Reading aloud boosts connectivity through the putamen

Functional neuroimaging and lesion studies have frequently reported thalamic and putamen activation during reading and speech production. However, it is currently unknown how activity in these structures interacts with that in other reading and speech production areas. This study investigates how reading aloud modulates the neuronal interactions between visual recognition and articulatory areas, when both the putamen and thalamus are explicitly included. Using dynamic causal modeling in skilled readers who were reading regularly spelled English words, we compared 27 possible pathways that might connect the ventral anterior occipito-temporal sulcus (aOT) to articulatory areas in the precentral cortex (PrC). We focused on whether the neuronal interactions within these pathways were increased by reading relative to picture naming and other visual and articulatory control conditions. The results provide strong evidence that reading boosts the aOT–PrC pathway via the putamen but not the thalamus. However, the putamen pathway was not exclusive because there was also evidence for another reading pathway that did not involve either the putamen or the thalamus. We conclude that the putamen plays a special role in reading but this is likely to vary with individual reading preferences and strategies

Cortical encoding and decoding models of speech production

To speak is to dynamically orchestrate the movements of the articulators (jaw, tongue, lips, and larynx), which in turn generate speech sounds. It is an amazing mental and motor feat that is controlled by the brain and is fundamental for communication. Technology that could translate brain signals into speech would be transformative for people who are unable to communicate as a result of neurological impairments. This work first investigates how articulator movements that underlie natural speech production are represented in the brain. Building upon this, this work also presents a neural decoder that can synthesize audible speech from brain signals. Data to support these results were from direct cortical recordings of the human sensorimotor cortex while participants spoke natural sentences. Neural activity at individual electrodes encoded a diversity of articulatory kinematic trajectories (AKTs), each revealing coordinated articulator movements towards specific vocal tract shapes. The neural decoder was designed to leverage the kinematic trajectories encoded in the sensorimotor cortex which enhanced performance even with limited data. In closed vocabulary tests, listeners could readily identify and transcribe speech synthesized from cortical activity. These findings advance the clinical viability of using speech neuroprosthetic technology to restore spoken communication

ULTRAX2020 : Ultrasound Technology for Optimising the Treatment of Speech Disorders : Clinicians' Resource Manual

Ultrasound Visual Biofeedback (U-VBF) uses medical ultrasound to image the tongue in real-time during speech. Clinicians can use this information to both assess speech disorders and as a biofeedback tool to guide children in producing correct speech. Ultrasound images of the tongue are thought to be relatively intuitive to interpret, however, there is no easy way of using the ultrasound to diagnose speech disorders, despite it having the potential to identify imperceptible errors which are diagnostically important. This manual describes how to use ultrasound for the assessment and treatment of speech sound disorders in children. It is designed to be used in combination with Articulate Instruments Ltd. Sonospeech software by clinical partners of the Ultrax2020 project. However, the basic principles and resources contained within this document will be of use to anyone interested in using ultrasound in the speech therapy clinic

An examination of oral articulation of vowel nasality in the light of the independent effects of nasalization on vowel quality

In this paper, a summary is given of an experimental technique to address a known issue in research on the independent effects of nasalization on vowel acoustics: given that the separate transfer functions associated with the oral and nasal cavities are merged in the acoustic signal, the task of teasing apart the respective effects of the two cavities seems to be an intractable problem. The results obtained from the method reveal that the independent effects of nasalization on the acoustic vowel space are: F1-raising for high vowels, F1-lowering for non-high vowels, and F2-lowering for non-front vowels. The results from previous articulatory research performed by the author on the production of vowel nasality in French, Hindi, and English are discussed in the light of these independent effects of nasalization on vowel quality

Neurocognitive signatures of phonemic sequencing in expert backward speakers

Despite its prolific growth, neurolinguistic research on phonemic sequencing has largely neglected the study of individuals with highly developed skills in this domain. To bridge this gap, we report multidimensional signatures of two experts in backward speech, that is, the capacity to produce utterances by reversing the order of phonemes while retaining their identity. Our approach included behavioral assessments of backward and forward speech alongside neuroimaging measures of voxel-based morphometry, diffusion tensor imaging, and resting-state functional connectivity. Relative to controls, both backward speakers exhibited behavioral advantages for reversing words and sentences of varying complexity, irrespective of working memory skills. These patterns were accompanied by increased grey matter volume, higher mean diffusivity, and enhanced functional connectivity along dorsal and ventral stream regions mediating phonological and other linguistic operations, with complementary support of areas subserving associative-visual and domain-general processes. Still, the specific loci of these neural patterns differed between both subjects, suggesting individual variability in the correlates of expert backward speech. Taken together, our results offer new vistas on the domain of phonemic sequencing, while illuminating neuroplastic patterns underlying extraordinary language abilities

