A systematic review of the effects of transcranial photobiomodulation on brain activity in humans.

In recent years, transcranial photobiomodulation (tPBM) has been developing as a promising method to protect and repair brain tissues against damages. The aim of our systematic review is to examine the results available in the literature concerning the efficacy of tPBM in changing brain activity in humans, either in healthy individuals, or in patients with neurological diseases. Four databases were screened for references containing terms encompassing photobiomodulation, brain activity, brain imaging, and human. We also analysed the quality of the included studies using validated tools. Results in healthy subjects showed that even after a single session, tPBM can be effective in influencing brain activity. In particular, the different transcranial approaches - using a focal stimulation or helmet for global brain stimulation - seemed to act at both the vascular level by increasing regional cerebral blood flow (rCBF) and at the neural level by changing the activity of the neurons. In addition, studies also showed that even a focal stimulation was sufficient to induce a global change in functional connectivity across brain networks. Results in patients with neurological disease were sparser; nevertheless, they indicated that tPBM could improve rCBF and functional connectivity in several regions. Our systematic review also highlighted the heterogeneity in the methods and results generated, together with the need for more randomised controlled trials in patients with neurological diseases. In summary, tPBM could be a promising method to act on brain function, but more consistency is needed in order appreciate fully the underlying mechanisms and the precise outcomes.

Comparing the selectivity of vowel representations in cortical auditory vs. motor areas: A repetition-suppression study.

A computational model of speech perception, COSMO (Laurent et al., 2017), predicts that speech sounds should evoke both auditory representations in temporal areas and motor representations mainly in inferior frontal areas. Importantly, the model also predicts that auditory representations should be narrower, i.e. more focused on typical stimuli, than motor representations which would be more tolerant of atypical stimuli. Based on these assumptions, in a repetition-suppression study with functional magnetic resonance imaging data, we show that a sequence of 4 identical vowel sounds produces lower cortical activity (i.e. larger suppression effects) than if the last sound in the sequence is slightly varied. Crucially, temporal regions display an increase in cortical activity even for small acoustic variations, indicating a release of the suppression effect even for stimuli acoustically close to the first stimulus. In contrast, inferior frontal, premotor, insular and cerebellar regions show a release of suppression for larger acoustic variations. This "auditory-narrow motor-wide" pattern for vowel stimuli adds to a number of similar findings on consonant stimuli, confirming that the selectivity of speech sound representations in temporal auditory areas is narrower than in frontal motor areas in the human cortex.

The effect of photobiomodulation on the brain during wakefulness and sleep.

Over the last seventy years or so, many previous studies have shown that photobiomodulation, the use of red to near infrared light on body tissues, can improve central and peripheral neuronal function and survival in both health and in disease. These improvements are thought to arise principally from an impact of photobiomodulation on mitochondrial and non-mitochondrial mechanisms in a range of different cell types, including neurones. This impact has downstream effects on many stimulatory and protective genes. An often-neglected feature of nearly all of these improvements is that they have been induced during the state of wakefulness. Recent studies have shown that when applied during the state of sleep, photobiomodulation can also be of benefit, but in a different way, by improving the flow of cerebrospinal fluid and the clearance of toxic waste-products from the brain. In this review, we consider the potential differential effects of photobiomodulation dependent on the state of arousal. We speculate that the effects of photobiomodulation is on different cells and systems depending on whether it is applied during wakefulness or sleep, that it may follow a circadian rhythm. We speculate further that the arousal-dependent photobiomodulation effects are mediated principally through a biophoton - ultra-weak light emission - network of communication and repair across the brain.

Sleep-disordered breathing and ventilatory chemosensitivity in first ischaemic stroke patients: a prospective cohort study.

RATIONALE: Sleep-disordered breathing (SDB) is highly prevalent after stroke. The clinical and ventilatory chemosensitivity characteristics of SDB, namely obstructive, central and coexisting obstructive and central sleep apnoea (coexisting sleep apnoea) following stroke are poorly described. OBJECTIVE: To determine the respective clinical and ventilatory chemosensitivity characteristics of SDB at least 3 months after a first ischaemic stroke. METHODS: Cross-sectional analysis of a prospective, monocentric cohort conducted in a university hospital. 380 consecutive stroke or transient ischaemic attack patients were screened between December 2016 and December 2019. MEASUREMENTS AND MAIN RESULTS: Full-night polysomnography, and hypercapnic ventilatory response were performed at a median (Q1; Q3) time from stroke onset of 134.5 (97.0; 227.3) days. 185 first-time stroke patients were included in the analysis. 94 (50.8%) patients presented no or mild SDB (Apnoea-Hypopnoea Index <15 events/hour of sleep) and 91 (49.2%) moderate to severe SDB, of which 52 (57.1%) presented obstructive sleep apnoea and 39 (42.9%) coexisting or central sleep apnoea. Obstructive sleep apnoea patients significantly differed regarding their clinical presentation from patients with no or mild SDB, whereas there was no difference with coexisting and central sleep apnoea patients. The latter presented a higher frequency of cerebellar lesions along with a heightened hypercapnic ventilatory response compared with no or mild SDB patients. CONCLUSION: SDB in first-time stroke patients differ in their presentation by their respective clinical traits and ventilatory chemosensitivity characteristics. The heightened hypercapnic ventilatory response in coexisting and central sleep apnoea stroke patients may orientate them to specific ventilatory support.

