166 research outputs found

    Neurophysiological aspects of speech perception and production in stuttering

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    Stuttering is a speech disorder in which the smooth succession of speech sounds is interrupted by frequent blocks, prolongations and/or repetitions of sounds or syllables. When stuttering manifests itself for the first time during childhood, it is called developmental stuttering. When stuttering is of non-developmental origin, it is referred to as acquired stuttering. Acquired stuttering mostly derives from damage to the central nervous system which is called neurogenic stuttering. Neurologically, stuttering is characterized by alterations in cortical and subcortical brain regions related to speech motor planning, initiation, execution and monitoring. Neurological research in stuttering contains a plethora of spatial neuroimaging studies (e.g. fMRI) but a dearth of neurophysiological studies, especially when it comes to speech motor control. However, fluent speech does not only require the appropriate amount of (de)activation of specific brain regions, it also needs a timely and precise coordination of these brain regions. Therefore, the present thesis aimed to identify neurophysiological characteristics of speech motor control in stuttering by the use of electro-encephalography. First, temporal coordination of motor related activity during a visual word recognition task was assessed. Time points of motor related activity during hand action and non-action verb processing were compared in a group of fluent speakers and a group of adults with developmental stuttering. Secondly, speech motor preparatory activity preceding single word production was measured in real time by evoking a contingent negative variation (CNV) during a picture naming task. The CNV is an event-related potential reflecting motor preparatory activity in the basal ganglia-thalamo-cortical – loop. Speech motor preparation was compared between fluent speakers, and both fluent and stuttered words of stuttering speakers. Thirdly, although developmental and neurogenic stuttering are suggested to share common neural substrates, both types of stuttering were compared to assess whether this also accounts for speech motor preparatory activity. To that purpose, the same CNV picture naming task was performed in a case of neurogenic stuttering. Timing of motor related activation was considerable altered in the stuttering group, even during a silent reading task without (speech) movement requirements. The time point of maximal motor difference between both verb types was delayed with 100 ms and showed a reversed activation pattern compared to that of fluent speakers. This reversal is hypothesized to encompass two different motor abnormalities: a general motor hyperactivation, presenting during non-action verb processing, and a specific hand motor deficit, causing decreased excitability of this region during hand action verb processing. These findings confirm that temporal alterations in neural motor activations in stuttering are not restricted to overt speech production. Secondly, speech motor preparatory activity generated by the basal ganglia-thalamo-cortical – loop was found to have a crucial role in stuttering. Not only has its amount of activation a determining role in the actual moment of a stutter, its activation seems also related to the underlying stuttering pathology. An important divergence between left and right hemisphere is seen in this respect. When motor preparatory activity in right basal ganglia-thalamo-cortical – loop is markedly increased, no stutter will occur. The more frequent and/or the more severe a person stutters, the higher this increase is or must be to enable fluent speech production. The lower the motor preparatory activity preceding a stutter in the left basal ganglia-thalamo-cortical – network, the more this person will stutter in general. As such, left basal ganglia-thalamo-cortical – loop is suggested to have a link with the stuttering pathology. These findings concur with a growing amount of studies stating that right hemisphere alterations are related to (successful) compensation strategies, while the left hemisphere would contain the primary cause of stuttering. Thirdly, important differences emerged when comparing the findings concerning speech motor preparatory activity of the developmental stuttering group and the case with neurogenic stuttering. Roughly speaking, an increase in stuttering frequency was associated with an increase in CNV slope in the developmental stuttering group and a decrease in CNV in the case of neurogenic stuttering. Although neurogenic and developmental stuttering are believed to share common neural characteristics, these may be restricted to neuroanatomical findings. Both types of stuttering may show considerable variation in neurophysiological functioning, probably related to a difference in lesion localisation. Finally, when findings of the present studies are placed within a broader framework, the importance of the motor loop of feedforward processing in stuttering is highlighted. All observed motor alterations presented without simultaneous deficits in feedback processing or without obvious inferences of language impairments. Overall, the present thesis evidences that neurophysiology is able to discover interesting and intriguing neural findings that may aid in unravelling the enigma of stuttering

