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1.
J Psycholinguist Res ; 53(5): 66, 2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39160280

RESUMO

The fluency of second language (L2) speech can be influenced by L2 proficiency, but also by differences in the efficiency of cognitive operations and personal speaking styles. The nature of cognitive fluency is still, however, little understood. Therefore, we studied the cognitive fluency of Finnish advanced students of English (N = 64) to understand how the efficiency of cognitive processing influences speech rate. Cognitive fluency was operationalised as automaticity of lexical access (measured by rapid word recognition) and attention control (measured by the Stroop task). The tasks were conducted in both L1 (Finnish) and L2 (English) to examine the (dis)similarity of processing in the two languages. Speech rate in a monologue task was used as the dependent measure of speaking performance. The results showed that after controlling for the L1 speech rate and L1 cognitive fluency, the L2 attention control measures explained a small amount of additional variance in L2 speech rate. These results are discussed in relation to the cognitive fluency framework and general speaking proficiency research.


Assuntos
Cognição , Multilinguismo , Fala , Humanos , Fala/fisiologia , Masculino , Feminino , Adulto , Cognição/fisiologia , Adulto Jovem , Atenção/fisiologia , Idioma , Psicolinguística , Finlândia
2.
Clin Linguist Phon ; 37(4-6): 385-397, 2023 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-36314241

RESUMO

The aim of this study is to analyse the speech rate, pausing and fluency of a patient with young-onset Parkinson's Disease in different stages of the disease. Speech samples of the patient were recorded in the early stages of the disease until after the brain surgery. The recordings were compared to the speech of healthy control speakers. Speech rate, articulation rate, pausing and the frequency of disfluencies were analysed. Results show that all parameters are influenced by the severity of the disease, but articulation rate is the most affected.


Assuntos
Doença de Parkinson , Fala , Humanos , Distúrbios da Fala/etiologia , Encéfalo , Medida da Produção da Fala
3.
Clin Linguist Phon ; : 1-22, 2023 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-37722818

RESUMO

Previous research has provided strong evidence that speech patterns can help to distinguish between people with early stage neurodegenerative disorders (ND) and healthy controls. This study examined speech patterns in responses to questions asked by an intelligent virtual agent (IVA): a talking head on a computer which asks pre-recorded questions. The study investigated whether measures of response length, speech rate and pausing in responses to questions asked by an IVA help to distinguish between healthy control participants and people diagnosed with Mild Cognitive Impairment (MCI) or Alzheimer's disease (AD). The study also considered whether those measures can further help to distinguish between people with MCI, people with AD, and healthy control participants (HC). There were 38 people with ND (31 people with MCI, 7 people with AD) and 26 HC. All interactions took place in English. People with MCI spoke fewer words compared to HC, and people with AD and people with MCI spoke for less time than HC. People with AD spoke at a slower rate than people with MCI and HC. There were significant differences across all three groups for the proportion of time spent pausing and the average pause duration: silent pauses make up the greatest proportion of responses from people with AD, who also have the longest average silent pause duration, followed by people with MCI then HC. Therefore, the study demonstrates the potential of an IVA as a method for collecting data showing patterns which can help to distinguish between diagnostic groups.

4.
J Exp Child Psychol ; 220: 105411, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35349950

RESUMO

Development of speech rate is often reported as children exhibiting reduced speech rates until they reach adolescence. Previous studies have investigated the developmental process of speech rate using global measures (syllables per second, syllables per minute, or words per minute) and revealed that development continues up to around 13 years of age in several languages. However, the global measures fail to capture language-specific characteristics of phonological/prosodic structure within a word. The current study attempted to examine the developmental process of speech rate and language-specific rhythm in an elicited production task. We recorded the speech of Japanese-speaking monolingual participants (18 participants each in child [5-, 7-, 9-, 11-, and 13-year-old] and adult groups), who pronounced three types of target words: two-mora, two-syllable words (CV.CV); three-mora, two-syllable words (CVV.CV); and three-mora, three-syllable words (CV.CV.CV), where C is consonant and V is vowel. We analyzed total word duration and differences in two pairs of word types: a pair of three-mora words (to show the effect of syllables) and a pair of two-syllable words (to show the effect of moras). The results revealed that Japanese-speaking children have acquired adult-like word duration before 11 years of age, whereas the development of rhythmical timing control continues until approximately 13 years of age. The results also suggest that the effect of syllables for Japanese-speaking children aged 9 years or under was stronger than that of moras, whereas the effect of moras was stronger after 9 years of age, indicating that the default unit for children in speech rhythm may be the syllable even when the language is mora-based.


