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1.
PLoS Biol ; 22(3): e3002534, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38466713

RESUMO

Selective attention-related top-down modulation plays a significant role in separating relevant speech from irrelevant background speech when vocal attributes separating concurrent speakers are small and continuously evolving. Electrophysiological studies have shown that such top-down modulation enhances neural tracking of attended speech. Yet, the specific cortical regions involved remain unclear due to the limited spatial resolution of most electrophysiological techniques. To overcome such limitations, we collected both electroencephalography (EEG) (high temporal resolution) and functional magnetic resonance imaging (fMRI) (high spatial resolution), while human participants selectively attended to speakers in audiovisual scenes containing overlapping cocktail party speech. To utilise the advantages of the respective techniques, we analysed neural tracking of speech using the EEG data and performed representational dissimilarity-based EEG-fMRI fusion. We observed that attention enhanced neural tracking and modulated EEG correlates throughout the latencies studied. Further, attention-related enhancement of neural tracking fluctuated in predictable temporal profiles. We discuss how such temporal dynamics could arise from a combination of interactions between attention and prediction as well as plastic properties of the auditory cortex. EEG-fMRI fusion revealed attention-related iterative feedforward-feedback loops between hierarchically organised nodes of the ventral auditory object related processing stream. Our findings support models where attention facilitates dynamic neural changes in the auditory cortex, ultimately aiding discrimination of relevant sounds from irrelevant ones while conserving neural resources.


Assuntos
Córtex Auditivo , Percepção da Fala , Humanos , Percepção da Fala/fisiologia , Fala , Retroalimentação , Eletroencefalografia/métodos , Córtex Auditivo/fisiologia , Estimulação Acústica/métodos
2.
Neuropsychol Rehabil ; 32(7): 1356-1388, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33657970

RESUMO

Traumatic brain injury (TBI) causes deficits in executive function (EF), as well as problems in behavioural and emotional self-regulation. Neurological music therapy may aid these aspects of recovery. We performed a cross-over randomized controlled trial where 40 persons with moderate-severe TBI received a 3-month neurological music therapy intervention (2 times/week, 60 min/session), either during the first (AB, n = 20) or second (BA, n = 20) half of a 6-month follow-up period. The evidence from this RCT previously demonstrated that music therapy enhanced general EF and set shifting. In the current study, outcome was assessed with self-report and caregiver-report questionnaires performed at baseline, 3-month, 6-month, and 18-month stages. The results showed that the self-reported Behavioural Regulation Index of the Behaviour Rating Inventory of Executive Function (BRIEF-A) improved more in the AB than BA group from baseline to 3-month stage and the effect was maintained in the 6-month follow-up. No changes in mood or quality of life questionnaires were observed. However, a qualitative content analysis of the feedback revealed that many participants experienced the intervention as helpful in terms of emotional well-being and activity. Our results suggest that music therapy has a positive effect on everyday behavioural regulation skills after TBI.


Assuntos
Lesões Encefálicas Traumáticas , Musicoterapia , Lesões Encefálicas Traumáticas/psicologia , Estudos Cross-Over , Emoções , Humanos , Qualidade de Vida
3.
Neural Plast ; 2021: 6682471, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33763126

RESUMO

Traumatic brain injury (TBI) is characterized by a complex pattern of abnormalities in resting-state functional connectivity (rsFC) and network dysfunction, which can potentially be ameliorated by rehabilitation. In our previous randomized controlled trial, we found that a 3-month neurological music therapy intervention enhanced executive function (EF) and increased grey matter volume in the right inferior frontal gyrus (IFG) in patients with moderate-to-severe TBI (N = 40). Extending this study, we performed longitudinal rsFC analyses of resting-state fMRI data using a ROI-to-ROI approach assessing within-network and between-network rsFC in the frontoparietal (FPN), dorsal attention (DAN), default mode (DMN), and salience (SAL) networks, which all have been associated with cognitive impairment after TBI. We also performed a seed-based connectivity analysis between the right IFG and whole-brain rsFC. The results showed that neurological music therapy increased the coupling between the FPN and DAN as well as between these networks and primary sensory networks. By contrast, the DMN was less connected with sensory networks after the intervention. Similarly, there was a shift towards a less connected state within the FPN and SAL networks, which are typically hyperconnected following TBI. Improvements in EF were correlated with rsFC within the FPN and between the DMN and sensorimotor networks. Finally, in the seed-based connectivity analysis, the right IFG showed increased rsFC with the right inferior parietal and left frontoparietal (Rolandic operculum) regions. Together, these results indicate that the rehabilitative effects of neurological music therapy after TBI are underpinned by a pattern of within- and between-network connectivity changes in cognitive networks as well as increased connectivity between frontal and parietal regions associated with music processing.


