Speech discrimination in 11‐month‐old bilingual and monolingual infants: a magnetoencephalography study

Revisiting perceptual sensitivity to non-native speech in a diverse sample of bilinguals

Werker and Tees (1984) prompted decades of research attempting to detail the paths infants take towards specialisation for the sounds of their native language(s). Most of this research has examined the trajectories of monolingual children. However, it has also been proposed that bilinguals, who are exposed to greater phonetic variability than monolinguals and must learn the rules of two languages, may remain perceptually open to non-native language sounds later into life than monolinguals. Using a visual habituation paradigm, the current study tests this question by comparing 15- to 18-month-old monolingual and bilingual children's developmental trajectories for non-native phonetic consonant contrast discrimination. A novel approach to the integration of stimulus presentation software with eye-tracking software was validated for objective measurement of infant looking time. The results did not support the hypothesis of a protracted period of sensitivity to non-native phonetic contrasts in bilingual compared to monolingual infants. Implications for diversification of perceptual narrowing research and implementation of increasingly sensitive measures are discussed.

The development of tone discrimination in infancy: Evidence from a cross-linguistic, multi-lab report

We report the findings of a multi-language and multi-lab investigation of young infants' ability to discriminate lexical tones as a function of their native language, age and language experience, as well as of tone properties. Given the high prevalence of lexical tones across human languages, understanding lexical tone acquisition is fundamental for comprehensive theories of language learning. While there are some similarities between the developmental course of lexical tone perception and that of vowels and consonants, findings for lexical tones tend to vary greatly across different laboratories. To reconcile these differences and to assess the developmental trajectory of native and non-native perception of tone contrasts, this study employed a single experimental paradigm with the same two pairs of Cantonese tone contrasts (perceptually similar vs. distinct) across 13 laboratories in Asia-Pacific, Europe and North-America testing 5-, 10- and 17-month-old monolingual (tone, pitch-accent, non-tone) and bilingual (tone/non-tone, non-tone/non-tone) infants. Across the age range and language backgrounds, infants who were not exposed to Cantonese showed robust discrimination of the two non-native lexical tone contrasts. Contrary to this overall finding, the statistical model assessing native discrimination by Cantonese-learning infants failed to yield significant effects. These findings indicate that lexical tone sensitivity is maintained from 5 to 17 months in infants acquiring tone and non-tone languages, challenging the generalisability of the existing theoretical accounts of perceptual narrowing in the first months of life. RESEARCH HIGHLIGHTS: This is a multi-language and multi-lab investigation of young infants' ability to discriminate lexical tones. This study included data from 13 laboratories testing 5-, 10-, and 17-month-old monolingual (tone, pitch-accent, non-tone) and bilingual (tone/non-tone, non-tone/non-tone) infants. Overall, infants discriminated a perceptually similar and a distinct non-native tone contrast, although there was no evidence of a native tone-language advantage in discrimination. These results demonstrate maintenance of tone discrimination throughout development.

Individual differences in auditory perception predict learning of non-adjacent tone sequences in 3-year-olds

Auditory processing of speech and non-speech stimuli oftentimes involves the analysis and acquisition of non-adjacent sound patterns. Previous studies using speech material have demonstrated (i) children's early emerging ability to extract non-adjacent dependencies (NADs) and (ii) a relation between basic auditory perception and this ability. Yet, it is currently unclear whether children show similar sensitivities and similar perceptual influences for NADs in the non-linguistic domain. We conducted an event-related potential study with 3-year-old children using a sine-tone-based oddball task, which simultaneously tested for NAD learning and auditory perception by means of varying sound intensity. Standard stimuli were A × B sine-tone sequences, in which specific A elements predicted specific B elements after variable × elements. NAD deviants violated the dependency between A and B and intensity deviants were reduced in amplitude. Both elicited similar frontally distributed positivities, suggesting successful deviant detection. Crucially, there was a predictive relationship between the amplitude of the sound intensity discrimination effect and the amplitude of the NAD learning effect. These results are taken as evidence that NAD learning in the non-linguistic domain is functional in 3-year-olds and that basic auditory processes are related to the learning of higher-order auditory regularities also outside the linguistic domain.

Constraints on Acceleration in Bilingual Development: Evidence from Word Segmentation by Spanish Learning Infants

We have previously shown that bilingual Spanish and English-learning infants can segment English iambs, two-syllable words with final stress (e.g., guiTAR), earlier than their monolingual peers. This is consistent with accelerated development in bilinguals and was attributed to bilingual infants' increased exposure to iambs through Spanish; about 10% of English content words start with an unstressed syllable, compared to 40% in Spanish. Here, we evaluated whether increased exposure to a stress pattern alone is sufficient to account for acceleration in bilingual infants. In English, 90% of content words start with a stressed syllable (e.g., KINGdom), compared to 60% in Spanish. However, we found no evidence for accelerated segmentation of Spanish trochees by Spanish-English bilingual infants compared to their monolingual Spanish-learning peers. Based on this finding, we argue that merely increased exposure to a linguistic feature in one language does not result in accelerated development in the other. Instead, only the acquisition of infrequent patterns in one language may be accelerated due to the additive effects of the other language.

Korean infants' perceptual responses to Korean and Western music based on musical experience

This study investigates infants' enculturation to music in a bicultural musical environment. We tested 49 12- to 30-month-old Korean infants on their preference for Korean or Western traditional songs played by haegeum and cello. Korean infants have access to both Korean and Western music in their environment as captured on a survey of infants' daily exposure to music at home. Our results show that infants with less daily exposure to any kind of music at home listened longer to all music types. The infants' overall listening time did not differ between Korean and Western music and instruments. Rather, those with high exposure to Western music listened longer to Korean music played with haegeum. Moreover, older toddlers (aged 24-30 months) maintained a longer interest in songs of an origin with which they are less familiar, indicating an emerging orientation towards novelty. Early orientation of Korean infants toward the novel experience of music listening is likely driven by perceptual curiosity, which drives exploratory behavior that diminishes with continued exposure. On the other hand, older infants' orientation towards novel stimuli is led by epistemic curiosity, which motivates an infant to acquire new knowledge. Korean infants' lack of differential listening likely reflects their protracted period of enculturation to ambient music due to complex input. Further, older infants' novelty-orientation is consistent with findings in bilingual infants' orientation towards novel information. Additional analysis showed a long-term effect of music exposure on infants' vocabulary development. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=Kllt0KA1tJk RESEARCH HIGHLIGHTS: Korean infants showed novelty-oriented attention to music such that infants with less daily exposure to music at home showed longer listening times to music. 12- to 30-month-old Korean infants did not show differential listening to Korean versus Western music or instruments, suggesting a protracted period of perceptual openness. 24- to 30-month-old Korean toddlers' listening behavior indicated emerging novelty-preference, exhibiting delayed enculturation to ambient music compared to Western infants reported in earlier research. 18-month-old Korean infants with a greater weekly exposure to music had higher CDI scores a year later, consistent with the well-known music-to-language transfer effect.

