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Kries J, De Clercq P, Gillis M, Vanthornhout J, Lemmens R, Francart T, Vandermosten M. Exploring neural tracking of acoustic and linguistic speech representations in individuals with post-stroke aphasia. Hum Brain Mapp 2024; 45:e26676. [PMID: 38798131 PMCID: PMC11128780 DOI: 10.1002/hbm.26676] [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] [Received: 11/16/2023] [Revised: 03/04/2024] [Accepted: 03/21/2024] [Indexed: 05/29/2024] Open
Abstract
Aphasia is a communication disorder that affects processing of language at different levels (e.g., acoustic, phonological, semantic). Recording brain activity via Electroencephalography while people listen to a continuous story allows to analyze brain responses to acoustic and linguistic properties of speech. When the neural activity aligns with these speech properties, it is referred to as neural tracking. Even though measuring neural tracking of speech may present an interesting approach to studying aphasia in an ecologically valid way, it has not yet been investigated in individuals with stroke-induced aphasia. Here, we explored processing of acoustic and linguistic speech representations in individuals with aphasia in the chronic phase after stroke and age-matched healthy controls. We found decreased neural tracking of acoustic speech representations (envelope and envelope onsets) in individuals with aphasia. In addition, word surprisal displayed decreased amplitudes in individuals with aphasia around 195 ms over frontal electrodes, although this effect was not corrected for multiple comparisons. These results show that there is potential to capture language processing impairments in individuals with aphasia by measuring neural tracking of continuous speech. However, more research is needed to validate these results. Nonetheless, this exploratory study shows that neural tracking of naturalistic, continuous speech presents a powerful approach to studying aphasia.
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Affiliation(s)
- Jill Kries
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
- Department of PsychologyStanford UniversityStanfordCaliforniaUSA
| | - Pieter De Clercq
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
| | - Marlies Gillis
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
| | - Jonas Vanthornhout
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
| | - Robin Lemmens
- Experimental Neurology, Department of NeurosciencesKU LeuvenLeuvenBelgium
- Laboratory of Neurobiology, VIB‐KU Leuven Center for Brain and Disease ResearchLeuvenBelgium
- Department of NeurologyUniversity Hospitals LeuvenLeuvenBelgium
| | - Tom Francart
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
| | - Maaike Vandermosten
- Experimental Oto‐Rhino‐Laryngology, Department of Neurosciences, Leuven Brain InstituteKU LeuvenLeuvenBelgium
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2
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Li L, Yu Q, Wang Y, Wang Z, Zhou X, Guan Q, Luo YJ, Li H. Electrophysiological evidence of lexical processing impacted by foreign language reading anxiety. Heliyon 2024; 10:e30061. [PMID: 38720696 PMCID: PMC11076877 DOI: 10.1016/j.heliyon.2024.e30061] [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: 12/28/2022] [Revised: 04/08/2024] [Accepted: 04/18/2024] [Indexed: 05/12/2024] Open
Abstract
Extensive studies have been conducted on the impact of foreign language reading anxiety on reading, primarily focusing on pedagogy and behavior but lacking electrophysiological evidence. The current study aimed to investigate the influence of foreign language reading anxiety on reading and its underlying mechanisms. The results revealed a negative correlation between foreign language reading anxiety and foreign language reading performance, irrespective of the native language. Adults with low levels of foreign language reading anxiety (LFLRA) demonstrated a significant difference in early lexical component N170 amplitude between foreign and native languages. However, this effect was not observed in adults with high levels of foreign language reading anxiety (HFLRA). In terms of N170 latency, HFLRA showed a longer N170 for the foreign language compared to the native language. Furthermore, the N170 effects were predominantly localized over the left occipitotemporal electrodes. Regarding N400 latency, a significant difference was found in LFLRA individuals between foreign and native language processing, while HFLRA individuals did not exhibit this difference. These findings suggest that HFLRA individuals experience inefficient lexical processing (such as orthography or semantics) during reading in foreign language.