    An Examination of the Factors that Dictate the Relative Weighting of Feedback and Feedforward Input for Speech Motor Control

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    Speech is arguably the most important form of human communication. Fluent speech production relies on auditory feedback for the planning, execution, and monitoring of speech movements. Auditory feedback is particularly important during the acquisition of speech, however, it has been suggested that over time speakers rely less on auditory feedback as they develop robust sensorimotor representations that allow speech motor commands to be executed in a feedforward manner. The studies reported in this thesis recorded speaker’s vocal and neural responses to altered auditory feedback in order to explore the factors that dictate the relative importance of auditory feedback for speech motor control. More specifically, studies 1 through 3 examined how the role of auditory feedback changes throughout development, while studies 4 and 5 examined the relationship between vocal variability and auditory feedback control, and lastly study 6 looked at how the predictability of auditory feedback errors influences the role of auditory feedback for speech motor control. Results of the first study demonstrated that toddlers use auditory feedback to regulate their speech motor commands, supporting the long held notion that auditory feedback is important during the acquisition of speech. While mapping out the developmental trajectory of vocal and event related potential responses to altered auditory feedback, the second study demonstrated that vocal variability, rather than age, best predicts responses to altered auditory feedback. Importantly, this suggests that the maturation of the speech motor control system is not strictly dependent on age. The third study in this thesis demonstrated that children and adults show similar rates of sensorimotor adaptation, suggesting that once speech is acquired, speakers are proficient at using sensory information to modify the planning of future speech motor commands. However, since adults produced larger compensatory responses, these results also suggested that adults are more proficient at comparing incoming auditory feedback with the feedback predicted by their sensorimotor representations, as a result of possessing more precisely mapped sensorimotor representations. The results of studies four and five demonstrated that vocal variability can be used to predict the size of compensatory responses and sensorimotor adaptation to changes in one’s auditory feedback, respectively. Furthermore, these studies demonstrated that increased variability was related to increased auditory feedback control of speech. Finally, the sixth study in this thesis demonstrated that experimentally induced predictability and variability can be used to induce increases in feedforward and auditory feedback control, respectively. In conclusion, the results reported in this thesis demonstrate that age and vocal variability, both naturally occurring and experimentally induced, are important determinants of the role of auditory feedback in speech motor control

    Weak Responses to Auditory Feedback Perturbation during Articulation in Persons Who Stutter: Evidence for Abnormal Auditory-Motor Transformation

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    Previous empirical observations have led researchers to propose that auditory feedback (the auditory perception of self-produced sounds when speaking) functions abnormally in the speech motor systems of persons who stutter (PWS). Researchers have theorized that an important neural basis of stuttering is the aberrant integration of auditory information into incipient speech motor commands. Because of the circumstantial support for these hypotheses and the differences and contradictions between them, there is a need for carefully designed experiments that directly examine auditory-motor integration during speech production in PWS. In the current study, we used real-time manipulation of auditory feedback to directly investigate whether the speech motor system of PWS utilizes auditory feedback abnormally during articulation and to characterize potential deficits of this auditory-motor integration. Twenty-one PWS and 18 fluent control participants were recruited. Using a short-latency formant-perturbation system, we examined participants’ compensatory responses to unanticipated perturbation of auditory feedback of the first formant frequency during the production of the monophthong [ε]. The PWS showed compensatory responses that were qualitatively similar to the controls’ and had close-to-normal latencies (~150 ms), but the magnitudes of their responses were substantially and significantly smaller than those of the control participants (by 47% on average, p<0.05). Measurements of auditory acuity indicate that the weaker-than-normal compensatory responses in PWS were not attributable to a deficit in low-level auditory processing. These findings are consistent with the hypothesis that stuttering is associated with functional defects in the inverse models responsible for the transformation from the domain of auditory targets and auditory error information into the domain of speech motor commands

