Measuring Articulatory Patterns in Amyotrophic Lateral Sclerosis Using a Data-Driven Articulatory Consonant Distinctiveness Space Approach.

Purpose: The aim of this study was to leverage data-driven approaches, including a novel articulatory consonant distinctiveness space (ACDS) approach, to better understand speech motor control in amyotrophic lateral sclerosis (ALS). Method: Electromagnetic articulography was used to record tongue an...

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Published in:Journal of Speech, Language & Hearing Research Vol. 66; pp. 3076 - 3089
Main Authors: Teplansky, Kristin J., Wisler, Alan, Green, Jordan R., Heitzman, Daragh, Austin, Sara, Wang, Jun
Format: Article
Published: American Speech-Language-Hearing Association 2023 Supplement
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Online Access:View this record in EBSCOhost
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      dt: 2023 Supplement
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2022_JSLHR-22-00320
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        atl: Measuring Articulatory Patterns in Amyotrophic Lateral Sclerosis Using a Data-Driven Articulatory Consonant Distinctiveness Space Approach.
      aug:
        au:
          Teplansky, Kristin J.
          Wisler, Alan
          Green, Jordan R.
          Heitzman, Daragh
          Austin, Sara
          Wang, Jun
        affil:
          Department of Speech, Language, and Hearing Sciences, The University of Texas at Austin.
          Mathematics and Statistics Department, Utah State University, Logan.
          Department of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA.
          Speech and Hearing Bioscience and Technology Program, Harvard University, Boston, MA.
          MDA/ALS Clinic, Texas Neurology, Dallas.
          Department of Neurology, The University of Texas at Austin.
      su:
        Analysis of variance
        Motor ability
        Physiological aspects of speech
        Speech evaluation
        Machine learning
        Articulation disorders
        Electromagnetism
        Pearson correlation (Statistics)
        Amyotrophic lateral sclerosis
        Verbal behavior testing
        Body movement
        Consonants
        Descriptive statistics
        Articulation (Speech)
      sug:
        subj:
          Analysis of variance
          Motor ability
          Physiological aspects of speech
          Speech evaluation
          Machine learning
          Articulation disorders
          Electromagnetism
          Pearson correlation (Statistics)
          Amyotrophic lateral sclerosis
          Verbal behavior testing
          Body movement
          Consonants
          Descriptive statistics
          Articulation (Speech)
      ab: Purpose: The aim of this study was to leverage data-driven approaches, including a novel articulatory consonant distinctiveness space (ACDS) approach, to better understand speech motor control in amyotrophic lateral sclerosis (ALS). Method: Electromagnetic articulography was used to record tongue and lip movement data during the production of 10 consonants from healthy controls (n = 15) and individuals with ALS (n = 47). To assess phoneme distinctness, speech data were analyzed using two classification algorithms, Procrustes matching (PM) and support vector machine (SVM), and the area/volume of the ACDS. Pearson's correlation coefficient was used to examine the relationship between bulbar impairment and the ACDS. Analysis of variance was used to examine the effects of bulbar impairment on consonant distinctiveness and consonant classification accuracies in clinical subgroups. Results: There was a significant relationship between the ACDS and intelligible speaking rate (area, p = .003; volume, p = .010), and the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) bulbar subscore (area, p = .009; volume, p = .027). Consonant classification performance followed a consistent pattern with bulbar severity, where consonants produced by speakers with more severe ALS were classified less accurately (SVM = 75.27%; PM = 74.54%) than the healthy, asymptomatic, and mild-moderate groups. In severe ALS, area of the ACDS was significantly condensed compared to both asymptomatic (p = .004) and mild-moderate (p = .013) groups. There was no statistically significant difference in area between the severe ALS group and healthy speakers (p = .292). Conclusions: Our comprehensive approach is sensitive to early oromotor changes in response due to disease progression. The preserved articulatory consonant space may capture the use of compensatory adaptations to counteract influences of neurodegeneration.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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