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Affiliation(s)
- Lina Li
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, PR China
- English Department, Jilin Medical College, Jilin, PR China
| | - Qianqian Yu
- School of Psychology, Shenzhen University, Shenzhen, PR China
| | - Yuru Wang
- School of Psychology, Shenzhen University, Shenzhen, PR China
| | - Zhihao Wang
- School of Psychology, Shenzhen University, Shenzhen, PR China
| | - Xinyi Zhou
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, PR China
| | - Qing Guan
- School of Psychology, Shenzhen University, Shenzhen, PR China
| | - Yue-jia Luo
- School of Psychology, Shenzhen University, Shenzhen, PR China
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, PR China
| | - Hehui Li
- School of Psychology, Shenzhen University, Shenzhen, PR China
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Liu Y, Zhao J, Tang Z, Hsien Y, Han K, Shan L, Zhang X, Zhang H. Prolonged intermittent theta burst stimulation for post-stroke aphasia: protocol of a randomized, double-blinded, sham-controlled trial. Front Neurol 2024; 15:1348862. [PMID: 38725649 PMCID: PMC11079432 DOI: 10.3389/fneur.2024.1348862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 04/11/2024] [Indexed: 05/12/2024] Open
Abstract
Background Post-stroke aphasia (PSA) is one of the most devastating symptoms after stroke, yet limited treatment options are available. Prolonged intermittent theta burst stimulation (piTBS) is a promising therapy for PSA. However, its efficacy remains unclear. Therefore, we aim to investigate the efficacy of piTBS over the left supplementary motor area (SMA) in improving language function for PSA patients and further explore the mechanism of language recovery. Methods This is a randomized, double-blinded, sham-controlled trial. A total of 30 PSA patients will be randomly allocated to receive either piTBS stimulation or sham stimulation for 15 sessions over a period of 3 weeks. The primary outcome is the Western Aphasia Battery Revised (WAB-R) changes after treatment. The secondary outcomes include The Stroke and Aphasia Quality of Life Scale (SAQOL-39 g), resting-state electroencephalogram (resting-state EEG), Event-related potentials (ERP), brain derived neurotrophic factor (BDNF). These outcome measures are assessed before treatment, after treatment, and at 4-weeks follow up. This study was registered in Chinese Clinical Trial Registry (No. ChiCTR23000203238). Discussion This study protocol is promising for improving language in PSA patients. Resting-state EEG, ERP, and blood examination can be used to explore the neural mechanisms of PSA treatment with piTBS. Clinical trial registration https://www.chictr.org.cn/index.html, ChiCTR2300074533.
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Affiliation(s)
- Ying Liu
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Jingdu Zhao
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Zhiqing Tang
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Yikuang Hsien
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Kaiyue Han
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Lei Shan
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Xiaonian Zhang
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
| | - Hao Zhang
- School of Rehabilitation, Capital Medical University, Beijing, China
- Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China
- Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- School of Life and Health Sciences, University of Health and Rehabilitation Sciences, Qingdao, China
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Frade S, Santi A, Raposo A. Filling the gap: Cloze probability and sentence constraint norms for 807 European Portuguese sentences. Behav Res Methods 2024; 56:4009-4018. [PMID: 37553535 PMCID: PMC11133143 DOI: 10.3758/s13428-023-02196-0] [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: 07/10/2023] [Indexed: 08/10/2023]
Abstract
Sentence processing is affected by the sentence context and word expectancy. To investigate sentence comprehension experimentally, it is useful to have sentence completion norms with both context constraint and word expectancy measures. In this study, two experiments were conducted to collect norms for completion of 807 European Portuguese sentences. Context constraint was measured through type-token ratio and proportion idiosyncratic responses, while word expectancy was assessed by cloze probability. Besides establishing norms for a large sample of sentences, the study investigated the impact of the production procedure and method of analysis. In Experiment 1, a single-production procedure was used, i.e., participants completed each sentence fragment with only a single response, whereas in Experiment 2, a multiple-production procedure was used, i.e., participants have to provide up to three completion words for each sentence fragment. In Experiment 2, the analyses were obtained using two distinct methods: first-response analysis and combined-response analysis. The results showed that cloze and context measures are comparable between production paradigms and that the results from both analysis methods were correlated. The advantages of each production procedure and analysis method are discussed.
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Affiliation(s)
- Sofia Frade
- Iscte-Instituto Universitário de Lisboa, CIS-Iscte, Lisboa, Portugal.
