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1.
Neuroimage ; 265: 119790, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36476566

RESUMO

Alpha oscillatory activity is thought to contribute to visual expectancy through the engagement of task-relevant occipital regions. In early blindness, occipital alpha oscillations are systematically reduced, suggesting that occipital alpha depends on visual experience. However, it remains possible that alpha activity could serve expectancy in non-visual modalities in blind people, especially considering that previous research has shown the recruitment of the occipital cortex for non-visual processing. To test this idea, we used electroencephalography to examine whether alpha oscillations reflected a differential recruitment of task-relevant regions between expected and unexpected conditions in two haptic tasks (texture and shape discrimination). As expected, sensor-level analyses showed that alpha suppression in parieto-occipital sites was significantly reduced in early blind individuals compared with sighted participants. The source reconstruction analysis revealed that group differences originated in the middle occipital cortex. In that region, expected trials evoked higher alpha desynchronization than unexpected trials in the early blind group only. Our results support the role of alpha rhythms in the recruitment of occipital areas in early blind participants, and for the first time we show that although posterior alpha activity is reduced in blindness, it remains sensitive to expectancy factors. Our findings therefore suggest that occipital alpha activity is involved in tactile expectancy in blind individuals, serving a similar function to visual anticipation in sighted populations but switched to the tactile modality. Altogether, our results indicate that expectancy-dependent modulation of alpha oscillatory activity does not depend on visual experience. SIGNIFICANCE STATEMENT: Are posterior alpha oscillations and their role in expectancy and anticipation dependent on visual experience? Our results show that tactile expectancy can modulate posterior alpha activity in blind (but not sighted) individuals through the engagement of occipital regions, suggesting that in early blindness, alpha oscillations maintain their proposed role in visual anticipation but subserve tactile processing. Our findings bring a new understanding of the role that alpha oscillatory activity plays in blindness, contrasting with the view that alpha activity is task unspecific in blind populations.


Assuntos
Percepção do Tato , Tato , Humanos , Tato/fisiologia , Cegueira , Lobo Occipital , Percepção do Tato/fisiologia , Eletroencefalografia
2.
Neuroimage ; 271: 120026, 2023 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-36921678

RESUMO

Learning new words in an unfamiliar language is a complex endeavor that requires the orchestration of multiple perceptual and cognitive functions. Although the neural mechanisms governing word learning are becoming better understood, little is known about the predictive value of resting-state (RS) metrics for foreign word discrimination and word learning attainment. In addition, it is still unknown which of the multistep processes involved in word learning have the potential to rapidly reconfigure RS networks. To address these research questions, we used electroencephalography (EEG), measured forty participants, and examined scalp-based power spectra, source-based spectral density maps and functional connectivity metrics before (RS1), in between (RS2) and after (RS3) a series of tasks which are known to facilitate the acquisition of new words in a foreign language, namely word discrimination, word-referent mapping and semantic generalization. Power spectra at the scalp level consistently revealed a reconfiguration of RS networks as a function of foreign word discrimination (RS1 vs. RS2) and word learning (RS1 vs. RS3) tasks in the delta, lower and upper alpha, and upper beta frequency ranges. Otherwise, functional reconfigurations at the source level were restricted to the theta (spectral density maps) and to the lower and upper alpha frequency bands (spectral density maps and functional connectivity). Notably, scalp RS changes related to the word discrimination tasks (difference between RS2 and RS1) correlated with word discrimination abilities (upper alpha band) and semantic generalization performance (theta and upper alpha bands), whereas functional changes related to the word learning tasks (difference between RS3 and RS1) correlated with word discrimination scores (lower alpha band). Taken together, these results highlight that foreign speech sound discrimination and word learning have the potential to rapidly reconfigure RS networks at multiple functional scales.


