Understanding speech sequencing in people with and without speech disorders
Sequencing and Initiation in Speech Production: Investigating Speech Sequencing in Neurotypical Speakers, Persons Who Stutter, and Persons With Primary Progressive Aphasia
This study is trying to understand how the brain plans speech in people who stutter compared to those who speak normally, using brain scans and speech tasks to see what’s different.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 2 (estimated) |
| Ages | 6 Years and up |
| Sex | All |
| Sponsor | Boston University Charles River Campus Academic / other |
| Locations | 3 sites (Boston, Massachusetts and 2 other locations) |
| Trial ID | NCT05437159 on ClinicalTrials.gov |
What this trial studies
This study aims to investigate the brain mechanisms involved in speech motor planning, particularly focusing on individuals with persistent developmental stuttering and those with typical speech development. By utilizing a combination of speech production tasks, functional MRI, and non-invasive brain stimulation techniques, the researchers will explore how these processes differ between neurotypical speakers and those with speech disorders. Participants will undergo training sessions to learn non-native phoneme combinations and multisyllabic nonwords, allowing for a comprehensive analysis of speech motor learning. The ultimate goal is to enhance the understanding of neural processing impairments associated with speech disorders.
Who should consider this trial
Good fit: Ideal candidates include healthy adults and children who are native American English speakers with no history of neurological, speech, or hearing disorders.
Not a fit: Patients with significant neurological, speech, or hearing disorders other than stuttering may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved treatments for individuals with speech disorders, enhancing their quality of life.
How similar studies have performed: Other studies have shown promise in understanding speech disorders through neuroimaging and brain stimulation techniques, suggesting a potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria * Healthy individuals with no history of neurological, speech, or hearing disorders (other than stuttering in studies that involve adults who stutter). * To maximize the uniformity of prior exposure to the speech stimuli that will be used, only native speakers of American English will be recruited, and only those with limited exposure to a second language will be enrolled. * All adult participants will also pass a standard pure-tone hearing screening at a 25dB hearing level threshold at 500, 1k, 2k, and 4kHz frequencies. * All participating children will pass a hearing screening at a 20 dB threshold at 500, 1k, 2k, and 4k Hz. * Participants in experiments that require them to read orthographic stimuli must have normal or corrected-to-normal vision (MRI-safe corrective glasses are available at the Boston University Cognitive Neuroimaging Center for use during neuroimaging). * Participating children will complete additional speech, language, hearing, and cognitive tests to ensure that they are within normal performance ranges for their age with the exception of stuttering for children in the children who stutter (CWS) group. * Persons who stutter will be evaluated formally by a speech-language pathologist to assess stuttering severity and to ensure the absence of other speech or language disorders. PWS will have no history of neurological disorder other than stuttering, and will demonstrate very mild to severe stuttering according to the Stuttering Severity Instrument for Children and Adults - 4th Edition (SSI-4: PRO-ED, Inc.), that is confirmed by clinical reports and expressed concern by the subject and/or guardian. * Participants with primary progressive aphasia (PPA) will have been diagnosed through the Massachusetts General Hospital Frontotemporal Disorders Unit (MGH-FTD) by an experienced neurologist in coordination with a speech-language pathologist. * Participants with PPA will have a score of 1.0 or lower on the Clinical Dementia Rating scale (i.e., mild cognitive impairment or mild dementia) to ensure cognitive levels are sufficient to complete the task. * All participants with PPA must have a recent clinical assessment and T1 structural neuroimaging scan through the MGH-FTD Unit for eligibility for this study. Exclusion Criteria * Participants in studies that involve tDCS or MRI scanning will have no contraindications specific to those procedures. For the tDCS study, this includes individuals who have a metallic implant in the head or electrically sensitive devices implanted in the body, a history of seizures, significant scalp lesions, or pregnancy. * For MRI studies, this includes a history of seizures, severe claustrophobia, the presence of magnetically or mechanically active implant, ferromagnetic material embedded in any part of the body, or pregnancy). * All participants will perform a standardized nonword repetition pre-test (the Dollaghan and Campbell Nonword Repetition Task) to assess working memory performance. Participants who perform more than 2 standard deviations below the norm for their age range will be deemed to be unable to perform the experimental task and released from further participation. * Participating children will have no history of neurological disorder other than stuttering, and will demonstrate very mild to severe stuttering according to the Stuttering Severity Instrument for Children and Adults, 4th Edition, that is confirmed by clinical reports and expressed concern by the subject and/or guardian. * Children under the age of 6 and over the age of 8 will not enrolled in this study. * Participants with PPA will not be eligible for this study if they are taking any medications that would be expected to affect speech or language.
Where this trial is running
Boston, Massachusetts and 2 other locations
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Boston University — Boston, Massachusetts, United States (Recruiting)
- University of Michigan — Ann Arbor, Michigan, United States (Recruiting)
Study contacts
- Principal investigator: Frank H Guenther, PhD — Boston University
- Study coordinator: Frank H Guenther, PhD
- Email: guenther@bu.edu
- Phone: 6173535765
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.