Orofacial muscle activity of children who stutter: a preliminary study

This study was a preliminary investigation of the relations between stuttering development and the maturation of speech motor processes. Electromyographic (EMG) activity was recorded from the orofacial muscles of children who stutter and their normally fluent peers during fluent and disfluent speech. Nine children who stutter (8 boys and 1 girl), ranging in age from 2:7 to 14:0, and 9 age- and sex-matched children who do not stutter were subjects. Pairs of surface EMG electrodes were placed on children's faces overlying the anterior belly of the digastric (ABD), levator labii superior (ULIP), and orbicularis oris inferior (LLIP) muscles. Twenty segments of stuttered (for the children who stutter) and perceptually fluent speech were extracted from children's conversational speech samples. Spectra of the amplitude envelopes of the EMG activity were computed. The 3 oldest children who stutter showed evidence of tremorlike oscillations of EMG activity in the 5 to 15 Hz range during stuttering in either ULIP, LLIP, or ABD muscles. The younger children who stutter and the children who do not stutter demonstrated primary spectral peaks in the 1 to 4 Hz range during stuttered and/or perceptually fluent speech. It is hypothesized that the emergence of tremorlike instabilities in the speech motor processes of children who stutter may coincide with aspects of their general neural maturation and with the development of stuttering.