Abstract
Researchers and clinicians have long used meaningful intransitive (i.e., not tool-related; MFI) gestures to assess apraxia—a complex and frequent motor-cognitive disorder. Nevertheless, the neurocognitive bases of these gestures remain incompletely understood. Models of apraxia have assumed that meaningful intransitive gestures depend on either long-term memory (i.e., semantic memory and action lexicons) stored in the left hemisphere, or social cognition and the right hemisphere. This meta-analysis of 42 studies reports the performance of 2659 patients with either left or right hemisphere damage in tests of meaningful intransitive gestures, as compared to other gestures (i.e., MFT or meaningful transitive and MLI or meaningless intransitive) and cognitive tests. The key findings are as follows: (1) deficits of meaningful intransitive gestures are more frequent and severe after left than right hemisphere lesions, but they have been reported in both groups; (2) we found a transitivity effect in patients with lesions of the left hemisphere (i.e., meaningful transitive gestures more difficult than meaningful intransitive gestures) but a “reverse” transitivity effect in patients with lesions of the right hemisphere (i.e., meaningful transitive gestures easier than meaningful intransitive gestures); (3) there is a strong association between meaningful intransitive and transitive (but not meaningless) gestures; (4) isolated deficits of meaningful intransitive gestures are more frequent in cases with right than left hemisphere lesions; (5) these deficits may occur in the absence of language and semantic memory impairments; (6) meaningful intransitive gesture performance seems to vary according to the emotional content of gestures (i.e., body-centered gestures and emotional valence-intensity). These findings are partially consistent with the social cognition hypothesis. Methodological recommendations are given for future studies.
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Availability of Data and Materials
This is a meta-analysis of already published studies. The data are available in tables/figures in the manuscript and in the supplement. The dataset is available on reasonable request to the corresponding author.
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This work was supported by grants from Region Normandie (“PEREMO” Project; JB and VB), from the University of Rouen Normandie (UNIROUEN, ED 556 HSRT, RIN Doctorant 2020 100%; JB), from the French National Research Agency (ANR; Project TECHNITION: ANR-21-CE28-0023-01; FO and ML) and the Région Auvergne-Rhône-Alpes (NUMERICOG-2017-900-EA 3082 EMC-R-2075; FO).
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All authors have made substantial contributions to the work, proofread the manuscript, and approved the version to be published. The specific contributions were as follows: Josselin Baumard: conception and design, data collection and analysis, interpretation, drafting, and submission process. Alice Laniepce: data collection and analysis. Mathieu Lesourd: conception and design. Léna Guézouli: conception and design. Virginie Beaucousin: data collection and analysis. Maureen Gehin: conception and design, data collection, and analysis. François Osiurak: conception and design. Angela Bartolo: conception and design.
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Baumard, J., Laniepce, A., Lesourd, M. et al. The Neurocognitive Bases of Meaningful Intransitive Gestures: A Systematic Review and Meta-analysis of Neuropsychological Studies. Neuropsychol Rev (2024). https://doi.org/10.1007/s11065-024-09634-6
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DOI: https://doi.org/10.1007/s11065-024-09634-6