Modulation of Gestural-verbal Semantic Integration by tDCS

Increased interbrain synchronization and neural efficiency of the frontal cortex to enhance human coordinative behavior: A combined hyper-tES and fNIRS study

Coordination is crucial for individuals to achieve common goals; however, the causal relationship between coordination behavior and neural activity has not yet been explored. Interbrain synchronization (IBS) and neural efficiency in cortical areas associated with the mirror neuron system (MNS) are considered two potential brain mechanisms. In the present study, we attempted to clarify how the two mechanisms facilitate coordination using hypertranscranial electrical stimulation (hyper-tES). A total of 124 healthy young adults were randomly divided into three groups (the hyper-tACS, hyper-tDCS and sham groups) and underwent modulation of the right inferior frontal gyrus (IFG) during functional near-infrared spectroscopy (fNIRS). Increased IBS of the PFC or neural efficiency of the right IFG (related to the MNS) was accompanied by greater coordination behavior; IBS had longer-lasting effects on behavior. Our findings highlight the importance of IBS and neural efficiency of the frontal cortex for coordination and suggest potential interventions to improve coordination in different temporal windows.

The Role of Iconic Gestures in Speech Comprehension: An Overview of Various Methodologies

Iconic gesture-speech integration is a relatively recent field of investigation with numerous researchers studying its various aspects. The results obtained are just as diverse. The definition of iconic gestures is often overlooked in the interpretations of results. Furthermore, while most behavioral studies have demonstrated an advantage of bimodal presentation, brain activity studies show a diversity of results regarding the brain regions involved in the processing of this integration. Clinical studies also yield mixed results, some suggesting parallel processing channels, others a unique and integrated channel. This review aims to draw attention to the methodological variations in research on iconic gesture-speech integration and how they impact conclusions regarding the underlying phenomena. It will also attempt to draw together the findings from other relevant research and suggest potential areas for further investigation in order to better understand processes at play during speech integration process.

Non-invasive brain stimulation in limb praxis and apraxia: A scoping review in healthy subjects and patients with stroke

Non-invasive brain stimulation (NIBS) techniques are widely used in research settings to investigate brain mechanisms and increasingly being used for treatment purposes. The aim of this study was to systematically identify and review the current literature on NIBS studies of limb praxis and apraxia in healthy subjects and stroke patients with a scoping review using PRISMA-ScR guidelines. MEDLINE-PubMed, EMBASE and PsycINFO were searched. Inclusion criteria were English peer-reviewed studies focusing on the investigation of limb praxis/apraxia using repetitive transcranial magnetic stimulation (rTMS), or transcranial direct current stimulation (tDCS). Fourteen out of 139 records met the inclusion criteria, including thirteen studies with healthy subjects and one with stroke patients. The results of our systematic review suggest that in healthy subjects NIBS over left inferior parietal lobe (IPL) mainly interfered with gesture processing, by either affecting reaction times in judgment tasks or real gesturing. First promising results suggest that inhibitory continuous theta burst stimulation (cTBS) over right IPL may enhance gesturing in healthy subjects, explained by transcallosal facilitation of left IPL. In stroke patients, excitatory anodal tDCS over left IPL may improve limb apraxia. However, larger well powered and sham-controlled clinical trials are needed to expand on these proof-of-concept results, before NIBS could be a treatment option to improve limb apraxia in stroke patients.

Oscillatory entrainment of neural activity between inferior frontoparietal cortices alters imitation performance

The frontoparietal mirror network is activated when an individual performs a goal-directed action and observes another person's intentional action. It has been speculated that the distinct frontal and parietal regions might work together to participate in the imitation process, which translates an observed movement into an identical action. We aimed to determine the relationship between the frontoparietal mirror network and imitation by applying transcranial alternating current stimulation (tACS) to exogenously modulate oscillatory neural activity in the left inferior frontal gyrus and the left inferior parietal lobule. In total, 45 young adults participated in this study. The participants were randomly assigned to the three tACS groups (synchronous, desynchronous, and sham; 55 Hz enveloped by 6 Hz). Before and during tACS, the participants performed the gesture matching task and the gesture imitation task. Application of synchronous tACS over the left frontoparietal cortices significantly improved the performance of gesture matching and the meaningless gesture imitation relative to the baseline performance. Desynchronous tACS deteriorated the gesture matching performance relative to the baseline results. The oscillatory entrainment of neural activity between components of the frontoparietal mirror network is considered to alter imitation performance by modulating neural information relating to the goals of actions in the frontal cortex and the means of observed actions in the parietal cortex. To the best of our knowledge, this is the first study that reveals that the rhythmic communication between components of the frontoparietal mirror network has a functional role in imitation.

