from visual neglect through hallucinations to autism. Through these illustrative examples, we review the use of Bayesian approaches to understand the link between biology and computation that is at the heart of neuropsychology.
Collapse
Affiliation(s)
- Thomas Parr
- Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, United Kingdom
| | - Geraint Rees
- Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, United Kingdom.,Institute of Cognitive Neuroscience, University College London, London, United Kingdom
| | - Karl J Friston
- Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, United Kingdom
| |
Collapse
|
29
|
Conner PS, Goral M, Anema I, Borodkin K, Haendler Y, Knoph M, Mustelier C, Paluska E, Melnikova Y, Moeyaert M. The role of language proficiency and linguistic distance in cross-linguistic treatment effects in aphasia. CLINICAL LINGUISTICS & PHONETICS 2018; 32:739-757. [PMID: 29969313 PMCID: PMC6169517 DOI: 10.1080/02699206.2018.1435723] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Current findings from intervention in bilingual aphasia are inconclusive regarding the extent to which levels of language proficiency and degree of linguistic distance between treated and non-treated languages influence cross-language generalisation and changes in levels of language activation and inhibition following treatment. In this study, we enrolled a 65-year-old multilingual speaker with aphasia and administered treatment in his L1, Dutch. We assessed pre- and post-treatment performance for seven of his languages, five of high proficiency and two of lower proficiency. We asked whether treatment in L1 would generalise to his other languages or increase interference among them. Forty hours of treatment were completed over the course of five weeks. Each language was tested three times at pretreatment and at post-treatment. Testing included measures of narrative production, answering questions, picture description and question generation. Dependent measures examined language efficiency, defined as Correct Information Units (CIUs)/min, as well as language mixing, defined as proportion of code-mixed whole words. We found that our participant's improved efficiency in Dutch was mirrored by parallel improvement in the four languages of high proficiency: English, German, Italian and French. In contrast, in his languages of lower proficiency, Norwegian and Spanish, improved efficiency was limited. An increase in code-mixing was noted in Spanish, but not in Norwegian. We interpret the increased code-mixing in Spanish as indication of heightened inhibition following improvement in a language of close linguistic proximity, Italian. We conclude that an interaction of language proficiency and linguistic similarity affects cross-language generalisation following intervention in multilingual aphasia.
Collapse
Affiliation(s)
- Peggy S. Conner
- Speech-Language-Hearing Sciences, Lehman College of the City University of New York, Bronx, NY, USA
| | - Mira Goral
- Speech-Language-Hearing Sciences, Lehman College of the City University of New York, Bronx, NY, USA
- Speech-Language-Hearing Sciences, Graduate Center of the City University of New York, New York, NY, USA
- MultiLing, Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway
| | - Inge Anema
- Communication Disorders Department, SUNY New Paltz, New Paltz, NY, USA
| | - Katy Borodkin
- Department of Communication Disorders, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yair Haendler
- Laboratoire de linguistique formelle, Université Paris Diderot, Paris, France
| | - Monica Knoph
- MultiLing, Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway
- Department of Speech and Language Disorders, Statped, Oslo, Norway
| | - Carmen Mustelier
- Speech-Language-Hearing Sciences, Lehman College of the City University of New York, Bronx, NY, USA
| | - Elizabeth Paluska
- Speech-Language-Hearing Sciences, Lehman College of the City University of New York, Bronx, NY, USA
| | | | - Mariola Moeyaert
- Educational Psychology and Methodology, University at Albany, SUNY, Albany, NY, USA
| |
Collapse
|
30
|
Hartwigsen G, Saur D. Neuroimaging of stroke recovery from aphasia - Insights into plasticity of the human language network. Neuroimage 2017; 190:14-31. [PMID: 29175498 DOI: 10.1016/j.neuroimage.2017.11.056] [Citation(s) in RCA: 143] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 11/02/2017] [Accepted: 11/22/2017] [Indexed: 12/15/2022] Open
Abstract
The role of left and right hemisphere brain regions in language recovery after stroke-induced aphasia remains controversial. Here, we summarize how neuroimaging studies increase the current understanding of functional interactions, reorganization and plasticity in the language network. We first discuss the temporal dynamics across the time course of language recovery, with a main focus on longitudinal studies from the acute to the chronic phase after stroke. These studies show that the functional contribution of perilesional and spared left hemisphere as well as contralesional right hemisphere regions to language recovery changes over time. The second section introduces critical variables and recent advances on early prediction of subsequent outcome. In the third section, we outline how multi-method approaches that combine neuroimaging techniques with non-invasive brain stimulation elucidate mechanisms of plasticity and reorganization in the language network. These approaches provide novel insights into general mechanisms of plasticity in the language network and might ultimately support recovery processes during speech and language therapy. Finally, the neurobiological correlates of therapy-induced plasticity are discussed. We argue that future studies should integrate individualized approaches that might vary the combination of language therapy with specific non-invasive brain stimulation protocols across the time course of recovery. The way forward will include the combination of such approaches with large data sets obtained from multicentre studies.
