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Feedback and Feedforward Auditory-Motor Processes for Voice and Articulation in Parkinson's Disease

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Title: Feedback and Feedforward Auditory-Motor Processes for Voice and Articulation in Parkinson's Disease
Language: English
Authors: Abur, Defne, Subaciute, Austeja, Daliri, Ayoub, Lester-Smith, Rosemary A. (ORCID 0000-0002-9111-7399), Lupiani, Ashling A., Cilento, Dante, Enos, Nicole M. (ORCID 0000-0003-0423-4288), Weerathunge, Hasini R., Tardif, Monique C., Stepp, Cara E. (ORCID 0000-0002-8045-252X)
Source: Journal of Speech, Language, and Hearing Research. Dec 2021 64(12):4682-4694.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 13
Publication Date: 2021
Sponsoring Agency: National Institute on Deafness and Other Communication Disorders (NIDCD) (DHHS/NIH)
Contract Number: R01DC016270
T32DC013017
F31DC019032
Document Type: Journal Articles
Reports - Research
Descriptors: Feedback (Response), Auditory Perception, Psychomotor Skills, Articulation (Speech), Neurological Impairments, Drug Therapy, Intelligibility, Adults, Speech Impairments
DOI: 10.1044/2021_JSLHR-21-00153
ISSN: 1092-4388
Abstract: Purpose: Unexpected and sustained manipulations of auditory feedback during speech production result in "reflexive" and "adaptive" responses, which can shed light on feedback and feedforward auditory-motor control processes, respectively. Persons with Parkinson's disease (PwPD) have shown aberrant reflexive and adaptive responses, but responses appear to differ for control of vocal and articulatory features. However, these responses have not been examined for both voice and articulation in the same speakers and with respect to auditory acuity and functional speech outcomes (speech intelligibility and naturalness). Method: Here, 28 PwPD on their typical dopaminergic medication schedule and 28 age-, sex-, and hearing-matched controls completed tasks yielding reflexive and adaptive responses as well as auditory acuity for both vocal and articulatory features. Results: No group differences were found for any measures of auditory-motor control, conflicting with prior findings in PwPD while off medication. Auditory-motor measures were also compared with listener ratings of speech function: first formant frequency acuity was related to speech intelligibility, whereas adaptive responses to vocal fundamental frequency manipulations were related to speech naturalness. Conclusions: These results support that auditory-motor processes for both voice and articulatory features are intact for PwPD receiving medication. This work is also the first to suggest associations between measures of auditory-motor control and speech intelligibility and naturalness.
Abstractor: As Provided
Entry Date: 2022
Accession Number: EJ1325301
Database: ERIC
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  Data: Feedback and Feedforward Auditory-Motor Processes for Voice and Articulation in Parkinson's Disease
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Abur%2C+Defne%22">Abur, Defne</searchLink><br /><searchLink fieldCode="AR" term="%22Subaciute%2C+Austeja%22">Subaciute, Austeja</searchLink><br /><searchLink fieldCode="AR" term="%22Daliri%2C+Ayoub%22">Daliri, Ayoub</searchLink><br /><searchLink fieldCode="AR" term="%22Lester-Smith%2C+Rosemary+A%2E%22">Lester-Smith, Rosemary A.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-9111-7399">0000-0002-9111-7399</externalLink>)<br /><searchLink fieldCode="AR" term="%22Lupiani%2C+Ashling+A%2E%22">Lupiani, Ashling A.</searchLink><br /><searchLink fieldCode="AR" term="%22Cilento%2C+Dante%22">Cilento, Dante</searchLink><br /><searchLink fieldCode="AR" term="%22Enos%2C+Nicole+M%2E%22">Enos, Nicole M.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0423-4288">0000-0003-0423-4288</externalLink>)<br /><searchLink fieldCode="AR" term="%22Weerathunge%2C+Hasini+R%2E%22">Weerathunge, Hasini R.</searchLink><br /><searchLink fieldCode="AR" term="%22Tardif%2C+Monique+C%2E%22">Tardif, Monique C.</searchLink><br /><searchLink fieldCode="AR" term="%22Stepp%2C+Cara+E%2E%22">Stepp, Cara E.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8045-252X">0000-0002-8045-252X</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Dec 2021 64(12):4682-4694.
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
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  Data: Y
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  Data: 13
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  Data: 2021
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  Data: National Institute on Deafness and Other Communication Disorders (NIDCD) (DHHS/NIH)
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  Data: R01DC016270<br />T32DC013017<br />F31DC019032
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  Data: <searchLink fieldCode="DE" term="%22Feedback+%28Response%29%22">Feedback (Response)</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+Perception%22">Auditory Perception</searchLink><br /><searchLink fieldCode="DE" term="%22Psychomotor+Skills%22">Psychomotor Skills</searchLink><br /><searchLink fieldCode="DE" term="%22Articulation+%28Speech%29%22">Articulation (Speech)</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+Impairments%22">Neurological Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Intelligibility%22">Intelligibility</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Impairments%22">Speech Impairments</searchLink>
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  Data: 10.1044/2021_JSLHR-21-00153
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  Data: 1092-4388
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Unexpected and sustained manipulations of auditory feedback during speech production result in "reflexive" and "adaptive" responses, which can shed light on feedback and feedforward auditory-motor control processes, respectively. Persons with Parkinson's disease (PwPD) have shown aberrant reflexive and adaptive responses, but responses appear to differ for control of vocal and articulatory features. However, these responses have not been examined for both voice and articulation in the same speakers and with respect to auditory acuity and functional speech outcomes (speech intelligibility and naturalness). Method: Here, 28 PwPD on their typical dopaminergic medication schedule and 28 age-, sex-, and hearing-matched controls completed tasks yielding reflexive and adaptive responses as well as auditory acuity for both vocal and articulatory features. Results: No group differences were found for any measures of auditory-motor control, conflicting with prior findings in PwPD while off medication. Auditory-motor measures were also compared with listener ratings of speech function: first formant frequency acuity was related to speech intelligibility, whereas adaptive responses to vocal fundamental frequency manipulations were related to speech naturalness. Conclusions: These results support that auditory-motor processes for both voice and articulatory features are intact for PwPD receiving medication. This work is also the first to suggest associations between measures of auditory-motor control and speech intelligibility and naturalness.
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  Data: As Provided
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  Data: 2022
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        Value: 10.1044/2021_JSLHR-21-00153
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      – Text: English
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      – SubjectFull: Feedback (Response)
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