Cerebral Specialization and the Control of Oral and Limb Movements for Individuals With Down’s Syndrome

In this paper we review existing research on cerebral specialization in Down’s syndrome (DS) individuals, and we present a preliminary model. The model proposes that the cerebral organization of DS persons is such that there is a dissociation of brain areas responsible for speech perception and the production of complex movement including speech. Research is presented that confirms some initial predictions of the model.     

Cerebral specialization for speech production in persons with Down syndrome.

The study of cerebral specialization in persons with Down syndrome (DS) has revealed an anomalous pattern of organization. Specifically, dichotic listening studies (e.g., Elliott & Weeks, 1993) have suggested a left ear/right hemisphere dominance for speech perception for persons with DS. In the current investigation, the cerebral dominance for speech production was examined using the mouth asymmetry technique. In right-handed, nonhandicapped subjects, mouth asymmetry methodology has shown that during speech, the right side of the mouth opens sooner and to a larger degree then the left side (Graves, Goodglass, & Landis, 1982). The phenomenon of right mouth asymmetry (RMA) is believed to reflect the direct access that the musculature on the right side of the face has to the left hemisphere's speech production systems. This direct access may facilitate the transfer of innervatory patterns to the muscles on the right side of the face. In the present study, the lateralization for speech production was investigated in 10 right-handed participants with DS and 10 nonhandicapped subjects. A RMA at the initiation and end of speech production occurred for subjects in both groups. Surprisingly, the degree of asymmetry between groups did not differ, suggesting that the lateralization of speech production is similar for persons with and persons without DS. These results support the biological dissociation model (Elliott, Weeks, & Elliott, 1987), which holds that persons with DS display a unique dissociation between speech perception (right hemisphere) and speech production (left hemisphere).     

Spoken and gestural production in a naming task by young children with Down syndrome

Lexical production in children with Down syndrome (DS) was investigated by examining spoken naming accuracy and the use of spontaneous gestures in a picture naming task. Fifteen children with DS (range 3.8-8.3 years) were compared to typically developing children (TD), matched for chronological age and developmental age (range 2.6-4.3 years). Relative to TD children, children with DS were less accurate in speech (producing a greater number of unintelligible answers), yet they produced more gestures overall and of these a significantly higher percentage of iconic gestures. Furthermore, the iconic gestures produced by children with DS accompanied by incorrect or no speech often expressed a concept similar to that of the target word, suggesting deeper conceptual knowledge relative to that expressed only in speech.     

The morphological asymmetry of the hemispheres and cerebral dominance for speech: A possible relationship

The asymmetry of the posterior Sylvian branches of the middle cerebral artery was examined on the carotid angiograms of 59 patients in whom the lateralization of speech representation was known from sodium amobarbital (Amytal) studies. The usual asymmetry of these vessels was found to be present in the group of patients with left-hemisphere speech representation but significantly reduced in patients with atypical cerebral dominance for speech. A model of the inheritance of handedness and cerebral dominance is extended to take account of these results.     

Neural modeling and imaging of the cortical interactions underlying syllable production

This paper describes a neural model of speech acquisition and production that accounts for a wide range of acoustic, kinematic, and neuroimaging data concerning the control of speech movements. The model is a neural network whose components correspond to regions of the cerebral cortex and cerebellum, including premotor, motor, auditory, and somatosensory cortical areas. Computer simulations of the model verify its ability to account for compensation to lip and jaw perturbations during speech. Specific anatomical locations of the model's components are estimated, and these estimates are used to simulate fMRI experiments of simple syllable production.     

The effects of linguistic experience on cerebral lateralization for speech production in normal hearing and deaf adolescents

The cerebral lateralization patterns for speech production in 57 normal hearing and deaf adolescents were studied using the dual-task paradigm. Normal hearing subjects showed left hemispheric dominance for speech production, whereas both the congenitally deaf and those with early acquired deafness showed atypical cerebral representation for speech production. Deaf subjects whose hearing loss occurred after 2 years of age displayed a pattern of mixed cerebral dominance related to complexity of speech production or task difficulty. These results are interpreted as evidence for a relationship between linguistic/cognitive stage of development and the ontogenesis of cerebral lateralization. A parallel lateralization hypothesis of left cerebral dominance for speech production is offered.     

