Speech perception in children with speech output disorders

The precise neural mechanisms underlying speech perception are still to a large extent unknown. The most accepted view is that speech perception depends on auditory-cognitive mechanisms specifically devoted to the analysis of speech sounds. An alternative view is that, crucial for speech perception, it is the activation of the articulatory (motor) gestures that generate these sounds. The listener understands the speaker when his/her articulatory gestures are activated (motor theory of speech perception). Here, by using transcranial magnetic stimulation (TMS), we demonstrate that, during speech listening, there is an increase of motor-evoked potentials recorded from the listeners' tongue muscles when the presented words strongly involve, when pronounced, tongue movements. Although these data do not prove the motor theory of speech perception, they demonstrate for the first time that word listening produces a phoneme specific activation of speech motor centres.

Does the speech motor control system use invariant vocal tract shape targets when producing vowels and semivowels? A 4-part theoretical treatment favoring models whose only invariant targets are regions in auditory perceptual space over models that posit invariant constriction targets is presented. Auditory target regions are hypothesized to arise during development as an emergent property of neural map formation in the auditory system. Furthermore, speech movements are planned as trajectories in auditory perceptual space. These trajectories are then mapped into articulator movements through a neural mapping that allows motor equivalent variability in constriction locations and degrees when needed. These hypotheses are illustrated using computer simulations of the DIVA model of speech acquisition and production. Finally, several difficult challenges to proponents of constriction theories based on this theoretical treatment are posed.

Studies in both human and nonhuman primates indicate that motor and premotor cortical regions participate in auditory and visual perception of actions. Previous studies, using transcranial magnetic stimulation (TMS), showed that perceiving visual and auditory speech increased the excitability of the orofacial motor system during speech perception. Such studies, however, cannot tell us which brain regions mediate this effect. In this study, we used the technique of combining positron emission tomography with TMS to identify the brain regions that modulate the excitability of the motor system during speech perception. Our results show that during auditory speech perception, there is increased excitability of motor system underlying speech production and that this increase is significantly correlated with activity in the posterior part of the left inferior frontal gyrus (Broca's area). We propose that this area "primes" the motor system in response to heard speech even when no speech output is required and, as such, operates at the interface of perception and action.