Collapse
Affiliation(s)
- Gesa Hartwigsen
- Research Group Modulation of Language Networks, Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
| | - Dorothee Saur
- Language & Aphasia Laboratory, Department of Neurology, University of Leipzig, Germany.
| |
Collapse
|
31
|
Kang C, Fu Y, Wu J, Ma F, Lu C, Guo T. Short-term language switching training tunes the neural correlates of cognitive control in bilingual language production. Hum Brain Mapp 2017; 38:5859-5870. [PMID: 28868623 DOI: 10.1002/hbm.23765] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 07/12/2017] [Accepted: 08/01/2017] [Indexed: 11/09/2022] Open
Abstract
The present study investigated how language switching experience would modulate the neural correlates of cognitive control involved in bilingual language production. A group of unbalanced Chinese-English bilinguals undertook an 8-day cued picture naming training during which they named pictures in either of their languages based on visually presented cues. Participants' brain activation was scanned before and after the training in the same task. Behavioral results revealed a significant training effect such that switch costs were reduced after training. fMRI results showed that after training, activation of brain areas associated with cognitive control including the anterior cingulated cortex and the caudate was reduced. Besides, the activation reduction in the left dorsal anterior cingulated cortex positively correlated with the reduction in switch costs in response time and this training effect could be transferred to untrained stimuli. These findings suggest that neural correlates of cognitive control, especially that of the conflict monitoring process, in bilingual language production could be modulated by short-term language switching training. Hum Brain Mapp 38:5859-5870, 2017. © 2017 Wiley Periodicals, Inc.
Collapse
Affiliation(s)
- Chunyan Kang
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, 100875, People's Republic of China
| | - Yongben Fu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, 100875, People's Republic of China
| | - Junjie Wu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, 100875, People's Republic of China
| | - Fengyang Ma
- School of Education, University of Cincinnati, Cincinnati, Ohio, 45221
| | - Chunming Lu
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, 100875, People's Republic of China.,Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing, 100875, People's Republic of China
| | - Taomei Guo
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, 100875, People's Republic of China.,Center for Collaboration and Innovation in Brain and Learning Sciences, Beijing Normal University, Beijing, 100875, People's Republic of China
| |
Collapse
|
32
|
Li L, Emmorey K, Feng X, Lu C, Ding G. Functional Connectivity Reveals Which Language the "Control Regions" Control during Bilingual Production. Front Hum Neurosci 2016; 10:616. [PMID: 27965563 PMCID: PMC5127791 DOI: 10.3389/fnhum.2016.00616] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 11/18/2016] [Indexed: 11/28/2022] Open
Abstract
Bilingual studies have revealed critical roles for the dorsal anterior cingulate cortex (dACC) and the left caudate nucleus (Lcaudate) in controlling language processing, but how these regions manage activation of a bilingual’s two languages remains an open question. We addressed this question by identifying the functional connectivity (FC) of these control regions during a picture-naming task by bimodal bilinguals who were fluent in both a spoken and a signed language. To quantify language control processes, we measured the FC of the dACC and Lcaudate with a region specific to each language modality: left superior temporal gyrus (LSTG) for speech and left pre/postcentral gyrus (LPCG) for sign. Picture-naming occurred in either a single- or dual-language context. The results showed that in a single-language context, the dACC exhibited increased FC with the target language region, but not with the non-target language region. During the dual-language context when both languages were alternately the target language, the dACC showed strong FC to the LPCG, the region specific to the less proficient (signed) language. By contrast, the Lcaudate revealed a strong connectivity to the LPCG in the single-language context and to the LSTG (the region specific to spoken language) in the dual-language context. Our findings suggest that the dACC monitors and supports the processing of the target language, and that the Lcaudate controls the selection of the less accessible language. The results support the hypothesis that language control processes adapt to task demands that vary due to different interactional contexts.
Collapse
Affiliation(s)
- Le Li
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University Beijing, China
| | - Karen Emmorey
- Laboratory for Language and Cognitive Neuroscience, School of Speech, Language, and Hearing Sciences, San Diego State University San Diego, CA, USA
| | - Xiaoxia Feng
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University Beijing, China
| | - Chunming Lu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal UniversityBeijing, China; Centre for Collaboration and Innovation in Brain and Learning SciencesBeijing, China
| | - Guosheng Ding
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal UniversityBeijing, China; Centre for Collaboration and Innovation in Brain and Learning SciencesBeijing, China
| |
Collapse
|
33
|
Radman N, Mouthon M, Di Pietro M, Gaytanidis C, Leemann B, Abutalebi J, Annoni JM. The Role of the Cognitive Control System in Recovery from Bilingual Aphasia: A Multiple Single-Case fMRI Study. Neural Plast 2016; 2016:8797086. [PMID: 27965899 PMCID: PMC5124691 DOI: 10.1155/2016/8797086] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Revised: 09/15/2016] [Accepted: 10/12/2016] [Indexed: 11/26/2022] Open
Abstract
Aphasia in bilingual patients is a therapeutic challenge since both languages can be impacted by the same lesion. Language control has been suggested to play an important role in the recovery of first (L1) and second (L2) language in bilingual aphasia following stroke. To test this hypothesis, we collected behavioral measures of language production (general aphasia evaluation and picture naming) in each language and language control (linguistic and nonlinguistic switching tasks), as well as fMRI during a naming task at one and four months following stroke in five bilingual patients suffering from poststroke aphasia. We further applied dynamic causal modelling (DCM) analyses to the connections between language and control brain areas. Three patients showed parallel recovery in language production, one patient improved in L1, and one improved in L2 only. Language-control functions improved in two patients. Consistent with the dynamic view of language recovery, DCM analyses showed a higher connectedness between language and control areas in the language with the better recovery. Moreover, similar degrees of connectedness between language and control areas were found in the patients who recovered in both languages. Our data suggest that engagement of the interconnected language-control network is crucial in the recovery of languages.