Cerebral lateralization for speech in deaf and normal children

The cerebral lateralization pattern for speech production in normal hearing and congenitally deaf children was studied using the dual-task paradigm. Performance under the verbal task conditions showed predicted left hemispheric dominance for speech production in the normal hearing children. No developmental trends in asymmetry were found, suggesting that speech lateralization is present in normal 3-year-old children. These data support the developmental invariance hypothesis of cerebral organization. Deaf children showed more symmetrical patterns of cerebral control for speech production. No developmental trends in functional brain organization were observed among prepubescent deaf children.     

Developmental stuttering and the role of the supplementary motor cortex

Developmental stuttering is a frequent neurodevelopmental disorder with a complex neurobiological basis. Robust neural markers of stuttering include imbalanced activity of speech and motor related brain regions, and their impaired structural connectivity. The dynamic interaction of cortical regions is regulated by the cortico-basal ganglia-thalamo-cortical system with the supplementary motor area constituting a crucial cortical site. The SMA integrates information from different neural circuits, and manages information about motor programs such as self-initiated movements, motor sequences, and motor learning. Abnormal functioning of SMA is increasingly reported in stuttering, and has been recently indicated as an additional “neural marker” of DS: anatomical and functional data have documented abnormal structure and activity of the SMA, especially in motor and speech networks. Its connectivity is often impaired, especially when considering networks of the left hemisphere. Compatibly, recent data suggest that, in DS, SMA is part of a poorly synchronized neural network, thus resulting in a likely substrate for the appearance of DS symptoms. However, as evident when considering neural models of stuttering, the role of SMA has not been fully clarified. Herein, the available evidence is reviewed, which highlights the role of the SMA in DS as a neural “hub”, receiving and conveying altered information, thus “gating” the release of correct or abnormal motor plans.     

Cerebral specialization and verbal-motor integration in adults with and without Down syndrome

Persons with Down syndrome (DS) tend to exhibit an atypical left ear-right hemisphere advantage (LEA) for the perception of speech sounds. In the present study, a recent adaptation of the dichotic listening procedure was employed to examine interhemispheric integration during the performance of a lateralized verbal-motor task. Although adults with DS (n = 13) demonstrated a right ear-left hemisphere advantage in the dichotic-motor task similar to their peers with (n = 14) and without undifferentiated developmental disabilities (n = 14), they showed an LEA in a free recall dichotic listening task. Based on a comparison of the laterality indices obtained from both dichotic listening procedures, it appears that the manifestation of lateral ear advantages in persons DS may dependent on the response requirements of the task.     

Understanding voice perception

Voices carry large amounts of socially relevant information on persons, much like 'auditory faces'. Following Bruce and Young (1986)'s seminal model of face perception, we propose that the cerebral processing of vocal information is organized in interacting but functionally dissociable pathways for processing the three main types of vocal information: speech, identity, and affect. The predictions of the 'auditory face' model of voice perception are reviewed in the light of recent clinical, psychological, and neuroimaging evidence.     

Early Gesture Provides a Helping Hand to Spoken Vocabulary Development for Children with Autism,Down Syndrome,and Typical Development

Typically developing (TD) children refer to objects uniquely in gesture (e.g., point at a cat) before they produce verbal labels for these objects (“cat”). The onset of such gestures predicts the onset of similar spoken words, showing a strong positive relation between early gestures and early words. We asked whether gesture plays the same door-opening role in word learning for children with autism spectrum disorder (ASD) and Down syndrome (DS), who show delayed vocabulary development and who differ in the strength of gesture production. To answer this question, we observed 23 18-month-old TD children, 23 30-month-old children with ASD, and 23 30-month-old children with DS 5 times over a year during parent–child interactions. Children in all 3 groups initially expressed a greater proportion of referents uniquely in gesture than in speech. Many of these unique gestures subsequently entered children’s spoken vocabularies within a year—a pattern that was slightly less robust for children with DS, whose word production was the most markedly delayed. These results indicate that gesture is as fundamental to vocabulary development for children with developmental disorders as it is for TD children.     

