Kinematic and Acoustic Responses to Predictable and Unexpected Auditory Feedback Perturbations in Speakers With and Without Parkinson's Disease.

Purpose: Individuals with Parkinson's disease (IwPD) frequently suffer from speech articulation impairments that result in reduced intelligibility. While some studies have previously investigated auditory feedback and feedforward mechanisms as potential explanations behind these impairments, they ha...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 4; pp. 1469 - 1490
Autores principales: Rebernik, Teja, Tienkamp, Thomas, Chaboksavar, Sasha, Hoekzema, Nikki, Ciot, Valentina, Polsterer, Katharina, Gleichman, Annetje, Jonkers, Roel, Noiray, Aude, Abur, Defne, Wieling, Martijn
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
      vid: 69
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-24-00697
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        atl: Kinematic and Acoustic Responses to Predictable and Unexpected Auditory Feedback Perturbations in Speakers With and Without Parkinson's Disease.
      aug:
        au:
          Rebernik, Teja
          Tienkamp, Thomas
          Chaboksavar, Sasha
          Hoekzema, Nikki
          Ciot, Valentina
          Polsterer, Katharina
          Gleichman, Annetje
          Jonkers, Roel
          Noiray, Aude
          Abur, Defne
          Wieling, Martijn
        affil:
          Laboratoire de Phonétique et Phonologie, CNRS, Université Sorbonne Nouvelle, Paris, France
          Brussels Centre for Language Studies, Vrije Universiteit Brussel, Belgium
          Center for Language and Cognition Groningen, University of Groningen, the Netherlands
          Department of Oral and Maxillofacial Surgery, University Medical Centre Groningen, University of Groningen, the Netherlands
          Research School of Behavioral and Cognitive Neurosciences, University of Groningen, the Netherlands
          Department of Life Sciences, University of Trieste, Italy
          Laboratoire de Psychologie et Neurocognition (CNRS UMR 5105), Université Grenoble-Alpes, France
      su:
        Self-evaluation
        Task performance
        Age distribution
        Hearing
        Drug therapy for Parkinson's disease
        Articulation disorders
        Vowels
        Research funding
        Kinematics
        Research evaluation
        Questionnaires
        Parkinson's disease
        Intelligibility of speech
        Audiometry
        Descriptive statistics
        Physiological aspects of speech
        Psychology of movement
        Tongue
        Experimental design
        Neuropsychological tests
        Intraclass correlation
        Speech evaluation
        Speech perception
        Comparative studies
        Data analysis software
        Auditory perception
        Dopa
        Disease complications
      sug:
        subj:
          Self-evaluation
          Task performance
          Age distribution
          Hearing
          Drug therapy for Parkinson's disease
          Articulation disorders
          Vowels
          Research funding
          Kinematics
          Research evaluation
          Questionnaires
          Parkinson's disease
          Intelligibility of speech
          Audiometry
          Descriptive statistics
          Physiological aspects of speech
          Psychology of movement
          Tongue
          Experimental design
          Neuropsychological tests
          Intraclass correlation
          Speech evaluation
          Speech perception
          Comparative studies
          Data analysis software
          Auditory perception
          Dopa
          Disease complications
      ab: Purpose: Individuals with Parkinson's disease (IwPD) frequently suffer from speech articulation impairments that result in reduced intelligibility. While some studies have previously investigated auditory feedback and feedforward mechanisms as potential explanations behind these impairments, they have done so using only acoustic measures, which may not be sensitive enough to capture small changes. The current study assessed the sensorimotor control of speech articulation in IwPD and control speakers (CS) by measuring both acoustic and kinematic responses to either predictable or unexpected errors in auditory feedback while participants were speaking. Method: We employed two formant perturbation tasks: a predictable (upward) vowel perturbation task and an unexpected (upward and downward) vowel perturbation task. A total of 33 IwPD on levodopa and 25 CS performed the tasks, while their speech was recorded acoustically with a microphone and kinematically with sensors placed on the tongue and the jaw. We analyzed acoustic (first and second formant frequencies) and kinematic (jaw and tongue height and backness) correlates of vowel perturbation task responses using generalized additive modeling. Results: In the predictable vowel perturbation task, IwPD and CS did not differ in their responses in kinematic or acoustic measures. In the unexpected vowel perturbation task, we found differences between the two groups in both acoustics and kinematics for the downward perturbation, but not for the upward perturbation. For the unexpected downward perturbation, IwPD responded more slowly and to a lesser degree than did CS when vowel trajectories were modeled using the second formant and kinematic tongue body height. Conclusions: IwPD showed a reduced ability to correct unexpected errors in auditory feedback both acoustically and kinematically but retained the ability to update their speech sensorimotor maps based on predictable errors in auditory feedback. This study expands on existing assessments of language- and speech-related impairments in Parkinson's disease by highlighting important potential differences in sensorimotor control of speech articulation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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