Collapse
Affiliation(s)
- Narges Radman
- Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland
| | - Michael Mouthon
- Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland
| | - Marie Di Pietro
- Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland
| | - Chrisovalandou Gaytanidis
- Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland
- Neuropsychology Unit, Fribourg Cantonal Hospital, Fribourg, Switzerland
| | - Beatrice Leemann
- Neurorehabilitation Department, University Hospital, University of Geneva, Geneva, Switzerland
| | - Jubin Abutalebi
- Center for Neurolinguistics and Psycholinguistics, San Raffaele University and Scientific Institute San Raffaele, Milan, Italy
| | - Jean-Marie Annoni
- Neurology Unit, Department of Medicine, Faculty of Sciences, University of Fribourg, Fribourg, Switzerland
| |
Collapse
|
34
|
Chouiter L, Holmberg J, Manuel AL, Colombo F, Clarke S, Annoni JM, Spierer L. Partly segregated cortico-subcortical pathways support phonologic and semantic verbal fluency: A lesion study. Neuroscience 2016; 329:275-83. [DOI: 10.1016/j.neuroscience.2016.05.029] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 05/11/2016] [Accepted: 05/12/2016] [Indexed: 11/15/2022]
|
35
|
Lee B, Moon HI, Lim SH, Cho H, Choi H, Pyun SB. Recovery of language function in Korean-Japanese crossed bilingual aphasia following right basal ganglia hemorrhage. Neurocase 2016; 22:300-5. [PMID: 26853846 DOI: 10.1080/13554794.2016.1141966] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Few studies have investigated language recovery patterns and the mechanisms of crossed bilingual aphasia following a subcortical stroke. In particular, Korean-Japanese crossed bilingual aphasia has not been reported. A 47-year-old, right-handed man was diagnosed with an extensive right basal ganglia hemorrhage. He was bilingual, fluent in both Korean and Japanese. After his stroke, the patient presented with crossed aphasia. We investigated changes in the Korean (L1) and Japanese (L2) language recovery patterns. Both Korean and Japanese versions of the Western Aphasia Battery (WAB) were completed one month after the stroke, and functional magnetic resonance imaging (fMRI) was performed using picture-naming tasks. The WAB showed a paradoxical pattern of bilingual aphasia, with an aphasia quotient (AQ) of 32 for Korean and 50.6 for Japanese, with Broca's aphasia. The patient scored better in the Japanese version of all domains of the tests. The fMRI study showed left lateralized activation in both language tasks, especially in the inferior frontal gyrus. After six months of language therapy targeting L1, the Korean-WAB score improved significantly, while the Japanese-WAB score showed slight improvement. In this case, the subcortical lesion contributed to crossed bilingual aphasia more highly affecting L1 due to loss of the cortico-subcortical control mechanism in the dominant hemisphere. The paradoxical pattern of bilingual aphasia disappeared after lengthy language therapy targeting L1, and the therapy effect did not transfer to L2. Language recovery in L1 might have been accomplished by reintegrating language networks, including the contralesional language homologue area in the left hemisphere.
Collapse
Affiliation(s)
- Boram Lee
- a Department of Physical Medicine and Rehabilitation , Korea University College of Medicine , Seoul , Korea
| | - Hyun Im Moon
- a Department of Physical Medicine and Rehabilitation , Korea University College of Medicine , Seoul , Korea
| | - Sung Hee Lim
- a Department of Physical Medicine and Rehabilitation , Korea University College of Medicine , Seoul , Korea
| | - Hyesuk Cho
- b Wisdom Science Center , Korea University , Seoul , South Korea
| | - Hyunjoo Choi
- c Department of Communication Disorders , Korea Nazarene University , Cheonan , Korea
| | - Sung-Bom Pyun
- a Department of Physical Medicine and Rehabilitation , Korea University College of Medicine , Seoul , Korea.,d Brain Convergence Research Center , Korea University Hospital , Seoul , Korea
| |
Collapse
|
36
|
Meier EL, Kapse KJ, Kiran S. The Relationship between Frontotemporal Effective Connectivity during Picture Naming, Behavior, and Preserved Cortical Tissue in Chronic Aphasia. Front Hum Neurosci 2016; 10:109. [PMID: 27014039 PMCID: PMC4792868 DOI: 10.3389/fnhum.2016.00109] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 02/29/2016] [Indexed: 11/17/2022] Open
Abstract
While several studies of task-based effective connectivity of normal language processing exist, little is known about the functional reorganization of language networks in patients with stroke-induced chronic aphasia. During oral picture naming, activation in neurologically intact individuals is found in "classic" language regions involved with retrieval of lexical concepts [e.g., left middle temporal gyrus (LMTG)], word form encoding [e.g., left posterior superior temporal gyrus, (LpSTG)], and controlled retrieval of semantic and phonological information [e.g., left inferior frontal gyrus (LIFG)] as well as domain-general regions within the multiple demands network [e.g., left middle frontal gyrus (LMFG)]. After stroke, lesions to specific parts of the left hemisphere language network force reorganization of this system. While individuals with aphasia have been found to recruit similar regions for language tasks as healthy controls, the relationship between the dynamic functioning of the language network and individual differences in underlying neural structure and behavioral performance is still unknown. Therefore, in the present study, we used dynamic causal modeling (DCM) to investigate differences between individuals with aphasia and healthy controls in terms of task-induced regional interactions between three regions (i.e., LIFG, LMFG, and LMTG) vital for picture naming. The DCM model space was organized according to exogenous input to these regions and partitioned into separate families. At the model level, random effects family wise Bayesian Model Selection revealed that models with driving input to LIFG best fit the control data whereas models with driving input to LMFG best fit the patient data. At the parameter level, a significant between-group difference in the connection strength from LMTG to LIFG was seen. Within the patient group, several significant relationships between network connectivity parameters, spared cortical tissue, and behavior were observed. Overall, this study provides some preliminary findings regarding how neural networks for language reorganize for individuals with aphasia and how brain connectivity relates to underlying structural integrity and task performance.
