The impact of threat and cognitive stress on speech motor control in people who stutter

PurposeIn the present study, an Emotional Stroop and Classical Stroop task were used to separate the effect of threat content and cognitive stress from the phonetic features of words on motor preparation and execution processes.MethodA group of 10 people who stutter (PWS) and 10 matched people who do not stutter (PNS) repeated colour names for threat content words and neutral words, as well as for traditional Stroop stimuli. Data collection included speech acoustics and movement data from upper lip and lower lip using 3D EMA.ResultsPWS in both tasks were slower to respond and showed smaller upper lip movement ranges than PNS. For the Emotional Stroop task only, PWS were found to show larger inter-lip phase differences compared to PNS. General threat words were executed with faster lower lip movements (larger range and shorter duration) in both groups, but only PWS showed a change in upper lip movements. For stutter specific threat words, both groups showed a more variable lip coordination pattern, but only PWS showed a delay in reaction time compared to neutral words. Individual stuttered words showed no effects. Both groups showed a classical Stroop interference effect in reaction time but no changes in motor variables.ConclusionThis study shows differential motor responses in PWS compared to controls for specific threat words. Cognitive stress was not found to affect stuttering individuals differently than controls or that its impact spreads to motor execution processes.Educational objectives: After reading this article, the reader will be able to: (1) discuss the importance of understanding how threat content influences speech motor control in people who stutter and non-stuttering speakers; (2) discuss the need to use tasks like the Emotional Stroop and Regular Stroop to separate phonetic (word-bound) based impact on fluency from other factors in people who stutter; and (3) describe the role of anxiety and cognitive stress on speech motor processes.     

Speech discrimination and lip reading in patients with word deafness or auditory agnosia

The purpose of this study was to assess the ability of four patients with word deafness or auditory agnosia to discriminate speech by reading lips. The patients were studied using nonsense monosyllables to test for speech discrimination, a lip reading test, the Token Test for auditory comprehension, and the Aphasia test. Our results show that patients with word deafness or auditory agnosia without aphasia can improve speech comprehension by reading lips in combination with listening, as compared with lip reading or listening alone. In conclusion, lip reading was shown to be useful for speech comprehension among these patients.     

Development and phonetic differentiation of speech movement patterns.

It is often hypothesized that speech production units are less distinctive in young children and that generalized movement primitives, or templates, serve as a base on which distinctive, mature templates are later elaborated. This hypothesis was examined by analyzing the shape and stability of single close-open speech movements of the lower lip recorded in 4-year-old, 7-year-old, and adult speakers during production of utterances that varied in only a single phoneme. To assess the presence of a generalized template, lower lip movement sequences were time and amplitude normalized, and a pattern recognition procedure was implemented. The findings indicate that speech movements of children already converged on phonetically distinctive patterns by 4 years of age. In contrast, an index of spatiotemporal stability demonstrated that the stability of underlying patterning of the movement sequence improves with maturation.     

Speech-related body movement in aphasia: period analysis of upper arms and head movement.

The effects of aphasia on coverbal body movement have important implications for the understanding of both normal and pathological speech processes. The related findings were often inconsistent, partly due to inherent methodological difficulties which could be reduced by the use of advanced techniques of movement monitoring (Hadar, 1991). The present study employed a new computerized system, CODA-3, which locates small prismatic markers and computes by triangulation their three-dimensional position at 100 Hz. Movement of the head and the upper arms was monitored in 15 aphasic and normal subjects engaged in speech during a naturalistic interview. Movement analysis was based on automatized identification of successive movement extrema ("period analysis") and the computation of amplitude, duration, and velocity of each period. The results showed higher incidence and amplitude of all body movement in the aphasic population. Fluent aphasics showed this particularly with "symbolic," content-bearing movements, while nonfluent aphasics were higher than controls in both symbolic and "motor" (simple and small) movements. No deficit in the internal organization of movement was seen in the aphasic population. These results indicate that aphasics increase their coverbal movement in compensation for their speech impairment: fluent aphasics compensate primarily for a symbolic impairment, while nonfluent aphasics compensate more for a motor impairment.     

Characteristics of velocity profiles of speech movements

The control of individual speech gestures was investigated by examining laryngeal and tongue movements during vowel and consonant production. A number of linguistic manipulations known to alter the durational characteristics of speech (i.e., speech rate, lexical stress, and phonemic identity) were tested. In all cases a consistent pattern was observed in the kinematics of the laryngeal and tongue gestures. The ratio of maximum instantaneous velocity to movement amplitude, a kinematic index of mass-normalized stiffness, was found to increase systematically as movement duration decreased. Specifically, the ratio of maximum velocity to movement amplitude varied as a function of a parameter, C, times the reciprocal of movement duration. The conformity of the data to this relation indicates that durational change is accomplished by scalar adjustment of a base velocity form. These findings are consistent with the idea that kinematic change is produced by the specification of articulator stiffness.     