Assuntos
Lesões Encefálicas Traumáticas/diagnóstico por imagem , Lesões Encefálicas Traumáticas/terapia , Imageamento por Ressonância Magnética/métodos , Musicoterapia/métodos , Rede Nervosa/diagnóstico por imagem , Plasticidade Neuronal/fisiologia , Adulto , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Lesões Encefálicas Traumáticas/fisiopatologia , Estudos Cross-Over , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Rede Nervosa/fisiopatologia , Descanso/fisiologia , Método Simples-Cego
4.
Neuroimage ; 224: 117365, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32941985

RESUMO

Recent studies utilizing electrophysiological speech envelope reconstruction have sparked renewed interest in the cocktail party effect by showing that auditory neurons entrain to selectively attended speech. Yet, the neural networks of attention to speech in naturalistic audiovisual settings with multiple sound sources remain poorly understood. We collected functional brain imaging data while participants viewed audiovisual video clips of lifelike dialogues with concurrent distracting speech in the background. Dialogues were presented in a full-factorial design, comprising task (listen to the dialogues vs. ignore them), audiovisual quality and semantic predictability. We used univariate analyses in combination with multivariate pattern analysis (MVPA) to study modulations of brain activity related to attentive processing of audiovisual speech. We found attentive speech processing to cause distinct spatiotemporal modulation profiles in distributed cortical areas including sensory and frontal-control networks. Semantic coherence modulated attention-related activation patterns in the earliest stages of auditory cortical processing, suggesting that the auditory cortex is involved in high-level speech processing. Our results corroborate views that emphasize the dynamic nature of attention, with task-specificity and context as cornerstones of the underlying neuro-cognitive mechanisms.


Assuntos
Córtex Auditivo/fisiologia , Percepção Auditiva/fisiologia , Percepção da Fala/fisiologia , Fala/fisiologia , Estimulação Acústica/métodos , Adulto , Encéfalo/fisiologia , Mapeamento Encefálico/métodos , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Percepção Visual/fisiologia , Adulto Jovem
5.
Ann Clin Transl Neurol ; 7(11): 2272-2287, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33022148

RESUMO

OBJECTIVE: Previous studies suggest that daily music listening can aid stroke recovery, but little is known about the stimulus-dependent and neural mechanisms driving this effect. Building on neuroimaging evidence that vocal music engages extensive and bilateral networks in the brain, we sought to determine if it would be more effective for enhancing cognitive and language recovery and neuroplasticity than instrumental music or speech after stroke. METHODS: Using data pooled from two single-blind randomized controlled trials in stroke patients (N = 83), we compared the effects of daily listening to self-selected vocal music, instrumental music, and audiobooks during the first 3 poststroke months. Outcome measures comprised neuropsychological tests of verbal memory (primary outcome), language, and attention and a mood questionnaire performed at acute, 3-month, and 6-month stages and structural and functional MRI at acute and 6-month stages. RESULTS: Listening to vocal music enhanced verbal memory recovery more than instrumental music or audiobooks and language recovery more than audiobooks, especially in aphasic patients. Voxel-based morphometry and resting-state and task-based fMRI results showed that vocal music listening selectively increased gray matter volume in left temporal areas and functional connectivity in the default mode network. INTERPRETATION: Vocal music listening is an effective and easily applicable tool to support cognitive recovery after stroke as well as to enhance early language recovery in aphasia. The rehabilitative effects of vocal music are driven by both structural and functional plasticity changes in temporoparietal networks crucial for emotional processing, language, and memory.


