The Functional Anatomy of Sound Intensity Discrimination

Purpose Difficulty in understanding spoken speech is a common complaint among aging adults, even when hearing impairment is absent. Correlational studies point to a relationship between age, auditory temporal processing (ATP), and speech perception but cannot demonstrate causality unlike training studies. In the current study, we test (a) the causal relationship between a spatial–temporal ATP task (temporal order judgment [TOJ]) and speech perception among aging adults using a training design and (b) whether improvement in aging adult speech perception is accompanied by improved self-efficacy. Method Eighty-two participants aged 60–83 years were randomly assigned to a group receiving (a) ATP training (TOJ) over 14 days, (b) non-ATP training (intensity discrimination) over 14 days, or (c) no training. Results The data showed that TOJ training elicited improvement in all speech perception tests, which was accompanied by increased self-efficacy. Neither improvement in speech perception nor self-efficacy was evident following non-ATP training or no training. Conclusions There was no generalization of the improvement resulting from TOJ training to intensity discrimination or generalization of improvement resulting from intensity discrimination training to speech perception. These findings imply that the effect of TOJ training on speech perception is specific and such improvement is not simply the product of generally improved auditory perception. It provides support for the idea that temporal properties of speech are indeed crucial for speech perception. Clinically, the findings suggest that aging adults can be trained to improve their speech perception, specifically through computer-based auditory training, and this may improve perceived self-efficacy.

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Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig13-2018-0014 ◽

2019 ◽

Vol 4 (4) ◽

pp. 648-655

Author(s):

William G. Pearson ◽

Jacline V. Griffeth ◽

Alexis M. Ennis

Keyword(s):

Functional Anatomy ◽

Neuromuscular Control ◽

Upper Esophageal Sphincter ◽

Performance Goals ◽

Laryngeal Elevation ◽

Port Closure ◽

Swallowing Dysfunction ◽

Hyoid Movement ◽

Pharyngeal Swallowing ◽

Pharyngeal Constriction

Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.

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Functional Anatomy of Intensity Aspects of Attention

Zeitschrift für Neuropsychologie ◽

10.1024/1016-264x.14.3.181 ◽

2003 ◽

Vol 14 (3) ◽

pp. 181-190 ◽

Cited By ~ 2

Author(s):

Walter Sturm

Keyword(s):

Right Hemisphere ◽

Functional Anatomy ◽

Fmri Data ◽

Functional Networks ◽

Top Down ◽

Stimulus Modality ◽

Spatial Orienting ◽

Phasic Alertness ◽

Co Activation ◽

Attention System

Abstract: Behavioral and PET/fMRI-data are presented to delineate the functional networks subserving alertness, sustained attention, and vigilance as different aspects of attention intensity. The data suggest that a mostly right-hemisphere frontal, parietal, thalamic, and brainstem network plays an important role in the regulation of attention intensity, irrespective of stimulus modality. Under conditions of phasic alertness there is less right frontal activation reflecting a diminished need for top-down regulation with phasic extrinsic stimulation. Furthermore, a high overlap between the functional networks for alerting and spatial orienting of attention is demonstrated. These findings support the hypothesis of a co-activation of the posterior attention system involved in spatial orienting by the anterior alerting network. Possible implications of these findings for the therapy of neglect are proposed.

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What Is Left Is Right

European Psychologist ◽

10.1027/1016-9040.14.1.78 ◽

2009 ◽

Vol 14 (1) ◽

pp. 78-89 ◽

Cited By ~ 8

Author(s):

Kenneth Hugdahl ◽

René Westerhausen

Keyword(s):

Speech Processing ◽

Information Transfer ◽

Hemispheric Asymmetry ◽

Functional Neuroimaging ◽

Gray Matter Volume ◽

Functional Anatomy ◽

Posterior Part ◽

Functional Asymmetry ◽

Planum Temporale ◽

Evolution Of Speech

The present paper is based on a talk on hemispheric asymmetry given by Kenneth Hugdahl at the Xth European Congress of Psychology, Praha July 2007. Here, we propose that hemispheric asymmetry evolved because of a left hemisphere speech processing specialization. The evolution of speech and the need for air-based communication necessitated division of labor between the hemispheres in order to avoid having duplicate copies in both hemispheres that would increase processing redundancy. It is argued that the neuronal basis of this labor division is the structural asymmetry observed in the peri-Sylvian region in the posterior part of the temporal lobe, with a left larger than right planum temporale area. This is the only example where a structural, or anatomical, asymmetry matches a corresponding functional asymmetry. The increase in gray matter volume in the left planum temporale area corresponds to a functional asymmetry of speech processing, as indexed from both behavioral, dichotic listening, and functional neuroimaging studies. The functional anatomy of the corpus callosum also supports such a view, with regional specificity of information transfer between the hemispheres.

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