Selected temporal parameters of coordination associated with stuttering in children

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Abstract

The purpose of this investigation was to describe specific temporal parameters of coordination—onsets and sequencing of muscle activity and structural movement—associated with five young stutterers' stuttered (N = 96) and five normally fluent children's fluent (N = 96) speech productions. Simultaneous recordings of physiological events in the three major components of the speech production system (respiratory, laryngeal, and supralaryngeal) were made using noninvasive, minimally intrusive instrumentation. Measurements of onsets, offsets, and durations of respiratory and laryngeal movements and supralaryngeal muscle activity permitted objective assessment of coordination within a particular component of the speech production system (e.g., onset of lower lip closing relative to lower lip opening muscle activity) and between different components of the speech production system (e.g., onset of rib cage deflation relative to onset of vocal fold contact). Results indicated that, during stuttering, the absolute mean onsets of young stutterers' various speech production events were typically earlier than those during normals' fluent utterances; however, the relative temporal sequence of these same events during stutterings was comparable to that associated with normally fluent children's fluent productions. These findings suggest that young stutterers are grossly within normal limits with regard to selected temporal aspects of coordination for speech production, a finding in contrast to previous reports of adult stutterers' apparent difficulties in coordinating multiple components for speech production.

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      While some studies have found evidence of diminished performance in speech repetition tasks for CWS compared to CWNS (Hakim & Bernstein Ratner, 2004; Smith et al., 2012), others have not. An earlier study by Caruso, Conture, and Colton (1988), which required children to embed a word into a carrier phrase, did not find any differences between CWS and CWNS in the temporal sequence of the respiratory, laryngeal and supralaryngeal speech components, although CWS exhibited earlier onsets in each of these physiological events. These findings may suggest: first, the speech motor system of CWS may be more susceptible to breakdown than CWNS; second, some components of the speech motor system may be more vulnerable than others in the face of increasing processing demands; and third, deficits in the speech motor system in CWS may not be evident in the absence of overwhelming linguistic demands.

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      As such, the extent to which specific speech production behaviors are associated with either the onset or moment of stuttering needs to be determined from speech samples that are collected relatively close to the onset of the stuttering problem. The main argument for this criterion is that compared to adults who stutter (AWS), the fluent and disfluent speech of children who stutter (CWS) is less likely to be influenced by years of learned reactive and compensatory behaviors (e.g. Caruso, Conture, & Colton, 1988; Conture, Colton, & Gleason, 1988; Zebrowski, Conture, & Cudahy, 1985). Beginning in the late 1970s, a relatively large body of literature describing the acoustic characteristics of the speech production behaviors of CWS has emerged.

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    This research and manuscript preparation were supported in part by an NINCDS contract (N01-NS-0-2331) to Syracuse University and NIH grants (NS-07679, NS-13274, and HD-03352) to the University of Wisconsin.We wish to thank E. Cudahy and R. Reppert for technical assistance and J. Saxman and K. Butler for earlier editorial assistance.

    Current affiliation: NIDR and the Department of Rehabilitation Medicine, National Institutes of Health.

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