Resting-state functional connectivity in the brain and its relation to language development in preschool children

Human infants have been shown to have an innate capacity to acquire their mother tongue. In recent decades, the advent of the functional magnetic resonance imaging (fMRI) technique has made it feasible to explore the neural basis underlying language acquisition and processing in children, even in newborn infants (for reviews, see Kuhl & Rivera-Gaxiola, 2008; Kuhl, 2010) . Spontaneous low-frequency (< 0.1 Hz) fluctuations (LFFs) in the resting brain have been shown to be physiologically meaningful in the seminal study (Biswal et al., 1995) . Compared to task-based fMRI, resting-state fMRI (rs-fMRI) has some unique advantages in neuroimaging research, especially in obtaining data from pediatric and clinical populations. Moreover, it enables us to characterize the functional organization of the brain in a systematic manner in the absence of explicit tasks. Among brain systems, the language network has been well investigated by analyzing LFFs in the resting brain. This thesis attempts to investigate the functional connectivity within the language network in typically developing preschool children and the covariation of this connectivity with children’s language development by using the rs-fMRI technique. The first study (see Chapter 2.1; Xiao et al., 2016a) revealed connectivity differences in language-related regions between 5-year-olds and adults, and demonstrated distinct correlation patterns between functional connections within the language network and sentence comprehension performance in children. The results showed a left fronto-temporal connection for processing syntactically more complex sentences, suggesting that this connection is already in place at age 5 when it is needed for complex sentence comprehension, even though the whole functional network is still immature. In the second study (see Chapter 2.2; Xiao et al., 2016b), sentence comprehension performance and rs-fMRI data were obtained from a cohort of children at age 5 and a one-year follow-up. This study examined the changes in functional connectivity in the developing brain and their relation to the development of language abilities. The findings showed that the development of intrinsic functional connectivity in preschool children over the course of one year is clearly observable and individual differences in this development are related to the advancement in sentence comprehension ability with age. In summary, the present thesis provides new insights into the relationship between intrinsic functional connectivity in the brain and language processing, as well as between the changes in intrinsic functional connectivity and concurrent language development in preschool children. Moreover, it allows for a better understanding of the neural mechanisms underlying language processing and the advancement of language abilities in the developing brain

Communicative and linguistic development in preterm children: a longitudinal study from 12 to 24 months.

BACKGROUND: Research conducted on preterm children's linguistic skills has provided varying pictures, and the question of whether and to what extent preterm children are delayed in early language acquisition remains largely unresolved. AIMS: To examine communicative and linguistic development during the second year in a group of Italian children born prematurely using the 'Primo Vocabolario del Bambino' (PVB), the Italian version of the MacArthur-Bates Communicative Development Inventory. The primary goal was to compare action/gesture production, word comprehension, and word production, and the relationship between these three domains in preterm children and to normative data obtained from a large sample of Italian children born at term. A second aim was to address the longstanding debate regarding the use of chronological versus corrected gestational age in the assessment of preterm children's abilities. METHODS & PROCEDURES: Parents of twelve preterm children completed the PVB questionnaire at five age points during the children's second year, and scores were compared with those from a normative sample of full-term children and those of 59 full-term children selected as a control group from the normative sample for the PVB. OUTCOMES & RESULTS: Preterm children exhibited a delay in all three aspects of communication and language. In particular, communicative-linguistic age tended to lag approximately 3 months behind chronological age when children were between the ages of 12 and 24 months. When chronological age was used, preterm children's percentile scores for all three components of communication and language fell within the lower limits of the normal range, while scores calculated using corrected age either fell at or above the 50th percentile. CONCLUSIONS & IMPLICATIONS: Findings suggest that despite the significant biological risk engendered by premature birth, early communicative and linguistic development appears to proceed in a relatively robust fashion among preterm children, with tight relations across communicative domains as in full-term children. Employing both chronological and corrected gestational age criteria in the evaluation of preterm children's abilities may provide important information about their progress in language acquisition. This may be especially important during the initial stages of communicative and linguistic development, inasmuch as comparisons of the two sets of scores may provide clinicians with a way to distinguish children who may be at risk for language problems from those who may be expected to progress normally

Pragmatic language disorder in Parkinson's disease and the potential effect of cognitive reserve

It is known that patients with Parkinson\u2019s Disease (PD) may show deficits in several areas of cognition, including speech and language abilities. One domain of particular interest is pragmatics, which refers to the capacity of using language in context for a successful communication. Several studies showed that some specific aspects of pragmatics \u2013 both in production and in comprehension \u2013 might be impaired in patients with PD. However, a clear picture of pragmatic abilities in PD is still missing, as most of the existing studies focused on specific aspects of the pragmatic competence rather than on sketching a complete pragmatic profile. Moreover, little is known on the potential role of protective factors in compensating the decline of communicative skills as the disease progresses. The present study has two aims: (1) to provide a complete picture of pragmatic abilities in patients with PD, by using a comprehensive battery (Assessment of Pragmatic Abilities and Cognitive Substrates, APACS) and by investigating the relationship with other aspects of cognitive functioning (e.g., working memory and Theory of Mind) and (2) to investigate whether Cognitive Reserve, i.e., the resilience to cognitive impairment provided by life experiences and activities, may compensate for the progressive pragmatic deficits in PD. We found that patients with PD, compared to healthy matched controls, had worse performance in discourse production and in the description of scenes, and that these impairments were tightly correlated with the severity of motor impairment, suggesting reduced intentionality of engaging in a communicative exchange. Patients with PD showed also an impairment in comprehending texts and humor, suggesting a problem in inferring from stories, which was related to general cognitive impairment. Notably, we did not find any significant difference between patients and controls in figurative language comprehension, a domain that is commonly impaired in other neurodegenerative diseases. This might be indicative of a specific profile of pragmatic impairment in patients with PD, worth of further investigation. Finally, Cognitive Reserve measures showed a high degree of association with pragmatic comprehension abilities, suggesting that the modification of life-styles could be a good candidate for compensating the possible problems in understanding the pragmatic aspects of language experienced by patients with PD

