The Rate of Expanded Inner Speech During Spontaneous Sentence Productions.

The rate of expanded inner speech and speech aloud was compared in 20 typical adults (3 males, 17 females; M age = 24 years, SD = 4). Participants generated and timed spontaneous sentences with both expanded inner speech and speech aloud following the instruction to say "the first thing that comes to mind." The rate of expanded inner speech was slightly, but significantly, faster than the rate of speech aloud.

Speech aeromechanics and the dysarthrias: implications for children with traumatic brain injury.

Background: In addition to cognitive, linguistic, neurobehavioral, and physical challenges, children and adolescents with traumatic brain injury can have a dysarthria that compromises intelligibility and speaking effort.

Objective: The focus of this article is on an aeromechanical approach to understanding, evaluating, and treating the moderate-severe dysarthrias in these children.

Vowel-related differences in laryngeal articulatory and phonatory function.

The purpose of this investigation was to study the interaction between the supralaryngeal and laryngeal components of the speech mechanism by examining vowel-related effects for a variety of vocal fold articulatory and phonatory measures. Secondary issues were to determine if vowel-related differences were influenced by the nature of the speaking task or gender. Between-vowel differences in estimated subglottal air pressure, peak oral air flow, mean phonatory air flow, air flow near the termination of the vowel, electroglottograph cycle width (EGGW), fundamental frequency, and voice onset time were examined for men and women during syllable repetitions and sentence productions.

Developmental patterns of laryngeal and respiratory function for speech production.

Estimates of subglottal air pressure, laryngeal airflow, and laryngeal airway resistance from syllable repetitions of children and adults were used in describing developmental changes in these variables and in hypothesizing corresponding changes in respiratory function. A trend was found for pressure and resistance to decrease with increases in flow from preschool age through adulthood. These patterns could be explained by the smaller size of laryngeal airway structures and increased expiratory muscle forces during speech in the younger subjects.

Aerodynamic and electroglottographic measures of normal voice production: intrasubject variability within and across sessions.

The purpose of this investigation was to quantify the normal intrasubject performance variability of four measures of phonatory function within and across sessions. Two different speaking tasks, syllable series and sentence production, were used to determine if more natural speaking tasks resulted in greater intrasubject variability. Vowel type ([i] versus [a]) also was varied.

Successful nasoendoscopic and aerodynamic examinations of children with speech/voice disorders.

An 8-year retrospective analysis of aerodynamic and nasoendoscopic examinations of children with a variety of speech and voice disorders shows that these examinations can be completed with a high rate of success. Moreover, the examinations were achieved with relative ease in children as young as 2 years old. Several clinicians were involved in the examinations, illustrating the viability of the methods.

Restoration of intelligible speech 13 years post-head injury.

This case study demonstrates the efficacy of treatment of a patient with severe dysarthria long after the accepted period of 'neurological recovery'. A physiological approach to treatment was utilized and resulted in a change from non-verbal communication to functional verbal communication.

Factors influencing neural activity in parabrachial regions during cat vocalizations.

The parabrachial nucleus in mammals is intimately connected with other vocalization controlling brainstem structures. It, along with ventromedially adjacent structures, also has been identified as the pneumotaxic center, and as such shows strong respiratory related activity in the anesthetized cat. The current study examines the neuronal activity in cat parabrachial regions during production of instrumentally conditioned vocalizations.

Vocalizations in the cat: behavioral methodology and spectrographic analysis.

Attempts to understand the neural mechanisms underlying mammalian vocal behaviors, including speech, require study of the neural activity and anatomy of vocalization-controlling brain structures. Such studies necessitate the application of invasive neurobiological techniques in animal models. In the current study, cats are used in the development of an animal model of vocal tract control.

Perceptual-physiologic approach to evaluation and treatment of dysphonia.

The value of a perceptual-physiologic approach to both the evaluation and treatment of voice disorders is described and illustrated with an example of a patient with ventricular fold phonation. Objective measures are obtained to facilitate the understanding of the underlying pathophysiology and to document change over time. Evaluation data are recorded and interpreted collectively by a speech-otolaryngology team and may be valuable for medicolegal cases.

Phonetic development in identical twins differing in auditory function.

