Audiovisual speech segmentation in post-stroke aphasia: a pilot study

ABSTRACT

Background: Stroke may cause sentence comprehension disorders. Speech segmentation, i.e. the ability to detect word boundaries while listening to continuous speech, is an initial step allowing the successful identification of words and the accurate understanding of meaning within sentences. It has received little attention in people with post-stroke aphasia (PWA).

Objectives: Our goal was to study speech segmentation in PWA and examine the potential benefit of seeing the speakers’ articulatory gestures while segmenting sentences.

Methods: Fourteen PWA and twelve healthy controls participated in this pilot study. Performance was measured with a word-monitoring task. In the auditory-only modality, participants were presented with auditory-only stimuli while in the audiovisual modality, visual speech cues (i.e. speaker’s articulatory gestures) accompanied the auditory input. The proportion of correct responses was calculated for each participant and each modality. Visual enhancement was then calculated in order to estimate the potential benefit of seeing the speaker’s articulatory gestures.

Results: Both in auditory-only and audiovisual modalities, PWA performed significantly less well than controls, who had 100% correct performance in both modalities. The performance of PWA was correlated with their phonological ability. Six PWA used the visual cues. Group level analysis performed on PWA did not show any reliable difference between the auditory-only and audiovisual modalities (median of visual enhancement = 7% [Q1 − Q3: −5 − 39]).

Conclusion: Our findings show that speech segmentation disorder may exist in PWA. This points to the importance of assessing and training speech segmentation after stroke. Further studies should investigate the characteristics of PWA who use visual speech cues during sentence processing.

KEYWORDS:

• Speech segmentation
• aphasia
• stroke
• audiovisual speech
• lexical access
• sentence processing
• communication

Acknowledgments

We thank the participants in this study. We are grateful to the speech and language therapists of the participants with aphasia for their help in collecting data. We thank Mélissandre Dupont, Laure Grosz, Mathias Inghilleri, Élodie Lemay and Laurent Ott for their help in preparing the stimuli and/or collecting data. We thank the anonymous reviewers for their helpful comments.

Additional information

Funding

This work was supported by grants from Maison Européenne des Sciences de l’Homme et de la Société (MESHS) and the French Research Agency (ANR-11-EQPX-0023).