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Sensory feedback dependence hypothesis in persons who stutter.

Aravind Kumar Namasivayam1, Pascal van Lieshout, William E McIlroy

  • 1Department of Speech-Language Pathology, Oral Dynamics Laboratory, University of Toronto, Toronto, Ontario, Canada M5G 1V7. a.namasivayam@utoronto.ca

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This study examined sensory feedback in speech motor control for people who stutter (PWS) and typical speakers. Findings suggest PWS do not rely more heavily on sensory feedback for speech, challenging existing theories.

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Area of Science:

  • Speech motor control
  • Neuroscience of speech
  • Auditory and somatosensory processing

Background:

  • Understanding speech motor control in persons who stutter (PWS) is crucial.
  • The role of sensory feedback (auditory, proprioceptive, tactile) in speech coordination remains debated.
  • Previous hypotheses suggest PWS may have altered sensory feedback reliance or deficits.

Purpose of the Study:

  • To investigate sensory feedback's role in speech motor coordination for PWS versus typical speakers.
  • To examine feedback effects under normal and fast speech rates, with and without jaw immobilization.
  • To test hypotheses of sensory feedback dependency or deficit in PWS speech.

Main Methods:

  • Utilized auditory masking, proprioceptive tendon vibration, and tactile lip contact perturbations.
  • Compared speech motor coordination in persons who stutter (PWS) and persons who do not stutter (PNS).
  • Assessed effects across jaw-free and jaw-immobilized conditions during normal and fast speech rates.

Main Results:

  • Both groups showed significant effects of sensory feedback perturbations.
  • A key between-group difference emerged at fast speech rates in the jaw-free condition.
  • Control speakers exhibited more intra-gestural coordination variability than PWS under simultaneous perturbations.

Conclusions:

  • The study's findings do not support the feedback dependency hypothesis for PWS.
  • Results also do not support the sensory deficit hypothesis in explaining PWS speech characteristics.
  • Sensory feedback plays a role, but its differential impact in PWS requires further investigation.