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Minga J, Rich T, Boukrina O, Chen P, Hreha K. Identifying Spatial Neglect in Chronic Right Hemisphere Stroke Survivors Using the RHDBank Outcomes. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2024; 67:511-523. [PMID: 38181442 PMCID: PMC11000791 DOI: 10.1044/2023_jslhr-23-00285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 08/23/2023] [Accepted: 10/19/2023] [Indexed: 01/07/2024]
Abstract
PURPOSE The chronicity of spatial neglect (SN) and the utility of existing diagnostic measures used by speech-language pathologists remain poorly understood. In this retrospective study, we examined how the RHDBank test battery informs the identification of SN after right hemisphere brain damage (RHD) during the chronic phase of recovery. METHOD Data from 29 right hemisphere stroke survivors were extracted from the RHDBank, including SN tests, for which we performed laterality index scoring: a 51-item demographic survey, the Apples Test, the Indented Paragraph Test, and the clock drawing task from the Cognitive Linguistic Quick Test (CLQT). Two groups (SN+ and SN-) were identified using the Apples Test. A hierarchical cluster analysis explored CLQT performance clusters in association with SN, and group comparisons of demographic variables and test scores were conducted. RESULTS Ten patients were identified as having SN+ (34%) using the Apples Test. The Indented Paragraph Test and the CLQT's clock drawing test identified only two of the 20 stroke survivors with SN+. Cluster analyses showed that domain and task scores on the CLQT carried information to classify participants into SN+ and SN- in concordance with performance on the Apples Test. Participants in the SN+ cluster had moderately impaired attention and executive function skills and mildly impaired visuospatial skills. CONCLUSIONS The Apples Test differentiated SN in a group of chronic right hemisphere stroke survivors. Using multiple measures from the CLQT seemed to capture a greater range of problems than clock drawing and paragraph reading tests alone. Therefore, the RHDBank test battery as a whole-and in part the CLQT, Apples Test, and Indented Paragraph Test-can detect certain subtypes of SN in the chronic deficit profile after RHD and is a starting point for diagnostic integration by speech-language pathologists.
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Affiliation(s)
- Jamila Minga
- Department of Head and Neck Surgery & Communication Sciences and Department of Neurology, Duke University, Durham, NC
| | - Timothy Rich
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
| | - Olga Boukrina
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
| | - Peii Chen
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
| | - Kimberly Hreha
- Occupational Therapy Doctorate Division, Department of Orthopaedic Surgery, Duke University, Durham, NC
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Rich TJ, Palmer J. Neglect dyslexia: whole-word and within-word errors with parafoveal and foveal viewing. Exp Brain Res 2023; 241:2655-2668. [PMID: 37773416 PMCID: PMC10635956 DOI: 10.1007/s00221-023-06708-4] [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: 02/28/2023] [Accepted: 09/13/2023] [Indexed: 10/01/2023]
Abstract
Patients with left-sided neglect dyslexia often omit whole words positioned on the left, termed whole-word errors, or commit errors on the left-sided letters of words, termed unilateral paralexias. In addition, the errors have been shown to be exacerbated by simultaneously presented distractors, which has been interpreted as a failure of selective attention. In two experiments, we examined the dependency of these error types on parafoveal versus foveal viewing. The first experiment used a paradigm with parafoveal targets and distractors; the second a paradigm with foveal targets and parafoveal distractors. This enabled a separate evaluation of the influences of stimulus position within an egocentric frame, a two-word allocentric frame, and a within-word allocentric frame. First, regarding whole-word errors, we found the expected spatial and distractor effects with parafoveal targets and distractors. With foveal targets and parafoveal distractors, however, the spatial effect was effectively eliminated. Surprisingly, intrusions from the distractor word were common in distractor conditions. This is consistent with an egocentric account and not a two-word allocentric account. Second, we found that unilateral paralexias remained largely consistent regardless of spatial position or the presence of a distractor. Thus, there is a contrast in spatial and distractor effects between whole-word errors and unilateral paralexias. These results are consistent with three distinct deficits: an egocentric deficit across space resulting in whole-word errors, a failure of selective attention that results in whole-word intrusion errors, and a within-word allocentric deficit resulting in unilateral paralexias.
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Affiliation(s)
- Timothy J Rich
- Center for Stroke Rehabilitation Research, Kessler Foundation, 1199 Pleasant Valley Way, West Orange, NJ, USA.
- Department of Physical Medicine and Rehabilitation, Rutgers University, New Brunswick, NJ, USA.
| | - John Palmer
- Department of Psychology, University of Washington, Seattle, WA, USA
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de Carvalho Rodrigues J, Pioli Dos Santos D, de Bitencourt Fél D, de Salles JF. Word Reading and Spelling Processing and Acquired Dyslexia post Unilateral Stroke. JOURNAL OF PSYCHOLINGUISTIC RESEARCH 2023; 52:1017-1035. [PMID: 37022628 DOI: 10.1007/s10936-023-09951-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/21/2023] [Indexed: 06/19/2023]
Abstract
This study investigates the performance of adults with cerebrovascular lesion in the right hemisphere (RHL) or left hemisphere (LHL) in word reading (TLPP) and spelling (TEPP) tasks based on the dual-route models. A total of 85 adults were assessed, divided into three groups: 10 with RHL, 15 with LHL, and 60 neurologically healthy ones. The performance of the three groups was compared in terms of the characteristics of the words (regularity, frequency, and length) and pseudowords (length), error types, and psycholinguistic effects. A cluster analysis was performed to investigate the profiles of the reading. The LHL group showed lower scores in reading and spelling tasks of words and pseudowords, as well as a higher frequency of errors. Four LHL cases were found to have an acquired dyslexia profile. This study highlights that the tasks developed in Brazil are in accordance with theoretical models of written language, and the results point to the heterogeneous performance of the cases with acquired dyslexia.
