Results of a Randomized Clinical Trial of Speech After Early Neurostimulation in Parkinson's Disease.

BACKGROUND: The EARLYSTIM trial demonstrated for Parkinson's disease patients with early motor complications that deep brain stimulation of the subthalamic nucleus (STN-DBS) and best medical treatment (BMT) was superior to BMT alone. OBJECTIVE: This prospective, ancillary study on EARLYSTIM compared changes in blinded speech intelligibility assessment between STN-DBS and BMT over 2 years, and secondary outcomes included non-speech oral movements (maximum phonation time [MPT], oral diadochokinesis), physician- and patient-reported assessments. METHODS: STN-DBS (n = 102) and BMT (n = 99) groups underwent assessments on/off medication at baseline and 24 months (in four conditions: on/off medication, ON/OFF stimulation-for STN-DBS). Words and sentences were randomly presented to blinded listeners, and speech intelligibility rate was measured. Statistical analyses compared changes between the STN-DBS and BMT groups from baseline to 24 months. RESULTS: Over the 2-year period, changes in speech intelligibility and MPT, as well as patient-reported outcomes, were not different between groups, either off or on medication or OFF or ON stimulation, but most outcomes showed a nonsignificant trend toward worsening in both groups. Change in oral diadochokinesis was significantly different between STN-DBS and BMT groups, on medication and OFF STN-DBS, with patients in the STN-DBS group performing slightly worse than patients under BMT only. A signal for clinical worsening with STN-DBS was found for the individual speech item of the Unified Parkinson's Disease Rating Scale, Part III. CONCLUSION: At this early stage of the patients' disease, STN-DBS did not result in a consistent deterioration in blinded speech intelligibility assessment and patient-reported communication, as observed in studies of advanced Parkinson's Disease. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Research on Rhetorical Devices in German: The Use of Rhetorical Questions in Sales Presentations.

Previous literature recommends using stylistic (or rhetorical) devices in presentations such as rhetorical questions (RQs: Does anyone want bad teeth?) to make them more professional, to appear more charismatic, and to convince an audience. However, in oral presentations, it is not only the what that matters in using stylistic devices like RQs, but also the how, i.e., the RQs' prosodic realization. To date, however, virtually no handbook on the way of giving a good presentation scrutinizes this prosodic how. Therefore, our investigation focuses on the prosodic realization of German RQs in sales pitches. Specifically, we carry out a perception experiment in which 72 listeners rated both the sales pitch and its speaker based on presentations that contained questions that were lexically biased towards a rhetorical interpretation. They were realized with either the prosody of RQs or information-seeking questions (ISQs: What time is it?). An additional baseline condition was constituted by regular declarative statements with the corresponding prosody. More precisely, we investigate whether particular identified prosodic realizations-previously found for German RQs and ISQs-meet the listeners' expectation in the context of a presentation situation. We found that listeners prefer lexically marked RQs that are produced with a prosody that is characteristic of German ISQs. We therefore suggest that handbooks should provide their readers not only with clear definitions of RQs as a stylistic device in presentations (i.e., the what), but also with the respective prosodic realization (i.e., the how) to make them a properly implemented stylistic device.

Robots for Foreign Language Learning: Speaking Style Influences Student Performance.

Much previous research suggests that teachers' individual characteristics may affect students' performance; however, which factors are particularly helpful is as yet unclear and methodologically very difficult to assess. In this paper, we study the effects of robots' speaking styles when instructing students on a task. 40 participants saw a brief video in which a robot presented its instructions either in a charismatic or a not so charismatic speaking style. Participants' task was then to produce foreign language sentences on the basis of visualizations of the prosodic properties of these sentences. A subsequent analysis of participants' productions shows that language learners' performance was significantly better when the robot had delivered its instructions in a charismatic voice. The results suggest not only that a charismatic speaking style may be crucial for teachers in general and hence one of the factors causing the interpersonal variation between teachers, but also that students can benefit from instructions by robots delivered in a charismatic speaking style.

Phonetic characteristics of vocalizations during pain.