Assuntos
Fonética , Percepção da Fala , Humanos , Encéfalo , Percepção Auditiva , Aprendizagem
3.
Eur J Neurol ; 29(3): 873-882, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34661326

RESUMO

BACKGROUND AND PURPOSE: This study was undertaken to determine and compare lesion patterns and structural dysconnectivity underlying poststroke aprosodia and amusia, using a data-driven multimodal neuroimaging approach. METHODS: Thirty-nine patients with right or left hemisphere stroke were enrolled in a cohort study and tested for linguistic and affective prosody perception and musical pitch and rhythm perception at subacute and 3-month poststroke stages. Participants listened to words spoken with different prosodic stress that changed their meaning, and to words spoken with six different emotions, and chose which meaning or emotion was expressed. In the music tasks, participants judged pairs of short melodies as the same or different in terms of pitch or rhythm. Structural magnetic resonance imaging data were acquired at both stages, and machine learning-based lesion-symptom mapping and deterministic tractography were used to identify lesion patterns and damaged white matter pathways giving rise to aprosodia and amusia. RESULTS: Both aprosodia and amusia were behaviorally strongly correlated and associated with similar lesion patterns in right frontoinsular and striatal areas. In multiple regression models, reduced fractional anisotropy and lower tract volume of the right inferior fronto-occipital fasciculus were the strongest predictors for both disorders, over time. CONCLUSIONS: These results highlight a common origin of aprosodia and amusia, both arising from damage and disconnection of the right ventral auditory stream integrating rhythmic-melodic acoustic information in prosody and music. Comorbidity of these disabilities may worsen the prognosis and affect rehabilitation success.


Assuntos
Transtornos da Percepção Auditiva , Música , Transtornos da Percepção Auditiva/etiologia , Estudos de Coortes , Humanos , Imageamento por Ressonância Magnética , Distúrbios da Fala
4.
Proc Natl Acad Sci U S A ; 116(9): 3793-3798, 2019 02 26.
Artigo em Inglês | MEDLINE | ID: mdl-30670642

RESUMO

Understanding how the brain translates a structured sequence of sounds, such as music, into a pleasant and rewarding experience is a fascinating question which may be crucial to better understand the processing of abstract rewards in humans. Previous neuroimaging findings point to a challenging role of the dopaminergic system in music-evoked pleasure. However, there is a lack of direct evidence showing that dopamine function is causally related to the pleasure we experience from music. We addressed this problem through a double blind within-subject pharmacological design in which we directly manipulated dopaminergic synaptic availability while healthy participants (n = 27) were engaged in music listening. We orally administrated to each participant a dopamine precursor (levodopa), a dopamine antagonist (risperidone), and a placebo (lactose) in three different sessions. We demonstrate that levodopa and risperidone led to opposite effects in measures of musical pleasure and motivation: while the dopamine precursor levodopa, compared with placebo, increased the hedonic experience and music-related motivational responses, risperidone led to a reduction of both. This study shows a causal role of dopamine in musical pleasure and indicates that dopaminergic transmission might play different or additive roles than the ones postulated in affective processing so far, particularly in abstract cognitive activities.


Assuntos
Encéfalo/fisiologia , Dopamina/metabolismo , Música , Prazer/fisiologia , Administração Oral , Adulto , Percepção Auditiva/fisiologia , Encéfalo/efeitos dos fármacos , Agonistas de Dopamina/administração & dosagem , Emoções/fisiologia , Feminino , Humanos , Levodopa/administração & dosagem , Masculino , Efeito Placebo , Recompensa , Risperidona/administração & dosagem , Adulto Jovem
5.
J Cogn Neurosci ; 33(10): 2093-2108, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34407186

RESUMO

The learning of new words is a challenge that accompanies human beings throughout the entire life span. Although the main electrophysiological markers of word learning have already been described, little is known about the performance-dependent neural machinery underlying this exceptional human faculty. Furthermore, it is currently unknown how word learning abilities are related to verbal memory capacity, auditory attention functions, phonetic discrimination skills, and musicality. Accordingly, we used EEG and examined 40 individuals, who were assigned to two groups (low [LPs] and high performers [HPs]) based on a median split of word learning performance, while they completed a phonetic-based word learning task. Furthermore, we collected behavioral data during an attentive listening and a phonetic discrimination task with the same stimuli to address relationships between auditory attention and phonetic discrimination skills, word learning performance, and musicality. The phonetic-based word learning task, which also included a nonlearning control condition, was sensitive enough to segregate learning-specific and unspecific N200/N400 manifestations along the anterior-posterior topographical axis. Notably, HPs exhibited enhanced verbal memory capacity and we also revealed a performance-dependent spatial N400 pattern, with maximal amplitudes at posterior electrodes in HPs and central maxima in LPs. Furthermore, phonetic-based word learning performance correlated with verbal memory capacity and phonetic discrimination skills, whereas the latter was related to musicality. This experimental approach clearly highlights the multifaceted dimensions of phonetic-based word learning and is helpful to disentangle learning-specific and unspecific ERPs.