Sensitivity to visual cues within motion events in monolingual and bilingual infants

It is well known that infants undergo developmental change in how they respond to language-relevant visual contrasts. For example, when viewing motion events, infants' sensitivities to background information ("ground-path cues," e.g., whether a background is flat and continuous or bounded) change with age. Prior studies with English and Japanese monolingual infants have demonstrated that 14-month-old infants discriminate between motion events that take place against different ground-paths (e.g., an unbounded field vs a bounded street). By 19 months of age, this sensitivity becomes more selective in monolingual infants; only learners of languages that lexically contrast these categories, such as Japanese, discriminate between such events. In this study, we investigated this progression in bilingual infants. We first replicated past reports of an age-related decline in ground-path sensitivity from 14 to 19 months in English monolingual infants living in a multilingual society. English-Mandarin bilingual infants living in that same society were then tested on discrimination of ground-path cues at 14, 19, and 24 months. Although neither the English nor Mandarin language differentiates motion events based on ground-path cues, bilingual infants demonstrated protracted sensitivity to these cues. Infants exhibited a lack of discrimination at 14 months, followed by discrimination at 19 months and a subsequent decline in discrimination at 24 months. In addition, bilingual infants demonstrated more fine-grained sensitivities to subtle ground cues not observed in monolingual infants.

Effects of multilingualism on Australian infants' language environments in early childhood education centers

This study investigates differences in the language environments experienced by multilingual and monolingual infants in early childhood education and care (ECEC) settings. The Language Environment Analysis (LENA) technology was used to collect day-long audio-recordings from 181 one-year-old infants (age range from 12 to 21 months). We examined whether infants' multilingual status predicts the amount of educators' language input (adult word count, AWC), child vocalizations (CVC) and conversational turns (CTC), as well as interaction effects on AWC, CVC and CTC of infants' multilingual status and other infant, home and ECEC characteristics. Multilevel mixed effects models revealed no main effect of infants' multilingual status on the language environment outcome variables. Instead, infant gender significantly predicted adult word count, with female infants hearing more words from educators than male infants. There was a significant interaction effect between the infants' multilingual status and both their age and length of time in an ECEC setting on child vocalizations. While monolingual infants produced more vocalizations as their age increased, multilingual infants did not show this increase in vocalizations with age. Further, the difference between monolingual and multilingual children's vocalizations decreased as the length of time in ECEC increased. There were no significant predictors of conversational turns. Findings from this study suggest that early childhood educators do not adjust their talk according to the multilingual status of the infants. However, multilingual infants do not increase their vocalizations as their age increases to the same extent as do their monolingual peers. The interaction effect between multilingualism and the length of ECEC attendance also implies that ECEC environments may be particularly beneficial for supporting multilingual infants' vocalizations. This study highlights the need to provide pedagogical support to educators to help them to encourage multilingual infants' vocalizations in ECEC settings.

Shining a light on cultural neuroscience: Recommendations on the use of fNIRS to study how sociocultural contexts shape the brain

Functional near-infrared spectroscopy (fNIRS) is a portable neuroimaging technique that may serve as a methodological tool for studying how sociocultural contexts can shape the human brain and impact cognition and behavior. The use of fNIRS in community-based research may (a) advance theoretical knowledge in psychology and neuroscience, particularly regarding underrepresented ethnic-racial communities; (b) increase diversity in samples; and (c) provide neurobiological evidence of sociocultural factors supporting human development. The review aims to introduce the use of fNIRS, including its practicalities and limitations, to new adopters inquiring how sociocultural inputs affect the brain. The review begins with an introduction to cultural neuroscience, and a review on the use of fNIRS follows. Next, benefits and guidelines to the design of fNIRS research in naturalistic environments (in the community or in the field) using a cultural lens are discussed. Strengths-based and community-based approaches in cultural neuroscience are recommended throughout. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Infant brain imaging using magnetoencephalography: Challenges, solutions, and best practices

The excellent temporal resolution and advanced spatial resolution of magnetoencephalography (MEG) makes it an excellent tool to study the neural dynamics underlying cognitive processes in the developing brain. Nonetheless, a number of challenges exist when using MEG to image infant populations. There is a persistent belief that collecting MEG data with infants presents a number of limitations and challenges that are difficult to overcome. Due to this notion, many researchers either avoid conducting infant MEG research or believe that, in order to collect high-quality data, they must impose limiting restrictions on the infant or the experimental paradigm. In this article, we discuss the various challenges unique to imaging awake infants and young children with MEG, and share general best-practice guidelines and recommendations for data collection, acquisition, preprocessing, and analysis. The current article is focused on methodology that allows investigators to test the sensory, perceptual, and cognitive capacities of awake and moving infants. We believe that such methodology opens the pathway for using MEG to provide mechanistic explanations for the complex behavior observed in awake, sentient, and dynamically interacting infants, thus addressing core topics in developmental cognitive neuroscience.

Reduced Theta Sampling in Infants at Risk for Dyslexia across the Sensitive Period of Native Phoneme Learning

Research on children and adults with developmental dyslexia-a specific difficulty in learning to read and spell-suggests that phonological deficits in dyslexia are linked to basic auditory deficits in temporal sampling. However, it remains undetermined whether such deficits are already present in infancy, especially during the sensitive period when the auditory system specializes in native phoneme perception. Because dyslexia is strongly hereditary, it is possible to examine infants for early predictors of the condition before detectable symptoms emerge. This study examines low-level auditory temporal sampling in infants at risk for dyslexia across the sensitive period of native phoneme learning. Using magnetoencephalography (MEG), we found deficient auditory sampling at theta in at-risk infants at both 6 and 12 months, indicating atypical auditory sampling at the syllabic rate in those infants across the sensitive period for native-language phoneme learning. This interpretation is supported by our additional finding that auditory sampling at theta predicted later vocabulary comprehension, nonlinguistic communication and the ability to combine words. Our results indicate a possible early marker of risk for dyslexia.

