Document Type

Article

Publication Date

10-2-2017

Abstract

Background: Apraxia of Speech (AOS) has been associated with deviations in consonantal voice onset time (VOT), but studies of vowel acoustics have yielded conflicting results. However, a speech motor planning disorder that is not bound by phonological categories is expected to affect vowel as well as consonant articulations.

Aims: We measured consonant VOTs and vowel formants produced by a large sample of stroke survivors, and assessed to what extent these variables and their dispersion are predictive of AOS presence and severity, based on a scale that uses clinical observations to rate gradient presence of AOS, aphasia, and dysarthria.

Methods & Procedures: Picture-description samples were collected from 53 stroke survivors, including unimpaired speakers (12) and speakers with primarily aphasia (19), aphasia with AOS (12), primarily AOS (2), aphasia with dysarthria (2), and aphasia with AOS and dysarthria (6). The first three formants were extracted from vowel tokens bearing main stress in open-class words as well as VOTs for voiced and voiceless stops. Vowel space was estimated as reflected in the formant centralisation ratio. Stepwise Linear Discriminant Analyses were used to predict group membership and ordinal regression was used to predict AOS severity, based on the absolute values of these variables as well as the standard deviations of formants and VOTs within speakers.

Outcomes and Results: Presence and severity of AOS were most consistently predicted by the dispersion of F1, F2, and voiced-stop VOT. These phonetic-acoustic measures do not correlate with aphasia severity.

Conclusions: These results confirm that the AOS affects articulation across-the-board and does not selectively spare vowel production.

Comments

This is an Accepted Manuscript version of an article accepted for publication in Den Ouden, D.B., Galkina, E., Basilakos, A. & Fridriksson, J. (2018) Vowel formant dispersion reflects severity of Apraxia of Speech. Aphasiology, 32:8, 902-921. https://doi.org/10.1080/02687038.2017.1385050. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Peer Reviewed

1

Copyright

Taylor & Francis

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