Exposure to Canadian French Cued Speech Improves Consonant Articulation in Children With Cochlear Implants: Acoustic and Articulatory Data.

PURPOSE: One of the strategies that can be used to support speech communication in deaf children is cued speech, a visual code in which manual gestures are used as additional phonological information to supplement the acoustic and labial speech information. Cued speech has been shown to improve speech perception and phonological skills. This exploratory study aims to assess whether and how cued speech reading proficiency may also have a beneficial effect on the acoustic and articulatory correlates of consonant production in children. METHOD: Eight children with cochlear implants (from 5 to 11 years of age) and with different receptive proficiency in Canadian French Cued Speech (three children with low receptive proficiency vs. five children with high receptive proficiency) are compared to 10 children with typical hearing (from 4 to 11 years of age) on their production of stop and fricative consonants. Articulation was assessed with ultrasound measurements. RESULTS: The preliminary results reveal that cued speech proficiency seems to sustain the development of speech production in children with cochlear implants and to improve their articulatory gestures, particularly for the place contrast in stops as well as fricatives. CONCLUSION: This work highlights the importance of studying objective data and comparing acoustic and articulatory measurements to better characterize speech production in children.

The effect of native language and bilingualism on multimodal perception in speech: A study of audio-aerotactile integrationa).

Previous studies of speech perception revealed that tactile sensation can be integrated into the perception of stop consonants. It remains uncertain whether such multisensory integration can be shaped by linguistic experience, such as the listener's native language(s). This study investigates audio-aerotactile integration in phoneme perception for English and French monolinguals as well as English-French bilingual listeners. Six step voice onset time continua of alveolar (/da/-/ta/) and labial (/ba/-/pa/) stops constructed from both English and French end points were presented to listeners who performed a forced-choice identification task. Air puffs were synchronized to syllable onset and randomly applied to the back of the hand. Results show that stimuli with an air puff elicited more "voiceless" responses for the /da/-/ta/ continuum by both English and French listeners. This suggests that audio-aerotactile integration can occur even though the French listeners did not have an aspiration/non-aspiration contrast in their native language. Furthermore, bilingual speakers showed larger air puff effects compared to monolinguals in both languages, perhaps due to bilinguals' heightened receptiveness to multimodal information in speech.

Effects of somatosensory perturbation on the perception of French /u/.

In a study of whether somatosensory feedback related to articulatory configuration is involved in speech perception, 30 French-speaking adults performed a speech discrimination task in which vowel pairs along the French /u/ (rounded vowel requiring a small lip area) to /œ/ (rounded vowel associated with larger lip area) continuum were used as stimuli. Listeners had to perform the test in two conditions: with a 2-cm-diameter lip-tube in place (mimicking /œ/) and without the lip-tube (neutral lip position). Results show that, in the lip-tube condition, listeners perceived more stimuli as /œ/, in line with the proposal that an auditory-somatosensory interaction exists.

Intelligibility of speech produced by sighted and blind adults.

PURPOSE: It is well known that speech uses both the auditory and visual modalities to convey information. In cases of congenital sensory deprivation, the feedback language learners have access to for mapping visible and invisible orofacial articulation is impoverished. Although the effects of blindness on the movements of the lips, jaw, and tongue have been documented in francophone adults, not much is known about their consequences for speech intelligibility. The objective of this study is to investigate the effects of congenital visual deprivation on vowel intelligibility in adult speakers of Canadian French. METHOD: Twenty adult listeners performed two perceptual identification tasks in which vowels produced by congenitally blind adults and sighted adults were used as stimuli. The vowels were presented in the auditory, visual, and audiovisual modalities (experiment 1) and at different signal-to-noise ratios in the audiovisual modality (experiment 2). Correct identification scores were calculated. Sequential information analyses were also conducted to assess the amount of information transmitted to the listeners along the three vowel features of height, place of articulation, and rounding. RESULTS: The results showed that, although blind speakers did not differ from their sighted peers in the auditory modality, they had lower scores in the audiovisual and visual modalities. Some vowels produced by blind speakers are also less robust in noise than those produced by sighted speakers. CONCLUSION: Together, the results suggest that adult blind speakers have learned to adapt to their sensory loss so that they can successfully achieve intelligible vowel targets in non-noisy conditions but that they produce less intelligible speech in noisy conditions. Thus, the trade-off between visible (lips) and invisible (tongue) articulatory cues observed between vowels produced by blind and sighted speakers is not equivalent in terms of perceptual efficiency.

Visual Influence on Auditory Perception of Vowels by French-Speaking Children and Adults.

