Sentence Comprehension Deficits Research Articles

Language comprehension and cognitive orientation switching in Brocas syndrome and Parkinsons disease

This paper reviews researches on sentence comprehension deficits and the cognitive orientation switching abilities in two neurological disorders Brocas aphasia and Parkinsons disease (PD). Both patient groups exhibit challenges in sentence comprehension. Individuals with Brocas aphasia show reduced lexical activation and struggle with processing syntactic information when comprehending sentences. While they may retain some comprehension abilities, complex grammatical processing is significantly hindered. In PD, sentence comprehension deficits arise from disruptions in attention, executive control, and action-language networks in the brain which are critical for integrating linguistic information. Regarding cognitive orientation switching, patients with both Brocas aphasia and PD demonstrate impairments, likely due to dysfunction in frontal brain regions that enable flexibility in thinking. Broca's patients struggle with changing response strategies, while PD patients have difficulty learning new classification rules and are challenged by distractions. There is evidence that reduced cognitive switching abilities can interfere with effective syntactic processing during sentence comprehension. The review highlights neurological underpinnings and manifestations of comprehension and cognitive flexibility deficits in these two disorders. Further research can provide greater insight into the nuanced interactions between language and domain-general cognition.

Modulating Complex Sentence Processing in Aphasia Through Attention and Semantic Networks.

Lexical processing impairments such as delayed and reduced activation of lexical-semantic information have been linked to syntactic processing disruptions and sentence comprehension deficits in individuals with aphasia (IWAs). Lexical-level deficits can also preclude successful lexical encoding during sentence processing and amplify the processing costs of similarity-based interference during syntactic retrieval. We investigate whether two manipulations to engage attention and pre-activate semantic features of a target (to-be-retrieved) noun will (a) boost lexical activation during initial lexical encoding and (b) facilitate syntactic dependency linking through improved resolution of interference in IWAs and neurologically unimpaired age-matched controls (AMCs). Eye-tracking-while-listening with a visual world paradigm was used to investigate whether semantic and attentional manipulations modulated initial lexical processing and downstream syntactic retrieval of the direct-object noun in object-relative sentences. In the attention and semantic manipulations, the AMC group showed no changes in initial lexical access levels; however, gaze patterns revealed clear facilitations in dependency linking and interference resolution. In the IWA group, the attentional cue increased and maintained activation of N1 with modest facilitations in dependency linking. In the semantic condition, IWA results showed a greater degree of facilitation during dependency linking. The results suggest that attention and semantic activation are parameters that may be manipulated to strengthen encoding of lexical representations to facilitate retrieval (i.e., dependency linking) and mitigate similarity-based interference. In IWAs, these manipulations may help to reduce lexical processing deficits that can preclude successful encoding.

The effect of time on lexical and syntactic processing in aphasia.

Processing deficits at the lexical level, such as delayed and reduced lexical activation, have been theorized as the source of breakdowns in syntactic operations and thus contribute to sentence comprehension deficits in individuals with aphasia (IWA). In the current study, we investigate the relationship between lexical and syntactic processing in object-relative sentences using eye-tracking while listening in IWA. We explore whether manipulating the time available to process a critical lexical item (the direct-object noun) when it is initially heard in a sentence has an immediate effect on lexical access as well as a downstream effect on syntactic processing. To achieve this aim, we use novel temporal manipulations to provide additional time for lexical processing to occur. In addition to exploring these temporal effects in IWA, we also seek to understand the effect that additional time has on sentence processing in neurotypical age-matched adults (AMC). We predict that the temporal manipulations designed to provide increased processing time for critical lexical items will 1) enhance lexical processing of the target noun, 2) facilitate syntactic integration, and 3) improve sentence comprehension for both IWA and AMC. We demonstrate that strengthening lexical processing via the addition of time can affect lexical processing and facilitate syntactic retrieval of the target noun and lead to enhanced interference resolution in both unimpaired and impaired systems. In aphasia, additional time can mitigate impairments in spreading activation thereby improving lexical access and reducing interference during downstream dependency linking. However, individuals with aphasia may require longer additions of time to fully realize these benefits.

