This investigation examined the visuomotor tracking abilities of persons with apraxia of speech (AOS) or conduction aphasia (CA). In addition, tracking performance was correlated with perceptual judgments of speech accuracy. Five individuals with AOS and four with CA served as participants, as well as an equal number of healthy controls matched by age and gender. Participants tracked predictable (sinusoidal) and unpredictable signals using jaw and lip movements transduced with strain gauges. Tracking performance in participants with AOS was poorest for predictable signals, with decreased kinematic measures of cross-correlation and gain ratio and increased target-tracker difference. In contrast, tracking of the unpredictable signal by participants with AOS was performed as well as for other groups (e.g. participants with CA, healthy controls). Performance of the subjects with AOS on the predictable tracking task was found to strongly correlate with perceptual judgments of speech. These findings suggest that motor control capabilities are impaired in AOS, but not in CA. Results suggest that AOS has its basis in motor programming deficits, not impaired motor execution.In their taxonomy of motor speech disorders, Darley, Aronson, and Brown (1975) claimed that apraxia of speech (AOS) has its basis in the impaired planning and programming of speech motor patterns. Controversy about AOS in the ensuing decades focused on whether the disorder was best defined from a motoric or a linguistic perspective (for review see Ballard, Granier, & Robin, 2000;McNeil, Robin, & Schmidt, 2008). Data suggest that AOS is a disorder of motor control of the speech production system (e.g. Ballard & Robin, 2007;Itoh & Sasanuma, Address correspondence to: Donald A. Robin, Ph.D., Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at San Antonio, MC 7777, 7703 Floyd Curl Drive, San Antonio, TX 78229, robind@uthscsa.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 1984; Kelso & Tuller, 1981;Kent & McNeil, 1987;Maas et al., 2006;McNeil, Caligiuri, & Rosenbek, 1989;McNeil, Weismer, Adams, & Mulligan, 1990). However, the database on movement control in AOS is remarkably limited. Consequently, an understanding and description of the movement patterns of speakers with apraxia remains elusive.
NIH Public AccessA problem with much of the literature on AOS is that most studies have used individuals with multiple problems (e.g., apraxia and aphasia) or provided incomplete subject descriptions (McNeil et al., 2008). Relatively few studies have examined th...