- Research Center for Psychological Science, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal.
| | - Andrea Santi
- Department of Linguistics, University College London, London, UK
| | - Ana Raposo
- Research Center for Psychological Science, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal
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Graessner A, Duchow C, Zaccarella E, Friederici AD, Obrig H, Hartwigsen G. Electrophysiological correlates of basic semantic composition in people with aphasia. Neuroimage Clin 2023; 40:103516. [PMID: 37769366 PMCID: PMC10540050 DOI: 10.1016/j.nicl.2023.103516] [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: 05/02/2023] [Revised: 09/21/2023] [Accepted: 09/22/2023] [Indexed: 09/30/2023]
Abstract
The neuroanatomical correlates of basic semantic composition have been investigated in previous neuroimaging and lesion studies, but research on the electrophysiology of the involved processes is scarce. A large literature on sentence-level event-related potentials (ERPs) during semantic processing has identified at least two relevant components - the N400 and the P600. Other studies demonstrated that these components are reduced and/or delayed in people with aphasia (PWA). However, it remains to be shown if these findings generalize beyond the sentence level. Specifically, it is an open question if an alteration in ERP responses in PWA can also be observed during basic semantic composition, providing a potential future diagnostic tool. The present study aimed to elucidate the electrophysiological dynamics of basic semantic composition in a group of post-stroke PWA. We included 20 PWA and 20 age-matched controls (mean age 58 years) and measured ERP responses while they performed a plausibility judgment task on two-word phrases that were either meaningful ("anxious horse"), anomalous ("anxious wood") or had the noun replaced by a pseudoword ("anxious gufel"). The N400 effect for anomalous versus meaningful phrases was similar in both groups. In contrast, unlike the control group, PWA did not show an N400 effect between pseudoword and meaningful phrases. Moreover, both groups exhibited a parietal P600 effect towards pseudoword phrases, while PWA showed an additional P600 over frontal electrodes. Finally, PWA showed an inverse correlation between the magnitude of the N400 and P600 effects: PWA exhibiting no or even reversed N400 effects towards anomalous and pseudoword phrases showed a stronger P600 effect. These results may reflect a compensatory mechanism which allows PWA to arrive at the correct interpretation of the phrase. When compositional processing capacities are impaired in the early N400 time-window, PWA may make use of a more elaborate re-analysis process reflected in the P600.
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Affiliation(s)
- Astrid Graessner
- Wilhelm Wundt Institute for Psychology, Leipzig University, Germany; Lise-Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
| | - Caroline Duchow
- Lise-Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Emiliano Zaccarella
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Angela D Friederici
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Hellmuth Obrig
- Clinic for Cognitive Neurology, University Hospital Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Gesa Hartwigsen
- Wilhelm Wundt Institute for Psychology, Leipzig University, Germany; Lise-Meitner Research Group Cognition and Plasticity, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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6
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Cocquyt EM, Depuydt E, Santens P, van Mierlo P, Duyck W, Szmalec A, De Letter M. Effects of Healthy Aging and Gender on the Electrophysiological Correlates of Semantic Sentence Comprehension: The Development of Dutch Normative Data. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:1694-1717. [PMID: 37093923 DOI: 10.1044/2023_jslhr-22-00545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
PURPOSE The clinical use of event-related potentials in patients with language disorders is increasingly acknowledged. For this purpose, normative data should be available. Within this context, healthy aging and gender effects on the electrophysiological correlates of semantic sentence comprehension were investigated. METHOD One hundred and ten healthy subjects (55 men and 55 women), divided among three age groups (young, middle aged, and elderly), performed a semantic sentence congruity task in the visual modality during electroencephalographic recording. RESULTS The early visual complex was affected by increasing age as shown by smaller P2 amplitudes in the elderly compared to the young. Moreover, the N400 effect in the elderly was smaller than in the young and was delayed compared to latency measures in both middle-aged and young subjects. The topography of age-related amplitude changes of the N400 effect appeared to be gender specific. The late positive complex effect was increased at frontal electrode sites from middle age on, but this was not statistically significant. No gender effects were detected regarding the early P1, N1, and P2, or the late positive complex effect. CONCLUSION Especially aging effects were found during semantic sentence comprehension, and this from the level of perceptual processing on. Normative data are now available for clinical use.