Assuntos
Fonética , Percepção da Fala , Eletroencefalografia , Potenciais Evocados , Feminino , Humanos , Masculino , Aprendizagem Verbal
6.
Neuroimage ; 235: 118051, 2021 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-33848624

RESUMO

Neural oscillations constitute an intrinsic property of functional brain organization that facilitates the tracking of linguistic units at multiple time scales through brain-to-stimulus alignment. This ubiquitous neural principle has been shown to facilitate speech segmentation and word learning based on statistical regularities. However, there is no common agreement yet on whether speech segmentation is mediated by a transition of neural synchronization from syllable to word rate, or whether the two time scales are concurrently tracked. Furthermore, it is currently unknown whether syllable transition probability contributes to speech segmentation when lexical stress cues can be directly used to extract word forms. Using Inter-Trial Coherence (ITC) analyses in combinations with Event-Related Potentials (ERPs), we showed that speech segmentation based on both statistical regularities and lexical stress cues was accompanied by concurrent neural synchronization to syllables and words. In particular, ITC at the word rate was generally higher in structured compared to random sequences, and this effect was particularly pronounced in the flat condition. Furthermore, ITC at the syllable rate dynamically increased across the blocks of the flat condition, whereas a similar modulation was not observed in the stressed condition. Notably, in the flat condition ITC at both time scales correlated with each other, and changes in neural synchronization were accompanied by a rapid reconfiguration of the P200 and N400 components with a close relationship between ITC and ERPs. These results highlight distinct computational principles governing neural synchronization to pertinent linguistic units while segmenting speech under different listening conditions.


Assuntos
Percepção da Fala/fisiologia , Medida da Produção da Fala/estatística & dados numéricos , Adulto , Eletroencefalografia , Potenciais Evocados , Feminino , Humanos , Idioma , Masculino , Fonética , Fala , Adulto Jovem
7.
Neuroimage ; 242: 118443, 2021 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-34352392

RESUMO

Humans continuously learn new information. Here, we examined the temporal brain dynamics of explicit verbal associative learning between unfamiliar items. In the first experiment, 25 adults learned object-pseudoword associations during a 5-day training program allowing us to track the N400 dynamics across learning blocks within and across days. Successful learning was accompanied by an initial frontal N400 that decreased in amplitude across blocks during the first day and shifted to parietal sites during the last training day. In Experiment 2, we replicated our findings with 38 new participants randomly assigned to a consistent learning or an inconsistent learning group. The N400 amplitude modulations that we found, both within and between learning sessions, are taken to reflect the emergence of novel lexical traces even when learning concerns items for which no semantic information is provided. The shift in N400 topography suggests that different N400 neural generators may contribute to specific word learning steps through a balance between domain-general and language-specific mechanisms.


Assuntos
Potenciais Evocados/fisiologia , Aprendizagem Verbal/fisiologia , Adulto , Mapeamento Encefálico , Eletroencefalografia , Feminino , Humanos , Idioma , Estudos Longitudinais , Masculino , Tempo de Reação , Semântica , Vocabulário , Adulto Jovem
8.
Neuroimage ; 229: 117759, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33454403

