The aim of this study was to explore, for the first time in patients, the neural bases of temporal orienting of attention as well as the interrelations with two other effects of temporal preparation: the foreperiod effect and sequential effects. We administered an experimental task to a group of 14 patients with prefrontal lesion, a group of 15 control subjects and a group of 7 patients with a basal ganglia lesion. In the task, a cue was presented (a short versus long line) to inform participants about the time of appearance (early versus late) of a target stimulus, and the duration of the cue-target time intervals (400 versus 1400 ms) was manipulated. In contrast to the control group, patients with right prefrontal lesion showed a clear deficit in the temporal orienting effect. The foreperiod effect was also affected in the group of patients with prefrontal lesion (without lateralization of the deficit), whereas sequential effects were preserved. The group of basal ganglia patients did not show deficits in any of the effects. These findings support the voluntary and strategic nature of the temporal orienting and foreperiod effects, which depend on the prefrontal cortex, as well as the more automatic nature of sequential effects, which do not depend on either prefrontal cortex or frontobasal circuits.
Aging is accompanied by cognitive decline, although recent research indicates that the rate of decline depends on multiple lifestyle factors. One of such factors is musical practice, an activity that involves several sensory and motor systems and a wide range of high-level cognitive processes. This paper describes the first systematic review and meta-analysis, to our knowledge, of the impact of musical practice on healthy neurocognitive aging. The inclusion criteria for the review required that studies were empirical works in English or Spanish that they explored the effects of musical practice on older people; they included an assessment of cognitive functions and/or an assessment of brain status; and they included a sample of participants aged 59 years or older with no cognitive impairment or brain damage. This review led to the selection of 13 studies: 9 correlational studies involving older musicians and non-musicians and 4 experimental studies involving short-term musical training programs. The results of the meta-analysis showed cognitive and cerebral benefits of musical practice, both in domain-specific functions (auditory perception) and in other rather domain-general functions. Moreover, these benefits seem to protect cognitive domains that usually decline with aging and boost other domains that do not decline with aging. The origin of these benefits may reside, simultaneously, in the specific training of many of these cognitive functions during musical practice (specific training mechanism), in the improvement of compensatory cognitive processes (specific compensatory mechanism), and in the preservation of general functions with a global influence on others, such as perceptual capacity, processing speed, inhibition and attention (general compensatory mechanism). Therefore, musical practice seems to be a promising tool to reduce the impact of cognitive problems associated to aging.
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