    Cortical dynamics of disfluency in adults who stutter

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    Citation: Sengupta, R., Shah, S., Loucks, T. M. J., Pelczarski, K., Scott Yaruss, J., Gore, K., & Nasir, S. M. (2017). Cortical dynamics of disfluency in adults who stutter. Physiological Reports, 5(9). doi:10.14814/phy2.13194Stuttering is a disorder of speech production whose origins have been traced to the central nervous system. One of the factors that may underlie stuttering is aberrant neural miscommunication within the speech motor network. It is thus argued that disfluency (any interruption in the forward flow of speech) in adults who stutter (AWS) could be associated with anomalous cortical dynamics. Aberrant brain activity has been demonstrated in AWS in the absence of overt disfluency, but recording neural activity during disfluency is more challenging. The paradigm adopted here took an important step that involved overt reading of long and complex speech tokens under continuous EEG recording. Anomalies in cortical dynamics preceding disfluency were assessed by subtracting out neural activity for fluent utterances from their disfluent counterparts. Differences in EEG spectral power involving alpha, beta, and gamma bands, as well as anomalies in phase-coherence involving the gamma band, were observed prior to the production of the disfluent utterances. These findings provide novel evidence for compromised cortical dynamics that directly precede disfluency in AWS. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society

    Activation in Right Dorsolateral Prefrontal Cortex Underlies Stuttering Anticipation

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    People who stutter learn to anticipate many of their overt stuttering events. Despite the critical role of anticipation, particularly how responses to anticipation shape stuttering behaviors, the neural bases associated with anticipation are unknown. We used a novel approach to identify anticipated and unanticipated words in 22 adult stutterers, which were produced in a delayed-response task while hemodynamic activity was measured using functional near infrared spectroscopy (fNIRS). Twenty-two control participants were included such that each individualized set of anticipated/unanticipated words was produced by one stutterer and one control. We conducted an analysis on the right dorsolateral prefrontal cortex (R-DLPFC) based on converging lines of evidence from the stuttering and cognitive control literatures. We also assessed connectivity between the R-DLPFC and right supramarginal gyrus (R-SMG), two key nodes of the frontoparietal network (FPN), to assess the role of cognitive control, particularly error-likelihood monitoring, in stuttering anticipation. All analyses focused on the five-second anticipation phase preceding the go signal to produce speech. Results indicate that anticipated words are associated with elevated activation in the R-DLPFC, and that compared to non-stutterers, stutterers exhibit greater activity in the R-DLPFC, irrespective of anticipation. Further, anticipated words are associated with reduced connectivity between the R-DLPFC and R-SMG. These findings highlight the potential roles of the R-DLPFC and the greater FPN as a neural substrate of stuttering anticipation. The results also support previous accounts of error-likelihood monitoring and action-stopping in stuttering anticipation. Overall, this work offers numerous directions for future research with clinical implications for targeted neuromodulation

    Classification of Types of Stuttering Symptoms Based on Brain Activity

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    Among the non-fluencies seen in speech, some are more typical (MT) of stuttering speakers, whereas others are less typical (LT) and are common to both stuttering and fluent speakers. No neuroimaging work has evaluated the neural basis for grouping these symptom types. Another long-debated issue is which type (LT, MT) whole-word repetitions (WWR) should be placed in. In this study, a sentence completion task was performed by twenty stuttering patients who were scanned using an event-related design. This task elicited stuttering in these patients. Each stuttered trial from each patient was sorted into the MT or LT types with WWR put aside. Pattern classification was employed to train a patient-specific single trial model to automatically classify each trial as MT or LT using the corresponding fMRI data. This model was then validated by using test data that were independent of the training data. In a subsequent analysis, the classification model, just established, was used to determine which type the WWR should be placed in. The results showed that the LT and the MT could be separated with high accuracy based on their brain activity. The brain regions that made most contribution to the separation of the types were: the left inferior frontal cortex and bilateral precuneus, both of which showed higher activity in the MT than in the LT; and the left putamen and right cerebellum which showed the opposite activity pattern. The results also showed that the brain activity for WWR was more similar to that of the LT and fluent speech than to that of the MT. These findings provide a neurological basis for separating the MT and the LT types, and support the widely-used MT/LT symptom grouping scheme. In addition, WWR play a similar role as the LT, and thus should be placed in the LT type