Auditory perception of speech and speech sounds in recent and recovered cases of aphasia

Auditory perception of speech and speech sounds was examined in three groups of patients with cerebral damage in the dominant hemisphere. Two groups consisted of brain-injured war veterans, one group of patients with high-frequency hearing loss and the other, a group of patients with a flat hearing loss. The third group consisted of patients with recent cerebral infarcts due to vascular occlusion of the middle cerebral and internal carotid artery. Word and phoneme discrimination as well as phoneme confusions in incorrect responses were analyzed from conventional speech audiometry tests with bisyllabic Finnish words fed close to the speech reception threshold of the patient. The results were compared with those of a control group with no cerebral disorders and normal hearing. The speech discrimination scores of veterans with high-frequency hearing loss and patients with recent cerebral infarcts were some 15–20% lower than those of controls or veterans with flat hearing loss. Speech sound feature discrimination, analyzed in terms of place of articulation and distinctive features, was distorted especially in cases of recent cerebral infarcts, whereas general information transmission of phonemes was more impaired in patients with high-frequency hearing loss.     

An experiment on measuring awareness of stuttering in individuals with Down syndrome

BackgroundAwareness of stuttering is likely to depend upon the development of the metalinguistic skill to discriminate between fluent speech and stuttering and the ability to identify one’s own speech as fluent or stuttered. Presently, little is known about these abilities in individuals with Down syndrome (DS).PurposeThis study investigates whether individuals with DS and typically developing (TD) children who stutter and who do not stutter differ in their ability to discriminate between fluent speech and stuttering. The second purpose of this study is to discover if this ability is correlated with their self-identification ability.MethodAn experiment to investigate awareness with tasks for discrimination of stuttering and self-identification was developed. It was administered to 28 individuals (7–19 years) with DS, 17 of them stutter and 11 do not, and 20 TD children (3–10 years), 8 of them stutter and 12 do not. Skills to discriminate stuttering were compared between these groups and correlated with self-identification within these groups. The influence of stuttering severity and developmental/chronological age on their ability to discriminate was also investigated.ResultsThe ability to discriminate does not differ significantly between the DS and TD group, but is highly influenced by developmental age. This ability correlates with self-identification but only for the TD individuals who speak fluently.ConclusionThe ability to discriminate matures around the age of 7 and conscious awareness may rely on this ability. Differences between the present findings and earlier studies suggest that differentiation in levels and types of awareness is warranted.     

Selective loss of complex-pitch or speech discrimination after unilateral lesion

Twenty-eight right-handed patients who suffered a single cerebrovascular accident in the distribution of either the left or right middle cerebral artery were tested on their ability to discriminate complex-pitch and speech stimuli presented dichotically. Whereas the left hemisphere lesion group was impaired in dichotic speech but not in dichotic complex-pitch discrimination, the right hemisphere lesion group was impaired in dichotic complex pitch but not in dichotic speech discrimination. Complex-pitch phenomena may provide a useful model for the study of auditory function in the nondominant hemisphere.     

Building a controllable expressive speech synthesis system with multiple emotion strengths

Emotion is considered to be an essential element in the performance of human-computer interactions. In expressive synthesis speech, it is important to generate emotional speech that reflects subtle and complex emotional states. However, there has been limited research on how to effectively synthesize emotional speech using different levels of emotion strength with intuitive control, which is difficult to be modeled effectively. In this paper, we explore an expressive speech synthesis model that can be used to produce speech with multiple emotion strengths. Unlike previous studies that encoded emotions into discrete codes, we propose an embedding vector to continuously control the emotion strength, which is a data-driven method to synthesize speech with a fine control over the emotions. Compared with the models using the retraining technique or a one-hot vector, our proposed model using an embedding vector can explicitly learn the high-level emotion strength from the low-level acoustic features. As a result, we can control the emotion strength of synthetic speech in a relatively predictable and globally consistent way. The objective and subjective evaluation tests show that our proposed model achieves state-of-the-art performance in terms of model flexibility and controllability.     

Modeling the Influence of Language Input Statistics on Children's Speech Production

We trained a computational model (the Chunk-Based Learner; CBL) on a longitudinal corpus of child–caregiver interactions in English to test whether one proposed statistical learning mechanism—backward transitional probability—is able to predict children's speech productions with stable accuracy throughout the first few years of development. We predicted that the model less accurately reconstructs children's speech productions as they grow older because children gradually begin to generate speech using abstracted forms rather than specific “chunks” from their speech environment. To test this idea, we trained the model on both recently encountered and cumulative speech input from a longitudinal child language corpus. We then assessed whether the model could accurately reconstruct children's speech. Controlling for utterance length and the presence of duplicate chunks, we found no evidence that the CBL becomes less accurate in its ability to reconstruct children's speech with age.     