Audiovisual interaction in speech perception is well defined in adults. Despite the large body of evidence suggesting that children are also sensitive to visual input, very few empirical studies have been conducted. To further investigate whether visual inputs influence auditory perception of phonemes in preschoolers in the same way as in adults, we conducted an audiovisual identification test. The auditory stimuli (/e/-/ø/ continuum) were presented either in an auditory condition only or simultaneously with a visual presentation of the articulation of the vowel /e/ or /ø/. The results suggest that, although all participants experienced visual influence on auditory perception, substantial individual differences exist in the 5- to 6-year-old group. While additional work is required to confirm this hypothesis, we suggest that auditory and visual systems are developing at that age and that multisensory phonological categorization of the rounding contrast took place only in children whose sensory systems and sensorimotor representations were mature.

Setting the Stage for Speech Production: Infants Prefer Listening to Speech Sounds With Infant Vocal Resonances.

PURPOSE: Current models of speech development argue for an early link between speech production and perception in infants. Recent data show that young infants (at 4-6 months) preferentially attend to speech sounds (vowels) with infant vocal properties compared to those with adult vocal properties, suggesting the presence of special "memory banks" for one's own nascent speech-like productions. This study investigated whether the vocal resonances (formants) of the infant vocal tract are sufficient to elicit this preference and whether this perceptual bias changes with age and emerging vocal production skills. METHOD: We selectively manipulated the fundamental frequency (f0 ) of vowels synthesized with formants specifying either an infant or adult vocal tract, and then tested the effects of those manipulations on the listening preferences of infants who were slightly older than those previously tested (at 6-8 months). RESULTS: Unlike findings with younger infants (at 4-6 months), slightly older infants in Experiment 1 displayed a robust preference for vowels with infant formants over adult formants when f0 was matched. The strength of this preference was also positively correlated with age among infants between 4 and 8 months. In Experiment 2, this preference favoring infant over adult formants was maintained when f0 values were modulated. CONCLUSIONS: Infants between 6 and 8 months of age displayed a robust and distinct preference for speech with resonances specifying a vocal tract that is similar in size and length to their own. This finding, together with data indicating that this preference is not present in younger infants and appears to increase with age, suggests that nascent knowledge of the motor schema of the vocal tract may play a role in shaping this perceptual bias, lending support to current models of speech development. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.17131805.

Real and virtual classrooms can trigger the same levels of stuttering severity ratings and anxiety in school-age children and adolescents who stutter.

PURPOSE: Many school-age children and adolescents who stutter experience the fear of public speaking. Treatment implications include the need to address this problem. However, it is not always possible to train repeatedly in front of a real audience. The present study aimed to assess the relevance of using a virtual classroom in clinical practice with school-age children and adolescents who stutter. METHODS: Ten children and adolescents who stutter (aged 9-17 years old) had to speak in three different situations: in front of a real audience, in front of a virtual class and in an empty virtual apartment using a head-mounted display. We aimed to assess whether the self-rated levels of anxiety while speaking in front of a virtual audience reflect the levels of anxiety reported while speaking in front of a live audience, and if the stuttering level while speaking to a virtual class reflects the stuttering level while speaking in real conditions. RESULTS: Results show that the real audience creates higher anticipatory anxiety than the virtual class. However, both the self-reported anxiety levels and the stuttering severity ratings when talking in front of a virtual class did not differ from those observed when talking to a real audience, and were significantly higher than when talking in an empty virtual apartment. CONCLUSION: Our results support the feasibility and relevance of using a virtual classroom to expose school-age children and adolescents who stutter to a feared situation during cognitive behavioral therapy targeting the fear of public speaking.

Sensitivity and specificity of an acoustic- and perceptual-based tool for assessing motor speech disorders in French: the MonPaGe-screening protocol.

To respond to the need of objective screening tools for motor speech disorders (MSD), we present the screening version of a speech assessment protocol (MonPaGe-2.0.s), which is based on semi-automated acoustic and perceptual measures on several speech dimensions in French. We validate the screening tool by testing its sensitivity and specificity and comparing its outcome with external standard assessment tools. The data from 80 patients diagnosed with different types of mild to moderate MSD and 62 healthy test controls were assessed against the normative data obtained on 404 neurotypical speakers, with Deviance Scores computed on seven speech dimensions (voice, speech rate, articulation, prosody, pneumophonatory control, diadochokinetic rate, intelligibility) based on acoustic and perceptual measures. A cut-off of the MonPaGe total deviance score (TotDevS) >2 allowed MSD to be diagnosed with specificity of 95% and an overall sensitivity of 83.8% on all patients pulled, reaching 91% when very mildly impaired patients were excluded. A strong correlation was found between the MonPaGe TotDevS and an external composite perceptual score of MSD provided by six experts. The MonPaGe screening protocol has proven its sensitivity and specificity for diagnosing presence and severity of MSD. Further implementations are needed to complement the characterization of impaired dimensions in order to distinguish subtypes of MSD.

