Robin Donald A, Jacks Adam, Hageman Carlin, Clark Heather M, Woodworth George
Research Imaging Center, The University of Texas Health Science Center at San Antonio, MC 7777, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Brain Lang. 2008 Aug;106(2):98-106. doi: 10.1016/j.bandl.2008.05.002. Epub 2008 Jun 16.
This investigation examined the visuomotor tracking abilities of persons with apraxia of speech (AOS) or conduction aphasia (CA). In addition, tracking performance was correlated with perceptual judgments of speech accuracy. Five individuals with AOS and four with CA served as participants, as well as an equal number of healthy controls matched by age and gender. Participants tracked predictable (sinusoidal) and unpredictable signals using jaw and lip movements transduced with strain gauges. Tracking performance in participants with AOS was poorest for predictable signals, with decreased kinematic measures of cross-correlation and gain ratio and increased target-tracker difference. In contrast, tracking of the unpredictable signal by participants with AOS was performed as well as for other groups (e.g. participants with CA, healthy controls). Performance of the subjects with AOS on the predictable tracking task was found to strongly correlate with perceptual judgments of speech. These findings suggest that motor control capabilities are impaired in AOS, but not in CA. Results suggest that AOS has its basis in motor programming deficits, not impaired motor execution.
本研究考察了言语失用症(AOS)或传导性失语症(CA)患者的视运动跟踪能力。此外,跟踪表现与言语准确性的感知判断相关。五名AOS患者和四名CA患者作为参与者,还有同等数量的按年龄和性别匹配的健康对照者。参与者使用通过应变仪转换的颌部和唇部运动来跟踪可预测(正弦)和不可预测的信号。AOS患者在跟踪可预测信号时表现最差,互相关和增益比的运动学指标降低,目标跟踪器差异增加。相比之下,AOS患者对不可预测信号的跟踪表现与其他组(如CA患者、健康对照者)相当。发现AOS患者在可预测跟踪任务上的表现与言语的感知判断密切相关。这些发现表明,AOS患者的运动控制能力受损,而CA患者则未受损。结果表明,AOS的基础是运动编程缺陷,而非运动执行受损。