Phonetic discrimination, phonological awareness, and pre-literacy skills in Spanish-English dual language preschoolers

The current study explores variation in phonemic representation among Spanish-English dual language learners (DLLs, n = 60) who were dominant in English or in Spanish. Children were given a phonetic discrimination task with speech sounds that: 1) occur in English and Spanish, 2) are exclusive to English, and 3) are exclusive to Russian, during Fall (age m = 57 months) and Spring (age m = 62 months, n = 42). In Fall, English-dominant DLLs discriminated more accurately than Spanish-dominant DLLs between English-Spanish phones and English-exclusive phones. Both groups discriminated Russian phones at or close to chance. In Spring, however, groups no longer differed in discriminating English-exclusive phones and both groups discriminated Russian phones above chance. Additionally, joint English-Spanish and English-exclusive phonetic discrimination predicted children's phonological awareness in both groups. Results demonstrate plasticity in early childhood through diverse language exposure and suggest that phonemic representation begins to emerge driven by lexical restructuring.

Often Encountered but Rarely Reported: Challenges in Selecting Language(s) for Intervention in Bi/Multilingual Children with Autism Spectrum Disorder

India is a socioculturally and linguistically diverse country. Most often individuals grow up exposed to more than one language. Apart from exposure to native and community languages, there is a growing preference for English as the language of formal education and employment. Previous studies demonstrated that bilingual children with autism spectrum disorder (ASD) develop language similar to their monolingual nonverbal IQ-matched ASD peers. However, most of these studies have been conducted in countries in which English is the primary language for majority of the population. Although existing studies support a bilingual environment for children with ASD, professionals still seem to advise families' use of a monolingual approach. This paper reviews and discusses factors that influence the selection of language(s) for intervention in young children with ASD in bi/multilingual environments. These are discussed under three areas namely, (1) language environment of the child, (2) parent/caregivers' perspectives regarding bi/multilingual exposure, and (3) medium of education and availability of intervention services. This paper also highlights the complexities involved in the language selection process for intervention using four case vignettes. Based on the review and findings from the case vignettes, it is evident that there is a need for (1) sensitizing fellow professionals regarding the increasing shift toward a bi/multilingual approach, (2) formulating guidelines for this decision-making process, and (3) continuing to develop an evidence base for adopting multilingual approach for intervention in a socioculturally and linguistically diverse country like India.

The Effects of Age, Dosage, and Poverty on Second Language Learning through SparkLingTM in Infant Education Centers in Madrid, Spain

The first 1000 days represent a unique window of opportunity for second language learning. In two recent studies we demonstrated that Spanish infants’ use of second-language (L2) English productive vocabulary and early utterances rapidly increased through the play-based, interactive and highly social SparkLing^TM Intervention, which consists of an evidence-based method and curriculum stemming from decades of research on infant language development. Analyzing an expanded and more diverse sample of Spanish infants (n = 414; age 9–33 months) who received the SparkLing^TM Intervention, this study examines the variability in L2 production, which was assessed via first-person LENA audio recordings. Infants’ age significantly and positively correlated with L2 production, demonstrating an advantage for older infants in the sample. While overall socioeconomic status (SES) was not related to L2 production, very young infants (under two years) who lived in high poverty homes showed faster increases in English production compared to peers who lived in moderate poverty homes. Infants’ attendance in the program (“dosage”) was also predictive of their L2 production outcomes. Infants across SES have the capacity to begin acquiring two languages in early education classrooms with SparkLing^TM through one-hour/day sessions in social environments that engages them through frequent high-quality language input.

Input quality and speech perception development in bilingual infants' first year of life

Individual differences in infants' native phonological development have been linked to the quantity and quality of infant-directed speech (IDS). The effects of parental and infant bilingualism on this relation in 131 five- and nine-month-old monolingual and bilingual Spanish and Basque infants (72 male; 59 female; from white middle-class background) were investigated. Bilingualism did not affect the developmental trajectory of infants' native and non-native speech perception and the quality of maternal speech. In both language groups, vowel exaggeration in IDS was significantly related to speech perception skills for 9-month-olds (r = -.30), but not for 5-month-olds. This demonstrates that bilingual and monolingual caregivers provide their infants with speech input that assists their task of learning the phonological inventory of one or two languages.

Bilingualism alters infants' cortical organization for attentional orienting mechanisms

A bilingual environment is associated with changes in the brain's structure and function. Some suggest that bilingualism also improves higher-cognitive functions in infants as young as 6-months, yet whether this effect is associated with changes in the infant brain remains unknown. In the present study, we measured brain activity using functional near-infrared spectroscopy in monolingual- and bilingual-raised 6- and 10-month-old infants. Infants completed an orienting attention task, in which a cue was presented prior to an object appearing on the same (Valid) or opposite (Invalid) side of a display. Task performance did not differ between the groups but neural activity did. At 6-months, both groups showed greater activity for Valid (> Invalid) trials in frontal regions (left hemisphere for bilinguals, right hemisphere for monolinguals). At 10-months, bilinguals showed greater activity for Invalid (> Valid) trials in bilateral frontal regions, while monolinguals showed greater brain activity for Valid (> Invalid) trials in left frontal regions. Bilinguals' brain activity trended with their parents' reporting of dual-language mixing when speaking to their child. These findings are the first to indicate how early (dual) language experience can alter the cortical organization underlying broader, non-linguistic cognitive functions during the first year of life.