Collapse
Affiliation(s)
- Erin L. Meier
- Department of Speech Language and Hearing Sciences, Aphasia Research Laboratory, Sargent College, Boston University, BostonMA, USA
| | | | - Swathi Kiran
- Department of Speech Language and Hearing Sciences, Aphasia Research Laboratory, Sargent College, Boston University, BostonMA, USA
| |
Collapse
|
37
|
The relationships between the amount of spared tissue, percent signal change, and accuracy in semantic processing in aphasia. Neuropsychologia 2016; 84:113-26. [PMID: 26775192 DOI: 10.1016/j.neuropsychologia.2015.10.019] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 09/10/2015] [Accepted: 10/12/2015] [Indexed: 12/31/2022]
Abstract
Recovery from aphasia, loss of language following a cerebrovascular incident (stroke), is a complex process involving both left and right hemispheric regions. In our study, we analyzed the relationships between semantic processing behavioral data, lesion size and location, and percent signal change from functional magnetic resonance imaging (fMRI) data. This study included 14 persons with aphasia in the chronic stage of recovery (six or more months post stroke), along with normal controls, who performed semantic processing tasks of determining whether a written semantic feature matched a picture or whether two written words were related. Using region of interest (ROI) analysis, we found that left inferior frontal gyrus pars opercularis and pars triangularis, despite significant damage, were the only regions to correlate with behavioral accuracy. Additionally, bilateral frontal regions including superior frontal gyrus, middle frontal gyrus, and anterior cingulate appear to serve as an assistive network in the case of damage to traditional language regions that include inferior frontal gyrus, middle temporal gyrus, supramarginal gyrus, and angular gyrus. Right hemisphere posterior regions including right middle temporal gyrus, right supramarginal gyrus, and right angular gyrus are engaged in the case of extensive damage to left hemisphere language regions. Additionally, right inferior frontal gyrus pars orbitalis is presumed to serve a monitoring function. These results reinforce the importance of the left hemisphere in language processing in aphasia, and provide a framework for the relative importance of left and right language regions in the brain.
Collapse
|
38
|
Vandenborre D, van Dun K, Engelborghs S, Mariën P. Apraxic agraphia following thalamic damage: Three new cases. BRAIN AND LANGUAGE 2015; 150:153-165. [PMID: 26460984 DOI: 10.1016/j.bandl.2015.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Revised: 04/05/2015] [Accepted: 05/02/2015] [Indexed: 06/05/2023]
Abstract
Apraxic agraphia (AA) is a so-called peripheral writing disorder following disruption of the skilled movement plans of writing while the central processes that subserve spelling are intact. It has been observed in a variety of etiologically heterogeneous neurological disorders typically associated with lesions located in the language dominant parietal and frontal region. The condition is characterized by a hesitant, incomplete, imprecise or even illegible graphomotor output. Letter formation cannot be attributed to sensorimotor, extrapyramidal or cerebellar dysfunction affecting the writing limb. Detailed clinical, neurocognitive, neurolinguistic and (functional) neuroimaging characteristics of three unique cases are reported that developed AA following a thalamic stroke. In marked contrast to impaired handwriting, non-handwriting skills, such as oral spelling, were hardly impaired. Quantified Tc-99m ECD SPECT consistently showed a decreased perfusion in the anatomoclinically suspected prefrontal regions. The findings suggest crucial involvement of the anterior (and medial) portion of the left thalamus within the neural network subserving the graphomotor system. Functional neuroimaging findings seem to indicate that AA after focal thalamic damage represents a diaschisis phenomenon.