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Affiliation(s)
| | - Emma Depuydt
- Medical Image and Signal Processing Group, Department of Electronics and Information Systems, Ghent University, Belgium
| | | | - Pieter van Mierlo
- Medical Image and Signal Processing Group, Department of Electronics and Information Systems, Ghent University, Belgium
| | - Wouter Duyck
- Department of Experimental Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Belgium
| | - Arnaud Szmalec
- Department of Experimental Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Belgium
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Miet De Letter
- Department of Rehabilitation Sciences, Ghent University, Belgium
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7
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Hsin CH, Chao PC, Lee CY. Speech comprehension in noisy environments: Evidence from the predictability effects on the N400 and LPC. Front Psychol 2023; 14:1105346. [PMID: 36874840 PMCID: PMC9974639 DOI: 10.3389/fpsyg.2023.1105346] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 01/18/2023] [Indexed: 02/17/2023] Open
Abstract
Introduction Speech comprehension involves context-based lexical predictions for efficient semantic integration. This study investigated how noise affects the predictability effect on event-related potentials (ERPs) such as the N400 and late positive component (LPC) in speech comprehension. Methods Twenty-seven listeners were asked to comprehend sentences in clear and noisy conditions (hereinafter referred to as "clear speech" and "noisy speech," respectively) that ended with a high-or low-predictability word during electroencephalogram (EEG) recordings. Results The study results regarding clear speech showed the predictability effect on the N400, wherein low-predictability words elicited a larger N400 amplitude than did high-predictability words in the centroparietal and frontocentral regions. Noisy speech showed a reduced and delayed predictability effect on the N400 in the centroparietal regions. Additionally, noisy speech showed a predictability effect on the LPC in the centroparietal regions. Discussion These findings suggest that listeners achieve comprehension outcomes through different neural mechanisms according to listening conditions. Noisy speech may be comprehended with a second-pass process that possibly functions to recover the phonological form of degraded speech through phonetic reanalysis or repair, thus compensating for decreased predictive efficiency.
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Affiliation(s)
- Cheng-Hung Hsin
- Taiwan International Graduate Program in Interdisciplinary Neuroscience, National Yang Ming Chiao Tung University and Academia Sinica, Taipei, Taiwan.,Brain and Language Laboratory, Institute of Linguistics, Academia Sinica, Taipei, Taiwan.,Biomedical Acoustic Signal Processing Lab, Research Center for Information Technology Innovation, Academia Sinica, Taipei, Taiwan
| | - Pei-Chun Chao
- Brain and Language Laboratory, Institute of Linguistics, Academia Sinica, Taipei, Taiwan
| | - Chia-Ying Lee
- Brain and Language Laboratory, Institute of Linguistics, Academia Sinica, Taipei, Taiwan.,Institute of Cognitive Neuroscience, National Central University, Taoyuan, Taiwan.,Research Center for Mind, Brain, and Learning, National Chengchi University, Taipei, Taiwan
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8
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Ledwidge PS, Jones CM, Huston CA, Trenkamp M, Bator B, Laeng J. Electrophysiology reveals cognitive-linguistic alterations after concussion. BRAIN AND LANGUAGE 2022; 233:105166. [PMID: 35970083 DOI: 10.1016/j.bandl.2022.105166] [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: 12/01/2021] [Revised: 07/22/2022] [Accepted: 07/28/2022] [Indexed: 06/15/2023]
Abstract
Language deficits and alterations to the N400 ERP are commonly reported in aphasia and moderate-to-severe traumatic brain injury (TBI), but have seldomly been investigated after mild TBI, such as concussion. In the present study, the N400 was recorded from young adults within 1-month after concussion and matched controls during a sentence processing task. The N400 recorded to semantically incongruent sentence-final words was significantly more negative and with a more anterior distribution in the concussion group than control group. Among the concussion group, a weaker N400 was associated with more concussion symptoms, slower response time, and poorer executive functioning. Multiple regression results showed that concussion occurrence and male gender were independently associated with a more negative N400-effect, whereas symptoms were associated with a weaker N400. These findings provide novel evidence that alterations to lexical-semantic networks may occur after concussion and vary based on individual differences in post-concussion symptoms and cognitive function.