RESUMO

The mismatch negativity (MMN) is an event related brain potential (ERP) elicited by unpredicted sounds presented in a sequence of repeated auditory stimuli. The neural sources of the MMN have been previously attributed to a fronto-temporo-parietal network which crucially overlaps with the so-called auditory dorsal stream, involving inferior and middle frontal, inferior parietal, and superior and middle temporal regions. These cortical areas are structurally connected by the arcuate fasciculus (AF), a three-branch pathway supporting the feedback-feedforward loop involved in auditory-motor integration, auditory working memory, storage of acoustic templates, as well as comparison and update of those templates. Here, we characterized the individual differences in the white-matter macrostructural properties of the AF and explored their link to the electrophysiological marker of passive change detection gathered in a melodic multifeature MMN-EEG paradigm in 26 healthy young adults without musical training. Our results show that left fronto-temporal white-matter connectivity plays an important role in the pre-attentive detection of rhythm modulations within a melody. Previous studies have shown that this AF segment is also critical for language processing and learning. This strong coupling between structure and function in auditory change detection might be related to life-time linguistic (and possibly musical) exposure and experiences, as well as to timing processing specialization of the left auditory cortex. To the best of our knowledge, this is the first time in which the relationship between neurophysiological (EEG) and brain white-matter connectivity indexes using DTI-tractography are studied together. Thus, the present results, although still exploratory, add to the existing evidence on the importance of studying the constraints imposed on cognitive functions by the underlying structural connectivity.


Assuntos
Atenção/fisiologia , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/fisiologia , Individualidade , Música/psicologia , Substância Branca/diagnóstico por imagem , Substância Branca/fisiologia , Estimulação Acústica/métodos , Eletroencefalografia/métodos , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/fisiologia , Adulto Jovem
9.
Eur J Neurol ; 28(4): 1324-1333, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33296534

RESUMO

BACKGROUND AND PURPOSE: Cancer treatments have deleterious effects on both brain structure and the cognition of lung cancer patients. Physical activity (PA) has beneficial effects on the cognition of healthy adults by eliciting brain plasticity, especially on the medial temporal lobe (hippocampus). Therefore, the aim was to study the neuroprotective effects of a 3-month PA programme (PAP) on the brain structure and cognitive performance of lung cancer patients. METHODS: Twelve patients (seven non-small-cell lung cancer [NSCLC] patients following chemotherapy, five small-cell lung cancer [SCLC] patients following chemotherapy and prophylactic cranial irradiation) agreed to complete the PAP and underwent baseline and 3-month (post-PAP) brain magnetic resonance imaging and neuropsychological evaluations (PAP group). Twelve lung cancer patients (seven NSCLC, five SCLC; non-PAP group) and 12 healthy sex-, age- and education-matched controls were recruited and completed two evaluations separated by the same amount of time. A region of interest voxel-based morphometry analysis focused on bilateral hippocampi was performed. RESULTS: Physical activity programme patients presented greater grey matter volume (GMV) across time in both hippocampi. Moreover, it was observed that SCLC patients in both the PAP and non-PAP groups presented a time-dependent GMV loss in bilateral hippocampi that was not significant in NSCLC patients. Importantly, the PA intervention decreased the magnitude of that GMV loss, becoming thus especially beneficial at the brain structural level for SCLC patients. CONCLUSIONS: Our study demonstrates, using a neuroimaging approach for the first time, that PA is able to stop the deleterious effects of systemic chemotherapy and brain radiation on brain structures of the lung cancer population, especially in SCLC patients.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Adulto , Encéfalo , Carcinoma Pulmonar de Células não Pequenas/terapia , Exercício Físico , Substância Cinzenta , Hipocampo , Humanos , Neoplasias Pulmonares/terapia , Imageamento por Ressonância Magnética
10.
BMC Neurol ; 21(1): 442, 2021 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-34758783

RESUMO

BACKGROUND: Surgery may render temporal lobe epilepsy (TLE) patients seizure-free. However, TLE is a heterogenous entity and surgical prognosis varies between patients. Network-based biomarkers have been shown to be altered in TLE patients and hold promise for classifying TLE subtypes and improving pre-surgical prognosis. The aim of the present study is to investigate a network-based biomarker, the weighted degree of connectivity (wDC), on an individual level, and its relation to TLE subtypes and surgical prognosis. METHODS: Thirty unilateral TLE patients undergoing the same surgical procedure (anterior temporal resection) and 18 healthy controls were included. All patients were followed-up in the same center for a mean time of 6.85 years and classified as seizure-free (SF) and non seizure-free (non-SF). Using pre-surgical resting state functional MRI, whole brain wDC values for patients and controls were calculated. Then, we divided both temporal lobes in three Regions-of-interest (ROIs) -mesial, pole and lateral- as these areas are known to behave differently in seizure onset and propagation, delimiting different TLE profiles. The wDC values for the defined ROIs of each individual patient were compared with the healthy group. RESULTS: After surgery, 14 TLE patients remained SF. As a group, patients had higher wDC than controls in both the temporal pole (p < 0.05) as well as in the mesial regions (p < 0.002) of the to-be-resected temporal lobe. When comparing between SF and non-SF patients, a step-wise binary logistic regression model including all the ROIs, showed that having an increased wDC of the temporal pole (p < 0.05) and the mesial area (p < 0.05) of the to-be-resected temporal lobe was associated with seizure freedom long-term after surgery. CONCLUSIONS: This study provides a network-based presurgical biomarker that could pave the way towards personalized prediction. In patients with TLE undergoing anterior temporal resections, having an increased wDC at rest could be a signature of the epileptogenic area, and could help identifying those patients who would benefit most from surgery.