Assuntos
Fonética , Fala , Adolescente , Adulto , Criança , Humanos , Japão , Idioma , Fatores de Tempo
5.
Clin Linguist Phon ; 36(10): 849-869, 2022 10 03.
Artigo em Inglês | MEDLINE | ID: mdl-34355627

RESUMO

Impaired articulation (e.g., articulatory accuracy) and prosody (e.g., slow speech rate) are considered primary diagnostic criterions for apraxia of speech both in neurodegenerative and post-stroke contexts. The primary aim of this study was to investigate the ability of participants with primary progressive apraxia of speech (PPAOS), a neurodegenerative disease characterised by initially isolated progressive apraxia of speech, to increase speech rate and the interaction between articulatory accuracy and speech rate. The secondary aim was to investigate the effect of syllable frequency and structure on this interaction. Four speakers with PPAOS, and four sex- and age-matched healthy speakers (HS) read eight two-syllable words embedded two times in a ten-syllable carrier phrase. Syllable frequency and structure were manipulated for the first syllable of the target words and controlled for the second syllable. All sentences were produced at three different target speech rates (conditions): habitual, regular (five syllables/second), and fast (seven syllables/second). Prosodic measures for target words and sentences were computed based on acoustic analysis of speech rate. Articulatory measures for words and sentences were rated based on a perceptual assessment of articulatory accuracy. Results show slower speech rate and reduced articulatory accuracy in speakers with PPAOS compared to HS. Results suggest that speakers with PPAOS also have limited ability to increase their speech rate. Finally, results suggest that articulatory complexity influences speech rate but that the cost of speech rate increase on articulatory accuracy varies greatly across speakers with PPAOS and is not necessarily related to the extent of the increase when measured in a highly structured sentence production task. Theoretical and clinical implications of these findings are discussed.


Assuntos
Apraxias , Doenças Neurodegenerativas , Apraxias/diagnóstico , Humanos , Idioma , Fala , Medida da Produção da Fala
6.
Medicina (Kaunas) ; 58(10)2022 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-36295513

RESUMO

Background and Objectives: Recent studies highlight the importance of investigating biomarkers for diagnosing and classifying patients with primary progressive aphasia (PPA). Even though there is ongoing research on pathophysiological indices in this field, the use of behavioral variables, and especially speech-derived factors, has drawn little attention in the relevant literature. The present study aims to investigate the possible utility of speech-derived indices, particularly silent pauses, as biomarkers for primary progressive aphasia (PPA). Materials and Methods: We recruited 22 PPA patients and 17 healthy controls, from whom we obtained speech samples based on two elicitation tasks, i.e., cookie theft picture description (CTP) and the patients' personal narration of the disease onset and course. Results: Four main indices were derived from these speech samples: speech rate, articulation rate, pause frequency, and pause duration. In order to investigate whether these indices could be used to discriminate between the four groups of participants (healthy individuals and the three patient subgroups corresponding to the three variants of PPA), we conducted three sets of analyses: a series of ANOVAs, two principal component analyses (PCAs), and two hierarchical cluster analyses (HCAs). The ANOVAs revealed significant differences between the four subgroups for all four variables, with the CTP results being more robust. The subsequent PCAs and HCAs were in accordance with the initial statistical comparisons, revealing that the speech-derived indices for CTP provided a clearer classification and were especially useful for distinguishing the non-fluent variant from healthy participants as well as from the two other PPA taxonomic categories. Conclusions: In sum, we argue that speech-derived indices, and especially silent pauses, could be used as complementary biomarkers to efficiently discriminate between PPA and healthy speakers, as well as between the three variants of the disease.


