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Metaireau M, Osiurak F, Seye A, Lesourd M. The neural correlates of limb apraxia: An anatomical likelihood estimation meta-analysis of lesion-symptom mapping studies in brain-damaged patients. Neurosci Biobehav Rev 2024; 162:105720. [PMID: 38754714 DOI: 10.1016/j.neubiorev.2024.105720] [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: 01/19/2024] [Revised: 04/10/2024] [Accepted: 05/09/2024] [Indexed: 05/18/2024]
Abstract
Limb apraxia is a motor disorder frequently observed following a stroke. Apraxic deficits are classically assessed with four tasks: tool use, pantomime of tool use, imitation, and gesture understanding. These tasks are supported by several cognitive processes represented in a left-lateralized brain network including inferior frontal gyrus, inferior parietal lobe (IPL), and lateral occipito-temporal cortex (LOTC). For the past twenty years, voxel-wise lesion symptom mapping (VLSM) studies have been used to unravel the neural correlates associated with apraxia, but none of them has proposed a comprehensive view of the topic. In the present work, we proposed to fill this gap by performing a systematic Anatomic Likelihood Estimation meta-analysis of VLSM studies which included tasks traditionally used to assess apraxia. We found that the IPL was crucial for all the tasks. Moreover, lesions within the LOTC were more associated with imitation deficits than tool use or pantomime, confirming its important role in higher visual processing. Our results questioned traditional neurocognitive models on apraxia and may have important clinical implications.
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Affiliation(s)
- Maximilien Metaireau
- Université de Franche-Comté, UMR INSERM 1322, LINC, Besançon F-25000, France; Maison des Sciences de l'Homme et de l'Environnement (UAR 3124), Besançon, France.
| | - François Osiurak
- Laboratoire d'Étude des Mécanismes Cognitifs (EA 3082), Université Lyon 2, Bron, France; Institut Universitaire de France, Paris, France
| | - Arthur Seye
- Laboratoire d'Étude des Mécanismes Cognitifs (EA 3082), Université Lyon 2, Bron, France
| | - Mathieu Lesourd
- Université de Franche-Comté, UMR INSERM 1322, LINC, Besançon F-25000, France; Maison des Sciences de l'Homme et de l'Environnement (UAR 3124), Besançon, France; Unité de Neurologie Vasculaire, CHU Besançon, France.
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Baumard J, Laniepce A, Lesourd M, Guezouli L, Beaucousin V, Gehin M, Osiurak F, Bartolo A. The Neurocognitive Bases of Meaningful Intransitive Gestures: A Systematic Review and Meta-analysis of Neuropsychological Studies. Neuropsychol Rev 2024:10.1007/s11065-024-09634-6. [PMID: 38448754 DOI: 10.1007/s11065-024-09634-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/26/2024] [Indexed: 03/08/2024]
Abstract
Researchers and clinicians have long used meaningful intransitive (i.e., not tool-related; MFI) gestures to assess apraxia-a complex and frequent motor-cognitive disorder. Nevertheless, the neurocognitive bases of these gestures remain incompletely understood. Models of apraxia have assumed that meaningful intransitive gestures depend on either long-term memory (i.e., semantic memory and action lexicons) stored in the left hemisphere, or social cognition and the right hemisphere. This meta-analysis of 42 studies reports the performance of 2659 patients with either left or right hemisphere damage in tests of meaningful intransitive gestures, as compared to other gestures (i.e., MFT or meaningful transitive and MLI or meaningless intransitive) and cognitive tests. The key findings are as follows: (1) deficits of meaningful intransitive gestures are more frequent and severe after left than right hemisphere lesions, but they have been reported in both groups; (2) we found a transitivity effect in patients with lesions of the left hemisphere (i.e., meaningful transitive gestures more difficult than meaningful intransitive gestures) but a "reverse" transitivity effect in patients with lesions of the right hemisphere (i.e., meaningful transitive gestures easier than meaningful intransitive gestures); (3) there is a strong association between meaningful intransitive and transitive (but not meaningless) gestures; (4) isolated deficits of meaningful intransitive gestures are more frequent in cases with right than left hemisphere lesions; (5) these deficits may occur in the absence of language and semantic memory impairments; (6) meaningful intransitive gesture performance seems to vary according to the emotional content of gestures (i.e., body-centered gestures and emotional valence-intensity). These findings are partially consistent with the social cognition hypothesis. Methodological recommendations are given for future studies.
