Atypical speech lateralization in adults with developmental coordination disorder demonstrated using functional transcranial Doppler ultrasound

Research using clinical populations to explore the relationship between hemispheric speech lateralization and handedness has focused on individuals with speech and language disorders, such as dyslexia or specific language impairment (SLI). Such work reveals atypical patterns of cerebral lateralization and handedness in these groups compared to controls. There are few studies that examine this relationship in people with motor coordination impairments but without speech or reading deficits, which is a surprising omission given the prevalence of theories suggesting a common neural network underlying both functions. We use an emerging imaging technique in cognitive neuroscience; functional transcranial Doppler (fTCD) ultrasound, to assess whether individuals with developmental coordination disorder (DCD) display reduced left‐hemisphere lateralization for speech production compared to control participants. Twelve adult control participants and 12 adults with DCD, but no other developmental/cognitive impairments, performed a word‐generation task whilst undergoing fTCD imaging to establish a hemispheric lateralization index for speech production. All participants also completed an electronic peg‐moving task to determine hand skill. As predicted, the DCD group showed a significantly reduced left lateralization pattern for the speech production task compared to controls. Performance on the motor skill task showed a clear preference for the dominant hand across both groups; however, the DCD group mean movement times were significantly higher for the non‐dominant hand. This is the first study of its kind to assess hand skill and speech lateralization in DCD. The results reveal a reduced leftwards asymmetry for speech and a slower motor performance. This fits alongside previous work showing atypical cerebral lateralization in DCD for other cognitive processes (e.g., executive function and short‐term memory) and thus speaks to debates on theories of the links between motor control and language production.     

语言功能偏侧化及其与利手、功能连接的关系

对大脑语言功能偏侧化的探索起始于早期对脑损伤病人的研究。现代脑影像学研究发现, 语言功能偏侧化涉及额叶、颞叶、扣带回、梭状回和辅助运动区等脑区。语言偏侧化与利手和静息态功能连接之间的关系表现为：右利手的语言优势位于左半球, 而左利手的则分布在左半球、右半球或两个半球; 语言功能偏侧化与利手系数、静息态半球内功能连接之间具有正相关关系, 与半球间功能连接呈负相关, 并且语言功能偏侧化与静息态功能连接之间的关系在左右利手个体之间存在差异。总之, 大脑语言功能偏侧化、利手和静息态功能连接三者之间存在相互影响, 基于脑连接和遗传机制的研究将有望揭示出其底层的神经生理机制。     

Atypicalities in Cortical Structure, Handedness, and Functional Lateralization for Language in Autism Spectrum Disorders

Language is typically a highly lateralized function, with atypically reduced or reversed lateralization linked to language impairments. Given the diagnostic and prognostic role of impaired language for autism spectrum disorders (ASDs), this paper reviews the growing body of literature that examines patterns of lateralization in individuals with ASDs. Including research from structural and functional imaging paradigms, and behavioral evidence from investigations of handedness, the review confirms that atypical lateralization is common in people with ASDs. The evidence indicates reduced structural asymmetry in fronto-temporal language regions, attenuated functional activation in response to language and pre-linguistic stimuli, and more ambiguous (mixed) hand preferences, in individuals with ASDs. Critically, the evidence emphasizes an intimate relationship between atypical lateralization and language impairment, with more atypical asymmetries linked to more substantive language impairment. Such evidence highlights opportunities for the identification of structural and functional biomarkers of ASDs, affording the potential for earlier diagnosis and intervention implementation.     

Relationship between manual preferences for object manipulation and pointing gestures in infants and toddlers

The aim of this study was to measure the pattern of hand preferences for pointing gestures as a function of object‐manipulation handedness in 123 infants and toddlers (10–40 months). The results showed that not only right‐handers but also left‐handers and ambidextrous participants tended to use their right hand for pointing. There was a significant correlation between manual preferences and pointing lateralization. Further analyses showed that the correlation between these two indexes was at its strongest during two key phases of language development (i.e. vocabulary spurt and syntax improvement) and weakened to become nonsignificant in the interim. These findings support the view that humans have a specialized area for communicative gestures and language in the left cerebral hemisphere that may be independent of the system controlling the purely motor functions of hand use.     

