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Clinical Trials/NCT06467292
NCT06467292RecruitingNot Applicable

Sensorimotor Basis of Speech Motor Learning and Retention

Yale University1 site in 1 country330 target enrollmentStarted: October 1, 2024Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Sponsor
Enrollment
330
Locations
1
Primary Endpoint
Speech motor learning

Study Overview

Brief Summary

The overall goal of this research is to test a new model of speech motor learning, whose central hypothesis is that learning and retention are associated with plasticity not only in motor areas of the brain but in auditory and somatosensory regions as well.

Detailed Description

Aim 1 involves tests of speech motor memory retention following disruption of left hemisphere brain activity in either auditory, somatosensory or motor cortex or to a control site (hand area motor cortex right hemisphere). Continuous theta-burst stimulation (cTBS) is delivered following adaptation to altered auditory feedback to assess its effects on the retention of new learning.

Aim 2 assesses the temporal order in which plasticity occurs in cortical motor and sensory brain areas during speech motor learning.

In Aim 3, resting-state fMRI will be interleaved with speech motor adaptation. For information specific to each aim, please refer to the below corresponding, separate, clinicaltrials.gov records: unique IDs: 2000037622_a for Aim 1, 2000037622_b for Aim 2 and 2000037622_c for Aim 3.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Basic Science
Masking
None

Eligibility Criteria

Ages
18 Years to 40 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Fluent English speakers
  • Right-handed
  • Normal hearing
  • No speech disorder or reading disability

Exclusion Criteria

  • Cardiac pacemaker
  • Aneurysm clip
  • Heart or Vascular clip
  • Prosthetic valve
  • Metal implants
  • Metal in brain, skull, or spinal cord
  • Implanted neurostimulator
  • Medication infusion device
  • Cochlear implant or tinnitus (ringing in ears)
  • Personal and/or family history of epilepsy or other neurological disorders or history of head concussion
  • Psychoactive medications
  • Pregnancy

Arms & Interventions

Speech Motor Learning and Retention Aim 2

Experimental

Aim 2: Participants will perform learning tasks combined with shifted auditory feedback. Motor cortical excitability will be measured using single-pulse TMS to elicit motor evoked potentials.

Intervention: Single pulse Transcranial magnetic stimulation (TMS) (Device)

Speech Motor Learning and Retention Aim 3

Experimental

Aim 3: Participants will have fMRI with behavioral measures of speech motor learning.

Intervention: fMRI (Device)

Speech Motor Learning and Retention Aim 1

Experimental

Aim 1: Participants will perform learning tasks while receiving altered/unaltered auditory feedback with cTBS applied to the appropriate area of the brain following learning. Retention of learning is assessed 24 hours later.

Intervention: continuous theta-burst stimulation (cTBS) (Device)

Speech Motor Learning and Retention Aim 1

Experimental

Aim 1: Participants will perform learning tasks while receiving altered/unaltered auditory feedback with cTBS applied to the appropriate area of the brain following learning. Retention of learning is assessed 24 hours later.

Intervention: Adaptation (Behavioral)

Speech Motor Learning and Retention Aim 2

Experimental

Aim 2: Participants will perform learning tasks combined with shifted auditory feedback. Motor cortical excitability will be measured using single-pulse TMS to elicit motor evoked potentials.

Intervention: Adaptation (Behavioral)

Speech Motor Learning and Retention Aim 3

Experimental

Aim 3: Participants will have fMRI with behavioral measures of speech motor learning.

Intervention: Adaptation (Behavioral)

Outcomes

Primary Outcomes

Speech motor learning

Time Frame: Performance as measured at the end of learning (30 minute session)

Audapter software will be used to alter the first and second formant frequencies of the spoken words and this is played back to subjects through headphones. Subjects will be tested both with unaltered feedback and with abruptly introduced frequency shifts.The change in the first (F1) and second format frequency (F2) values will be assessed using Praat.

Retention of learning

Time Frame: 24 hours after learning (re-test lasts 30 minutes)

The retention of adaptation to altered auditory feedback (and relearning) will be quantified in terms of F1 and F2 frequency shifts (relative to pre-training baseline). Larger values indicate more complete relearning or retention.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
Yale University
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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