Physiological Arousal, Attentiveness, Emotion, and Word Retrieval in Aphasia: Effects and Relationships.

PURPOSE: This study aimed to (a) compare physiological arousal and attentiveness during a confrontational naming task between participants with aphasia and a control group across four conditions that varied according to emotionality of presented stimuli and (b) explore relationships among physiological arousal, attentiveness, perceived arousal, and naming performance. We hypothesized that participants with aphasia would show lower levels of arousal and attentiveness than control participants and that emotional conditions would lead to increased physiological arousal and attentiveness. METHOD: Eight participants with aphasia and 15 control participants completed a confrontational naming task under positive, negative, and neutral conditions and rated their perceived arousal after each. Electrophysiological recordings were taken during the entire experiment to obtain measures of heart rate (HR), HR variability, and skin conductance (SC). Videos of confrontational naming trials were rated based on visual signs of participant attentiveness during each trial. RESULTS: Statistically significant group differences were found for HR, SC, and attentiveness ratings, but no differences were found in these measures among conditions. Correlational analyses revealed statistically significant relationships between attentiveness and response time, HR, and naming accuracy. Significant correlations were also found for HR and naming accuracy as well as perceived arousal and naming accuracy. CONCLUSIONS: Findings suggest that decreased physiological arousal or attentiveness may contribute to naming deficits for people with aphasia (PWA). Assisting PWA to fully attend to and engage in therapy tasks may be important for accurate assessment of language functions and for achieving optimal benefit in treatment.

Age-Related Changes in Speech and Voice: Spectral and Cepstral Measures.

Purpose This study examined differences in selected acoustic measures of speech and voice according to age and sex and across families. Method Participants included 169 individuals, 79 men and 90 women, from 18 families, ranging in age from 17 to 87 years. Participants reported no history of articulation disorders, stroke or active neurologic disease, or severe-to-profound hearing loss. They read aloud two passages to facilitate examination of the following speech and voice acoustic parameters: fricative spectral moments (center of gravity, standard deviation, skewness, and kurtosis), the proportion of time spent speaking, mean speaking fundamental frequency, semitone standard deviation (STSD), and cepstral peak prominence smoothed. Results The results indicated a significant age effect for fricative spectral center of gravity, spectral skewness, and speaking STSD. There was a significant sex effect for spectral center of gravity, spectral kurtosis, and mean fundamental frequency. Familial relationship was significant for spectral skewness, STSD, and cepstral peak prominence smoothed. Conclusions These findings revealed that certain speech and voice features change with age and some change differently for men and women. Additionally, speakers from the same family units may demonstrate similar patterns for prosody, voicing, and articulatory behavior. The results also demonstrated normal differences in speech and voice variation across age, sex, and family unit. Understanding patterns and differences across these demographic variables in healthy speakers is important to distinguishing more confidently between normal and disordered speech and voice patterns clinically.

Speech Adaptation to Kinematic Recording Sensors: Perceptual and Acoustic Findings.

Purpose: This study used perceptual and acoustic measures to examine the time course of speech adaptation after the attachment of electromagnetic sensor coils to the tongue, lips, and jaw. Method: Twenty native English speakers read aloud stimulus sentences before the attachment of the sensors, immediately after attachment, and again 5, 10, 15, and 20 min later. They read aloud continuously between recordings to encourage adaptation. Sentence recordings were perceptually evaluated by 20 native English listeners, who rated 150 stimuli (which included 31 samples that were repeated to assess rater reliability) using a visual analog scale with the end points labeled as "precise" and "imprecise." Acoustic analysis began by segmenting and measuring the duration of the fricatives /s/ and /ʃ/ as well as the whole sentence. The spectral center of gravity and spectral standard deviation of the 2 fricatives were measured using Praat. These phonetic targets were selected because the standard placement of sensor coils on the lingual surface was anticipated to interfere with normal fricative production, causing them to become distorted. Results: Perceptual ratings revealed a decrease in speech precision after sensor attachment and evidence of adaptation over time; there was little perceptual change beyond the 10-min recording. The spectral center of gravity for /s/ decreased, and the spectral standard deviation for /ʃ/ increased after sensor attachment, but the acoustic measures showed no evidence of adaptation over time. Conclusion: The findings suggest that 10 min may be sufficient time to allow speakers to adapt before experimental data collection with Northern Digital Instruments Wave electromagnetic sensors.

