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Timing control accuracy in normal speakers and stutterers.

This study attempted to assess the abilities of 10 normal speakers, five stutterers in therapy, and five stutterers no longer in therapy, to control the time program of repeated utterances. The speech sample comprised repeated sentences, paragraphs, and nursery rhymes, and a finger-tapping task was included as a control. Temporal accuracy was measured. Results suggest that (1) there is a wide range of timing abilities, even among the normal speakers, with considerable overlap between the different groups of speakers; (2) on most of the experimental tasks, normal speakers are more accurate timers than are stutterers; (3) stutterers released from therapy are more accurate timers than are stutterers still in therapy, whenever these groups differ; and (4) subjects' speech timing scores correlate moderately with their tapping scores. These results are discussed in terms of (1) theoretical timing control processes, such as a neural clock for controlling speech segment durations, and a speech motor output buffer, whose capacity may be limited in stutterers, and (2) known effects of rhythmic constraints and respiratory irregularity on fluency.

Female↗

Perceptual assessment of normalcy of speech following stuttering therapy.

Stuttering therapy procedures such as rhythmic or prolonged speech have been criticized because afterward the subject may speak fluently but also abnormally. Although assessments of the normalcy of speech behavior have been rare, some recent procedures have included perceptual assessments of certain dimensions of speech behavior. This study reports an evaluation procedure where listeners endeavored to distinguish between intermingled speech samples obtained from treated stutterers and a peer group of normally fluent speakers. Different groups of listeners were asked to judge the prosody, rate, fluency, and naturalness of posttreatment samples from a group of stutterers treated with a prolonged speech procedure, and a matched peer group of noramlly fluent speakers. No significant differences were found between the assessments of stutters and normally fluent speakers. However, when another group of listeners was asked to decide whether the speech samples were from treated stutters or normal speakers, the stutters received significantly fewer normal speaker judgements. Interrelationships between the judgment scales were evaluated along with a forced-choice procedure for assessing the normalcy of individual speech samples.

Adolescent↗

Effects of two types of motor practice on stuttering adaptation.

The present study identifies and compares the effects of two types of motor practice on stuttering adaptation. The study was designed to determine if whispered reading practice affects stuttering adaptation, and if practice in reading aloud is superior to whispered reading in promoting adaptation. In a control condition, eight stutterers read one of two matched passages aloud five times in succession. In an experimental condition, the remaining passage was read aloud on the first and fifth trials, and was read in a whisper on Trials 2, 3, and 4. The results indicated that (1) the stutterers' adaptation in the control condition was similar to the typical course of adaptation, (2) the three intervening whispered readings in the experimental condition neither inhibited nor facilitated adaptation, and (3) practice in reading aloud was superior to whispered practice in promoting stuttering adaptation. It was concluded that whispered reading practice does not facilitate stuttering adaptation when the measurement of that process requires reading aloud. Traditionally, adaptation has been measured only during reading done aloud. Consequently, practice in reading aloud has the greatest positive influence on the adaptation process.

Adolescent↗

Effects of five experimental treatments of stuttering.

Twenty adult stutterers were exposed to each of five experimental treatments: time-out, noise, delayed auditory feedback (DAF), "wrong" and metronome. In each session a subject spoke for 20 minutes without treatment (baserate) followed by 30 minutes in one of the five experimental conditions. Before the five treatment sessions, subjects accomplished three pre-experimental tasks: expectancy, changeability, and adaptation tasks. Percent stuttering decreased significantly in all conditions, and stuttering duration reduced significantly in all but the noise condition. The amount of reduction in percent stuttering from baserate to treatment (change score) in time-out was positively related to the change scores in DAF and metronome. Change scores in metronome were positively related to change scores in time-out and "wrong." Percent stuttering change scores in noise, DAF, and "wrong" were essentially unrelated. Stuttering duration change scores were related only for the time-out and DAF, and metronome and DAF conditions. In general, the pre-experimental expectancy, changeability, and adaptation scores were unrelated to change scores in any of the experimental conditions. Words spoken per minute did not change significantly from baserate to treatment for any experimental condition except time-out.