Assuntos
Córtex Cerebral/fisiologia , Córtex Cerebral/fisiopatologia , Disfunção Cognitiva/reabilitação , Conectoma , Rede de Modo Padrão/fisiopatologia , Musicoterapia , Música , Avaliação de Resultados em Cuidados de Saúde , Canto , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/terapia , Idoso , Córtex Cerebral/diagnóstico por imagem , Disfunção Cognitiva/etiologia , Rede de Modo Padrão/diagnóstico por imagem , Feminino , Humanos , Idioma , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Acidente Vascular Cerebral/complicações , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/patologia , Lobo Temporal/fisiopatologia , Aprendizagem Verbal/fisiologia
6.
J Neurotrauma ; 37(4): 618-634, 2020 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-31642408

RESUMO

Traumatic brain injury (TBI) causes lifelong cognitive deficits, particularly impairments of executive functioning (EF). Musical training and music-based rehabilitation have been shown to enhance cognitive functioning and neuroplasticity, but the potential rehabilitative effects of music in TBI are still largely unknown. The aim of the present crossover randomized controlled trial (RCT) was to determine the clinical efficacy of music therapy on cognitive functioning in TBI and to explore its neural basis. Using an AB/BA design, 40 patients with moderate or severe TBI were randomized to receive a 3-month neurological music therapy intervention either during the first (AB, n = 20) or second (BA, n = 20) half of a 6-month follow-up period. Neuropsychological and motor testing and magnetic resonance imaging (MRI) were performed at baseline and at the 3-month and 6-month stage. Thirty-nine subjects who participated in baseline measurement were included in an intention-to-treat analysis using multiple imputation. Results showed that general EF (as indicated by the Frontal Assessment Battery [FAB]) and set shifting improved more in the AB group than in the BA group over the first 3-month period and the effect on general EF was maintained in the 6-month follow-up. Voxel-based morphometry (VBM) analysis of the structural MRI data indicated that gray matter volume (GMV) in the right inferior frontal gyrus (IFG) increased significantly in both groups during the intervention versus control period, which also correlated with cognitive improvement in set shifting. These findings suggest that neurological music therapy enhances EF and induces fine-grained neuroanatomical changes in prefrontal areas.


Assuntos
Lesões Encefálicas Traumáticas/terapia , Função Executiva/fisiologia , Musicoterapia , Plasticidade Neuronal/fisiologia , Córtex Pré-Frontal/fisiopatologia , Adulto , Lesões Encefálicas Traumáticas/diagnóstico por imagem , Lesões Encefálicas Traumáticas/fisiopatologia , Lesões Encefálicas Traumáticas/psicologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Córtex Pré-Frontal/diagnóstico por imagem
7.
Neuroimage ; 216: 116352, 2020 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-31730921

RESUMO

Individuals with attention-deficit/hyperactivity disorder (ADHD) have difficulties navigating dynamic everyday situations that contain multiple sensory inputs that need to either be attended to or ignored. As conventional experimental tasks lack this type of everyday complexity, we administered a film-based multi-talker condition with auditory distractors in the background. ADHD-related aberrant brain responses to this naturalistic stimulus were identified using intersubject correlations (ISCs) in functional magnetic resonance imaging (fMRI) data collected from 51 adults with ADHD and 29 healthy controls. A novel permutation-based approach introducing studentized statistics and subject-wise voxel-level null-distributions revealed that several areas in cerebral attention networks and sensory cortices were desynchronized in participants with ADHD (n = 20) relative to healthy controls (n = 20). Specifically, desynchronization of the posterior parietal cortex occurred when irrelevant speech or music was presented in the background, but not when irrelevant white noise was presented, or when there were no distractors. We also show regionally distinct ISC signatures for inattention and impulsivity. Finally, post-scan recall of the film contents was associated with stronger ISCs in the default-mode network for the ADHD and in the dorsal attention network for healthy controls. The present study shows that ISCs can further our understanding of how a complex environment influences brain states in ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico por imagem , Atenção , Percepção Auditiva , Encéfalo/diagnóstico por imagem , Filmes Cinematográficos , Percepção Visual , Estimulação Acústica/métodos , Adulto , Atenção/fisiologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Percepção Auditiva/fisiologia , Encéfalo/fisiologia , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Estimulação Luminosa/métodos , Percepção Visual/fisiologia
8.
Neuroimage Clin ; 24: 101948, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31419766

