Neuropsychological correlates of P300 parameters in individuals with aphasia.

BACKGROUND: Aphasia is often accompanied by impairment of non-language cognitive functions. Assessment of cognitive capacity in people with aphasia (PWA) with standard neuropsychological methods may be problematic due to their language difficulties. Numerous experimental studies indicate that P300 may be considered as an index of cognitive capacity in both healthy and clinical samples. Accordingly, the measurement of event-related potentials enables the investigation of behaviourally non-observable mental processes underlying the cognitive functions that are assessed with neuropsychological tests. AIMS: To investigate in PWA the relationship between P300 parameters and cognitive function efficiency measured with neuropsychological methods. METHODS & PROCEDURES: A total of 25 PWA after left-hemispheric stroke participated in the study. Electrophysiological (EEG) signals were recorded during the performance of a visual Go-No Go task. P300 was identified on nine electrodes, which were then pooled in three lines: left (F3, C3, P3), central (Fz, Cz, Pz) and right (F4, C4, P4). The neuropsychological assessment of cognitive functions included mental speed, short-term memory, divided attention, executive functions, auditory language comprehension and expression. OUTCOMES & RESULTS: P300 latency correlated with indices of several cognitive functions: temporal resolution, psychomotor speed, spatial short-term memory, planning, word and sentence comprehension, as well as verbal fluency. Shorter P300 latencies were accompanied by greater efficiency of the abovementioned functions. In contrast, significant correlations between P300 amplitudes and cognitive measures were fragmentary. CONCLUSIONS & IMPLICATIONS: In PWA, P300 latency might be related to cognitive functioning, especially to measures that rely heavily on the speed of information processing. However, P300 seems to be unrelated to more complex cognitive functions. P300 latency may be used as a neurophysiological correlate of cognitive efficiency in PWA and might have potential applications in monitoring the effects of therapeutic interventions in this patient group. WHAT THIS PAPER ADDS: What is already known on the subject P300 parameters have been reported to be associated with cognitive performance in both healthy individuals and clinical groups (e.g., patients with Alzheimer's disease). Previous studies show that the presence of P300 at the early post-stroke stage may be a predictor of better recovery of comprehension in PWA. What this paper adds to existing knowledge Our results show for the first time that P300 may be used as a neurophysiological correlate of cognitive efficiency in PWA. In our study, P300 latency was associated with several languages and non-language cognitive functions, especially with those whose effectiveness depends mainly on processing speed. In PWA, shorter latency corresponded to more efficient cognitive functioning. What are the potential or actual clinical implications of this work? P300 measurement may be potentially useful in assessing the efficiency of certain cognitive functions in PWA. It may be also used to monitor the recovery process of PWA and to verify the effects of therapeutic interventions.

Temporal information processing as a basis for auditory comprehension: clinical evidence from aphasic patients.

BACKGROUND: Temporal information processing (TIP) underlies many aspects of cognitive functions like language, motor control, learning, memory, attention, etc. Millisecond timing may be assessed by sequencing abilities, e.g. the perception of event order. It may be measured with auditory temporal-order-threshold (TOT), i.e. a minimum time gap separating two successive stimuli necessary for a subject to report their temporal order correctly, thus the relation 'before-after'. Neuropsychological evidence has indicated elevated TOT values (corresponding to deteriorated time perception) in different clinical groups, such as aphasic patients, dyslexic subjects or children with specific language impairment. AIMS: To test relationships between elevated TOT and declined cognitive functions in brain-injured patients suffering from post-stroke aphasia. METHODS & PROCEDURES: We tested 30 aphasic patients (13 male, 17 female), aged between 50 and 81 years. TIP comprised assessment of TOT. Auditory comprehension was assessed with the selected language tests, i.e. Token Test, Phoneme Discrimination Test (PDT) and Voice-Onset-Time Test (VOT), while two aspects of attentional resources (i.e. alertness and vigilance) were measured using the Test of Attentional Performance (TAP) battery. OUTCOMES & RESULTS: Significant correlations were indicated between elevated values of TOT and deteriorated performance on all applied language tests. Moreover, significant correlations were evidenced between elevated TOT and alertness. Finally, positive correlations were found between particular language tests, i.e. (1) Token Test and PDT; (2) Token Test and VOT Test; and (3) PDT and VOT Test, as well as between PDT and both attentional tasks. CONCLUSIONS & IMPLICATIONS: These results provide further clinical evidence supporting the thesis that TIP constitutes the core process incorporated in both language and attentional resources. The novel value of the present study is the indication for the first time in Slavic language users a clear coexistence of the 'timing-auditory comprehension-attention' relationships.