Chronic aphasias after left-hemisphere resective surgery

Surgical resection of brain tumours is associated with an increased risk of aphasia. However, relatively little is known about outcomes in the chronic phase (i.e., >6 months). Using voxel-based lesion symptom mapping (VLSM) in 46 patients, we investigated whether chronic language impairments are related to the location of surgical resection, residual tumour characteristics (e.g., peri-resection treatment effects, progressive infiltration, oedema) or both. Approximately 72% of patients scored below the cut-off for aphasia. Action naming and spoken sentence comprehension deficits were associated with lesions in the left anterior temporal and inferior parietal lobes, respectively. Voxel-wise analyses revealed significant associations between ventral language pathways and action naming deficits. Reading impairments were also associated with increasing disconnection of cerebellar pathways. The results indicate chronic post-surgical aphasias reflect a combination of resected tissue and tumour infiltration of language-related white matter tracts, implicating progressive disconnection as the critical mechanism of impairment.

Sentence comprehension deficits in Parkinson’s disease: fMRI task and striatal connectivity analysis

Sentence comprehension deficits in Parkinson’s disease: fMRI task and striatal connectivity analysis

Structural priming from production to comprehension in aphasia

ABSTRACT Background Many people with aphasia (PWA) show deficits in sentence production and comprehension, in part, due to an inefficient mapping between messages and syntactic structures. Structural priming—the tendency to repeat previously encountered sentence structures—has been shown to support implicit syntactic learning within and across production and comprehension modalities in healthy adults. Structural priming is also effective in facilitating sentence production and comprehension in PWA. However, less is known about whether priming in one modality changes PWA’s performance in the other modality, crucial evidence needed for applying structural priming as a cost-effective intervention strategy for PWA. Aims This study examined (a) whether production to comprehension cross-modality priming is effective in PWA, (b) whether priming-induced changes in syntactic comprehension lasted in the absence of an immediate prime, and (c) whether there is a significant correlation between individuals’ priming effects and the change in their comprehension following priming. Methods & Procedures Thirteen PWA and 13 age-matched control participants completed a pre-test, a production-to-comprehension priming block, and a post-test. In the pre- and post-tests, participants completed a sentence-picture matching task with sentences involving interpretations of an ambiguous prepositional phrase (e.g., The teacher is poking the monk with a bat). Participants were free to choose a picture corresponding to a high attachment (HA; e.g., the teacher is using the bat to poke the monk) or a low attachment (LA; e.g., the monk is holding the bat) interpretation. In the priming block, participants produced LA sentences as primes and then completed a sentence-picture matching task for comprehension targets, similar to the pre-test. Results Age-matched controls and PWA showed a significant priming effect when comparing the priming block to the pre-test. In both groups, the priming effect persisted when comparing picture selections in the pre- and post-tests. At the individual level, age-matched controls who showed larger priming effects also selected more LA pictures in the post-test compared to the pre-test, indicating that the priming effect accounted for the magnitude of change from the pre- to post-test. This correlation was also found in PWA. Conclusions These findings suggest that production-to-comprehension structural priming is effective and persistent in PWA and controls, in line with the view that structural priming is a form of implicit learning. Further, the findings suggest that syntactic representations are shared between modalities, and therefore, production influences future comprehension. Cross-modality structural priming may have clinical potential to improve sentence processing in PWA.

TH-242. Sentence comprehension deficits in Parkinson’s disease: fMRI task and striatal connectivity analysis

TH-242. Sentence comprehension deficits in Parkinson’s disease: fMRI task and striatal connectivity analysis

The Wernicke conundrum revisited: evidence from connectome-based lesion-symptom mapping.

Wernicke's area has been assumed since the 1800s to be the primary region supporting word and sentence comprehension. However, in 2015 and 2019, Mesulam and colleagues raised what they termed the 'Wernicke conundrum', noting widespread variability in the anatomical definition of this area and presenting data from primary progressive aphasia that challenged this classical assumption. To resolve the conundrum, they posited a 'double disconnection' hypothesis: that word and sentence comprehension deficits in stroke-based aphasia result from disconnection of anterior temporal and inferior frontal regions from other parts of the brain due to white matter damage, rather than dysfunction of Wernicke's area itself. To test this hypothesis, we performed lesion-deficit correlations, including connectome-based lesion-symptom mapping, in four large, partially overlapping groups of English-speaking chronic left hemisphere stroke survivors. After removing variance due to object recognition and associative semantic processing, the same middle and posterior temporal lobe regions were implicated in both word comprehension deficits and complex non-canonical sentence comprehension deficits. Connectome lesion-symptom mapping revealed similar temporal-occipital white matter disconnections for impaired word and non-canonical sentence comprehension, including the temporal pole. We found an additional significant temporal-parietal disconnection for non-canonical sentence comprehension deficits, which may indicate a role for phonological working memory in processing complex syntax, but no significant frontal disconnections. Moreover, damage to these middle-posterior temporal lobe regions was associated with both word and non-canonical sentence comprehension deficits even when accounting for variance due to the strongest anterior temporal and inferior frontal white matter disconnections, respectively. Our results largely agree with the classical notion that Wernicke's area, defined here as middle superior temporal gyrus and middle-posterior superior temporal sulcus, supports both word and sentence comprehension, suggest a supporting role for temporal pole in both word and sentence comprehension, and speak against the hypothesis that comprehension deficits in Wernicke's aphasia result from double disconnection.