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Affiliation(s)
- Jaqueline de Carvalho Rodrigues
- MSc and PhD in Psychology, Professora do Departamento de Psicologia da Pontifícia Universidade Católica do Rio de Janeiro - PUCRio, Rua Marquês de São Vicente, 225, Gávea, Rio de Janeiro, Brazil.
| | - Daniele Pioli Dos Santos
- Psychologist, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Débora de Bitencourt Fél
- Psychologist, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Jerusa Fumagalli de Salles
- MSc and PhD in Psychology, Professora Associada na Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
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Rossetto A, Toraldo A, Laratta S, Tonin P, Poletto C, Bencini G, Semenza C. Linguistic structure modulates attention in reading: Evidence from negative concord in Italian. Cogn Neuropsychol 2023; 39:356-374. [PMID: 37045801 DOI: 10.1080/02643294.2023.2199918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
We report the reading performance of an Italian speaker with egocentric Neglect Dyslexia on sentences with Negative Concord structures, which contain a linguistic cue to the presence of a preceding negative marker and compare it to sentences with no such cue. As predicted, the frequency of reading the whole sentence, including the initial negative marker non, was higher in Negative Concord structures than in sentences which also started with non, but crucially, lacked the medially positioned linguistic cue to the presence of non. These data support the claim that the presence of linguistic cues to sentence structure modulates attention during reading in Neglect Dyslexia.
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Affiliation(s)
- Alessia Rossetto
- Department of Cognitive Science, Macquarie University, Sydney, Australia
- Centre for Language and Cognition, University of Groningen, Groningen, Netherlands
- International Doctorate for Experimental Approaches to Language and Brain (IDEALAB); Macquarie University (AU), University of Groningen (NL), University of Potsdam (DE), University of Newcastle (UK)
| | - Alessio Toraldo
- Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy
- Milan Center for Neuroscience (NeuroMI), Milan, Italy
| | | | | | - Cecilia Poletto
- Department of Language and Literature, University of Padua, Padua, Italy
| | - Giulia Bencini
- Department of Linguistics and Comparative Studies, Ca' Foscari University Venice, Venice, Italy
| | - Carlo Semenza
- Padova Neuroscience Centre, University of Padua, Padua, Italy
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Masina F, Pezzetta R, Lago S, Mantini D, Scarpazza C, Arcara G. Disconnection from prediction: A systematic review on the role of right temporoparietal junction in aberrant predictive processing. Neurosci Biobehav Rev 2022; 138:104713. [PMID: 35636560 DOI: 10.1016/j.neubiorev.2022.104713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 05/06/2022] [Accepted: 05/24/2022] [Indexed: 11/27/2022]
Abstract
The right temporoparietal junction (rTPJ) is a brain area that plays a critical role in a variety of cognitive functions. Although different theoretical proposals tried to explain the ubiquitous role of rTPJ, recent evidence suggests that rTPJ may be a fundamental cortical region involved in different kinds of predictions. This systematic review aims to better investigate the potential role of rTPJ under a predictive processing perspective, providing an overview of cognitive impairments in neurological patients as the consequence of structural or functional disconnections or damage of rTPJ. Results confirm the involvement of rTPJ across several tasks and neurological pathologies. RTPJ, via its connections with other brain networks, would integrate diverse information and update internal models of the world. Against traditional views, which tend to focus on distinct domains, we argue that the role of rTPJ can be parsimoniously interpreted as a key hub involved in domain-general predictions. This alternative account of rTPJ role in aberrant predictive processing opens different perspectives, stimulating new hypotheses in basic research and clinical contexts.
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Affiliation(s)
| | | | - Sara Lago
- IRCCS San Camillo Hospital, Venice, Italy.
| | - Dante Mantini
- Research Center for Motor Control and Neuroplasticity, KU Leuven, Leuven 3001, Belgium.
| | - Cristina Scarpazza
- IRCCS San Camillo Hospital, Venice, Italy; Department of General Psychology, University of Padua, Padua, Italy.
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Williams LJ, Kernot J, Hillier SL, Loetscher T. Spatial Neglect Subtypes, Definitions and Assessment Tools: A Scoping Review. Front Neurol 2021; 12:742365. [PMID: 34899565 PMCID: PMC8653914 DOI: 10.3389/fneur.2021.742365] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 10/14/2021] [Indexed: 12/03/2022] Open
Abstract
Objective: The objective of this scoping review was to capture the reported definitions for the subtypes of neglect post stroke and map the range of assessment tools employed for each neglect subtype. Methods: EMBASE, Emcare, Medline, and psychINFO were searched from database inception. Searching included all allied terms and mesh headings for stroke, spatial neglect, measurement, screening tools, psychometric properties. Two reviewers independently screened studies for inclusion. Primary studies with documented protocols of a spatial neglect tool for adults post stroke, with some aspect of validity or reliability were included. Two reviewers independently reviewed the documented protocols of each tool to determine the underlying subtypes and disagreements were resolved through discussion. Results: There were 371 articles included with 292 tools used for the screening or diagnosis of neglect. The majority of studies (67%) included a tool that did not specify the neglect subtype being assessed, therefore an analysis of the underlying subtypes for each tool is presented. Conclusions: There is no consistency with the terms used to refer to the syndrome of spatial neglect with over 200 different terms used within the included studies to refer to the syndrome as a whole or one of its subtypes. It is essential to unify the terminology and definition for each neglect subtype. There are hundreds of neglect tools available, however many are not able to differentiate presenting subtypes. It is important for clinicians and researchers to critically evaluate the neglect tools being used for the screening and diagnosis of neglect.