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.     

Word Length and Vowel Duration in Apraxia of Speech: The Use of Relative Measures

Previous research has established that the duration of stressed word stem vowels is shorter in polysyllabic words than in monosyllabic words for normal speakers and for speakers with aphasia and apraxia of speech (AOS). However, the results are inconsistent across studies with regard to the magnitude and pattern of the duration reduction for apraxic speakers. We hypothesized that this inconsistency may be explained based on different relative measures of duration reduction. A speech sample was obtained from 10 aphasic speakers with AOS, 10 aphasic speakers without AOS, and 10 normal controls. As predicted, the use of two different relative measures resulted in different vowel reduction patterns, both of which were consistent with previous reports. The results further indicate that the production of polysyllabic words is particularly taxing in AOS and is associated with a substantial reduction of speaking rate compared to other aphasic and normal speakers.     

Articulatory/phonetic sequencing at the level of the anterior perisylvian cortex: a functional magnetic resonance imaging (fMRI) study

Damage to the anterior peri-intrasylvian cortex of the dominant hemisphere may give rise to a fairly consistent syndrome of articulatory deficits in the absence of relevant paresis of orofacial or laryngeal muscles (apraxia of speech, aphemia, or phonetic disintegration). The available clinical data are ambiguous with respect to the relevant lesion site, indicating either dysfunction of the premotor aspect of the lower precentral gyrus or the anterior insula in the depth of the Sylvian fissure. In order to further specify the functional anatomic substratum of this syndrome, functional magnetic resonance imaging (fMRI) was performed during reiteration of syllables differing in their demands on articulatory/phonetic sequencing (CV versus CCCV versus CVCVCV). Horizontal tongue movements and a polysyllabic lexical item served as control conditions. Repetition of the CV and CCCV monosyllables elicited a rather bilateral symmetric hemodynamic response at the level of the anterior and posterior bank of the central sulcus (primary sensorimotor cortex), whereas a more limited area of neural activity arose within this domain during production of lexical and nonlexical polysyllables, significantly or exclusively lateralized toward the left hemisphere. There is neurophysiological evidence that primary sensorimotor cortex mediates the "fractionation" of movements. Assuming that the polysyllables considered are organized as coarticulated higher-order units, the observed restricted and lateralized cortical activation pattern, most presumably, reflects a mode of "nonindividualized" motor control posing fewer demands on "movement fractionation." These findings may explain the clinical observation of disproportionately worse repetition of trisyllabic items as compared to monosyllables in apraxia of speech. The various test materials failed to elicit significant activation of the anterior insula. If at all, only horizontal tongue movements yielded a hemodynamic reaction extending beyond the sensorimotor cortex to premotor areas. Since limbic projections target the inferior dorsolateral frontal lobe, the enlarged region of activation during horizontal tongue movements might reflect increased attentional requirements of this task.     

Variability of motor strategies.

The capability of the speech motor system to be adjustable is shown through the investigation of activity patterns of the mandibular and labial muscle systems, respectively. Different individuals use individual motor strategies for the production of jaw and lip movements, different patterns of muscle activity producing the same speech motor objective.     

Reflex responses of human lip muscles to mechanical stimulation during speech

The role played by reflex pathways in the production of movement has been a significant issue for motor control theorists interested in a wide variety of motor behaviors. From studies of locomotion and chewing, it appears that gains in reflex pathways can be altered so that activity in these pathways does not produce destabilizing responses during movement. In speech production, recent experimental evidence has been interpreted to suggest that autogenetic lip reflexes (perioral reflexes) are suppressed during sustained phonation or speech production. The present study was conducted to assess the effects of phonation, direction of movement, and ongoing speech production on reflex responses of lip muscles. The present results suggest, in contrast to earlier work, that this reflex pathway is not suppressed or absent because the amplitude of the observed response depends upon the activation levels of the various muscles of the lower lip and, therefore, indirectly on the nature of the gesture the subject is instructed to produce.     

Reflex Responses of Human Lip Muscles to Mechanical Stimulation During Speech

The role played by reflex pathways in the production of movement has been a significant issue for motor control theorists interested in a wide variety of motor behaviors. From studies of locomotion and chewing, it appears that gains in reflex pathways can be altered so that activity in these pathways does not produce destabilizing responses during movement. In speech production, recent experimental evidence has been interpreted to suggest that autogenetic lip reflexes (perioral reflexes) are suppressed during sustained phonation or speech production. The present study was conducted to assess the effects of phonation, direction of movement, and ongoing speech production on reflex responses of lip muscles. The present results suggest, in contrast to earlier work, that this reflex pathway is not suppressed during phonation or speech. However, the response may appear to be suppressed or absent because the amplitude of the observed response depends upon the activation levels of the various muscles of the lower lip and, therefore, indirectly on the nature of the gesture the subject is instructed to produce.     

