Task-related factors in oral motor control: speech and oral diadochokinesis in dysarthria and apraxia of speech

This study was focused on the potential influence of task-related factors on oral motor performance in patients with speech disorders. Sentence production was compared with a nonspeech oral motor task, i.e., oral diadochokinesis. Perceptual and acoustic measures of speech impairment were used as dependent variables. Between-task comparisons were made for subsamples of a population of 140 patients with different motor speech syndromes, including apraxia of speech and cerebellar dysarthria. In a further analysis subgroups were matched for speaking rate. Overall, dysdiadochokinesis was correlated with the degree of speech impairment, but there was a strong interaction between task type and motor speech syndrome. In particular, cerebellar pathology affected DDK to a relatively greater extent than sentence production, while apraxic pathology spared the ability of repeating syllables at maximum speed.     

Oral Motor Abilities Are Task Dependent: A Factor Analytic Approach to Performance Rate

Measures of performance rates in speech-like or volitional nonspeech oral motor tasks are frequently used to draw inferences about articulation rate abnormalities in patients with neurologic movement disorders. The study objective was to investigate the structural relationship between rate measures of speech and of oral motor behaviors different from speech. A total of 130 patients with neurologic movement disorders and 130 healthy subjects participated in the study. Rate data was collected for oral reading (speech), rapid syllable repetition (speech-like), and rapid single articulator movements (nonspeech). The authors used factor analysis to determine whether the different rate variables reflect the same or distinct constructs. The behavioral data were most appropriately captured by a measurement model in which the different task types loaded onto separate latent variables. The data on oral motor performance rates show that speech tasks and oral motor tasks such as rapid syllable repetition or repetitive single articulator movements measure separate traits.     

The contribution of apraxic speech to working memory deficits in Parkinson's disease

This article links two formerly separate areas of research associated with Parkinson's disease (PD): speech and memory. It is proposed that speech deficits occur in PD not merely at the level of muscular control, as is commonly termed dysarthria, but also at the level of speech planning and programming, more aptly described as a form of apraxia. It is further argued that PD patient groups exhibit small deficits in verbal span, and the link between apraxic speech and verbal span is elucidated via Baddeley's (1986) model of working memory. An experiment is described in which aspects of speech of 36 PD and 43 healthy control subjects were rated and classified, and measures of span and articulation rate for words of different syllable lengths were taken. Twenty-three PD subjects had dysarthric speech, while 14 of them had apraxic speech, which was associated with lower memory span scores for longer words. It is concluded that apraxic speech can be a source of reduced memory span in PD. In addition to implications for rehabilitation and therapeutic work with PD sufferers, these findings advance our theoretical understanding of the Parkinsonian syndrome.     

Syllable frequency and syllable structure in apraxia of speech

Recent accounts of the pathomechanism underlying apraxia of speech (AOS) were based on the speech production model of Levelt, Roelofs, and Meyer, and Meyer (1999)1999. The apraxic impairment was localized to the phonetic encoding level where the model postulates a mental store of motor programs for high-frequency syllables. Varley and Whiteside (2001a) assumed that in patients with AOS syllabic motor programs are no longer accessible and that these patients are required to use a subsyllabic encoding route. In this study, we tested this hypothesis by exploring the influence of syllable frequency and syllable structure on word repetition in 10 patients with AOS. A significant effect of syllable frequency on error rates was found. Moreover, apraxic errors on consonant clusters were influenced by their position relative to syllable boundaries. These results demonstrate that apraxic patients have access to the syllabary, but that they fail to retrieve the syllabic motor patterns correctly. Our findings are incompatible with a subsyllabic route model of apraxia of speech.     

Aphemia after a penetrating brain wound: A case study

The speech of a patient with aphemia (pure anarthria) resulting from a penetrating brain wound was studied using linguistic and acoustic observations as well as electromyographic recordings from four labial muscles. The results are discussed in relation to phonetic disintegration's syndrome and apraxia of speech which, respectively, enhance linguistic disorders and motor programming disturbance.     