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Affiliation(s)
| | | | - Mathieu Lesourd
- UMR INSERM 1322 LINC, Université Bourgogne Franche-Comté, Besancon, France
| | - Léna Guezouli
- Normandie Univ, UNIROUEN, CRFDP, 76000, Rouen, France
| | | | - Maureen Gehin
- Normandie Univ, UNIROUEN, CRFDP, 76000, Rouen, France
| | - François Osiurak
- Laboratoire d'Étude des Mécanismes Cognitifs (UR 3082), Université Lyon 2, Bron, France
- Institut Universitaire de France (IUF), Paris, France
| | - Angela Bartolo
- Institut Universitaire de France (IUF), Paris, France
- CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, Univ. Lille, F-59000, Lille, France
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Silveri MC, Lo Monaco MR, Tondinelli A, Leggio M, Olivito G. Clinical and MRI characterization of apraxic syndrome in corticobasal degeneration: A single-case study. Clin Neuropsychol 2024; 38:508-528. [PMID: 37674289 DOI: 10.1080/13854046.2023.2219469] [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: 12/08/2022] [Accepted: 05/24/2023] [Indexed: 09/08/2023]
Abstract
Objective: To identify the cortical and subcortical distribution of atrophy and the disorganization of white matter bundles underlying the apraxic disorders in a patient with corticobasal degeneration (CBD). Method: Patient underwent appropriate neuropsychological tasks aimed at identifying the nature of the apraxic disorder and morphometric structural MRI with whole-brain voxel-wise analysis. Results: Progressive limbkinetic apraxia (LKA) with onset in the right upper limb with subsequent extension to the limbs, trunk, orofacial district, and eye movements was documented, associated with element of ideomotor apraxia (IMA). The MRI study showed grey matter atrophy extending to much of the frontal cortex bilaterally, including the precentral cortex, and into the inferior parietal regions. Caudate and putamen were involved on the left. Significant clusters of white matter atrophy were found in the bilateral superior longitudinal fasciculus (SLF), inferior longitudinal fasciculus (ILF) and corpus callosum (CC). Sensory evoked potentials (SEPs) and motor evoked potentials (MEPs) were normal. Conclusion: Previous observations in CBD indicate lack of inhibitory control from the sensory to the primary motor cortex with dysfunctional frontoparietal and cortico-motoneuron projections. Our neuroimaging data are partially consistent with these observations suggesting that the apraxic disorder in our patient might be produced by the disconnection of the primary motor cortex from the parietal areas that prevents selection and control of muscle movements, in the presence of preserved cortico-motoneuron as demonstrated by normal PEM. Apraxic disorders in CBD are high-level deficits of movement control that spare the motoneuron.
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Affiliation(s)
- Maria Caterina Silveri
- Fondazione Policlinico Universitario 'Agostino Gemelli' IRCSS, Rome, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Maria Rita Lo Monaco
- Fondazione Policlinico Universitario 'Agostino Gemelli' IRCSS, Rome, Italy
- Institute of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Alice Tondinelli
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Maria Leggio
- Department of Psychology, Sapienza Università di Roma, Rome, Italy
- Ataxia Research Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Giusy Olivito
- Department of Psychology, Sapienza Università di Roma, Rome, Italy
- Ataxia Research Laboratory, IRCCS Fondazione Santa Lucia, Rome, Italy
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Baumard J, Lesourd M, Jarry C, Merck C, Etcharry-Bouyx F, Chauviré V, Belliard S, Osiurak F, Le Gall D. Knowing "what for," but not "where": Dissociation between functional and contextual tool knowledge in healthy individuals and patients with dementia. J Int Neuropsychol Soc 2024; 30:97-106. [PMID: 37650212 DOI: 10.1017/s1355617723000486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
OBJECTIVE Semantic tool knowledge underlies the ability to perform activities of daily living. Models of apraxia have emphasized the role of functional knowledge about the action performed with tools (e.g., a hammer and a mallet allow a "hammering" action), and contextual knowledge informing individuals about where to find tools in the social space (e.g., a hammer and a mallet can be found in a workshop). The goal of this study was to test whether contextual or functional knowledge, would be central in the organization of tool knowledge. It was assumed that contextual knowledge would be more salient than functional knowledge for healthy controls and that patients with dementia would show impaired contextual knowledge. METHODS We created an original, open-ended categorization task with ambiguity, in which the same familiar tools could be matched on either contextual or functional criteria. RESULTS In our findings, healthy controls prioritized a contextual, over a functional criterion. Patients with dementia had normal visual categorization skills (as demonstrated by an original picture categorization task), yet they made less contextual, but more functional associations than healthy controls. CONCLUSION The findings support a dissociation between functional knowledge ("what for") on the one hand, and contextual knowledge ("where") on the other hand. While functional knowledge may be distributed across semantic and action-related factors, contextual knowledge may actually be the name of higher-order social norms applied to tool knowledge. These findings may encourage researchers to test both functional and contextual knowledge to diagnose semantic deficits and to use open-ended categorization tests.