Nebulized isotonic saline improves voice production in Sjögren's syndrome.

OBJECTIVE: This study examined the effects of a topical vocal fold hydration treatment on voice production over time. STUDY DESIGN: Prospective, longitudinal, within-subjects A (baseline), B (treatment), A (withdrawal/reversal), B (treatment) experimental design. METHODS: Eight individuals with primary Sjögren's syndrome (SS), an autoimmune disease causing laryngeal dryness, completed an 8-week A-B-A-B experiment. Participants performed twice-daily audio recordings of connected speech and sustained vowels and then rated vocal effort, mouth dryness, and throat dryness. Two-week treatment phases introduced twice-daily 9-mL doses of nebulized isotonic saline (0.9% Na(+)Cl(-)). Voice handicap and patient-based measures of SS disease severity were collected before and after each 2-week phase. Connected speech and sustained vowels were analyzed using the Cepstral Spectral Index of Dysphonia (CSID). Acoustic and patient-based ratings during each baseline and treatment phase were analyzed and compared. RESULTS: Baseline CSID and patient-based ratings were in the mild-to-moderate range. CSID measures of voice severity improved by approximately 20% with nebulized saline treatment and worsened during treatment withdrawal. Posttreatment CSID values fell within the normal-to-mild range. Similar patterns were observed in patient-based ratings of vocal effort and dryness. CSID values and patient-based ratings correlated significantly (P < .05). CONCLUSION: Nebulized isotonic saline improves voice production based on acoustic and patient-based ratings of voice severity. Future work should optimize topical vocal fold hydration treatment formulations, dose, and delivery methodologies for various patient populations. This study lays the groundwork for future topical vocal fold hydration treatment development to manage and possibly prevent dehydration-related voice disorders. LEVEL OF EVIDENCE: 2b.

Voice, speech, and laryngeal features of primary Sjögren's syndrome.

OBJECTIVE: This study examined voice, speech, and laryngeal characteristics in primary Sjögren's syndrome (pSS). METHODS: Eleven patients (10 female, 1 male; mean [SD] age = 57 [14] years) from The University of Utah Division of Rheumatology provided connected speech and sustained vowel samples. Analyses included the Multi-Dimensional Voice Profile, the Analysis of Dysphonia in Speech and Voice, and dysphonia severity, speech clarity, and videolaryngostroboscopy ratings. RESULTS: Shimmer, amplitude perturbation quotient, and average fundamental frequency differed significantly from normative values (P < .01). Cepstral Spectral Index of Dysphonia values indicated mild-to-moderate dysphonia in connected speech (mean [SD] = 20.26 [8.36]) and sustained vowels (mean [SD] = 16.91 [11.08]). Ratings of dysphonia severity and speech clarity using 10-cm visual analog scales suggested mild-to-moderate dysphonia in connected speech (mean [SD] = 2.11 [1.72]) and sustained vowels (mean [SD] = 3.13 [2.20]) and mildly reduced speech clarity (mean [SD] = 1.46 [1.36]). Videolaryngostroboscopic ratings indicated mild-to-moderate dryness and mild reductions in overall laryngeal function. Voice Handicap Index scores indicated mild-to-moderate voice symptoms (mean [SD] = 43 [23]). CONCLUSION: Individuals with pSS may experience dysphonia and articulatory imprecision, typically in the mild-to-moderate range. These findings have implications for diagnostic and referral practices in pSS.

The effect of dialect on speech audiometry testing.