Aperiodic activity differences in individuals with high and low temporal processing efficiency.

It is known that Temporal Information Processing (TIP) underpins our cognitive functioning. Previous research has focused on the relationship between TIP efficiency and oscillatory brain activity, especially the gamma rhythm; however, non-oscillatory (aperiodic or 1/f) brain activity has often been missed. Recent studies have identified the 1/f component as being important for the functioning of the brain. Therefore, the current study aimed to verify whether TIP efficiency is associated with specific EEG resting state cortical activity patterns, including oscillatory and non-oscillatory (aperiodic) brain activities. To measure individual TIP efficiency, we used two behavioral tasks in which the participant judges the order of two sounds separated by millisecond intervals. Based on the above procedure, participants were classified into two groups with high and low TIP efficiency. Using cluster-based permutation analyses, we examined between-group differences in oscillatory and non-oscillatory (aperiodic) components across the 1-90 Hz range. The results revealed that the groups differed in the aperiodic component across the 30-80 Hz range in fronto-central topography. In other words, participants with low TIP efficiency exhibited higher levels of aperiodic activity, and thus a flatter frequency spectrum compared to those with high TIP efficiency. We conclude that participants with low TIP efficiency display higher levels of 'neural noise', which is associated with poorer quality and speed of neural processing.

A common timing mechanism across different millisecond domains: evidence from perceptual and motor tasks.

Temporal information processing (TIP) constitutes a complex construct that underlies many cognitive functions and operates in a few hierarchically ordered time domains. This study aimed to verify the relationship between the tens of milliseconds and hundreds of milliseconds domains, referring to perceptual and motor timing, respectively. Sixty four young healthy individuals participated in this study. They underwent two auditory temporal order judgement tasks to assess their performance in the tens of milliseconds domain; on this basis, groups of high-level performers (HLP) and low-level performers (LLP) were identified. Then, a maximum tapping task was used to evaluate performance in the hundreds of milliseconds domain. The most remarkable result was that HLP achieved a faster tapping rate and synchronised quicker with their "internal clock" during the tapping task than did LLP. This result shows that there is a relationship between accuracy in judging temporally asynchronous stimuli and ability to achieve and maintain the pace of a movement adequate to one's internal pacemaker. This could indicate the strong contribution of a common timing mechanism, responsible for temporal organisation and coordination of behaviours across different millisecond domains.

Age as a moderator of the relationship between planning and temporal information processing.

Planning is a fundamental mental ability related to executive functions. It allows to select, order and execute subgoals to achieve a goal. Studies have indicated that these processes are characterised by a specific temporal dynamics reflected in temporal information processing (TIP) in some tens of millisecond domain. Both planning and TIP decline with age but the underlying mechanisms are unclear. The novel value of the present study was to examine these mechanisms in young (n = 110) and elderly (n = 91) participants in Tower of London task, considering two structural properties of problems: search depth related to static maintenance in working memory, and goal ambiguity reflecting dynamic cognitive flexibility. Results revealed that TIP predicted planning accuracy both directly and indirectly (via preplanning) but only in young participants in problems characterised by high goal ambiguity. Better planning is related to longer preplanning and more efficient TIP. This result demonstrates for the first time age-related differences in the contribution of TIP to planning. In young participants TIP contributed to dynamic cognitive flexibility, but not to static maintenance processes. In elderly such relation was not observed probably because the deficient planning might depend on working memory maintenance rather than on cognitive flexibility.