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Affiliation(s)
- Lindy J Williams
- Cognitive Aging and Impairment Neurosciences Lab, University of South Australia, Adelaide, SA, Australia.,Innovation IMPlementation and Clinical Translation (IIMPACT) in Health, University of South Australia, Adelaide, SA, Australia.,Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Jocelyn Kernot
- Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Susan L Hillier
- Innovation IMPlementation and Clinical Translation (IIMPACT) in Health, University of South Australia, Adelaide, SA, Australia.,Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Tobias Loetscher
- Cognitive Aging and Impairment Neurosciences Lab, University of South Australia, Adelaide, SA, Australia.,Justice and Society, University of South Australia, Adelaide, SA, Australia
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Chokron S, Kovarski K, Dutton GN. Cortical Visual Impairments and Learning Disabilities. Front Hum Neurosci 2021; 15:713316. [PMID: 34720906 PMCID: PMC8548846 DOI: 10.3389/fnhum.2021.713316] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Accepted: 09/08/2021] [Indexed: 11/13/2022] Open
Abstract
Medical advances in neonatology have improved the survival rate of premature infants, as well as children who are born under difficult neurological conditions. As a result, the prevalence of cerebral dysfunctions, whether minimal or more severe, is increasing in all industrialized countries and in some developing nations. Whereas in the past, ophthalmological diseases were considered principally responsible for severe visual impairment, today, all recent epidemiological studies show that the primary cause of blindness and severe visual impairment in children in industrialized countries is now neurological, with lesions acquired around the time of birth currently comprising the commonest contributor. The resulting cortical or cerebral visual impairments (CVIs) have long been ignored, or have been confused either with other ophthalmological disorders causing low vision, or with a range of learning disabilities. We present here the deleterious consequences that CVI can have upon learning and social interaction, and how these can be given behavioral labels without the underlying visual causes being considered. We discuss the need to train and inform clinicians in the identification and diagnosis of CVI, and how to distinguish the diagnosis of CVI from amongst other visual disorders, including the specific learning disorders. This is important because the range of approaches needed to enhance the development of children with CVI is specific to each child's unique visual needs, making incorrect labeling or diagnosis potentially detrimental to affected children because these needs are not met.
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Affiliation(s)
- Sylvie Chokron
- Hôpital Fondation Adolphe de Rothschild, Paris, France
- INCC UMR 8002, CNRS, Université de Paris, Paris, France
| | - Klara Kovarski
- Hôpital Fondation Adolphe de Rothschild, Paris, France
- INCC UMR 8002, CNRS, Université de Paris, Paris, France
| | - Gordon N. Dutton
- Department of Vision Science, Glasgow Caledonian University, Glasgow, United Kingdom
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Rehabilitation of visual disorders. HANDBOOK OF CLINICAL NEUROLOGY 2021; 178:361-386. [PMID: 33832686 DOI: 10.1016/b978-0-12-821377-3.00015-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
While there is a long history of rehabilitation for motor deficits following cerebral lesions, less is known about our ability to improve visual deficits. Vision therapy, prisms, occluders, and filters have been advocated for patients with mild traumatic brain injury, on the premise that some of their symptoms may reflect abnormal visual or ocular motor function, but the evidence for their efficacy is modest. For hemianopia, attempts to restore vision have had unimpressive results, though it appears possible to generate blindsight through training. Strategic approaches that train more efficient use of visual search in hemianopia have shown consistent benefit in visual function, while prism aids may help some patients. There are many varieties of alexia. Strategic adaptation of saccades can improve hemianopic alexia, but there has been less work and mixed results for pure alexia, neglect dyslexia, attentional dyslexia, and the central dyslexias. A number of approaches have been tried in prosopagnosia, with recent studies of small groups suggesting that face perception of prosopagnosic subjects can be enhanced through perceptual learning.
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Daini R, Primativo S, Albonico A, Veronelli L, Malaspina M, Corbo M, Martelli M, Arduino LS. The Focal Attention Window Size Explains Letter Substitution Errors in Reading. Brain Sci 2021; 11:247. [PMID: 33669454 PMCID: PMC7920487 DOI: 10.3390/brainsci11020247] [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: 12/24/2020] [Revised: 01/30/2021] [Accepted: 02/12/2021] [Indexed: 11/16/2022] Open
Abstract
Acquired Neglect Dyslexia is often associated with right-hemisphere brain damage and is mainly characterized by omissions and substitutions in reading single words. Martelli et al. proposed in 2011 that these two types of error are due to different mechanisms. Omissions should depend on neglect plus an oculomotor deficit, whilst substitutions on the difficulty with which the letters are perceptually segregated from each other (i.e., crowding phenomenon). In this study, we hypothesized that a deficit of focal attention could determine a pathological crowding effect, leading to imprecise letter identification and consequently substitution errors. In Experiment 1, three brain-damaged patients, suffering from peripheral dyslexia, mainly characterized by substitutions, underwent an assessment of error distribution in reading pseudowords and a T detection task as a function of cue size and timing, in order to measure focal attention. Each patient, when compared to a control group, showed a deficit in adjusting the attentional focus. In Experiment 2, a group of 17 right-brain-damaged patients were asked to perform the focal attention task and to read single words and pseudowords as a function of inter-letter spacing. The results allowed us to confirm a more general association between substitution-type reading errors and the performance in the focal attention task.
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Affiliation(s)
- Roberta Daini
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (A.A.); (M.M.)
- COMiB—Optics and Optometry Research Center, Università degli studi di Milano-Bicocca & NeuroMI—Milan Center for Neuroscience, 20126 Milan, Italy
| | - Silvia Primativo
- Department of Human Sciences, LUMSA University, 00193 Rome, Italy; (S.P.); (L.S.A.)
| | - Andrea Albonico
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (A.A.); (M.M.)
- Departments of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC V5Z 3N9, Canada
| | - Laura Veronelli
- Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, 20144 Milan, Italy; (L.V.); (M.C.)
| | - Manuela Malaspina
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (A.A.); (M.M.)
| | - Massimo Corbo
- Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, 20144 Milan, Italy; (L.V.); (M.C.)
| | - Marialuisa Martelli
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy;
- Neuropsychology Unit, IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
| | - Lisa S. Arduino
- Department of Human Sciences, LUMSA University, 00193 Rome, Italy; (S.P.); (L.S.A.)
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Minga J, Johnson M, Blake ML, Fromm D, MacWhinney B. Making Sense of Right Hemisphere Discourse Using RHDBank. TOPICS IN LANGUAGE DISORDERS 2021; 41:99-122. [PMID: 34584326 PMCID: PMC8475789 DOI: 10.1097/tld.0000000000000244] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
PURPOSE Right hemisphere brain damage (RHD) commonly causes pragmatic language disorders that are apparent in discourse production. Specific characteristics and approaches to assessment, diagnosis, and treatment of these disorders are not well-defined. RHDBank, a shared database of multimedia interactions for the study of communication using discourse, was created to address these gaps. The database, materials, and related analysis programs are free resources to clinicians, researchers, educators, and students. METHOD A standard discourse protocol was developed to elicit multiple types of discourse: free speech, conversation, picture description, storytelling, procedural discourse, and question-asking. Testing included measures of cognition, unilateral neglect, and communicative participation. Language samples were video-recorded and transcribed in CHAT format. Currently, the database includes 24 adults with RHD and 24 controls. RESULTS Illustrative analyses show how RHDBank can facilitate research using micro- and macrolinguistic discourse analysis techniques both within this population and across populations. Educational resources, such as the Grand Rounds tutorial, were developed using case studies from the database. CONCLUSIONS RHDBank is a shared database of resources that can facilitate educational and research efforts to address the gaps in knowledge about RHD communication and improve the clinical management of individuals with RHD.