Collapse
Affiliation(s)
- Dorien Vandenborre
- Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium; Cepos, Rehabilitation Centre, Rooienberg 21, B-2570 Duffel, Belgium
| | - Kim van Dun
- Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium
| | - Sebastiaan Engelborghs
- Department of Neurology & Memory Clinic, ZNA Middelheim General Hospital, Lindendreef 1, B-2020 Antwerp, Belgium; Reference Center for Biological Markers of Dementia (BIODEM), Laboratory of Neurochemistry and Behavior, Institute Born-Bunge, University of Antwerp (UA), Universiteitsplein 1, BE-2610 Antwerp, Belgium
| | - Peter Mariën
- Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium; Department of Neurology & Memory Clinic, ZNA Middelheim General Hospital, Lindendreef 1, B-2020 Antwerp, Belgium.
| |
Collapse
|
39
|
Sandberg CW, Bohland JW, Kiran S. Changes in functional connectivity related to direct training and generalization effects of a word finding treatment in chronic aphasia. BRAIN AND LANGUAGE 2015; 150:103-16. [PMID: 26398158 PMCID: PMC4663144 DOI: 10.1016/j.bandl.2015.09.002] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Revised: 07/30/2015] [Accepted: 09/01/2015] [Indexed: 05/03/2023]
Abstract
The neural mechanisms that underlie generalization of treatment-induced improvements in word finding in persons with aphasia (PWA) are currently poorly understood. This study aimed to shed light on changes in functional network connectivity underlying generalization in aphasia. To this end, we used fMRI and graph theoretic analyses to examine changes in functional connectivity after a theoretically-based word-finding treatment in which abstract words were used as training items with the goal of promoting generalization to concrete words. Ten right-handed native English-speaking PWA (7 male, 3 female) ranging in age from 47 to 75 (mean=59) participated in this study. Direct training effects coincided with increased functional connectivity for regions involved in abstract word processing. Generalization effects coincided with increased functional connectivity for regions involved in concrete word processing. Importantly, similarities between training and generalization effects were noted as were differences between participants who generalized and those who did not.
Collapse
Affiliation(s)
- Chaleece W Sandberg
- Boston University, Department of Speech and Hearing Sciences, 635 Commonwealth Ave., Boston, MA 02215, USA.
| | - Jason W Bohland
- Boston University, Department of Speech and Hearing Sciences, 635 Commonwealth Ave., Boston, MA 02215, USA
| | - Swathi Kiran
- Boston University, Department of Speech and Hearing Sciences, 635 Commonwealth Ave., Boston, MA 02215, USA
| |
Collapse
|
40
|
Keane C, Kiran S. The nature of facilitation and interference in the multilingual language system: insights from treatment in a case of trilingual aphasia. Cogn Neuropsychol 2015; 32:169-94. [DOI: 10.1080/02643294.2015.1061982] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
41
|
Affiliation(s)
| | | | - David W Green
- Department of Cognitive, Perceptual, and Brain Sciences, University College London
| | | |
Collapse
|
42
|
Kiran S, Meier EL, Kapse KJ, Glynn PA. Changes in task-based effective connectivity in language networks following rehabilitation in post-stroke patients with aphasia. Front Hum Neurosci 2015; 9:316. [PMID: 26106314 PMCID: PMC4460429 DOI: 10.3389/fnhum.2015.00316] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Accepted: 05/18/2015] [Indexed: 11/19/2022] Open
Abstract
In this study, we examined regions in the left and right hemisphere language network that were altered in terms of the underlying neural activation and effective connectivity subsequent to language rehabilitation. Eight persons with chronic post-stroke aphasia and eight normal controls participated in the current study. Patients received a 10 week semantic feature-based rehabilitation program to improve their skills. Therapy was provided on atypical examples of one trained category while two control categories were monitored; the categories were counterbalanced across patients. In each fMRI session, two experimental tasks were conducted: (a) picture naming and (b) semantic feature verification of trained and untrained categories. Analysis of treatment effect sizes revealed that all patients showed greater improvements on the trained category relative to untrained categories. Results from this study show remarkable patterns of consistency despite the inherent variability in lesion size and activation patterns across patients. Across patients, activation that emerged as a function of rehabilitation on the trained category included bilateral IFG, bilateral SFG, LMFG, and LPCG for picture naming; and bilateral IFG, bilateral MFG, LSFG, and bilateral MTG for semantic feature verification. Analysis of effective connectivity using Dynamic Causal Modeling (DCM) indicated that LIFG was the consistently significantly modulated region after rehabilitation across participants. These results indicate that language networks in patients with aphasia resemble normal language control networks and that this similarity is accentuated by rehabilitation.