PURPOSE: In this study, the authors examined the validity of using materials from 2 nonregional yet mutually intelligible dialects to evaluate an individual's speech recognition threshold (SRT) and word recognition (WR) abilities and whether a speaker of 1 dialect could accurately administer and score materials in the other dialect. METHOD: Previously created SRT and WR materials were presented to 32 Mandarin listeners with normal hearing: 16 speakers of Mainland Mandarin and 16 speakers of Taiwan Mandarin. Hearing abilities were examined using SRT and WR materials created for speakers from 2 different regional dialects. Presentation of the materials occurred during 2 test sessions, counterbalanced across material and listener dialect. Listener responses were evaluated by 2 judges; 1 spoke Mainland Mandarin, and the other spoke Taiwan Mandarin. RESULTS: For the SRT and WR results, differences in listener performance were statistically significant across material and listener dialect, with threshold differences of less than 2 dB HL when collapsed across session. The interscorer percentage of agreement was 99.5% for SRT and 99.1% for WR testing. CONCLUSION: Testing with materials in a different regional dialect does have a measurable impact on SRT and WR performance. However, this difference, though reliable, is small enough to have a negligible impact on clinical findings.

The effects of practice on the concurrent performance of a speech and postural task in persons with Parkinson disease and healthy controls.

Purpose. Persons with Parkinson disease (PD) demonstrate deficits in motor learning as well as bidirectional interference (the performance of one task concurrently interferes with the performance of another task) during dual-task performance. Few studies have examined the practice dosages necessary for behavioral change in rehabilitation relevant tasks. Therefore, to compare the effects of age and PD on motor learning during dual-task performance, this pilot study examined persons with PD as well as neurologically healthy participants during concurrent performance of postural and speaking tasks. Methods. Seven persons with PD and 7 healthy age-matched and 10 healthy young control subjects were tested in a motion capture facility. Task performances were performed concurrently and recorded during 3 time periods (acquisition (beginning and ending), 48-hour retention, and 1-week retention). Postural control and speech articulatory acoustic variables were measured. Results. Healthy young participants consistently performed better than other groups on all measured postural and speech variables. Healthy young participants showed decreased variability at retention, while persons with PD and healthy age-matched controls were unable to consistently improve their performance as a result of practice. No changes were noted in the speech variables. Conclusion. The lack of consistent changes in motor performance in any of the tasks, except in the healthy young group, suggests a decreased efficiency of motor learning in the age-matched and PD groups and argues for increased practice dosages during balance training.

The development of psychometrically equivalent Cantonese speech audiometry materials.

OBJECTIVE: The aim of this study was to develop and psychometrically evaluate speech audiometry materials that can be used to measure word recognition (WR) and speech recognition testing (SRT) in quiet for native speakers of Cantonese. STUDY SAMPLE: Commonly used bisyllabic and trisyllabic Cantonese words were digitally recorded by native male and female talkers and then evaluated by twenty normal-hearing Cantonese listeners. DESIGN: The recorded bisyllabic words were psychometrically evaluated and arranged into four WR lists and eight half-lists that are relatively homogeneous in audibility. Using logistic regression, SRT materials were developed by selecting 28 trisyllabic words with relatively steep psychometric functions and digitally adjusting their intensity to match the listeners' mean pure-tone average. RESULT: The mean psychometric slopes for the WR materials were 7.5%/dB for the male talker and 7.6%/dB for the female talker, with no statistically significant differences between the lists or half-lists. At intensity levels required for 50% intelligibility, the mean psychometric slopes of the male and female talker SRT materials were 14.5%/dB and 14.9 %/dB, respectively. CONCLUSION: High-quality digital recordings of Cantonese speech audiometric WR and SRT materials were developed and validated in this study. These materials are available on compact disc, indexed by talker gender.

Bidirectional interference between speech and postural stability in individuals with Parkinson's disease.