    Motor sequence learning in children with recovered and persistent developmental stuttering: preliminary findings

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    PURPOSE: Previous studies have associated developmental stuttering with difficulty learning new motor skills. We investigated non-speech motor sequence learning in children with persistent developmental stuttering (CWS), children who have recovered from developmental stuttering (CRS) and typically developing controls (CON). METHODS: Over the course of two days, participants completed the Multi-Finger Sequencing Task, consisting of repeated trials of a10-element sequence, interspersed with trials of random sequences of the same length. We evaluated motor sequence learning using accuracy and response synchrony, a timing measure for evaluation of sequencing timing. We examined error types as well as recognition and recall of the repeated sequences. RESULTS: CWS demonstrated lower performance accuracy than CON and CRS on the first day of the finger tapping experiment but improved to the performance level of CON and CRS on the second day. Response synchrony showed no overall difference among CWS, CRS and CON. Learning scores of repeated sequences did not differ from learning scores of random sequences in CWS, CRS and CON. CON and CRS demonstrated an adaptive strategy to response errors, whereas CWS maintained a high percentage of corrected errors for both days. CONCLUSIONS: Our study examined non-speech sequence learning across CWS, CRS and CON. Our preliminary findings support the idea that developmental stuttering is not associated with sequence learning per se but rather with general fine motor performance difficulties

    Assessing brain activity related to speech production and perception using tonal stimuli

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    Speech processing was studied by looking at brain processes underlying speech perception and production. Existing models of speech and empirical data propose that producing speech decreases neural activity relative to perceiving speech (termed Speech-Induced Suppression - SIS). SIS is associated with monitoring the intended auditory targets against perceived speech output. SIS has been frequently reported at cortical levels but not at subcortical levels. If SIS occurs at subcortical levels, then speech processing models would be expanded to incorporate these in the internal sensory prediction (i.e. the intended auditory targets). Auditory tonal stimuli were used in this thesis. Such stimuli are commonly used in research on subcortical activity during speech perception. Knowing what the benchmark response (i.e. subcortical activity to tones in speech perception) looks like, allows us to compare our findings made during speech production to speech perception research. The first four studies recorded cortical activity using EEG, a common method in studying SIS. The same experimental conditions were used across the studies to facilitate comparison. The results showed a large variation in the magnitude and direction of the SIS effect across conditions and experiments. Even though mean amplitudes appeared to indicate than the cortical activity was indeed suppressed in some cases, when the random effects were controlled for using linear mixed models, the suppression was not significant. A potential explanation of this result might be that the alien voice auditory stimuli played during the experimental tasks were not recognised as one’s own. This mismatch would preclude occurrence of SIS. SIS was tested for the first time using functional near-infrared spectroscopy (fNIRS) using the same experimental conditions that were used in the EEG studies. The suppression of the fNIRS signal (HbO peaks) was not significant. However, the haemoglobin concentration plots suggested that the responses to conditions that involved vocalisation differed from those that did not. This thesis also describes attempts at recording subcortical responses (FFR) during speech production. SIS has been reported at the brainstem level in the past (Papanicolaou, Raz, Loring, & Eisenberg, 1986) but this required further exploration because of procedural issues in the study. Recording FFRs during vocalisation was attempted here to test whether subcortical activity is suppressed. This required the development of a processing pipeline to extract clean signals (FFR) from brainstem recordings during speech production. Recording FFRs during speech production turned out to be very challenging. Methodological improvements introduced in the later experiments improved signal quality but it was far from the standard achieved during speech perception. Combining these two strands of research, i.e. SIS on cortical and subcortical level, led to methodological improvements. The main theoretical contribution of the thesis is the finding that SIS cannot be consistently observed when an external audio stimulus is presented whilst speech production occurs concurrently. This result agrees with a previous finding which described that less prototypical speech sounds are less suppressed (Niziolek, Nagarajan, & Houde, 2013). These results support speech models which postulate that suppression is due to matching predicted and perceived feedback
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