RESUMO

Sung melody provides a mnemonic cue that can enhance the acquisition of novel verbal material in healthy subjects. Recent evidence suggests that also stroke patients, especially those with mild aphasia, can learn and recall novel narrative stories better when they are presented in sung than spoken format. Extending this finding, the present study explored the cognitive mechanisms underlying this effect by determining whether learning and recall of novel sung vs. spoken stories show a differential pattern of serial position effects (SPEs) and chunking effects in non-aphasic and aphasic stroke patients (N = 31) studied 6 months post-stroke. The structural neural correlates of these effects were also explored using voxel-based morphometry (VBM) and deterministic tractography (DT) analyses of structural MRI data. Non-aphasic patients showed more stable recall with reduced SPEs in the sung than spoken task, which was coupled with greater volume and integrity (indicated by fractional anisotropy, FA) of the left arcuate fasciculus. In contrast, compared to non-aphasic patients, the aphasic patients showed a larger recency effect (better recall of the last vs. middle part of the story) and enhanced chunking (larger units of correctly recalled consecutive items) in the sung than spoken task. In aphasics, the enhanced chunking and better recall on the middle verse in the sung vs. spoken task correlated also with better ability to perceive emotional prosody in speech. Neurally, the sung > spoken recency effect in aphasic patients was coupled with greater grey matter volume in a bilateral network of temporal, frontal, and parietal regions and also greater volume of the right inferior fronto-occipital fasciculus (IFOF). These results provide novel cognitive and neurobiological insight on how a repetitive sung melody can function as a verbal mnemonic aid after stroke.


Assuntos
Afasia/diagnóstico por imagem , Cognição/fisiologia , Rememoração Mental/fisiologia , Música , Reforço Verbal , Acidente Vascular Cerebral/diagnóstico por imagem , Estimulação Acústica/métodos , Estimulação Acústica/psicologia , Adulto , Idoso , Afasia/psicologia , Afasia/reabilitação , Percepção Auditiva/fisiologia , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Música/psicologia , Testes Neuropsicológicos , Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/métodos
9.
Neuropsychologia ; 98: 56-67, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-27732869

RESUMO

Learning a new language requires the identification of word units from continuous speech (the speech segmentation problem) and mapping them onto conceptual representation (the word to world mapping problem). Recent behavioral studies have revealed that the statistical properties found within and across modalities can serve as cues for both processes. However, segmentation and mapping have been largely studied separately, and thus it remains unclear whether both processes can be accomplished at the same time and if they share common neurophysiological features. To address this question, we recorded EEG of 20 adult participants during both an audio alone speech segmentation task and an audiovisual word-to-picture association task. The participants were tested for both the implicit detection of online mismatches (structural auditory and visual semantic violations) as well as for the explicit recognition of words and word-to-picture associations. The ERP results from the learning phase revealed a delayed learning-related fronto-central negativity (FN400) in the audiovisual condition compared to the audio alone condition. Interestingly, while online structural auditory violations elicited clear MMN/N200 components in the audio alone condition, visual-semantic violations induced meaning-related N400 modulations in the audiovisual condition. The present results support the idea that speech segmentation and meaning mapping can take place in parallel and act in synergy to enhance novel word learning.


Assuntos
Mapeamento Encefálico , Potenciais Evocados/fisiologia , Fala/fisiologia , Aprendizagem Verbal/fisiologia , Vocabulário , Estimulação Acústica , Adulto , Análise de Variância , Eletroencefalografia , Feminino , Humanos , Masculino , Multilinguismo , Estimulação Luminosa , Probabilidade , Semântica , Fatores de Tempo , Adulto Jovem
10.
PLoS One ; 10(10): e0139318, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26439112

RESUMO

Facilitation of general cognitive capacities such as executive functions through training has stirred considerable research interest during the last decade. Recently we demonstrated that training of auditory attention with forced attention dichotic listening not only facilitated that performance but also generalized to an untrained attentional task. In the present study, 13 participants underwent a 4-week dichotic listening training programme with instructions to report syllables presented to the left ear (FL training group). Another group (n = 13) was trained using the non-forced instruction, asked to report whichever syllable they heard the best (NF training group). The study aimed to replicate our previous behavioural results, and to explore the neurophysiological correlates of training through event-related brain potentials (ERPs). We partially replicated our previous behavioural training effects, as the FL training group tended to show more allocation of auditory spatial attention to the left ear in a standard dichotic listening task. ERP measures showed diminished N1 and enhanced P2 responses to dichotic stimuli after training in both groups, interpreted as improvement in early perceptual processing of the stimuli. Additionally, enhanced anterior N2 amplitudes were found after training, with relatively larger changes in the FL training group in the forced-left condition, suggesting improved top-down control on the trained task. These results show that top-down cognitive training can modulate the left-right allocation of auditory spatial attention, accompanied by a change in an evoked brain potential related to cognitive control.