Assuntos
Afasia Primária Progressiva , Fala , Humanos , Afasia Primária Progressiva/diagnóstico , Biomarcadores , Fala/fisiologia
7.
Proc Natl Acad Sci U S A ; 115(22): 5720-5725, 2018 05 29.
Artigo em Inglês | MEDLINE | ID: mdl-29760059

RESUMO

By force of nature, every bit of spoken language is produced at a particular speed. However, this speed is not constant-speakers regularly speed up and slow down. Variation in speech rate is influenced by a complex combination of factors, including the frequency and predictability of words, their information status, and their position within an utterance. Here, we use speech rate as an index of word-planning effort and focus on the time window during which speakers prepare the production of words from the two major lexical classes, nouns and verbs. We show that, when naturalistic speech is sampled from languages all over the world, there is a robust cross-linguistic tendency for slower speech before nouns compared with verbs, both in terms of slower articulation and more pauses. We attribute this slowdown effect to the increased amount of planning that nouns require compared with verbs. Unlike verbs, nouns can typically only be used when they represent new or unexpected information; otherwise, they have to be replaced by pronouns or be omitted. These conditions on noun use appear to outweigh potential advantages stemming from differences in internal complexity between nouns and verbs. Our findings suggest that, beneath the staggering diversity of grammatical structures and cultural settings, there are robust universals of language processing that are intimately tied to how speakers manage referential information when they communicate with one another.


Assuntos
Antropologia Cultural , Idioma , Fala/fisiologia , Terminologia como Assunto , Vocabulário , Humanos , Espectrografia do Som , Percepção da Fala
8.
Sensors (Basel) ; 21(18)2021 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-34577527

RESUMO

The paper aims to discuss a case study of sensing analytics and technology in acoustics when applied to reverberation conditions. Reverberation is one of the issues that makes speech in indoor spaces challenging to understand. This problem is particularly critical in large spaces with few absorbing or diffusing surfaces. One of the natural remedies to improve speech intelligibility in such conditions may be achieved through speaking slowly. It is possible to use algorithms that reduce the rate of speech (RoS) in real time. Therefore, the study aims to find recommended values of RoS in the context of STI (speech transmission index) in different acoustic environments. In the experiments, speech intelligibility for six impulse responses recorded in spaces with different STIs is investigated using a sentence test (for the Polish language). Fifteen subjects with normal hearing participated in these tests. The results of the analytical analysis enabled us to propose a curve specifying the maximum RoS values translating into understandable speech under given acoustic conditions. This curve can be used in speech processing control technology as well as compressive reverse acoustic sensing.


Assuntos
Ruído , Percepção da Fala , Estimulação Acústica , Acústica , Humanos , Idioma , Inteligibilidade da Fala
9.
J Child Lang ; 47(6): 1263-1275, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32157973

RESUMO

Aims: Although IDS is typically described as slower than adult-directed speech (ADS), potential impacts of slower speech on language development have not been examined. We explored whether IDS speech rates in 42 mother-infant dyads at four time periods predicted children's language outcomes at two years. Method: We correlated IDS speech rate with child language outcomes at two years, and contrasted outcomes in dyads displaying high/low rate profiles. Outcomes: Slower IDS rate at 7 months significantly correlated with vocabulary knowledge at two years. Slowed IDS may benefit child language learning even before children first speak.


Assuntos
Desenvolvimento da Linguagem , Fala , Adulto , Linguagem Infantil , Feminino , Humanos , Lactente , Idioma , Aprendizagem , Masculino , Mães , Percepção da Fala , Vocabulário
10.
Biol Cybern ; 112(3): 253-276, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29426980

RESUMO

Since the seminal works of Bernstein (The coordination and regulation of movements. Pergamon Press, Oxford, 1967) several authors have supported the idea that, to produce a goal-oriented movement in general, and a movement of the organs responsible for the production of speech sounds in particular, individuals activate a set of coupling relations that coordinate the behavior of the elements of the motor system involved in the production of the target movement or sound. In order to characterize the configurations of the coupling relations underlying speech production articulator movements, we introduce an original method based on recurrence analysis. The method is validated through the analysis of simulated dynamical systems adapted to reproduce the features of speech gesture kinematics and it is applied to the analysis of speech articulator movements recorded in five German speakers during the production of labial and coronal plosive and fricative consonants at variable speech rates. We were able to show that the underlying coupling relations change systematically between labial and coronal consonants, but are not affected by speech rate, despite the presence of qualitative changes observed in the trajectory of the jaw at fast speech rate.


