30 Participants Needed

Speech Production Tasks for Understanding Speech Disorders

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

Speech and communication disorders often result in aberrant control of the timing of speech production, such as making improper stops at places where they should not be. During normal speech, the ability to stop when necessary is important for maintaining turn-taking in a smooth conversation. Existing studies have largely investigated neural circuits that support the preparation and generation of speech sounds. It is believed that activity in the prefrontal and premotor cortical areas facilitates high-level speech control and activity in the ventral part of the sensorimotor cortex controls the articulator (e.g. lip, jaw, tongue) movements. However, little is known about the neural mechanism controlling a sudden and voluntary stop of speech. Traditional view attributes this to a disengagement of motor signals while recent evidence suggested there may be an inhibitory control mechanism. This gap in knowledge limits our understanding of disorders like stuttering and aphasia, where deficits in speech timing control are among the common symptoms. The overall goal of this study is to determine how the brain controls the stopping of ongoing speech production to deepen our understanding of speech and communication in normal and impaired conditions.

Will I have to stop taking my current medications?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Speech Production Tasks for understanding speech disorders?

Research shows that even with high levels of error during practice, children with severe speech sound disorders improved their speech production and maintained learning three months after treatment. This suggests that perfect practice isn't necessary for effective speech learning, which supports the potential effectiveness of Speech Production Tasks.12345

How does this treatment for speech disorders differ from other treatments?

This treatment focuses on using specific speech production tasks to understand and address speech disorders, which is unique because it emphasizes analyzing speech patterns and coarticulation (how speech sounds influence each other) in different speaking conditions like loud or slow speech. Unlike other treatments that might focus on general speech therapy techniques, this approach uses detailed acoustic analysis to tailor interventions based on individual speech characteristics.678910

Research Team

LZ

Lingyun Zhao, PhD

Principal Investigator

University of California, San Francisco

EF

Edward F Chang, MD

Principal Investigator

University of California, San Francisco

Eligibility Criteria

This trial is for individuals with medication-resistant epilepsy at UCSF who are undergoing surgical electrode implantation to locate their seizure focus. They must be willing and able to cooperate with study tasks involving speech production.

Inclusion Criteria

I have implants for monitoring and can follow study instructions.
I have epilepsy that doesn't respond to medication and am getting surgery at UCSF to locate my seizure focus.

Exclusion Criteria

I am unable to make my own medical decisions.
I do not agree to give informed consent for the trial.
I am able to understand and complete study tasks despite any cognitive issues.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo high-density ECoG recording and perform speech production tasks with visual cues during inpatient hospitalization

Up to 14 days
Inpatient hospitalization

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Speech Production Tasks
Trial Overview The study aims to understand how the brain stops ongoing speech, which is crucial for smooth conversations and turn-taking. It will explore neural mechanisms in patients performing speech tasks during electrode monitoring.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Voice and Electrocorticography (ECoG) recording during Speech Production TasksExperimental Treatment1 Intervention
Participants produce speech following visual cues on a computer while ECoG signals for neural activity and voice was recorded during their inpatient hospitalization at the University of California, San Francisco (UCSF).

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Findings from Research

Sound Production Treatment (SPT) was effective in improving the accuracy of speech sounds in 6 participants with acquired apraxia of speech (AOS) and aphasia, regardless of whether the treatment was presented in a blocked or random order.
The random presentation of treatment words (SPT-random) showed potential advantages in maintaining improvements for some participants, suggesting that different practice methods may influence treatment outcomes in AOS.
Sound production treatment: effects of blocked and random practice.Wambaugh, JL., Nessler, C., Wright, S., et al.[2016]
In a study involving 11 children with severe speech sound disorders who received high-intensity therapy three times a week for 6 weeks, it was found that achieving a high number of practice trials (average of 102 per session) did not require perfect accuracy for effective learning, as the children averaged 58% correct responses.
The results suggest that allowing for errors during practice can still lead to significant improvements in speech production, with children maintaining their learning even 3 months after treatment, indicating that the focus should be on challenging practice rather than perfect performance.
Application of the Challenge Point Framework During Treatment of Speech Sound Disorders.Matthews, T., Barbeau-Morrison, A., Rvachew, S.[2021]
The study involved four speakers with chronic apraxia of speech and aphasia, who underwent Sound Production Treatment (SPT) using both blocked and random practice schedules, showing improvements in word production accuracy for both methods.
While both practice schedules were effective, one participant showed better long-term retention with the random practice schedule, and generalization of treatment effects to untreated words was modest and varied among participants.
Sound production treatment for acquired apraxia of speech: Effects of blocked and random practice on multisyllabic word production.Wambaugh, J., Nessler, C., Wright, S., et al.[2017]

References

Sound production treatment: effects of blocked and random practice. [2016]
Application of the Challenge Point Framework During Treatment of Speech Sound Disorders. [2021]
Sound production treatment for acquired apraxia of speech: Effects of blocked and random practice on multisyllabic word production. [2017]
The Effects of Intensive Voice Treatment in Mandarin Speakers With Parkinson's Disease: Acoustic and Perceptual Findings. [2022]
Treatment for acquired apraxia of speech: examination of treatment intensity and practice schedule. [2016]
Effect of rate reduction and increased loudness on acoustic measures of anticipatory coarticulation in multiple sclerosis and Parkinson's disease. [2022]
Task-based profiles of the dysarthrias. [2022]
Qualitative acoustic analysis in the study of motor speech disorders. [2019]
Toward an acoustic typology of motor speech disorders. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Phonological and motor errors in individuals with acquired sound production impairment. [2022]
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