Collapse
Affiliation(s)
- Swathi Kiran
- Aphasia Research Laboratory, Speech Language and Hearing Sciences, Sargent College, Boston University Boston MA, USA
| | - Erin L Meier
- Aphasia Research Laboratory, Speech Language and Hearing Sciences, Sargent College, Boston University Boston MA, USA
| | - Kushal J Kapse
- Aphasia Research Laboratory, Speech Language and Hearing Sciences, Sargent College, Boston University Boston MA, USA
| | - Peter A Glynn
- Feinberg School of Medicine, Northwestern University Chicago IL, USA
| |
Collapse
|
43
|
Hervais-Adelman A, Moser-Mercer B, Golestani N. Brain functional plasticity associated with the emergence of expertise in extreme language control. Neuroimage 2015; 114:264-74. [PMID: 25869858 DOI: 10.1016/j.neuroimage.2015.03.072] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Revised: 03/02/2015] [Accepted: 03/27/2015] [Indexed: 01/05/2023] Open
Abstract
We used functional magnetic resonance imaging (fMRI) to longitudinally examine brain plasticity arising from long-term, intensive simultaneous interpretation training. Simultaneous interpretation is a bilingual task with heavy executive control demands. We compared brain responses observed during simultaneous interpretation with those observed during simultaneous speech repetition (shadowing) in a group of trainee simultaneous interpreters, at the beginning and at the end of their professional training program. Age, sex and language-proficiency matched controls were scanned at similar intervals. Using multivariate pattern classification, we found distributed patterns of changes in functional responses from the first to second scan that distinguished the interpreters from the controls. We also found reduced recruitment of the right caudate nucleus during simultaneous interpretation as a result of training. Such practice-related change is consistent with decreased demands on multilingual language control as the task becomes more automatized with practice. These results demonstrate the impact of simultaneous interpretation training on the brain functional response in a cerebral structure that is not specifically linguistic, but that is known to be involved in learning, in motor control, and in a variety of domain-general executive functions. Along with results of recent studies showing functional and structural adaptations in the caudate nuclei of experts in a broad range of domains, our results underline the importance of this structure as a central node in expertise-related networks.
Collapse
Affiliation(s)
- Alexis Hervais-Adelman
- Brain and Language Lab, Department of Clinical Neuroscience, University of Geneva, Switzerland.
| | | | - Narly Golestani
- Brain and Language Lab, Department of Clinical Neuroscience, University of Geneva, Switzerland
| |
Collapse
|
44
|
Fouad K, Forero J, Hurd C. A Simple Analogy for Nervous System Plasticity After Injury. Exerc Sport Sci Rev 2015; 43:100-6. [DOI: 10.1249/jes.0000000000000040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
45
|
Vandenborre D, van Dun K, Mariën P. Apraxic agraphia following bithalamic damage. Brain Cogn 2015; 95:35-43. [PMID: 25682350 DOI: 10.1016/j.bandc.2015.01.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Revised: 01/20/2015] [Accepted: 01/23/2015] [Indexed: 10/24/2022]
Abstract
OBJECTIVES Apraxic agraphia (AA) is a peripheral writing disorder generally considered to result from a causative lesion in the parietal and/or prefrontal lobe of the language dominant hemisphere (De Smet, Engelborghs, Paquier, De Deyn, & Mariën, 2011). De Smet et al. (2011), however, confirmed that AA might be associated with lesions outside the typical language areas such as the cerebellum or the thalamus. We report a 32-year-old ambidextrous patient with a left frontal lobectomy who following bilateral thalamic damage developed AA. METHOD Detailed neurolinguistic and neurocognitive test results were obtained after resection of an extensive left frontal lobe tumour by means of a set of standardised tests. Repeated investigations were performed after a bithalamic stroke. Functional imaging was performed by means of quantified SPECT. RESULTS Normal neurolinguistic test results were obtained after tumour resection. Neurocognitive test results, however, showed a dysexecutive syndrome and frontal behavioural deficits, including response inhibition. AA occurred after a bithalamic stroke while non-handwriting written language skills, such as typing, were normal. Quantified SPECT showed a significant bifrontal hypoperfusion. CONCLUSION Neurolinguistic follow-up findings and SPECT evidence in this unique patient with bithalamic damage for the first time indicate that AA in the alphabetic script may result from diaschisis affecting the frontal writing centre. The findings suggest that the thalamus is critically implicated in the neural network subserving graphomotor processing.
Collapse
Affiliation(s)
- Dorien Vandenborre
- Department of Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium; Cepos, Rehabilitation Centre, Rooienberg 21, B-2570 Duffel, Belgium
| | - Kim van Dun
- Department of Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium
| | - Peter Mariën
- Department of Clinical and Experimental Neurolinguistics, Vrije Universiteit Brussel, Pleinlaan 2, B-1050 Brussels, Belgium; Department of Neurology & Memory Clinic, ZNA Middelheim General Hospital, Lindendreef 1, B-2020 Antwerp, Belgium.