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Affiliation(s)
- Jamila Minga
- Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham (Dr Minga); Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina (Dr Minga); Department of Communication Sciences and Disorders, Nazareth College, Rochester, New York (Dr Johnson); Department of Communication Sciences and Disorders, University of Houston, Houston, Texas (Dr Blake); and Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania (Drs Fromm and MacWhinney)
| | - Melissa Johnson
- Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham (Dr Minga); Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina (Dr Minga); Department of Communication Sciences and Disorders, Nazareth College, Rochester, New York (Dr Johnson); Department of Communication Sciences and Disorders, University of Houston, Houston, Texas (Dr Blake); and Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania (Drs Fromm and MacWhinney)
| | - Margaret Lehman Blake
- Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham (Dr Minga); Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina (Dr Minga); Department of Communication Sciences and Disorders, Nazareth College, Rochester, New York (Dr Johnson); Department of Communication Sciences and Disorders, University of Houston, Houston, Texas (Dr Blake); and Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania (Drs Fromm and MacWhinney)
| | - Davida Fromm
- Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham (Dr Minga); Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina (Dr Minga); Department of Communication Sciences and Disorders, Nazareth College, Rochester, New York (Dr Johnson); Department of Communication Sciences and Disorders, University of Houston, Houston, Texas (Dr Blake); and Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania (Drs Fromm and MacWhinney)
| | - Brian MacWhinney
- Communication Disorders Program, Department of Allied Professions, North Carolina Central University, Durham (Dr Minga); Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, North Carolina (Dr Minga); Department of Communication Sciences and Disorders, Nazareth College, Rochester, New York (Dr Johnson); Department of Communication Sciences and Disorders, University of Houston, Houston, Texas (Dr Blake); and Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania (Drs Fromm and MacWhinney)
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Ptak R, Bourgeois A, Cavelti S, Doganci N, Schnider A, Iannotti GR. Discrete Patterns of Cross-Hemispheric Functional Connectivity Underlie Impairments of Spatial Cognition after Stroke. J Neurosci 2020; 40:6638-6648. [PMID: 32709694 PMCID: PMC7486659 DOI: 10.1523/jneurosci.0625-20.2020] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 06/06/2020] [Accepted: 07/04/2020] [Indexed: 12/17/2022] Open
Abstract
Despite intense research, the neural correlates of stroke-induced deficits of spatial cognition remain controversial. For example, several cortical regions and white-matter tracts have been designated as possible anatomic predictors of spatial neglect. However, many studies focused on local anatomy, an approach that does not harmonize with the notion that brain-behavior relationships are flexible and may involve interactions among distant regions. We studied in humans of either sex resting-state fMRI connectivity associated with performance in line bisection, reading and visual search, tasks commonly used for he clinical diagnosis of neglect. We defined left and right frontal, parietal, and temporal areas as seeds (or regions of interest, ROIs), and measured whole-brain seed-based functional connectivity (FC) and ROI-to-ROI connectivity in subacute right-hemisphere stroke patients. Performance on the line bisection task was associated with decreased FC between the right fusiform gyrus and left superior occipital cortex. Complementary increases and decreases of connectivity between both temporal and occipital lobes predicted reading errors. In addition, visual search deficits were associated with modifications of FC between left and right inferior parietal lobes and right insular cortex. These distinct connectivity patterns were substantiated by analyses of FC between left- and right-hemispheric ROIs, which revealed that decreased interhemispheric and right intrahemispheric FC was associated with higher levels of impairment. Together, these findings indicate that intrahemispheric and interhemispheric cooperation between brain regions lying outside the damaged area contributes to spatial deficits in a way that depends on the different cognitive components recruited during reading, spatial judgments, and visual exploration.SIGNIFICANCE STATEMENT Focal damage to the right cerebral hemisphere may result in a variety of deficits, often affecting the domain of spatial cognition. The neural correlates of these disorders have traditionally been studied with lesion-symptom mapping, but this method fails to capture the network dynamics that underlie cognitive performance. We studied functional connectivity in patients with right-hemisphere stroke and found a pattern of correlations between the left and right temporo-occipital, inferior parietal, and right insular cortex that were distinctively predictive of deficits in reading, spatial judgment, and visual exploration. This finding reveals the importance of interhemispheric interactions and network adaptations for the manifestation of spatial deficits after damage to the right hemisphere.
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Affiliation(s)
- Radek Ptak
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, Geneva, 1206, Switzerland
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, 1205, Switzerland
| | - Alexia Bourgeois
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Silvia Cavelti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Naz Doganci
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Armin Schnider
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, Geneva, 1206, Switzerland
| | - Giannina Rita Iannotti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Swiss Foundation for Innovation and Training in Surgery, University Hospitals of Geneva, Geneva, 1206, Switzerland
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Ghonchepour M, Pakzad Moghaddam M. The role of semantic transparency in processing compound nouns: evidence from people with Broca's Aphasia. CLINICAL LINGUISTICS & PHONETICS 2020; 34:493-515. [PMID: 31441333 DOI: 10.1080/02699206.2019.1656780] [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: 04/10/2019] [Revised: 08/10/2019] [Accepted: 08/13/2019] [Indexed: 06/10/2023]
Abstract
This article investigated the role of semantic transparency in processing root compound nouns in Persian individuals with Broca's aphasia through picture confrontation naming and repetition tasks. The relationship between semantic transparency and affected constituents of nouns showed that semantic transparency had no role in processing compound nouns. The results showed that transparent, opaque and partially transparent compound nouns were processed by dual-routes (holistic and decomposing). Frequency of errors also revealed dissociation of naming and repetition processes as well as simple and compound nouns. The comparison of errors and their types in confrontation naming and repetition tasks indicated that naming was relatively more complex than repetition.