Assuntos
Epilepsia do Lobo Temporal , Encéfalo/diagnóstico por imagem , Encéfalo/cirurgia , Epilepsia do Lobo Temporal/diagnóstico por imagem , Epilepsia do Lobo Temporal/cirurgia , Humanos , Imageamento por Ressonância Magnética , Convulsões , Lobo Temporal
11.
BMC Neurol ; 21(1): 19, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33435919

RESUMO

BACKGROUND: Residual motor deficits of the upper limb in patients with chronic stroke are common and have a negative impact on autonomy, participation and quality of life. Music-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and quality of life in chronic stroke patients. We have adapted the original MST training protocol to a home-based intervention, which incorporates increased training intensity and variability, group sessions, and optimisation of learning to promote autonomy and motivation. METHODS: A randomised controlled trial will be conducted to test the effectiveness of this enriched MST (eMST) protocol in improving motor functions, cognition, emotional well-being and quality of life of chronic stroke patients when compared to a program of home-based exercises utilizing the Graded Repetitive Arm Supplementary Program (GRASP). Sixty stroke patients will be recruited and randomly allocated to an eMST group (n = 30) or a control GRASP intervention group (n = 30). Patients will be evaluated before and after a 10-week intervention, as well as at 3-month follow-up. The primary outcome of the study is the functionality of the paretic upper limb measured with the Action Research Arm Test. Secondary outcomes include other motor and cognitive functions, emotional well-being and quality of life measures as well as self-regulation and self-efficacy outcomes. DISCUSSION: We hypothesize that patients treated with eMST will show larger improvements in their motor and cognitive functions, emotional well-being and quality of life than patients treated with a home-based GRASP intervention. TRIAL REGISTRATION: The trial has been registered at ClinicalTrials.gov and identified as NCT04507542 on 8 August 2020.


Assuntos
Musicoterapia/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Recuperação de Função Fisiológica , Acidente Vascular Cerebral/complicações , Extremidade Superior/fisiopatologia
12.
Dev Sci ; 24(1): e12990, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32416634

RESUMO

Recent findings have revealed that very preterm neonates already show the typical brain responses to place of articulation changes in stop consonants, but data on their sensitivity to other types of phonetic changes remain scarce. Here, we examined the impact of 7-8 weeks of extra-uterine life on the automatic processing of syllables in 20 healthy moderate preterm infants (mean gestational age at birth 33 weeks) matched in maturational age with 20 full-term neonates, thus differing in their previous auditory experience. This design allows elucidating the contribution of extra-uterine auditory experience in the immature brain on the encoding of linguistically relevant speech features. Specifically, we collected brain responses to natural CV syllables differing in three dimensions using a multi-feature mismatch paradigm, with the syllable/ba/ as the standard and three deviants: a pitch change, a vowel change to/bo/ and a consonant voice-onset time (VOT) change to/pa/. No significant between-group differences were found for pitch and consonant VOT deviants. However, moderate preterm infants showed attenuated responses to vowel deviants compared to full terms. These results suggest that moderate preterm infants' limited experience with low-pass filtered speech prenatally can hinder vowel change detection and that exposure to natural speech after birth does not seem to contribute to improve this capacity. These data are in line with recent evidence suggesting a sequential development of a hierarchical functional architecture of speech processing that is highly sensitive to early auditory experience.


