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Biomedical subjects

B Wulfeck

Publications and source records attributed to B Wulfeck.

13 recordsLinked to original sources

Differential effects of unilateral lesions on language production in children and adults.

We present the first direct comparison of language production in brain-injured children and adults, using age-corrected z scores for multiple lexical and grammatical measures. Spontaneous speech samples were elicited in a structured biographical interview from 38 children (5-8 years of age), 24 with congenital left-hemisphere damage (LHD) and 14 with congenital right-hemisphere damage (RHD), compared with 38 age- and gender-matched controls, 21 adults with unilateral injuries (14 LHD and 7 RHD), and 12 adult controls. Adults with LHD showed severe and contrasting profiles of impairment across all measures (including classic differences between fluent and nonfluent aphasia). Adults with RHD (and three nonaphasic adults with LHD) showed fluent but disinhibited and sometimes empty speech. None of these qualitative or quantitative deviations were observed in children with unilateral brain injury, who were in the normal range for their age on all measures. There were no significant differences between children with LHD and RHD on any measure. When LHD children were compared directly with LHD adults using age-corrected z scores, the children scored far better than their adult counterparts on structural measures. These results provide the first systematic confirmation of differential free-speech outcomes in children and adults and offer strong evidence for neural and behavioral plasticity following early brain damage.

Adult↗

Language deficits, localization, and grammar: evidence for a distributive model of language breakdown in aphasic patients and neurologically intact individuals.

Selective deficits in aphasic patients' grammatical production and comprehension are often cited as evidence that syntactic processing is modular and localizable in discrete areas of the brain (e.g., Y. Grodzinsky, 2000). The authors review a large body of experimental evidence suggesting that morpho-syntactic deficits can be observed in a number of aphasic and neurologically intact populations. They present new data showing that receptive agrammatism is found not only over a range of aphasic groups, but is also observed in neurologically intact individuals processing under stressful conditions. The authors suggest that these data are most compatible with a domain-general account of language, one that emphasizes the interaction of linguistic distributions with the properties of an associative processor working under normal or suboptimal conditions.

Adult↗

Verbal fluency deficits in children with specific language impairment: slow rapid naming or slow to name?

This study examined aspects of verbal fluency performance of children with Specific Language Impairment (SLI) and typically developing children matched on age and Block Design scores. While children with SLI showed deficits in verbal fluency compared to their peers, they showed the same pattern of performance on phonemic compared to semantic fluency trials. Children with SLI and normally developing children also demonstrated equivalent rates of clustering and switching, measures hypothesized to reflect aspects of frontal lobe functioning, when the overall number of exemplars was taken into account. The absence of a condition by group effect supports general processing limitation accounts of SLI, while the absence of group differences on cluster size and switches supports language-based processing accounts of SLI.

Child↗

Psycholinguistics: a cross-language perspective.

Cross-linguistic studies are essential to the identification of universal processes in language development, language use, and language breakdown. Comparative studies in all three areas are reviewed, demonstrating powerful differences across languages in the order in which specific structures are acquired by children, the sparing and impairment of those structures in aphasic patients, and the structures that normal adults rely upon most heavily in real-time word and sentence processing. It is proposed that these differences reflect a cost-benefit trade-off among universal mechanisms for learning and processing (perception, attention, motor planning, memory) that are critical for language, but are not unique to language.

Aphasia↗

Neurological and MRI profiles of children with developmental language impairment.

Children with developmental language impairment (LI) are defined partly by the absence of other identifiable neurological diagnoses. Such children are generally considered to be neurologically normal, but no systematic studies of neurological function have been reported. We obtained detailed medical histories and conducted neurological examinations for 72 children aged 5 to 14 years with LI and 82 typically developing age-matched control children. All the children took a standardized test of language, and those who were at least 8 years old and were willing to have brain MRI scans (35 children with LI and 27 control children) had scans. Analysis of developmental milestones from the medical histories revealed that children with LI were not only significantly later in speaking, but also mildly but significantly delayed in motor milestones, particularly walking. On neurological examination, abnormalities were found in 70% of the children with LI and only 22% of the control children. The most common abnormalities in the LI group included obligatory synkinesis, fine motor impairments, and hyperreflexia. The children with LI with the most abnormal neurological findings had the lowest language scores. Finally, 12 of 35 children with LI had abnormalities on their MRI scan, while none of the 27 control children had abnormal scans. Abnormal findings included ventricular enlargement (in five), central volume loss (in three), and white matter abnormalities (in four). These findings suggest that developmental LI is not an isolated finding but is indicative of more widespread nervous system dysfunction. Children with LI may need more comprehensive intervention programs than language therapy alone, depending on their other areas of dysfunction. Early identification of such problems may allow for more successful remediation.

