Imaging Speech in Neurotypical Adults and Individuals With Cerebellar Stroke

NCT ID: NCT06458153

Last Updated: 2025-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-27

Study Completion Date

2028-07-31

Brief Summary

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The goal of this research study is to learn how the brain areas that plan and control movement interact with the areas responsible for hearing and perceiving speech in healthy adults and people who have had cerebellar strokes. The main questions it aims to answer are:

1. What regions of the brain's sensory systems show changes in their activity related to speech?
2. To what extent do these regions help listeners detect and correct speech errors?
3. What is the role of the cerebellum (a part of the brain in the back of the head) in these activities?

Participants will be asked to complete several experimental sessions involving behavioral speech and related tests and non-invasive brain imaging using electroencephalography (EEG) and functional magnetic resonance imaging (fMRI).

Detailed Description

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This study aims to provide an integrated view of brain systems underlying predictive coding in speech with unprecedented detail using ultra-high field (7 Tesla) functional magnetic resonance imaging. The overall approach is a condition-intensive within-subjects design, with extensive sampling of individual participants, including a group who have had strokes impacting the cerebellum, across multiple sessions.

Participants will be asked to complete up to 6 sessions. Passing a hearing assessment using standard audiological procedures, conducted at the start of the first session, is a requirement for participation. The experimental sessions involve behavior and non-invasive brain imaging.

Investigators will ask participants to perform several short tasks to measure different aspects of their speech production and speech perception (e.g., reading passages or words aloud, making judgements about sounds).

In one session, Investigators will measure electroencephalography (EEG) while participants complete tasks involving producing and hearing speech sounds. Participants will be fitted with an elastic cap and up to 32 non-invasive recording electrodes.

In other sessions, investigators will measure structural and functional magnetic resonance imaging (fMRI). Structural images demonstrate the unique brain anatomy of the participant. Functional images will be obtained while the participant completes specific tasks involving listening, speaking, or completing other motor actions (e.g., pressing a button). All participants will be screened for MRI risk factors prior to each session.

Conditions

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Stroke Cerebellum

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The single group model involves assessing the neural basis of multiple behavioral tasks in three cohorts. Cohort 1 is neurotypical adults. Cohort 2 is people with post-stroke cerebellar lesions. Cohort 3 is a group of control participants that will be matched to Cohort 2. The behavioral interventions are overlapping between cohorts, though Cohort 1 will complete additional sessions.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Speech behavior and functional imaging

Assessing the neural correlates of speaking-induced sensory modulation in all three cohorts using behavior and neuroimaging tasks in up to 6 sessions.

Group Type EXPERIMENTAL

Neural responses to speech functional localizer

Intervention Type BEHAVIORAL

Measuring speech-related brain activity using fMRI during a speech listening task.

Neural responses to silent articulation

Intervention Type BEHAVIORAL

Measuring speech-related brain activity using fMRI during a silent articulation task.

Neural responses to self vs. externally generated speech

Intervention Type BEHAVIORAL

Measuring speech-related brain activity using fMRI during self-generated vs. externally-generated speech.

Event-related potentials for speech

Intervention Type BEHAVIORAL

Measuring electroencephalography (EEG) based evoked potentials for self vs. externally generated speech

Neural responses to induced speech errors

Intervention Type BEHAVIORAL

Measuring speech-related brain activity using fMRI during conditions that induce auditory speech errors.

Neural responses to sensory-motor adaptation

Intervention Type BEHAVIORAL

Measuring brain activity using fMRI during a learning task with sustained altered auditory feedback.

Speech production behaviors

Intervention Type BEHAVIORAL

Behavioral measurements of speech during reading passages and words

Auditory acuity testing

Intervention Type BEHAVIORAL

Measurements of auditory acuity during listening tasks.

Neural responses to learning a non-speech auditory motor behavior

Intervention Type BEHAVIORAL

Mapping of brain areas using fMRI during learning of non-speech sound-evoking movements.

Interventions

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Neural responses to speech functional localizer

Measuring speech-related brain activity using fMRI during a speech listening task.

Intervention Type BEHAVIORAL

Neural responses to silent articulation

Measuring speech-related brain activity using fMRI during a silent articulation task.

Intervention Type BEHAVIORAL

Neural responses to self vs. externally generated speech

Measuring speech-related brain activity using fMRI during self-generated vs. externally-generated speech.

