Reduced duration of stuttering‐like disfluencies and consistent anticipatory slowing during an adaptation task.

Purpose: The adaptation effect in stuttering, traditionally described as the reduction of stuttering moments over repeated readings, provides a context to investigate fluency facilitation as well as a relatively controlled means of comparing fluent speech in the immediate vicinity of words that were...

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Publicado en:International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) Vol. 58; no. 6; pp. 2162 - 2178
Autores principales: Neel, Amy, Mizusawa, Chloe, Do, Quynh, Arenas, Richard
Formato: Artículo
Publicado: John Wiley & Sons, Inc. Nov2023
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Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.)
      issn: 14606984
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      dt: Nov2023
      vid: 58
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      pid: 52269
      pub: John Wiley & Sons, Inc.
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        173603903
        10.1111/1460-6984.12930
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        atl: Reduced duration of stuttering‐like disfluencies and consistent anticipatory slowing during an adaptation task.
      aug:
        au:
          Neel, Amy
          Mizusawa, Chloe
          Do, Quynh
          Arenas, Richard
        affil: Department of Speech and Hearing Sciences, University of New Mexico, Albuquerque New Mexico, , USA
      su:
        Stuttering
        Speech perception
        Thought & thinking
        Statistics
        Physiological aspects of speech
        Analysis of variance
        Time
        Multivariate analysis
        Speech disorders
        Task performance
        Comparative studies
        Descriptive statistics
        Psychological adaptation
        Psychomotor disorders
        Data analysis software
        Data analysis
        Reading
      sug:
        subj:
          Stuttering
          Speech perception
          Thought & thinking
          Statistics
          Physiological aspects of speech
          Analysis of variance
          Time
          Multivariate analysis
          Speech disorders
          Task performance
          Comparative studies
          Descriptive statistics
          Psychological adaptation
          Psychomotor disorders
          Data analysis software
          Data analysis
          Reading
      keyword:
        adaptation
        motor learning
        motor practice
        stuttering
        stuttering anticipation
      ab: Purpose: The adaptation effect in stuttering, traditionally described as the reduction of stuttering moments over repeated readings, provides a context to investigate fluency facilitation as well as a relatively controlled means of comparing fluent speech in the immediate vicinity of words that were stuttered versus fluently produced. Acoustic studies have documented decreased duration of fluent speech during adaptation but rarely address changes in disfluencies or the speech preceding or following the disfluencies. This study addresses this gap in the research by documenting frequency and duration changes in both fluent and stuttered syllables. Method: Fifteen people who stutter read passages aloud five times in succession. Frequency and duration of fluent syllables, pauses, stuttering‐like disfluencies (SLDs) and other disfluencies (ODs) were compared across the five readings. In addition, durations for syllables before and after pauses and SLDs were compared to determine if there were anticipation or carryover effects of SLDs on surrounding syllables. Results: Durations measured for more than 22 000 fluent syllables, 1531 pauses, 128 ODs and 1752 SLDs. For most of the 15 participants, significant decreases in both frequency and duration of SLDs over the five readings were observed. In addition, lengthening of fluent syllables immediately preceding the disfluent syllables was observed: this pre‐SLD lengthening did not change over the five readings. Conclusions: Decreased duration of SLDs across readings supports the motor practice hypothesis, which assumes that successive reading of the same text increases the efficiency of the speech motor plans resulting in less stuttering and decreased durations of the stuttering that persists. Pre‐SLD lengthening merits further study, because it informs our knowledge of the time course of stuttered events and may be associated with conscious or unconscious anticipation of upcoming SLDs that does not decrease with motor practice. WHAT THIS PAPER ADDS: What is already known on this subject: The frequency of stuttering‐like disfluencies (SLDs) can be reduced using a variety of fluency‐enhancing strategies. For example, the adaptation effect, in which a reduction of stuttered events occurs over repeated readings of the same material, has been widely studied. Previous studies have shown that durations of fluent syllables decrease during adaptation, supporting the hypothesis that repeated practice of the motor plan leads to increased fluency. However, temporal changes in disfluent syllables and syllables preceding and following SLDs have rarely been studied, so our understanding of the effect of motor practice on stuttering reduction is incomplete. What this study adds: This study has two significant findings. First, stuttered disfluencies that persisted after the initial reading of the adaptation task tended to become shorter in duration. Fluently produced syllables and those that were stuttered, both of which are speech events related to motor control of articulators, were affected in a similar manner by the motor practice associated with adaptation. Second, lengthening of fluent syllables immediately preceding stuttered syllables was observed. This pre‐stuttering lengthening, however, did not decrease in duration over the five readings: the mechanism that drives this anticipatory behaviour is not affected by repeated practice. What are the clinical implications of this work?: People who stutter have neural differences that lead to speech motor planning and/or execution that is less efficient than that of typical speakers. The finding that stuttering is reduced and that persisting SLDs become shorter in duration over repeated readings provides evidence that motor practice can influence the manifestation of stuttering by temporarily making those specific motor plans more efficient. This may inform treatments for stuttering. The observation that fluent syllables immediately before SLDs were lengthened, and that this lengthening was not influenced by repeated practice, extends our understanding of the time course of stuttering events and may be useful in understanding anticipation and listener reactions to stuttering.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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          year: 2023
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