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Caruso VC, Wray AH, Lescht E, Chang SE. Neural oscillatory activity and connectivity in children who stutter during a non-speech motor task. J Neurodev Disord 2023; 15:40. [PMID: 37964200 PMCID: PMC10647051 DOI: 10.1186/s11689-023-09507-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 10/25/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND Neural motor control rests on the dynamic interaction of cortical and subcortical regions, which is reflected in the modulation of oscillatory activity and connectivity in multiple frequency bands. Motor control is thought to be compromised in developmental stuttering, particularly involving circuits in the left hemisphere that support speech, movement initiation, and timing control. However, to date, evidence comes from adult studies, with a limited understanding of motor processes in childhood, closer to the onset of stuttering. METHODS We investigated the neural control of movement initiation in children who stutter and children who do not stutter by evaluating transient changes in EEG oscillatory activity (power, phase locking to button press) and connectivity (phase synchronization) during a simple button press motor task. We compared temporal changes in these oscillatory dynamics between the left and right hemispheres and between children who stutter and children who do not stutter, using mixed-model analysis of variance. RESULTS We found reduced modulation of left hemisphere oscillatory power, phase locking to button press and phase connectivity in children who stutter compared to children who do not stutter, consistent with previous findings of dysfunction within the left sensorimotor circuits. Interhemispheric connectivity was weaker at lower frequencies (delta, theta) and stronger in the beta band in children who stutter than in children who do not stutter. CONCLUSIONS Taken together, these findings indicate weaker engagement of the contralateral left motor network in children who stutter even during low-demand non-speech tasks, and suggest that the right hemisphere might be recruited to support sensorimotor processing in childhood stuttering. Differences in oscillatory dynamics occurred despite comparable task performance between groups, indicating that an altered balance of cortical activity might be a core aspect of stuttering, observable during normal motor behavior.
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Affiliation(s)
- Valeria C Caruso
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA.
| | - Amanda Hampton Wray
- Department of Communication Science & Disorders, University of Pittsburgh, Pittsburgh, PA, USA
| | - Erica Lescht
- Department of Communication Science & Disorders, University of Pittsburgh, Pittsburgh, PA, USA
| | - Soo-Eun Chang
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
- Department of Communication Disorders, Ewha Womans University, Seoul, South Korea
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Furlanis G, Busan P, Formaggio E, Menichelli A, Lunardelli A, Ajcevic M, Pesavento V, Manganotti P. Stuttering-Like Dysfluencies as a Consequence of Long COVID-19. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:415-430. [PMID: 36749838 DOI: 10.1044/2022_jslhr-22-00381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
PURPOSE We present two patients who developed neurogenic stuttering after long COVID-19 related to SARS-CoV-2 infection. METHODS AND RESULTS Both patients experienced both physical (e.g., fatigue) and cognitive difficulties, which led to impaired function of attention, lexical retrieval, and memory consolidation. Both patients had new-onset stuttering-like speech dysfluencies: Blocks and repetitions were especially evident at the initial part of words and sentences, sometimes accompanied by effortful and associated movements (e.g., facial grimaces and oro-facial movements). Neuropsychological evaluations confirmed the presence of difficulties in cognitive tasks, while neurophysiological evaluations (i.e., electroencephalography) suggested the presence of "slowed" patterns of brain activity. Neurogenic stuttering and cognitive difficulties were evident for 4-5 months after negativization of SARS-CoV-2 nasopharyngeal swab, with gradual improvement and near-to-complete recovery. CONCLUSIONS It is now evident that SARS-CoV-2 infection may significantly involve the central nervous system, also resulting in severe and long-term consequences, even if the precise mechanisms are still unknown. In the present report, long COVID-19 resulted in neurogenic stuttering, as the likely consequence of a "slowed" metabolism of (pre)frontal and sensorimotor brain regions (as suggested by the present and previous clinical evidence). As a consequence, the pathophysiological mechanisms related to the appearance of neurogenic stuttering have been hypothesized, which help to better understand the broader and possible neurological consequences of COVID-19.