Sub- and Supra-Second Timing in Auditory Perception: Evidence for Cross-Domain Relationships.

Previous studies indicate that there are at least two levels of temporal processing: the sub- and supra-second domains. The relationship between these domains remains unclear. The aim of this study was to test whether performance on the sub-second level is related to that on the supra-second one, or whether these two domains operate independently. Participants were 118 healthy adults (mean age = 23 years). The sub-second level was studied with a temporal-order judgment task and indexed by the Temporal Order Threshold (TOT), on which lower values corresponded to better performance. On the basis of TOT results, the initial sample was classified into two groups characterized by either higher temporal efficiency (HTE) or lower temporal efficiency (LTE). Next, the efficiency of performance on the supra-second level was studied in these two groups using the subjective accentuation task, in which participants listened to monotonous sequences of beats and were asked to mentally accentuate every n-th beat to create individual rhythmic patterns. The extent of temporal integration was assessed on the basis of the number of beats being united and better performance corresponded to longer units. The novel results are differences between groups in this temporal integration. The HTE group integrated beats in significantly longer units than did the LTE group. Moreover, for tasks with higher mental load, the HTE group relied more on a constant time strategy, whereas the LTE group relied more on mental counting, probably because of less efficient temporal integration. These findings provide insight into associations between sub- and supra-second levels of processing and point to a common time keeping system, which is active independently of temporal domain.

Altered event-related potentials and theta oscillations index auditory working memory deficits in healthy aging.

Speech comprehension deficits constitute a major issue for an increasingly aged population, as they may lead older individuals to social isolation. Since conversation requires constant monitoring, updating and selecting information, auditory working memory decline, rather than impoverished hearing acuity, has been suggested a core factor. However, in stark contrast to the visual domain, the neurophysiological mechanisms underlying auditory working memory deficits in healthy aging remain poorly understood, especially those related to on-the-fly information processing under increasing load. Therefore, we investigated the behavioral costs and electrophysiological differences associated with healthy aging and working memory load during continuous auditory processing. We recorded EEG activity from 27 younger (∼25 years) and 29 older (∼70 years) participants during their performance on an auditory version of the n-back task with speech syllables and 2 workload levels (1-back; 2-back). Behavioral measures were analyzed as indices of function; event-related potentials as proxies for sensory and cognitive processes; and theta oscillatory power as a reflection of memory and central executive function. Our results show age-related differences in auditory information processing within a latency range that is consistent with a series of impaired functions, from sensory gating to cognitive resource allocation during constant information updating, especially under high load.

Working Memory in Aphasia: The Role of Temporal Information Processing.

Aphasia is an acquired impairment of language functions resulting from a brain lesion. It is usually accompanied by deficits in non-linguistic cognitive processes. This study aimed to investigate in patients with aphasia the complex interrelationships between selected cognitive functions: auditory speech comprehension, working memory (WM), and temporal information processing (TIP) in the millisecond time range. Thirty right-handed subjects (20 males) aged from 27 to 82 years suffering from post-stroke aphasia participated in the study. Verbal working memory (VWM) and spatial working memory (SWM) were assessed with: (1) a receptive verbal test and (2) the Corsi Block-Tapping Test, respectively. Both these WM tests used the forward tasks (mainly engaging maintenance processes, i.e., storing, monitoring, and matching information) and backward tasks (engaging both maintenance and manipulation processes, i.e., reordering and updating information). Auditory comprehension was assessed by receptive language tests, and TIP efficiency was assessed by auditory perception of temporal order in the millisecond time range. We observed better performance of forward WM tasks than backward ones, independently of the type of material used. Furthermore, the severity of auditory comprehension impairment correlated with the efficiency on both forward and backward VWM tasks and the backward SWM task. Further analysis revealed that TIP plays a crucial role only in the latter task. These results indicate the divergent pattern of interactions between WM and TIP depending on the type of WM tasks. Level of verbal competency appeared to play an important role in both VWM tasks, whereas TIP (which is associated with manipulation processes) appeared to be important for SWM, but only on the backward task.