Sentence Comprehension in Primary Progressive Aphasia: A Study of the Application of the Brazilian Version of the Test for the Reception of Grammar (TROG2-Br).

Sentence-comprehension deficits have been described in patients with primary progressive aphasia (PPA). However, most instruments to address this domain in more detail and in a clinical context have not been adapted and translated into several languages, posing limitations to clinical practice and cross-language research.ObjectivesThe study aimed to (1) test the applicability of the Brazilian version of the Test for Reception of Grammar (TROG2-Br) to detect morphosyntactic deficits in patients with PPA; (2) investigate the association between performance in the test and sociodemographic and clinical variables (age, years of formal education, and disease duration); (3) characterize the performance of individuals presenting with the three more common variants of PPA (non-fluent, semantic, and logopenic) and mixed PPA (PPA-Mx) and analyze whether TROG-2 may assist in the distinction of these clinical profiles.MethodsA total of 74 cognitively healthy participants and 34 individuals diagnosed with PPA were assessed with TROG2-Br. Overall scores (correct items, passed blocks), types, and categories of errors were analyzed.ResultsIn controls, block scores were significantly correlated with years of formal education (Spearman's r = 0.33, p = 004) but not with age. In PPA, age, education, and disease duration were not significantly associated with performance in the test. Controls presented a significantly higher performance on TROG2-Br compared to PPA individuals and their errors pattern pointed to mild general cognitive processing difficulties (attention, working memory). PPA error types pointed to processing and morphosyntactic deficits in nonfluent or agrammatic PPA, (PPA-NF/A), logopenic PPA (PPA-L), and PPA-Mx. The semantic PPA (PPA-S) subgroup was qualitatively more similar to controls (processing difficulties and lower percentage of morphosyntactic errors). TROG2-Br presented good internal consistency and concurrent validity.DiscussionOur results corroborate findings with TROG-2 in other populations. The performance of typical older adults with heterogeneous levels of education is discussed along with recommendations for clinical use of the test and future directions of research.

Processing Argument Structure and Syntactic Complexity in People with Schizophrenia Spectrum Disorders

IntroductionDeficits in language comprehension and production have been repeatedly observed in Schizophrenia Spectrum Disorders (SSD). However, the characterization of the language profile of this population is far from complete, and the relationship between language deficits, impaired thinking and cognitive functions is widely debated. ObjectiveThe aims of the present study were to assess production and comprehension of verbs with different argument structures, as well as production and comprehension of sentences with canonical and non-canonical word order in people with SSD. In addition, the study investigated the relationship between language deficits and cognitive functions. MethodsThirty-four participants with a diagnosis of SSD and a group of healthy control participants (HC) were recruited and evaluated using the Italian version of the Northwestern Assessment of Verbs and Sentences (NAVS, Cho-Reyes & Thompson, 2012; Barbieri et al., 2019). ResultsResults showed that participants with SSD were impaired – compared to HC – on both verb and sentence production, as well as on comprehension of syntactically complex (but not simple) sentences. While verb production was equally affected by verb-argument structure complexity in both SSD and HC, sentence comprehension was disproportionately more affected by syntactic complexity in SSD than in HC. In addition, in the SSD group, verb production deficits were predicted by performance on a measure of visual attention, while sentence production and comprehension deficits were explained by performance on measures of executive functions and working memory, respectively. DiscussionOur findings support the hypothesis that language deficits in SSD may be one aspect of a more generalized, multi-domain, cognitive impairment, and are consistent with previous findings pointing to reduced inter- and intra-hemispheric connectivity as a possible substrate for such deficits. The study provides a systematic characterization of lexical and syntactic deficits in SSD and demonstrates that psycholinguistically-based assessment tools may be able to capture language deficits in this population.

