title: The Role of Somatosensory Information in Speech Perception: Imitation Improves Recognition of Disordered Speech.
abstract: OBJECTIVE
  Perceptual learning paradigms involving written feedback appear to be a viable clinical tool to reduce the intelligibility burden of dysarthria. The underlying theoretical assumption is that pairing the degraded acoustics with the intended lexical targets facilitates a remapping of existing mental representations in the lexicon. This study investigated whether ties to mental representations can be strengthened by way of a somatosensory motor trace.
  
  
  METHODS
  Following an intelligibility pretest, 100 participants were assigned to 1 of 5 experimental groups. The control group received no training, but the other 4 groups received training with dysarthric speech under conditions involving a unique combination of auditory targets, written feedback, and/or a vocal imitation task. All participants then completed an intelligibility posttest.
  
  
  RESULTS
  Training improved intelligibility of dysarthric speech, with the largest improvements observed when the auditory targets were accompanied by both written feedback and an imitation task. Further, a significant relationship between intelligibility improvement and imitation accuracy was identified.
  
  
  CONCLUSIONS
  This study suggests that somatosensory information can strengthen the activation of speech sound maps of dysarthric speech. The findings, therefore, implicate a bidirectional relationship between speech perception and speech production as well as advance our understanding of the mechanisms that underlie perceptual learning of degraded speech.
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Borrie
authors.forename: Martina C M
authors.initials: MC
authors.lastname: Schäfer
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D004401:Dysarthria / Q000628:therapy; D030141:Feedback, Psychological; D056228:Feedback, Sensory; D005260:Female; D006801:Humans; D007100:Imitative Behavior; D007858:Learning; D008297:Male; D046709:Pattern Recognition, Physiological; D011932:Reading; D021641:Recognition, Psychology; D013060:Speech; D013067:Speech Perception; D013068:Speech Production Measurement; D016896:Treatment Outcome; D014796:Visual Perception; D055815:Young Adult