Objectives: Repetitive Transcranial Magnetic Stimulation (rTMS) has been proposed as a possible treatment for the cognitive deficits associated with Alzheimer Disease (AD).The aim of this study was to assess the long-term effects, on cognitive performance, of rTMS applied to the left dorsolateral prefrontal cortex (DLPFC) in AD patients. Methods:Ten AD patients were randomly assigned to one of two study groups. Multiplebaseline design was used .The first group underwent a four-week real rTMS stimulation protocol, while the second underwent a two-week placebo treatment, followed by two weeks of real rTMS stimulation. Each session consisted of the application of rhythmic high-frequency rTMS over the DLPFC for 25 minutes. Sessions occurred once daily, five days/week.The main analyzed outcome was the change in cognitive test performance at two and four weeks after rTMS treatment initiation, with a follow-up performed eight weeks after the end of rTMS, in comparison to baseline performance.Results: A significant difference was found between groups over sessions in terms of the percentage of correct responses of auditory sentence comprehension. Only real treatment induced an improvement in performance with respect to baseline or placebo. Moreover, both groups showed a lasting effect on the improved performance eight weeks after the end of treatment. Conclusion:Our findings provide initial evidence for the persistent beneficial effects of rTMS on sentence comprehension in AD patients. Rhythmic rTMS, in conjunction with other therapeutic interventions, may represent a novel approach to the treatment of language dysfunction in AD patients.3

Previous research has shown that highly proficient bilinguals have comparable switch costs in both directions when they switch between languages (L1 and L2), the so-called “symmetrical switch cost” effect. Interestingly, the same symmetry is also present when they switch between L1 and a much weaker L3. These findings suggest that highly proficient bilinguals develop a language control system that seems to be insensitive to language proficiency. In the present study, we explore whether the pattern of symmetrical switch costs in language switching tasks generalizes to a non-linguistic switching task in the same group of highly proficient bilinguals. The end goal of this is to assess whether bilingual language control (bLC) can be considered as subsidiary to domain-general executive control (EC). We tested highly proficient Catalan–Spanish bilinguals both in a linguistic switching task and in a non-linguistic switching task. In the linguistic task, participants named pictures in L1 and L2 (Experiment 1) or L3 (Experiment 2) depending on a cue presented with the picture (a flag). In the non-linguistic task, the same participants had to switch between two card sorting rule-sets (color and shape). Overall, participants showed symmetrical switch costs in the linguistic switching task, but not in the non-linguistic switching task. In a further analysis, we observed that in the linguistic switching task the asymmetry of the switch costs changed across blocks, while in the non-linguistic switching task an asymmetrical switch cost was observed throughout the task. The observation of different patterns of switch costs in the linguistic and the non-linguistic switching tasks suggest that the bLC system is not completely subsidiary to the domain-general EC system.

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Action naming has been reported to be disproportionately impaired in comparison to object naming in patients with frontotemporal dementia (FTD). This finding has been attributed to the crucial role of frontal cortex in action naming. The investigation of object and action naming in the different subtypes of FTD, as well as in the related conditions of progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD), may thus contribute to the elucidation of the cerebral correlates of the action-object discrepancy as well as provide clues to the underlying cognitive mechanisms. The results indicated that, with the exception of semantic dementia, action naming was more impaired than object naming in all patient groups. The discrepancy was similar in frontal variant of FTD and Alzheimer's disease patients, whereas patients with nonfluent primary progressive aphasia, PSP, and CBD were significantly more impaired in the oral production of actions than of objects. These findings indicate that action naming impairment is not a general feature of FTD, but rather is associated with conditions that affect the frontoparietal-subcortical circuits involved in action knowledge and action representation.

Link to this article: http://journals.cambridge.org/abstract_S1366728913000138 How to cite this article: MARCO CALABRIA, FRANCESCA M. BRANZI, PAULA MARNE, MIREIA HERNÁNDEZ and ALBERT COSTA (2015). Agerelated effects over bilingual language control and executive control.The aim of the present study is two-fold. First, we investigate age-related changes to bilingual language control (bLC) mechanisms across lifespan. Second, we explore the relation between bLC mechanisms and those of the domain-general executive (EC) system by looking at age effects on these two systems. To do so, we compare the performances of the three age groups of bilinguals (young, middle-aged and elderly) in a language switching task to those of non-linguistic switching task. We found an age-related change in the non-linguistic switch cost but not in the language switch cost. Moreover, we did not find any correlation between the magnitudes of the switch costs. Taken together these results indicate that bLC is not affected by age as the EC system is, and interestingly, we add new evidence that the bLC mechanisms are not fully subsidiary to those of the domain-general EC system.

We explored the overlap between bilingual language control (bLC) and domain-general executive control (EC) by focusing on inhibitory control processes. We tested 62 bilinguals in linguistic and non-linguistic switching tasks for two types of costs, such as the n-1 shift cost and the n-2 repetition cost. In order to explore the involvement of inhibitory control in bLC and EC, we assessed the pattern of switch costs in the two tasks and then we correlated them between tasks. Results showed reduced n-2 repetition costs as compared to n-1 shift costs in the linguistic task only, suggesting that small amount of inhibition were deployed when switching between languages. Importantly, neither the n-1 shift costs nor the n-2 repetition costs were correlated between tasks. These results, supported by additional evidence from the ex-Gaussian analysis, suggest that inhibitory control is differently involved in bLC and in EC.

Acquiring and speaking a second language increases demand on the processes of language control for bilingual as compared to monolingual speakers. Language control for bilingual speakers involves the ability to keep the two languages separated to avoid interference and to select one language or the other in a given conversational context. This ability is what we refer with the term "bilingual language control" (BLC). It is now well established that the architecture of this complex system of language control encompasses brain networks involving cortical and subcortical structures, each responsible for different cognitive processes such as goal maintenance, conflict monitoring, interference suppression, and selective response inhibition. Furthermore, advances have been made in determining the overlap between the BLC and the nonlinguistic executive control networks, under the hypothesis that the BLC processes are just an instantiation of a more domain-general control system. Here, we review the current knowledge about the neural basis of these control systems. Results from brain imaging studies of healthy adults and on the performance of bilingual individuals with brain damage are discussed.

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