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Affiliation(s)
- Patrick S Ledwidge
- Department of Psychology, Baldwin Wallace University, 275 Eastland Rd., Berea, OH 44017, USA.
| | - Christa M Jones
- Department of Communication Sciences & Disorders, Baldwin Wallace University, 275 Eastland Rd., Berea, OH 44017, USA
| | - Chloe A Huston
- Department of Psychology, Baldwin Wallace University, 275 Eastland Rd., Berea, OH 44017, USA
| | - Madison Trenkamp
- Department of Psychology, Baldwin Wallace University, 275 Eastland Rd., Berea, OH 44017, USA
| | - Bryan Bator
- Department of Psychology, Baldwin Wallace University, 275 Eastland Rd., Berea, OH 44017, USA
| | - Jennie Laeng
- Cleveland Clinic, Taussig Cancer Institute, 9500 Euclid Avenue, Cleveland, OH 44195, USA
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The electrophysiology of aphasia: A scoping review. Clin Neurophysiol 2021; 132:3025-3034. [PMID: 34717223 DOI: 10.1016/j.clinph.2021.08.023] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Revised: 08/18/2021] [Accepted: 08/29/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To systematically assess the body of literature using N400 and P600 as they relate to people with aphasia. The primary aim was to reveal patterns in the literature which could be used to direct future research in the development of clinically relevant Event-Related Potentials (ERPs) for language assessment, while also identifying gaps in existing knowledge and highlight areas of further inquiry. METHODS A literature search was performed on studies published before May 2021. Relevant studies on aphasia and the two ERPs of interest were assessed for quality, and the relationship between aphasia and these ERPs was explored. RESULTS A total of 721 articles were identified, with 30 meeting inclusion criteria. Although there is significant variation in the literature, this scoping review revealed people with aphasia show reduced amplitude, delayed latency and different distribution compared to controls, and that ERPs are modulated by severity of aphasia. CONCLUSIONS To develop a relevant clinical tool for the management of aphasia, future research must strive to improve consistency within ERP methodology, with a greater number of diverse aphasia subtypes included in research. SIGNIFICANCE This scoping review reveals N400 and P600 represent promising potential biomarkers for the diagnosis and ongoing management of aphasia.
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Silkes JP, Anjum J. The role and use of event-related potentials in aphasia: A scoping review. BRAIN AND LANGUAGE 2021; 219:104966. [PMID: 34044294 DOI: 10.1016/j.bandl.2021.104966] [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: 08/21/2020] [Revised: 04/30/2021] [Accepted: 05/04/2021] [Indexed: 06/12/2023]
Abstract
Event-related potentials (ERPs) can provide important insights into underlying language processes in both unimpaired and neurologically impaired populations and may be particularly useful in aphasia. This scoping review was conducted to provide a comprehensive summary of how ERPs have been used with people with aphasia (PWA), with the goal of exploring the potential clinical application of ERPs in aphasia assessment and treatment. We identified 117 studies that met inclusionary criteria, reflecting six thematic domains of inquiry that relate to understanding both unimpaired and aphasic language processing and the use of ERPs with PWA. In these studies, a wide variety of ERP components were reported. Inconsistencies in reporting of participant characteristics and study protocols limit our ability to generalize beyond the individual studies and understand implications for clinical applicability. We discuss the potential roles of ERPs in aphasia management and make recommendations for further developing ERPs for clinical utility in PWA.
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Affiliation(s)
- JoAnn P Silkes
- School of Speech, Language, and Hearing Sciences, San Diego State University, 5500 Campanile Rd, SLHS-1518, San Diego, CA 92182-1518, USA.
| | - Javad Anjum
- Speech-Language Pathology, Saint Gianna School of Health Sciences, University of Mary, 7500 University Dr. Bismarck, ND 58504, USA.