Disentangling the roles of formant proximity and stimulus prototypicality in adult vowel perception.

The present investigation examined the extent to which asymmetries in vowel perception derive from a sensitivity to focalization (formant proximity), stimulus prototypicality, or both. English-speaking adults identified, rated, and discriminated a vowel series that spanned a less-focal/prototypic English /u/ and a more-focal/prototypic French /u/ exemplar. Discrimination pairs included one-step, two-step, and three-step intervals along the series. Asymmetries predicted by both focalization and prototype effects emerged when discrimination step-size was varied. The findings indicate that both generic/universal and language-specific biases shape vowel perception in adults; the latter are challenging to isolate without well-controlled stimuli and appropriately scaled discrimination tasks.

High-intensity interval exercise in the cold regulates acute and postprandial metabolism.

High-intensity interval exercise (HIIE) has been shown to be more effective than moderate-intensity exercise for increasing acute lipid oxidation and lowering blood lipids during exercise and postprandially. Exercise in cold environments is also known to enhance lipid oxidation; however, the immediate and long-term effects of HIIE exercise in cold are unknown. The purpose of this study was to examine the effects cold stress during HIIE on acute exercise metabolism and postprandial metabolism. Eleven recreationally active individuals (age: 23 ± 3 yr, weight: 80 ± 9.7 kg, V̇O2peak: 39.2 ± 5.73 mL·kg-1·min-1) performed evening HIIE sessions (10 × 60 s cycling, 90% V̇O2peak interspersed with 90 s active recovery, 30% V̇O2peak) in thermoneutral (HIIE-TN, control; 21°C) and cold environment (HIIE-CO; 0°C), following a balanced crossover design. The following morning, participants consumed a high-fat meal. Indirect calorimetry was used to assess substrate oxidation, and venous blood samples were obtained to assess changes in noncellular metabolites. During acute exercise, lipid oxidation was higher in HIIE-CO (P = 0.002) without differences in V̇O2 and energy expenditure (P ≥ 0.162) between conditions. Postprandial V̇O2, lipid and CHO oxidation, plasma insulin, and triglyceride concentrations were not different between conditions (P > 0.05). Postprandial blood LDL-C levels were higher in HIIE-CO 2 h after the meal (P = 0.003). Postprandial glucose area under curve was 49% higher in HIIE-CO versus HIIE-TN (P = 0.034). Under matched energy expenditure conditions, HIIE demonstrated higher lipid oxidation rates during exercise in the cold; but only marginally influenced postprandial lipid metabolism the following morning. In conclusion, HIIE in the cold seemed to be less favorable for postprandial lipid and glycemic responses.NEW & NOTEWORTHY This is the first known study to investigate the effects of cold ambient temperatures on acute metabolism during high-intensity interval exercise, as well as postprandial metabolism the next day. We observed that high-intensity interval exercise in a cold environment does change acute metabolism compared to a thermoneutral environment; however, the addition of a cold stimulus was less favorable for postprandial metabolic responses the following day.

Homologous Recombination Offers Advantages over Transposition-Based Systems to Generate Recombinant Baculovirus for Adeno-Associated Viral Vector Production.

Viral vectors have a great potential for gene delivery, but manufacturing is a big challenge for the industry. The baculovirus-insect cell is one of the most scalable platforms to produce recombinant adeno-associated virus (rAAV) vectors. The standard procedure to generate recombinant baculovirus is based on Tn7 transposition which is time-consuming and suffers technical constraints. Moreover, baculoviral sequences adjacent to the AAV ITRs are preferentially encapsidated into the rAAV vector particles. This observation raises concerns about safety due to the presence of bacterial and antibiotic resistance coding sequences with a Tn7-mediated system for the construction of baculoviruses reagents. Here, a faster and safer method based on homologous recombination (HR) is investigated. First, the functionality of the inserted cassette and the absence of undesirable genes into HR-derived baculoviral genomes are confirmed. Strikingly, it is found that the exogenous cassette showed increased stability over passages when using the HR system. Finally, both materials generated high rAAV vector genome titers, with the advantage of the HR system being exempted from undesirable bacterial genes which provides an additional level of safety for its manufacturing. Overall, this study highlights the importance of the upstream process and starting biologic materials to generate safer rAAV biotherapeutic products.