Assuntos
Simulação por Computador , Movimento/fisiologia , Dinâmica não Linear , Fala , Fenômenos Biomecânicos , Humanos , Intenção , Arcada Osseodentária/fisiologia , Músculos Laríngeos/fisiologia , Boca/fisiologia , Fonética , Medida da Produção da Fala , Fatores de Tempo
11.
Int J Audiol ; 57(11): 851-857, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30178699

RESUMO

This study investigated the effect of speech rate for Italian-speaking cochlear implant (CI) users with the aim of gaining insight into everyday listening situations where speaker's rate may vary considerably together with speech level in fluctuating background noise. The test material was prepared by processing the Italian STARR test with temporal compression of sentence material. Twelve adult CI users were divided into two subgroups based on their STARR performance: good and poor performers. The effect of varying speech rate was remarkable for both subgroups. Good performers showed significant performance deterioration for the faster speech rate, whereas outcomes for poor performers improved significantly for the slower speech rate. Background noise is inevitable during daily life and CI users face a variety of speakers, so must cope with changes in both speech level and rate. Traditional tests with a single talker speaking very clearly while using a moderate to low speech rate may overestimate everyday speech perception for CI users. The use of tests that mimic everyday perception is of great importance and should become a routine part of audiometric measures for hearing impaired people.


Assuntos
Implante Coclear/instrumentação , Implantes Cocleares , Sinais (Psicologia) , Periodicidade , Pessoas com Deficiência Auditiva/reabilitação , Percepção da Fala , Estimulação Acústica , Adulto , Idoso , Idoso de 80 Anos ou mais , Estimulação Elétrica , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/psicologia , Teste do Limiar de Recepção da Fala , Fatores de Tempo , Adulto Jovem
12.
Lang Speech ; 60(3): 333-355, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28915779

RESUMO

We investigated the independent contribution of speech rate and speech rhythm to perceived foreign accent. To address this issue we used a resynthesis technique that allows neutralizing segmental and tonal idiosyncrasies between identical sentences produced by French learners of English at different proficiency levels and maintaining the idiosyncrasies pertaining to prosodic timing patterns. We created stimuli that (1) preserved the idiosyncrasies in speech rhythm while controlling for the differences in speech rate between the utterances; (2) preserved the idiosyncrasies in speech rate while controlling for the differences in speech rhythm between the utterances; and (3) preserved the idiosyncrasies both in speech rate and speech rhythm. All the stimuli were created in intoned (with imposed intonational contour) and flat (with monotonized, constant F0) conditions. The original and the resynthesized sentences were rated by native speakers of English for degree of foreign accent. We found that both speech rate and speech rhythm influence the degree of perceived foreign accent, but the effect of speech rhythm is larger than that of speech rate. We also found that intonation enhances the perception of fine differences in rhythmic patterns but reduces the perceptual salience of fine differences in speech rate.


Assuntos
Multilinguismo , Periodicidade , Percepção da Altura Sonora , Acústica da Fala , Percepção da Fala , Qualidade da Voz , Estimulação Acústica , Sinais (Psicologia) , Humanos , Julgamento , Fatores de Tempo
13.
Neurologia ; 31(7): 466-72, 2016 Sep.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-25660139

RESUMO

INTRODUCTION: Speech disturbances will affect most patients with Parkinson's disease (PD) over the course of the disease. The origin and severity of these symptoms are of clinical and diagnostic interest. PURPOSE: To evaluate the clinical pattern of speech impairment in PD patients and identify significant differences in speech rate and articulation compared to control subjects. Speech rate and articulation in a reading task were measured using an automatic analytical method. PATIENTS: A total of 39 PD patients in the 'on' state and 45 age-and sex-matched asymptomatic controls participated in the study. None of the patients experienced dyskinesias or motor fluctuations during the test. RESULTS: The patients with PD displayed a significant reduction in speech and articulation rates; there were no significant correlations between the studied speech parameters and patient characteristics such as L-dopa dose, duration of the disorder, age, and UPDRS III scores and Hoehn & Yahr scales. CONCLUSION: Patients with PD show a characteristic pattern of declining speech rate. These results suggest that in PD, disfluencies are the result of the movement disorder affecting the physiology of speech production systems.


