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)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how the brain controls the stopping of speech, potentially aiding disorders like stuttering and aphasia. Researchers will use speech production tasks, which are exercises designed to analyze speech patterns, to study the brain's role in speech timing and control. Participants include people with epilepsy who have electrodes implanted for seizure monitoring and can cooperate with study tasks. The insights gained could lead to better treatments for speech disorders. As an unphased trial, this study offers participants the opportunity to contribute to groundbreaking research that could enhance future therapies for speech disorders.

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 prior data suggests that these speech production tasks are safe?

Past research has used tasks involving speech to learn more about speech and communication disorders. These tasks reveal how the brain controls speech, especially when it must stop suddenly. Studies have not shown any harmful effects from participating in these tasks. They are non-invasive, requiring no surgery or entry into the body. Participants simply follow visual instructions on a computer while researchers record their speech and brain signals.

This trial is labeled as "Not Applicable" in phase, indicating a focus on understanding basic processes rather than testing a new drug or treatment. This suggests minimal risks, as it does not involve new medications or surgeries. Overall, evidence shows that speech tasks are safe and well-tolerated.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a unique way to understand speech disorders by using Speech Production Tasks combined with ECoG (electrocorticography) recordings. Unlike traditional diagnostic methods, this approach records neural activity directly from the brain while participants produce speech, offering a real-time, in-depth look at how the brain manages speech production. By capturing precise neural signals during speech tasks, this technique could uncover new insights into the neural mechanisms underlying speech disorders, potentially leading to more targeted and effective treatments in the future.

What evidence suggests that these speech production tasks are effective for understanding speech disorders?

Research has shown that certain speech exercises can improve speech disorders by focusing on how the brain controls speech cessation. In studies with individuals who have speech disorders such as apraxia and aphasia, these exercises have helped improve speech accuracy. This trial will involve participants engaging in speech production tasks while researchers record their neural activity and voice. The exercises aim to understand how the brain manages speech control and cessation, which is often challenging in disorders like stuttering. These findings offer a promising approach to addressing speech and communication disorders by focusing on the brain's role in speech timing.46789

Who Is on the 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

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Voice and Electrocorticography (ECoG) recording during Speech Production TasksExperimental Treatment1 Intervention

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+

Published Research Related to This Trial

In a study involving 4 speakers with chronic apraxia of speech and aphasia, all participants showed improved accuracy in speech production across different treatment intensities and schedules using sound production treatment (SPT).
No significant differences in treatment outcomes were found between the various SPT applications, suggesting that different intensities and practice schedules can be equally effective for improving speech accuracy.
Treatment for acquired apraxia of speech: examination of treatment intensity and practice schedule.Wambaugh, JL., Nessler, C., Cameron, R., 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]

Citations

Outcome measures for children with speech sound disorderThe objective of this umbrella review paper is to provide a rigorous and detailed list of assessments, interventions and outcomes which target SSD in children.
Speech Sound Disorders: Articulation and PhonologyPoor speech sound production skills in kindergarten children have been associated with lower literacy outcomes, especially in children with concomitant ...
The Effectiveness of an Integrated Treatment for Functional ...The phonological view of the origin and treatment of SSDs results mainly from analysis of the outcome, i.e., a child's speech production.
Speech Production Tasks for Understanding ...In a study involving 4 speakers with chronic apraxia of speech and aphasia, all participants showed improved accuracy in speech production across different ...
NCT07061730 | Evaluating the Effectiveness of Hybrid and ...The purpose of this research study is to evaluate the effectiveness of a hybrid Artificial Intelligence-assisted speech therapy model, ...
Speech-Language Impairment: How to Identify the Most ...Introduction. Speech-language deficits are the most common of childhood disabilities and affect about 1 in 12 children or 5% to 8% of preschool children.
Speech assessment tool methods for speech impaired ...It discusses the state-of-the-art speech assessment methods, including tools, techniques, and protocols for speech-impaired children.
Spoken Language DisordersA spoken language disorder is an impairment in the acquisition and use of language across due to deficits in language production and/or comprehension.
Exploring 5 Common Speech and Language DisordersChild apraxia of speech (CAS) is a developmental speech disorder that poses challenges in motor planning and coordination for speech production.
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