Assuntos
Atenção/fisiologia , Percepção Auditiva/fisiologia , Encéfalo/fisiologia , Potenciais Evocados/fisiologia , Estimulação Acústica , Adulto , Testes com Listas de Dissílabos , Função Executiva/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Adulto Jovem
11.
J Cereb Blood Flow Metab ; 35(7): 1199-205, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25853904

RESUMO

We measured the long-term test-retest reliability of [(11)C]raclopride binding in striatal subregions, the thalamus and the cortex using the bolus-plus-infusion method and a high-resolution positron emission scanner. Seven healthy male volunteers underwent two positron emission tomography (PET) [(11)C]raclopride assessments, with a 5-week retest interval. D2/3 receptor availability was quantified as binding potential using the simplified reference tissue model. Absolute variability (VAR) and intraclass correlation coefficient (ICC) values indicated very good reproducibility for the striatum and were 4.5%/0.82, 3.9%/0.83, and 3.9%/0.82, for the caudate nucleus, putamen, and ventral striatum, respectively. Thalamic reliability was also very good, with VAR of 3.7% and ICC of 0.92. Test-retest data for cortical areas showed good to moderate reproducibility (6.1% to 13.1%). Our results are in line with previous test-retest studies of [(11)C]raclopride binding in the striatum. A novel finding is the relatively low variability of [(11)C]raclopride binding, providing suggestive evidence that extrastriatal D2/3 binding can be studied in vivo with [(11)C]raclopride PET to be verified in future studies.


Assuntos
Córtex Cerebral/metabolismo , Corpo Estriado/metabolismo , Tomografia por Emissão de Pósitrons , Racloprida/metabolismo , Receptores de Dopamina D2/metabolismo , Receptores de Dopamina D3/metabolismo , Tálamo/metabolismo , Adulto , Radioisótopos de Carbono/metabolismo , Córtex Cerebral/diagnóstico por imagem , Corpo Estriado/diagnóstico por imagem , Humanos , Masculino , Tomografia por Emissão de Pósitrons/métodos , Reprodutibilidade dos Testes , Tálamo/diagnóstico por imagem , Adulto Jovem
12.
J Cereb Blood Flow Metab ; 31(1): 155-65, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20442726

RESUMO

Positron emission tomography (PET) imaging of small striatal brain structures such as the ventral striatum (VST) has been hampered by low spatial resolution causing partial-volume effects. The high-resolution research tomograph (HRRT) is a brain-dedicated PET scanner that has considerably better spatial resolution than its predecessors. However, its superior spatial resolution is associated with a lower signal-to-noise ratio. We evaluated the test-retest reliability of the striatal and thalamic dopamine D(2) receptor binding using the HRRT scanner. Seven healthy male volunteers underwent two [(11)C]raclopride PET scans with a 2.5-hour interval. Dopamine D(2) receptor availability was quantified as binding potential (BP(ND)) using the simplified reference tissue model. To evaluate the reproducibility of repeated BP(ND) estimations, absolute variability (VAR) and intraclass correlation coefficients (ICCs) were calculated. VAR values indicated fairly good reproducibility and were 3.6% to 4.5% for the caudate nucleus and putamen and 4.5% to 6.4% for the lateral and medial part of the thalamus. In the VST, the VAR value was 5.8% when the definition was made in the coronal plane. However, the ICC values were only moderate, in the range of 0.34 to 0.66, for all regions except the putamen (0.87). Experimental signal processing methods improved neither ICC nor VAR values significantly.