Lesion correlates of auditory sentence comprehension deficits in post-stroke aphasia

Auditory sentence comprehension requires coordination of multiple levels of processing: auditory-phonological perception, lexical-semantic comprehension, syntactic parsing and discourse construction, as well as executive functions such as verbal working memory (WM) and cognitive control. This study examined the lesion correlates of sentence comprehension deficits in post-stroke aphasia, building on prior work on this topic by using a different and clinically-relevant measure of sentence comprehension (the Token Test) and multivariate (SCCAN) and connectome-based lesion-symptom mapping methods. The key findings were that lesions in the posterior superior temporal lobe and inferior frontal gyrus (pars triangularis) were associated with sentence comprehension deficits, which was observed in both mass univariate and multivariate lesion-symptom mapping. Graph theoretic measures of connectome disruption were not statistically significantly associated with sentence comprehension deficits after accounting for overall lesion size.

A New Memory Perspective on the Sentence Comprehension Deficits of School-Age Children With Developmental Language Disorder: Implications for Theory, Assessment, and Intervention.

Purpose The nature of the relationship between memory and sentence comprehension in school-age children with developmental language disorder (DLD) has been unclear. We present a novel perspective that highlights the relational influences of fluid intelligence, controlled attention, working memory (WM), and long-term memory (LTM) on sentence comprehension in children with and without DLD. This perspective has new and important implications for theory, assessment, and intervention. Method We review a large-scale study of children with and without DLD that focused on the connections between cognition, memory, and sentence comprehension. We also summarize a new model of these relationships. Results Our new model suggests that WM serves as a conduit through which syntactic knowledge in LTM, controlled attention, and general pattern recognition indirectly influence sentence comprehension in both children with DLD and typically developing children. For typically developing children, language-based LTM and fluid intelligence indirectly influence sentence comprehension. However, for children with DLD, controlled attention plays a larger indirect role. Conclusions WM plays a key role in children's ability to apply their syntactic knowledge when comprehending canonical and noncanonical sentences. Our new model has important implications for the assessment of sentence comprehension and for the treatment of larger sentence comprehension deficits.

Cortical Tracking of the Speech Envelope in Logopenic Variant Primary Progressive Aphasia.

Logopenic variant primary progressive aphasia (lvPPA) is a neurodegenerative language disorder primarily characterized by impaired phonological processing. Sentence repetition and comprehension deficits are observed in lvPPA and linked to impaired phonological working memory, but recent evidence also implicates impaired speech perception. Currently, neural encoding of the speech envelope, which forms the scaffolding for perception, is not clearly understood in lvPPA. We leveraged recent analytical advances in electrophysiology to examine speech envelope encoding in lvPPA. We assessed cortical tracking of the speech envelope and in-task comprehension of two spoken narratives in individuals with lvPPA (n = 10) and age-matched (n = 10) controls. Despite markedly reduced narrative comprehension relative to controls, individuals with lvPPA had increased cortical tracking of the speech envelope in theta oscillations, which track low-level features (e.g., syllables), but not delta oscillations, which track speech units that unfold across a longer time scale (e.g., words, phrases, prosody). This neural signature was highly correlated across narratives. Results indicate an increased reliance on acoustic cues during speech encoding. This may reflect inefficient encoding of bottom-up speech cues, likely as a consequence of dysfunctional temporoparietal cortex.

Predictive Processing and Developmental Language Disorder.

Purpose Research in the cognitive and neural sciences has situated predictive processing-the anticipation of upcoming percepts-as a dominant function of the brain. The purpose of this article is to argue that prediction should feature more prominently in explanatory accounts of sentence processing and comprehension deficits in developmental language disorder (DLD). Method We evaluate behavioral and neurophysiological data relevant to the theme of prediction in early typical and atypical language acquisition and processing. Results Poor syntactic awareness-attributable, in part, to an underlying statistical learning deficit-is likely to impede syntax-based predictive processing in children with DLD, conferring deficits in spoken sentence comprehension. Furthermore, there may be a feedback cycle in which poor syntactic awareness impedes children's ability to anticipate upcoming percepts, and this, in turn, makes children unable to improve their syntactic awareness on the basis of prediction error signals. Conclusion This article offers a refocusing of theory on sentence processing and comprehension deficits in DLD, from a difficulty in processing and integrating perceived syntactic features to a difficulty in anticipating what is coming next.