Assuntos
Doença de Parkinson/psicologia , Fala , Adulto , Idoso , Antiparkinsonianos/efeitos adversos , Antiparkinsonianos/uso terapêutico , Transtornos da Articulação/etiologia , Transtornos da Articulação/psicologia , Progressão da Doença , Feminino , Humanos , Levodopa/efeitos adversos , Levodopa/uso terapêutico , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Doença de Parkinson/tratamento farmacológico
14.
Clin Linguist Phon ; 29(12): 938-54, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26403503

RESUMO

This study investigated the acoustic basis of across-utterance, within-speaker variation in speech naturalness for four speakers with dysarthria secondary to Parkinson's disease (PD). Speakers read sentences and produced spontaneous speech. Acoustic measures of fundamental frequency, phrase-final syllable lengthening, intensity and speech rate were obtained. A group of listeners judged speech naturalness using a nine-point Likert scale. Relationships between judgements of speech naturalness and acoustic measures were determined for individual speakers with PD. Relationships among acoustic measures also were quantified. Despite variability between speakers, measures of mean F0, intensity range, articulation rate, average syllable duration, duration of final syllables, vocalic nucleus length of final unstressed syllables and pitch accent of final syllables emerged as possible acoustic variables contributing to within-speaker variations in speech naturalness. Results suggest that acoustic measures correlate with speech naturalness, but in dysarthric speech they depend on the speaker due to the within-speaker variation in speech impairment.


Assuntos
Disartria , Doença de Parkinson/complicações , Acústica da Fala , Inteligibilidade da Fala , Idoso , Disartria/diagnóstico , Disartria/etiologia , Humanos , Julgamento , Idioma , Masculino , Espectrografia do Som , Medida da Produção da Fala
15.
Psychol Sci ; 25(8): 1546-53, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24907119

RESUMO

Humans unconsciously track a wide array of distributional characteristics in their sensory environment. Recent research in spoken-language processing has demonstrated that the speech rate surrounding a target region within an utterance influences which words, and how many words, listeners hear later in that utterance. On the basis of hypotheses that listeners track timing information in speech over long timescales, we investigated the possibility that the perception of words is sensitive to speech rate over such a timescale (e.g., an extended conversation). Results demonstrated that listeners tracked variation in the overall pace of speech over an extended duration (analogous to that of a conversation that listeners might have outside the lab) and that this global speech rate influenced which words listeners reported hearing. The effects of speech rate became stronger over time. Our findings are consistent with the hypothesis that neural entrainment by speech occurs on multiple timescales, some lasting more than an hour.


Assuntos
Reconhecimento Psicológico/fisiologia , Percepção da Fala/fisiologia , Fala/fisiologia , Adulto , Humanos , Tempo , Adulto Jovem
16.
Clin Linguist Phon ; 28(11): 799-811, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24724615

RESUMO

This study investigated speaking rate effects on articulatory pattern consistency in talkers with mild amyotrophic lateral sclerosis (ALS) to better understand speech rate declines during the early stages of speech deterioration. Eight talkers with mild ALS and 11 controls repeated a sentence at their typical rate, an accelerated rate, and a reduced rate. Lip and jaw movements were captured using a 3-D motion capture system. Results showed that talkers with ALS produced more consistent articulatory patterns during typical speech than did controls. Further, rate reduction resulted in diminished pattern consistency in both groups. Fast speech also elicited less consistent articulatory patterns in talkers with ALS. Controls, by contrast, tended to produce more consistent patterns during fast speech. Relatively inconsistent patterns during fast speech suggest that ALS may negatively affect articulatory control when the speech motor system operates near its performance limit. Relatively consistent patterns during typical speech indicate a successful adaption to disease-related articulatory deficits. Rate reduction does not appear to benefit articulatory stability during early stages of speech decline.


Assuntos
Esclerose Lateral Amiotrófica/diagnóstico , Transtornos da Articulação/diagnóstico , Disartria/diagnóstico , Medida da Produção da Fala , Comportamento Verbal , Idoso , Progressão da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Inteligibilidade da Fala
17.
Brain Sci ; 14(5)2024 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-38790445

RESUMO

The examination of connected speech may serve as a valuable tool for exploring speech output in both healthy speakers and individuals with language disorders. Numerous studies incorporate various fluency and silence measures into their analyses to investigate speech output patterns in different populations, along with the underlying cognitive processes that occur while speaking. However, methodological inconsistencies across existing studies pose challenges in comparing their results. In the current study, we introduce CSAP (Connected Speech Analysis Protocol), which is a specific methodological approach to investigate fluency metrics, such as articulation rate and speech rate, as well as silence measures, including silent pauses' frequency and duration. We emphasize the importance of employing a comprehensive set of measures within a specific methodological framework to better understand speech output patterns. Additionally, we advocate for the use of distinct narrative tasks for a thorough investigation of speech output in different conditions. We provide an example of data on which we implement CSAP to showcase the proposed pipeline. In conclusion, CSAP offers a comprehensive framework for investigating speech output patterns, incorporating fluency metrics and silence measures in distinct narrative tasks, thus allowing a detailed quantification of connected speech in both healthy and clinical populations. We emphasize the significance of adopting a unified methodological approach in connected speech studies, enabling the integration of results for more robust and generalizable conclusions.