Selective impairment of phonation: A case study

A 47-year-old right-handed man underwent craniotomy for clipping of an aneurism at the trifurcation of the left middle cerebral artery. Subsequently, he suffered a left hemisphere CVA after which his speech and language resembled that of Broca's aphasia with accompanying apraxia of speech. Medical, behavioral, and acoustical data amassed over a period of several months indicated numerous contraindications to traditional diagnoses of Broca's aphasia, apraxia of speech, and dysarthria. Ultimately, it was determined that the patient had a selective impairement of phonation or laryngeal apraxia. This was illustrated dramatically when he was taught to use an electrolarynx which allowed him to bypass his disrupted phonatory system. Speaking with the electrolarynx, the patient communicated normally. Any semblance of Broca's aphasia disappeared. Supralaryngeal articulation was normal; apraxia of speech behaviors were absent. This case report indicates that dissociation of oral and laryngeal gestures due to brain injury is possible. Mechanisms underlying such a dissociation for this case are reviewed. The possibility of discrete center lesions in the frontal motor association area causing different types of apraxia of speech is discussed.     

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 influence of speaking rate on articulatory hypokinesia in parkinsonian dysarthria

This study addressed the question of whether or not speaking rate influences articulatory hypokinesia in dysarthria associated with Parkinson's disease. Analyses of parkinsonian speech samples revealed mean speaking rates consistent with normal controls. Thus, speaking rate was not abnormal overall in this group of dysarthric subjects. Kinematic analyses of labial displacement amplitude, peak instantaneous velocity, and movement time were made during repetitive syllable production spoken at two speaking rates: 3-5 syllables/sec and 5-7 syllables/sec. The results suggested that labial movements were normal at the slower of the two speaking rates. Conversely, labial movements became hypokinetic as speaking rate increased to the rate consistent with conversational speech. These findings provide a physiologic basis for the perception of hypokinetic dysarthria in Parkinson's disease and suggest that speaking rate may be an important control variable contributing to articulatory hypokinesia in Parkinson's disease. Moreover, these findings provide quantitative evidence that articulatory hypokinesia plays a dominant role in the perception of parkinsonian dysarthria.     

The interaction between acoustic salience and language experience in developmental speech perception: evidence from nasal place discrimination

Previous research suggests that infant speech perception reorganizes in the first year: young infants discriminate both native and non‐native phonetic contrasts, but by 10–12 months difficult non‐native contrasts are less discriminable whereas performance improves on native contrasts. In the current study, four experiments tested the hypothesis that, in addition to the influence of native language experience, acoustic salience also affects the perceptual reorganization that takes place in infancy. Using a visual habituation paradigm, two nasal place distinctions that differ in relative acoustic salience, acoustically robust labial‐alveolar [ma]–[na] and acoustically less salient alveolar‐velar [na]–[?a], were presented to infants in a cross‐language design. English‐learning infants at 6–8 and 10–12 months showed discrimination of the native and acoustically robust [ma]–[na] (Experiment 1), but not the non‐native (in initial position) and acoustically less salient [na]–[?a] (Experiment 2). Very young (4–5‐month‐old) English‐learning infants tested on the same native and non‐native contrasts also showed discrimination of only the [ma]–[na] distinction (Experiment 3). Filipino‐learning infants, whose ambient language includes the syllable‐initial alveolar (/n/)–velar (/?/) contrast, showed discrimination of native [na]–[?a] at 10–12 months, but not at 6–8 months (Experiment 4). These results support the hypothesis that acoustic salience affects speech perception in infancy, with native language experience facilitating discrimination of an acoustically similar phonetic distinction [na]–[?a]. We discuss the implications of this developmental profile for a comprehensive theory of speech perception in infancy.     