Word acquisition reflects lateralization of hand skill

Right hand preference distinguishes Homo sapiens from our closest primate relative, the chimpanzee. Are differences in degrees of handedness associated with differences in the rate of language development? To answer this question, verbal performance is examined in relation to hand skill in a UK national birth cohort dataset. Using 3-D data plots, we show that increasing dominant-hand skill is associated with increasing verbal ability, and stronger lateralization is associated with earlier acquisition of words. Thus, right-handed bias is relevant to the lateralization of language; variation along this dimension may represent species-specific genetic or ‘epigenetic’ diversity.     

Schizotypal personality traits and atypical lateralization in motor and language functions

Atypical cerebral lateralization in motor and language functions in regard to schizotypal personality traits in healthy populations, as well as among schizophrenic patients, has attracted attention because these traits may represent a risk factor for schizophrenia. Although the relationship between handedness and schizotypal personality has been widely examined, few studies have adopted an experimental approach. This study consisted of three experiments focusing on motor and language functional lateralization in regard to schizotypal personality in the absence of mental illness: line-drawing, finger tapping, and a semantic go/no-go task. The results suggested that positive schizotypal personality might be related to functional non-lateralization in regard to at least some functions (e.g., spatial motor control and semantic processing in the present study). Subjects with high schizotypal personality traits performed equally with their right and left-hands in the line-drawing task and they reacted equally with their right and left-hands in a semantic go/no-go task involving semantic auditory stimuli presented in both ears. However, those low in schizotypal personality traits showed typical lateralization in response to these tasks. We discuss the implications of these findings for schizotypal atypical lateralization.     

A general theory concerning the prenatal origins of cerebral lateralization in humans

The origins of cerebral lateralization in humans are traced to the asymmetric prenatal development of the ear and labyrinth. Aural lateralization is hypothesized to result from an asymmetry in craniofacial development, whereas vestibular dominance is traced to the position of the fetus during the final trimester. A right-ear sensitivity advantage may contribute to a left-hemispheric advantage in speech perception and language functions, whereas left-otolithic dominance may independently promote right-sided motoric dominance and a right-hemispheric superiority in most visuospatial functions. The emergence of handedness is linked to the assumption of an upright posture in the early hominids, whereas the failure to develop clear vestibular asymmetry may underlie the poor motoric lateralization found in several neurodevelopmental disorders.     

The role of locomotor posture and experience on handedness and footedness in infancy

This research examined the development of handedness and footedness in infancy. We measured footedness by documenting the limb infants used to "lead-out" as they crawled or walked down a path several times. We measured handedness by documenting the hand infants used to reach for a goal at the end of each trial. Study 1 showed that locomotor skill affects limb lateralization preferences and that most 13-month-old infants demonstrated a side preference for reaching and leading out "in the moment." Study 2 longitudinally examined the developmental trajectories of handedness and footedness as they related to locomotor posture and experience. The findings suggest high variability in the developmental trajectory of footedness, with frequent fluctuation between side preferences. The developmental trajectory of handedness was more stable over the transition between locomotor milestones. The transition between crawling and walking decreased the proportion of infants demonstrating side preferences for leading out and the onset of walking decreased the proportion of infants demonstrating side preferences for reaching. These findings demonstrate the importance of making behavioral observations at multiple time scales to understand underlying developmental trajectories, specifically the stability or instability of the motor system associated with the acquisition of new motor abilities.     

A combined fMRI and DTI examination of functional language lateralization and arcuate fasciculus structure: Effects of degree versus direction of hand preference

The present study examined the relationship between hand preference degree and direction, functional language lateralization in Broca’s and Wernicke’s areas, and structural measures of the arcuate fasciculus. Results revealed an effect of degree of hand preference on arcuate fasciculus structure, such that consistently-handed individuals, regardless of the direction of hand preference, demonstrated the most asymmetric arcuate fasciculus, with larger left versus right arcuate, as measured by DTI. Functional language lateralization in Wernicke’s area, measured via fMRI, was related to arcuate fasciculus volume in consistent-left-handers only, and only in people who were not right hemisphere lateralized for language; given the small sample size for this finding, future investigation is warranted. Results suggest handedness degree may be an important variable to investigate in the context of neuroanatomical asymmetries.     