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Affiliation(s)
- Mousa Ghonchepour
- Department of Language and Literature, Farhangiyan University, Tehran, Iran
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Boukrina O, Chen P, Budinoska T, Barrett A. Exploratory examination of lexical and neuroanatomic correlates of neglect dyslexia. Neuropsychology 2020; 34:404-419. [PMID: 31999167 PMCID: PMC7249258 DOI: 10.1037/neu0000619] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVE This study examined lexical and neuroanatomic correlates of reading errors in individuals with spatial neglect, defined as a failure to respond to stimuli in the side of space opposite a brain lesion, causing functional disability. METHOD One-hundred and ten participants with left spatial neglect after right-hemisphere stroke read aloud a list of 36 words. Reading errors were scored as "contralesional" (error in the left half of the word) or as "other." The influence of lexical processing on neglect dyslexia was studied with a stepwise regression using word frequency, orthographic neighborhood (number of same length neighbors that differ by 1 letter), bigram and trigram counts (number of words with the same 2- and 3-letter combinations), length, concreteness, and imageability as predictors. MRI/CT images of 92 patients were studied in a voxelwise lesion-symptom analysis (VLSM). RESULTS Longer length and more trigram neighbors increased, while higher concreteness reduced, the rate of contralesional errors. VLSM revealed lesions in the inferior temporal sulcus, middle temporal and angular gyri, precuneus, temporal pole, and temporo-parietal white matter associated with the rate of contralesional errors. CONCLUSIONS Orthographic competitors may decrease word salience, while semantic concreteness may help constrain the selection of available word options when it is based on degraded information from the left side of the word. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
- Olga Boukrina
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
- Department of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ
| | - Peii Chen
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
- Department of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ
| | - Tamara Budinoska
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ
| | - A.M. Barrett
- Center for Visual & Neurocognitive Rehabilitation, Atlanta VA Medical Center, Decatur, GA
- Department of Neurology, Emory University School of Medicine, Atlanta, GA
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14
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Moore MJ, Shalev N, Gillebert CR, Demeyere N. Dissociations within neglect-related reading impairments: Egocentric and allocentric neglect dyslexia. J Clin Exp Neuropsychol 2020; 42:352-362. [PMID: 32063093 PMCID: PMC7175469 DOI: 10.1080/13803395.2020.1715926] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Consistently lateralized reading errors are commonly understood as side-effects of visuospatial neglect impairment. There is however a qualitative difference between systematically omitting full words presented on one side of passages (egocentric neglect dyslexia) and lateralized errors when reading single words (allocentric neglect dyslexia). This study aims to investigate the relationship between egocentric and allocentric neglect dyslexia and visuospatial neglect. 1209 stroke survivors completed standardized reading and cancellation tests. Stringent criteria identified unambiguous cases of allocentric neglect dyslexia (N = 17) and egocentric neglect dyslexia (N = 35). These conditions were found to be doubly dissociated with all cases of egocentric and allocentric neglect dyslexia occurring independently. Allocentric neglect dyslexia was dissociated from both egocentric and allocentric visuospatial neglect. Additionally, two cases of allocentric neglect dyslexia which co-occurred with oppositely lateralized domain-general visuospatial neglect were identified. Conversely, all cases of egocentric neglect dyslexia were found in the presence of domain-general visuospatial neglect. These findings suggest that allocentric neglect dyslexia cannot be fully understood as a consequence of visuospatial neglect. In contrast, we found no evidence for a dissociation between egocentric neglect dyslexia and visuospatial neglect. These findings highlight the need for new, neglect dyslexia specific rehabilitation strategies to be designed and tested.
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Affiliation(s)
- Margaret Jane Moore
- Department of Experimental Psychology, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK
| | - Nir Shalev
- Department of Experimental Psychology, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK
| | - Celine R Gillebert
- Department of Experimental Psychology, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK.,Department of Brain and Cognition, KU Leuven, Leuven, Belgium
| | - Nele Demeyere
- Department of Experimental Psychology, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK
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15
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Neglect dyslexia as a word-centred impairment: A single case study. Cortex 2019; 119:543-554. [DOI: 10.1016/j.cortex.2018.10.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/30/2018] [Accepted: 10/28/2018] [Indexed: 12/18/2022]
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16
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Tinard S, Guillaume F. Age-Related Differences in the Impact of Prior Knowledge on Recognition Performance: A Face Recognition Study. Exp Aging Res 2019; 45:154-166. [PMID: 30870111 DOI: 10.1080/0361073x.2019.1586108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background/Study context: The dual-process hypothesis of memory and aging (DPHMA) postulates a decline of recollection with no decline in recognition. While the age-related recollection deficit is well-documented, any age-changes in the familiarity process remain unclear. Some studies have shown that familiar and meaningful material can enhance the recognition performance of older adults. The goal of the present study was to explore the impact of familiar material on age-related recognition-memory decline, using a dual-process approach. METHODS One hundred participants (50 young adults and 50 older adults) performed two recognition tasks using an unfamiliar and a famous face recognition task. A receiver operating characteristic (ROC) analysis was used to examine the memory processes underlying recognition memory. RESULTS The older adults showed lower performance on recognition accuracy and false alarms rate, only in the unfamiliar-face recognition task. A DPHMA-like pattern on unfamiliar-face recognition task was obtained. Prior knowledge in the famous-face recognition task improved recollection for older adults and no age-related deficit was found. CONCLUSION The present study suggests that episodic memory deficits in healthy aging are primarily driven by a recollection deficit while familiarity is relatively well spared. However, this age-related recollection deficit could be alleviated using knowledge-based material.
