Pre-output Language Monitoring in Sign Production.

A domain-general monitoring mechanism is proposed to be involved in overt speech monitoring. This mechanism is reflected in a medial frontal component, the error negativity (Ne), present in both errors and correct trials (Ne-like wave) but larger in errors than correct trials. In overt speech production, this negativity starts to rise before speech onset and is therefore associated with inner speech monitoring. Here, we investigate whether the same monitoring mechanism is involved in sign language production. Twenty deaf signers (American Sign Language [ASL] dominant) and 16 hearing signers (English dominant) participated in a picture-word interference paradigm in ASL. As in previous studies, ASL naming latencies were measured using the keyboard release time. EEG results revealed a medial frontal negativity peaking within 15 msec after keyboard release in the deaf signers. This negativity was larger in errors than correct trials, as previously observed in spoken language production. No clear negativity was present in the hearing signers. In addition, the slope of the Ne was correlated with ASL proficiency (measured by the ASL Sentence Repetition Task) across signers. Our results indicate that a similar medial frontal mechanism is engaged in preoutput language monitoring in sign and spoken language production. These results suggest that the monitoring mechanism reflected by the Ne/Ne-like wave is independent of output modality (i.e., spoken or signed) and likely monitors prearticulatory representations of language. Differences between groups may be linked to several factors including differences in language proficiency or more variable lexical access to motor programming latencies for hearing than deaf signers.

Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: a systematic review.

BACKGROUND: There is good evidence in the literature supporting physiotherapy in the management of some forms of headache. Dry needling of myofascial trigger points is becoming an increasingly common approach despite a paucity of research evidence supporting its use. The purpose of this review was to determine the evidence supporting the use of dry needling in addition to conventional physiotherapy in the management of tension-type and cervicogenic headache. METHODS: Ten databases were searched for evidence of the effect of dry needling on the severity and frequency of tension and cervicogenic headache based ICHD classifications. RESULTS: Three relevant studies were identified and all three showed statistically significant improvements following dry needling, but no significant differences between groups. Only one study reported on headache frequency or intensity, reporting a 45 mm improvement in VAS score following the addition of dry needling to conventional physiotherapy. Two studies showed significant improvements with dry needling over 4-5 weeks of treatment. No adverse events were reported. CONCLUSIONS: The literature suggests that while there is insufficient evidence to strongly advocate for the use of dry needling, it may be a useful addition to conventional physiotherapy in headache management. Further research with a stronger methodological design is required.

Lexical selection in bimodal bilinguals: ERP evidence from picture-word interference.

The picture word interference (PWI) paradigm and ERPs were used to investigate whether lexical selection in deaf and hearing ASL-English bilinguals occurs via lexical competition or whether the response exclusion hypothesis (REH) for PWI effects is supported. The REH predicts that semantic interference should not occur for bimodal bilinguals because sign and word responses do not compete within an output buffer. Bimodal bilinguals named pictures in ASL, preceded by either a translation equivalent, semantically-related, or unrelated English written word. In both the translation and semantically-related conditions bimodal bilinguals showed facilitation effects: reduced RTs and N400 amplitudes for related compared to unrelated prime conditions. We also observed an unexpected focal left anterior positivity that was stronger in the translation condition, which we speculate may be due to articulatory priming. Overall, the results support the REH and models of bilingual language production that assume lexical selection occurs without competition between languages.

Matching pictures and signs: An ERP study of the effects of iconic structural alignment in American sign language.

Event-related potentials (ERPs) were used to explore the effects of iconicity and structural visual alignment between a picture-prime and a sign-target in a picture-sign matching task in American Sign Language (ASL). Half the targets were iconic signs and were presented after a) a matching visually-aligned picture (e.g., the shape and location of the hands in the sign COW align with the depiction of a cow with visible horns), b) a matching visually-nonaligned picture (e.g., the cow's horns were not clearly shown), and c) a non-matching picture (e.g., a picture of a swing instead of a cow). The other half of the targets were filler signs. Trials in the matching condition were responded to faster than those in the non-matching condition and were associated with smaller N400 amplitudes in deaf ASL signers. These effects were also observed for hearing non-signers performing the same task with spoken-English targets. Trials where the picture-prime was aligned with the sign target were responded to faster than non-aligned trials and were associated with a reduced P3 amplitude rather than a reduced N400, suggesting that picture-sign alignment facilitated the decision process, rather than lexical access. These ERP and behavioral effects of alignment were found only for the ASL signers. The results indicate that iconicity effects on sign comprehension may reflect a task-dependent strategic use of iconicity, rather than facilitation of lexical access.

Picture-naming in American Sign Language: an electrophysiological study of the effects of iconicity and structured alignment.

A picture-naming task and ERPs were used to investigate effects of iconicity and visual alignment between signs and pictures in American Sign Language (ASL). For iconic signs, half the pictures visually overlapped with phonological features of the sign (e.g., the fingers of CAT align with a picture of a cat with prominent whiskers), while half did not (whiskers are not shown). Iconic signs were produced numerically faster than non-iconic signs and were associated with larger N400 amplitudes, akin to concreteness effects. Pictures aligned with iconic signs were named faster than non-aligned pictures, and there was a reduction in N400 amplitude. No behavioral effects were observed for the control group (English speakers). We conclude that sensory-motoric semantic features are represented more robustly for iconic than non-iconic signs (eliciting a concreteness-like N400 effect) and visual overlap between pictures and the phonological form of iconic signs facilitates lexical retrieval (eliciting a reduced N400).

"What's Important to You, Max?": The Influence of Goals on Engagement in an Interactive Narrative for Adolescent Health Behavior Change.

Interactive narrative technologies for preventive health care offer significant potential for promoting health behavior change in adolescents. By improving adolescents' knowledge, personal efficacy, and self-regulatory skills these technologies hold great promise for realizing positive impacts on adolescent health. These potential benefits are enabled through story-centric learning experiences that provide opportunities for adolescents to practice strategies to reduce risky health behaviors in engaging game-based environments. A distinctive feature of interactive narrative that promotes engagement is players' ability to influence the story through the choices they make. In this paper, we present initial work investigating engagement in an interactive narrative that focuses on reducing adolescents' risky behaviors around alcohol use. Specifically, we consider how the short-term and long-term goals adolescents choose as being important to the protagonist character relates to their engagement with the interactive narrative. Leveraging interaction log data from a pilot study with 20 adolescents, we conduct a cluster-based analysis of the goals players selected. We then examine how engagement differs between the identified clusters. Results indicate that adolescents' choices for the protagonist's short-term and long-term goals can significantly impact their engagement with the interactive narrative.

Cross-modal translation priming and iconicity effects in deaf signers and hearing learners of American Sign Language.

This study used ERPs to a) assess the neural correlates of cross-linguistic, cross-modal translation priming in hearing beginning learners of American Sign Language (ASL) and deaf highly proficient signers and b) examine whether sign iconicity modulates these priming effects. Hearing learners exhibited translation priming for ASL signs preceded by English words (greater negativity for unrelated than translation primes) later in the ERP waveform than deaf signers and exhibited earlier and greater priming for iconic than non-iconic signs. Iconicity did not modulate translation priming effects either behaviorally or in the ERPs for deaf signers (except in a 800-1000 ms time window). Because deaf signers showed early translation priming effects (beginning at 400ms-600ms), we suggest that iconicity did not facilitate lexical access, but deaf signers may have recognized sign iconicity later in processing. Overall, the results indicate that iconicity speeds lexical access for L2 sign language learners, but not for proficient signers.