The Neural Circuitry Underlying the "Rhythm Effect" in Stuttering.

Purpose: Stuttering is characterized by intermittent speech disfluencies, which are dramatically reduced when speakers synchronize their speech with a steady beat. The goal of this study was to characterize the neural underpinnings of this phenomenon using functional magnetic resonance imaging. Meth...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 64; pp. 2325 - 2347
Autores principales: Frankford, Saul A., Murray, Elizabeth S. Heller, Masapollo, Matthew, Cai, Shanqing, Tourville, Jason A., Nieto-Castañón, Alfonso, Guenther, Frank H.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 2021 Supplement
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Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Speech-Language-Hearing Association
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        10.1044/2021_JSLHR-20-00328
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        atl: The Neural Circuitry Underlying the "Rhythm Effect" in Stuttering.
      aug:
        au:
          Frankford, Saul A.
          Murray, Elizabeth S. Heller
          Masapollo, Matthew
          Cai, Shanqing
          Tourville, Jason A.
          Nieto-Castañón, Alfonso
          Guenther, Frank H.
        affil:
          Department of Speech, Language & Hearing Sciences, Boston University, MA
          Department of Biomedical Engineering, Boston University, MA
          Department of Radiology, Massachusetts General Hospital, Boston
          The Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge
      su:
        Task performance
        Speech
        Neural circuitry
        Language rhythm
        Stuttering
        Tempo (Phonetics)
        Sentences (Grammar)
        Cerebellum
        Prefrontal cortex
        Neurophysiology
        Magnetic resonance imaging
        Functional connectivity
        Regression analysis
        Functional assessment
      sug:
        subj:
          Task performance
          Speech
          Diagnostic Imaging Centers
          Neural circuitry
          Language rhythm
          Stuttering
          Tempo (Phonetics)
          Sentences (Grammar)
          Cerebellum
          Prefrontal cortex
          Neurophysiology
          Magnetic resonance imaging
          Functional connectivity
          Regression analysis
          Functional assessment
      ab: Purpose: Stuttering is characterized by intermittent speech disfluencies, which are dramatically reduced when speakers synchronize their speech with a steady beat. The goal of this study was to characterize the neural underpinnings of this phenomenon using functional magnetic resonance imaging. Method: Data were collected from 16 adults who stutter and 17 adults who do not stutter while they read sentences aloud either in a normal, self-paced fashion or paced by the beat of a series of isochronous tones ("rhythmic"). Task activation and task-based functional connectivity analyses were carried out to compare neural responses between speaking conditions and groups after controlling for speaking rate. Results: Adults who stutter produced fewer disfluent trials in the rhythmic condition than in the normal condition. Adults who stutter did not have any significant changes in activation between the rhythmic condition and the normal condition, but when groups were collapsed, participants had greater activation in the rhythmic condition in regions associated with speech sequencing, sensory feedback control, and timing perception. Adults who stutter also demonstrated increased functional connectivity among cerebellar regions during rhythmic speech as compared to normal speech and decreased connectivity between the left inferior cerebellum and the left prefrontal cortex. Conclusions: Modulation of connectivity in the cerebellum and prefrontal cortex during rhythmic speech suggests that this fluency-inducing technique activates a compensatory timing system in the cerebellum and potentially modulates top-down motor control and attentional systems. These findings corroborate previous work associating the cerebellum with fluency in adults who stutter and indicate that the cerebellum may be targeted to enhance future therapeutic interventions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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