INTRODUCTION AND OBJECTIVES: There have, yet, been only few attempts to phonetically characterize the vocalizations of pain, although there is wide agreement that moaning, groaning, or other nonverbal utterance can be indicative of pain. We studied the production of vowels "u," "a," "i", and "schwa" (central vowel, sounding like a darker "e" as in hesitations like "ehm")-as experimental approximations to natural vocalizations. METHODS: In 50 students vowel production and self-report ratings were assessed during painful and nonpainful heat stimulation (hot water immersion) as well as during baseline (no-stimulation). The phonetic parameters extracted were pitch (mean F0), phonatory fluctuations (range F0) and loudness (acoustic energy level). RESULTS: Only for the vowels "u" and "schwa," which might be considered best approximations to moaning and groaning, did pitch and loudness increase during pain. Furthermore, changes from nonpainful to painful stimulations in these parameters also significantly predicted concurrent changes in pain ratings. CONCLUSION: Vocalization characteristics of pain seem to be best described by an increase in pitch and in loudness. Future studies using more specific and comprehensive phonetic analyses will surely help to provide an even more precise characterization of vocalizations because of pain.

The Prosody of the Czech Discourse Marker 'Jasne': An Analysis of Forms and Functions.

Words like yeah, okay and (al)right are fairly unspecific in their lexical semantics, and not least for this reason there is a general tendency for them to occur with highly varied and expressive prosodic patterns across languages. Here we examine in depth the prosodic forms that express eight pragmatic functions of the Czech discourse marker jasne, including resignation, reassurance, surprise, indifference or impatience. Using a collection of 172 tokens from a corpus of scripted dialogues by 30 native speakers, we performed acoustic analyses, applied classification algorithms and solicited judgments from native listeners in a perceptual experiment. There appeared to be multi-parametric differences between jasne realizations in terms of their F0, timing and intensity patterns, which gave rise to generally consistent form-function mappings. For example, resignation seems to be realized with a falling intonation contour, relatively slow tempo, long wordinitial consonant and a short word-final vowel. Although the most significant prosodic parameters used for clustering analysis involved segment durations, all pragmatic functions were expressed by patterns of multiple features.

The time course of auditory and language-specific mechanisms in compensation for sibilant assimilation.

Models of spoken-word recognition differ on whether compensation for assimilation is language-specific or depends on general auditory processing. English and French participants were taught words that began or ended with the sibilants /s/ and /∫/. Both languages exhibit some assimilation in sibilant sequences (e.g., /s/ becomes like [∫] in dress shop and classe chargée), but they differ in the strength and predominance of anticipatory versus carryover assimilation. After training, participants were presented with novel words embedded in sentences, some of which contained an assimilatory context either preceding or following. A continuum of target sounds ranging from [s] to [∫] was spliced into the novel words, representing a range of possible assimilation strengths. Listeners' perceptions were examined using a visual-world eyetracking paradigm in which the listener clicked on pictures matching the novel words. We found two distinct language-general context effects: a contrastive effect when the assimilating context preceded the target, and flattening of the sibilant categorization function (increased ambiguity) when the assimilating context followed. Furthermore, we found that English but not French listeners were able to resolve the ambiguity created by the following assimilatory context, consistent with their greater experience with assimilation in this context. The combination of these mechanisms allows listeners to deal flexibly with variability in speech forms.

On the intonation of German intonation questions: the role of the prenuclear region.

German questions and statements are distinguished not only by lexical and syntactic but also by intonational means. This study revisits, for Northern Standard German, how questions are signalled intonationally in utterances that have neither lexical nor syntactic cues. Starting from natural productions of such 'intonation questions', two perception experiments were run. Experiment 1 is based on a gating paradigm, which was applied to naturally produced questions and statements. Experiment 11 includes two indirect-identification tasks. Resynthesized stimuli were judged in relation to two context utterances, each of which was compatible with only one sentence mode interpretation. Results show that utterances with a finally falling nuclear pitch-accent contour can also trigger question perception. An utterance-final rise is not mandatory. Also, question and statement cues are not restricted to the intonational nucleus. Rather, listeners can refer to shape, slope, and alignment differences of the preceding prenuclear pitch accent to identify sentence mode. These findings are in line with studies suggesting that the utterance-final rise versus fall contrast is not directly related to sentence modality, but represents a separate attitudinal meaning dimension. Moreover, the findings support that both prenuclear and nuclear fundamental frequency (F0) patterns must be taken into account in the analysis of tune meaning.