Because people frequently talk while engaged in other activities, and because Parkinson's disease (PD) is known to diminish multi-tasking performance, this study examined dual task interference between speaking and postural stability in nine individuals with PD, seven age-matched, and 10 healthy young controls. Participants repeated a target utterance and performed a rise to toes task in both single and dual task conditions. Diphthong transitions were measured from audio recordings and postural variables reflecting planning, coordination, and stability were derived from a multi-camera motion capture system and force plate recordings. Thus, sensitive measures of both speech and postural control were obtained. The group with PD performed more poorly than both control groups for the isolated postural task, but their single task speech measures did not differ from the controls, in spite of listener ratings which indicated mild-to-moderate dysarthria severity. The group with PD showed evidence of bidirectional dual task interference in that there were reduced diphthong extents and slopes along with smaller, slower, and less stable postural movements. These results indicate that concurrent performance of speech and a challenging postural control task impairs speech and postural stability in persons with PD and may result in greater risk during daily activities.

Acoustic and spectral patterns in young children's stop consonant productions.

The aim of this study was to examine the acoustic and spectral patterns of stop articulation in the speech of pre-pubescent children. A set of voiceless stop consonants, /ptk/, produced by a group of adults and typically developing children 3-5 years of age were examined in terms of multiple acoustic and spectral parameters. Findings indicated that, with the exception of spectral kurtosis, the acoustic and spectral characteristics of the stop productions varied significantly as a function of place of articulation and vowel context. Sex-specific differences in spectral slope, mean, and skewness were found for the 5-year-old and adult speakers. Such differences in adult speakers can be explained in part by variation in vocal tract size across the sex of the speaker; however, vocal tract dimorphism is typically not present in pre-pubescent children. Thus, the findings of this study provide some support that sex-specific differences in the speech patterns of young children may be associated with learned or behavioral factors, such as patterns of obstruent articulation that depend in part on a culturally determined male-female archetype.

Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy.

UNLABELLED: In a preliminary study, we documented significant changes in formant transitions associated with successful manual circumlaryngeal treatment (MCT) of muscle tension dysphonia (MTD), suggesting improvement in speech articulation. The present study explores further the effects of MTD on vowel articulation by means of additional vowel acoustic measures. Pre- and post-treatment audio recordings of 111 women with MTD were analyzed acoustically using two measures: vowel space area (VSA) and vowel articulation index (VAI), constructed using the first (F1) and second (F2) formants of 4 point vowels/ a, i, ae, u/, extracted from eight words within a standard reading passage. Pairwise t-tests revealed significant increases in both VSA and VAI, confirming that successful treatment of MTD is associated with vowel space expansion. Although MTD is considered a voice disorder, its treatment with MCT appears to positively affect vocal tract dynamics. While the precise mechanism underlying vowel space expansion remains unknown, improvements may be related to lowering of the larynx, expanding oropharyngeal space, and improving articulatory movements. LEARNING OUTCOMES: The reader will be able to: (1) describe possible articulatory changes associated with successful treatment of muscle tension dysphonia; (2) describe two acoustic methods to assess vowel centralization and decentralization, and; (3) understand the basis for viewing muscle tension dysphonia as a disorder not solely confined to the larynx.

Acoustic characteristics of English lexical stress produced by native Mandarin speakers.

Native speakers of Mandarin Chinese have difficulty producing native-like English stress contrasts. Acoustically, English lexical stress is multidimensional, involving manipulation of fundamental frequency (F0), duration, intensity and vowel quality. Errors in any or all of these correlates could interfere with perception of the stress contrast, but it is unknown which correlates are most problematic for Mandarin speakers. This study compares the use of these correlates in the production of lexical stress contrasts by 10 Mandarin and 10 native English speakers. Results showed that Mandarin speakers produced significantly less native-like stress patterns, although they did use all four acoustic correlates to distinguish stressed from unstressed syllables. Mandarin and English speakers' use of amplitude and duration were comparable for both stressed and unstressed syllables, but Mandarin speakers produced stressed syllables with a higher F0 than English speakers. There were also significant differences in formant patterns across groups, such that Mandarin speakers produced English-like vowel reduction in certain unstressed syllables, but not in others. Results suggest that Mandarin speakers' production of lexical stress contrasts in English is influenced partly by native-language experience with Mandarin lexical tones, and partly by similarities and differences between Mandarin and English vowel inventories.

Word recognition materials for native speakers of Taiwan Mandarin.

