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Brain and Cognition
journal homepage: www.elsevier.com/locate/b&c
Looking at ancillary systems for verb recovery: Evidence from non-invasive
brain stimulation
F. Pisano, P. Marangolo
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Dipartimento di Studi Umanistici, Università Federico II, Naples, Italy
IRCCS, Fondazione Santa Lucia, Rome, Italy
ARTICLE INFO
Keywords:
Embodied cognition
Non-invasive brain stimulation
Verb recovery
Aphasia rehabilitation
ABSTRACT
Several behavioural and neuroimaging studies have suggested that the language function is not restricted into
the left areas but it involves regions not predicted by the classical language model. Accordingly, the Embodied
Cognition theory postulates a close interaction between the language and the motor system. Indeed, it has been
shown that non-invasive brain stimulation (NIBS) is effective for language recovery also when applied over
sensorimotor regions, such as the motor cortex, the cerebellum and the spinal cord.
We will review a series of NIBS studies in post-stroke aphasic people aimed to assess the impact of NIBS on
verb recovery. We first present results which, following the classical assumption of the Broca’s area as the key
region for verb processing, have shown that the modulation over this area is efficacious for verb improvement.
Then, we will present experiments which, according to Embodied Cognition, have directly investigated through
NIBS the role of different sensorimotor regions in enhancing verb production.
Since verbs play a crucial role for sentence construction which are most often impaired in the aphasic po-
pulation, we believe that these results have important clinical implications. Indeed, they address the possibility
that different structures might support verb processing.
1. Introduction
Since the early nineteenth century, single-cases and anatomo-cor-
relative studies on brain-damaged patients have reported evidence on
how the language faculty is organized in the human brain (Broca, 1861;
Lichtheim, 1885; Wernicke, 1874). Antiquitus, most models of language
representation have suggested that the different language components
are localized in specific areas of the left hemisphere. Indeed, several
single cases and group studies have suggested that lesions to the left
inferior frontal region (i.e. Broca's area) selectively damage speech
production, while lesions to the left posterior superior temporal region
(i.e. “Wernicke’s area”) impair auditory speech comprehension (Bi,
Han, Shu, & Caramazza, 2007; Crepaldi, Berlingeri, Paulesu, & Luzzatti,
2011; Damasio, Tranel, & Caramazza, 1993; Kemmerer, 2014; Mätzig,
Druks, Masterson, & Vigliocco, 2009; Moseley & Pulvermüller, 2014;
Pillon & d’Honincthun, 2010; Shapiro & Caramazza, 2003; Silveri,
Perri, & Cappa, 2003; Spezzano & Radanovic, 2010; Vigliocco, Vinson,
Druks, Barber, & Cappa, 2011).
In particular, the behavioural and neural processes underpinning
different word classes, specifically nouns and verbs, have been a long-
standing area of interest in psycholinguistic, and aphasiology research
(Alyahya, Halai, Conroy, & Lambon Ralph, 2018). Indeed, given that
several single case studies in aphasia have documented a double dis-
sociation between nouns and verbs (Caramazza & Hillis, 1991; Laiacona
& Caramazza, 2004; Miceli, Silveri, Nocentini, & Caramazza, 1988;
Pisoni et al., 2018; Tomasino et al., 2018), the hypothesis has been
advanced that the cerebral systems for the recovery of these classes of
words are segregated in different areas of the brain. Miceli and col-
leagues (1988) were the first to report a correlation between word-class
specific impairments and impairments to different brain areas. In their
study, participants with selective deficit for nouns were mostly affected
by lesions in the left temporal areas, whereas participants with a pre-
dominant verb impairment showed a damage to the left frontal cortex.
The view that the frontal and temporal areas are differently involved in
processing verbs and nouns, respectively, was further strengthened by
Daniele, Giustolisi, Silveri, Colosimo, and Gainotti (1994). The authors
compared the performance of two patients with frontal lobe atrophy
and impairment in verb processing with the outcome of a third patient
with temporal lobe atrophy and impairment in noun processing.
The anatomical distinction between the two categories is not sur-
prising as nouns and verbs differ in terms of their grammatical/syn-
tactic properties as well as in their different amount of perceptual/
https://doi.org/10.1016/j.bandc.2019.105515
Received 13 September 2019; Received in revised form 4 December 2019; Accepted 23 December 2019
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Corresponding author at: Dipartimento di Studi Umanistici, University Federico II, Via Porta di Massa 1, 80133 Naples, Italy.
E-mail address: paola.marangolo@gmail.com (P. Marangolo).
Brain and Cognition 139 (2020) 105515
0278-2626/ © 2019 Elsevier Inc. All rights reserved.
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