Speech Sound Stimulation for Language Disorder

TA
Overseen ByTaylor Abel, MD
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Pittsburgh
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 explores how the brain processes speech sounds, with a focus on Heschl's gyrus. Researchers aim to understand how this area aids in speech comprehension by studying individuals who have undergone surgery on this part of the brain. The trial employs speech sound stimulation (also known as speech sound therapy or auditory feedback therapy) to collect data. It seeks English speakers aged 13-25 who have had surgery involving Heschl's gyrus and possess normal hearing and vision. As an unphased trial, this study provides a unique opportunity to contribute to groundbreaking research on speech processing in the brain.

Will I have to stop taking my current medications?

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

What prior data suggests that this speech sound stimulation is safe?

Research shows that using sound to address speech and language problems is generally safe. Studies have found that these treatments can enhance language skills in children without causing harm. Strong evidence of serious negative side effects from this type of treatment is lacking.

Typically, treatments for speech problems are manageable, often involving simple activities like sound exercises or therapy sessions. Since this trial uses sound to aid speech, past research suggests it is likely safe. However, staying informed and discussing any concerns with the study team is always advisable.12345

Why are researchers excited about this trial?

Speech sound stimulation is unique because it targets language disorders by directly activating the brain's auditory processing area, specifically Heschl's gyrus. Unlike traditional speech therapy, which often relies on repetitive practice and behavioral techniques, this approach leverages neural mechanisms to enhance language processing. Researchers are excited about this technique because it could offer a more efficient and potentially faster way to improve language skills, particularly for individuals who have undergone neurosurgery in this critical brain region.

What evidence suggests that speech sound stimulation is effective for language disorder?

Research shows that assisting children with speech sounds can enhance their speech and language skills. Studies have found that children who struggle with speech sounds often face difficulties with reading and writing later, emphasizing the importance of early intervention. This trial will focus on speech sound stimulation to improve the skills necessary for clear speech. Additionally, combined treatment programs for speech sound issues have successfully improved speech clarity and understanding, which are crucial for effective communication. These findings suggest that speech sound stimulation benefits individuals with language disorders.678910

Who Is on the Research Team?

TA

Taylor Abel, MD

Principal Investigator

University of Pittsburgh

Are You a Good Fit for This Trial?

This trial is for individuals aged 13-25 with normal nonverbal IQ, vision, language skills, and hearing. They must be monolingual English speakers undergoing surgery for a lesion in Heschl's gyrus without autism or ADHD history.

Inclusion Criteria

Nonverbal IQ within normal limits
I have normal hearing in both ears.
I am between 13 and 25 years old.
See 5 more

Exclusion Criteria

History of autism or ADHD
I do not have any major health or mental issues preventing me from joining the study.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

sEEG-EEG Recording Sessions

Participants undergo sEEG-EEG recording sessions to measure pitch decoding accuracy, frequency-following response magnitude, and phase-locking limits

Up to 3 hours total

Follow-up

Participants are monitored for predictability effects of cortical resection on pitch decoding accuracy and frequency-following response magnitude

At least 6 months post-sEEG

What Are the Treatments Tested in This Trial?

Interventions

  • Speech sound stimulation
Trial Overview The study aims to understand the role of the cortex in generating frequency-following responses (FFR) related to speech processing by using EEG recordings and creating a computational model.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Neurosurgical PatientsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials
1,820
Recruited
16,360,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Published Research Related to This Trial

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]
A motor-learning-based treatment using ultrasound visual feedback significantly improved speech sound accuracy in individuals with residual speech sound errors, as shown in a study with 8 participants over 14 sessions.
The addition of prosodic cueing did not significantly enhance the treatment's effectiveness, but participants still demonstrated retention and generalization of learned sounds even two months after treatment.
Ultrasound visual feedback treatment and practice variability for residual speech sound errors.Preston, JL., McCabe, P., Rivera-Campos, A., et al.[2022]
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]

Citations

The Effectiveness of an Integrated Treatment for Functional ...This randomized controlled trial evaluates the effectiveness of the integrated SSD treatment program PhonoSens, which focuses on integrating phonological and ...
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 language ...
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.
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, ...
Innovations in Treatment for Children With Speech Sound ...We have curated nine scientifically based articles that highlight the heterogeneity of SSDs and how various subpopulations require uniquely tailored ...
Treatment and Persistence of Speech and Language ... - NCBIIn summary, considerable evidence shows that clinical treatment for language disorders can improve preschool children's language abilities. However, the ...
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.
Collaboration Between Child Play Therapy and Speech ...In this study, a new intervention (Play and Language [PAL]) was developed through a research collaboration between a speech-language pathologist and a play ...
The Effectiveness of an Integrated Treatment for Functional ...This randomized controlled trial evaluates the effectiveness of the integrated SSD treatment program PhonoSens, which focuses on integrating phonological and ...
Quick Statistics About Voice, Speech, Language - NIDCD - NIHMore than half (59.7%) of U.S. children ages 3-17 with a voice, speech, or language disorder received intervention services in the past year.
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