We investigated the brain network involved in speech sensorimotor processing by studying patients with post-stroke aphasia using an altered auditory feedback (AAF) paradigm. We combined lesion-symptom-mapping analysis and behavioral testing to examine the pervasiveness of speech sensorimotor deficits and their relationship with cortical damage. Sixteen participants with aphasia and sixteen neurologically intact individuals completed a speech task under AAF. The task involved producing speech vowel sounds under the real-time pitch-shifted auditory feedback alteration. This task provided an objective measure for each individual's ability to compensate for mismatch (error) in speech auditory feedback. Results indicated that compensatory speech responses to AAF were significantly diminished in participants with aphasia compared with control. We observed that within the aphasic group, subjects with lower scores on the speech repetition task exhibited greater degree of diminished responses. Lesion-symptom-mapping analysis revealed that the onset phase (50-150 ms) of diminished AAF responses were predicted by damage to auditory cortical regions within the superior and middle temporal gyrus, whereas the rising phase (150-250 ms) and the peak (250-350 ms) of diminished AAF responses were predicted with damage to the inferior frontal gyrus and supramarginal gyrus areas, respectively. These findings suggest that damage to the auditory, motor, and auditory-motor integration networks are associated with impaired sensorimotor function for speech error processing. We suggest that a sensorimotor integration network, as revealed by brain regions related to temporal specific components of AAF responses, is related to speech processing and specific aspects of speech impairment, notably repetition deficits, in individuals with aphasia.

The predictive coding model suggests that neural processing of sensory information is facilitated for temporally-predictable stimuli. This study investigated how temporal processing of visually-presented sensory cues modulates movement reaction time and neural activities in speech and hand motor systems. Event-related potentials (ERPs) were recorded in 13 subjects while they were visually-cued to prepare to produce a steady vocalization of a vowel sound or press a button in a randomized order, and to initiate the cued movement following the onset of a go signal on the screen. Experiment was conducted in two counterbalanced blocks in which the time interval between visual cue and go signal was temporally-predictable (fixed delay at 1000 ms) or unpredictable (variable between 1000 and 2000 ms). Results of the behavioral response analysis indicated that movement reaction time was significantly decreased for temporally-predictable stimuli in both speech and hand modalities. We identified premotor ERP activities with a left-lateralized parietal distribution for hand and a frontocentral distribution for speech that were significantly suppressed in response to temporally-predictable compared with unpredictable stimuli. The premotor ERPs were elicited approximately -100 ms before movement and were significantly correlated with speech and hand motor reaction times only in response to temporally-predictable stimuli. These findings suggest that the motor system establishes a predictive code to facilitate movement in response to temporally-predictable sensory stimuli. Our data suggest that the premotor ERP activities are robust neurophysiological biomarkers of such predictive coding mechanisms. These findings provide novel insights into the temporal processing mechanisms of speech and hand motor systems.

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