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Affiliation(s)
- Sophie Tinard
- a Laboratoire de Psychologie Cognitive (CNRS UMR 7290) , Aix-Marseille Université , Marseille , France
| | - Fabrice Guillaume
- a Laboratoire de Psychologie Cognitive (CNRS UMR 7290) , Aix-Marseille Université , Marseille , France
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17
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Johnston D, Egermann H, Kearney G. Innovative computer technology in music-based interventions for individuals with autism moving beyond traditional interactive music therapy techniques. COGENT PSYCHOLOGY 2018. [DOI: 10.1080/23311908.2018.1554773] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Daniel Johnston
- Communications & Signal Processing Research Group, Department of Electronic Engineering, University of York, York, UK
| | - Hauke Egermann
- York Music Psychology Group, Music Science and Technology Research Cluster, Department of Music, University of York, York, UK
| | - Gavin Kearney
- Communications & Signal Processing Research Group, Department of Electronic Engineering, University of York, York, UK
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18
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Hylin MJ, Brenneman MM, Corwin JV. Noradrenergic antagonists mitigate amphetamine-induced recovery. Behav Brain Res 2017; 334:61-71. [PMID: 28756213 DOI: 10.1016/j.bbr.2017.07.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 07/18/2017] [Accepted: 07/25/2017] [Indexed: 11/16/2022]
Abstract
Brain injury, including that due to stroke, leaves individuals with cognitive deficits that can disrupt daily aspect of living. As of now there are few treatments that shown limited amounts of success in improving functional outcome. The use of stimulants such as amphetamine have shown some success in improving outcome following brain injury. While the pharmacological mechanisms for amphetamine are known; the specific processes responsible for improving behavioral outcome following injury remain unknown. Understanding these mechanisms can help to refine the use of amphetamine as a potential treatment or lead to the use of other methods that share the same pharmacological properties. One proposed mechanism is amphetamine's impact upon noradrenaline (NA). In the current, study noradrenergic antagonists were administered prior to amphetamine to pharmacologically block α- and β-adrenergic receptors. The results demonstrated that the blockade of these receptors disrupted amphetamines ability to induce recovery from hemispatial neglect using an established aspiration lesion model. This suggests that amphetamine's ability to ameliorate neglect deficits may be due in part to noradrenaline. These results further support the role of noradrenaline in functional recovery. Finally, the development of polytherapies and combined therapeutics, while promising, may need to consider the possibility that drug interactions can negate the effectiveness of treatment.
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Affiliation(s)
- M J Hylin
- Neurotrauma and Rehabilitation Laboratory, Department of Psychology, Southern Illinois University, Carbondale, IL, United States.
| | - M M Brenneman
- Department of Psychology, Coastal Carolina University, P.O. Box 261954, Conway, SC, United States
| | - J V Corwin
- Department of Psychology, Northern Illinois University, DeKalb, IL, United States
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19
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Abstract
Prism adaptation (PA) has been successfully applied in the rehabilitation of spatial neglect, with significant transfer to classic neglect tests and activities of daily living. However, well-controlled studies were unable to replicate these findings, and recent reports suggest that PA may affect selectively visuo-motor symptoms. Here, a patient with pure left neglect dyslexia was tested before, immediately after, and 24 h after PA. Despite a significant adaptation aftereffect adaptation had no effect omissions, substitutions and letter-based errors. PA does not affect pure neglect dyslexia and should therefore be reserved for the rehabilitation of motor-intentional, rather than visual-attentional symptoms.
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Affiliation(s)
- Radek Ptak
- a Division of Neurorehabilitation , Geneva University Hospitals , Geneva , Switzerland.,b Laboratory of Cognitive Neurorehabilitation, Faculty of Medicine , University of Geneva , Geneva , Switzerland.,c Cognitive Psychology, Faculty of Psychology and Educational Sciences , University of Geneva , Geneva , Switzerland
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20
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Pedrazzini E, Schnider A, Ptak R. A neuroanatomical model of space-based and object-centered processing in spatial neglect. Brain Struct Funct 2017; 222:3605-3613. [DOI: 10.1007/s00429-017-1420-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Accepted: 03/31/2017] [Indexed: 10/19/2022]
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21
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Jane Moore M, Demeyere N. Neglect Dyslexia in Relation to Unilateral Visuospatial Neglect: A Review. AIMS Neurosci 2017. [DOI: 10.3934/neuroscience.2017.4.169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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22
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Jane Moore M, Demeyere N. Neglect Dyslexia in Relation to Unilateral Visuospatial Neglect: A Review. AIMS Neurosci 2017. [DOI: 10.3934/neuroscience.2017.4.148] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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23
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Ptak R, Di Pietro M, Pignat JM. The role of parieto-temporal connectivity in pure neglect dyslexia. Brain Res 2016; 1648:144-151. [DOI: 10.1016/j.brainres.2016.07.033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Revised: 07/01/2016] [Accepted: 07/19/2016] [Indexed: 10/21/2022]
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24
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Ronchi R, Algeri L, Chiapella L, Gallucci M, Spada MS, Vallar G. Left neglect dyslexia: Perseveration and reading error types. Neuropsychologia 2016; 89:453-464. [DOI: 10.1016/j.neuropsychologia.2016.07.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 04/15/2016] [Accepted: 07/19/2016] [Indexed: 11/28/2022]
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25
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Saj A, Barisnikov K. Influence of spatial perception abilities on reading in school-age children. COGENT PSYCHOLOGY 2015. [DOI: 10.1080/23311908.2015.1049736] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Arnaud Saj
- Department of Neurology, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva, Switzerland
- Department of Neurosciences, Laboratory of Neurology and Imaging Cognition, University of Geneva, Geneva, Switzerland
| | - Koviljka Barisnikov
- Child Clinical Neuropsychology Unit, Department of Psychology, University of Geneva, Geneva, Switzerland
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26
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Primativo S, Arduino LS, Daini R, De Luca M, Toneatto C, Martelli M. Impaired oculo-motor behaviour affects both reading and scene perception in neglect patients. Neuropsychologia 2015; 70:90-106. [PMID: 25698638 DOI: 10.1016/j.neuropsychologia.2015.02.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2014] [Revised: 02/11/2015] [Accepted: 02/16/2015] [Indexed: 10/24/2022]
Abstract
Unilateral spatial neglect (USN) is a common neuropsychological disorder following a right-sided brain lesion. Although USN is mostly characterized by symptoms involving the left hemispace, other symptoms are not left lateralized. Recently, it was shown that patients with neglect dyslexia, a reading disturbance that affects about 40% of USN patients, manifest a non-lateralized impairment of eye movement behaviour in association with their reading deficit when they read aloud and perform non-verbal saccadic tasks (Primativo et al., 2013). In the present paper, we aimed to demonstrate that the eye movement impairment shown by some USN patients reflects a more general oculo-motor disorder that is not confined to orthographic material, the horizontal axis or constrained saccadic tasks. We conjectured that inaccurate oculo-motor behaviour in USN patients indicates the presence of a reading deficit. With this aim we evaluated 20 patients, i.e., 10 right-sided brain-damaged patients without neglect and 10 patients affected by USN. On the basis of the patients' eye movement patterns during a scene exploration task, we found that 4 out of the 10 USN patients presented an abnormal oculo-motor pattern. These same four patients (but not the others) also failed in performing 5 different saccadic tasks and produced neglect dyslexia reading errors in both single words and texts. First, we show that a large proportion of USN patients have inaccurate eye movement behaviour in non-reading tasks. Second, we demonstrate that this exploratory deficit is predictive of the reading impairment. Thus, we conclude that the eye movement deficit prevents reading and impairs the performance on many other perceptual tests, including scene exploration. The large percentage of patients with impaired eye-movement pattern suggests that particular attention should be paid to eye movement behaviour during the diagnostic phase in order to program the best rehabilitation strategy for each patient.