Adult↗

An eye-marking investigation of anticipated and observed stuttering.

The subjects of this experiment read a list of words and underlined those on which they expected speech difficulty. The matched and non-stutterers were subsequently called upon to read silently a connected passage in which half of these words were present. During this reading, the relation of eye movement to the words read was recorded on film. Frame by frame analysis of the eyes' exact momentary position revealed that the stutterers evidenced significantly more fixations than did the non-stutterers. They also showed significantly more progressive and regressive eye movements. It follows that the overall duration of their eye movements was somewhat shorter. In contrast, the average duration of the stutterers' fixations were significantly longer for those words on which fluency failure had been anticipated and on words on which it was later observed than on those words on which difficulty was not expected and those on which stuttering did not occur. These data suggest that stutterers search among the words to be spoken and sort out those on which they anticipate and on which they have difficulty.

Adolescent↗

Analysis of the sibship patterns of stutterers.

Analyses of birth rank, age separation, and the frequency of stutterers in birth ranks before and after the proband were undertaken for the purpose of verifying or disproving conjectures made by other authors on possible relationships between family structures and stuttering. Results based on data drawn from over 300 sibships, showed (a) stutterers were randomly distributed among the birth ranks, (b) the age separation of the siblings was independent of stuttering status, and (c) the frequency of stutterers in birth ranks before the proband and the frequency of stutterers in birth ranks after the proband were not significantly different.

Birth Intervals↗

Vocal and finger reaction times in stutterers and nonstutterers: differences and correlations.

The purposes of this study were (a) to assess whether the slower reaction times of stutterers are related to the etiology of the disorder or whether they are a by-product of it, and (b) to see if previously reported correlations between vocal and manual reaction times resulted from large numbers of trials. Fourteen adult stutterers and matched controls said "uh" or pressed a button in response to the offset of tones varying randomly in duration. Ten trials were used. The stutterers were significantly slower in both speech and nonspeech tasks, but the correlations between voice and manual reaction times were not significant. This suggested that stutterers' slower reaction times may be obtained without using large numbers of trials and that the correlation between the two tasks may depend on the number of trials used. The stutterers showed a significantly larger difference between vocal and manual reaction times than the nonstutterers. This suggested that the slower reaction times of stutterers are not entirely a by-product of the disorder.

Adolescent↗

Increasing the frequency of stuttering.

Information about the conditions under which stuttering varies should include variables that both increase as well as decrease stuttering. Most investigations in which the research factors have been under experimental control have focused on decreasing rather than increasing stuttering. This literature review of conditions that might be expected to increase stuttering reveals that most investigators have not been able to raise stuttering frequency above control or base levels. Although some variables may increase stuttering, the research is too meager to speculate about underlying factors.

Anxiety↗

Modification of listener-judged naturalness in the speech of stutterers.

This study investigated the effect of regular feedback of listener-judged speech naturalness ratings on the speech of stutterers. Six adult stutterers each participated in a time-series ABA experiment. During the treatment phase the stutterer was instructed to improve a clinician's rating, on a 9-point scale, of the naturalness of each 30-s interval of the stutterer's spontaneous speech. The results indicate that the naturalness ratings and stuttering for 5 of the subjects made favorable changes during the treatment phase. Analyses of the findings show that only some of the naturalness judgments were influenced by stuttering frequency and speech rate. A perceptual analysis of the speech of 2 subjects suggested that the speech naturalness ratings were also probably influenced by other less obvious variables.

Adolescent↗

Onset sequencing of selected lip muscles in stutterers and nonstutterers.

The present study examined lip muscle activity during the speech production of stutterers and fluent speakers to provide information about the nature of stuttering blocks. Depressor Anguli Oris (DAO) and Depressor Labii Inferioris (DLI) were recorded, using hooked-wire electromyography (EMG), in 3 stutterers and 3 nonstutterers during productions of the words "peek", "puck", and "pack." EMG records indicated that nonstutterers activated DAO prior to DLI for production of the initial/p/. Stutterers frequently reversed this sequence of onset, particularly when they stuttered. Results are discussed in terms of mistiming versus anticipatory hypertension hypotheses about stuttering.