Group-level cortical functional connectivity patterns using fNIRS: assessing the effect of bilingualism in young infants

Significance: Early monolingual versus bilingual experience induces adaptations in the development of linguistic and cognitive processes, and it modulates functional activation patterns during the first months of life. Resting-state functional connectivity (RSFC) is a convenient approach to study the functional organization of the infant brain. RSFC can be measured in infants during natural sleep, and it allows to simultaneously investigate various functional systems. Adaptations have been observed in RSFC due to a lifelong bilingual experience. Investigating whether bilingualism-induced adaptations in RSFC begin to emerge early in development has important implications for our understanding of how the infant brain's organization can be shaped by early environmental factors. Aims: We attempt to describe RSFC using functional near-infrared spectroscopy (fNIRS) and to examine whether it adapts to early monolingual versus bilingual environments. We also present an fNIRS data preprocessing and analysis pipeline that can be used to reliably characterize RSFC in development and to reduce false positives and flawed results interpretations. Methods: We measured spontaneous hemodynamic brain activity in a large cohort ( N = 99 ) of 4-month-old monolingual and bilingual infants using fNIRS. We implemented group-level approaches based on independent component analysis to examine RSFC, while providing proper control for physiological confounds and multiple comparisons. Results: At the group level, we describe the functional organization of the 4-month-old infant brain in large-scale cortical networks. Unbiased group-level comparisons revealed no differences in RSFC between monolingual and bilingual infants at this age. Conclusions: High-quality fNIRS data provide a means to reliably describe RSFC patterns in the infant brain. The proposed group-level RSFC analyses allow to assess differences in RSFC across experimental conditions. An effect of early bilingual experience in RSFC was not observed, suggesting that adaptations might only emerge during explicit linguistic tasks, or at a later point in development.

Auditory deficits in infants at risk for dyslexia during a linguistic sensitive period predict future language

Developmental dyslexia, a specific difficulty in learning to read and spell, has a strong hereditary component, which makes it possible to examine infants for early predictors of the condition even prior to the emergence of detectable symptoms. Using magnetoencephalography (MEG), we found smaller and shorter neural responses to simple sounds in infants at risk for dyslexia at 6 as compared to 12 months of age, a pattern that was reversed in age-matched controls. The findings indicate atypical auditory processing in at-risk infants across the sensitive period for native-language phoneme learning. This pattern was robust and localized to the same cortical areas regardless of the modeling parameters/algorithms used to estimate the current distribution underlying the measured activity. Its localization to left temporal and left frontal brain regions indicates a potential impact of atypical auditory processing on early language learning and later language skills because language functions are typically lateralized to the left hemisphere. This interpretation is supported by our further finding that atypical auditory responses in at-risk infants consistently predicted syntactic processing between 18 and 30 months and word production at 18 and 21 months of age. These results suggest a possible early marker of risk for dyslexia in at-risk infants.

Language learning as a function of infant directed speech (IDS) in Spanish: Testing neural commitment using the positive-MMR

Spanish-English bilingual families (N = 17) were recruited to assess the association between infant directed speech (IDS) in Spanish and their degree of neural commitment to the Spanish language. IDS was assessed by extracting the caregivers' Vowel Space Area (VSA) from recordings of a storybook reading task done at home. Infants' neural commitment was assessed by extracting the positive mismatch brain response (positive-MMR), an Event-Related Potential (ERP) thought to be indicative of higher attentional processes and early language commitment. A linear mixed model analysis demonstrated that caregivers' VSA predicted the amplitude of the positive-MMR in response to a native speech contrast (Spanish), but not to a non-native speech contrast (Chinese), even after holding other predictors constant (i.e., socioeconomic status, infants' age, and fundamental frequency). Our findings provide support to the view that quality of language exposure fosters language learning, and that this beneficial relationship expands to the bilingual population.

A multi-lab study of bilingual infants: Exploring the preference for infant-directed speech

From the earliest months of life, infants prefer listening to and learn better from infant-directed speech (IDS) than adult-directed speech (ADS). Yet, IDS differs within communities, across languages, and across cultures, both in form and in prevalence. This large-scale, multi-site study used the diversity of bilingual infant experiences to explore the impact of different types of linguistic experience on infants' IDS preference. As part of the multi-lab ManyBabies 1 project, we compared lab-matched samples of 333 bilingual and 385 monolingual infants' preference for North-American English IDS (cf. ManyBabies Consortium, 2020: ManyBabies 1), tested in 17 labs in 7 countries. Those infants were tested in two age groups: 6-9 months (the younger sample) and 12-15 months (the older sample). We found that bilingual and monolingual infants both preferred IDS to ADS, and did not differ in terms of the overall magnitude of this preference. However, amongst bilingual infants who were acquiring North-American English (NAE) as a native language, greater exposure to NAE was associated with a stronger IDS preference, extending the previous finding from ManyBabies 1 that monolinguals learning NAE as a native language showed a stronger preference than infants unexposed to NAE. Together, our findings indicate that IDS preference likely makes a similar contribution to monolingual and bilingual development, and that infants are exquisitely sensitive to the nature and frequency of different types of language input in their early environments.

Structural templates for imaging EEG cortical sources in infants

Electroencephalographic (EEG) source reconstruction is a powerful approach that allows anatomical localization of electrophysiological brain activity. Algorithms used to estimate cortical sources require an anatomical model of the head and the brain, generally reconstructed using magnetic resonance imaging (MRI). When such scans are unavailable, a population average can be used for adults, but no average surface template is available for cortical source imaging in infants. To address this issue, we introduce a new series of 13 anatomical models for subjects between zero and 24 months of age. These templates are built from MRI averages and boundary element method (BEM) segmentation of head tissues available as part of the Neurodevelopmental MRI Database. Surfaces separating the pia mater, the gray matter, and the white matter were estimated using the Infant FreeSurfer pipeline. The surface of the skin as well as the outer and inner skull surfaces were extracted using a cube marching algorithm followed by Laplacian smoothing and mesh decimation. We post-processed these meshes to correct topological errors and ensure watertight meshes. Source reconstruction with these templates is demonstrated and validated using 100 high-density EEG recordings from 7-month-old infants. Hopefully, these templates will support future studies on EEG-based neuroimaging and functional connectivity in healthy infants as well as in clinical pediatric populations.

Exposure to a second language in infancy alters speech production

We evaluated the impact of exposure to a second language on infants' emerging speech production skills. We compared speech produced by three groups of 12-month-old infants while they interacted with interlocutors who spoke to them in Spanish and English: monolingual English-learning infants who had previously received 5 hours of exposure to a second language (Spanish), English- and Spanish-learning simultaneous bilinguals, and monolingual English-learning infants without any exposure to Spanish. Our results showed that the monolingual English-learning infants with short-term exposure to Spanish and the bilingual infants, but not the monolingual English-learning infants without exposure to Spanish, flexibly matched the prosody of their babbling to that of a Spanish- or English-speaking interlocutor. Our findings demonstrate the nature and extent of benefits for language learning from early exposure to two languages. We discuss the implications of these findings for language organization in infants learning two languages.