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Li W, Kutas M, Gray JA, Hagerman RH, Olichney JM. The Role of Glutamate in Language and Language Disorders - Evidence from ERP and Pharmacologic Studies. Neurosci Biobehav Rev 2020; 119:217-241. [PMID: 33039453 DOI: 10.1016/j.neubiorev.2020.09.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 08/10/2020] [Accepted: 09/21/2020] [Indexed: 12/31/2022]
Abstract
Current models of language processing do not address mechanisms at the neurotransmitter level, nor how pharmacologic agents may improve language function(s) in seemingly disparate disorders. L-Glutamate, the primary excitatory neurotransmitter in the human brain, is extensively involved in various higher cortical functions. We postulate that the physiologic role of L-Glutamate neurotransmission extends to the regulation of language access, comprehension, and production, and that disorders in glutamatergic transmission and circuitry contribute to the pathogenesis of neurodegenerative diseases and sporadic-onset language disorders such as the aphasic stroke syndromes. We start with a review of basic science data pertaining to various glutamate receptors in the CNS and ways that they may influence the physiological processes of language access and comprehension. We then focus on the dysregulation of glutamate neurotransmission in three conditions in which language dysfunction is prominent: Alzheimer's Disease, Fragile X-associated Tremor/Ataxia Syndrome, and Aphasic Stroke Syndromes. Finally, we review the pharmacologic and electrophysiologic (event related brain potential or ERP) data pertaining to the role glutamate neurotransmission plays in language processing and disorders.
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Affiliation(s)
- Wentao Li
- Department of Neurology, University of California, Davis, 4860 Y Street, Suite 3700, Sacramento, CA, 95817, USA.
| | - Marta Kutas
- Department of Cognitive Science, University of California, San Diego, 9500 Gilman Drive #0515, La Jolla, CA, 92093, USA; Department of Neurosciences, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
| | - John A Gray
- Department of Neurology, University of California, Davis, 4860 Y Street, Suite 3700, Sacramento, CA, 95817, USA; Center for Neuroscience, University of California, Davis, 1544 Newton Court, Davis, CA, 95618, USA.
| | - Randi H Hagerman
- MIND Institute, University of California, Davis, 2825 50th Street, Sacramento, CA, 95817, USA.
| | - John M Olichney
- Department of Neurology, University of California, Davis, 4860 Y Street, Suite 3700, Sacramento, CA, 95817, USA; Center for Mind and Brain, University of California, Davis, 267 Cousteau Place, Davis, CA, 95618, USA.
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12
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Semantic Processing in Healthy Aging and Alzheimer's Disease: A Systematic Review of the N400 Differences. Brain Sci 2020; 10:brainsci10110770. [PMID: 33114051 PMCID: PMC7690742 DOI: 10.3390/brainsci10110770] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/21/2020] [Accepted: 10/21/2020] [Indexed: 01/18/2023] Open
Abstract
Semantic deficits are common in individuals with Alzheimer’s disease (AD). These deficits notably impact the ability to understand words. In healthy aging, semantic knowledge increases but semantic processing (i.e., the ability to use this knowledge) may be impaired. This systematic review aimed to investigate semantic processing in healthy aging and AD through behavioral responses and the N400 brain event-related potential. The results of the quantitative and qualitative analyses suggested an overall decrease in accuracy and increase in response times in healthy elderly as compared to young adults, as well as in individuals with AD as compared to age-matched controls. The influence of semantic association, as measured by N400 effect amplitudes, appears smaller in healthy aging and even more so in AD patients. Thus, semantic processing differences may occur in both healthy and pathological aging. The establishment of norms of healthy aging for these outcomes that vary between normal and pathological aging could eventually help early detection of AD.
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Li B, Liu Z, Gao X, Lin Y. N400 extraction from a few trials of EEG data using spatial and temporal-frequency pattern analysis. J Neural Eng 2019; 16:066035. [PMID: 31505479 DOI: 10.1088/1741-2552/ab434c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE N400 plays an important role in the studies of cognitive science and clinical neuropsychology diseases. However, it is still a challenge to extract the N400 component from a few trials of electroencephalogram (EEG) data. APPROACH A method was proposed to analyze the spatial and temporal-frequency patterns of N400 in this study. First, resampling-average difference was used to enhance the signal-to-noise ratio (SNR) of N400 in EEG samples. Next, dictionary learning was utilized to adaptively select the wavelet bases corresponding to event-related potentials (ERPs) rather than spontaneous EEG activities and obtain the temporal-frequency patterns of ERPs. Finally, the low-rank constrained sparse decomposition was exploited to remove the spontaneous EEG activities and to learn the ERP spatial patterns, and the number of ERPs was also automatically determined. Simulation N400 datasets with different SNR levels and real N400 datasets of 15 subjects were used to evaluate the performance of the proposed method. MAIN RESULTS The results indicated that the proposed method accurately extracted the N400 component from a few trials of EEG data, and a significant difference of extracted N400 waveforms was observed between two experiment conditions. SIGNIFICANCE In the proposed method, the resampling-average difference significantly enhanced the SNR of EEG samples. Combined with the dictionary learning, the low-rank constrained sparse decomposition effectively removed the spontaneous EEG activities and automatically selected the correct ERP components.