Receptive vocabulary and semantic knowledge in children with SLI and children with Down syndrome

Receptive vocabulary and associated semantic knowledge were compared within and between groups of children with specific language impairment (SLI), children with Down syndrome (DS), and typically developing children. To overcome the potential confounding effects of speech or language difficulties on verbal tests of semantic knowledge, a novel task was devised based on picture-based semantic association tests used to assess adult patients with semantic dementia. Receptive vocabulary, measured by word-picture matching, of children with SLI was weak relative to chronological age and to nonverbal mental age but their semantic knowledge, probed across the same lexical items, did not differ significantly from that of vocabulary-matched typically developing children. By contrast, although receptive vocabulary of children with DS was a relative strength compared to nonverbal cognitive abilities (p < .0001), DS was associated with a significant deficit in semantic knowledge (p < .0001) indicative of dissociation between word-picture matching vocabulary and depth of semantic knowledge. Overall, these data challenge the integrity of semantic-conceptual development in DS and imply that contemporary theories of semantic cognition should also seek to incorporate evidence from atypical conceptual development.     

Landscaping analyses of the ROC predictions of discrete-slots and signal-detection models of visual working memory

A fundamental issue concerning visual working memory is whether its capacity limits are better characterized in terms of a limited number of discrete slots (DSs) or a limited amount of a shared continuous resource. Rouder et al. (2008) found that a mixed-attention, fixed-capacity, DS model provided the best explanation of behavior in a change detection task, outperforming alternative continuous signal detection theory (SDT) models. Here, we extend their analysis in two ways: first, with experiments aimed at better distinguishing between the predictions of the DS and SDT models, and second, using a model-based analysis technique called landscaping, in which the functional-form complexity of the models is taken into account. We find that the balance of evidence supports a DS account of behavior in change detection tasks but that the SDT model is best when the visual displays always consist of the same number of items. In our General Discussion section, we outline, but ultimately reject, a number of potential explanations for the observed pattern of results. We finish by describing future research that is needed to pinpoint the basis for this observed pattern of results.     

A Dynamical Approach to Gestural Patterning in Speech Production

In this article, we attempt to reconcile the linguistic hypothesis that speech involves an underlying sequencing of abstract, discrete, context-independent units, with the empirical observation of continuous, context-dependent interleaving of articulatory movements. To this end, we first review a previously proposed task-dynamic model for the coordination and control of the speech articulators. We then describe an extension of this model in which invariant speech units (gestural primitives) are identified with context-independent sets of parameters in a dynamical system having two functionally distinct but interacting levels. The intergestural level is defined according to a set of activation coordinates; the interarticulator level is defined according to both model articulator and tractvariable coordinates. In the framework of this extended model, coproduction effects in speech are described in terms of the blending dynamics defined among a set of temporally overlapping active units; the relative timing of speech gestures is formulated in terms of the serial dynamics that shape the temporal patterning of onsets and offsets in unit activations. Implications of this approach for certain phonological issues are discussed, and a range of relevant experimental data on speech and limb motor control is reviewed.     

Modeling dynamic resource utilization in populations with unique constraints: preadolescents with and without Down syndrome

In this study we used a damped inverted pendulum and spring with an escapement function model to compare the global levels of stiffness and forcing used by 12 preadolescents with Down syndrome (DS) and 12 with typical development (TD). Participants walked overground at their self-selected speed and on a treadmill at speeds slower and faster than overground. Children with DS, who are characterized as hypotonic with reduced capacity for producing muscle force, exhibited significantly higher levels of stiffness and forcing (angular impulse) when walking on the treadmill and higher forcing but not stiffness overground, than children with TD. Both groups adapted to imposed speed increases similarly by increasing their global stiffness and angular impulse. We propose children with DS increased stiffness in order to overcome their hypotonia and joint laxity, thus, optimizing on stability, rather than metabolic efficiency. Higher angular impulse values for children with DS may reflect higher energy cost associated with increasing stiffness and their inherent biomechanical and physiological characteristics that reduce efficiency. We conclude that the inverted pendulum and spring with escapement function model is a useful tool for uncovering solutions to movement problems-solutions that reflect the dynamic resources of the individual and ones that are discovered, rather than prescribed.