Assuntos
Corpo Estriado/diagnóstico por imagem , Corpo Estriado/metabolismo , Antagonistas de Dopamina , Racloprida , Compostos Radiofarmacêuticos , Receptores de Dopamina D2/metabolismo , Tálamo/diagnóstico por imagem , Tálamo/metabolismo , Adulto , Algoritmos , Área Sob a Curva , Humanos , Processamento de Imagem Assistida por Computador , Marcação por Isótopo , Masculino , Tomografia por Emissão de Pósitrons , Reprodutibilidade dos Testes , Processamento de Sinais Assistido por Computador , Adulto Jovem
13.
PLoS One ; 5(12): e15157, 2010 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-21152040

RESUMO

Acquired amusia is a common disorder after damage to the middle cerebral artery (MCA) territory. However, its neurocognitive mechanisms, especially the relative contribution of perceptual and cognitive factors, are still unclear. We studied cognitive and auditory processing in the amusic brain by performing neuropsychological testing as well as magnetoencephalography (MEG) measurements of frequency and duration discrimination using magnetic mismatch negativity (MMNm) recordings. Fifty-three patients with a left (n = 24) or right (n = 29) hemisphere MCA stroke (MRI verified) were investigated 1 week, 3 months, and 6 months after the stroke. Amusia was evaluated using the Montreal Battery of Evaluation of Amusia (MBEA). We found that amusia caused by right hemisphere damage (RHD), especially to temporal and frontal areas, was more severe than amusia caused by left hemisphere damage (LHD). Furthermore, the severity of amusia was found to correlate with weaker frequency MMNm responses only in amusic RHD patients. Additionally, within the RHD subgroup, the amusic patients who had damage to the auditory cortex (AC) showed worse recovery on the MBEA as well as weaker MMNm responses throughout the 6-month follow-up than the non-amusic patients or the amusic patients without AC damage. Furthermore, the amusic patients both with and without AC damage performed worse than the non-amusic patients on tests of working memory, attention, and cognitive flexibility. These findings suggest domain-general cognitive deficits to be the primary mechanism underlying amusia without AC damage whereas amusia with AC damage is associated with both auditory and cognitive deficits.


Assuntos
Magnetoencefalografia/métodos , Neuropsicologia/métodos , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/complicações , Adulto , Córtex Auditivo/lesões , Lesões Encefálicas/patologia , Cognição , Feminino , Seguimentos , Humanos , Masculino , Memória de Curto Prazo , Pessoa de Meia-Idade , Artéria Cerebral Média/lesões , Musicoterapia/métodos , Testes Neuropsicológicos , Transtornos da Percepção/complicações
14.
J Cogn Neurosci ; 22(12): 2716-27, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19925203

RESUMO

Our surrounding auditory environment has a dramatic influence on the development of basic auditory and cognitive skills, but little is known about how it influences the recovery of these skills after neural damage. Here, we studied the long-term effects of daily music and speech listening on auditory sensory memory after middle cerebral artery (MCA) stroke. In the acute recovery phase, 60 patients who had middle cerebral artery stroke were randomly assigned to a music listening group, an audio book listening group, or a control group. Auditory sensory memory, as indexed by the magnetic MMN (MMNm) response to changes in sound frequency and duration, was measured 1 week (baseline), 3 months, and 6 months after the stroke with whole-head magnetoencephalography recordings. Fifty-four patients completed the study. Results showed that the amplitude of the frequency MMNm increased significantly more in both music and audio book groups than in the control group during the 6-month poststroke period. In contrast, the duration MMNm amplitude increased more in the audio book group than in the other groups. Moreover, changes in the frequency MMNm amplitude correlated significantly with the behavioral improvement of verbal memory and focused attention induced by music listening. These findings demonstrate that merely listening to music and speech after neural damage can induce long-term plastic changes in early sensory processing, which, in turn, may facilitate the recovery of higher cognitive functions. The neural mechanisms potentially underlying this effect are discussed.


Assuntos
Percepção Auditiva/fisiologia , Música , Recuperação de Função Fisiológica , Fala , Reabilitação do Acidente Vascular Cerebral , Estimulação Acústica/métodos , Idoso , Análise de Variância , Mapeamento Encefálico , Feminino , Humanos , Magnetoencefalografia , Masculino , Testes Neuropsicológicos , Seleção de Pacientes
15.
Neuropsychologia ; 47(12): 2642-51, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19500606