Electromyography↗

Temporal-phonemic processing skills in adult stutterers and nonstutterers.

The purpose of this study was to investigate the hypothesis that stuttering is related to a dysfunction in auditory temporal processing. The performance of 20 adult male stutterers and 20 matched nonstutterers was studied using two auditory processing tasks. The subjects listened to stimuli with differential onset asynchronies during temporal order judgment (TOJ) and dichotic listening tasks. Stutterers and nonstutterers were not significantly different at judging which ear received the stimulation first (TOJ task) at varying stimulus onset asynchronies (SOAs). During the dichotic listening task, stutterers made significantly fewer double-correct responses (correct report for both stimuli in a dichotic pair) than nonstutterers. The stuttering subjects correctly classified one of the syllables in a pair (single-correct response) more frequently than normal controls on the dichotic listening task. These findings suggest that SOAs as a temporal parameter do not differentiate the performance of the two groups. The more difficult auditory processing task (dichotic identification) showed a significant difference in the performance of the stutterers versus nonstutterers.

Adolescent↗

Duration of the speech disfluencies of beginning stutterers.

This study compared the duration of within-word disfluencies and the number of repeated units per instance of sound/syllable and whole-word repetitions of beginning stutterers to those produced by age- and sex-matched nonstuttering children. Subjects were 10 stuttering children [9 males and 1 female; mean age 4:1 (years:months); age range 3:2-5:1), and 10 nonstuttering children (9 males and 1 female; mean age 4:0; age range: 2:10-5:1). Mothers of the stuttering children reported that their children had been stuttering for 1 year or less. One 300-word conversational speech sample from each of the stuttering and nonstuttering children was analyzed for (a) mean duration of sound/syllable repetition and sound prolongation, (b) mean number of repeated units per instance of sound/syllable and whole-word repetition, and (c) various related measures of the frequency of all between- and within-word speech disfluencies. There were no significant between-group differences for either the duration of acoustically measured sound/syllable repetitions and sound prolongations or the number of repeated units per instance of sound/syllable and whole-word repetition. Unlike frequency and type of speech disfluency produced, average duration of within-word disfluencies and number of repeated units per repetition do not differentiate the disfluent speech of beginning stutterers and their nonstuttering peers. Additional analyses support findings from previous perceptual work that type and frequency of speech disfluency, not duration, are the principal characteristics listeners use in distinguishing these two talker groups.

Age Factors↗

Syllabic stress and the occurrence of stuttering.

The occurrence of stuttering on stress-peak and unstressed syllables in connected speech was studied in 10 young adult stutterers. Results showed a significant coincidence of stutter events and syllabic stress peaks, particularly in polysyllabic words. Stuttering on the first three words of principal clauses, however, appeared independent of syllabic stress. Similarities between the loci of stutter events and segmental errors of speech are considered in relation to explanations that regard stuttering as evidence of failure in normal speech production processes.

Adolescent↗

Error monitoring in people who stutter: evidence against auditory feedback defect theories.

Several theories purport that people who stutter suffer a speech-auditory feedback defect. The disordered feedback creates the illusion that some kind of error has intruded into the speech flow. Stuttering then results from actions aimed to correct the suspected, but nonexistent, error. These auditory feedback defect theories thus predict deviant error detection performance in people who stutter during speech production. To test this prediction, subjects who stuttered and those who did not had to detect self-produced (phonemic) speech errors while speaking with normal auditory feedback and with the auditory feedback masked by white noise. The two groups did not differ significantly in error detection accuracy and speed, nor in false alarm scores. This opposes auditory feedback defect theories and suggests that the self-monitoring processes of people who stutter function normally. In a condition in which errors had to be detected in other-produced speech, i.e., while listening to a tape recording, subjects who stuttered did detect fewer errors. Whether this might signal some general phonological problem is discussed.

Adult↗

Gradations in a pattern of neuromuscular activity associated with stuttering.

