SLPOtherJournal of fluency disorders2023

Auditory feedback control in adults who stutter during metronome-paced speech I. Timing Perturbation.

Saul A Frankford, Shanqing Cai, Alfonso Nieto-Castañón and 1 others

PMID 36423506

WHAT IT FOUND

When speakers heard their own /s/ sound slowed slightly, adults who stutter adjusted timing like fluent adults.

Metronome pacing reduced stuttering in adults who stutter, but did not change the total timing adjustment.

Key findings

01Both groups adjusted speech timing after the perturbation, and the size of that adjustment did not differ between adults who stutter and adults who do not stutter.

02During the task, adults who stutter produced fewer stuttering disfluencies on metronome-paced trials (1.2%) than on normal trials (7.4%).

03Among adults who stutter, those who produced more stuttering disfluencies during the task had larger speech timing delays in response to the perturbation.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

The study included 15 adults who stutter and 16 adults who do not stutter, and it tested a laboratory speech task. Stuttering was infrequent in the experiment: 6 out of 15 adults who stutter produced no stuttering disfluencies. One adult who stutter had an SSI-4 score below the lowest percentile but was kept in the stuttering group based on self-report and day-to-day variability in scores. The target sentence was repeated almost 200 times throughout the experiment, and the authors note that repeated reading can reduce stuttering, although they did not see a clear adaptation pattern. The feedback system had a global delay of about 32 ms, which can affect speech in people who stutter and may have influenced the results. The perturbation magnitude was not perfectly controlled and was smaller in the metronome condition than in the normal condition. One participant completed 200 trials instead of 240 because of a technical error. Participants were native American English speakers with normal hearing and no other speech, language, or hearing disorders, so the results may not extend to other populations.

Declared interests

The authors declared no competing interests.

The easy way to misread this

Do not read the 1.2% versus 7.4% stuttering reduction as evidence that metronome pacing treats stuttering by correcting auditory timing control. The study was a short laboratory task in 15 adults who stutter, and the timing perturbation response did not differ between adults who stutter and adults who do not stutter.

Read it on PubMed →