The role of production abilities in the perception of consonant category in infants.

The influence of motor knowledge on speech perception is well established, but the functional role of the motor system is still poorly understood. The present study explores the hypothesis that speech production abilities may help infants discover phonetic categories in the speech stream, in spite of coarticulation effects. To this aim, we examined the influence of babbling abilities on consonant categorization in 6- and 9-month-old infants. Using an intersensory matching procedure, we investigated the infants' capacity to associate auditory information about a consonant in various vowel contexts with visual information about the same consonant, and to map auditory and visual information onto a common phoneme representation. Moreover, a parental questionnaire evaluated the infants' consonantal repertoire. In a first experiment using /b/-/d/ consonants, we found that infants who displayed babbling abilities and produced the /b/ and/or the /d/ consonants in repetitive sequences were able to correctly perform intersensory matching, while non-babblers were not. In a second experiment using the /v/-/z/ pair, which is as visually contrasted as the /b/-/d/ pair but which is usually not produced at the tested ages, no significant matching was observed, for any group of infants, babbling or not. These results demonstrate, for the first time, that the emergence of babbling could play a role in the extraction of vowel-independent representations for consonant place of articulation. They have important implications for speech perception theories, as they highlight the role of sensorimotor interactions in the development of phoneme representations during the first year of life.

Modifications of Visual Field Asymmetries for Face Categorization in Early Deaf Adults: A Study With Chimeric Faces.

Right hemisphere lateralization for face processing is well documented in typical populations. At the behavioral level, this right hemisphere bias is often related to a left visual field (LVF) bias. A conventional mean to study this phenomenon consists of using chimeric faces that are composed of the left and right parts of two faces. In this paradigm, participants generally use the left part of the chimeric face, mostly processed through the right optic tract, to determine its identity, gender or age. To assess the impact of early auditory deprivation on face processing abilities, we tested the LVF bias in a group of early deaf participants and hearing controls. In two experiments, deaf and hearing participants performed a gender categorization task with chimeric and normal average faces. Over the two experiments the results confirmed the presence of a LVF bias in participants, which was less frequent in deaf participants. This result suggested modifications of hemispheric lateralization for face processing in deaf participants. In Experiment 2 we also recorded eye movements to examine whether the LVF bias could be related to face scanning behavior. In this second study, participants performed a similar task while we recorded eye movements using an eye tracking system. Using areas of interest analysis we observed that the proportion of fixations on the mouth relatively to the other areas was increased in deaf participants in comparison with the hearing group. This was associated with a decrease of the proportion of fixations on the eyes. In addition these measures were correlated to the LVF bias suggesting a relationship between the LVF bias and the patterns of facial exploration. Taken together, these results suggest that early auditory deprivation results in plasticity phenomenon affecting the perception of static faces through modifications of hemispheric lateralization and of gaze behavior.

Audio-Visual Perception of Gender by Infants Emerges Earlier for Adult-Directed Speech.

Early multisensory perceptual experiences shape the abilities of infants to perform socially-relevant visual categorization, such as the extraction of gender, age, and emotion from faces. Here, we investigated whether multisensory perception of gender is influenced by infant-directed (IDS) or adult-directed (ADS) speech. Six-, 9-, and 12-month-old infants saw side-by-side silent video-clips of talking faces (a male and a female) and heard either a soundtrack of a female or a male voice telling a story in IDS or ADS. Infants participated in only one condition, either IDS or ADS. Consistent with earlier work, infants displayed advantages in matching female relative to male faces and voices. Moreover, the new finding that emerged in the current study was that extraction of gender from face and voice was stronger at 6 months with ADS than with IDS, whereas at 9 and 12 months, matching did not differ for IDS versus ADS. The results indicate that the ability to perceive gender in audiovisual speech is influenced by speech manner. Our data suggest that infants may extract multisensory gender information developmentally earlier when looking at adults engaged in conversation with other adults (i.e., ADS) than when adults are directly talking to them (i.e., IDS). Overall, our findings imply that the circumstances of social interaction may shape early multisensory abilities to perceive gender.

More evidence of the linkage between face processing and language processing.