Verbal short-term memory and sentence comprehension in German children and adolescents with Down syndrome: Beware of the task

In individuals with Down syndrome (DS) deficits in verbal short-term memory (VSTM) and deficits in sentence comprehension co-occur, suggesting that deficits in VSTM might be causal for the deficits in sentence comprehension. The present study aims to explore the presumed relationship between VSTM and sentence comprehension in individuals with DS by specifically targeting the influence of task demands. The authors assessed VSTM skills in 18 German-speaking children/adolescents with DS by a nonword repetition (NWR) test and elicited data from three different tasks on the comprehension of complex sentence structures: two sentence-picture-matching tasks (TROG-D and a passive test) and one picture-pointing task on object wh-questions. Whereas performance in NWR yielded a significant degree of prediction for scores obtained in the TROG-D and in passive comprehension, no significant degree of prediction was found for NWR and object wh-question comprehension. Moreover, implicational scaling analyses indicated that mental-age adequate performance in sentence comprehension did not imply adequate performance in NWR. Research is needed that specifies the relation between memory systems and sentence comprehension while considering the influence of task demands.

Sentence comprehension in patients with dementia of the Alzheimer's type.

Sentence comprehension is diminished in patients with dementia of the Alzheimer’s type (DAT). However, the underlying reason for such deficits is still not entirely clear. The Syntactic Deficit Hypothesis attributes sentence comprehension deficits in DAT patients to the impairment in syntactic ability, whereas the Processing Resource Deficit Hypothesis proposes that sentence comprehension deficits are the result of working memory deficiency. This study investigated the deficits in sentence comprehension in Chinese-speaking DAT patients with different degrees of severity using sentence-picture matching tasks. The study revealed a significant effect of syntactic complexity in patients and healthy controls, but the effect was stronger in patients than in healthy controls. When working memory demand was minimized, the effect of syntactic complexity was only significant in patients with moderate DAT, but not in healthy controls or those with mild DAT. The findings suggest that in patients with mild DAT, working memory decline was the major source of sentence comprehension difficulty and in patients with moderate DAT, working memory decline and syntactic impairment jointly contributed to the impairments in sentence comprehension. The source of sentence comprehension deficits varied with degree of dementia severity.

Effects of executive attention on sentence processing in aphasia

ABSTRACT Background In the recent years there has been increasing interest in the effects of attentional control on syntactic comprehension, as measured in garden path sentence resolution. Persons with aphasia (PWA) experience greater penalties in garden path sentences compared to language-unimpaired adults but the origin of this deficit remains a controversial issue. One of the possible deficits has been claimed to be disambiguation of lexical cues in the sentence. However, in languages such as English with little morphological variation this connection is hard to establish. To test this hypothesis we used garden path sentences in a morphologically rich language, Greek, where morphological cues may resolve garden path at the lexical level. We further tested whether domain-general attentional control abilities and in particular shifts in attentional control predict garden path resolution in PWA and age- and education-matched controls. Aims This study aimed to determine whether PWA were able to integrate disambiguating morphological (Case) cues while processing garden path sentences. In addition, we tested whether domain-general attentional control and in particular attentional shift from global to local and local to global information (as defined by) correlates directly with garden path resolution in PWA and healthy controls. Methods & Procedures Fifteen participants with non-fluent/agrammatic aphasia along with fifteen age- and education-matched language-unimpaired adults performed an online self-paced reading and grammaticality judgment task that included object/subject ambiguous sentences. Syntactic ambiguity was created by the optional transitivity of verbs, while the garden path effect was resolved by morphological Case. The individuals’ executive attention skills were tested through an online non-verbal global-local attention shifting task that measured costs stemming from shifting attention from the global to the local level, and vice versa. Outcomes & Results PWA were slower and more erroneous than controls in integrating Case cues to disambiguate garden path sentences as manifested in the self-paced reading and grammaticality judgment task. In the global local task, PWA exhibited greater global-to-local (vs. local-to-global) attention shifting costs, while controls did not exhibit dissociation. In the regression analysis, garden path resolution in PWA was significantly predicted by global-to-local attention shifting costs, while controls’ garden path resolution was significantly predicted by local-to-global attention shift costs. Conclusions The present study showed for the first time that morphological cues can shed light in sentence comprehension deficits exhibited by PWA. Furthermore, domain-general attentional control abilities were significantly associated with sentence comprehension abilities in both healthy controls and PWA.

