Speech perception deficits in Parkinson's disease: underestimation of time intervals compromises identification of...

Besides motor, vegetative, and cognitive signs, patients suffering from Parkinson's disease (PD) may show distinct perceptual deficits such as underestimation of time intervals extending across several seconds. Assuming this impairment also to affect the domain of tens of milliseconds, disrupted encoding of the acoustic speech signal with respect to segment durations conveying linguistic information must be expected. To test this hypothesis, 10 PD patients and matched controls performed an identification task using a series of 10 stimuli derived from the utterance "Boten" (/bo:tn/, 'messengers'; produced with nasal plosion) by exclusive manipulation of occlusion length (110-20 ms in steps of 10 ms). Under these conditions, word-medial silence cues the voicing category of the respective stop consonant. Seven PD subjects showed normal identification curves, i.e., categorized the shortest and longest stimuli with high probability each as the minimal pair cognates "Boden" and "Boten," respectively. In contrast, the remaining three patients labeled all items across the complete range of occlusion lengths as "Boden." A subsequent experiment found a horizontal shift of the identification curves toward larger signal durations (> 120 ms) in these three subjects. Bilateral cerebellar degeneration has been found to yield a different response pattern, i.e., near-chance level of performance. Considering recent information-processing models of scalar interval timing, striatal disorders seem to slow down an oscillatory pacemaker, whereas cerebellar dysfunctions may impair comparison of measured durations with stored reference memory traces.