Importance of body representations in social-cognitive development: New insights from infant brain science

There is significant interest in the ways the human body, both one's own and that of others, is represented in the human brain. In this chapter we focus on body representations in infancy and synthesize relevant findings from both infant cognitive neuroscience and behavioral experiments. We review six experiments in infant neuroscience that have used novel EEG and MEG methods to explore infant neural body maps. We then consider results from behavioral studies of social imitation and examine what they contribute to our understanding of infant body representations at a psychological level. Finally, we interweave both neuroscience and behavioral lines of research to ground new theoretical claims about early infant social cognition. We propose, based on the evidence, that young infants can represent the bodily acts of others and their own bodily acts in commensurate terms. Infants initially recognize correspondences between self and other-they perceive that others are "like me" in terms of bodies and bodily actions. This capacity for registering and using self-other equivalence mappings has far-reaching implications for mechanisms of developmental change. Infants can learn about the affordances and powers of their own body by watching adults' actions and their causal consequences. Reciprocally, infants can enrich their understanding of other people's internal states by taking into account the way they themselves feel when they perform similar acts. The faces, bodies, and matching actions of people are imbued with unique meaning because they can be mapped to the infant's own body and behavior.

Earlier age of second language learning induces more robust speech encoding in the auditory brainstem in adults, independent of amount of language exposure during early childhood

Learning a second language (L2) at a young age is a driving factor of functional neuroplasticity in the auditory brainstem. To date, it remains unclear whether these effects remain stable until adulthood and to what degree the amount of exposure to the L2 in early childhood might affect their outcome. We compared three groups of adult English-French bilinguals in their ability to categorize English vowels in relation to their frequency following responses (FFR) evoked by the same vowels. At the time of testing, cognitive abilities as well as fluency in both languages were matched between the (1) simultaneous bilinguals (SIM, N = 18); (2) sequential bilinguals with L1-English (N = 14); and (3) sequential bilinguals with L1-French (N = 11). Our results show that the L1-English group show sharper category boundaries in identification of the vowels compared to the L1-French group. Furthermore, the same pattern was reflected in the FFRs (i.e., larger FFR responses in L1-English > SIM > L1-French), while again only the difference between the L1-English and the L1-French group was statistically significant; nonetheless, there was a trend towards larger FFR in SIM compared to L1-French. Our data extends previous literature showing that exposure to a language during the first years of life induces functional neuroplasticity in the auditory brainstem that remains stable until at least young adulthood. Furthermore, the findings suggest that amount of exposure (i.e., 100% vs. 50%) to that language does not differentially shape the robustness of the perceptual abilities or the auditory brainstem encoding of phonetic categories of the language. Statement of significance: Previous studies have indicated that early age of L2 acquisition induces functional neuroplasticity in the auditory brainstem during processing of the L2. This study compared three groups of adult bilinguals who differed in their age of L2 acquisition as well as the amount of exposure to the L2 during early childhood. We demonstrate for the first time that the neuroplastic effect in the brainstem remains stable until young adulthood and that the amount of L2 exposure does not influence behavioral or brainstem plasticity. Our study provides novel insights into low-level auditory plasticity as a function of varying bilingual experience.

Neural Indices of Vowel Discrimination in Monolingual and Bilingual Infants and Children

OBJECTIVES

To examine maturation of neural discriminative responses to an English vowel contrast from infancy to 4 years of age and to determine how biological factors (age and sex) and an experiential factor (amount of Spanish versus English input) modulate neural discrimination of speech.

DESIGN

Event-related potential (ERP) mismatch responses (MMRs) were used as indices of discrimination of the American English vowels [ε] versus [I] in infants and children between 3 months and 47 months of age. A total of 168 longitudinal and cross-sectional data sets were collected from 98 children (Bilingual Spanish-English: 47 male and 31 female sessions; Monolingual English: 48 male and 42 female sessions). Language exposure and other language measures were collected. ERP responses were examined in an early time window (160 to 360 msec, early MMR [eMMR]) and late time window (400 to 600 msec, late MMR).

RESULTS

The eMMR became more negative with increasing age. Language experience and sex also influenced the amplitude of the eMMR. Specifically, bilingual children, especially bilingual females, showed more negative eMMR compared with monolingual children and with males. However, the subset of bilingual children with more exposure to English than Spanish compared with those with more exposure to Spanish than English (as reported by caretakers) showed similar amplitude of the eMMR to their monolingual peers. Age was the only factor that influenced the amplitude of the late MMR. More negative late MMR was observed in older children with no difference found between bilingual and monolingual groups.

CONCLUSIONS

Consistent with previous studies, our findings revealed that biological factors (age and sex) and language experience modulated the amplitude of the eMMR in young children. The early negative MMR is likely to be the mismatch negativity found in older children and adults. In contrast, the late MMR amplitude was influenced only by age and may be equivalent to the Nc in infants and to the late negativity observed in some auditory passive oddball designs.

Pediatric Magnetoencephalography in Clinical Practice and Research

Magnetoencephalography (MEG) is a noninvasive neuroimaging technique that measures the electromagnetic fields generated by the human brain. This article highlights the benefits that pediatric MEG has to offer to clinical practice and pediatric research, particularly for infants and young children; reviews the existing literature on adult MEG systems for pediatric use; briefly describes the few pediatric MEG systems currently extant; and draws attention to future directions of research, with focus on the clinical use of MEG for patients with drug-resistant epilepsy.

Dynamic interaction patterns of monolingual and bilingual infants with their parents

Bilingual children show a number of advantages in the domain of communication. The aim of the current study was to investigate whether differences in interactions are present before productive language skills emerge. For a duration of 5 minutes, 64 parents and their 14-month-old infants explored a decorated room together. The coordination of their behaviors in the modalities of action, language, and gesture was coded. The results showed no differences in interactions across different language statuses. In two additional analyses, we first compared monolinguals and bilinguals with caregivers who shared the same language and culture. Results showed the same pattern of non-difference. Second, we compared bilinguals with caregivers from different cultures. The rate and duration of coordination differed across infants with different cultural backgrounds. The findings suggest that exposure to two languages is not sufficient to explain the previously identified beneficial effects in the communicative interactions of bilingual children.