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Affiliation(s)
- Silvia Primativo
- Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy; Department of Psychology, Sapienza University of Rome, Rome, Italy; Dementia Research Centre, UCL Institute of Neurology, University College London, National Hospital, Queen Square, Box 16, London WC1N 3BG, UK.
| | | | - Roberta Daini
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Maria De Luca
- Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Carlo Toneatto
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Marialuisa Martelli
- Neuropsychology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy; Department of Psychology, Sapienza University of Rome, Rome, Italy.
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27
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Galletta EE, Campanelli L, Maul KK, Barrett AM. Assessment of neglect dyslexia with functional reading materials. Top Stroke Rehabil 2014; 21:75-86. [PMID: 24521842 DOI: 10.1310/tsr2101-75] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Spatial neglect is a neurocognitive disorder that affects perception, representation, and/or motor planning. Neglect dyslexia in spatial neglect after right hemisphere damage may co-occur with, or be dissociated from, other spatial neglect signs. Previous neglect dyslexia research focused on word-level stimuli and reading errors. Using single words for assessment may leave some people with neglect dyslexia undiagnosed, and assessment materials that are closer to texts read in real life may better capture neglect dyslexia. METHOD The authors tested reading in 67 right hemisphere stroke survivors with 4 types of text materials: words, phrases, an article, and a menu. RESULTS Accuracy on reading the menu and article texts was significantly poorer than reading the words and phrases. The hypothesis that assessment materials with ecological validity such as reading a menu and reading an article may be more challenging than reading single words and phrases was supported. CONCLUSION Results suggest that neglect dyslexia assessment after stroke should include text materials comparable to those read in everyday life. Increasing the spatial extent of training materials in future research might also yield better functional generalization after right brain stroke.
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Affiliation(s)
- Elizabeth E Galletta
- Hunter College, The City University of New York, New York, New York The Graduate School and University Center, The City University of New York, New York, New York Kessler Foundation Research Center, West Orange, New Jersey
| | - Luca Campanelli
- The Graduate School and University Center, The City University of New York, New York, New York
| | - Kristen K Maul
- Kessler Foundation Research Center, West Orange, New Jersey
| | - A M Barrett
- Kessler Foundation Research Center, West Orange, New Jersey New Jersey Medical School, Newark, New Jersey
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28
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Beschin N, Cisari C, Cubelli R, Della Sala S. Prose Reading in Neglect. Brain Cogn 2014; 84:69-75. [DOI: 10.1016/j.bandc.2013.11.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Revised: 11/04/2013] [Accepted: 11/06/2013] [Indexed: 10/25/2022]
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Neglect dyslexia: a matter of "good looking". Neuropsychologia 2013; 51:2109-19. [PMID: 23850599 DOI: 10.1016/j.neuropsychologia.2013.07.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Revised: 06/27/2013] [Accepted: 07/01/2013] [Indexed: 11/23/2022]
Abstract
Brain-damaged patients with right-sided unilateral spatial neglect (USN) often make left-sided errors in reading single words or pseudowords (neglect dyslexia, ND). We propose that both left neglect and low fixation accuracy account for reading errors in neglect dyslexia. Eye movements were recorded in USN patients with (ND+) and without (ND-) neglect dyslexia and in a matched control group of right brain-damaged patients without neglect (USN-). Unlike ND- and controls, ND+ patients showed left lateralized omission errors and a distorted eye movement pattern in both a reading aloud task and a non-verbal saccadic task. During reading, the total number of fixations was larger in these patients independent of visual hemispace, and most fixations were inaccurate. Similarly, in the saccadic task only ND+ patients were unable to reach the moving dot. A third experiment addressed the nature of the left lateralization in reading error distribution by simulating neglect dyslexia in ND- patients. ND- and USN- patients had to perform a speeded reading-at-threshold task that did not allow for eye movements. When stimulus exploration was prevented, ND- patients, but not controls, produced a pattern of errors similar to that of ND+ with unlimited exposure time (e.g., left-sided errors). We conclude that neglect dyslexia reading errors may arise in USN patients as a consequence of an additional and independent deficit unrelated to the orthographic material. In particular, the presence of an altered oculo-motor pattern, preventing the automatic execution of the fine saccadic eye movements involved in reading, uncovers, in USN patients, the attentional bias also in reading single centrally presented words.
