Communication Sciences and Disorders, Chapman University, Irvine, CA, USA.
Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Int Neuropsychol Soc. 2022 Nov;28(10):1075-1090. doi: 10.1017/S1355617721001302. Epub 2022 Jan 6.
The aim of this systematic review was to identify the presence and nature of relationships between specific forms of aprosodia (i.e., expressive and receptive emotional and linguistic prosodic deficits) and other cognitive-communication deficits and disorders in individuals with right hemisphere damage (RHD) due to stroke.
One hundred and ninety articles from 1970 to February 2020 investigating receptive and expressive prosody in patients with relatively focal right hemisphere brain damage were identified via database searches.
Fourteen articles were identified that met inclusion criteria, passed quality reviews, and included sufficient information about prosody and potential co-occurring deficits. Twelve articles investigated receptive emotional aprosodia, and two articles investigated receptive linguistic aprosodia. Across the included studies, receptive emotional prosody was not systematically associated with hemispatial neglect, but did co-occur with deficits in emotional facial recognition, interpersonal interactions, or emotional semantics. Receptive linguistic processing was reported to co-occur with amusia and hemispatial neglect. No studies were found that investigated the co-occurrence of expressive emotional or linguistic prosodic deficits with other cognitive-communication impairments.
This systematic review revealed significant gaps in the research literature regarding the co-occurrence of common right hemisphere disorders with prosodic deficits. More rigorous empirical inquiry is required to identify specific patient profiles based on clusters of deficits associated with right hemisphere stroke. Future research may determine whether the co-occurrences identified are due to shared cognitive-linguistic processes, and may inform the development of evidence-based assessment and treatment recommendations for individuals with cognitive-communication deficits subsequent to RHD.
本系统评价旨在确定特定类型的失歌症（即表达性和接受性情感和语言韵律缺陷）与其他认知-交流障碍在因中风导致右半球损伤（RHD）的个体之间的存在和性质关系。
通过数据库搜索，确定了 1970 年至 2020 年 2 月期间调查患者相对局灶性右半球脑损伤时接受性和表达性韵律的 190 篇文章。
确定了 14 篇符合纳入标准、通过质量审查并包含有关韵律和潜在共发缺陷的足够信息的文章。12 篇文章研究了接受性情感失歌症，两篇文章研究了接受性语言失歌症。在包括的研究中，接受性情感韵律与半空间忽视没有系统关联，但与情感面部识别、人际互动或情感语义的缺陷共同发生。接受性语言处理被报告与失歌症和半空间忽视共同发生。没有发现研究调查表达性情感或语言韵律缺陷与其他认知-交流障碍的共同发生。
本系统评价揭示了有关常见右半球障碍与韵律缺陷共发的研究文献中的重大空白。需要更严格的实证探究，以根据与右半球中风相关的缺陷聚类确定特定的患者特征。未来的研究可能会确定确定的共发是否是由于共同的认知语言过程引起的，并可能为右半球损伤后认知交流障碍患者的基于证据的评估和治疗建议的制定提供信息。