RESUMO

Recent evidence on amusia suggests that our ability to perceive music might be based on the same neural resources that underlie other higher cognitive functions, such as speech perception and spatial processing. We studied the neural correlates of acquired amusia by performing extensive neuropsychological assessments on 53 stroke patients with a left or right hemisphere middle cerebral artery (MCA) stroke 1 week, 3 months, and 6 months after the stroke. In addition, structural magnetic resonance imaging (MRI) was performed on all patients 1 week and 6 months post-stroke. Based on their performance on a shortened version of the Montreal Battery of Evaluation of Amusia (MBEA), the patients were classified as amusic (n=32) or non-amusic (n=21). MRI results showed that the incidence of auditory cortex and frontal lobe damage was significantly higher in the amusic group than in the non-amusic group, but the two groups did not differ in respect to lesion laterality. Cognitively, amusia was associated with general deficits in working memory and learning, semantic fluency, executive functioning, and visuospatial cognition, as well as hemisphere-specific deficits in verbal comprehension, mental flexibility, and visuospatial attention (unilateral spatial neglect). Moreover, the recovery of music perception ability was related to the recovery of verbal learning, visuospatial perception and attention, and focused attention, especially in amusic patients. Together, these results suggest the ability to perceive music is closely linked to other higher cognitive functions.


Assuntos
Doenças Auditivas Centrais/etiologia , Transtornos Cognitivos/etiologia , Música , Acidente Vascular Cerebral/complicações , Estimulação Acústica , Idoso , Análise de Variância , Doenças Auditivas Centrais/diagnóstico , Transtornos Cognitivos/diagnóstico , Progressão da Doença , Feminino , Seguimentos , Lateralidade Funcional , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Estudos Retrospectivos , Fatores de Tempo
16.
Brain Res ; 1275: 54-66, 2009 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-19362541

RESUMO

The aim of the study was to investigate how the input modality affects the processing of a morphologically complex word. The processing of Finnish inflected vs. monomorphemic words and pseudowords was examined during a lexical decision task, using behavioral responses and event-related potentials. The stimuli were presented in two modalities, visually and auditorily, to two groups of participants. Half of the words and pseudowords carried a case-inflection. At the behavioral level, the inflected words elicited a processing cost with longer decision latencies and higher error rates. At the neural level, pseudowords elicited an N400 effect, which was more pronounced in the visual modality. Inflected words elicited an N400 effect in both modalities, which, however, differed in topography and latency. The N400 effect for inflected words most probably reflects access and possible integration of the stem and suffix. The results suggest that the inflectional processing cost stems from the later, lexical-semantic stage of processing in both modalities. The ERP responses to inflected pseudowords did not differ from the ERP responses to monomorphemic pseudowords in either modality, suggesting that combinatorial case-inflection processing requires a real word stem in order to proceed.


Assuntos
Percepção Auditiva/fisiologia , Cognição/fisiologia , Idioma , Percepção Visual/fisiologia , Estimulação Acústica/métodos , Adulto , Feminino , Humanos , Masculino , Estimulação Luminosa/métodos , Psicolinguística , Desempenho Psicomotor/fisiologia , Tempo de Reação/fisiologia , Adulto Jovem
17.
Brain ; 131(Pt 3): 866-76, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18287122

RESUMO

We know from animal studies that a stimulating and enriched environment can enhance recovery after stroke, but little is known about the effects of an enriched sound environment on recovery from neural damage in humans. In humans, music listening activates a wide-spread bilateral network of brain regions related to attention, semantic processing, memory, motor functions, and emotional processing. Music exposure also enhances emotional and cognitive functioning in healthy subjects and in various clinical patient groups. The potential role of music in neurological rehabilitation, however, has not been systematically investigated. This single-blind, randomized, and controlled trial was designed to determine whether everyday music listening can facilitate the recovery of cognitive functions and mood after stroke. In the acute recovery phase, 60 patients with a left or right hemisphere middle cerebral artery (MCA) stroke were randomly assigned to a music group, a language group, or a control group. During the following two months, the music and language groups listened daily to self-selected music or audio books, respectively, while the control group received no listening material. In addition, all patients received standard medical care and rehabilitation. All patients underwent an extensive neuropsychological assessment, which included a wide range of cognitive tests as well as mood and quality of life questionnaires, one week (baseline), 3 months, and 6 months after the stroke. Fifty-four patients completed the study. Results showed that recovery in the domains of verbal memory and focused attention improved significantly more in the music group than in the language and control groups. The music group also experienced less depressed and confused mood than the control group. These findings demonstrate for the first time that music listening during the early post-stroke stage can enhance cognitive recovery and prevent negative mood. The neural mechanisms potentially underlying these effects are discussed.