This review of the literature on the emergence of language describes two opposing views of phonological development, the sound-based versus the whole-word-based accounts. An integrative model is proposed which claims that learning sublexical speech sounds and producing wordlike vocalizations are in fact parallel processes that feed each other during language development. We argue that this model might find unexpected support from the face processing literature.

Functional correlates of the speech-in-noise perception impairment in dyslexia: an MRI study.

Dyslexia is a language-based neurodevelopmental disorder. It is characterized as a persistent deficit in reading and spelling. These difficulties have been shown to result from an underlying impairment of the phonological component of language, possibly also affecting speech perception. Although there is little evidence for such a deficit under optimal, quiet listening conditions, speech perception difficulties in adults with dyslexia are often reported under more challenging conditions, such as when speech is masked by noise. Previous studies have shown that these difficulties are more pronounced when the background noise is speech and when little spatial information is available to facilitate differentiation between target and background sound sources. In this study, we investigated the neuroimaging correlates of speech-in-speech perception in typical readers and participants with dyslexia, focusing on the effects of different listening configurations. Fourteen adults with dyslexia and 14 matched typical readers performed a subjective intelligibility rating test with single words presented against concurrent speech during functional magnetic resonance imaging (fMRI) scanning. Target words were always presented with a four-talker background in one of three listening configurations: Dichotic, Binaural or Monaural. The results showed that in the Monaural configuration, in which no spatial information was available and energetic masking was maximal, intelligibility was severely decreased in all participants, and this effect was particularly strong in participants with dyslexia. Functional imaging revealed that in this configuration, participants partially compensate for their poorer listening abilities by recruiting several areas in the cerebral networks engaged in speech perception. In the Binaural configuration, participants with dyslexia achieved the same performance level as typical readers, suggesting that they were able to use spatial information when available. This result was, however, associated with increased activation in the right superior temporal gyrus, suggesting the need to reallocate neural resources to overcome speech-in-speech difficulties. Taken together, these results provide further understanding of the speech-in-speech perception deficit observed in dyslexia.

Gray and white matter distribution in dyslexia: a VBM study of superior temporal gyrus asymmetry.

In the present study, we investigated brain morphological signatures of dyslexia by using a voxel-based asymmetry analysis. Dyslexia is a developmental disorder that affects the acquisition of reading and spelling abilities and is associated with a phonological deficit. Speech perception disabilities have been associated with this deficit, particularly when listening conditions are challenging, such as in noisy environments. These deficits are associated with known neurophysiological correlates, such as a reduction in the functional activation or a modification of functional asymmetry in the cortical regions involved in speech processing, such as the bilateral superior temporal areas. These functional deficits have been associated with macroscopic morphological abnormalities, which potentially include a reduction in gray and white matter volumes, combined with modifications of the leftward asymmetry along the perisylvian areas. The purpose of this study was to investigate gray/white matter distribution asymmetries in dyslexic adults using automated image processing derived from the voxel-based morphometry technique. Correlations with speech-in-noise perception abilities were also investigated. The results confirmed the presence of gray matter distribution abnormalities in the superior temporal gyrus (STG) and the superior temporal Sulcus (STS) in individuals with dyslexia. Specifically, the gray matter of adults with dyslexia was symmetrically distributed over one particular region of the STS, the temporal voice area, whereas normal readers showed a clear rightward gray matter asymmetry in this area. We also identified a region in the left posterior STG in which the white matter distribution asymmetry was correlated to speech-in-noise comprehension abilities in dyslexic adults. These results provide further information concerning the morphological alterations observed in dyslexia, revealing the presence of both gray and white matter distribution anomalies and the potential involvement of these defects in speech-in-noise deficits.

Speech-in-noise perception deficit in adults with dyslexia: effects of background type and listening configuration.

Developmental dyslexia is associated with impaired speech-in-noise perception. The goal of the present research was to further characterize this deficit in dyslexic adults. In order to specify the mechanisms and processing strategies used by adults with dyslexia during speech-in-noise perception, we explored the influence of background type, presenting single target-words against backgrounds made of cocktail party sounds, modulated speech-derived noise or stationary noise. We also evaluated the effect of three listening configurations differing in terms of the amount of spatial processing required. In a monaural condition, signal and noise were presented to the same ear while in a dichotic situation, target and concurrent sound were presented to two different ears, finally in a spatialised configuration, target and competing signals were presented as if they originated from slightly differing positions in the auditory scene. Our results confirm the presence of a speech-in-noise perception deficit in dyslexic adults, in particular when the competing signal is also speech, and when both signals are presented to the same ear, an observation potentially relating to phonological accounts of dyslexia. However, adult dyslexics demonstrated better levels of spatial release of masking than normal reading controls when the background was speech, suggesting that they are well able to rely on denoising strategies based on spatial auditory scene analysis strategies.