The role of the perioral reflex in lip motor control for speech.

The analysis of spinal and brainstem reflexes has been shown to be a useful method of quantifying the various inputs to motoneuron pools involved in voluntary motor control. This work is selectively reviewed as a background to a discussion of the role of the perioral reflex in lip motor control for speech. Data on the sensorimotor innervation of the lips and the static and dynamic properties of the perioral reflex are presented in support of the notions that (1) perioral reflex analysis provides a viable technique for analyzing brainstem excitability changes underlying lip muscle contraction for speech, and (2) the perioral reflex loop is an important functional element in lip motor control for speech.     

Computer tomographic localization, lesion size, and prognosis in aphasia and nonverbal impairment.

Computerized tomography scans (80) were used to localize infarcts in 70 patients. Twenty-three aphasics were scanned within 35 days from onset, 39 beyond a year, and 18 were nondominant cases. Aphasics were also grouped according to test scores obtained within 35 days of scan. Chronic global aphasics have larger lesions than persisting Broca's aphasics. The area of persisting Broca's aphasia is similarly anterior but larger than that of recovered motor aphasia. Anomic aphasics evolve from Broca's and Wernicke's types with differing localization. Lesion size correlated with severity and recovery, and comprehension among the subtests.     

Shift of visual field preference for English words in native Hebrew speakers.

Lateralization for visual verbal material was tested with Hebrew and English stimuli presented to Israeli adolescents in their second, fourth, and sixth years of study of English as a second language. Seventy-two children, 12 male and 12 female subjects in each class, were tested by means of a target-word recognition task. Laterality scores derived from reaction-time measures resulted in: (1) a left visual field preference for the English stimuli in the youngest group which decreased with increasing age, becoming a right visual field preference in the oldest group, and (2) a significant and equal right visual field preference for Hebrew stimuli for all groups. The data suggest right hemisphere involvement in acquiring the reading skills of a new language.     

Lateral-frontal slow potential shifts preceding language acts in deaf and hearing adults

Slow potential EEG shifts (SPSs) recorded over Broca's area and the paired contralateral site preceding cued language acts have been reported to identify the language-dominant hemisphere. A contingent negative variation paradigm SPS method was applied to the comparative study of 10 hearing adults and of 10 adult prelingually deaf persons whose first learned language was American Sign Language. Volunteers performed both language and non-language acts in both oral and manual expressive modes. The hearing group showed no lateralized SPS, failing to replicate previous reports. The deaf group showed a nonsignificant trend opposite in laterality to that of hearing groups in previous reports.     

Some aspects of language comprehension in anterior aphasia

The competency of language comprehension was evaluated in three groups: anterior aphasics, posterior aphasics, and normal control subjects. Test material was divided into two sentence groups (Fill in the Blank and True/False) emphasizing either (1) semantic, “real world,” identity words or (2) syntactic, relational words, and one paragraph interpretation task. Matching auditory and visual (written) presentations were given. The control subjects performed almost flawlessly but many errors were made by each aphasia group. Qualitative study revealed a marked difference in the comprehension problem of the two groups. The anterior aphasic group performed well on semantically weighted sentences but made errors on syntactically weighted material, regardless of mode of presentation. In contrast, the posterior aphasics made almost the same number of errors on both types of material, regardless of mode of presentation. These findings support the concept of defective language comprehension in anterior aphasia and further suggest that the defect centers on the syntactical structures which are also poorly handled in expressive output.     

Dishabituation and spontaneous recovery of the electrodermal orienting response: Effects of extraversion,impulsivity, sociability,and caffeine

The relationship between extraversion and psychophysiological indices of arousal is not yet fully understood. The present study attempted to further clarify this relationship by using caffeine to systematically manipulate arousal. Subjects pretested on the Eysenck Personality Inventory were given caffeine or a placebo, then underwent habituation, dishabituation, and spontaneous recovery of the electrodermal OR. Separate analyses examined the main and interactive effects of extraversion, impulsivity, and sociability with caffeine. Several tonic and phasic measures showed group reversal effects, with introverts having higher tonic levels and larger phasic responses under placebo conditions and extraverts having larger phasic responses and higher tonic levels under caffeine. Although both tonic and phasic responses were differentially affected, the group reversal effects occurred at different points in time on tonic than they did on phasic measures relative to the theoretical buildup of inhibition. The findings for impulsivity were quite consistent with those for extraversion, and both sets of results were generally supportive of the Eysenck hypothesis.     

Reaction time for voiced and whispered /a/ in stutterers and nonstutterers

Recent research reviewed in this article suggests that stutterers' inability to initiate phonation promptly could be a significant factor in the occurence of stuttering. Since stuttering is either completely absent or markedly reduced in frequency during whisper, the present study tested the hypothesis that stutterers do not significantly differ from nonstutterers in reaction time (RT) for the initiation of whispered/a/, whereas the two groups differ significantly in RT for the initiation of voiced /a/. Ten adult stutterers and an equal number of comparable nonstutterers produced prolonged versions of the vowel /a/ using voice and whisper in response to tone stimuli. The results showed that stutteres and nonstutterers did not differ in RT for either voiced or whispered /a/. The stutterers, however, exhibited significantly longer RT to produce voiced /a/ than whispered /a/.     

Teacher attitudes toward stuttering

Attitudes of 100 elementary school teachers toward stuttering were studied using the Teacher Attitudes Toward Stuttering (TATS) Inventory. Teacher attitudes, as indicated by TATS Inventory scores, were compared with teacher knowledge of stuttering, age of teacher, number of years teaching experience, educational level, and whether the teacher had personal experience with a stutterer. Results indicated that significant positive correlations existed between teacher attitudes toward and knowledge of stuttering. Significant negative correlations were demonstrated between teacher attitudes/knowledge of stuttering and the presence of a stuttering child in the classroom. The applicability of the TATS Inventory as a clinical instrument in its current form and the research needed to enhance its flexibility are discussed.     

A shortened version of the Southern Illinois university speech situation checklist for the identification of speech-related anxiety

This study investigated the ability of the 51-item Southern Illinois University Speech Situation Checklist (SSC) to differentiate stutterers known to have high levels of speech-related anxiety from nonstutterers with normal levels of speech- related anxiety. Checklist responses of 65 randomly selected subjects (33 stutterers and 32 nonstutterers) were subjected to a stepwise discriminant analysis. The analysis identified a combination of 21 SSC items that had significant discriminative power. Subsequently, the derived discriminant equation achieved 93% accuracy in correctly classifying a hold-out sample of 29 subjects (14 stutterers and 15 nonstutterers). These results strongly suggest that the 21 items of the SSC identified by discriminant analysis may provide an effective screening device for identifying disfluent speakers who experience an abnormal amount of speech-related anxiety.