Maintenance vs. Manipulation in Auditory Verbal Working Memory in the Elderly: New Insights Based on Temporal Dynamics of Information Processing in the Millisecond Time Range.

Working memory (WM) is a limited-capacity cognitive system that allows the storage and use of a limited amount of information for a short period of time. Two WM processes can be distinguished: maintenance (i.e., storing, monitoring, and matching information) and manipulation (i.e., reordering and updating information). A number of studies have reported an age-related decline in WM, but the mechanisms underlying this deterioration need to be investigated. Previous research, including studies conducted in our laboratory, revealed that age-related cognitive deficits are related to decreased millisecond timing, i.e., the ability to perceive and organize incoming events in time. The aim of the current study was: (1) to identify in the elderly the brain network involved in the maintenance and manipulation WM processes; and (2) to use an fMRI task to investigate the relation between the brain activity associated with these two processes and the efficiency of temporal information processing (TIP) on a millisecond level reflected by psychophysical indices. Subjects were 41 normal healthy elderly people aged from 62 to 78 years. They performed: (1) an auditory verbal n-back task for assessing WM efficiency in an MRI scanner; and (2) a psychophysical auditory temporal-order judgment (TOJ) task for assessing temporal resolution in the millisecond domain outside the scanner. The n-back task comprised three conditions (0-, 1-, and 2-back), which allowed maintenance (1- vs. 0-back comparisons) and manipulation (2- vs. 1-back comparisons) processes to be distinguished. Results revealed the involvement of a similar brain network in the elderly to that found in previous studies. However, during maintenance processes, we found relatively limited and focused activations, which were significantly extended during manipulation. A novel result of our study, never reported before, is an indication of significant moderate correlations between the efficiency of WM and TIP. These correlations were found only for manipulation but not for maintenance. Our results confirmed the hypothesis that manipulation in the elderly is a dynamic process requiring skilled millisecond timing with high temporal resolution. We conclude that millisecond timing contributes to WM manipulation in the elderly, but not to maintenance.

Individual differences in the perception of temporal order: the effect of age and cognition.

Temporal-order judgements in the time range of some milliseconds were assessed by using two auditory tasks in 86 participants, aged from 20 to 69 years. Two stimulus presentation modes, binaural versus monaural, were compared. Elderly participants performed worse than the younger participants; however, different patterns of age-related declines were observed, depending on the presentation mode. In the monaural mode considerable deterioration was observed beyond 60 years of age, whereas in the binaural mode declines were found much earlier, from 40 years of age. Performance of the monaural task correlated with cognitive competences and provided important insight into neuronal timing mechanisms. In contrast, the binaural mode reflected a bias towards an integrated perception of sequential stimuli and was less related to cognitive resources. These findings provide evidence that age-related declines in human sequencing abilities involve, besides temporal mechanisms, also a mode-specific processing, presumably associated with different neuronal mechanisms.

Age-related differences in Voice-Onset-Time in Polish language users: An ERP study.

Using the Mismatch Negativity (MMN) paradigm we investigated for the first time cortical responses to consonant - vowel (CV) syllables differing in Voice-Onset-Time (VOT) for Polish, a member of the Slavic group of languages. The study aimed at testing age-related effects on different ERP responses in young (20-30 years of age) and elderly (60-68 years) native Polish speakers. Participants were presented with a sequence of voiced and voiceless stop CV syllables /to/ and /do/ with different VOT values (-100 ms, -70 ms, -30 ms, -20 ms, +20 ms, +50 ms). We analyzed MMN and P1, N1, N1', P2, N2 components. Our results showed an age-related decline in voicing perception in all tested ERP components. This decline could be explained in relation to a general slowing in neural processing with advancing age and may be associated with difficulties in temporal- and spectral-information processing in elderly people. Our findings revealed also that specific features of Slavic languages influence ERP morphology in a different way than reported in the literature for aspirating languages.

