What is it about?

Left/right activation patters (functional lateralization) of the brain is known to be different between people who stutter and who do not stutter. However, it could be due to the long-standing experience of stuttering. This research systematically investigated the functional lateralization of the auditory brain areas from preschoolers to adults, and found a group difference in all age groups. The measurement method used in the research was functional near infrared spectroscopy (fNIRS), which measures the blood concentration in the surface brain from the scalp surface non-invasively using infrared lasers. The blood concentration changes in the brain serve as an index of brain activation levels. Stimulation was changes of either sound (phoneme) or tone (pitch, or prosody) of words pseudo-randomly replacing a repeatedly presented word to both ears. Brain responses were averaged synchronously to the two kinds of stimuli, and peak response amplitudes were statistically compared for the detection of functional lateralization. The results show that none of the people who stutter showed left-dominant (left-greater) lateralization to the sound (phoneme) change relative to tone (pitch) change, in contrast to people who do not stutter, the majority of whom showed a left-dominant pattern in all age groups.

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Why is it important?

It is found that the functional lateralizaiton of the auditory area of the brain to word stimulation is disrupted since very young childhood in those who stutter. This implies that the functional development of the auditory linguistic functions does not proceed normally with developmental stuttering. Although stuttering is primarily speech-motor disorder, this study demonstrated that the disfunction of the brain is not limited to the speech-motor domain but also extends to the auditory-linguistic domain since young childhood.

Perspectives

Recently, anatomical and functional connections between various brain regions have been shown diminished in young children as well as adults who stutter. The findings of this research are in line with those recent studies. Although non dominance of the left side responses to phonemic contrast is seen in the minority of the control (non-stuttering) people, no one in the stuttering group showed statistically significant left dominance to the phonemic contrast stimuli. The significant left sided responses to speech sound changes could be a sign of good prognosis.

M.D., Ph.D. Koichi Mori
National Rehabilitation Center for Persons with Disabilities, Japan

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This page is a summary of: Functional Lateralization of Speech Processing in Adults and Children Who Stutter, Frontiers in Psychology, January 2011, Frontiers,
DOI: 10.3389/fpsyg.2011.00070.
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