Both symbolic and embodied representations contribute to spatial language processing: Evidence from younger and older adults

Building on earlier neuropsychological work, we adopted a novel individual differences approach to examine the relationship between spatial language and a wide range of both verbal and nonverbal abilities. Three new measures were developed for the assessment of spatial language processing: spatial naming, spatial verbal memory, and verbal comprehension in spatial perspective taking. Results from a sample of young adults revealed significant correlations between performance on the spatial language tasks and performance on both the analogous (non-spatial) verbal measures as well as on the (non-verbal) visual-spatial measures. Visual-spatial abilities, however, were more predictive of spatial language processing than verbal abilities. Furthermore, results from a sample of older adults revealed impairments in visual-spatial tasks and on spatial verbal memory. The results support dual process accounts of meaning, and provide further evidence of the close connection between the language of space and non-linguistic visual-spatial cognition

Age differences in encoding-related alpha power reflect sentence comprehension difficulties

When sentence processing taxes verbal working memory, comprehension difficulties arise. This is specifically the case when processing resources decline with advancing adult age. Such decline likely affects the encoding of sentences into working memory, which constitutes the basis for successful comprehension. To assess age differences in encoding-related electrophysiological activity, we recorded the electroencephalogram from three age groups (24, 43, and 65 years). Using an auditory sentence comprehension task, age differences in encoding-related oscillatory power were examined with respect to the accuracy of the given response. That is, the difference in oscillatory power between correctly and incorrectly encoded sentences, yielding subsequent memory effects (SME), was compared across age groups. Across age groups, we observed an age-related SME inversion in the alpha band from a power decrease in younger adults to a power increase in older adults. We suggest that this SME inversion underlies age-related comprehension difficulties. With alpha being commonly linked to inhibitory processes, this shift may reflect a change in the cortical inhibition–disinhibition balance. A cortical disinhibition may imply enriched sentence encoding in younger adults. In contrast, resource limitations in older adults may necessitate an increase in cortical inhibition during sentence encoding to avoid an information overload. Overall, our findings tentatively suggest that age-related comprehension difficulties are associated with alterations to the electrophysiological dynamics subserving general higher cognitive functions

Children's naming and word-finding difficulties: descriptions and explanations

Purpose: There are a substantial minority of children for whom lexical retrieval problems impede the normal pattern of language development and use. These problems include accurately producing the correct word even when the word?s meaning is understood; such children are often referred to as having word-finding difficulties (WFDs). This review examines the nature of naming and lexical retrieval difficulties in these and other groups of children. Method: A review of the relevant literature on lexical access difficulties in children with word finding difficulties was conducted. Studies were examined in the terms of population parameters and comparison groups included in the study. Results and Conclusions: Most discussions of the cognitive processes causing lexical retrieval difficulties have referred to semantics, phonology and processing speed. It is argued that our understanding of these topics will be further advanced by the use of appropriate methodology to test developmental models that both identify the processes in successfully performing different lexical retrieval tasks and more precisely locating the difficulties experienced by children with such tasks

Communication difficulties following right hemisphere stroke : applying evidence to clinical management

Following reports in the 1960s that language may be affected by right hemisphere (RH) lesions, many limitations to effective communication in the right hemisphere damaged (RHD) population have been described and evidenced. However, stereotypical portrayals and descriptions of carefully selected cases may be misleading as to the extent of communication deficits. In many of the parameters in which RHD patients are presented as typically impaired, e.g. discourse skills, a less severe picture may emerge where data from the non-brain damaged (NBD) population are considered, with age and education variables controlled. Subsequent to RHD, some people show deficit on some communication measures, but many of these communication behaviours are also present in some NBD adults. Thus diagnosis of deficit must be made with reference both to the healthy peer population and the individual's pre-lesion behaviour. The authors' right RH stroke research programme includes studies of incidence of communication deficit, comparisons of RHD and NBD groups in various spoken discourse and comprehension tasks, comparison of RHD groups of different ages, detailed analysis of topic within discourse in RHD and NBD groups, family members' views of communication behaviour following RHD, and the natural course of communication change during the first year after RH stroke. The findings from several studies are summarised and used as the basis for management recommendations, which may guide future outcome research. There is an urgent need for the evaluation of communication management programmes, to determine whether therapists may with confidence offer an effective intervention service to those people whose communication skills are affected by RHD