PURPOSE: To select, digitally record, evaluate, and psychometrically equate word recognition materials that can be used to measure the speech perception abilities of native speakers of Taiwan Mandarin in quiet. METHOD: Frequently used bisyllabic words produced by male and female talkers of Taiwan Mandarin were digitally recorded and subsequently evaluated using 20 native listeners with normal hearing at 10 intensity levels (-5 to 40 dB HL) in increments of 5 dB. RESULTS: Using logistic regression, 200 words with the steepest psychometric slopes were divided into 4 lists and 8 half-lists that were relatively equivalent in psychometric function slope. To increase auditory homogeneity of the lists, the intensity of words in each list was digitally adjusted so that the threshold of each list was equal to the midpoint between the mean thresholds of the male and female half-lists. CONCLUSIONS: Digital recordings of the word recognition lists and the associated clinical instructions are available on CD upon request.

Articulatory changes following treatment of muscle tension dysphonia: preliminary acoustic evidence.

PURPOSE: Primary muscle tension dysphonia (MTD), a voice disturbance that occurs in the absence of structural or neurological pathology, may respond to manual circumlaryngeal techniques, which ostensibly alter the posture of the larynx and/or the configuration of the vocal folds without directly targeting supralaryngeal articulatory structures. Although the phonatory benefits of these techniques have been documented previously, this investigation examined whether acoustic evidence exists for articulatory changes accompanying successful management. METHOD: In this retrospective study of a clinical database, pre- and post-treatment speech samples from 111 women with MTD were analyzed for acoustic evidence of supraglottal vocal tract changes associated with voice improvement, which was confirmed by perceptual ratings of dysphonia severity. The slopes of the first and second formants in diphthongs, as well as global measures of speech timing were acquired. Twenty younger females with normal voices were recorded twice, across a similar time-span to the disordered speakers, to allow comparisons in performance. RESULTS: Repeated measures analysis of variance was used to evaluate changes accompanying treatment. Significant time by group interactions for /I/ F2 slope, /eI/ F2 slope, sample duration, and speaking time ratio were observed. As compared to the controls, diphthong second formant transitions increased in slope, and timing measures showed increases in speech continuity for the speakers with MTD. CONCLUSIONS: Collectively, these preliminary findings suggest that individuals with MTD experience changes in both articulatory and phonatory behavior following successful treatment that targets the larynx.

Development of speech reception threshold materials for speakers of Taiwan Mandarin.

The aim of this research was to develop, digitally record, evaluate, and equate speech audiometry materials that can be used to measure the speech reception threshold (SRT) in quiet for native speakers of Taiwan Mandarin. Familiar trisyllabic words were digitally recorded by male and female talkers of Taiwan Mandarin and subsequently evaluated by 20 native listeners with normal hearing at 14 intensity levels (-10 to 16 dB HL) in 2 dB increments. Using logistic regression, psychometric functions were calculated for all words. Twenty-eight words with comparatively steep psychometric functions were selected and digitally adjusted to match the mean subject pure-tone average (5.0 dB HL). This resulted in a list of words that are relatively homogeneous in threshold audibility and psychometric function slope. The mean slopes for the 28 selected male and female trisyllabic Taiwan Mandarin words were 11.3%/dB and 11.7%/dB, respectively.

Psychometrically equivalent Russian speech audiometry materials by male and female talkers.

Despite the large number of individuals who speak Russian, only a limited number of high-quality speech audiometry materials are available in a standard dialect of Russian. Thus, the purpose of this study was to develop and evaluate speech audiometry materials that can be used to measure word recognition and SRT testing in quiet for native speakers of Russian. Familiar monosyllabic and bisyllabic words were digitally recorded by male and female talkers of Russian and subsequently evaluated by native listeners. Using logistic regression, psychometric functions were then calculated for all words. Selected monosyllabic words were digitally adjusted to create word recognition lists which are relatively homogeneous with respect to audibility and psychometric slope. Speech reception threshold materials were developed by selecting twenty-five bisyllabic words with relatively steep psychometric function slopes (12.1%/dB and 9.9 %/dB) and digitally equating their intensity to match the mean PTA of the native listeners. Digital recordings of the resulting psychometrically equivalent speech audiometry materials are available on compact disc.

