Neuromotor Speech Impairment: It's All in the Talking

Neuromotor Speech Impairment: It's All in the Talking
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神经运动性言语障碍:一切都在说话

DOI:
10.1159/000353855
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发表时间:
2013
影响因子:
1
通讯作者:
Ackermann
Ackermann
中科院分区:
医学4区
文献类型:
--
作者:
Ziegler;Ackermann

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本文的目的是阐明口语产生中隐含的运动活动的独特性,并强调从理论和临床的角度来看,将与说话相关的运动事件视为特定的领域,即与语言表达领域有关的活动是多么重要。首先,回顾了人类声道运动网络的系统发育数据,证明了人类声道运动网络的特殊性:(I)喉部运动技能在声道运动组织中的巩固;(Ii)该系统内技能获得的神经基础的演变;(Iii)该系统与听觉-运动网络的整合。其次,报道了个体发生学证据和关于大脑经验依赖可塑性的现有知识,以阐明在言语习得过程中,声道运动系统受到言语产生的普遍性质和说话人周围语言的特定音系学性质的制约。第三,构音障碍和言语失用的临床数据为讨论言语运动控制的领域一般观点和领域特定观点的理论基础提供了背景。文章最后简要介绍了在神经运动性言语障碍的实验研究、评估和治疗中的整体神经音学方法。
The aim of this article is to explicate the uniqueness of the motor activity implied in spoken language production and to emphasize how important it is, from a theoretical and a clinical perspective, to consider the motor events associated with speaking as domain-specific, i.e., as pertaining to the domain of linguistic expression. First, phylogenetic data are reviewed demonstrating the specificity of the human vocal tract motor network regarding (i) the entrenchment of laryngeal motor skills within the organization of vocal tract movements, (ii) the evolution of a neural basis for skill acquisition within this system, and (iii) the integration of this system into an auditory-motor network. Second, ontogenetic evidence and existing knowledge about the experience-dependent plasticity of the brain are reported to explicate that during speech acquisition the vocal tract motor system is constrained by universal properties of speech production and by the specific phonological properties of the speaker's ambient language. Third, clinical data from dysarthria and apraxia of speech provide the background for a discussion about the theoretical underpinnings of domain-general versus domain-specific views of speech motor control. The article ends with a brief sketch of a holistic neurophonetic approach in experimental inquiries, assessment, and treatment of neuromotor speech impairment.
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