Language Experience Impacts Brain Activation for Spoken and Signed Language in Infancy: Insights From Unimodal and Bimodal Bilinguals

Recent neuroimaging studies suggest that monolingual infants activate a left-lateralized frontotemporal brain network in response to spoken language, which is similar to the network involved in processing spoken and signed language in adulthood. However, it is unclear how brain activation to language is influenced by early experience in infancy. To address this question, we present functional near-infrared spectroscopy (fNIRS) data from 60 hearing infants (4 to 8 months of age): 19 monolingual infants exposed to English, 20 unimodal bilingual infants exposed to two spoken languages, and 21 bimodal bilingual infants exposed to English and British Sign Language (BSL). Across all infants, spoken language elicited activation in a bilateral brain network including the inferior frontal and posterior temporal areas, whereas sign language elicited activation in the right temporoparietal area. A significant difference in brain lateralization was observed between groups. Activation in the posterior temporal region was not lateralized in monolinguals and bimodal bilinguals, but right lateralized in response to both language modalities in unimodal bilinguals. This suggests that the experience of two spoken languages influences brain activation for sign language when experienced for the first time. Multivariate pattern analyses (MVPAs) could classify distributed patterns of activation within the left hemisphere for spoken and signed language in monolinguals (proportion correct = 0.68; p = 0.039) but not in unimodal or bimodal bilinguals. These results suggest that bilingual experience in infancy influences brain activation for language and that unimodal bilingual experience has greater impact on early brain lateralization than bimodal bilingual experience.

The current standing of bilingualism in today's globalized world: a socio-ecological perspective

Globalization has made interactions between individuals from different cultures and languages unavoidable. Therefore, questions concerning bilingualism have become increasingly important within the scholarly community. In this paper, we review this emerging research using a socio-ecological approach. We first present evidence that demonstrates how learning two languages is dependent upon the socio-ecologies of individuals. Second, we review studies that show how bilingualism promotes a myriad of positive social advantages. Then we discuss how the positive effects of bilingualism has affected the socio-ecologies of the individuals. Our discussion sheds light on the challenges that caregivers, educators, scientists, and policy makers face to promote bilingualism in today's globalized world. WC=106/150.

Magnetic Source Imaging and Infant MEG: Current Trends and Technical Advances

Magnetoencephalography (MEG) is known for its temporal precision and good spatial resolution in cognitive brain research. Nonetheless, it is still rarely used in developmental research, and its role in developmental cognitive neuroscience is not adequately addressed. The current review focuses on the source analysis of MEG measurement and its potential to answer critical questions on neural activation origins and patterns underlying infants’ early cognitive experience. The advantages of MEG source localization are discussed in comparison with functional magnetic resonance imaging (fMRI) and functional near-infrared spectroscopy (fNIRS), two leading imaging tools for studying cognition across age. Challenges of the current MEG experimental protocols are highlighted, including measurement and data processing, which could potentially be resolved by developing and improving both software and hardware. A selection of infant MEG research in auditory, speech, vision, motor, sleep, cross-modality, and clinical application is then summarized and discussed with a focus on the source localization analyses. Based on the literature review and the advancements of the infant MEG systems and source analysis software, typical practices of infant MEG data collection and analysis are summarized as the basis for future developmental cognitive research.

Cognitive Control Facilitates Attentional Disengagement during Second Language Comprehension

Bilinguals learn to resolve conflict between their two languages and that skill has been hypothesized to create long-term adaptive changes in cognitive functioning. Yet, little is known about how bilinguals recruit cognitive control to enable efficient use of one of their languages, especially in the less skilled and more effortful second language (L2). Here we examined how real-time cognitive control engagement influences L2 sentence comprehension (i.e., conflict adaptation). We tested a group of English monolinguals and a group of L2 English speakers using a recently-developed cross-task adaptation paradigm. Stroop sequences were pseudo-randomly interleaved with a visual-world paradigm in which participants were asked to carry out spoken instructions that were either syntactically ambiguous or unambiguous. Consistent with previous research, eye-movement results showed that Stroop-related conflict improved the ability to engage correct-goal interpretations, and disengage incorrect-goal interpretations, during ambiguous instructions. Such cognitive-to-language modulations were similar in both groups, but only in the engagement piece. In the disengagement portion, the modulation emerged earlier in bilinguals than in monolinguals, suggesting group differences in attentional disengagement following cognitive control recruitment. Additionally, incorrect-goal eye-movements were modulated by individual differences in working memory, although differently for each group, suggesting an involvement of both language-specific and domain-general resources.

Consequences of multilingualism for neural architecture

Language has the power to shape cognition, behavior, and even the form and function of the brain. Technological and scientific developments have recently yielded an increasingly diverse set of tools with which to study the way language changes neural structures and processes. Here, we review research investigating the consequences of multilingualism as revealed by brain imaging. A key feature of multilingual cognition is that two or more languages can become activated at the same time, requiring mechanisms to control interference. Consequently, extensive experience managing multiple languages can influence cognitive processes as well as their neural correlates. We begin with a brief discussion of how bilinguals activate language, and of the brain regions implicated in resolving language conflict. We then review evidence for the pervasive impact of bilingual experience on the function and structure of neural networks that support linguistic and non-linguistic cognitive control, speech processing and production, and language learning. We conclude that even seemingly distinct effects of language on cognitive operations likely arise from interdependent functions, and that future work directly exploring the interactions between multiple levels of processing could offer a more comprehensive view of how language molds the mind.

Exploring early human brain development with structural and physiological neuroimaging

Early brain development, from the embryonic period to infancy, is characterized by rapid structural and functional changes. These changes can be studied using structural and physiological neuroimaging methods. In order to optimally acquire and accurately interpret this data, concepts from adult neuroimaging cannot be directly transferred. Instead, one must have a basic understanding of fetal and neonatal structural and physiological brain development, and the important modulators of this process. Here, we first review the major developmental milestones of transient cerebral structures and structural connectivity (axonal connectivity) followed by a summary of the contributions from ex vivo and in vivo MRI. Next, we discuss the basic biology of neuronal circuitry development (synaptic connectivity, i.e. ensemble of direct chemical and electrical connections between neurons), physiology of neurovascular coupling, baseline metabolic needs of the fetus and the infant, and functional connectivity (defined as statistical dependence of low-frequency spontaneous fluctuations seen with functional magnetic resonance imaging (fMRI)). The complementary roles of magnetic resonance imaging (MRI), electroencephalography (EEG), magnetoencephalography (MEG), and near-infrared spectroscopy (NIRS) are discussed. We include a section on modulators of brain development where we focus on the placenta and emerging placental MRI approaches. In each section we discuss key technical limitations of the imaging modalities and some of the limitations arising due to the biology of the system. Although neuroimaging approaches have contributed significantly to our understanding of early brain development, there is much yet to be done and a dire need for technical innovations and scientific discoveries to realize the future potential of early fetal and infant interventions to avert long term disease.