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Affiliation(s)
- Bowen Li
- School of Information and Electronics, Beijing Institute of Technology, Beijing 100081, People's Republic of China
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Formisano R, Toppi J, Risetti M, Aloisi M, Contrada M, Ciurli PM, Falletta Caravasso C, Luccichenti G, Astolfi L, Cincotti F, Mattia D. Language-Related Brain Potentials in Patients With Disorders of Consciousness: A Follow-up Study to Detect “Covert” Language Disorders. Neurorehabil Neural Repair 2019; 33:513-522. [DOI: 10.1177/1545968319846123] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background. Language disorders may occur in patients with disorders of consciousness (DoCs), and they could interfere with the behavioral assessment of consciousness and responsiveness. Objective. In this study, we retrospectively explored whether ERP N400 was eventually associated with the presence of aphasia diagnosed in those patients who had evolved into Exit-Minimally Conscious State (E-MCS) at the clinical follow-up. Methods. In this retrospective cohort study, the ERPs elicited by an auditory sentences task were retrospectively examined in a sample of 15 DoC patients diagnosed according to the Coma Recovery Scale–Revised (CRS-R). All these 15 DoC patients underwent a (at least) 1-year clinical follow-up, which included a neuropsychological evaluation to assess language function among other cognitive functions. Ten healthy individuals also underwent the same paradigm to investigate the variability of ERPs characteristics. Results. The N400 ERP component with centroparietal topography was found in 9 of 10 healthy controls in response to the ill-formed sentences. Analysis of patients’ data revealed that (1) a significant N400 component could be detected in 64% (9 of 14 patients) of the DoC patients regardless of the type of DoC; (2) no significant N400 ERP component was retrospectively detected in those E-MCS patients who showed aphasia at the follow-up; and (3) the presence/absence of the N400-ERP component was consistent with the brain lesion side and significantly predict the recovery. Conclusion. These preliminary findings indicate that the absence of N400 was significantly associated with the presence of aphasia diagnosed at the clinical follow-up in E-MCS patients.
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Affiliation(s)
| | - Jlenia Toppi
- IRCCS Fondazione Santa Lucia, Rome, Italy
- Dept. of Computer, Control and Management Engineering, Sapienza University of Rome, Rome, Italy
| | | | | | | | | | | | | | - Laura Astolfi
- IRCCS Fondazione Santa Lucia, Rome, Italy
- Dept. of Computer, Control and Management Engineering, Sapienza University of Rome, Rome, Italy
| | - Febo Cincotti
- IRCCS Fondazione Santa Lucia, Rome, Italy
- Dept. of Computer, Control and Management Engineering, Sapienza University of Rome, Rome, Italy
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15
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ERP evidence of semantic processing in children with ASD. Dev Cogn Neurosci 2019; 36:100640. [PMID: 30974225 PMCID: PMC6763343 DOI: 10.1016/j.dcn.2019.100640] [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: 06/19/2018] [Revised: 03/11/2019] [Accepted: 03/21/2019] [Indexed: 12/31/2022] Open
Abstract
25% of children with autism spectrum disorder (ASD) remain minimally verbal (MV), despite intervention. Electroencephalography can reveal neural mechanisms underlying language impairment in ASD, potentially improving our ability to predict language outcomes and target interventions. Verbal (V) and MV children with ASD, along with an age-matched typically developing (TD) group participated in a semantic congruence ERP paradigm, during which pictures were displayed followed by the expected or unexpected word. An N400 effect was evident in all groups, with a shorter latency in the TD group. A late negative component (LNC) also differentiated conditions, with a group by condition by region interaction. Post hoc analyses revealed that the LNC was present across multiple regions in the TD group, in the mid-frontal region in MVASD, and not present in the VASD group. Cluster analysis identified subgroups within the ASD participants. Two subgroups showed markedly atypical patterns of processing, one with reversed but robust differentiation of conditions, and the other with initially reversed followed by typical differentiation. Findings indicate that children with ASD, including those with minimal language, showed EEG evidence of semantic processing, but it was characterized by delayed speed of processing and limited integration with mental representations.