Adolescent↗

Morphological productivity in children with normal language and SLI: a study of the English past tense.

Children with specific language impairment (SLI) are known to display persistent difficulties with inflectional morphology--in particular, the overuse of unmarked grammatical forms (i.e., zero-marking). Yet, several recent studies have shown that English-speaking children with SLI, like their normal language peers (NL), demonstrate a considerable degree of productive language abilities (e.g., Bishop, 1994; Loeb & Leonard, 1991; Oetting & Horohov, 1997). In this study, we explore productivity in the English past tense in school-age children with SLI (N= 31) and NL (N = 31) who were equivalent as a group in chronological and mental age. Although children in both groups produced a range of error types, the children with SLI produced significantly more errors, with a greater proportion resulting from zero-marking (e.g., go) than suffixation (e.g., goed). Item analyses indicated that suffixations and zero-markings were predicted by item frequency, phonological features of stems, and similarity relationships across items (i.e., neighborhood structure) in both groups, yet children with SLI were more sensitive to item phonology than their NL peers. Results are interpreted in light of the predictions of dual- versus single-mechanism models of morphological productivity. Implications for accounts of SLI are discussed.

Child↗

Phenotypic profiles of language-impaired children based on genetic/family history.

Although etiological influences in developmental language impairment (dysphasia) are not well defined, a significant increase of family aggregation for the disorder has been reported. We report data from a large cohort of language-impaired (LI) children participating in the San Diego longitudinal study in which we examined whether children with or without positive family histories show different phenotypic profiles. Due to the longitudinal design of the study, questions pertaining to change over time are also addressed. Second, a subgroup of the most impaired children were reevaluated to obtain additional information pertaining to family history and phenotypic outcome. Approximately 70% of the LI children met criteria for inclusion as family history positive, with fathers reporting a history of language or learning problems one and a half to two times as frequently as mothers. LI children with or without a positive family history were not significantly different on language skills or IQ. However, subjects having a positive family history for developmental language/learning problems were significantly lower in socioeconomic status and were rated by parents and teachers as having more attention-related behavior problems than their family history negative counterparts. Similarly, family history positive LI children performed more poorly on standardized academic tests as well as on tests of auditory processing and attention.

Child↗

A crosslinguistic study of grammaticality judgments in Broca's aphasia.

Crosslinguistic studies of sentence comprehension and production in Broca's aphasia have yielded two complementary findings: (1) grammatical morphology appears to be more impaired than word order principles in every language studied, but (2) the degree to which grammatical morphology is retained by aphasic patients depends upon the "strength" or importance of those morphemes in the patient's premorbid language. In an earlier study comparing violations of word order and agreement, we found that English-speaking Broca's aphasics showed greater sensitivity to errors of ordering than to errors of agreement, providing further evidence for the selective vulnerability of morphology. However, because English is a rigid word order language with a relatively weak inflectional system, it could be argued that word order is resilient to brain damage because it is the strongest source of information in this language. The present study compared the performance of English-speaking Broca's aphasics and normal controls with their Italian counterparts in the same grammaticality judgment experiment. Four predictions relating to our previous work were confirmed. (1) Italian aphasics, like their English-speaking counterparts, showed general preservation of grammatical knowledge and (2) they were able to use this knowledge in an "on-line" fashion. (3) Within each language, Broca's aphasics showed greater impairment in their ability to recognize errors of morphological selection (i.e., agreement) compared with errors made by moving the same words to an incorrect position downstream. Nevertheless (4), crosslinguistic differences observed in previous studies of comprehension and production were also observed in this grammaticality judgment task: a processing advantage for agreement errors in Italian normals and aphasics, and a processing advantage for ordering errors in English normals and aphasics.