EMGs were recorded from muscles of the lip, jaw, and neck during conversational speech of 17 stuttering subjects. Averaged power spectra and coherence between pairs of EMGs were computed. Results indicate that tremorlike oscillations in the range of 5-15 Hz and high amplitudes of EMGs occupy a common continuum of motor patterns that may occur in stuttering. In subjects whose results fell at the strong end of this continuum, stuttered speech was distinguished by widely distributed, high-amplitude oscillations and relatively high coherence at the frequency of oscillation. At the other extreme, neither oscillatory activity nor amplitude was greater for stuttered speech; in fact stuttered and fluent speech were often associated with approximately equal EMG amplitude. These results suggest that there is not a single set of physiological events that uniformly characterize stuttering in all individuals; rather, events such as the occurrence of high-amplitude oscillations occur at different strengths in different individuals.

Adult↗

Adults who stutter: responses to cognitive stress.

The purpose of this study was to investigate the effects of speed and cognitive stress on the articulatory coordination abilities of adults who stutter. Cardiovascular (heart rate, systolic blood pressure, and diastolic blood pressure), behavioral (dysfluencies, errors, speech rate, and response latency), and acoustic (word duration, vowel duration, consonant-vowel transition duration/extent, and formant center frequency) measures for nine stutterers and nine nonstutterers were collected during performance of the Stroop Color Word task, a well-established and highly stressful cognitive task. Significant differences were found between the two groups for heart rate, word duration, vowel duration, speech rate, and response latency. In addition, stutterers produced more dysfluencies under speed plus cognitive stress versus speed stress or a self-paced reading task. These findings demonstrate that the presence of cognitive stress resulted in greater temporal disruptions and more dysfluencies for stutterers than for nonstutterers. However, similar spatial impairments were not evident. The potential contributions of the Stroop paradigm to stuttering research as well as the need for further research on autonomic correlates of stuttering are also discussed.

Adolescent↗

Time-interval measurement of stuttering: effects of interval duration.

The study reported in this article used a binary forced-choice judgment procedure to investigate the effects of sample duration on observers' judgements of stuttering. Two groups of judges, differing in their previous experience with stuttering, categorized 270 speech intervals as stuttered or nonstuttered; the intervals were drawn from 30 persons who stuttered and ranged from 1 sec to 15 sec in duration. Results showed that judgments were consistently related to interval duration, with shorter intervals significantly more likely than longer intervals to be labeled nonstuttered. Interjudge agreement levels, however, were largely unaffected by the different interval durations for most speakers and for both judge groups, with the exception of the longest and shortest intervals drawn from speakers evidencing the mildest and most severe stuttering. An interval duration in the 3- to 5-sec region appeared to attract the most satisfactory level of agreement. The implications of these findings for interval-based clinical and experimental measurements of stuttering are discussed.

Adolescent↗

Temporal dynamics of repetitions during the early stage of childhood stuttering: an acoustic study.

The purpose of this study was to compare duration characteristics of single-syllable whole-word repetitions (with one and two repeated units) and part-word repetitions (with one repeated unit) in the speech of preschool children who stutter (N = 20) recorded near the onset of their stuttering to those of control nonstuttering children (N = 20). Disfluent episodes were identified in audiotape recordings of the subjects' conversational speech. The digitized signals were analyzed by means of the CSpeech computer software (Milenkovic, 1987). Using visual displays of sound spectrograms, the durations of the spoken repetition unit(s), the silent interval(s) between the units, and the total disfluency were measured. The stutters exhibited shorter silent intervals between spoken repetition units. The duration of the spoken repetition units was very similar for the two groups of children. The total duration of the stutterers' disfluencies was significantly shorter because of their shorter silent intervals when compared to disfluencies of equal repetition units produced by the control subjects. Statistical analysis revealed that silent interval duration was capable of differentiating stuttering from normally fluent children with 72-87% accuracy, dependent upon the disfluency type. To the degree that the groups of subjects represented random samples of the two specified populations from which they were drawn, there appears to be an overall tendency for repetitions during the early stage of stuttering to be produced at a faster rate than repetitions produced by nonstuttering children.

Age Factors↗