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Affiliation(s)
| | - Mathieu Lesourd
- Laboratoire de Recherches Intégratives en Neurosciences et Psychologie Cognitive & MSHE Ledoux, CNRS, Université Bourgogne Franche-Comté, Besançon, France
| | - Christophe Jarry
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
| | - Catherine Merck
- Department of Neurology, University Hospital Pontchaillou, Rennes, France
| | | | - Valérie Chauviré
- Department of Neurology, University Hospital of Angers, Angers, France
| | - Serge Belliard
- Department of Neurology, University Hospital Pontchaillou, Rennes, France
| | - François Osiurak
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
- Institut Universitaire de France, Paris, France
| | - Didier Le Gall
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
- Département de Neurologie, Unité de Neuropsychologie, Centre Hospitalier Universitaire d'Angers, Angers, France
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Kim SH, Jang Y, Kim H. Concept and risk factors of alcohol relapse in liver transplant recipients with alcohol-related aetiologies: A scoping review. Int J Ment Health Nurs 2023; 32:1583-1597. [PMID: 37475208 DOI: 10.1111/inm.13196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/26/2023] [Accepted: 07/11/2023] [Indexed: 07/22/2023]
Abstract
Alcohol relapse in those who received liver transplantation (LT) for alcohol-related liver disease can lead to poor graft function, low medication adherence rates and decreased chances of survival. Numerous studies have evaluated on this topic; however, discrepancies in the meaning and measurement of 'alcohol relapse' lead to heterogeneous results. This scoping review aimed to explore the conceptual and operational definitions of alcohol relapse in LT recipients with alcohol-related aetiologies and to examine newly reported risk factors of alcohol relapse. Following the Arksey and O'Malley scoping review method and PRISMA guidelines, structured searches for articles published from 2012 to 2022 were conducted in PubMed, CINAHL, Embase, Cochrane and PsycINFO. Twenty-eight studies were included in the final review. Alcohol relapse was either defined as 'any alcohol consumption' or 'a certain degree of alcohol drinking' after transplantation. Discrepancies in the incidence rates persisted even within studies that shared the same conceptual definition. Commonly reported risk factors for alcohol relapse were younger age, social isolation and shorter abstinence periods before LT. Self-efficacy and post-transplant complications were newly identified risk factors in recent studies; whereas environmental factors such as external stressors were rarely included. The variance in the definition of alcohol relapse and inconsistent identification methods make it difficult to organize a structured interventional study. A standardized stratification of post-LT alcohol relapse behaviour is needed to prior to implementing interventions that employ a harm minimization approach. Cost-effective interventions promoting self-efficacy could enable the prevention and management of alcohol relapse after LT.
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Affiliation(s)
| | - Yeonsoo Jang
- College of Nursing·Mo-im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
| | - Hyunji Kim
- College of Nursing, Yonsei University, Seoul, Korea
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Baumard J, Lesourd M, Remigereau C, Jarry C, Lebaz S, Etcharry-Bouyx F, Chauviré V, Osiurak F, Le Gall D. Sensory Integration Deficits in Neurodegenerative Diseases: Implications for Apraxia. Arch Clin Neuropsychol 2023; 38:1557-1563. [PMID: 36973225 DOI: 10.1093/arclin/acad028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2023] [Indexed: 03/29/2023] Open
Abstract
OBJECTIVE Apraxia is the inability to perform voluntary, skilled movements following brain lesions, in the absence of sensory integration deficits. Yet, patients with neurodegenerative diseases (ND) may have sensory integration deficits, so we tested the associations and dissociations between apraxia and sensory integration. METHODS A total of 44 patients with ND and 20 healthy controls underwent extensive testing of sensory integration (i.e., localization of tactile, visual, and proprioceptive stimuli; agraphesthesia; astereognosis) and apraxia (i.e., finger dexterity, imitation, tool use). RESULTS The results showed (i) that patients with Alzheimer's disease, corticobasal syndrome, or posterior cortical atrophy were impaired on both dimensions; (ii) An association between both dimensions; (iii) that when sensory integration was controlled for, the frequency of apraxia decreased dramatically in some clinical subgroups. CONCLUSION In a non-negligible portion of patients, the hypothesis of a disruption of sensory integration can be more parsimonious than the hypothesis of apraxia in case of impaired skilled gestures. Clinicians and researchers are advised to integrate sensory integration measures along with their evaluation of apraxia.
