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失去基础:额顶叶萎缩破坏帕金森病和亨廷顿病的语言体现。

Losing ground: Frontostriatal atrophy disrupts language embodiment in Parkinson's and Huntington's disease.

机构信息

Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCYT), INECO Foundation, Favaloro University, Pacheco de Melo 1860, C1126AAB, Ciudad Autónoma de Buenos Aires, Argentina; National Scientific and Technical Research Council (CONICET), Av. Rivadavia 1917, C1033AAJ, Ciudad Autónoma de Buenos Aires, Argentina.

Laboratory of Experimental Psychology and Neuroscience (LPEN), Institute of Cognitive and Translational Neuroscience (INCYT), INECO Foundation, Favaloro University, Pacheco de Melo 1860, C1126AAB, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Neurosci Biobehav Rev. 2017 Sep;80:673-687. doi: 10.1016/j.neubiorev.2017.07.011. Epub 2017 Aug 2.

Abstract

Within the language domain, movement disorders triggered by frontostriatal damage are characterized by deficits in action verbs, motor-language coupling, and syntax. However, these impairments have not been jointly interpreted under a unifying rationale or integratively assessed in terms of possible clinical implications. To bridge these gaps, here we introduce the "disrupted motor grounding hypothesis", a new framework to conceive such impairments as disturbances of embodied mechanisms (high-order domains based on the recycling of functionally germane sensorimotor circuits). We focus on two relevant lesion models: Parkinson's and Huntington's disease. First, we describe the physiopathology of both conditions as models of progressive frontostriatal impairment. Then, we summarize works assessing action language, motor-language coupling, and syntax in samples at early and preclinical disease stages. To conclude, we discuss the implications of the evidence for neurolinguistic modeling, identify key issues to be addressed in future research, and discuss potential clinical implications. In brief, our work seeks to open new theoretical and translational avenues for embodied cognition research.

摘要

在语言领域,由额-纹状体损伤引起的运动障碍的特征是动作动词、运动-语言耦合和句法的缺陷。然而,这些损伤尚未在一个统一的原理下进行联合解释,也没有根据可能的临床意义进行综合评估。为了弥补这些差距,我们在这里引入了“破坏的运动基础假说”,这是一个新的框架,可以将这些损伤视为具身机制的干扰(基于功能相关感觉运动回路的再循环的高阶域)。我们重点关注两种相关的损伤模型:帕金森病和亨廷顿病。首先,我们描述了这两种情况的病理生理学,将它们作为进行性额-纹状体损伤的模型。然后,我们总结了在早期和临床前疾病阶段评估动作语言、运动-语言耦合和句法的工作。最后,我们讨论了这些证据对神经语言学建模的意义,确定了未来研究中需要解决的关键问题,并讨论了潜在的临床意义。简而言之,我们的工作旨在为具身认知研究开辟新的理论和转化途径。

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