Theta Modulated Neural Phase Coherence Facilitates Speech Fluency in Adults Who Stutter

Adults who stutter (AWS) display altered patterns of neural phase coherence within the speech motor system preceding disfluencies. These altered patterns may distinguish fluent speech episodes from disfluent ones. Phase coherence is relevant to the study of stuttering because it reflects neural communication within brain networks. In this follow-up study, the oscillatory cortical dynamics preceding fluent speech in AWS and adults who do not stutter (AWNS) were examined during a single-word delayed reading task using electroencephalographic (EEG) techniques. Compared to AWNS, fluent speech preparation in AWS was characterized by a decrease in theta-gamma phase coherence and a corresponding increase in theta-beta coherence level. Higher spectral powers in the beta and gamma bands were also observed preceding fluent utterances by AWS. Overall, there was altered neural communication during speech planning in AWS that provides novel evidence for atypical allocation of feedforward control by AWS even before fluent utterances.

Cortical dynamics of disfluency in adults who stutter

Stuttering is a disorder of speech production whose origins have been traced to the central nervous system. One of the factors that may underlie stuttering is aberrant neural miscommunication within the speech motor network. It is thus argued that disfluency (any interruption in the forward flow of speech) in adults who stutter (AWS) could be associated with anomalous cortical dynamics. Aberrant brain activity has been demonstrated in AWS in the absence of overt disfluency, but recording neural activity during disfluency is more challenging. The paradigm adopted here took an important step that involved overt reading of long and complex speech tokens under continuous EEG recording. Anomalies in cortical dynamics preceding disfluency were assessed by subtracting out neural activity for fluent utterances from their disfluent counterparts. Differences in EEG spectral power involving alpha, beta, and gamma bands, as well as anomalies in phase-coherence involving the gamma band, were observed prior to the production of the disfluent utterances. These findings provide novel evidence for compromised cortical dynamics that directly precede disfluency in AWS.

Orosensory contributions to dysphagia: a link between perception of sweet and sour taste and pharyngeal delay time

Pharyngeal delay is a significant swallowing disorder often resulting in aspiration. It is suspected that pharyngeal delay originates from sensory impairment, but a direct demonstration of a link between oral sensation and pharyngeal delay is lacking. In this study involving six patients with complaints of dysphagia, taste sensation of the oral tongue was measured and subsequently related to swallowing kinematics. It was found that a response bias for sour taste was significantly correlated with pharyngeal delay time on paste, highlighting oral sensory contributions to swallow motor dysfunctions. Investigating the precise nature of such a link between oral sensation and dysphagia would constitute a basis for understanding the disorder. The results of this study highlight oral sensory contributions to pharyngeal swallow events and provide impetus to examine this link in larger samples of dysphagic patients.

The predictive roles of neural oscillations in speech motor adaptability

The human speech system exhibits a remarkable flexibility by adapting to alterations in speaking environments. While it is believed that speech motor adaptation under altered sensory feedback involves rapid reorganization of speech motor networks, the mechanisms by which different brain regions communicate and coordinate their activity to mediate adaptation remain unknown, and explanations of outcome differences in adaption remain largely elusive. In this study, under the paradigm of altered auditory feedback with continuous EEG recordings, the differential roles of oscillatory neural processes in motor speech adaptability were investigated. The predictive capacities of different EEG frequency bands were assessed, and it was found that theta-, beta-, and gamma-band activities during speech planning and production contained significant and reliable information about motor speech adaptability. It was further observed that these bands do not work independently but interact with each other suggesting an underlying brain network operating across hierarchically organized frequency bands to support motor speech adaptation. These results provide novel insights into both learning and disorders of speech using time frequency analysis of neural oscillations.