Phonetic Implementation of Prosodic Emphasis in Preschool-Aged Children and Adults: Probing the Development of Sensorimotor Speech Goals.

Objective We aimed to investigate the production of contrastive emphasis in French-speaking 4-year-olds and adults. Based on previous work, we predicted that, due to their immature motor control abilities, preschool-aged children would produce smaller articulatory differences between emphasized and neutral syllables than adults. Method Ten 4-year-old children and 10 adult French speakers were recorded while repeating /bib/, /bub/, and /bab/ sequences in neutral and contrastive emphasis conditions. Synchronous recordings of tongue movements, lip and jaw positions, and speech signals were made. Lip positions and tongue shapes were analyzed; formant frequencies, amplitude, fundamental frequency, and duration were extracted from the acoustic signals; and between-vowel contrasts were calculated. Results Emphasized vowels were higher in pitch, intensity, and duration than their neutral counterparts in all participants. However, the effect of contrastive emphasis on lip position was smaller in children. Prosody did not affect tongue position in children, whereas it did in adults. As a result, children's productions were perceived less accurately than those of adults. Conclusion These findings suggest that 4-year-old children have not yet learned to produce hypoarticulated forms of phonemic goals to allow them to successfully contrast syllables and enhance prosodic saliency.

What anticipatory coarticulation in children tells us about speech motor control maturity.

PURPOSE: This study aimed to evaluate the role of motor control immaturity in the speech production characteristics of 4-year-old children, compared to adults. Specifically, two indices were examined: trial-to-trial variability, which is assumed to be linked to motor control accuracy, and anticipatory extra-syllabic vowel-to-vowel coarticulation, which is assumed to be linked to the comprehensiveness, maturity and efficiency of sensorimotor representations in the central nervous system. METHOD: Acoustic and articulatory (ultrasound) data were recorded for 20 children and 10 adults, all native speakers of Canadian French, during the production of isolated vowels and vowel-consonant-vowel (V1-C-V2) sequences. Trial-to-trial variability was measured in isolated vowels. Extra-syllabic anticipatory coarticulation was assessed in V1-C-V2 sequences by measuring the patterns of variability of V1 associated with variations in V2. Acoustic data were reported for all subjects and articulatory data, for a subset of 6 children and 2 adults. RESULTS: Trial-to-trial variability was significantly larger in children. Systematic and significant anticipation of V2 in V1 was always found in adults, but was rare in children. Significant anticipation was observed in children only when V1 was /a/, and only along the antero-posterior dimension, with a much smaller magnitude than in adults. A closer analysis of individual speakers revealed that some children showed adult-like anticipation along this dimension, whereas the majority did not. CONCLUSION: The larger trial-to-trial variability and the lack of anticipatory behavior in most children-two phenomena that have been observed in several non-speech motor tasks-support the hypothesis that motor control immaturity may explain a large part of the differences observed between speech production in adults and 4-year-old children, apart from other causes that may be linked with language development.

Sensorimotor adaptation across the speech production workspace in response to a palatal perturbation.

Talkers have been shown to adapt the production of multiple vowel sounds simultaneously in response to altered auditory feedback. The present study extends this work by exploring the adaptation of speech production to a physical alteration of the vocal tract involving a palatal prosthesis that impacts both somatosensory and auditory feedback during the production of a range of consonants and vowels. Acoustic and kinematic measures of the tongue were used to examine the impact of the physical perturbation across the various speech sounds, and to assess learned changes following 20 min of speech practice involving the production of complex, variable sentences. As in prior studies, acoustic analyses showed perturbation and adaptation effects primarily for sounds directly involving interaction with the palate. Analyses of tongue kinematics, however, revealed systematic, robust effects of the perturbation and subsequent motor learning across the full range of speech sounds. The results indicate that speakers are able to reconfigure oral motor patterns during the production of multiple speech sounds spanning the articulatory workspace following a physical alteration of the vocal tract.

Impact of visual and auditory deprivation on speech perception and production in adults.

Speech perception relies on auditory and visual cues and there are strong links between speech perception and production. We aimed to evaluate the role of auditory and visual modalities on speech perception and production in adults with impaired hearing or sight versus those with normal hearing and sight. We examined speech perception and production of three isolated vowels (/i/, /y/, /u/), which were selected based on their different auditory and visual perceptual saliencies, in 12 deaf adults who used one or two cochlear implants (CIs), 14 congenitally blind adults, and 16 adults with normal sight and hearing. The results showed that the deaf adults who used a CI had worse vowel identification and discrimination perception and they also produced vowels that were less typical or precise than other participants. They had different tongue positions in speech production, which possibly partly explains the poorer quality of their spoken vowels. Blind individuals had larger lip openings and smaller lip protrusions for the rounded vowel and unrounded vowels, compared to the other participants, but they still produced vowels that were similar to those produced by the adults with normal sight and hearing. In summary, the deaf adults, even though they used CIs, had greater difficulty in producing accurate vowel targets than the blind adults, whereas the blind adults were still able to produce accurate vowel targets, even though they used different articulatory strategies.

