Speech
Speech
Speech
The physiology of language has been obtained primarily by observing the effects of brain lesions on people's verbal
behavior. Most been made on people who have suffered strokes.
The most important category of speech disorders is aphasia.
- A primary disturbance in the comprehension or production of speech, caused by brain damage.
This difficulty must not be caused by simple sensory or motor deficits or by lack of motivation.
- For example, inability to speak caused by deafness or paralysis of the speech muscles is not considered to be aphasia.
Lateralization
Verbal behavior is a lateralized function
Most language disturbances occur after damage to the left side of the brain, whether people are left-handed or right-handed.
The left hemisphere is dominant for speech in 90% of total population.
Experiment was done found that right-hemisphere speech dominance was seen in only 4% of right-handed people, in 15% of
both handed people and in 27 % of left-handed people.
Why is one hemisphere specialized for speech?
left hemisphere are more specialized for
The analysis of sequences of stimuli, occurring one after the other.
The right hemisphere is more
specialized for the analysis of space and geometrical,
shapes and forms, elements which are all present at the same time.
And as Speech is sequential; it consisting of sequences of
words, which are composed of sequences of sounds.
Therefore, the left hemisphere has become specialized at perceiving speech.
Arcuate Fasciculus
Broca's area (speech production)
Site: The inferior left frontal lobe
Function:
Broca's area contains motor memories
Memories of the sequences of muscular movement that are needed to articulate
words. (program)
Talking involves rapid movements of the tongue, lips, and jaw, and these movements must
be coordinated with each other and with those of the vocal cords.
Neurons in Broca's area when activated cause these sequences of movements to be
executed.
By its direct connection to the part of the primary motor cortex that controls the muscles
used for speech.
Three major speech deficits are produced by lesions in and around Broca's area:
On the lowest, most elementary level is control of the sequence of movements of the muscles of speech:
o damage to this ability leads to articulation difficulties patients mispronounce words, often altering the sequence of
sounds.
o For example, lipstick might be pronounced ‘’likstip’’
The next higher level is selection of the particular 'programs" for individual words:
o Damage to this ability leads to anomia-a word-finding difficulty.
o When trying to talk with patients who have Broca's aphasia, most people
find it hard to resist supplying the words the patients are obviously groping for correct word.
Finally the highest level is selection of grammatical structure, including word order, use of function words
(such as a, the, some, in, or about):
o Damage to this ability leads to agrammtism.
o The words that they do manage to say are almost entirely content words
that convey meaning, including nouns, verbs, adjectives, and adverbs, (such as apple, house, or heavy)
o They recognize that their pronunciation is erroneous and they usually try to correct them.
There are pathways connecting the speech mechanisms of the left temporal lobe with those of left the frontal lobe.
The direct pathway through the arcuate fasciculus simply conveys speech sounds from Wernicke's area to broca's area.
- That’s why patients with transcortical sensory aphasia can repeat words.
Second pathway, between the posterior language area and broca's area, is indirect and is based on the meaning of words,
Repetition: Conduction Aphasia.
not the sounds they make.
There is a direct connection between Wernicke's area and broca's area— arcuate fasciculus.
This bundle of axons conveys information about the sounds of words but not their meaning.
We use this pathway to repeat unfamiliar words
Ex: when we are learning a foreign language or a new word in our own language.
Damage to arcuate fasciculus lead to conduction aphasia: It is characterized by meaningful fluent speech;
relatively good comprehension (spoken or written); but very poor repetition.
When they hear a word or a sentence, the meaning of what they hear evokes some sort of image related to
that meaning. (The patient imagined the sight of an automobile leaking fuel oil onto the pavement.)
They are then able to describe that image, just as they would put their own thoughts into words. Not the
same wording mentioned to him, When patient asked to repeat the sentence
Prosody
Our speech has a regular rhythm and tone; we give some words stress (that is, we pronounce them louder), and we vary
the pitch of our voice to indicate phrasing and to distinguish between assertions and questions.
In addition, we can impart information about our emotional state through the rhythm, emphasis, and tone of our speech.
These aspects of speech are referred to as prosody.
Prosody is a special function of the right hemisphere which has role in production as well as perception of prosody
(recognition).
It is normal in Wernicke's aphasia.