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Affiliation(s)
| | - Mathieu Lesourd
- Laboratoire de Psychologie (EA3188), Université Bourgogne Franche Comté, Besançon, France
| | - Chrystelle Remigereau
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
| | - Christophe Jarry
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
| | - Samuel Lebaz
- Univ Rouen Normandie, CRFDP UR 7475, Rouen F-76000, France
| | - Frédérique Etcharry-Bouyx
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
- Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
- Unité de Neuropsychologie, Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
| | - Valérie Chauviré
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
- Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
- Unité de Neuropsychologie, Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
| | - François Osiurak
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
- Institut Universitaire de France, Paris, France
| | - Didier Le Gall
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université d'Angers, Angers, France
- Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
- Unité de Neuropsychologie, Département de Neurologie, Centre Hospitalier Universitaire d'Angers, Angers, France
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One century after Liepmann’s work on apraxia: Where do we go now? Cortex 2022; 154:333-339. [DOI: 10.1016/j.cortex.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 06/04/2022] [Accepted: 06/06/2022] [Indexed: 11/03/2022]
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Lesourd M, Rey AE. Cognitive development of imitation of intransitive gestures: an analysis of hand and finger errors. JOURNAL OF COGNITIVE PSYCHOLOGY 2022. [DOI: 10.1080/20445911.2022.2052886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Mathieu Lesourd
- Laboratoire de Recherches Intégratives en Neurosciences et Psychologie Cognitive & MSHE Ledoux, CNRS, Université Bourgogne Franche-Comté, F-25000, 19 rue Ambroise Paré, Besançon Cedex, France
| | - Amandine E. Rey
- Central Integration of Pain, Lyon Neuroscience Research Center, Inserm U1028, Université Lyon 1, Université de Lyon, Lyon, France
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Stoll SEM, Finkel L, Buchmann I, Hassa T, Spiteri S, Liepert J, Randerath J. 100 years after Liepmann-Lesion correlates of diminished selection and application of familiar versus novel tools. Cortex 2021; 146:1-23. [PMID: 34801831 DOI: 10.1016/j.cortex.2021.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 07/30/2021] [Accepted: 10/06/2021] [Indexed: 01/02/2023]
Abstract
100 years ago, Liepmann highlighted the role of left ventro-dorsal lesions for impairments in conceptual (rather ventral) and motor (more dorsal) related aspects of apraxia. Many studies thereafter attributed to an extended left fronto-temporo-parietal network. Yet, to date there are only few studies that looked at apraxic performance in the selection and application of familiar versus novel tools. In the current study we applied modern voxel-based lesion-symptom mapping (VLSM) to analyze neural correlates of impaired selection and application of familiar versus novel tools. 58 left (LBD) and 51 right brain damaged (RBD) stroke patients participated in the Novel Tools Test (NTT) and the Familiar Tools Test (FTT) of the Diagnostic Instrument for Limb Apraxia (DILA-S). We further assessed performance in control tasks, namely semantic knowledge (BOSU), visuo-spatial working memory (Corsi Block Tapping) and meaningless imitation of gestures (IML). Impaired tool use was most pronounced after LBD. Our VLSM results in the LBD group suggested that selection- versus application-related aspects of praxis and semantics of familiar versus novel tool use can be behaviorally and neuro-anatomically differentiated. For impairments in familiar tool tasks, the major focus of lesion maps was rather ventral while deficiencies in novel tool tasks went along with rather dorsal lesions. Affected selection processes were linked to rather anterior lesions, while impacted application processes went along with rather posterior lesion maps. In our study, particular tool selection processes were rather specific for familiar versus novel tools. Foci for lesion overlaps of experimental and control tasks were noticed ventrally for semantic knowledge and FTT, in fronto-parietal regions for working memory and NTT, and ventro-dorsally for imitation of meaningless gestures and the application of NTT and FTT. We visualized our current interpretation within a neuroanatomical model for apraxia of tool use.
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Affiliation(s)
- Sarah E M Stoll
- University of Konstanz, Konstanz, Germany; Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany
| | - Lisa Finkel
- University of Konstanz, Konstanz, Germany; Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany
| | - Ilka Buchmann
- University of Konstanz, Konstanz, Germany; Rehaklinik Zihlschlacht, Center for Neurological Rehabilitation, Zihlschlacht, Switzerland
| | - Thomas Hassa
- Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany; Kliniken Schmieder, Allensbach, Germany
| | - Stefan Spiteri
- Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany; Kliniken Schmieder, Allensbach, Germany
| | - Joachim Liepert
- Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany; Kliniken Schmieder, Allensbach, Germany
| | - Jennifer Randerath
- University of Konstanz, Konstanz, Germany; Lurija Institute for Rehabilitation Sciences and Health Research at the University of Konstanz, Konstanz, Germany.
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