RESUMEN
This study examines cross-modality effects of a semantically-biased written sentence context on the perception of an acoustically-ambiguous word target identifying neural areas sensitive to interactions between sentential bias and phonetic ambiguity. Of interest is whether the locus or nature of the interactions resembles those previously demonstrated for auditory-only effects. FMRI results show significant interaction effects in right mid-middle temporal gyrus (RmMTG) and bilateral anterior superior temporal gyri (aSTG), regions along the ventral language comprehension stream that map sound onto meaning. These regions are more anterior than those previously identified for auditory-only effects; however, the same cross-over interaction pattern emerged implying similar underlying computations at play. The findings suggest that the mechanisms that integrate information across modality and across sentence and phonetic levels of processing recruit amodal areas where reading and spoken lexical and semantic access converge. Taken together, results support interactive accounts of speech and language processing.
Asunto(s)
Fonética , Lectura , Semántica , Acústica del Lenguaje , Lóbulo Temporal/fisiología , Adulto , Mapeo Encefálico , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Percepción del HablaRESUMEN
Objectives: Expectation can significantly modulate pain and treatment effects. This study aims to investigate if boosting patients' expectancy can enhance the treatment of knee osteoarthritis (KOA), and its underlying brain mechanism. Methods: Seventy-four KOA patients were recruited and randomized to three groups: boosted acupuncture (with a manipulation to enhance expectation), standard acupuncture, or treatment as usual (TAU). Each patient underwent six treatments before being debriefed, and four additional treatments after being debriefed. The fMRI scans were applied during the first and sixth treatment sessions. Results: We found significantly decreased knee pain in the boosted acupuncture group compared to the standard acupuncture or TAU groups after both six and ten treatments. Resting state functional connectivity (rsFC) analyses using the nucleus accumbens (NAc) as the seed showed rsFC increases between the NAc and the medial prefrontal cortex (MPFC)/rostral anterior cingulate cortex (rACC) and dorsolateral prefrontal cortex in the boosted group as compared to the standard acupuncture group after multiple treatments. Expectancy scores after the first treatment were significantly associated with increased NAc-rACC/MPFC rsFC and decreased knee pain following treatment. Conclusions: Our study provides a novel method and mechanism for boosting the treatment of pain in patients with KOA. Our findings may shed light on enhancing outcomes of pharmacological and integrative medicines in clinical settings.
Asunto(s)
Terapia por Acupuntura/métodos , Encéfalo/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Osteoartritis de la Rodilla , Umbral del Dolor/psicología , Adulto , Anciano , Análisis de Varianza , Femenino , Humanos , Hiperalgesia/rehabilitación , Procesamiento de Imagen Asistido por Computador , Masculino , Persona de Mediana Edad , Osteoartritis de la Rodilla/diagnóstico por imagen , Osteoartritis de la Rodilla/psicología , Osteoartritis de la Rodilla/terapia , Oxígeno/sangre , Dolor/etiología , Dolor/psicología , Dimensión del Dolor , Estimulación Física/efectos adversos , Índice de Severidad de la Enfermedad , Factores de Tiempo , Resultado del TratamientoRESUMEN
The current study explored how factors of acoustic-phonetic and lexical competition affect access to the lexical-semantic network during spoken word recognition. An auditory semantic priming lexical decision task was presented to subjects while in the MR scanner. Prime-target pairs consisted of prime words with the initial voiceless stop consonants /p/, /t/, and /k/ followed by word and nonword targets. To examine the neural consequences of lexical and sound structure competition, primes either had voiced minimal pair competitors or they did not, and they were either acoustically modified to be poorer exemplars of the voiceless phonetic category or not. Neural activation associated with semantic priming (Unrelated-Related conditions) revealed a bilateral fronto-temporo-parietal network. Within this network, clusters in the left insula/inferior frontal gyrus (IFG), left superior temporal gyrus (STG), and left posterior middle temporal gyrus (pMTG) showed sensitivity to lexical competition. The pMTG also demonstrated sensitivity to acoustic modification, and the insula/IFG showed an interaction between lexical competition and acoustic modification. These findings suggest the posterior lexical-semantic network is modulated by both acoustic-phonetic and lexical structure, and that the resolution of these two sources of competition recruits frontal structures.