Assuntos
Fonética , Percepção da Fala , Estimulação Acústica , Encéfalo , Potenciais Evocados Auditivos , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Fala
13.
Int J Geriatr Psychiatry ; 36(7): 1037-1049, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33792089

RESUMO

OBJECTIVES: We studied a sample of cognitively unimpaired individuals, with and without subjective cognitive decline (SCD), in order to investigate accelerated long-term forgetting (ALF) and to explore the relationships between objective and subjective cognitive performance and cerebrospinal fluid (CSF) Alzheimer's disease (AD) biomarkers. METHODS: Fifty-two individuals were included and SCD was quantified through the Subjective Cognitive Decline Questionnaire (SCD-Q), using its validated cutoff to classify participants as Low SCD-Q (n = 21) or High SCD-Q (n = 31). These groups were further subdivided according to the presence or absence of abnormal levels of CSF Aß42 . Objective cognitive performance was assessed with the Ancient Farming Equipment Test (AFE-T), a new highly-demanding test that calls for acquisition and retention of novel object/name pairs and allows measuring ALF over a 6-month period. RESULTS: The High SCD-Q group showed a significantly higher free forgetting rate at 3 months compared to the Low SCD-Q (F [1,44] = 4.72; p < 0.05). When stratifying by amyloid status, High SCD-Q/Aß+ showed a significantly lower performance than High SCD-Q/Aß-on the final free and cued learning scores (F [1,27] = 6.44, p < 0.05 and F [1,27] = 7.51, p < 0.05, respectively), the 1-week free and cued recall (F [1,24] = 4.49; p < 0.05 and F [1,24] = 7.10; p < 0.01, respectively), the 1-week cued forgetting rate (F [1,24] = 5.13; p < 0.05), and the 3-month cued recall (F [1,24] = 4.27; p < 0.05). Linear regression analyses showed that higher SCD-Q scores were associated with higher forgetting rates on the AFE-T (ß = -0.212; p < 0.05). CONCLUSIONS: It is possible to detect ALF in individuals with high SCD ratings, appearing especially in those with abnormal CSF Aß42 levels. Both in research and the clinical field, there is an increasing need of using more demanding cognitive measures, such as the AFE-T, for identifying and tracking the earliest cognitive changes in these populations.


Assuntos
Doença de Alzheimer , Disfunção Cognitiva , Peptídeos beta-Amiloides , Biomarcadores , Humanos , Testes Neuropsicológicos
14.
Brain Inj ; 35(12-13): 1585-1597, 2021 11 10.
Artigo em Inglês | MEDLINE | ID: mdl-34554859

RESUMO

OBJECTIVE: After completing formal stroke rehabilitation programs, most patients do not achieve full upper limb motor function recovery. Music-supported Therapy (MST) can improve motor functionality post stroke through musical training. We designed a home-based enriched Music-supported Therapy (eMST) program to provide patients with chronic stroke the opportunity of continuing rehabilitation by themselves. We developed an app to conduct the eMST sessions at home with a MIDI-piano and percussion instruments. Here, we tested the feasibility of the eMST intervention using the novel app. METHOD: This is a pilot study where five patients with chronic stroke underwent a 10-week intervention of 3 sessions per week. Patients answered feasibility questionnaires throughout the intervention to modify aspects of the rehabilitation program and the app according to their feedback. Upper limb motor functions were evaluated pre- and post-intervention as well as speed and force tapping during daily piano performance. RESULTS: Patients clinically improved in upper limb motor function achieving the Minimal Detectable Change (MDC) or Minimal Clinically Important Difference (MCID) in most of motor tests. The app received high usability ratings post-intervention. CONCLUSION: The eMST program is a feasible intervention for patients with chronic stroke and its efficacy should be assessed in a clinical trial.