Auditory and Somatosensory Interaction in Speech Perception in Children and Adults.

Multisensory integration (MSI) allows us to link sensory cues from multiple sources and plays a crucial role in speech development. However, it is not clear whether humans have an innate ability or whether repeated sensory input while the brain is maturing leads to efficient integration of sensory information in speech. We investigated the integration of auditory and somatosensory information in speech processing in a bimodal perceptual task in 15 young adults (age 19-30) and 14 children (age 5-6). The participants were asked to identify if the perceived target was the sound /e/ or /ø/. Half of the stimuli were presented under a unimodal condition with only auditory input. The other stimuli were presented under a bimodal condition with both auditory input and somatosensory input consisting of facial skin stretches provided by a robotic device, which mimics the articulation of the vowel /e/. The results indicate that the effect of somatosensory information on sound categorization was larger in adults than in children. This suggests that integration of auditory and somatosensory information evolves throughout the course of development.

Fully-automated tongue detection in ultrasound images.

Tracking the tongue in ultrasound images provides information about its shape and kinematics during speech. Current methods for detecting/tracking the tongue require manual initialization or training using large amounts of labeled images. In this article, we propose a solution to convert a semi-automatic tongue contour tracking system to a fully-automatic one. This work introduces a new method for extracting tongue contours in ultrasound images that requires no training nor manual intervention. The method consists in an image enhancement step based on phase symmetry, followed by skeletonization and clustering steps, leading to a set of candidate points that can be used to fit an active contour to the image and subsequently initialize a tracking algorithm. Two novel quality measures were also developed that predict the reliability of the segmentation result so that an image with a reliable contour can be chosen to confidently initialize fully automated tongue tracking. This is achieved by automatically generating and choosing a set of points that can replace the manually segmented points for a semi-automated tracking approach. This paper also improves the accuracy of tracking by incorporating two criteria to reset the tracking algorithm from time to time. Experiments show that fully automated and semi-automated methods result in very similar mean sum of distances errors, respectively, indicating that the proposed automatic initialization does not significantly alter accuracy. Moreover, further results show that tracking accuracy is improved when using the new segmentation technique within the proposed re-initialization scheme.

Transfer of sensorimotor learning reveals phoneme representations in preliterate children.

Reading acquisition is strongly intertwined with phoneme awareness that relies on implicit phoneme representations. We asked whether phoneme representations emerge before literacy. We recruited two groups of children, 4 to 5-year-old preschoolers (N = 29) and 7 to 8-year-old schoolchildren (N = 24), whose phonological awareness was evaluated, and one adult control group (N = 17). We altered speakers' auditory feedback in real time to elicit persisting pronunciation changes, referred to as auditory-motor adaptation or learning. Assessing the transfer of learning at phoneme level enabled us to investigate the developmental time-course of phoneme representations. Significant transfer at phoneme level occurred in preschoolers, as well as schoolchildren and adults. In addition, we found a relationship between auditory-motor adaptation and phonological awareness in both groups of children. Overall, these results suggest that phoneme representations emerge before literacy acquisition, and that these sensorimotor representations may set the ground for phonological awareness.

Effects of formant proximity and stimulus prototypicality on the neural discrimination of vowels: Evidence from the auditory frequency-following response.

Cross-language speech perception experiments indicate that for many vowel contrasts, discrimination is easier when the same pair of vowels is presented in one direction compared to the reverse direction. According to one account, these directional asymmetries reflect a universal bias favoring "focal" vowels (i.e., vowels with prominent spectral peaks formed by the convergence of adjacent formants). An alternative account is that such effects reflect an experience-dependent bias favoring prototypical exemplars of native-language vowel categories. Here, we tested the predictions of these accounts by recording the auditory frequency-following response in English-speaking listeners to two synthetic variants of the vowel /u/ that differed in the proximity of their first and second formants and prototypicality, with stimuli arranged in oddball and reversed-oddball blocks. Participants showed evidence of neural discrimination when the more-focal/less-prototypic /u/ served as the deviant stimulus, but not when the less-focal/more-prototypic /u/ served as the deviant, consistent with the focalization account.