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Affiliation(s)
- Giovanni Furlanis
- Clinical Unit of Neurology, University Hospital and Health Services of Trieste, ASUGI, Italy
- Department of Medicine, Surgical and Health Sciences, University of Trieste, Italy
| | | | - Emanuela Formaggio
- Department of Neuroscience, Section of Rehabilitation, University of Padua, Italy
| | - Alina Menichelli
- Neuropsychological Service, Clinical Unit of Rehabilitation, University Hospital and Health Services of Trieste, ASUGI, Italy
| | - Alberta Lunardelli
- Neuropsychological Service, Clinical Unit of Rehabilitation, University Hospital and Health Services of Trieste, ASUGI, Italy
| | - Milos Ajcevic
- Department of Engineering and Architecture, University of Trieste, Italy
| | - Valentina Pesavento
- Neuropsychological Service, Clinical Unit of Rehabilitation, University Hospital and Health Services of Trieste, ASUGI, Italy
| | - Paolo Manganotti
- Clinical Unit of Neurology, University Hospital and Health Services of Trieste, ASUGI, Italy
- Department of Medicine, Surgical and Health Sciences, University of Trieste, Italy
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Effects of Binaural Beat Stimulation in Adults with Stuttering. Brain Sci 2023; 13:brainsci13020309. [PMID: 36831852 PMCID: PMC9954735 DOI: 10.3390/brainsci13020309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 02/06/2023] [Accepted: 02/09/2023] [Indexed: 02/16/2023] Open
Abstract
In recent decades, several studies have demonstrated a link between stuttering and abnormal electroencephalographic (EEG) β-power in cortex. Effects of exposure to binaural stimuli were studied in adults with stuttering (AWS, n = 6) and fluent participants (n = 6) using EEG, ECG, and speech analysis. During standard reading tasks without stimulation, in controls but not in the AWS group, EEG β-power was significantly higher in the left hemisphere than in the right hemisphere. After stimulation, the power of the β-band in AWS participants in the left hemisphere increased 1.54-fold. The average β-band power within the left frontotemporal area and temporoparietal junction of the cortex after stimulation in AWS participants shows an increase by 1.65-fold and 1.72-fold, respectively. The rate of disfluency dropped significantly immediately after stimulation (median 74.70% of the baseline). Similarly, the speech rate significantly increased immediately after stimulation (median 133.15%). We show for the first time that auditory binaural beat stimulation can improve speech fluency in AWS, and its effect is proportional to boost in EEG β-band power in left frontotemporal and temporoparietal junction of cortex. Changes in β-power were detected immediately after exposure and persisted for 10 min. Additionally, these effects were accompanied by a reduction in stress levels.
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Korzeczek A, Neef NE, Steinmann I, Paulus W, Sommer M. Stuttering severity relates to frontotemporal low-beta synchronization during pre-speech preparation. Clin Neurophysiol 2022; 138:84-96. [DOI: 10.1016/j.clinph.2022.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 03/02/2022] [Accepted: 03/09/2022] [Indexed: 12/15/2022]
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Chang SE, Garnett EO, Etchell A, Chow HM. Functional and Neuroanatomical Bases of Developmental Stuttering: Current Insights. Neuroscientist 2018; 25:566-582. [PMID: 30264661 DOI: 10.1177/1073858418803594] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Affecting 5% of all preschool-aged children and 1% of the general population, developmental stuttering-also called childhood-onset fluency disorder-is a complex, multifactorial neurodevelopmental disorder characterized by frequent disruption of the fluent flow of speech. Over the past two decades, neuroimaging studies of both children and adults who stutter have begun to provide significant insights into the neurobiological bases of stuttering. This review highlights convergent findings from this body of literature with a focus on functional and structural neuroimaging results that are supported by theoretically driven neurocomputational models of speech production. Updated views on possible mechanisms of stuttering onset and persistence, and perspectives on promising areas for future research into the mechanisms of stuttering, are discussed.