| |
Collapse
|
46
|
Hope TMH, Parker Jones 'Ō, Grogan A, Crinion J, Rae J, Ruffle L, Leff AP, Seghier ML, Price CJ, Green DW. Comparing language outcomes in monolingual and bilingual stroke patients. Brain 2015; 138:1070-83. [PMID: 25688076 PMCID: PMC5014078 DOI: 10.1093/brain/awv020] [Citation(s) in RCA: 69] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Hope et al. compare language outcomes in monolingual and bilingual stroke patients, and find that prognostic models based on monolingual data alone overestimate language skills in bilingual patients. Both groups seem sensitive to damage in the same brain regions, but bilinguals appear more sensitive to that damage than monolinguals. Post-stroke prognoses are usually inductive, generalizing trends learned from one group of patients, whose outcomes are known, to make predictions for new patients. Research into the recovery of language function is almost exclusively focused on monolingual stroke patients, but bilingualism is the norm in many parts of the world. If bilingual language recruits qualitatively different networks in the brain, prognostic models developed for monolinguals might not generalize well to bilingual stroke patients. Here, we sought to establish how applicable post-stroke prognostic models, trained with monolingual patient data, are to bilingual stroke patients who had been ordinarily resident in the UK for many years. We used an algorithm to extract binary lesion images for each stroke patient, and assessed their language with a standard tool. We used feature selection and cross-validation to find ‘good’ prognostic models for each of 22 different language skills, using monolingual data only (174 patients; 112 males and 62 females; age at stroke: mean = 53.0 years, standard deviation = 12.2 years, range = 17.2–80.1 years; time post-stroke: mean = 55.6 months, standard deviation = 62.6 months, range = 3.1–431.9 months), then made predictions for both monolinguals and bilinguals (33 patients; 18 males and 15 females; age at stroke: mean = 49.0 years, standard deviation = 13.2 years, range = 23.1–77.0 years; time post-stroke: mean = 49.2 months, standard deviation = 55.8 months, range = 3.9–219.9 months) separately, after training with monolingual data only. We measured group differences by comparing prediction error distributions, and used a Bayesian test to search for group differences in terms of lesion-deficit associations in the brain. Our models distinguish better outcomes from worse outcomes equally well within each group, but tended to be over-optimistic when predicting bilingual language outcomes: our bilingual patients tended to have poorer language skills than expected, based on trends learned from monolingual data alone, and this was significant (P < 0.05, corrected for multiple comparisons) in 13/22 language tasks. Both patient groups appeared to be sensitive to damage in the same sets of regions, though the bilinguals were more sensitive than the monolinguals.
Collapse
Affiliation(s)
- Thomas M H Hope
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | - 'Ōiwi Parker Jones
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK 2 Wolfson College, University of Oxford, UK
| | - Alice Grogan
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | | | - Johanna Rae
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | - Louise Ruffle
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | - Alex P Leff
- 3 Institute of Cognitive Neuroscience, University College London, UK 4 Department of Brain, Repair and Rehabilitation, Institute of Neurology, University College London, UK
| | - Mohamed L Seghier
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | - Cathy J Price
- 1 Wellcome Trust Centre for Neuroimaging, University College London, UK
| | - David W Green
- 5 Experimental Psychology, University College London, London WC1E 6BT, UK
| |
Collapse
|
47
|
The importance of premotor cortex for supporting speech production after left capsular-putaminal damage. J Neurosci 2015; 34:14338-48. [PMID: 25339747 DOI: 10.1523/jneurosci.1954-14.2014] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The left putamen is known to be important for speech production, but some patients with left putamen damage can produce speech remarkably well. We investigated the neural mechanisms that support this recovery by using a combination of techniques to identify the neural regions and pathways that compensate for loss of the left putamen during speech production. First, we used fMRI to identify the brain regions that were activated during reading aloud and picture naming in a patient with left putamen damage. This revealed that the patient had abnormally high activity in the left premotor cortex. Second, we used dynamic causal modeling of the patient's fMRI data to understand how this premotor activity influenced other speech production regions and whether the same neural pathway was used by our 24 neurologically normal control subjects. Third, we validated the compensatory relationship between putamen and premotor cortex by showing, in the control subjects, that lower connectivity through the putamen increased connectivity through premotor cortex. Finally, in a lesion-deficit analysis, we demonstrate the explanatory power of our fMRI results in new patients who had damage to the left putamen, left premotor cortex, or both. Those with damage to both had worse reading and naming scores. The results of our four-pronged approach therefore have clinical implications for predicting which patients are more or less likely to recover their speech after left putaminal damage.
Collapse
|
48
|
Tu L, Wang J, Abutalebi J, Jiang B, Pan X, Li M, Gao W, Yang Y, Liang B, Lu Z, Huang R. Language exposure induced neuroplasticity in the bilingual brain: a follow-up fMRI study. Cortex 2014; 64:8-19. [PMID: 25461703 DOI: 10.1016/j.cortex.2014.09.019] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Revised: 06/15/2014] [Accepted: 09/29/2014] [Indexed: 11/15/2022]
Abstract
Although several studies have shown that language exposure crucially influence the cerebral representation of bilinguals, the effects of short-term change of language exposure in daily life upon language control areas in bilinguals are less known. To explore this issue, we employed follow-up fMRI to investigate whether differential exposure induces neuroplastic changes in the language control network in high-proficient Cantonese (L1)-Mandarin (L2) early bilinguals. The same 10 subjects underwent twice BOLD-fMRI scans while performing a silent narration task which corresponded to two different language exposure conditions, CON-1 (L1/L2 usage percentage, 50%:50%) and CON-2 (L1/L2 usage percentage, 90%:10%). We report a strong effect of language exposure in areas related to language control for the less exposed language. Interestingly, these significant effects were present after only a 30-day period of differential language exposure. In detail, we reached the following results: (1) the interaction effect of language and language exposure condition was found significantly in the left pars opercularis (BA 44) and marginally in the left MFG (BA 9); (2) in CON-2, increases of activation values in L2 were found significantly in bilateral BA 46 and BA 9, in the left BA44, and marginally in the left caudate; and (3) in CON-2, we found a significant negative correlation between language exposure to L2 and the BOLD activation value specifically in the left ACC. These findings strongly support the hypothesis that even short periods of differential exposure to a given language may induce significant neuroplastic changes in areas responsible for language control. The language which a bilingual is less exposed to and is also less used will be in need of increased mental control as shown by the increased activity of language control areas.