Assuntos
Afeto , Transtornos Cognitivos/reabilitação , Infarto da Artéria Cerebral Média/reabilitação , Musicoterapia/métodos , Estimulação Acústica/métodos , Idoso , Atenção , Transtornos Cognitivos/etiologia , Feminino , Indicadores Básicos de Saúde , Humanos , Infarto da Artéria Cerebral Média/psicologia , Terapia da Linguagem , Masculino , Memória , Pessoa de Meia-Idade , Testes Neuropsicológicos , Qualidade de Vida , Método Simples-Cego , Resultado do Tratamento
18.
Neuroreport ; 18(16): 1697-701, 2007 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-17921871

RESUMO

Automatic detection of auditory changes that violate a regular sound sequence is indexed by the mismatch negativity (MMN) component of the event-related potential. The MMN is considered to reflect an auditory sensory memory and attention switching mechanism. Our aim was to study whether the auditory MMN can be associated with visual cues that have predictive value. By using visual cues that predicted the appearance of a deviant sound in most but not all of the cases, we were able to elicit MMN not only to the deviant sounds but also to those regular sounds that were misleadingly preceded by the visual cue. This result indicates high flexibility in the human automatic auditory change detection system, as it is affected by short-term visual-auditory associative learning.


Assuntos
Aprendizagem por Associação/fisiologia , Percepção Auditiva/fisiologia , Potenciais Evocados/fisiologia , Memória/fisiologia , Inconsciente Psicológico , Percepção Visual/fisiologia , Estimulação Acústica , Adulto , Atenção/fisiologia , Sinais (Psicologia) , Eletroencefalografia , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Estimulação Luminosa , Valor Preditivo dos Testes , Tempo de Reação/fisiologia
19.
Neurosci Lett ; 416(1): 22-7, 2007 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-17353093

RESUMO

Event-related desynchronization (ERD) and event-related synchronization (ERS) of the 1-30 EEG frequencies were studied in eight early Finnish-Swedish bilinguals during an auditory bilingual Sternberg memory task using Finnish-Swedish cognates as stimuli. Only subtle differences between languages were expected, since cognates have been assumed to have shared conceptual representations in the bilingual memory. Encoding elicited theta and alpha frequency ERS and beta frequency ERD responses in both languages. Retrieval elicited theta ERS and alpha and beta ERD responses. Some statistically significant differences between encoding and retrieval in Finnish versus Swedish emerged: greater theta and alpha ERS responses were observed during encoding in Swedish than during encoding in Finnish. During between-language retrieval, later-appearing theta ERS and alpha ERD responses were elicited as compared to within-language retrieval. These delayed oscillatory responses might reflect the involvement of central executive attentional functions in relation to language switching.


Assuntos
Sincronização Cortical , Potenciais Evocados Auditivos/fisiologia , Memória/fisiologia , Multilinguismo , Percepção da Fala/fisiologia , Estimulação Acústica , Adulto , Atenção/fisiologia , Humanos , Masculino
20.
Brain Res ; 1110(1): 182-92, 2006 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-16901470

RESUMO

The aim of the current study was to assess modality-specific brain oscillatory responses during cognitive processing. Brain oscillatory ERD/ERS responses of the 4- to 30-Hz EEG frequency bands were examined during lexical decision where the task is to identify whether the presented stimulus is a word or a pseudoword. Seven subjects performed the task with visual stimuli and twelve subjects with auditory stimuli. Visual stimuli elicited greater theta ERS responses as compared to the auditory stimuli. Both stimulus modalities elicited alpha and beta frequency ERD, these being greater for the auditory stimuli. Auditory stimuli elicited also later emerging beta ERS responses, absent for the visual stimuli. The lexicality effects (words vs. pseudowords) were greater for the auditory than for the visual stimuli. When studying brain oscillatory correlates of cognitive processing, the stimulus modality matters. Some effects may arise and some vanish depending on in which modality a cognitive experiment is being conducted.


Assuntos
Encéfalo/fisiologia , Sincronização Cortical , Tomada de Decisões/fisiologia , Idioma , Processos Mentais/fisiologia , Estimulação Acústica/métodos , Adulto , Análise de Variância , Mapeamento Encefálico , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Análise Espectral
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