Training-Induced Changes in Rapid Auditory Processing in Children With Specific Language Impairment: Electrophysiological Indicators.

The brain's ability to recognize acoustic changes occurring in rapid temporal succession is important for speech and successful language development. Children with specific language impairment (SLI) are characterized by deficient dynamics of temporal information processing (TIP) in the millisecond time range accompanied by disordered language development. Furthermore, previous studies have found that intervention based on amelioration of TIP resulted in improvement of both language and other cognitive functions. This study aimed to explain the changes associated with TIP training from the perspective of event-related potentials (ERPs). Thirty-six children aged 5-8 years (26 boys, 10 girls) diagnosed with SLI underwent two types of intense audio-visual computer intervention: experimental TIP training targeted at the millisecond time range (n = 18) or control non-TIP training (n = 18). Paired 50 ms tones of 1000 Hz and 1200 Hz were presented with inter-stimulus intervals (ISIs) of either 50 ms (Short ISI Condition) or 200 ms (Long ISI Condition). Auditory ERPs were measured in a passive oddball paradigm before and after each type of training. The mismatch negativity (MMN) paradigm was applied as an electrophysiological indicator of the brain's ability to automatically detect violations of regularity in paired tones presented in rapid succession. Moreover, the P3a component was also analyzed. After 24 sessions of temporal training (in the experimental group) MMN amplitude enhancement was observed in both ISI conditions, reflecting increased efficiency in perceiving changes in rapid auditory sequences. In both experimental and control groups, P3a amplitude was enhanced in both ISIs. This may be due to the improvement of involuntary attention shifting to the auditory events involved in each training type. To conclude, temporal training, compared to non-temporal control training, improved the ability to detect changes in a rapid auditory stream in children with SLI.

Training in Temporal Information Processing Ameliorates Phonetic Identification.

Many studies revealed a link between temporal information processing (TIP) in a millisecond range and speech perception. Previous studies indicated a dysfunction in TIP accompanied by deficient phonemic hearing in children with specific language impairment (SLI). In this study we concentrate in SLI on phonetic identification, using the voice-onset-time (VOT) phenomenon in which TIP is built-in. VOT is crucial for speech perception, as stop consonants (like /t/ vs. /d/) may be distinguished by an acoustic difference in time between the onsets of the consonant (stop release burst) and the following vibration of vocal folds (voicing). In healthy subjects two categories (voiced and unvoiced) are determined using VOT task. The present study aimed at verifying whether children with SLI indicate a similar pattern of phonetic identification as their healthy peers and whether the intervention based on TIP results in improved performance on the VOT task. Children aged from 5 to 8 years (n = 47) were assigned into two groups: normal children without any language disability (NC, n = 20), and children with SLI (n = 27). In the latter group participants were randomly classified into two treatment subgroups, i.e., experimental temporal training (EG, n = 14) and control non-temporal training (CG, n = 13). The analyzed indicators of phonetic identification were: (1) the boundary location (α) determined as the VOT value corresponding to 50% voicing/unvoicing distinctions; (2) ranges of voiced/unvoiced categories; (3) the slope of identification curve (ß) reflecting the identification correctness; (4) percent of voiced distinctions within the applied VOT spectrum. The results indicated similar α values and similar ranges of voiced/unvoiced categories between SLI and NC. However, ß in SLI was significantly higher than that in NC. After the intervention, the significant improvement of ß was observed only in EG. They achieved the level of performance comparable to that observed in NC. The training-related improvement in CG was non-significant. Furthermore, only in EG the ß values in post-test correlated with measures of TIP as well as with phonemic hearing obtained in our previous studies. These findings provide another evidence that TIP is omnipresent in language communication and reflected not only in phonemic hearing but also in phonetic identification.

Spatial and Spectral Auditory Temporal-Order Judgment (TOJ) Tasks in Elderly People Are Performed Using Different Perceptual Strategies.

