Fitch R Holly, Tallal Paula
University of Connecticut, USA.
Behav Cogn Neurosci Rev. 2003 Sep;2(3):155-78. doi: 10.1177/1534582303258736.
The acquisition of speech perception and consequent expression of language represent fundamental aspects of human functioning. Yet roughly 7% to 8% of children who are otherwise healthy and of normal intelligence exhibit unexplained delays and impairments in acquiring these skills. Ongoing research has revealed several key features of language disability that may provide more direct insight into underlying anomalous neural functioning. For example, evidence supports a strong association between basic defects in processing rapidly changing acoustic information and emergent disruptions in speech perception, as well as cascading effects on other forms of language development (including reading). Considerable neurobiological research has thus focused on developmental factors that might deleteriously influence rapid sensory processing. Additional research focuses on mechanisms of neural plasticity, including how such brains might be "retrained" for improved processing of language. These and related findings from human clinical studies, electrophysiological studies, neuroimaging studies, and animal models are reviewed.
言语感知的获得以及随之而来的语言表达是人类机能的基本方面。然而,在其他方面健康且智力正常的儿童中,约有7%至8%在获得这些技能时表现出无法解释的延迟和障碍。正在进行的研究揭示了语言障碍的几个关键特征,这些特征可能为潜在的异常神经功能提供更直接的见解。例如,有证据支持在处理快速变化的声学信息方面的基本缺陷与言语感知中的突发干扰之间存在密切关联,以及对其他形式的语言发展(包括阅读)的连锁效应。因此,大量神经生物学研究聚焦于可能对快速感官处理产生有害影响的发育因素。另外的研究则关注神经可塑性机制,包括如何对这样的大脑进行“再训练”以改善语言处理能力。本文对来自人类临床研究、电生理研究、神经影像学研究和动物模型的这些及相关发现进行了综述。