Precise feedback control underlies sensorimotor learning in speech

Acquiring the skill of speaking in another language, or for that matter a child's learning to talk, does not follow a single recipe. People learn by variable amounts. A major component of speech learnability seems to be sensing precise feedback errors to correct subsequent utterances that help maintain speech goals. We have tested this idea in a speech motor learning paradigm under altered auditory feedback, in which subjects repeated a word while their auditory feedback was changed online. Subjects learned the task to variable degrees, with some simply failing to learn. We assessed feedback contribution by computing one-lag covariance between formant trajectories of the current feedback and the following utterance that was found to be a significant predictor of learning. Our findings rely on a novel use of information-rich formant trajectories in evaluating speech motor learning and argue for their relevance in auditory speech goals of vowel sounds.

Redistribution of neural phase coherence reflects establishment of feedforward map in speech motor adaptation

Despite recent progress in our understanding of sensorimotor integration in speech learning, a comprehensive framework to investigate its neural basis is lacking at behaviorally relevant timescales. Structural and functional imaging studies in humans have helped us identify brain networks that support speech but fail to capture the precise spatiotemporal coordination within the networks that takes place during speech learning. Here we use neuronal oscillations to investigate interactions within speech motor networks in a paradigm of speech motor adaptation under altered feedback with continuous recording of EEG in which subjects adapted to the real-time auditory perturbation of a target vowel sound. As subjects adapted to the task, concurrent changes were observed in the theta-gamma phase coherence during speech planning at several distinct scalp regions that is consistent with the establishment of a feedforward map. In particular, there was an increase in coherence over the central region and a decrease over the fronto-temporal regions, revealing a redistribution of coherence over an interacting network of brain regions that could be a general feature of error-based motor learning in general. Our findings have implications for understanding the neural basis of speech motor learning and could elucidate how transient breakdown of neuronal communication within speech networks relates to speech disorders.

Sensorimotor adaptation changes the neural coding of somatosensory stimuli

Motor learning is reflected in changes to the brain's functional organization as a result of experience. We show here that these changes are not limited to motor areas of the brain and indeed that motor learning also changes sensory systems. We test for plasticity in sensory systems using somatosensory evoked potentials (SEPs). A robotic device is used to elicit somatosensory inputs by displacing the arm in the direction of applied force during learning. We observe that following learning there are short latency changes to the response in somatosensory areas of the brain that are reliably correlated with the magnitude of motor learning: subjects who learn more show greater changes in SEP magnitude. The effects we observe are tied to motor learning. When the limb is displaced passively, such that subjects experience similar movements but without experiencing learning, no changes in the evoked response are observed. Sensorimotor adaptation thus alters the neural coding of somatosensory stimuli.

Sensory change following motor learning

Here we describe two studies linking perceptual change with motor learning. In the first, we document persistent changes in somatosensory perception that occur following force field learning. Subjects learned to control a robotic device that applied forces to the hand during arm movements. This led to a change in the sensed position of the limb that lasted at least 24 h. Control experiments revealed that the sensory change depended on motor learning. In the second study, we describe changes in the perception of speech sounds that occur following speech motor learning. Subjects adapted control of speech movements to compensate for loads applied to the jaw by a robot. Perception of speech sounds was measured before and after motor learning. Adapted subjects showed a consistent shift in perception. In contrast, no consistent shift was seen in control subjects and subjects that did not adapt to the load. These studies suggest that motor learning changes both sensory and motor function.

Auditory plasticity and speech motor learning

Is plasticity in sensory and motor systems linked? Here, in the context of speech motor learning and perception, we test the idea sensory function is modified by motor learning and, in particular, that speech motor learning affects a speaker's auditory map. We assessed speech motor learning by using a robotic device that displaced the jaw and selectively altered somatosensory feedback during speech. We found that with practice speakers progressively corrected for the mechanical perturbation and after motor learning they also showed systematic changes in their perceptual classification of speech sounds. The perceptual shift was tied to motor learning. Individuals that displayed greater amounts of learning also showed greater perceptual change. Perceptual change was not observed in control subjects that produced the same movements, but in the absence of a force field, nor in subjects that experienced the force field but failed to adapt to the mechanical load. The perceptual effects observed here indicate the involvement of the somatosensory system in the neural processing of speech sounds and suggest that speech motor learning results in changes to auditory perceptual function.

