Devaraju Dhatri S, Kumar U Ajith, Maruthy Santosh
Department of Audiology, All India Institute of Speech and Hearing, Mysore.
Department of Speech Language Sciences, All India Institute of Speech and Hearing, Mysore.
Am J Audiol. 2019 Aug 28;28(2S):471-482. doi: 10.1044/2019_AJA-IND50-18-0101.
Purpose Adults with stuttering (AWS) exhibit compromised phonological working memory abilities, poor central auditory processing, and impaired auditory processing especially during overt speech production tasks. However, these tasks are sensitive to language disturbances already found in them. Thus, in this study, monosyllables were used ruling out the language effects, and auditory working memory ability was evaluated in AWS using the n-back task. In specific, the auditory sensory input of the working memory mechanism was evaluated. Method Thirty-two participants, 16 each of AWS and adults with no stuttering (AWNS), performed behavioral auditory 1-back and 2-back tasks. The long latency responses were also recorded during no-back and 2-back conditions from 64 electrode sites. Results Results revealed no significant differences between the groups in any of the behavioral parameters such as reaction time, accuracy, false alarm rate, or d'. N1 amplitude modulation was noted in AWNS, which was absent in AWS. The segmentation analysis showed a left hemisphere-oriented topographical distribution in the N2 region in AWS irrespective of conditions, whereas the scalp topography was right hemisphere-oriented with the involvement of parietal channels in AWNS. The timing differences existed between AWS and AWNS in the intervals that a topographical distribution lasted in all throughout the time window of analysis. Conclusion The results suggest altered neural pathway and hemispheric differences during auditory working memory tasks in AWS.
口吃成人(AWS)表现出语音工作记忆能力受损、中枢听觉处理能力差以及听觉处理受损,尤其是在公开言语产生任务期间。然而,这些任务对他们已经存在的语言障碍很敏感。因此,在本研究中,使用单音节词排除语言影响,并使用n-back任务评估AWS的听觉工作记忆能力。具体而言,评估了工作记忆机制的听觉感觉输入。方法:32名参与者,16名AWS和16名无口吃成人(AWNS),进行了行为听觉1-back和2-back任务。在无-back和2-back条件下,还从64个电极位点记录了长潜伏期反应。结果:结果显示,在反应时间、准确率、虚报率或d'等任何行为参数上,两组之间均无显著差异。在AWNS中观察到N1振幅调制,而在AWS中未观察到。分段分析显示,无论何种条件,AWS的N2区域头皮地形图分布以左半球为主,而AWNS的头皮地形图以右半球为主,顶叶通道参与其中。在整个分析时间窗口内,AWS和AWNS在头皮地形图分布持续的时间间隔上存在时间差异。结论:结果表明,AWS在听觉工作记忆任务期间神经通路改变且存在半球差异。