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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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Afshangian F, Wellington J, Pashmoforoosh R, Farzadfard MT, Noori NK, Jaberi AR, Ostovan VR, Soltani A, Safari H, Abolhasani Foroughi A, Resid Onen M, Montemurro N, Chaurasia B, Akgul E, Freddi T, Ermis A, Amirifard H, Habibi SAH, Manzarinezad M, Bozkurt I, Yagmurlu K, Sirjani EB, Wagner AP. The impact of visual and motor skills on ideational apraxia and transcortical sensory aphasia. APPLIED NEUROPSYCHOLOGY. ADULT 2023:1-11. [PMID: 37134206 DOI: 10.1080/23279095.2023.2204527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
BACKGROUND Patients with extensive left hemisphere damage frequently have ideational apraxia (IA) and transcortical sensory aphasia (TSA). Difficulty with action coordination, phonological processing, and complex motor planning may not be indicative of higher-order motor programming or higher-order complex formation. We report on the effects of IA and TSA on the visual and motor skill of stroke patients. PURPOSE The study aims to address the question of whether IA and TSA in bilingual individuals are the results of an error of motor function alone or due to a combined motor plus and cognitive dysfunction effect. METHOD Twelve bilingual patients (seven males, and five females) were diagnosed with IA and TSA, and are divided into two groups of six patients. Then, 12 healthy bilingual controls were evaluated for comparing with both groups. Bilingual aphasia testing (BAT) and appropriate behavioral evaluation were used to assess motor skills, including coordination, visual-motor testing, and phonological processing. RESULTS Findings (pointing skills) show that the performance of the L1 and L2 languages are consistently significant (p < 0.001) in healthy individuals compared to the IA and TSA groups. Command skills for L1 and L2 languages were significantly higher in healthy individuals compared to IA and TSA controls (p < 0.001). Further, the orthographic skills of IA and TSA vs controls in both groups were significantly reduced (p < 0.01). Visual skills in the L1 language were significantly improved (p < 0.05) in IA and TSA patients compared to healthy controls after 2 months. Unlike orthographic skills which were improved in IA and TSA patients, languages in bilingual patients did not simultaneously improve. CONCLUSION Dyspraxia is a condition that affects both motor and visual cognitive functions, and patients who have it often have less referred motor skills. The current dataset shows that accurate visual cognition requires both cognitive-linguistic and sensory-motor processes. Motor issues should be highlighted, and skills and functionality should be reinforced along with the significance of treatment between IA and TSA corresponding to age and education. This can be a good indicator for treating semantic disorders.
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Affiliation(s)
- Fazlallah Afshangian
- Department of English, Faculty of Foreign Languages, Rodaki Institute of Higher Education, Tonekabon, Iran
| | - Jack Wellington
- Cardiff University School of Medicine, Cardiff University, Cardiff, UK
| | | | | | | | | | - Vahid Reza Ostovan
- Department of Neurology, Shiraz University of Medical Science, Shiraz, Iran
| | - Ahmad Soltani
- Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hosein Safari
- Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran
| | - Amin Abolhasani Foroughi
- Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- iMedical Imaging Research Center , Shiraz University of Medical Sciences , Shiraz , Iran
| | | | - Nicola Montemurro
- Azienda Ospedaliera Universitaria Pisana (AOUP), University of Pisa, Pisa, Italy
| | | | - Erol Akgul
- Radiology Department, International School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Tomas Freddi
- Radiology, Faculty of Medicine, Sao Paulo University, Sao Paulo, Brazil
| | - Abdulkadir Ermis
- Department of Neurology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Hamed Amirifard
- Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | - Ismail Bozkurt
- Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey
| | - Kaan Yagmurlu
- Department of Neuroscience, University Virginia Health System, Charlottesville, VA, USA
| | - Ehsan Baradran Sirjani
- Research Development Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Aurel Popa Wagner
- Center for Clinical and Experimental Medicine, University of Medicine and Pharmacy, Craiova, Romania
- Dementia and Ageing Research, Department of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
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