18.
Cognition ; 244: 105713, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38176155

RESUMO

A recent model of temporal control in speech holds that speakers use sensory feedback to control speech rate and articulatory timing. An experiment was conducted to assess whether there is evidence in support of this hypothesis by comparing durations of phrases in external speech (with sensory feedback) and internal speech (without sensory feedback). Phrase lengths were varied by including one to three disyllabic nouns in a target phrase that was always surrounded by overt speech. An inferred duration method was used to estimate the durations of target phrases produced internally. The results showed that internal speech is faster than external speech, supporting the hypothesis. In addition, the results indicate that there is a slow-down associated with transitioning between internal and external modes of production.


Assuntos
Percepção da Fala , Fala , Humanos , Retroalimentação , Idioma , Retroalimentação Sensorial
19.
Front Hum Neurosci ; 18: 1331816, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38450224

RESUMO

Speech rate reduction is a global speech therapy approach for speech deficits in Parkinson's disease (PD) that has the potential to result in changes across multiple speech subsystems. While the overall goal of rate reduction is usually improvements in speech intelligibility, not all people with PD benefit from this approach. Speech rate is often targeted as a means of improving articulatory precision, though less is known about rate-induced changes in other speech subsystems that could help or hinder communication. The purpose of this study was to quantify phonatory changes associated with speech rate modification across a broad range of speech rates from very slow to very fast in talkers with and without PD. Four speaker groups participated: younger and older healthy controls, and people with PD with and without deep brain stimulation of the subthalamic nucleus (STN-DBS). Talkers read aloud standardized sentences at 7 speech rates elicited using magnitude production: habitual, three slower rates, and three faster rates. Acoustic measures of speech intensity, cepstral peak prominence, and fundamental frequency were measured as a function of speech rate and group. Overall, slower rates of speech were associated with differential effects on phonation across the four groups. While all talkers spoke at a lower pitch in slow speech, younger talkers showed increases in speech intensity and cepstral peak prominence, while talkers with PD and STN-DBS showed the reverse pattern. Talkers with PD without STN-DBS and older healthy controls behaved in between these two extremes. At faster rates, all groups uniformly demonstrated increases in cepstral peak prominence. While speech rate reductions are intended to promote positive changes in articulation to compensate for speech deficits in dysarthria, the present results highlight that undesirable changes may be invoked across other subsystems, such as at the laryngeal level. In particular, talkers with STN-DBS, who often demonstrate speech deterioration following DBS surgery, demonstrated more phonatory detriments at slowed speech rates. Findings have implications for speech rate candidacy considerations and speech motor control processes in PD.

20.
Neurologia ; 28(6): 325-31, 2013.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-23046975

RESUMO

INTRODUCTION: Many studies highlight that an impaired ability to communicate is one of the key clinical features of Alzheimer disease (AD). OBJECTIVE: To study temporal organisation of speech in an oral reading task in patients with AD and in matched healthy controls using a semi-automatic method, and evaluate that method's ability to discriminate between the 2 groups. SUBJECTS AND METHODS: A test with an oral reading task was administered to 70 subjects, comprising 35 AD patients and 35 controls. Before speech samples were recorded, participants completed a battery of neuropsychological tests. There were no differences between groups with regard to age, sex, or educational level. RESULTS: All of the study variables showed impairment in the AD group. According to the results, AD patients' oral reading was marked by reduced speech and articulation rates, low effectiveness of phonation time, and increases in the number and proportion of pauses. Signal processing algorithms applied to reading fluency recordings were shown to be capable of differentiating between AD patients and controls with an accuracy of 80% (specificity 74.2%, sensitivity 77.1%) based on speech rate. CONCLUSION: Analysis of oral reading fluency may be useful as a tool for the objective study and quantification of speech deficits in AD.


Assuntos
Doença de Alzheimer/fisiopatologia , Leitura , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Estudos Retrospectivos , Fala
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