Que peut nous apprendre l’autisme sur le rôle des systèmes sensorimoteurs dans la cognition supérieure ? Nouveaux indices issus d’études sur le langage, la sémantique de l’action et le traitement des concepts émotionnels abstraits
Titre original en anglais : What can autism teach us about the role of sensorimotor systems in higher cognition? New clues from studies on language, action semantics, and abstract emotional concept processing
Moseley, R. & Pulvermüller, F. (2017). What can autism teach us about the role of sensorimotor systems in higher cognition? New clues from studies on language, action semantics, and abstract emotional concept processing. Cortex, 100, 149-190. https://doi.org/10.1016/j.cortex.2017.11.019
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Auteurs
Résumé
Au sein de la littérature neurocognitive, le rôle du système moteur dans le langage, la communication sociale et le traitement conceptuel fait l’objet de nombreux débats. Nous suggérons ici que les troubles du spectre de l’autisme (TSA) pourraient constituer un excellent cas d’étude pour examiner et évaluer les modèles neurocognitifs contemporains, notamment une théorie neurobiologique de l’intégration de la perception et de l’action, selon laquelle des assemblées cellulaires largement distribuées reliant des neurones dans les régions cérébrales de l’action et de la perception agissent comme les éléments constitutifs de nombreuses fonctions cognitives supérieures. Nous passons en revue la littérature relative aux anomalies motrices fonctionnelles dans les TSA, puis discutons de leurs corrélats neuronaux et des anomalies du développement du langage, en expliquant comment celles-ci pourraient survenir en référence à la formation typique d’assemblées cellulaires reliant les régions cérébrales de l’action et de la perception. Ce modèle engendre des hypothèses claires concernant la compréhension du langage, et nous mettons en évidence un ensemble récent d’études faisant état de différences d’activation cérébrale et de comportement dans le traitement de concepts liés à l’action et de concepts émotionnels abstraits chez les personnes présentant des TSA. Au niveau neuroanatomique, nous discutons des différences structurelles dans les connexions frontotemporales et frontopariétales à longue distance dans les TSA, qui seraient susceptibles de compromettre le transfert d’informations entre les régions sensorielles et motrices. Ce modèle neurobiologique de l’intégration de la perception et de l’action pourrait éclairer les symptômes cognitifs et socio-interactifs des TSA, en s’appuyant sur des propositions antérieures et en les étendant, lesquelles reliaient la symptomatologie autistique aux troubles moteurs et au dysfonctionnement de l’intégration de la perception et de l’action. Nous suggérons qu’il est opportun et prometteur d’examiner davantage la contribution du dysfonctionnement moteur aux atteintes cognitives et sociales supérieures, car cela pourrait faire progresser à la fois la théorie neurocognitive et le développement de nouvelles interventions cliniques pour cette population et d’autres caractérisées par une perturbation motrice précoce et généralisée.
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