The subjects of this report are identical (monozygotic) twin boys who differ in auditory function. One has normal hearing; the other has a profound hearing loss bilaterally. These boys offered a rare opportunity to study the effects of hearing loss on vocal development with reasonable control over environmental and genetic factors.

Differential fine force control of the upper and lower lips.

From a review of the literature, it was hypothesized that the upper lip and lower lip are differentially controlled by separate, but interacting, neuronal connectivities. A normal data base was developed for select measures of fine force control occurring within physiologic levels presumably involved in speech production. Fine force control in the lower lip was found to be significantly more stable, and recruited at higher rates than the upper lip.

Pediatric videonasoendoscopy for speech and voice evaluation.

Many otolaryngologists and speech clinicians have found videofiberoptic evaluations to be invaluable for assessment of velopharyngeal and laryngeal function in adults. However, many professionals question the feasibility of routine use of these procedures in the pediatric population. This article describes a method for successful completion of videonasoendoscopic speech and voice evaluations of children as young as 3 years of age.

Laryngeal aerodynamics associated with selected voice disorders.

Measures of estimated subglottal air pressure and laryngeal air flow during speech production are compared for adults with normal laryngeal function and those with laryngeal abnormalities. The most traditional measure, air flow during sustained vowel production, is not a strong predictor of laryngeal function during speech production. Subglottal air pressure and laryngeal air flow offer insight into voice disorders and provide directions for therapy as well as a method for the quantitative assessment of treatment outcomes.

Dysarthria in adults: physiologic approach to rehabilitation.

A case study is used to illustrate a physical approach to the speech rehabilitation of adults with dysarthria. The approach emphasizes the component-by-component analysis of the peripheral speech mechanism, where the selection and sequencing of treatment procedures follow directly from the physiologic nature and severity of involvement in each component. The selection and sequencing of procedures also are conditioned by the inherent physical interdependencies of these component parts.

Acoustic characteristics of dysarthria associated with cerebellar disease.

The speech of five individuals with cerebellar disease and ataxic dysarthria was studied with acoustic analyses of CVC words, words of varying syllabic structure (stem, stem plus suffix, stem plus two suffixes), simple sentences, the Rainbow Passage, and conversation. The most consistent and marked abnormalities observed in spectrograms were alterations of the normal timing pattern, with prolongation of a variety of segments and a tendency toward equalized syllable durations. Vowel formant structure in the CVC words was judged to be essentially normal except for transitional segments.

Articulatory abnormalities in athetoid cerebral palsy.

This report presents cinefluorographic data on the articulation of isolated vowels, VCV nonsense utterances, and short sentences by five subjects with athetoid cerebral palsy. Articulatory abnormalities were identified from tracings of vocal tract shapes and from displacement-by-time plots of articulatory events. The most frequent abnormalities were large ranges of jaw movement, inappropriate positioning of the tongue for various phonetic segments (especially because of a reduced range of tongue movement in the anteroposterior dimension), intermittency of velopharyngeal closure caused by an instability of velar elevation, prolonged transition times for articulatory movements, and retrusion of the lower lip.

A new technique for measuring velopharyngeal orifice area during sustained vowel production: an application of aerodynamic forced oscillation principles.

A new technique for measuring velopharyngeal orifice area during sustained vowel production is described. The technique is based on a simple oscillatory flow balancing procedure between two aerodynamic branches, a mechanical model of the human upper airway and the subject's upper airway. The area of the velopharyngeal orifice in the model is adjusted until identical oscillatory flows traverse it and the subject's velopharyngeal orifice in response to a common forced oscillatory pressure.

Paroxysmal ataxic dysarthria.

This report reviews 13 cases in which a dysarthria appeared, remitted, and reappeared within seconds. The speech pattern of each case was characteristic of ataxic dysarthria. A cinefluorographic film for one of the subjects provided a rare opportunity to study the articulatory dynamics of this disorder.

Cineradiographic assessment of articulatory mobility in the dysarthrias.

This paper describes cineradiographic techniques for the assessment of articulatory mobility in dysarthric subjects. Sample data for the mobility ranges of articulatory points on the tongue, lower lip, and jaw are presented for four normal speakers and four dysarthric speakers. In addition, fleshpoint displacements during the articulatory movements of the dysarthric subjects are used to illustrate abnormalities in the range, rate, and direction of speech movements.