Collapse
Affiliation(s)
- Liu Tu
- College of Foreign Studies, Jinan University, Guangzhou, PR China
| | - Junjing Wang
- Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, PR China
| | - Jubin Abutalebi
- University San Raffaele, Milan & Scientific Institute San Raffaele, Milan, Italy
| | - Bo Jiang
- Department of Radiology, Huangpu Clinical Medical Center, Sun Yat Sen University First Affiliated Hospital, Guangzhou, PR China
| | - Ximin Pan
- Department of Radiology, Huangpu Clinical Medical Center, Sun Yat Sen University First Affiliated Hospital, Guangzhou, PR China
| | - Meng Li
- Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, PR China
| | - Wei Gao
- College of Foreign Studies, Jinan University, Guangzhou, PR China
| | - Yuchen Yang
- College of Information Science and Technology, Jinan University, Guangzhou, PR China
| | - Bishan Liang
- Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, PR China
| | - Zhi Lu
- Faculty of Foreign Languages, Ningbo University, Ningbo, PR China.
| | - Ruiwang Huang
- Center for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou, PR China.
| |
Collapse
|
49
|
Klingner CM, Volk GF, Brodoehl S, Witte OW, Guntinas-Lichius O. Disrupted functional connectivity of the default mode network due to acute vestibular deficit. NEUROIMAGE-CLINICAL 2014; 6:109-14. [PMID: 25379422 PMCID: PMC4215422 DOI: 10.1016/j.nicl.2014.08.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2014] [Revised: 08/22/2014] [Accepted: 08/22/2014] [Indexed: 11/17/2022]
Abstract
Vestibular neuritis is defined as a sudden unilateral partial failure of the vestibular nerve that impairs the forwarding of vestibular information from the labyrinth. The patient suffers from vertigo, horizontal nystagmus and postural instability with a tendency toward ipsilesional falls. Although vestibular neuritis is a common disease, the central mechanisms to compensate for the loss of precise vestibular information remain poorly understood. It was hypothesized that symptoms following acute vestibular neuritis originate from difficulties in the processing of diverging sensory information between the responsible brain networks. Accordingly an altered resting activity was shown in multiple brain areas of the task-positive network. Because of the known balance between the task-positive and task-negative networks (default mode network; DMN) we hypothesize that also the DMN is involved. Here, we employ functional magnetic resonance imaging (fMRI) in the resting state to investigate changes in the functional connectivity between the DMN and task-positive networks, in a longitudinal design combined with measurements of caloric function. We demonstrate an initially disturbed connectedness of the DMN after vestibular neuritis. We hypothesize that the disturbed connectivity between the default mode network and particular parts of the task-positive network might be related to a sustained utilization of processing capacity by diverging sensory information. The current results provide some insights into mechanisms of central compensation following an acute vestibular deficit and the importance of the DMN in this disease. fMRI connectivity analyses after vestibular neuritis in a longitudinal design Initially disturbed connectedness between the DMN and task positive networks Connectivity restoration after complete clinical recovery of patients
Collapse
Affiliation(s)
| | - Gerd F Volk
- Department for Otorhinolaryngology, University of Jena, Germany
| | | | - Otto W Witte
- Department of Neurology, University of Jena, Germany
| | | |
Collapse
|
50
|
Bilingual language control and general purpose cognitive control among individuals with bilingual aphasia: evidence based on negative priming and flanker tasks. Behav Neurol 2014; 2014:679706. [PMID: 24982591 PMCID: PMC4042523 DOI: 10.1155/2014/679706] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Accepted: 10/13/2013] [Indexed: 11/17/2022] Open
Abstract
Background. Bilingualism results in an added advantage with respect to cognitive control. The interaction between bilingual language control and general purpose cognitive control systems can also be understood by studying executive control among individuals with bilingual aphasia. Objectives. The current study examined the subcomponents of cognitive control in bilingual aphasia. A case study approach was used to investigate whether cognitive control and language control are two separate systems and how factors related to bilingualism interact with control processes. Methods. Four individuals with bilingual aphasia performed a language background questionnaire, picture description task, and two experimental tasks (nonlinguistic negative priming task and linguistic and nonlinguistic versions of flanker task). Results. A descriptive approach was used to analyse the data using reaction time and accuracy measures. The cumulative distribution function plots were used to visualize the variations in performance across conditions. The results highlight the distinction between general purpose cognitive control and bilingual language control mechanisms. Conclusion. All participants showed predominant use of the reactive control mechanism to compensate for the limited resources system. Independent yet interactive systems for bilingual language control and general purpose cognitive control were postulated based on the experimental data derived from individuals with bilingual aphasia.
Collapse
|