利手与语言功能偏侧化的遗传模型

利手与语言功能偏侧化现象不仅具有跨文化一致性和发生、发展上的关联性, 还具有明显的生态学优势, 从遗传角度探讨它们的成因是必要的。早期遗传模型认为, 存在一对等位基因分别决定左、右利手。当代单基因模型则将语言功能偏侧化也纳入进来, 认为等位基因不仅可以决定具有方向性的偏侧化, 而且可以使偏侧化有一定几率向左或向右。在这个框架下形成了方向-随机等位基因模型、X-连锁隐性基因模型和右侧位移理论, 它们对等位基因的位置和功能有不同表述, 对利手的划分标准、性别差异以及遗传和环境的关系也有不同阐释。今后需加强对语言偏侧化的数据验证, 进一步阐明语言感知、理解与利手的关系, 并注重基因怎样决定表型、基因多效性和多基因合作等问题的研究。     

White-matter microstructure and language lateralization in left-handers: A whole-brain MRI analysis

Most people are left-hemisphere dominant for language. However the neuroanatomy of language lateralization is not fully understood. By combining functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), we studied whether language lateralization is associated with cerebral white-matter (WM) microstructure. Sixteen healthy, left-handed women aged 20–25 were included in the study. Left-handers were targeted in order to increase the chances of involving subjects with atypical language lateralization. Language lateralization was determined by fMRI using a verbal fluency paradigm. Tract-based spatial statistics analysis of DTI data was applied to test for WM microstructural correlates of language lateralization across the whole brain. Fractional anisotropy and mean diffusivity were used as indicators of WM microstructural organization. Right-hemispheric language dominance was associated with reduced microstructural integrity of the left superior longitudinal fasciculus and left-sided parietal lobe WM. In left-handed women, reduced integrity of the left-sided language related tracts may be closely linked to the development of right hemispheric language dominance. Our results may offer new insights into language lateralization and structure–function relationships in human language system.     

The distribution and development of handedness for manual gestures in captive chimpanzees (Pan troglodytes)

This article describes the distribution and development of handedness for manual gestures in captive chimpanzees. Data on handedness for unimanual gestures were collected in a sample of 227 captive chimpanzees. Handedness for these gestures was compared with handedness for three other measures of hand use: tool use, reaching, and coordinated bimanual actions. Chimpanzees were significantly more right-handed for gestures than for all other measures of hand use. Hand use for simple reaching at 3 to 4 years of age predicted hand use for gestures 10 years later. Use of the right hand for gestures was significantly higher when gestures were accompanied by a vocalization than when they were not. The collective results suggest that left-hemisphere specialization for language may have evolved initially from asymmetries in manual gestures in the common ancestor of chimpanzees and humans, rather than from hand use associated with other, non-communicative motor actions, including tool use and coordinated bimanual actions, as has been previously suggested in the literature.     

Sex differences in left-handedness: a meta-analysis of 144 studies

Human handedness, a marker for language lateralization in the brain, continues to attract great research interest. A widely reported but not universal finding is a greater male tendency toward left-handedness. Here the authors present a meta-analysis of k = 144 studies, totaling N = 1,787,629 participants, the results of which demonstrate that the sex difference is both significant and robust. The overall best estimate for the male to female odds ratio was 1.23 (95% confidence interval = 1.19, 1.27). The widespread observation of this sex difference is consistent with it being related to innate characteristics of sexual differentiation, and its observed magnitude places an important constraint on current theories of handedness. In addition, the size of the sex difference was significantly moderated by the way in which handedness was assessed (by writing hand or by other means), the location of testing, and the year of publication of the study, implicating additional influences on its development.     

Subject variable effects in correlations between auditory and visual language processing asymmetries

The cross-modal correlations between auditory and visual language lateralization were examined as a function of the subject variables of handedness, sex, familial sinistrality, and handwriting posture. In this study, left-handers showed a significantly greater correlation between visual and auditory language processing asymmetries than right-handers, contradicting previous reports.     

Cerebral asymmetry: motoring on

I argue that the phylogenetic and neurobiological bases for cerebral asymmetry in humans are likely to be found in motor systems rather than in perceptual systems. Current genetic models of human laterality suggest that a `dextral' allele might be responsible for right-handedness and left-cerebral dominance for speech in the majority of humans. The linking of handedness with language lateralization might reflect the early evolution of language as predominantly a system of manual gestures, perhaps switching to a mainly vocal system only with the emergence of Homo sapiens. So-called `mirror neurons' in the prefrontal cortex of the monkey, which fire both when the animal makes a grasping response and when it sees the same response performed by others, might be part of a circuit that is the precursor to language circuits in the brain. This circuit appears to be bilateral in monkeys, but left-hemispheric in humans.     