Evidence of Common Timing Processes in the Control of Manual,Orofacial, and Speech Movements

Recent investigations of timing in motor control have been interpreted as support for the concept of brain modularity. According to this concept, the brain is organized into functional modules that contain mechanisms responsible for general processes. Keele and colleagues (Keele & Hawkins, 1982; Keele & Ivry, 1987; Keele, Ivry, & Pokorny, 1987; Keele, Pokorny, Corcos, & Ivry, 1985) demonstrated that the within-subject variability in cycle duration of repetitive movements is correlated across finger, forearm, and foot movements, providing evidence in support of a general timing module. The present study examines the notion of timing modularity of speech and nonspeech movements of the oral motor system as well as the manual motor system. Subjects produced repetitive movements with the finger, forearm, and jaw. In addition, a fourth task involved the repetition of a syllable. All tasks were to be produced with a 400-ms cycle duration; target duration was established with a pacing tone, which then was removed. For each task, the within-subject variability of the cycle duration was computed for the unpaced movements over 20 trials. Significant correlations were found between each pair of effectors and tasks. The present results provide evidence that common timing processes are involved not only in movements of the limbs, but also in speech and nonspeech movements of oral structures.     

Verbal reaction time patterns in aphasic adults: consideration for apraxia of speech

Verbal reaction time patterns were compared in aphasic adults presenting anterior and posterior left hemisphere lesions. Reaction Times were measured from simultaneous recording of the subjects' verbal responses and electromyographic activity from three oral-facial sites. Total Reaction Time was fractionated into Premotor Time and Motor Time components to assess latencies associated with motor speech planning and execution. The results suggested that only anterior lesions result in deficits in motor speech planning and/or execution while posterior lesion patients perform no differently than normal. The evidence supports traditional concepts regarding apraxia of speech as being associated with frontal lobe lesions.     

Anticipatory coarticulation in aphasia: acoustic and perceptual data

Two experiments investigated speech motor planning in aphasia by contrasting the degree of labial and lingual anticipatory coarticulation evident in normal subjects' speech with that found in the speech of aphasic subjects. In the first experiment, Linear Predictive Coding (LPC) analyses were conducted for the initial consonants of CV [si su ti tu ki ku] and CCV [sti stu ski sku] productions by 6 normal and 10 aphasic (5 anterior, 5 posterior) subjects. For normal subjects' productions, reliable coarticulatory shift was found for almost all measurements, indicating that acoustic correlates for anticipatory coarticulation obtain for [s], [t], and [k] in a prevocalic environment, as well as when [s] is the initial consonant of a CCV syllable. The data for the aphasic subjects were statistically indistinguishable from those of the normal subject group, and there were no differences noted as a function of aphasia type. In the second experiment, a subset of the consonantal stimuli produced by the normal and aphasic subjects was presented to a group of 10 naive listeners for a vowel identification task. Listeners were able to identify the productions of all subjects at a level well above chance. In addition, small but statistically significant Group differences were observed, with the [sV], [skV], and [tV] productions by anterior aphasics showing significantly lower perceptual scores than those of normal subjects.     

言语想象的神经机制

言语想象不仅在大脑预处理机制方面起到重要的作用,还是目前脑机接口领域研究的热点。与正常言语产生过程相比,言语想象的理论模型、激活脑区、神经传导路径等均与其有较多相似之处。而言语障碍群体的言语想象、想象有意义的词语和句子时的脑神经机制与正常言语产生存在差异。鉴于人类言语系统的复杂性,言语想象的神经机制研究还面临一系列挑战,未来研究可在言语想象质量评价工具及神经解码范式、脑控制回路、激活通路、言语障碍群体的言语想象机制、词语和句子想象的脑神经信号等方面进一步探索,为有效提高脑机接口的识别率提供依据,为言语障碍群体的沟通提供便利。     

Disorder in sequential speech perception: a case study on pure word deafness

We described disorders of a patient which were uniquely restricted to speech perception of syllable sequences after brain damage. The results of series of experiments using syllable sequences showed "negative recency effect," in which the subject's repetition performance at the latter syllable position was remarkably poor. Experimental analyses suggested that the "negative recency effect" could be due to dual factors: the lower rate of processing of speech sounds and the memory load of holding processes of preceding syllables imposed on the succeeding phonological processing. The results also suggested that the holding processes which imposed the memory load on the succeeding auditory phonological coding processing were modality nonspecific.     