Adult↗

Comprehension in aphasia: a cross-linguistic study.

Broca's aphasics and normal controls were tested to determine relative sparing and impairment of word order, grammatical morphology, and semantic information in a sentence interpretation task. Patients were native speakers of English, German, or Italian, languages that vary drastically in the "cue validity" or information value of these three sources of information. Word order was selectively spared while grammatical morphology was selectively impaired in all three languages. Nevertheless, language-specific patterns of sentence interpretation remained in Broca's aphasics, even within the impaired morphological component, supporting an interpretation in terms of "accessing" rather than a "loss." Testing with Wernicke's aphasics, anomics, and some additional age-matched controls suggested that the selective vulnerability of morphology is not specific to agrammatic patients, at least in this paradigm.

Adolescent↗

Grammatical morphology in aphasia: evidence from three languages.

Aspects of grammatical morphology in Broca's and Wernicke's aphasia were elicited under controlled conditions in three language groups: English, Italian and German. Results suggest that the agrammatism/paragrammatism distinction does not work well for richly-inflected languages. Language-specific ratios of closed class morphology were preserved even among non-fluent patients, with significantly more morphology produced by German and Italian patients. German and Italian patients were also much more likely to furnish the article before nouns--despite or perhaps because of the fact that articles are more complex and informative in those languages. Although patients assigned the correct article most of the time, there were a significant number of article errors (i.e. paragrammatic substitution). Error analyses showed that substitutions are not random, reflecting difficulty in access rather than loss. Substitutions were more common in German, where the complex case and gender markings on the article increase the probability of error. Within each language, error patterns were quite similar for Broca's and Wernicke's aphasics. However, at a detailed level patient group differences in error production were detected. German Broca's aphasics tend to avoid difficult case forms by substituting a simpler, less-marked morphosyntactic frame. Wernicke's aphasics try instead to produce the more marked, oblique constructions, resulting in a less conservative error pattern.

Animals↗

Neurologic profiles of infants and children after perinatal stroke.

Twenty-nine children with a single, unilateral cerebral infarct acquired pre- or perinatally were examined subsequently for an average of 43 months. No consistent pre- or perinatal events were identified to explain the occurrence of the stroke. The children acquired motor milestones at nearly expected times, even in the presence of hemiparesis. In children older than 2 years of age, I.Q. scores all were within the normal range. More than one-half of the children experienced seizures at some time during the follow-up period. Good intellectual and functional motor outcome can be expected in children with isolated perinatal stroke.

Cerebral Infarction↗

Pragmatics in aphasia: crosslinguistic evidence.

Previous research suggests that English Broca's and Wernicke's aphasics retain sensitivity to pragmatic factors governing forms of reference, in particular the ability to choose lexical expressions that convey givenness and newness of information. The present study investigates the generality of this phenomenon across patients and language types. Normal and aphasic speakers of English, German, and Italian described nine picture triplets in which one element varied while the others remained constant. Dependent variables included lexicalization versus ellipsis, pronominalization, and definite and indefinite article use. For a subset of German and Italian patients, data were compared to performance in a biographical interview. Results indicate that (a) the pragmatics of reference are preserved in both Broca's and Wernicke's aphasics, despite syndrome-specific problems in retrieving content words and/or closed-class grammatical elements, and (b) certain language-specific patterns of reference are also preserved, including crosslinguistic differences in subject omission. Differences between picture description and the biographical interview reinforce this conclusion. Evidence for the preservation of pragmatics in aphasis is not surprising in its own right, but evidence for the sparing of language-specific relations among pragmatic, lexical, and morphosyntactic patterns can be used to argue against any strong view of grammatical impairment as a disconnection syndrome and/or a loss of grammatical competence. Instead, these data support theories in which grammatical impairment is viewed as a performance deficit.

Adult↗