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Affiliation(s)
- Soo-Eun Chang
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | - Emily O Garnett
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | - Andrew Etchell
- Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
| | - Ho Ming Chow
- Nemours/Alfred I. DuPont Hospital for Children, Wilmington, DE, USA
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Etchell AC, Civier O, Ballard KJ, Sowman PF. A systematic literature review of neuroimaging research on developmental stuttering between 1995 and 2016. JOURNAL OF FLUENCY DISORDERS 2018; 55:6-45. [PMID: 28778745 DOI: 10.1016/j.jfludis.2017.03.007] [Citation(s) in RCA: 73] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Revised: 01/25/2017] [Accepted: 03/06/2017] [Indexed: 05/14/2023]
Abstract
PURPOSE Stuttering is a disorder that affects millions of people all over the world. Over the past two decades, there has been a great deal of interest in investigating the neural basis of the disorder. This systematic literature review is intended to provide a comprehensive summary of the neuroimaging literature on developmental stuttering. It is a resource for researchers to quickly and easily identify relevant studies for their areas of interest and enable them to determine the most appropriate methodology to utilize in their work. The review also highlights gaps in the literature in terms of methodology and areas of research. METHODS We conducted a systematic literature review on neuroimaging studies on developmental stuttering according to the PRISMA guidelines. We searched for articles in the pubmed database containing "stuttering" OR "stammering" AND either "MRI", "PET", "EEG", "MEG", "TMS"or "brain" that were published between 1995/01/01 and 2016/01/01. RESULTS The search returned a total of 359 items with an additional 26 identified from a manual search. Of these, there were a total of 111 full text articles that met criteria for inclusion in the systematic literature review. We also discuss neuroimaging studies on developmental stuttering published throughout 2016. The discussion of the results is organized first by methodology and second by population (i.e., adults or children) and includes tables that contain all items returned by the search. CONCLUSIONS There are widespread abnormalities in the structural architecture and functional organization of the brains of adults and children who stutter. These are evident not only in speech tasks, but also non-speech tasks. Future research should make greater use of functional neuroimaging and noninvasive brain stimulation, and employ structural methodologies that have greater sensitivity. Newly planned studies should also investigate sex differences, focus on augmenting treatment, examine moments of dysfluency and longitudinally or cross-sectionally investigate developmental trajectories in stuttering.
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Affiliation(s)
- Andrew C Etchell
- Department of Psychiatry, University of Michigan, MI, United States; Department of Cognitive Science, Macquarie University, Sydney, Australia.
| | - Oren Civier
- The Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel; Department of Computer Science and Applied Mathematics, Weizmann Institute of Science, Rehovot, Israel
| | - Kirrie J Ballard
- Faculty of Health Sciences, University of Sydney, Sydney, Australia
| | - Paul F Sowman
- Department of Cognitive Science, Macquarie University, Sydney, Australia
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Busan P, Battaglini P, Sommer M. Transcranial magnetic stimulation in developmental stuttering: Relations with previous neurophysiological research and future perspectives. Clin Neurophysiol 2017; 128:952-964. [DOI: 10.1016/j.clinph.2017.03.039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Revised: 03/14/2017] [Accepted: 03/22/2017] [Indexed: 10/19/2022]
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Kikuchi Y, Okamoto T, Ogata K, Hagiwara K, Umezaki T, Kenjo M, Nakagawa T, Tobimatsu S. Abnormal auditory synchronization in stuttering: A magnetoencephalographic study. Hear Res 2017; 344:82-89. [DOI: 10.1016/j.heares.2016.10.027] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 10/31/2016] [Indexed: 02/01/2023]
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Mersov AM, Jobst C, Cheyne DO, De Nil L. Sensorimotor Oscillations Prior to Speech Onset Reflect Altered Motor Networks in Adults Who Stutter. Front Hum Neurosci 2016; 10:443. [PMID: 27642279 PMCID: PMC5009120 DOI: 10.3389/fnhum.2016.00443] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 08/19/2016] [Indexed: 12/19/2022] Open
Abstract
Adults who stutter (AWS) have demonstrated atypical coordination of motor and sensory regions during speech production. Yet little is known of the speech-motor network in AWS in the brief time window preceding audible speech onset. The purpose of the current study was to characterize neural oscillations in the speech-motor network during preparation for and execution of overt speech production in AWS using magnetoencephalography (MEG). Twelve AWS and 12 age-matched controls were presented with 220 words, each word embedded in a carrier phrase. Controls were presented with the same word list as their matched AWS participant. Neural oscillatory activity was localized using minimum-variance beamforming during two time periods of interest: speech preparation (prior to speech onset) and speech execution (following speech onset). Compared to controls, AWS showed stronger beta (15–25 Hz) suppression in the speech preparation stage, followed by stronger beta synchronization in the bilateral mouth motor cortex. AWS also recruited the right mouth motor cortex significantly earlier in the speech preparation stage compared to controls. Exaggerated motor preparation is discussed in the context of reduced coordination in the speech-motor network of AWS. It is further proposed that exaggerated beta synchronization may reflect a more strongly inhibited motor system that requires a stronger beta suppression to disengage prior to speech initiation. These novel findings highlight critical differences in the speech-motor network of AWS that occur prior to speech onset and emphasize the need to investigate further the speech-motor assembly in the stuttering population.