Visuomotor tracking abilities of speakers with apraxia of speech or conduction aphasia

This investigation examined the visuomotor tracking abilities of persons with apraxia of speech (AOS) or conduction aphasia (CA). In addition, tracking performance was correlated with perceptual judgments of speech accuracy. Five individuals with AOS and four with CA served as participants, as well as an equal number of healthy controls matched by age and gender. Participants tracked predictable (sinusoidal) and unpredictable signals using jaw and lip movements transduced with strain gauges. Tracking performance in participants with AOS was poorest for predictable signals, with decreased kinematic measures of cross-correlation and gain ratio and increased target-tracker difference. In contrast, tracking of the unpredictable signal by participants with AOS was performed as well as for other groups (e.g. participants with CA, healthy controls). Performance of the subjects with AOS on the predictable tracking task was found to strongly correlate with perceptual judgments of speech. These findings suggest that motor control capabilities are impaired in AOS, but not in CA. Results suggest that AOS has its basis in motor programming deficits, not impaired motor execution.     

Oral and Hand Movement Speeds are Associated with Expressive Language Ability in Children with Speech Sound Disorder

This study tested the hypothesis that children with speech sound disorder have generalized slowed motor speeds. It evaluated associations among oral and hand motor speeds and measures of speech (articulation and phonology) and language (receptive vocabulary, sentence comprehension, sentence imitation), in 11 children with moderate to severe SSD and 11 controls. Syllable durations from a syllable repetition task served as an estimate of maximal oral movement speed. In two imitation tasks, nonwords and clapped rhythms, unstressed vowel durations and quarter-note clap intervals served as estimates of oral and hand movement speed, respectively. Syllable durations were significantly correlated with vowel durations and hand clap intervals. Sentence imitation was correlated with all three timed movement measures. Clustering on syllable repetition durations produced three clusters that also differed in sentence imitation scores. Results are consistent with limited movement speeds across motor systems and SSD subtypes defined by motor speeds as a corollary of expressive language abilities.     

Error Analysis of Limb and Orofacial Praxis in Children with Developmental Motor Deficits

Two models have been suggested to depict the relationship between disorders of limb and orofacial praxis. The first views apraxia as a unitary disorder in which the underlying mechanisms for each type are similar, while the second model suggests that there are two separate praxis systems: one for planning and controlling limb gestures and a second one for planning and controlling orofacial movements. The purpose of this study was to investigate whether a common mechanism may underlie deficits in limb and orofacial praxis in children. This was done by analyzing the types of praxis errors demonstrated by children with developmental motor deficits and normal controls when performing limb and orofacial gestures. Results indicated that there was consistency across modalities (i.e., limb, orofacial) in the types of praxis errors made by children with motor deficits, providing support for the idea that a common mechanism may underlie disruptions to limb and orofacial praxis in children. This study also examined developmental trends in gestural representation and in types of praxis errors. The findings revealed a striking developmental maturation in gestural ability between the ages of 6 and 11 years for all children. However, over this age range, children with developmental motor deficits were impaired relative to normal controls.     

The influence of syllable onset complexity and syllable frequency on speech motor control

Functional imaging studies have delineated a "minimal network for overt speech production", encompassing mesiofrontal structures (supplementary motor area, anterior cingulate gyrus), bilateral pre- and postcentral convolutions, extending rostrally into posterior parts of the inferior frontal gyrus (IFG) of the language-dominant hemisphere, left anterior insula as well as bilateral components of the basal ganglia, the cerebellum, and the thalamus. In order to further elucidate the specific contribution of these cerebral regions to speech motor planning, subjects were asked to read aloud visually presented bisyllabic pseudowords during functional magnetic resonance imaging (fMRI). The test stimuli systematically varied in onset complexity (CCV versus CV) and frequency of occurrence (high-frequency, HF versus low-frequency, LF) of the initial syllable. A cognitive subtraction approach revealed a significant main effect of syllable onset complexity (CCV versus CV) at the level of left posterior IFG, left anterior insula, and both cerebellar hemispheres. Conceivably, these areas closely cooperate in the sequencing of subsyllabic aspects of the sound structure of verbal utterances. A significant main effect of syllable frequency (LF versus HF), by contrast, did not emerge. However, calculation of the time series of hemodynamic activation within the various cerebral structures engaged in speech motor control revealed this factor to enhance functional connectivity between Broca's area and ipsilateral anterior insula.