The interactive effect of empathy and motor cortex stimulation on hand gesture comprehension

Previous research has demonstrated that the Action-Observation Network (AON) is involved in both emotional-embodiment (empathy) and action-embodiment mechanisms. In the current study, we hypothesized that interfering with the AON will impair action recognition and that this impairment will be modulated by empathy levels. Fifty-two participants conducted a semantic decision task of hand gesture recognition, while we interfered with the AON by applying active (n = 26) or sham (n = 26) transcranial Direct Current Stimulation (tDCS) to the hand area of the primary motor cortex. We found that interfering with the AON impaired the performance of participants with high empathy levels and enhanced the performance of participants with low empathy. This finding suggests that the embodiment module may be flexible, and that it can be enhanced in individuals with low empathy by simple manipulation of motor activation.

Role of Sensorimotor Cortex in Gestural-Verbal Integration

Action comprehension that is related to language or gestural integration has been shown to engage the motor system in the brain, thus providing preliminary evidence for the gestural-verbal embodiment concept. Based on the involvement of the sensorimotor cortex (M1) in language processing, we aimed to further explore its role in the cognitive embodiment necessary for gestural-verbal integration. As such, we applied anodal (excitatory) and sham transcranial direct current stimulation (tDCS) over the left M1 (with reference electrode over the contralateral supraorbital region) during a gestural-verbal integration task where subjects had to make a decision about the semantic congruency of the gesture (prime) and the word (target). We used a cross-over within-subject design in young subjects. Attentional load and simple reaction time (RT) tasks served as control conditions, applied during stimulation (order of three tasks was counterbalanced). Our results showed that anodal (atDCS) compared to sham tDCS (stDCS) reduced RTs in the gestural-verbal integration task, specifically for incongruent pairs of gestures and verbal expressions, with no effect on control task performance. Our findings provide evidence for the involvement of the sensorimotor system in gestural-verbal integration performance. Further, our results suggest that functional modulation induced by sensorimotor tDCS may be specific to gestural-verbal integration. Future studies should now evaluate the modulatory effect of tDCS on semantic congruency by using tDCS over additional brain regions and include assessments of neural connectivity.

The interaction between embodiment and empathy in facial expression recognition

Previous research has demonstrated that the Action-Observation Network (AON) is involved in both emotional-embodiment (empathy) and action-embodiment mechanisms. In this study, we hypothesized that interfering with the AON will impair action recognition and that this impairment will be modulated by empathy levels. In Experiment 1 (n = 90), participants were asked to recognize facial expressions while their facial motion was restricted. In Experiment 2 (n = 50), we interfered with the AON by applying transcranial Direct Current Stimulation to the motor cortex. In both experiments, we found that interfering with the AON impaired the performance of participants with high empathy levels; however, for the first time, we demonstrated that the interference enhanced the performance of participants with low empathy. This novel finding suggests that the embodiment module may be flexible, and that it can be enhanced in individuals with low empathy by simple manipulation of motor activation.

The Role of Embodiment and Individual Empathy Levels in Gesture Comprehension

Research suggests that the action-observation network is involved in both emotional-embodiment (empathy) and action-embodiment (imitation) mechanisms. Here we tested whether empathy modulates action-embodiment, hypothesizing that restricting imitation abilities will impair performance in a hand gesture comprehension task. Moreover, we hypothesized that empathy levels will modulate the imitation restriction effect. One hundred twenty participants with a range of empathy scores performed gesture comprehension under restricted and unrestricted hand conditions. Empathetic participants performed better under the unrestricted compared to the restricted condition, and compared to the low empathy participants. Remarkably however, the latter showed the exactly opposite pattern and performed better under the restricted condition. This pattern was not found in a facial expression recognition task. The selective interaction of embodiment restriction and empathy suggests that empathy modulates the way people employ embodiment in gesture comprehension. We discuss the potential of embodiment-induced therapy to improve empathetic abilities in individuals with low empathy.