The Temporal-Order Judgment (TOJ) paradigm has been widely investigated in previous studies as an accurate measure of temporal resolution and sequencing abilities in the millisecond time range. Two auditory TOJ tasks are often used: (1) a spatial TOJ task, in which two identical stimuli are presented in rapid succession monaurally and the task is to indicate which ear received the first stimulus and which ear received the second one (left-right or right-left), and (2) a spectral TOJ task, in which two tones of different frequencies are presented asynchronously to both ears binaurally and the task is to report the sequence of these tones (low-high or high-low). The previous literature studies conducted on young volunteers indicated that the measured temporal acuity on these two tasks depended on the procedure used. As considerable data are now available about age-related decline in temporal resolution ability, the aim of the present study was to compare in elderly subjects the pattern of performance on these two tasks. A total of 40 normal healthy volunteers aged from 62 to 78 years performed two TOJ tasks. The measurement was repeated in two consecutive sessions. Temporal resolution was indexed by the Auditory Temporal-Order Threshold (ATOT), i.e., the minimum time gap between successive stimuli necessary for a participant to report a before-after relation with 75% correctness. The main finding of the present study was the indication of differences in the elderly in performance on two tasks. In the spatial task, the distribution of obtained ATOT values did not deviate from the Gaussian distribution. In contrast, the distribution of data in the spectral task deviated significantly from the Gaussian and was spread more to the right. Although lower ATOT values were usually observed in Session 2 than in Session 1, such difference was significant only in the spectral task. We conclude that although temporal acuity and sequencing abilities in the millisecond time range are probably based in neuronal oscillatory activity, the measured ATOTs in the elderly seem to be stimulus-dependent, procedure-related, and influenced by the perceptual strategies used by participants.

The Treatment Based on Temporal Information Processing Reduces Speech Comprehension Deficits in Aphasic Subjects.

Experimental studies have reported a close association between temporal information processing (TIP) and language comprehension. Brain-injured subjects with aphasia show disturbed TIP which was evidenced in elevated temporal order threshold (TOT) as compared to control subjects. The present study is aimed at improving auditory speech comprehension in aphasic subjects using a specific temporal treatment. Fourteen patients having deficits in both speech comprehension and TIP were tested. The Token Test, phoneme discrimination tests (PDT) and Voice-Onset-Time (VOT) Test were employed to assess speech comprehension. The TOT was measured using two 10 ms tones (400 Hz, 3000 Hz) presented binaurally. The patients participated in eight 45-min sessions of either the specific temporal treatment (n = 7) aimed at improving the perception of sequencing abilities, or in a non-temporal control treatment (n = 7) on volume discrimination. The temporal treatment yielded an improvement in TIP. Moreover, a transfer of improvement from the time domain to the language domain was observed. The control treatment did not improve either TIP or speech comprehension in any of the applied tests.

Electrophysiological Indicators of the Age-Related Deterioration in the Sensitivity to Auditory Duration Deviance.

The present study investigates age-related changes in duration discrimination in millisecond time domain. We tested young (N = 20, mean age = 24.5, SD = 2.97) and elderly (N = 20, mean age = 65.2, SD = 2.94) subjects using the mismatch negativity (MMN) paradigm. White-noise bursts of two different durations (50 and 10 ms) were presented in two oddball blocks. In one block (Increment Condition), the repetitive sequence of 10 ms standards was interspersed by occasional 50 ms deviants. In the Decrement Condition, the roles of the two stimuli were reversed. We analyzed the P1-N1 complex, MMN and P3a and found the effect of age for all these components. Moreover, the impact of stimulus presentation condition (increment/decrement) was observed for MMN and P3a. Our results confirmed the previous evidence for deteriorated duration discrimination in elderly people. Additionally, we found that this effect may be influenced by procedural factors.

Corrigendum: The Application of Timing in Therapy of Children and Adults with Language Disorders.

[This corrects the article on p. 1714 in vol. 6, PMID: 26617547.].

Temporal Information Processing and its Relation to Executive Functions in Elderly Individuals.

