Investigation of Sensorimotor Abilities in Stroke Survivors With Aphasia: A Delayed Auditory Feedback Study

Aphasia is an acquired speech-language disorder that is brought upon because of post-stroke damage to the left hemisphere of the brain. Treatment for individuals with these speech production impairments can be challenging for clinicians because there is high variability in language recovery after stroke and lesion size does not predict language outcome (Lazar et al, 2008). It is also important to note that adequate integration between the sensory and motor systems is critical for many aspects of fluent speech and correcting speech errors. The present study seeks to investigate how delayed auditory-feedback paradigms, which alter the time scale of sensorimotor interactions in speech, might be useful in characterizing the speech production impairments in individuals with aphasia. To this end, six individuals with aphasia and nine age-matched control subjects were introduced to delayed auditory feedback at 4 different intervals during a sentence reading task. Our study found that the aphasia group generated more errors in 3 out of the 4 linguistic categories measured across all delay lengths, but that there was no significant main effect delay or interaction between group and delay. Acoustic analyses revealed variability among scores within the control and aphasia groups on all phoneme types. For example, acoustic analyses highlighted how the individual with conduction aphasia showed significantly longer amplitudes at all delays, and significantly larger duration at no delay, but that significance diminished as delay periods increased. Overall, this study suggests that delayed auditory feedback’s effects vary across individuals with aphasia and provides a base of research to be further built on by future testing of individuals with varying aphasia types and levels of severity.