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Affiliation(s)
- Anna-Maria Mersov
- Department of Speech-Language Pathology, University of Toronto Toronto, ON, Canada
| | - Cecilia Jobst
- Program in Neurosciences and Mental Health, Hospital for Sick Children Research Institute Toronto, ON, Canada
| | - Douglas O Cheyne
- Department of Speech-Language Pathology, University of TorontoToronto, ON, Canada; Program in Neurosciences and Mental Health, Hospital for Sick Children Research InstituteToronto, ON, Canada; Department of Medical Imaging, University of TorontoToronto, ON, Canada
| | - Luc De Nil
- Department of Speech-Language Pathology, University of Toronto Toronto, ON, Canada
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Etchell AC, Ryan M, Martin E, Johnson BW, Sowman PF. Abnormal time course of low beta modulation in non-fluent preschool children: A magnetoencephalographic study of rhythm tracking. Neuroimage 2015; 125:953-963. [PMID: 26545455 DOI: 10.1016/j.neuroimage.2015.10.086] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2015] [Accepted: 10/29/2015] [Indexed: 12/15/2022] Open
Abstract
Stuttering is a disorder of speech affecting millions of people around the world. Whilst the exact aetiology of stuttering remains unknown, it has been hypothesised that it is a disorder of the neural mechanisms that support speech timing. In this article, we used magnetoencephalography (MEG) to examine activity from auditory regions of the brain in stuttering and non-stuttering children aged 3-9years. For typically developing children, we found that MEG oscillations in the beta band responded to rhythmic sounds with a peak near the time of stimulus onset. In contrast, stuttering children showed an opposite phase of beta band envelope, with a trough of activity at stimulus onset. These results suggest that stuttering may result from abnormalities in predictive brain responses which are reflected in abnormal entrainment of the beta band envelope to rhythmic sounds.
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Affiliation(s)
- Andrew C Etchell
- ARC Centre of Excellence in Cognition and Its Disorders, Australia; Perception in Action Research Centre (PARC), Australia; Department of Cognitive Science, Australia.
| | - Margaret Ryan
- ARC Centre of Excellence in Cognition and Its Disorders, Australia; Department of Cognitive Science, Australia
| | - Erin Martin
- ARC Centre of Excellence in Cognition and Its Disorders, Australia; Department of Cognitive Science, Australia
| | - Blake W Johnson
- ARC Centre of Excellence in Cognition and Its Disorders, Australia; Department of Cognitive Science, Australia
| | - Paul F Sowman
- ARC Centre of Excellence in Cognition and Its Disorders, Australia; Perception in Action Research Centre (PARC), Australia; Department of Cognitive Science, Australia
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Etchell AC, Johnson BW, Sowman PF. Beta oscillations, timing, and stuttering. Front Hum Neurosci 2015; 8:1036. [PMID: 25601832 PMCID: PMC4283545 DOI: 10.3389/fnhum.2014.01036] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Accepted: 12/10/2014] [Indexed: 12/31/2022] Open
Affiliation(s)
- Andrew C Etchell
- Department of Cognitive Science, ARC Centre of Excellence in Cognition and Its Disorders, Macquarie University Sydney, NSW, Australia ; Department of Cognitive Science, Perception in Action Research Centre, Macquarie University Sydney, NSW, Australia ; Department of Cognitive Science, Macquarie University Sydney, NSW, Australia
| | - Blake W Johnson
- Department of Cognitive Science, ARC Centre of Excellence in Cognition and Its Disorders, Macquarie University Sydney, NSW, Australia ; Department of Cognitive Science, Macquarie University Sydney, NSW, Australia
| | - Paul F Sowman
- Department of Cognitive Science, ARC Centre of Excellence in Cognition and Its Disorders, Macquarie University Sydney, NSW, Australia ; Department of Cognitive Science, Perception in Action Research Centre, Macquarie University Sydney, NSW, Australia ; Department of Cognitive Science, Macquarie University Sydney, NSW, Australia
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12
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Greenlee JDW, Jackson AW, Chen F, Larson CR, Oya H, Kawasaki H, Chen H, Howard MA. Human auditory cortical activation during self-vocalization. PLoS One 2011; 6:e14744. [PMID: 21390228 PMCID: PMC3048394 DOI: 10.1371/journal.pone.0014744] [Citation(s) in RCA: 91] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2010] [Accepted: 02/01/2011] [Indexed: 12/02/2022] Open
Abstract
During speaking, auditory feedback is used to adjust vocalizations. The brain systems mediating this integrative ability have been investigated using a wide range of experimental strategies. In this report we examined how vocalization alters speech-sound processing within auditory cortex by directly recording evoked responses to vocalizations and playback stimuli using intracranial electrodes implanted in neurosurgery patients. Several new findings resulted from these high-resolution invasive recordings in human subjects. Suppressive effects of vocalization were found to occur only within circumscribed areas of auditory cortex. In addition, at a smaller number of sites, the opposite pattern was seen; cortical responses were enhanced during vocalization. This increase in activity was reflected in high gamma power changes, but was not evident in the averaged evoked potential waveforms. These new findings support forward models for vocal control in which efference copies of premotor cortex activity modulate sub-regions of auditory cortex.