Bilingual aphasia: Assessing cross-linguistic asymmetries and bilingual advantage in sentence comprehension deficits

People with aphasia frequently have difficulties understanding semantically reversible sentences presented in derived word order. This impairment may be related to the inconsistent processing of morphological information, as well as to difficulties inhibiting the inverse interpretation of the sentence. Studies on bilingual aphasia may contribute to our understanding of these issues by shedding light on i) differences in processing of morphology across languages; ii) enhanced control mechanisms. We studied early Basque-Spanish bilingual speakers with aphasia and monolingual Spanish speakers with aphasia, as well as unimpaired individuals. Using comparable sets of materials across languages, we combined behavioural and eye-tracking methods. Results indicate that i) at the group level, bilingual speakers perform better in Spanish than in Basque, particularly in sentences with Theme-Agent argument order. Individual case analysis shows a pattern of weak dissociation across languages in several participants; ii) bilingual people with aphasia do not outperform monolingual people with aphasia in comprehension accuracy, although gaze data suggests that bilingual speakers exhibit higher inhibition and monitoring abilities.

Priming sentence comprehension in aphasia: effects of lexically independent and specific structural priming

ABSTRACTBackground & Aims: Impaired message-structure mapping results in deficits in both sentence production and comprehension in aphasia. Structural priming has been shown to facilitate syntactic production for persons with aphasia (PWA). However, it remains unknown if structural priming is also effective in sentence comprehension. We examined if PWA show preserved and lasting structural priming effects during interpretation of syntactically ambiguous sentences and if the priming effects occur independently of or in conjunction with lexical (verb) information.Methods & Procedures: Eighteen PWA and 20 healthy older adults (HOA) completed a written sentence-picture matching task involving the interpretation of prepositional phrases (PP; the chef is poking the solider with an umbrella) that were ambiguous between high (verb modifier) and low attachment (object noun modifier). Only one interpretation was possible for prime sentences, while both interpretations were possible for target sentences. In Experiment 1, the target was presented immediately after the prime (0-lag). In Experiment 2, two filler items intervened between the prime and the target (2-lag). Within each experiment, the verb was repeated for half of the prime-target pairs, while different verbs were used for the other half. Participants’ off-line picture matching choices and response times were measured.Results: After reading a prime sentence with a particular interpretation, HOA and PWA tended to interpret an ambiguous PP in a target sentence in the same way and with faster response times. Importantly, both groups continued to show this priming effect over a lag (Experiment 2), although the effect was not as reliable in response times. However, neither group showed lexical (verb-specific) boost on priming, deviating from robust lexical boost seen in the young adults of prior studies.Conclusions: PWA demonstrate abstract (lexically-independent) structural priming in the absence of a lexically-specific boost. priming is preserved in aphasia, effectively facilitating not only immediate but also longer-lasting structure-message mapping during sentence comprehension.

Comprehension of Complex Sentences in the Persian-Speaking Patients With Aphasia.

Introduction:To study sentence comprehension in Persian-speaking Patients with Aphasia considering the factors of complexity.Methods:In this cross-sectional study, the performance of 6 non-fluent aphasic patients were tested and their performance was compared to 15 matched control group. Comprehension of semantically reversible sentences was assessed using a binary sentence-picture matching task. The stimuli were as follows: clefts; subject clefts and object clefts, also relative clauses; subject relatives and object relatives. All of them were types of movement-derived structures and also simple declarative sentences as the control task.Results:The best performance of aphasic patients were seen in the comprehension of subject clefts, although prior to this result we assumed that simple declarative sentences (in which there is no structural factor of complexity) can be understood easily. They showed the highest difficulty in the comprehension of object relatives. Furthermore, the performance of patients in the comprehension of relative clauses was significantly weaker than understanding the clefts.Conclusion:The outcomes of this study suggest that the sentence comprehension deficits of aphasic patients, in contrast to the specific deficit models, may not be related to linguistic disabilities. Moreover, the problems in the comprehension of non-canonical sentences may be related to failure in the allocation of attention. Finally, our results support the claims that neural characterization of the cognitive resources (e.g. working memory) is disrupted in sentence comprehension deficits.