First and second language tongue movements in Spanish and Korean bilingual speakers.

A number of previous studies have relied on perceptual judgments or acoustic analysis to examine second language (L2) production. However, few researchers have studied L2 performance by directly tracking the physical movements of the articulators. The purpose of the present study was to investigate intraspeaker differences in native (Korean or Spanish) and L2 (English) production through kinematic indices of tongue activity. This involved measurement of the speed, duration, and distance of tongue movements or strokes during speech. Findings indicated that the speakers had significantly slower stroke speeds and longer movement durations for L2 when compared to their native language (L1), yet no significant differences in stroke distance. The bilingual speakers were found to pause more and speak proportionally less of the time in their L2. Interestingly, those speakers who exhibited greater relative kinematic changes from L1 to L2 were also rated as having a stronger perceived accent.

Sex-related acoustic changes in voiceless English fricatives.

This investigation is a comprehensive acoustic study of 4 voiceless fricatives (/f theta s /) in English produced by adults and pre- and postpubescent children aged 6-14 years. Vowel duration, amplitude, and several different spectral measures (including spectral tilt and spectral moments) were examined. Of specific interest was the pattern of normal development of the acoustic properties of fricatives and the nature of sex-specific patterns of fricative articulation in prepubescent children. Little evidence of amplitude or duration differences was found between speakers that was related to sex of the speaker. However, significant sex-specific differences in fricative articulation were found in all groups of speakers-even in the youngest children (ages 6-7 years)-although there was an indication that some of the acoustic differences between females and males is reduced or absent in the youngest children. Results from discriminant analysis demonstrated that a discriminant function based on the adult male tokens was generally better at classifying fricatives produced by male speakers than female speakers, regardless of age. This showed that sex-related differences (presumably a function of sex-linked vocal tract variation) were present even in the youngest speaker group. However, the classification accuracy of the female model showed a steady improvement with the increased age of the female speakers and may provide support for the claim that sex-related developmental differences may just be emerging in the youngest age group.

Acoustic and spectral characteristics of young children's fricative productions: a developmental perspective.

Scientists have made great strides toward understanding the mechanisms of speech production and perception. However, the complex relationships between the acoustic structures of speech and the resulting psychological percepts have yet to be fully and adequately explained, especially in speech produced by younger children. Thus, this study examined the acoustic structure of voiceless fricatives (/f, theta, s, S/) produced by adults and typically developing children from 3 to 6 years of age in terms of multiple acoustic parameters (durations, normalized amplitude, spectral slope, and spectral moments). It was found that the acoustic parameters of spectral slope and variance (commonly excluded from previous studies of child speech) were important acoustic parameters in the differentiation and classification of the voiceless fricatives, with spectral variance being the only measure to separate all four places of articulation. It was further shown that the sibilant contrast between /s/ and /S/ was less distinguished in children than adults, characterized by a dramatic change in several spectral parameters at approximately five years of age. Discriminant analysis revealed evidence that classification models based on adult data were sensitive to these spectral differences in the five-year-old age group.

Psychometrically equivalent Mandarin bisyllabic speech discrimination materials spoken by male and female talkers.

The purpose of this study was to develop, digitally record, evaluate, and psychometrically equate a set of Mandarin bisyllabic word lists for use in measurement of speech discrimination. Familiar bisyllabic words were digitally recorded by male and female talkers of Standard Mandarin. Percentage of correct word recognition was measured for each word at ten intensity levels ( -5 to 40 dB HL) in 5 dB increments using 20 normally hearing subjects. Using logistic regression, 200 words with the steepest logistic regression slopes were included in four psychometrically equivalent word lists of 50 words each, and eight half-lists of 25 words each. To increase auditory homogeneity of the lists, the intensity of words in each list was digitally adjusted so that the threshold of each list was equal to the midpoint between the mean thresholds of the male and female half-lists. Digital recordings of the psychometrically equivalent word recognition lists are available on compact disc.