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Affiliation(s)
- Jeremy D W Greenlee
- Department of Neurosurgery, University of Iowa, Iowa City, Iowa, United States of America.
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Balamurali G, Bukhari S, Carter J, Sofat A. Improvement of persistent developmental stuttering after surgical excision of a left perisylvian meningioma. Br J Neurosurg 2010; 24:485-7. [PMID: 20726757 DOI: 10.3109/02688697.2010.489654] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Persistent developmental stuttering (PDS) has been treated by speech and language and psychotherapy with limited success. We report the case of a 69-year-old with PDS since the age of five. A left perisylvian meningioma was successfully resected following investigation for generalised seizure. Spontaneous significant improvement in stuttering after surgery in the perisylvian area to the best of our knowledge has not been reported.
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Affiliation(s)
- G Balamurali
- Department of Neurosurgery, Greater Manchester Neurosciences Centre, Hope Hospital, Salford M6 8HD, UK.
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Carter M, Rastatter MP, Walker MM, O’Brien K. The effects of frequency altered feedback on the reading processes of adults with reading disorders. Neurosci Lett 2009; 461:69-73. [DOI: 10.1016/j.neulet.2009.06.033] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2009] [Revised: 06/04/2009] [Accepted: 06/11/2009] [Indexed: 11/16/2022]
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Rastatter MP, Barrow IM, Stuart A. The effects of frequency altered feedback on reading comprehension abilities of normal and reading disordered children. Neurosci Lett 2007; 416:266-71. [PMID: 17335971 DOI: 10.1016/j.neulet.2007.02.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2006] [Revised: 01/30/2007] [Accepted: 02/05/2007] [Indexed: 11/25/2022]
Abstract
The effects of frequency altered feedback (FAF) on the reading comprehension levels and error types of normal children and children with reading disorders were examined. Participants read aloud third, sixth, and ninth grade level material in non-altered auditory feedback (NAF) and FAF conditions. Comprehension improved significantly when the reading disordered children read aloud under the FAF listening condition, regardless of the reading level. Significant differences did not occur in reading comprehension for the normal readers under NAF versus FAF conditions. Reading disordered children produced significantly more reading errors as compared to the normal reading children under the NAF listening condition. No significant difference was found in reading errors between groups when reading under FAF regardless of the reading level, suggesting that the FAF signal produced a facilitory effect on reading errors in the reading disordered children. Theoretically, the FAF signal may have activated those cortical regions responsible for the relationship that has been shown to exist between lexical encoding and decoding of verbal and written material, respectively.
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Affiliation(s)
- Michael P Rastatter
- Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC 27858, United States
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Ozge A, Toros F, Cömelekoğlu U. The role of hemispheral asymmetry and regional activity of quantitative EEG in children with stuttering. Child Psychiatry Hum Dev 2004; 34:269-80. [PMID: 15039601 DOI: 10.1023/b:chud.0000020679.15106.a4] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
We investigated the role of delayed cerebral maturation, hemisphere asymmetry and regional differences in children with stuttering and healthy controls during resting state and hyperventilation, using conventional EEG techniques and quantitative EEG (QEEG) analysis. This cross-sectional case control study included 26 children with stuttering and age-sex matched 21 children with no history of stuttering. Visual EEG revealed significantly higher parieto-occipital slow waves and slower fronto-central asynchronic waves in the stutterers than in the controls. QEEG analysis showed significantly increased delta activity, especially in the right frontal and parietal regions and decreased alpha frequency in the bi-frontal regions of the stutterers, compared to the controls. Results are discussed interms of if the maturation hypothesis, especially nondominant frontal lobe (possibly supplementar motor area) and parietal lobe functioning.
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Affiliation(s)
- Aynur Ozge
- University of Mersin School of Medicine, 33079-MERSIN, Turkey.
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