Intervention Type BEHAVIORAL

Event-related potentials for speech

Measuring electroencephalography (EEG) based evoked potentials for self vs. externally generated speech

Intervention Type BEHAVIORAL

Neural responses to induced speech errors

Measuring speech-related brain activity using fMRI during conditions that induce auditory speech errors.

Intervention Type BEHAVIORAL

Neural responses to sensory-motor adaptation

Measuring brain activity using fMRI during a learning task with sustained altered auditory feedback.

Intervention Type BEHAVIORAL

Speech production behaviors

Behavioral measurements of speech during reading passages and words

Intervention Type BEHAVIORAL

Auditory acuity testing

Measurements of auditory acuity during listening tasks.

Intervention Type BEHAVIORAL

Neural responses to learning a non-speech auditory motor behavior

Mapping of brain areas using fMRI during learning of non-speech sound-evoking movements.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Cohort 1 (neurotypical adults):

* Age 18-49
* Right-handed
* Native English speaker

Cohort 2 (people with cerebellar lesions):

* Age 18 or older
* Right-handed
* Native English speaker
* History of cerebellar stroke

Cohort 3 (controls matched to Cohort 2)

* Age 18 or older
* Right-handed
* Native English speaker

Exclusion Criteria

Cohort 1 (neurotypical adults):

* Presence of MRI risk factors: metal and/or electromagnetic devices (e.g., pacemakers, neurostimulators) in the body, previous shrapnel injuries, use of an intrauterine device containing metal, claustrophobia, pregnant or possibly pregnant
* History of neurological / neurodegenerative disease or severe brain injury (e.g., stroke or severe traumatic brain injury)
* Hearing loss, defined by pure tone thresholds \>25 decibels (dB) hearing level (HL) at octave frequencies between 250-8000 Hz
* Clinical diagnosis and/or treatment for schizophrenia or other psychotic disorders
* Clinical diagnosis and/or treatment for neurocognitive disorders (e.g., dementia, delirium)
* Presence of a severe and unmanaged, clinically diagnosed attention disorder
* Clinically diagnosed with or treated for a speech, language, or hearing disorder
* Head circumference greater than 60cm or weight greater than 300 pounds
* History of severe claustrophobia
* Currently pregnant

Cohort 2 (people with cerebellar lesions):

* Presence of MRI risk factors: metal and/or electromagnetic devices (e.g., pacemakers, neurostimulators) in the body, previous shrapnel injuries, use of an intrauterine device containing metal, claustrophobia, pregnant or possibly pregnant
* History of neurological / neurodegenerative disease or severe brain injury other than stroke
* Hearing loss, defined by pure tone thresholds \>50 dB HL at octave frequencies between 250-4000 Hz
* Clinical diagnosis and/or treatment for schizophrenia or other psychotic disorders
* Clinical diagnosis and/or treatment for neurocognitive disorders (e.g., dementia, delirium)
* Presence of a severe and unmanaged, clinically diagnosed attention disorder
* Head circumference greater than 60cm or weight greater than 300 pounds
* History of severe claustrophobia
* Currently pregnant

Cohort 3 (controls matched to Cohort 2):

* Presence of MRI risk factors: metal and/or electromagnetic devices (e.g., pacemakers, neurostimulators) in the body, previous shrapnel injuries, use of an intrauterine device containing metal, claustrophobia, pregnant or possibly pregnant
* History of neurological / neurodegenerative disease or severe brain injury (e.g., stroke or severe traumatic brain injury)
* Hearing loss, defined by pure tone thresholds \>50 dB HL at octave frequencies between 250-4000 Hz
* Clinical diagnosis and/or treatment for schizophrenia or other psychotic disorders
* Clinical diagnosis and/or treatment for neurocognitive disorders (e.g., dementia, delirium)
* Presence of a severe and unmanaged, clinically diagnosed attention disorder
* Clinically diagnosed with or treated for a speech, language, or hearing disorder
* Head circumference greater than 60cm or weight greater than 300 pounds
* History of severe claustrophobia
* Currently pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Northwestern University

OTHER

Sponsor Role collaborator

National Institute on Deafness and Other Communication Disorders (NIDCD)

NIH

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Jason Bohland

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jason W Bohland, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jason W Bohland, Ph.D.

Role: CONTACT

412-383-3416

Alexander Ocampo, B.A.

Role: CONTACT

Facility Contacts

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Jason Bohland, Ph.D.

Role: primary

412-383-3416

Alexander Ocampo, BA

Role: backup

Other Identifiers

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1R01DC020963-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY23070083

Identifier Type: -

Identifier Source: org_study_id

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