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30
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Reinhart S, Schaadt AK, Adams M, Leonhardt E, Kerkhoff G. The frequency and significance of the word length effect in neglect dyslexia. Neuropsychologia 2013; 51:1273-8. [PMID: 23528849 DOI: 10.1016/j.neuropsychologia.2013.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2012] [Revised: 01/12/2013] [Accepted: 03/13/2013] [Indexed: 10/27/2022]
Abstract
Neglect patients often omit or misread initial letters of single words, a phenomenon termed neglect dyslexia (ND). Omissions of whole words on the contralesional side of the page during paragraph reading are generally considered as egocentric or space-based errors, whereas misreading of the left part of a word can be viewed as a type of stimulus-centred or word-based, neglect-related error. The research of the last decades shed light on several effects of word features (such as written word frequency, grammatical class or concreteness) that modulate the severity of ND. Nevertheless, almost all studies about those modulating factors were case studies and some of them have not been replicated yet. Therefore, to date we do not know how relevant such effects of different word stimuli are for a population of ND patients. Knowing their incidence would improve our theoretical understanding of ND and promote the development of standardized ND assessments, which are lacking so far. In particular, case studies have shown that ND error frequency increases systematically with word length (word length effect, WLE) while other single case studies found contrary results. Hence, the existence of the WLE in ND is unsettled and its incidence and significance in stroke patients is unknown. To clarify this issue we evaluated the relation between word length and the extent (number) of neglected or substituted letters within single words in ND (neglect dyslexia extent, NDE) in a group of 19 consecutive ND patients with right hemisphere lesions. We found a clear WLE in 79% (15 of 19) of our ND patients, as indicated by significant correlations between word length and NDE. Concurrent visual field defects had no effect on the WLE in our sample, thus showing no influence of early visual cortical processing stages on the WLE in neglect dyslexia. In conclusion, our results suggest a clear relationship between word length and reading errors in ND and show that the WLE is a frequent phenomenon in ND.
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Affiliation(s)
- Stefan Reinhart
- Saarland University, Clinical Neuropsychology Unit and Outpatient Service, Building A1.3, D-66123 Saarbruecken, Germany.
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31
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Line bisection error predicts the presence and severity of neglect dyslexia in paragraph reading. Neuropsychologia 2013; 51:1-7. [DOI: 10.1016/j.neuropsychologia.2012.10.026] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Revised: 10/08/2012] [Accepted: 10/30/2012] [Indexed: 11/17/2022]
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Shallice T, Buiatti T. Types of case series--the anatomically based approach: commentary on M. F. Schwartz & G. S. Dell: case series investigations in cognitive neuropsychology. Cogn Neuropsychol 2012; 28:500-14; discussion 515-20. [PMID: 22746691 DOI: 10.1080/02643294.2012.674012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The paper addresses a weakness in the Schwartz and Dell paper (2010)-namely, its discussion of the inclusion criteria for case series. The paper distinguishes the different types that exist and how they constrain the theoretical conclusions that one can draw about the organization of the normal cognitive system. Four different types of inclusion criteria are considered. Two are those treated by Schwartz and Dell-namely, theoretically derived clinical criteria, such as the example of semantic dementia, and broad clinical criteria such as the presence of aphasia. In addition, in the present paper two different types of anatomically based criteria are assessed-those using anatomical regions selected a priori and also regions selected as a result of an anatomical group study analysis. Putative functional syndromes are argued to be the empirical building blocks for cognitive neuropsychology. Anatomically based case series can aid in their construction or in their fractionation.
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Affiliation(s)
- Tim Shallice
- Cognitive Neuroscience Sector, SISSA, Trieste, Italy.
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Weinzierl C, Kerkhoff G, van Eimeren L, Keller I, Stenneken P. Error types and error positions in neglect dyslexia: comparative analyses in neglect patients and healthy controls. Neuropsychologia 2012; 50:2764-2772. [PMID: 22917567 DOI: 10.1016/j.neuropsychologia.2012.08.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 07/13/2012] [Accepted: 08/06/2012] [Indexed: 11/25/2022]
Abstract
Unilateral spatial neglect frequently involves a lateralised reading disorder, neglect dyslexia (ND). Reading of single words in ND is characterised by left-sided omissions and substitutions of letters. However, it is unclear whether the distribution of error types and positions within a word shows a unique pattern of ND when directly compared to healthy controls. This question has been difficult to answer so far, given the usually low number of reading errors in healthy controls. Therefore, the present study compared single word reading of 18 patients with left-sided neglect, due to right-hemisphere stroke, and 11 age-matched healthy controls, and adjusted individual task difficulty (by varying stimulus presentation times in participants) in order to reach approximately equal error rates between neglect patients and controls. Results showed that, while both omission and substitution errors were frequently produced in neglect patients and controls, only omissions appeared neglect-specific when task difficulty was adapted between groups. Analyses of individual letter positions within words revealed that the spatial distribution of reading errors in the neglect dyslexic patients followed an almost linear increase from the end to the beginning of the word (right-to-left-gradient). Both, the gradient in error positions and the predominance of omission errors presented a neglect-specific pattern. Consistent with current models of visual word processing, these findings suggest that ND reflects sublexical, visuospatial attentional mechanisms in letter string encoding.
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Affiliation(s)
| | - Georg Kerkhoff
- Clinical Neuropsychology Unit and University Ambulance, Saarland University, Saarbrücken, Germany
| | - Lucia van Eimeren
- Department of Surgery, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada N6A 3K7
| | - Ingo Keller
- Department of Neuropsychology, Schön Clinic Bad Aibling, Bad Aibling, Germany
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The neural correlates of object-centered processing in reading: A lesion study of neglect dyslexia. Neuropsychologia 2012; 50:1142-50. [DOI: 10.1016/j.neuropsychologia.2011.09.036] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2011] [Revised: 08/25/2011] [Accepted: 09/23/2011] [Indexed: 11/22/2022]
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Reinhart S, Schindler I, Kerkhoff G. Optokinetic stimulation affects word omissions but not stimulus-centered reading errors in paragraph reading in neglect dyslexia. Neuropsychologia 2011; 49:2728-35. [DOI: 10.1016/j.neuropsychologia.2011.05.022] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Revised: 03/29/2011] [Accepted: 05/26/2011] [Indexed: 11/15/2022]
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Reinhart S, Keller I, Kerkhoff G. Effects of head rotation on space- and word-based reading errors in spatial neglect. Neuropsychologia 2010; 48:3706-14. [DOI: 10.1016/j.neuropsychologia.2010.09.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2009] [Revised: 08/13/2010] [Accepted: 09/03/2010] [Indexed: 10/19/2022]
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37
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Vallar G, Burani C, Arduino LS. Neglect dyslexia: a review of the neuropsychological literature. Exp Brain Res 2010; 206:219-35. [DOI: 10.1007/s00221-010-2386-0] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2010] [Accepted: 07/29/2010] [Indexed: 10/19/2022]
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