Tracking Qualitative Changes in Cognition and Brain Development Through Bilingualism

In response to Hernandez and colleagues (2018), we provide commentary on the scientific reasoning that underlies Neuroemergentism. We argue that bilingual language and reading acquisition provide a means for examining and refining the neuroemergentist framework.

Magnetoencephalography and the infant brain

Magnetoencephalography (MEG) is a non-invasive neuroimaging technique that provides whole-head measures of neural activity with millisecond temporal resolution. Over the last three decades, MEG has been used for assessing brain activity, most commonly in adults. MEG has been used less often to examine neural function during early development, in large part due to the fact that infant whole-head MEG systems have only recently been developed. In this review, an overview of infant MEG studies is provided, focusing on the period from birth to three years. The advantages of MEG for measuring neural activity in infants are highlighted (See Box 1), including the ability to assess activity in brain (source) space rather than sensor space, thus allowing direct assessment of neural generator activity. Recent advances in MEG hardware and source analysis are also discussed. As the review indicates, efforts in this area demonstrate that MEG is a promising technology for studying the infant brain. As a noninvasive technology, with emerging hardware providing the necessary sensitivity, an expected deliverable is the capability for longitudinal infant MEG studies evaluating the developmental trajectory (maturation) of neural activity. It is expected that departures from neuro-typical trajectories will offer early detection and prognosis insights in infants and toddlers at-risk for neurodevelopmental disorders, thus paving the way for early targeted interventions.

The independent and interacting effects of socioeconomic status and dual-language use on brain structure and cognition

Family socioeconomic status (SES) is strongly associated with children's cognitive development, and past studies have reported socioeconomic disparities in both neurocognitive skills and brain structure across childhood. In other studies, bilingualism has been associated with cognitive advantages and differences in brain structure across the lifespan. The aim of the current study is to concurrently examine the joint and independent associations between family SES and dual-language use with brain structure and cognitive skills during childhood. A subset of data from the Pediatric Imaging, Neurocognition and Genetics (PING) study was analyzed; propensity score matching established an equal sample (N = 562) of monolinguals and dual-language users with similar socio-demographic characteristics (Mage = 13.5, Range = 3-20 years). When collapsing across all ages, SES was linked to both brain structure and cognitive skills. When examining differences by age group, brain structure was significantly associated with both income and dual-language use during adolescence, but not earlier in childhood. Additionally, in adolescence, a significant interaction between dual-language use and SES was found, with no difference in cortical surface area (SA) between language groups of higher-SES backgrounds but significantly increased SA for dual-language users from lower-SES families compared to SES-matched monolinguals. These results suggest both independent and interacting associations between SES and dual-language use with brain development. To our knowledge, this is the first study to concurrently examine dual-language use and socioeconomic differences in brain structure during childhood and adolescence.

The somatosensory mismatch negativity as a window into body representations in infancy

How the body is represented in the developing brain is a topic of growing interest. The current study takes a novel approach to investigating neural body representations in infants by recording somatosensory mismatch negativity (sMMN) responses elicited by tactile stimulation of different body locations. Recent research in adults has suggested that sMMN amplitude may be influenced by the relative distance between representations of the stimulated body parts in somatosensory cortex. The current study uses a similar paradigm to explore whether the sMMN can be elicited in infants, and to test whether the infant sMMN response is sensitive to the somatotopic organization of somatosensory cortex. Participants were healthy infants (n = 31) aged 6 and 7 months. The protocol leveraged a discontinuity in cortical somatotopic organization, whereby the representations of the neck and the face are separated by representations of the arms, the hands and the shoulder. In a double-deviant oddball protocol, stimulation of the hand (100 trials, 10% probability) and neck (100 trials, 10% probability) was interspersed among repeated stimulation of the face (800 trials, 80% probability). Waveforms showed evidence of an infant sMMN response that was significantly larger for the face/neck contrast than for the face/hand contrast. These results suggest that, for certain combinations of body parts, early pre-attentive tactile discrimination in infants may be influenced by distance between the corresponding cortical representations. The results provide the first evidence that the sMMN can be elicited in infants, and pave the way for further applications of the sMMN in studying body representations in preverbal infants.

Two are better than one: Infant language learning from video improves in the presence of peers

Studies show that young children learn new phonemes and words from humans significantly better than from machines. However, it is not clear why learning from video is ineffective or what might be done to improve learning from a screen. The present study, conducted with 9-month-old infants, utilized a manipulation-touch screen video-which allowed infants to control presentations of foreign-language video clips. We tested the hypothesis that infant learning from a screen would be enhanced in the presence of a peer, as opposed to learning alone. Brain measures of phonetic learning and detailed analyses of interaction during learning confirm the hypothesis that social partners enhance learning, even from screens.

Infant brain responses to felt and observed touch of hands and feet: an MEG study

There is growing interest concerning the ways in which the human body, both one's own and that of others, is represented in the developing human brain. In two experiments with 7-month-old infants, we employed advances in infant magnetoencephalography (MEG) brain imaging to address novel questions concerning body representations in early development. Experiment 1 evaluated the spatiotemporal organization of infants' brain responses to being touched. A punctate touch to infants' hands and feet produced significant activation in the hand and foot areas of contralateral primary somatosensory cortex as well as in other parietal and frontal areas. Experiment 2 explored infant brain responses to visually perceiving another person's hand or foot being touched. Results showed significant activation in early visual regions and also in regions thought to be involved in multisensory body and self-other processing. Furthermore, observed touch of the hand and foot activated the infant's own primary somatosensory cortex, although less consistently than felt touch. These findings shed light on aspects of early social cognition, including action imitation, which may build, at least in part, on infant neural representations that map equivalences between the bodies of self and other.

Neural representations of the body in 60-day-old human infants

The organization of body representations in the adult brain has been well documented. Little is understood about this aspect of brain organization in human infancy. The current study employed electroencephalography (EEG) with 60-day-old infants to test the distribution of brain responses to tactile stimulation of three different body parts: hand, foot, and lip. Analyses focused on a prominent positive response occurring at 150-200 ms in the somatosensory evoked potential at central and parietal electrode sites. The results show differential electrophysiological signatures for touch of these three body parts. Stimulation of the left hand was associated with greater positive amplitude over the lateral central region contralateral to the side stimulated. Left foot stimulation was associated with greater positivity over the midline parietal site. Stimulation of the midline of the upper lip was associated with a strong bilateral response over the central region. These findings provide new insights into the neural representation of the body in infancy and shed light on research and theories about the involvement of somatosensory cortex in infant imitation and social perception.