At the edge of intonation: the interplay of utterance-final F0 movements and voiceless fricative sounds.

The paper is concerned with the 'edge of intonation' in a twofold sense. It focuses on utterance-final F0 movements and crosses the traditional segment-prosody divide by investigating the interplay of F0 and voiceless fricatives in speech production. An experiment was performed for German with four types of voiceless fricatives: /f/, /s/, /ʃ/ and /x/. They were elicited with scripted dialogues in the contexts of terminal falling statement and high rising question intonations. Acoustic analyses show that fricatives concluding the high rising question intonations had higher mean centres of gravity (CoGs), larger CoG ranges and higher noise energy levels than fricatives concluding the terminal falling statement intonations. The different spectral-energy patterns are suitable to induce percepts of a high 'aperiodic pitch' at the end of the questions and of a low 'aperiodic pitch' at the end of the statements. The results are discussed with regard to the possible existence of 'segmental intonation' and its implication for F0 truncation and the segment-prosody dichotomy, in which segments are the alleged troublemakers for the production and perception of intonation.

The phonetic manifestation of French /s#∫/ and /∫#s/ sequences in different vowel contexts: on the occurrence and the domain of sibilant assimilation.

While assimilation was initially regarded as a categorical replacement of phonemes or phonological features, subsequent detailed phonetic analyses showed that assimilation actually generates a wide spectrum of intermediate forms in terms of speech timing and spectrum. However, the focus of these analyses predominantly remained on the assimilated speech sound. In the present study we go one step ahead in two ways. First, we look at acoustic phonetic detail that differs in the French vowels /i, a, u/ preceding single /s/ and /∫/ sibilants as well as /s#∫/ and /∫#s/ sibilant sequences. Second, our vowel measurements include not only F1 and F2 frequencies, but also traditional prosodic parameters like duration, intensity and voice quality. The vowels and sibilants were recorded as the central part of CVC#CVC pseudo-names in a contextualized read-speech paradigm. In the single-sibilant conditions we found that the vowels preceding /∫/ were longer, breathier, less intense, and had more cardinal F2 values than before /s/. For the /s#∫/ and /∫#s/ conditions we found regressive and progressive /s/-to-[∫] assimilation that was complete in terms of spectral centre-of-gravity measurements, although French is said to have only voice assimilation. Moreover, the vowels preceding the /s#∫/ sequences still bear an imprint of /s/ despite the assimilation towards [ ∫∫]. We discuss the implications of these findings for the time window and the completeness of assimilation as well as for the basic units in speech communication.

On the role of articulatory prosodies in German message decoding.

A theoretical framework for speech reduction is outlined in which 'coarticulation' and 'articulatory control' operate on sequences of 'opening-closing gestures' in linguistic and communicative settings, leading to suprasegmental properties - 'articulatory prosodies' - in the acoustic output. In linking this gestalt perspective in speech production to the role of phonetic detail in speech understanding, this paper reports on perception experiments that test listeners' reactions to varying extension of an 'articulatory prosody of palatality' in message identification. The point of departure for the experimental design was the German utterance ich kann Ihnen das ja mal sagen 'I can mention this to you' from the Kiel Corpus of Spontaneous Speech, which contains the palatalized stretch [k̟(h)ε̈n(j)n(j)əs] for the sequence of function words /kan i.n(kə)n das/ kann Ihnen das. The utterance also makes sense without the personal pronoun Ihnen. Systematic experimental variation has shown that the extent of palatality has a highly significant influence on the decoding of Ihnen and that the effect of nasal consonant duration depends on the extension of palatality. These results are discussed in a plea to base future speech perception research on a paradigm that makes the traditional segment-prosody divide more permeable, and moves away from the generally practised phoneme orientation.

On the phonetics of intensifying emphasis in German.

