Cortical networks for speech motor control in unilateral vocal fold paralysis.
Unilateral vocal fold paralysis
cortical networks
pitch perturbation
speech motor control
voice quality
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
08
04
2018
revised:
09
09
2018
accepted:
07
11
2018
pubmed:
21
12
2018
medline:
23
10
2019
entrez:
21
12
2018
Statut:
ppublish
Résumé
To evaluate brain networks for motor control of voice production in patients with treated unilateral vocal fold paralysis (UVFP). Cross-sectional comparison. Nine UVFP patients treated by type I thyroplasty, and 11 control subjects were compared using magnetoencephalographic imaging to measure beta band (12-30 Hz) neural oscillations during voice production with perturbation of pitch feedback. Differences in beta band power relative to baseline were analyzed to identify cortical areas with abnormal activity within the 400 ms perturbation period and 125 ms beyond, for a total of 525 ms. Whole-brain task-induced beta band activation patterns were qualitatively similar in both treated UVFP patients and healthy controls. Central vocal motor control plasticity in UVFP was expressed within constitutive components of central human communication networks identified in healthy controls. Treated UVFP patients exhibited statistically significant enhancement (P < 0.05) in beta band activity following pitch perturbation onset in left auditory cortex to 525 ms, left premotor cortex to 225 ms, and left and right frontal cortex to 525 ms. This study further corroborates that a peripheral motor impairment of the larynx can affect central cortical networks engaged in auditory feedback processing, vocal motor control, and judgment of voice-as-self. Future research to dissect functional relationships among constitutive cortical networks could reveal neurophysiological bases of central contributions to voice production impairment in UVFP. Those novel insights would motivate innovative treatments to improve voice production and reduce misalignment of voice-quality judgment between clinicians and patients. 3b Laryngoscope, 129:2125-2130, 2019.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2125-2130Subventions
Organisme : NIDCD NIH HHS
ID : R01 DC014070
Pays : United States
Informations de copyright
© 2018 The American Laryngological, Rhinological and Otological Society, Inc.
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