Normal aging triggers deterioration in cognitive functions. Evidence has shown that these age-related changes concern also executive functions (EF) as well as temporal information processing (TIP) in a millisecond range. A considerable amount of literature data has indicated that each of these two functions sets a frame for our mental activity and may be considered in terms of embodied cognition due to advanced age. The present study addresses the question whether in elderly subjects the efficiency of TIP is related to individual differences in EF. The study involved 53 normal healthy participants aged from 65 to 78. In these subjects TIP was assessed by sequencing abilities measured with temporal-order threshold (TOT). It is defined as the minimum time gap separating two auditory stimuli presented in rapid succession which is necessary for a subject to report correctly their temporal order, thus the relation 'before-after.' The EF were assessed with regard to the efficiency of the executive planning measured with the Tower of London-Drexel University (TOLDX) which has become a well-known EF task. Using Spearman's rank correlations we observed two main results. Firstly, the indices of the TOLDX indicated a coherent construct reflecting the effectiveness of executive planning in the elderly. Initiation time seemed dissociated from these coherent indices, which suggested a specific strategy of mental planning in the elderly based on on-line planning rather than on preplanning. Secondly, TOT was significantly correlated with the indices of TOLDX. Although some of these correlations were modified by subject's age, the correlation between TOT and the main index of TOLDX ('Total Move Score') was rather age resistant. These results suggest that normal aging may be characterized by an overlapping of deteriorated TIP and deteriorated EF.

The Application of Timing in Therapy of Children and Adults with Language Disorders.

A number of evidence revealed a link between temporal information processing (TIP) and language. Both literature data and results of our studies indicated an overlapping of deficient TIP and disordered language, pointing to the existence of an association between these two functions. On this background the new approach is to apply such knowledge in therapy of patients suffering from language disorders. In two studies we asked the following questions: (1) can the temporal training reduce language deficits in aphasic patients (Study 1) or in children with specific language impairment (SLI, Study 2)? (2) can such training ameliorate also the other cognitive functions? Each of these studies employed pre-training assessment, training application, post-training and follow-up assessment. In Study 1 we tested 28 patients suffering from post-stroke aphasia. They were assigned either to the temporal training (Group A, n = 15) in milliseconds range, or to the non-temporal training (Group B, n = 13). Following the training we found only in Group A improved TIP, accompanied by a transfer of improvement to language and working memory functions. In Study 2 we tested 32 children aged from 5 to 8 years, affected by SLI who were classified into the temporal training (Group A, n = 17) or non-temporal training (Group B, n = 15). Group A underwent the multileveled audio-visual computer training Dr. Neuronowski (®), recently developed in our laboratory. Group B performed the computer speech therapy exercises extended by playing computer games. Similarly as in Study 1, in Group A we found significant improvements of TIP, auditory comprehension and working memory. These results indicated benefits of temporal training for amelioration of language and other cognitive functions in both aphasic patients and children with SLI. The novel powerful therapy tools provide evidence for future promising clinical applications.

Cortical involvement in temporal reproduction: evidence for differential roles of the hemispheres.

Only few studies have addressed temporal processing for durations longer than 1 s, and even fewer studies have investigated cortical involvement in time perception, in particular temporal production and reproduction. The present study investigated temporal reproduction in healthy control subjects and patients with anterior or posterior cortical lesions in the left or right hemisphere, or with subcortical left-hemispheric lesions. The paradigm involved presentation of either auditory or visual stimuli of 10 different standard intervals ranging from 1 to 5.5 seconds duration. Participants were required to reproduce the duration of a stimulus. Our results show that: (1) temporal reproduction across this temporal range can be better described with two separate linear regressions (bilinear approach) than with one single linear regression, thus contrasting the scalar timing concept; (2) that patients can, regardless of the hemisphere lesioned, perform reproductions of durations smaller than 2-3 s with reasonable accuracy; and (3) that patients with right-hemispheric lesions appear to be impaired in reproductions of stimuli longer than 2-3 s. Since attention appeared not to be impaired in the patients tested, the findings suggest that the integrity of the right hemisphere seems to be critical for temporal reproduction of intervals longer than 2-3 s.