Speech motor learning in profoundly deaf adults

Speech production, like other sensorimotor behaviors, relies on multiple sensory inputs--audition, proprioceptive inputs from muscle spindles and cutaneous inputs from mechanoreceptors in the skin and soft tissues of the vocal tract. However, the capacity for intelligible speech by deaf speakers suggests that somatosensory input alone may contribute to speech motor control and perhaps even to speech learning. We assessed speech motor learning in cochlear implant recipients who were tested with their implants turned off. A robotic device was used to alter somatosensory feedback by displacing the jaw during speech. We found that implant subjects progressively adapted to the mechanical perturbation with training. Moreover, the corrections that we observed were for movement deviations that were exceedingly small, on the order of millimeters, indicating that speakers have precise somatosensory expectations. Speech motor learning is substantially dependent on somatosensory input.

Somatosensory Precision in Speech Production

Speech production is dependent on both auditory and somatosensory feedback. Although audition may appear to be the dominant sensory modality in speech production, somatosensory information plays a role that extends from brainstem responses to cortical control. Accordingly, the motor commands that underlie speech movements may have somatosensory as well as auditory goals. Here we provide evidence that, independent of the acoustics, somatosensory information is central to achieving the precision requirements of speech movements. We were able to dissociate auditory and somatosensory feedback by using a robotic device that altered the jaw's motion path, and hence proprioception, without affecting speech acoustics. The loads were designed to target either the consonant- or vowel-related portion of an utterance because these are the major sound categories in speech. We found that, even in the absence of any effect on the acoustics, with learning subjects corrected to an equal extent for both kinds of loads. This finding suggests that there are comparable somatosensory precision requirements for both kinds of speech sounds. We provide experimental evidence that the neural control of stiffness or impedance--the resistance to displacement--provides for somatosensory precision in speech production.

Immobilized rhodanese: some aspects of anion inhibition kinetics and modulation by cations

The rat liver rhodanese (thiosulphate: cyanide sulfurtransferase EC 2.6.1.1) has been immobilized on polyacrylamide gels. The immobilized enzyme had a pH optimum of 7.4 and Km values of 3.25 mM and 1.12 mM for S2O3(2-) and KCN, respectively. The enzyme was competitively inhibited by NaNO2 and CH3COONa and noncompetitively by amyl-nitrite. A modulation of activity was observed in the presence of Ca2+, Zn2+, and Cu2+. The results are discussed in line with the detoxicating function of liver rhodanese.

A large-scale evaluation of pirimiphos-methyl 25% WP during 1980-1981 for malaria control in Pakistan

The emergence of strains of malaria vectors resistant to malathion in an area of Pakistan, and the continuing search for improved methods of control, necessitated the examination of alternative safe insecticides, with improved residual effects, for future use in the Malaria Control Programme in Pakistan. For these reasons, the effectiveness of pirimiphos-methyl, as Actellic 25 WP, was evaluated on a large scale in one sub-sector of Sheikhupura district of Punjab Province near Lahore. Entomological and parasitological evaluations demonstrated that 1 g of pirimiphos-methyl/m2 was as effective as 2 g/m2. Vector mosquito densities were reduced to zero, or almost so, in all areas sprayed with pirimiphos-methyl, and only began to approach vector levels in unsprayed areas after 9-10 months. No new cases of malaria were detected in those areas sprayed with pirimiphos-methyl. Blood cholinesterase determinations after the application of the pirimiphos-methyl spray confirmed the absence of any toxic effect on the spray operators, nor were there any toxic symptoms in the house occupants.

New in vitro dissolution test apparatus

A new in vitro dissolution test apparatus was designed and evaluated. Compressed tablets of drugs representing different solubility characteristics were tested at various air pressures and compared to dissolution patterns of similar tablets by the Levy beaker and USP methods. Air pressure of 46 mm generally was suitable for determining the dissolution rates of tablets. This new dissolution tester possibly can be useful in determining drug release from solid dosage forms and correlating it with in vivo bioavailability because dissolution rate can be controlled easily with the adjustment of air pressure without complicated changes in the apparatus, there is no excessive settling of particles, and complete drug dissolution can be achieved with no clogging of the screen.