Target-size influences on reaction time with movement time controlled

The variable that affect motor programming time may be studied by changing the nature of the response and measuring the subsequent changes in reaction time (RT). One notion of motor programming suggests that aiming responses with reduced target size and/or increased target amplitude require more "complex" motor programs that require longer RTs. In a series of five experiments which movement time (MT) was experimentally varied target size neither influences RT when the movement amplitude was 2 or 30 cm nor when the target sizes differed by as much as a factor of 16:1. Increasing the movement amplitude from 15 to 30 cm also had no influence on RT. Movement time, however, did affect RT, with 200-msec movements having longer RTs than 120-msec movements. Target size and movement amplitude did not appear to be factors that influence programming time or program complexity.     

Spoken language and arm gestures are controlled by the same motor control system

Arm movements can influence language comprehension much as semantics can influence arm movement planning. Arm movement itself can be used as a linguistic signal. We reviewed neurophysiological and behavioural evidence that manual gestures and vocal language share the same control system. Studies of primate premotor cortex and, in particular, of the so-called "mirror system", including humans, suggest the existence of a dual hand/mouth motor command system involved in ingestion activities. This may be the platform on which a combined manual and vocal communication system was constructed. In humans, speech is typically accompanied by manual gesture, speech production itself is influenced by executing or observing transitive hand actions, and manual actions play an important role in the development of speech, from the babbling stage onwards. Behavioural data also show reciprocal influence between word and symbolic gestures. Neuroimaging and repetitive transcranial magnetic stimulation (rTMS) data suggest that the system governing both speech and gesture is located in Broca's area. In general, the presented data support the hypothesis that the hand motor-control system is involved in higher order cognition.     

Ad hoc Reviewers for the Journal of Motor Behavior

The study of sign languages provides a promising vehicle for investigating language production because the movements of the articulators in sign are directly observable. Movement of the hands and arms is an essential element not only in the lexical structure of American Sign Language (ASL), but most strikingly, in the grammatical structure of ASL: It is in patterned changes of the movement of signs that many grammatical attributes are represented. The “phonological? (formational) structure of movement in ASL surely reflects in part constraints on the channel through which it is conveyed. We evaluate the relation between one neuromotor constraint on movement–regulation of final position rather than of movement amplitude–and the phonological structure of movement in ASL. We combine three-dimensional measurements of ASL movements with linguistic analyses of the distinctiveness and predictability of the final position (location) versus the amplitude (length). We show that final position, not movement amplitude, is distinctive in the language and that a phonological rule in ASL predicts variation in movement amplitude–a development which may reflect a neuromuscular constraint on the articulatory mechanism through which the language is conveyed.     

Nonword repetition in children and adults: effects on movement coordination

Hearing and repeating novel phonetic sequences, or novel nonwords, is a task that taps many levels of processing, including auditory decoding, phonological processing, working memory, speech motor planning and execution. Investigations of nonword repetition abilities have been framed within models of psycholinguistic processing, while the motor aspects, which also are critical for task performance, have been largely ignored. We focused our investigation on both the behavioral and speech motor performance characteristics of this task as performed in a learning paradigm by 9‐ and 10‐year‐old children and young adults. Behavioral (percent correct productions) and kinematic (movement duration, lip aperture variability – an index of the consistency of inter‐articulator coordination on repeated trials) measures were obtained in order to investigate the short‐term (Day 1, first five vs. next five trials) and longer‐term (Day 1 vs. Day 2, first five vs. next five trials) changes associated with practice within and between sessions. Overall, as expected, young adults showed higher levels of behavioral accuracy and greater levels of coordinative consistency than the children. Both groups, however, showed a learning effect, such that in general, later Day 1 trials and Day 2 trials were shorter in duration and more consistent in coordination patterns than Day 1 early trials. Phonemic complexity of the nonwords had a profound effect on both the behavioral and speech motor aspects of performance. The children showed marked learning effects on all nonwords that they could produce accurately, while adults’ performance improved only when challenged by the more complex nonword stimuli in the set. The findings point to a critical role for speech motor processes within models of nonword repetition and suggest that young adults, similar to children, show short‐ and longer‐term improvements in coordinative consistency with repeated production of complex nonwords. There is also a clear developmental change in nonword production performance, such that less complex novel sequences elicit changes in speech motor performance in children, but not in adults.     

