Left and Right Hemisphere Contributions to Speech Perception

University of Connecticut

Status: Invitation-only

Conditions: Neural Bases of Speech Perception

Treatments: Device: Transcranial Magnetic Stimulation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04989309

H21-0046

R01DC013064 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Left and right temporal brain areas are thought to contribute to speech perception, but the division of labor between left and right hemisphere regions is still unclear. Here we use transcranial magnetic stimulation (TMS) to stimulate left and right temporal foci and a vertex control site to temporarily disrupt activation at the stimulation site, using a "virtual lesion" approach to test the effect of stimulation site on a series of speech perception tasks.

This portion of the project is basic research. However, since TMS is viewed as an intervention, studies involving TMS in this grant are considered clinical trials.

Full description

This study uses TMS to temporarily disrupt neural activity in the left and right temporal cortex and examine the effect of this disruption on speech perception tasks. Vertex stimulation is included as a control condition against which left and right superior temporal stimulation effects are compared. Adult participants first undergo structural MRI and a speech localizer using functional MRI to identify speech-sensitive voxels in the left and right temporal cortex. These regions are set by-participant as the foci for stimulation. Stimulation site is blocked, and typically distributed across sessions. 10 Hz pulse trains of 2.5 sec each are delivered to the stimulation site, with an auditory stimulus arriving either immediately after the last pulse (Exps 2 and 6) or, for longer sentence level stimuli (Exp 3), during the pulse train. Behavioral measures include accuracy and reaction times to rate phonetic stimuli (Exp 2), detect the presence of a probe word in the preceding sentence (Exp 3), or categorize stimuli by phonetic contrast and talker (Exp 6).

Enrollment: 26 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Monolingual native speaker of English
• No history of neurological impairments or disease
• Free of speech and language disorders (per self-report, and confirmed by short language battery described by Fidler, Vance, & Plante, 2011)
• Pure-tone thresholds of 30 decibels or better in both ears (no worse than mild hearing loss), with no more than 15 dB between-ear difference.
• Right-handed, as confirmed by Oldfield Handedness Inventory

Exclusion criteria

• Any condition where TMS would be contraindicated according to the most recent guidelines, including, but not limited to:

  • History of seizure or epilepsy

  • Metal in the skull

  • Use of legal or illicit drugs that can potentially reduce the threshold for seizure. As examples, we list some exclusionary drugs in each of the following categories. This is not an exhaustive list of the exclusionary drugs. We consult with faculty in the University of Connecticut College of Pharmacy to check for seizure risk with other drugs that participants report.

    • Antidepressants including Imipramine, amitriptyline, sertraline, venlafaxine, buproprion
    • Antipsychotics including Chlorpromazine, clozapine, haloperidol, aripiprazole
    • Antivirals including foscarnet, ganciclovir
    • Antiparasitics including chloroquine, mefloquine (antiparasitics)
    • Antibiotics including penicillin, ampicillin
    • Immunosuppressants including cyclosporin
    • Anticholinergenics
    • Antihistimines (including over-the-counter drugs like Claritin & Benadryl)
    • Sympathomimetics (including Sudafed, Ritalin).
    • Illegal drugs such as methamphetamines, cocaine, MDMA, ketamine.

  • Diagnosis of a psychiatric disorder (per self-report)

  • Pregnancy

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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26 participants in 3 patient groups

Experiment 2. Phonetic precision disrupted by TMS

Experimental group

Description:

Experiment 2 tests the influence of temporary disruption of activity within the left or right temporal cortex on the speed and precision of phonetic decisions compared to vertex stimulation. Participants will receive stimulation at all three sites (left temporal, right temporal, vertex, with order of stimulation counterbalanced across participants). Immediately following stimulation pulses, participants will perform a visual analog scale (VAS) phonetic rating task on tokens from the four continua, embedded in speech-shaped noise. To control for the possibility that TMS leads to a generalized deficit in categorization, a control task will involve categorization of visual objects on a morphed "dog" to "cat" object continuum. (We expect this task to be unaffected by TMS). The variables of interest are the steepness of the categorization curve, mean reaction time to all items on the continuum, and the difference in reaction time for boundary vs. endpoint tokens.

Treatment:

Device: Transcranial Magnetic Stimulation

Experiment 3. Phonetic ambiguity in continuous speech

Experimental group

Description:

Experiment 3 is designed to test whether left vs. right temporal lobe stimulation selectively disrupts processing of naturally-occurring phonetic ambiguity as compared to vertex stimulation (control). Participants will receive stimulation at all three sites (left temporal, right temporal, vertex, with order of stimulation counterbalanced across participants). Stimuli will be nonsense sentences produced clearly or in a casual register. By-sentence phonetic ambiguity is estimated by the proximity of each token to other vowels belonging to different categories. Sentences will be embedded in speech-shaped noise to increase difficulty. Participants will listen to each sentence, then respond whether a visually-presented probe word appeared in the sentence ("BRASS?"). Dependent variables are accuracy and reaction time on this probe verification task.

Treatment:

Device: Transcranial Magnetic Stimulation

Experiment 6: Disruption of talker-specific phonetic learning using TMS.

Experimental group

Description:

Experiment 6 is designed to test whether disruption of activity in left or right temporal regions (vs. vertex control) using TMS interferes with talker-specific learning. Participants will receive stimulation at all three sites (left temporal, right temporal, vertex, with order of stimulation counterbalanced across participants). The study uses a training paradigm where one talker's speech is manipulated to always have relatively short voice onset times (VOTs) for voiceless stops (e.g., /k/ in "coal") and another to have relatively long VOTs. Immediately after stimulation, listeners will undergo a training trial where they identify sounds as mapping to Talker 1 or Talker 2's voice, and to the word (e.g. "gain" vs. "cane"). At test, listeners hear two VOT variants and are asked which is more typical of that talker's speech. The dependent variable is the accuracy of reporting which variant is typical of the talker.

Treatment:

Device: Transcranial Magnetic Stimulation