Treatment of non-fluent aphasia through melody, rhythm and formulaic language

Left-hemisphere stroke patients often suffer a profound loss of spontaneous speech — known as non-fluent aphasia. Yet, many patients are still able to sing entire pieces of text fluently. This striking finding has inspired mainly two research questions. If the experimental design focuses on one point in time (cross section), one may ask whether or not singing facilitates speech production in aphasic patients. If the design focuses on changes over several points in time (longitudinal section), one may ask whether or not singing qualifies as a therapy to aid recovery from aphasia. The present work addresses both of these questions based on two separate experiments. A cross-sectional experiment investigated the relative effects of melody, rhythm, and lyric type on speech production in seventeen patients with non-fluent aphasia. The experiment controlled for vocal frequency variability, pitch accuracy, rhythmicity, syllable duration, phonetic complexity and other influences, such as learning effects and the acoustic setting. Contrary to earlier reports, the cross-sectional results suggest that singing may not benefit speech production in non-fluent aphasic patients over and above rhythmic speech. Previous divergent findings could very likely be due to affects from the acoustic setting, insufficient control for syllable duration, and language-specific stress patterns. However, the data reported here indicate that rhythmic pacing may be crucial, particularly for patients with lesions including the basal ganglia. Overall, basal ganglia lesions accounted for more than fifty percent of the variance related to rhythmicity. The findings suggest that benefits typically attributed to singing in the past may actually have their roots in rhythm. Moreover, the results demonstrate that lyric type may have a profound impact on speech production in non-fluent aphasic patients. Among the studied patients, lyric familiarity and formulaic language appeared to strongly mediate speech production, regardless of whether patients were singing or speaking rhythmically. Lyric familiarity and formulaic language may therefore help to explain effects that have, up until now, been presumed to result from singing. A longitudinal experiment investigated the relative long-term effects of melody and rhythm on the recovery of formulaic and non-formulaic speech. Fifteen patients with chronic non-fluent aphasia underwent either singing therapy, rhythmic therapy, or standard speech therapy. The experiment controlled for vocal frequency variability, phonatory quality, pitch accuracy, syllable duration, phonetic complexity and other influences, such as the acoustic setting and learning effects induced by the testing itself. The longitudinal results suggest that singing and rhythmic speech may be similarly effective in the treatment of non-fluent aphasia. Both singing and rhythmic therapy patients made good progress in the production of common, formulaic phrases — known to be supported by right corticostriatal brain areas. This progress occurred at an early stage of both therapies and was stable over time. Moreover, relatives of the patients reported that they were using a fixed number of formulaic phrases successfully in communicative contexts. Independent of whether patients had received singing or rhythmic therapy, they were able to easily switch between singing and rhythmic speech at any time. Conversely, patients receiving standard speech therapy made less progress in the production of formulaic phrases. They did, however, improve their production of unrehearsed, non-formulaic utterances, in contrast to singing and rhythmic therapy patients, who did not. In light of these results, it may be worth considering the combined use of standard speech therapy and the training of formulaic phrases, whether sung or rhythmically spoken. This combination may yield better results for speech recovery than either therapy alone. Overall, treatment and lyric type accounted for about ninety percent of the variance related to speech recovery in the data reported here. The present work delivers three main results. First, it may not be singing itself that aids speech production and speech recovery in non-fluent aphasic patients, but rhythm and lyric type. Second, the findings may challenge the view that singing causes a transfer of language function from the left to the right hemisphere. Moving beyond this left-right hemisphere dichotomy, the current results are consistent with the idea that rhythmic pacing may partly bypass corticostriatal damage. Third, the data support the claim that non-formulaic utterances and formulaic phrases rely on different neural mechanisms, suggesting a two-path model of speech recovery. Standard speech therapy focusing on non-formulaic, propositional utterances may engage, in particular, left perilesional brain regions, while training of formulaic phrases may open new ways of tapping into right-hemisphere language resources — even without singing

Improving our understanding of speech and language outcome in neurosurgery patients

Malignant gliomas remain incurable and result in more years of life lost than any other tumours. Surgical resection is strongly recommended but carries a risk of causing functional impairment. This thesis aims to demonstrate how state-of-the-art functional magnetic resonance imaging (fMRI) language paradigms can contribute to neurosurgical planning. The first three experiments use a multitask fMRI language paradigm to functionally segregate left posterior temporal and left posterior frontal regions involved in the perception and production of speech. Experiment 1 demonstrated three functionally distinct responses in the left posterior superior temporal sulcus (STS), left temporo-parietal junction and anterior ascending terminal branch of the left STS. Experiment 2 validates these findings in an independent group of participants, increasing confidence that they are robust. Experiment 3 dissociates the response of three different parts of the left premotor cortex during speech production. Experiment 4 shows that left posterior temporal regions are more consistently activated, in neurotypical controls, when a picture naming task presents pairs of objects rather than single objects. Further work could therefore test whether paired object naming is a more sensitive task for pre- and intra-operative language mapping. Finally, Experiment 5 found that successful reading before and after surgery, in two patients with gliomas affecting the left temporo-parietal junction, enhanced activation in bilateral perirhinal regions that were associated with semantic identification of visually presented objects in neurotypical controls. Future studies can now test whether patients who undergo resection of the left temporo-parietal junction have better reading, post-surgery, when bilateral perirhinal activation is enhanced prior to surgery. Taken together, this work expands our knowledge of the functional anatomy of language, proposes a new way of utilising fMRI data from neurotypical controls to tailor pre- and intra-operative language mapping strategies and provides an insight into how the reading system reorganises itself after brain damage