Functional lateralization of speech processing in adults and children who stutter

Developmental stuttering is a speech disorder in fluency characterized by repetitions, prolongations and silent blocks, especially in the initial parts of utterances. Although their symptoms are motor related, people who stutter show abnormal patterns of cerebral hemispheric dominance in both anteri...

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Main Authors: Yutaka eSato, Koichi eMori, Toshizo eKoizumi, Yasuyo eMinagawa-Kawai, Akihiro eTanaka, Emi eOzawa, Yoko eWakaba, Reiko eMazuka
Format: Article
Language:English
Published: Frontiers Media S.A. 2011-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyg.2011.00070/full
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author Yutaka eSato
Yutaka eSato
Koichi eMori
Toshizo eKoizumi
Toshizo eKoizumi
Yasuyo eMinagawa-Kawai
Yasuyo eMinagawa-Kawai
Akihiro eTanaka
Akihiro eTanaka
Emi eOzawa
Yoko eWakaba
Reiko eMazuka
Reiko eMazuka
author_facet Yutaka eSato
Yutaka eSato
Koichi eMori
Toshizo eKoizumi
Toshizo eKoizumi
Yasuyo eMinagawa-Kawai
Yasuyo eMinagawa-Kawai
Akihiro eTanaka
Akihiro eTanaka
Emi eOzawa
Yoko eWakaba
Reiko eMazuka
Reiko eMazuka
author_sort Yutaka eSato
collection DOAJ
description Developmental stuttering is a speech disorder in fluency characterized by repetitions, prolongations and silent blocks, especially in the initial parts of utterances. Although their symptoms are motor related, people who stutter show abnormal patterns of cerebral hemispheric dominance in both anterior and posterior language areas. It is unknown whether the abnormal functional lateralization in the posterior language area starts during childhood or emerges as a consequence of many years of stuttering. In order to address this issue, we measured the lateralization of hemodynamic responses in the auditory cortex during auditory speech processing in adults and children who stutter, including preschoolers, with near-infrared spectroscopy (NIRS). We used the analysis-resynthesis technique to prepare two types of stimuli: (i) a phonemic contrast embedded in Japanese spoken words (/itta/ vs. /itte/) and (ii) a prosodic contrast (/itta/ vs. /itta?/). In the baseline blocks, only /itta/ tokens were presented. In phonemic contrast blocks, /itta/ and /itte/ tokens were presented pseudo-randomly, and /itta/ and /itta?/ tokens in prosodic contrast blocks. In adults and children who do not stutter, there was a clear left-hemispheric advantage for the phonemic contrast compared to the prosodic contrast. Adults and children who stutter, however, showed no significant difference between the two stimulus conditions. A subject-by-subject analysis revealed that not a single subject who stutters showed a left advantage in the phonemic contrast over the prosodic contrast condition. These results indicate that the functional lateralization for auditory speech processing is in disarray among those who stutter, even at preschool age. These results shed light on the neural pathophysiology of developmental stuttering.
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spelling doaj.art-bac573f5f9a048e09ab901661250b1d62022-12-21T19:10:47ZengFrontiers Media S.A.Frontiers in Psychology1664-10782011-04-01210.3389/fpsyg.2011.000709236Functional lateralization of speech processing in adults and children who stutterYutaka eSato0Yutaka eSato1Koichi eMori2Toshizo eKoizumi3Toshizo eKoizumi4Yasuyo eMinagawa-Kawai5Yasuyo eMinagawa-Kawai6Akihiro eTanaka7Akihiro eTanaka8Emi eOzawa9Yoko eWakaba10Reiko eMazuka11Reiko eMazuka12National Rehabilitation Center for Persons with DisabilitiesRIKENNational Rehabilitation Center for Persons with DisabilitiesNational Rehabilitation Center for Persons with DisabilitiesNara Medical UniversityNational Rehabilitation Center for Persons with DisabilitiesKeio UniversityNational Rehabilitation Center for Persons with DisabilitiesWaseda UniversityNational Rehabilitation Center for Persons with DisabilitiesGraduate school of Social WelfareRIKENDuke UniversityDevelopmental stuttering is a speech disorder in fluency characterized by repetitions, prolongations and silent blocks, especially in the initial parts of utterances. Although their symptoms are motor related, people who stutter show abnormal patterns of cerebral hemispheric dominance in both anterior and posterior language areas. It is unknown whether the abnormal functional lateralization in the posterior language area starts during childhood or emerges as a consequence of many years of stuttering. In order to address this issue, we measured the lateralization of hemodynamic responses in the auditory cortex during auditory speech processing in adults and children who stutter, including preschoolers, with near-infrared spectroscopy (NIRS). We used the analysis-resynthesis technique to prepare two types of stimuli: (i) a phonemic contrast embedded in Japanese spoken words (/itta/ vs. /itte/) and (ii) a prosodic contrast (/itta/ vs. /itta?/). In the baseline blocks, only /itta/ tokens were presented. In phonemic contrast blocks, /itta/ and /itte/ tokens were presented pseudo-randomly, and /itta/ and /itta?/ tokens in prosodic contrast blocks. In adults and children who do not stutter, there was a clear left-hemispheric advantage for the phonemic contrast compared to the prosodic contrast. Adults and children who stutter, however, showed no significant difference between the two stimulus conditions. A subject-by-subject analysis revealed that not a single subject who stutters showed a left advantage in the phonemic contrast over the prosodic contrast condition. These results indicate that the functional lateralization for auditory speech processing is in disarray among those who stutter, even at preschool age. These results shed light on the neural pathophysiology of developmental stuttering.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2011.00070/fullcerebral lateralizationlanguage developmentdevelopmental stuttering
spellingShingle Yutaka eSato
Yutaka eSato
Koichi eMori
Toshizo eKoizumi
Toshizo eKoizumi
Yasuyo eMinagawa-Kawai
Yasuyo eMinagawa-Kawai
Akihiro eTanaka
Akihiro eTanaka
Emi eOzawa
Yoko eWakaba
Reiko eMazuka
Reiko eMazuka
Functional lateralization of speech processing in adults and children who stutter
Frontiers in Psychology
cerebral lateralization
language development
developmental stuttering
title Functional lateralization of speech processing in adults and children who stutter
title_full Functional lateralization of speech processing in adults and children who stutter
title_fullStr Functional lateralization of speech processing in adults and children who stutter
title_full_unstemmed Functional lateralization of speech processing in adults and children who stutter
title_short Functional lateralization of speech processing in adults and children who stutter
title_sort functional lateralization of speech processing in adults and children who stutter
topic cerebral lateralization
language development
developmental stuttering
url http://journal.frontiersin.org/Journal/10.3389/fpsyg.2011.00070/full
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