Lexical tones in Thai after unilateral brain damage.

An acoustic perceptual investigation of the five lexical tones of Thai was conducted to evaluate the nature of tonal disruption in patients with unilateral lesions in the left and right hemisphere. Subjects (n = 48) included 10 young normal adults, 10 old normal adults, 11 right hemisphere nonaphasics, 9 left hemisphere fluent aphasics, and 8 left hemisphere nonfluent aphasics. The five Thai tones (mid, low, falling, high, rising) were produced in isolated monosyllables, presented for tonal identification judgments, and measured for fundamental frequency (Fo) and duration. Results of an analysis of variance indicated that left hemisphere nonfluent speakers signaled and tonal contrasts at a lower level of proficiency. The extent of their impairment varied depending on severity level of aphasia. When compared to normal speakers, tonal identification for less severe nonfluent aphasics differed more in degree than in kind, and for more severe nonfluent aphasics differed both in kind and in degree. Acoustic analysis revealed that with the exception of one left nonfluent, average Fo contours were comparable in shape across speaker groups. Variability in Fo production, however, was greater in left nonfluent speakers than in any of the other four groups of speakers. Issues are discussed regarding the extent and nature of tonal disruption in aphasia and hemispheric specialization for tone production.     

Talking to children, foreigners, and retarded adults

Speech addressed to different categories of listeners was examined in a study in which undergraduate women taught a block design task to either a 6-year-old child, a retarded adult, a peer who spoke English as a second language (foreigner), or a peer who was an unimpaired native speaker of English. The speech addressed to children differed from the speech addressed to native adults along every major dimension that emerged in this study: It was clearer, simpler, and more attention maintaining, and it included longer pauses. Speech addressed to retarded adults was similar in numerous ways to the speech addressed to 6-year-olds; in some ways (e.g., repetitiveness), it was even more babyish. However, speech to the retarded adults did differ in timing from the other styles of speaking in that it included fewer and somewhat shorter pauses. Speech addressed to foreigners was more repetitive than speech addressed to native speakers, but in all other ways it was very similar. There was some evidence that speakers fine-tuned their communications to the level of cognitive and linguistic sophistication of their particular listener; for example, speakers addressing the more sophisticated foreigners (relative to those addressing the less sophisticated foreigners) used speech that included fewer devices for clarifying, simplifying, and maintaining the listeners' attention. We discuss the hypothesis that baby talk (the speech addressed to children) is a prototypical special speech register from which other special registers are derived.     

Production of Inflected Novel Words in Older Adults With and Without Dementia

While cognitive changes in aging and neurodegenerative disease have been widely studied, language changes in these populations are less well understood. Inflecting novel words in a language with complex inflectional paradigms provides a good opportunity to observe how language processes change in normal and abnormal aging. Studies of language acquisition suggest that children inflect novel words based on their phonological similarity to real words they already know. It is unclear whether speakers continue to use the same strategy when encountering novel words throughout the lifespan or whether adult speakers apply symbolic rules. We administered a simple speech elicitation task involving Finnish-conforming pseudo-words and real Finnish words to healthy older adults, individuals with mild cognitive impairment, and individuals with Alzheimer's disease (AD) to investigate inflectional choices in these groups and how linguistic variables and disease severity predict inflection patterns. Phonological resemblance of novel words to both a regular and an irregular inflectional type, as well as bigram frequency of the novel words, significantly influenced participants' inflectional choices for novel words among the healthy elderly group and people with AD. The results support theories of inflection by phonological analogy (single-route models) and contradict theories advocating for formal symbolic rules (dual-route models).     

Processes controlling human movement: neuromotor constraints on American Sign Language

The study of sign languages provides a promising vehicle for investigating language production because the movements of the articulators in sign are directly observable. Movement of the hands and arms is an essential element not only in the lexical structure of American Sign Language (ASL), but most strikingly, in the grammatical structure of ASL: It is in patterned changes of the movement of signs that many grammatical attributes are represented. The "phonological" (formational) structure of movement in ASL surely reflects in part constraints on the channel through which it is conveyed. We evaluate the relation between one neuromotor constraint on movement-regulation of final position rather than of movement amplitude-and the phonological structure of movement in ASL. We combine three-dimensional measurements of ASL movements with linguistic analyses of the distinctiveness and predictability of the final position (location) versus the amplitude (length). We show that final position, not movement amplitude, is distinctive in the language and that a phonological rule in ASL predicts variation in movement amplitude-a development which may reflect a neuromuscular constraint on the articulatory mechanism through which the language is conveyed.