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Shuster LI. Considerations for the Use of Neuroimaging Technologies for Predicting Recovery of Speech and Language in Aphasia. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2018; 27:291-305. [PMID: 29497745 DOI: 10.1044/2018_ajslp-16-0180] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 01/16/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE The number of research articles aimed at identifying neuroimaging biomarkers for predicting recovery from aphasia continues to grow. Although the clinical use of these biomarkers to determine prognosis has been proposed, there has been little discussion of how this would be accomplished. This is an important issue because the best translational science occurs when translation is considered early in the research process. The purpose of this clinical focus article is to present a framework to guide the discussion of how neuroimaging biomarkers for recovery from aphasia could be implemented clinically. METHOD The genomics literature reveals that implementing genetic testing in the real-world poses both opportunities and challenges. There is much similarity between these opportunities and challenges and those related to implementing neuroimaging testing to predict recovery in aphasia. Therefore, the Center for Disease Control's model list of questions aimed at guiding the review of genetic testing has been adapted to guide the discussion of using neuroimaging biomarkers as predictors of recovery in aphasia. CONCLUSION The adapted model list presented here is a first and useful step toward initiating a discussion of how neuroimaging biomarkers of recovery could be employed clinically to provide improved quality of care for individuals with aphasia.
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Affiliation(s)
- Linda I Shuster
- Department of Speech, Language, and Hearing Sciences, Western Michigan University, Kalamazoo
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Tzeng YL, Hsu CH, Huang YC, Lee CY. The Acquisition of Orthographic Knowledge: Evidence from the Lexicality Effects on N400. Front Psychol 2017; 8:433. [PMID: 28424638 PMCID: PMC5371601 DOI: 10.3389/fpsyg.2017.00433] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Accepted: 03/08/2017] [Indexed: 11/29/2022] Open
Abstract
This study aimed to understand how reading ability shapes the lexicality effects on N400. Fifty-three typical developing children from the second to the sixth grades were asked to perform the pronounceability judgment task on a set of Chinese real characters (RC), pseudocharacters (PC) and non-characters (NC), as ERPs were recorded. The cluster-based permutation analysis revealed that children with low- to medium-reading ability showed greater negativity to NCs than to RCs and PCs in frontal sites from 300 to 450 ms, while children with high ability group showed a greater positivity to NCs than both RCs and PCs at central to posterior sites. Furthermore, the linear mixed model (LMM) analysis was applied to investigate the relationship between lexicality effects on N400 and reading-related behavioral assessments on a set of standardized tests (including character recognition, vocabulary size, phonological awareness, and working memory). The results found that in children with lower reading ability, the N400 elicited by NCs becomes more negative in the frontal sites. For children with higher reading ability, the N400 elicited by NCs became more positive than that elicited by RCs or PCs in the posterior sites. These findings demonstrate the developmental changes in the lexicality effects on N400 as children become more advanced readers and suggested that the lexicality effects on N400 can serve as neural markers for the evaluation of orthographic proficiency in reading development.
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Affiliation(s)
- Yu-Lin Tzeng
- Institute of Neuroscience, National Yang-Ming UniversityTaipei, Taiwan
| | - Chun-Hsien Hsu
- Brain and Language Laboratory, Institute of Linguistics, Academia SinicaTaipei, Taiwan
| | - Yu-Chen Huang
- Department of Rehabilitation, Chung Shan Medical University HospitalTaichung City, Taiwan
| | - Chia-Ying Lee
- Institute of Neuroscience, National Yang-Ming UniversityTaipei, Taiwan.,Brain and Language Laboratory, Institute of Linguistics, Academia SinicaTaipei, Taiwan.,Institute of Cognitive Neuroscience, National Central UniversityTaoyuan, Taiwan.,Research Center for Mind, Brain and Learning, National Chengchi UniversityTaipei, Taiwan
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