Assuntos
Aplicativos Móveis , Música , Reabilitação do Acidente Vascular Cerebral , Estudos de Viabilidade , Humanos , Projetos Piloto , Recuperação de Função Fisiológica , Extremidade Superior
15.
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
16.
J Neurosci ; 39(25): 5018-5027, 2019 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-31000588

RESUMO

People show considerable variability in the degree of pleasure they experience from music. These individual differences in music reward sensitivity are driven by variability in functional connectivity between the nucleus accumbens (NAcc), a key structure of the reward system, and the right superior temporal gyrus (STG). However, it is unknown whether a neuroanatomical basis exists for this variability. We used diffusion tensor imaging and probabilistic tractography to study the relationship between music reward sensitivity and white matter microstructure connecting these two regions via the orbitofrontal cortex (OFC) in 38 healthy human participants (24 females and 14 males). We found that right axial diffusivity (AD) in the STG-OFC connectivity inversely correlated with music reward sensitivity. Additionally, right mean diffusivity and left AD in the NAcc-OFC tract also showed an inverse correlation. Further, AD in this tract also correlated with previously acquired BOLD activity during music listening, but not for a control monetary reward task in the NAcc. Finally, we used mediation analysis to show that AD in the NAcc-OFC tract explains the influence of NAcc activation during a music task on music reward sensitivity. Overall, our results provide further support for the idea that the exchange of information among perceptual, integrative, and reward systems is important for musical pleasure, and that individual differences in the structure of the relevant anatomical connectivity influences the degree to which people are able to derive such pleasure.SIGNIFICANCE STATEMENT Music is one of the most important sources of pleasure for many people, but at the same time there are important individual differences in the sensitivity to musical reward. Previous studies have revealed the critical involvement of the functional connectivity between perceptual and subcortical brain areas in the enjoyment of music. However, it is unknown whether individual differences in music sensitivity might arise from variability in the structural connectivity among these areas. Here we show that structural connectivity between supratemporal and orbitofrontal cortices, and between orbitofrontal and nucleus accumbens, predict individual differences in sensibility to music reward. These results provide evidence for the critical involvement of the interaction between the subcortical reward system and higher-order cortical areas in music-induced pleasure.


Assuntos
Encéfalo/diagnóstico por imagem , Individualidade , Música/psicologia , Recompensa , Substância Branca/diagnóstico por imagem , Adolescente , Adulto , Imagem de Tensor de Difusão , Feminino , Humanos , Masculino , Núcleo Accumbens/diagnóstico por imagem , Prazer , Adulto Jovem
17.
Psychol Med ; 50(10): 1746-1754, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31456534

RESUMO

BACKGROUND: Although executive and other cognitive deficits have been found in patients with borderline personality disorder (BPD), whether these have brain functional correlates has been little studied. This study aimed to examine patterns of task-related activation and de-activation during the performance of a working memory task in patients with the disorder. METHODS: Sixty-seven DSM-IV BPD patients and 67 healthy controls underwent fMRI during the performance of the n-back task. Linear models were used to obtain maps of within-group activations and areas of differential activation between the groups. RESULTS: On corrected whole-brain analysis, there were no activation differences between the BPD patients and the healthy controls during the main 2-back v. baseline contrast, but reduced activation was seen in the precentral cortex bilaterally and the left inferior parietal cortex in the 2-back v. 1-back contrast. The patients showed failure of de-activation affecting the medial frontal cortex and the precuneus, plus in other areas. The changes did not appear to be attributable to previous history of depression, which was present in nearly half the sample. CONCLUSIONS: In this study, there was some, though limited, evidence for lateral frontal hypoactivation in BPD during the performance of an executive task. BPD also appears to be associated with failure of de-activation in key regions of the default mode network.


Assuntos
Transtorno da Personalidade Borderline/fisiopatologia , Rede de Modo Padrão/fisiopatologia , Lobo Parietal/fisiopatologia , Adulto , Mapeamento Encefálico , Estudos de Casos e Controles , Feminino , Humanos , Imageamento por Ressonância Magnética/instrumentação , Imageamento por Ressonância Magnética/métodos , Masculino , Memória de Curto Prazo , Espanha , Adulto Jovem
18.
Neuroimage ; 189: 192-201, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-30625396

RESUMO

According to prediction-based accounts of language comprehension, incoming contextual information is constantly used to guide the pre-activation of the most probable continuations to the unfolding sentences. However, there is still scarce evidence of the build-up of these predictions during sentence comprehension. Using event-related brain potentials, we investigated sustained processes associated to semantic prediction during online sentence comprehension. To address this, participants read sentences with varying levels of contextual constraint one word at a time. A 1000 ms interval preceded the final word, which could be congruent or incongruent. A slow sustained negativity developed gradually over the course of sentences, showing differences across conditions, with increasingly larger amplitudes for high than low levels of constraint. The effect was maximal in the interval preceding the closing word. This interval elicited a left-dominant slow negative potential with a graded amplitude modulation to contextual constraint, replicating previous results in speech comprehension. We argue that these slow potentials index the engagement of cognitive operations associated to semantic prediction. In addition, we replicated the finding of an earlier onset of the N400 effect (incongruent minus congruent) for high relative to low contextual constraint, suggesting facilitated processing for contextually-supported and highly expected words. Altogether, these results are consistent with prediction-based models of language comprehension and they also strengthen the value of investigating slow components as potential indices of mechanisms linked to language prediction.