This paper presents an exploratory study in the field of emphasis in German. It provides a comprehensive acoustic analysis for a type of emphasis that intensifies lexical meanings either positively or negatively. A speech corpus was recorded using an elicitation method adapted to yield natural-sounding, conversational, expressive speech under controlled conditions. Supporting the distinction between positive and negative intensification, two clearly different phonetic profiles emerged. These phonetic profiles of positive and negative intensification involve voice quality as well as the dynamics of the speech signal across its segmental and prosodic layers. By means of these profiles, the intensifying emphases were correctly classified by a discriminant analysis as positive or negative in around 90% of the cases. Moreover, indications were found for a third type of intensifying emphasis, which was called 'reinforcement'. Its multidimensional phonetic profile falls in between the ones of positive and negative intensification.

F0-based rhythm effects on the perception of local syllable prominence.

A perception experiment shows for German that different global, F(0)-based speech rhythms in the context section of stimuli influence the local prominence position in the target section. This effect may be conceptualized as a perceptual adjustment of the syllables in the target section to the ones of the global rhythmic context with regard to both the prominence and the F(0) patterns. Two conclusions were drawn on this basis. First, listeners use speech rhythm to predict the perceptual properties of syllables, which is in line with the guide function that speech rhythm is assumed to have in German and other Western Germanic languages. Secondly, speech rhythm is a perceptual phenomenon, generated by a cyclic construction process that involves repetitive patterns in multiple dimensions. Thus, although speech rhythm is initiated by changes in acoustic parameters, it cannot be soaked up by acoustic measurements, especially, if these measurements refer to duration alone.

Coding of intonational meanings beyond F0: evidence from utterance-final /t/ aspiration in German.

An acoustic analysis of a German read-speech corpus showed that utterance-final /t/ aspirations differ systematically depending on the accompanying nuclear accent contour. Two contours were included: Terminal-falling early and late F0 peaks in terms of the Kiel Intonation Model. They correspond to H+L*L-% and L*+HL-% within the autosegmental metrical (AM) model. Aspirations in early-peak contexts were characterized by (a) "short", (b) "high-intensity" noise with (c) "low" frequency values for the spectral energy maximum above the lower spectral energy boundary. The opposite holds for aspirations accompanying late-peak productions. Starting from the acoustic analysis, a perception experiment was performed using a variant of the semantic differential paradigm. The stimuli were varied in the duration and intensity pattern as well as the spectral energy pattern of the final /t/ aspiration. Results revealed that the different noise patterns found in connection with early and late peak productions were able to change the attitudinal meaning of the stimuli toward the meaning profile of the respective F0 peak category. This suggests that final aspirations can be part of the coding of meanings, so far solely associated with intonation contours. Hence, the traditionally separated segmental and suprasegmental coding levels seem to be more intertwined than previously thought.

The signalling of German rising-falling intonation categories--the interplay of synchronization, shape, and height.

Based on the phonology of the Kiel Intonation Model (KIM), a tripartite opposition of German intonation is investigated: early, medial, and late peaks. These intonation categories, which can be projected onto H + L*, H*, and L* + H in the AM framework, are described in the KIM as rising-falling F(0) peak patterns differentiated by their synchronization with the accented-vowel onset. Perception experiments were carried out, showing that the function-based identification of the peak categories is not only influenced by peak synchronization, but also by peak shape and height. While the complete spectrum of findings is not covered by the current phonological modelling, the findings corroborate the existence of all three categories in German intonation and support the idea that the timing of the peak movements with regard to the accented vowel is important for their perceptual differentiation.

Acoustic patterns and communicative functions of phrase-final F0 rises in German: activating and restricting contours.

Acoustic features and communicative functions of phrase-final F(0) rises starting before an accented-vowel onset are analysed in a corpus of German unscripted speech. Two conversational conditions are examined: turn-yielding and turn-holding. The most important feature distinguishing rises in these two conditions is the range proportion, which differentiates between two patterns as follows: (1) raised pitch on the accented syllable and restrained pitch movement in the tail of the contour, (2) lowered pitch on the accented syllable and extended pitch movement in the tail. The first pattern is seen as a restrictive gesture, e.g. preventing the dialogue partner from turn taking. The second one is viewed as an activating gesture, inviting the coparticipant to contribute.