Developmental change in tone perception in Mandarin monolingual, English monolingual, and Mandarin-English bilingual infants: Divergences between monolingual and bilingual learners

Most languages use lexical tone to discriminate the meanings of words. There has been recent interest in tracking the development of tone categories during infancy. These studies have focused largely on monolingual infants learning either a tone language or a non-tone language. It remains to be seen how bilingual infants learning one tone language (e.g., Mandarin) and one non-tone language (e.g., English) discriminate tones. Here, we examined infants' discrimination of two Mandarin tones pairs: one salient and one subtle. Discrimination was investigated in three groups: Mandarin-English bilinguals, English monolinguals, and Mandarin monolinguals at 6 months and 9 months of age in a cross-sectional design. Results demonstrated relatively strong Mandarin tone discrimination in Mandarin monolinguals, with salient tone discrimination at 6 months and both salient and subtle tone discrimination at 9 months. English monolinguals discriminated neither contrast at 6 months but discriminated the salient contrast at 9 months. Surprisingly, there was no evidence for tone discrimination in Mandarin-English bilingual infants. In a second experiment, 12- and 13-month-old Mandarin-English bilingual and English monolingual infants were tested to determine whether bilinguals would demonstrate tone sensitivity at a later age. Results revealed a lack of tone sensitivity at 12 or 13 months in bilingual infants, yet English monolingual infants were sensitive to both salient and subtle Mandarin tone contrasts at 12 or 13 months. Our findings provide evidence for age-related convergence in Mandarin tone discrimination in English and Mandarin monolingual infants and for a distinct pattern of tone discrimination in bilingual infants. Theoretical implications for phonetic category acquisition are discussed.

Constraints on Tone Sensitivity in Novel Word Learning by Monolingual and Bilingual Infants: Tone Properties Are More Influential than Tone Familiarity

This study compared tone sensitivity in monolingual and bilingual infants in a novel word learning task. Tone language learning infants (Experiment 1, Mandarin monolingual; Experiment 2, Mandarin-English bilingual) were tested with Mandarin (native) or Thai (non-native) lexical tone pairs which contrasted static vs. dynamic (high vs. rising) tones or dynamic vs. dynamic (rising vs. falling) tones. Non-tone language, English-learning infants (Experiment 3) were tested on English intonational contrasts or the Mandarin or Thai tone contrasts. Monolingual Mandarin language infants were able to bind tones to novel words for the Mandarin High-Rising contrast, but not for the Mandarin Rising-Falling contrast; and they were insensitive to both the High-Rising and the Rising-Falling tone contrasts in Thai. Bilingual English-Mandarin infants were similar to the Mandarin monolinguals in that they were sensitive to the Mandarin High-Rising contrast and not to the Mandarin Rising-Falling contrast. However, unlike the Mandarin monolinguals, they were also sensitive to the High Rising contrast in Thai. Monolingual English learning infants were insensitive to all three types of contrasts (Mandarin, Thai, English), although they did respond differentially to tone-bearing vs. intonation-marked words. Findings suggest that infants' sensitivity to tones in word learning contexts depends heavily on tone properties, and that this influence is, in some cases, stronger than effects of language familiarity. Moreover, bilingual infants demonstrated greater phonological flexibility in tone interpretation.

Enhanced Neonatal Brain Responses To Sung Streams Predict Vocabulary Outcomes By Age 18 Months

Words and melodies are some of the basic elements infants are able to extract early in life from the auditory input. Whether melodic cues contained in songs can facilitate word-form extraction immediately after birth remained unexplored. Here, we provided converging neural and computational evidence of the early benefit of melodies for language acquisition. Twenty-eight neonates were tested on their ability to extract word-forms from continuous flows of sung and spoken syllabic sequences. We found different brain dynamics for sung and spoken streams and observed successful detection of word-form violations in the sung condition only. Furthermore, neonatal brain responses for sung streams predicted expressive vocabulary at 18 months as demonstrated by multiple regression and cross-validation analyses. These findings suggest that early neural individual differences in prosodic speech processing might be a good indicator of later language outcomes and could be considered as a relevant factor in the development of infants' language skills.

Bilingual Infants Demonstrate Perceptual Flexibility in Phoneme Discrimination but Perceptual Constraint in Face Discrimination

Perceptual narrowing is a highly significant development associated with the first year of life. It conventionally refers to an orientation toward nativeness whereby infant's perceptual sensitivities begin to align with the phonetic properties of their native environment. Nativeness effects, such as perceptual narrowing, have been observed in several domains, most notably, in face discrimination within other-race faces and speech discrimination of non-native phonemes. Thus, far, nativeness effects in the face and speech perception have been theoretically linked, but have mostly been investigated independently. An important caveat to nativeness effects is that diversifying experiences, such as bilingualism or multiracial exposure, can lead to a reduction or postponement in attunement to the native environment. The present study was designed to investigate whether bilingualism influences nativeness effects in phonetic and face perception. Eleven-month-old monolingual and bilingual infants were tested on their abilities to discriminate native and non-native speech contrasts as well as own-race and other-race face contrasts. While monolingual infants demonstrated nativeness effects in face and speech perception, bilingual infants demonstrated nativeness effects in the face perception but demonstrated flexibility in speech perception. Results support domain-specific effects of bilingual experience on nativeness effects.

The Benefits of Multilingualism to the Personal and Professional Development of Residents of The US

In the past two decades, new research on multilingualism has changed our understanding of the consequences of learning and using two or more languages for cognition, for the brain, and for success and well-being across the entire lifespan. Far from the stereotype that exposure to multiple languages in infancy complicates language and cognitive development, the new findings suggest that individuals benefit from that exposure, with greater openness to other languages and to new learning itself. At the other end of the lifespan, in old age, the active use of two or more languages appears to provide protection against cognitive decline. That protection is seen in healthy aging and most dramatically in compensating for the symptoms of pathology in those who develop dementia or are recovering from stroke. In this article we briefly review the most exciting of these new research developments and consider their implications.