Assuntos
Antecipação Psicológica/fisiologia , Córtex Cerebral/fisiologia , Compreensão/fisiologia , Eletroencefalografia/métodos , Potenciais Evocados/fisiologia , Psicolinguística , Leitura , Adulto , Feminino , Humanos , Masculino , Semântica , Adulto Jovem
19.
Neuroimage ; 191: 518-528, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-30831314

RESUMO

Due to the high linguistic and cognitive demands placed on real-time language translation, professional simultaneous interpreters (SIs) have previously been proposed to serve as a reasonable model for evaluating experience-dependent brain properties. However, currently it is still unknown whether intensive language training during adulthood might be reflected in microstructural changes in language-related white matter pathways contributing to sound-to-meaning mapping, auditory-motor integration, and verbal memory functions. Accordingly, we used a fully automated probabilistic tractography algorithm and compared the white matter microstructure of the bilateral inferior longitudinal fasciculus (ILF), uncinate fasciculus (UF), and arcuate fasciculus (AF, long and anterior segments) between professional SIs and multilingual control participants. In addition, we classically re-evaluated the three constitutional elements of the AF (long, anterior, and posterior segments) using a deterministic manual dissection procedure. Automated probabilistic tractography demonstrated overall reduced mean fractional anisotropy (FA) and increased radial diffusivity (RD) in SIs in the fiber tracts of the left hemisphere (LH). Furthermore, SIs exhibited reduced mean FA in the bilateral AF. However, according to manual dissection, this effect was limited to the anterior AF segment and accompanied by increased mean RD. Deterministic AF reconstruction also uncovered increased mean FA in the right and RD in the left long AF segment in SIs compared to controls. These results point to a relationship between simultaneous interpreting and white matter organization of pathways underlying speech and language processing in the language-dominant LH as well as of the AF.


Assuntos
Encéfalo/anatomia & histologia , Encéfalo/fisiologia , Multilinguismo , Fala/fisiologia , Substância Branca/anatomia & histologia , Substância Branca/fisiologia , Adulto , Imagem de Tensor de Difusão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vias Neurais/anatomia & histologia , Vias Neurais/fisiologia , Tradução
20.
Neurobiol Learn Mem ; 166: 107085, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31513849

RESUMO

The brain mechanisms of working memory (WM) training in humans remain unclear. Here we examined how WM updating training modulates a cascade of event-related potentials (ERPs) elicited at different processing stages. We hypothesized that WM updating training results to decreases in the early responses reflecting stimulus selection and response preparation, and increases the late slow responses reflecting maintenance of to-be-remembered materials. Healthy adults were randomized to a WM updating group that trained an adaptive dual n-back task (n = 20), and an active control group that played a computer game (n = 20). Both groups performed three 25-min training sessions per week for five weeks. Pretest-posttest comparisons showed that the training group significantly improved their performance as compared to the active controls, but this was limited to the trained task. In line with our hypothesis, P2-N2-P3 complex showed changes from pre- to posttest. In the training group this was observed as decreased load-effect while in the control group there was an opposite pattern at some latencies. Slow waves elicited during the maintenance were decreased in the easy task and increased in the difficult task. Taken together, our findings suggest that the early and late ERPs are differentially affected by training. When task demands are high, training may lead to an improved ability to actively maintain several stimuli in memory, and when they are low, training results in more efficient processing and automatization.


Assuntos
Encéfalo/fisiologia , Potenciais Evocados/fisiologia , Aprendizagem/fisiologia , Memória de Curto Prazo/fisiologia , Tempo de Reação/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Análise e Desempenho de Tarefas , Adulto Jovem
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