Manual laterality in nonhuman primates: a distinction between handedness and manual specialization

This article examines individual and group manual lateralization in nonhuman primates as a function of task's demands. It is suggested to distinguish low- from high-level manual activities with respect to the novelty variable and to the spatiotemporal scale of the movements. This review shows that low-level tasks lead to (a) symmetrical distributions of hand biases for the group and (b) manual preferences that are not indicative of the specialization of the contralateral hemisphere. In contrast, behaviors expressed in high-level tasks (a) show asymmetrical distribution of hand biases for the group and (b) seem to be related to a specialization of the contralateral hemisphere. Two types of lateralization, handedness and manual specialization, correspond to the 2 levels of tasks that are distinguished.     

Time sharing and dichotic listening asymmetry in normal and learning-disabled children

Time-sharing and dichotic listening techniques were used to examine cerebral lateralization for language function in 48 normal and 48 learning-disabled children. All subjects were matched according to age, sex, and handedness. An analysis of results indicated that both nornal and learning-disabled children demonstrated left hemisphere lateralization of language function on the time-sharing and dichotic listening tasks. However, no developmental trends were evident for either group. Differences observed in the performance of the normal and learning-disabled children may relate to how each group utilizes “verbal strategies” and processes simultaneous information in the left hemisphere. The results strongly question the notion that attributes learning disabilities to incomplete or delayed language lateralization and lend support to the notion that cerebral lateralization is not a developmental phenomena.     

Hand preference for pointing gestures and bimanual manipulation around the vocabulary spurt period

This study investigated the development of hand preference for bimanual manipulative activities and pointing gestures in toddlers observed longitudinally over a 5-month period, in relation to language acquisition. The lexical spurt was found to be accompanied by an increase in the right-sided bias for pointing but not for manipulation. Moreover, results revealed a significant correlation between hand preference for imperative pointing gestures and manipulative activities in children who did not experience the lexical spurt during the observational period. By contrast, measures of handedness for declarative pointing were never correlated with those of handedness for manipulation. This study illustrates the complex relationship between handedness and language development and emphasizes the need to take the different functions of pointing gestures into account.     

Motor planning and execution in left- and right-handed individuals during a bimanual grasping and placing task

The issue of handedness has been the topic of great interest for researchers in a number of scientific domains. It is typically observed that the dominant hand yields numerous behavioral advantages over the non-dominant hand during unimanual tasks, which provides evidence of hemispheric specialization. In contrast to advantages for the dominant hand during motor execution, recent research has demonstrated that the right hand has advantages during motor planning (regardless of handedness), indicating that motor planning is a specialized function of the left hemisphere. In the present study we explored hemispheric advantages in motor planning and execution in left- and right-handed individuals during a bimanual grasping and placing task. Replicating previous findings, both motor planning and execution was influenced by object end-orientation congruency. In addition, although motor planning (i.e., end-state comfort) was not influenced by hand or handedness, motor execution differed between left and right hand, with shorter object transport times observed for the left hand, regardless of handedness. These results demonstrate that the hemispheric advantages often observed in unimanual tasks do not extend to discrete bimanual tasks. We propose that the differences in object transport time between the two hands arise from overt shifting visual fixation between the two hands/objects.     

Handedness and Reach-to-Place Kinematics in Adults: Left-Handers Are Not Reversed Right-Handers

The primary goal of this study was to examine the relations between limb control and handedness in adults. Participants were categorized as left or right handed for analyses using the Edinburgh Handedness Inventory. Three-dimensional recordings were made of each arm on two reach-to-place tasks: adults reached to a ball and placed it into the opening of a toy (fitting task), or reached to a Cheerio inside a cup, which they placed on a designated mark after each trial (cup task). We hypothesized that limb control and handedness were related, and we predicted that we would observe side differences favoring the dominant limb based on the dynamic dominance hypothesis of motor lateralization. Specifically, we predicted that the dominant limb would be straighter and smoother on both tasks compared with the nondominant limb (i.e., right arm in right-handers and left arm in left-handers). Our results only partially supported these predictions for right-handers, but not for left-handers. When differences between hands were observed, the right hand was favored regardless of handedness group. Our findings suggest that left-handers are not reversed right-handers when compared on interlimb kinematics for reach-to-place tasks, and reaffirm that task selection is critical when evaluating manual asymmetries.