Functional neuroimaging studies have converged on a core network of brain regions that supports speech production, but the sublexical processing stages performed by the different parts of this network remain unclear. Using an fMRI adaptation paradigm and quantitative analysis of patterns of activation rather than contrast subtractions alone, we were able to identify a set of neural substrates predominantly engaged in phonemic, syllabic, and supra-syllabic levels of processing during speech. Phoneme-level processes were found in the left SMA, pallidum, posterior superior temporal gyrus, and superior lateral cerebellum. Syllable-level processes were found in left ventral premotor cortex, and supra-syllabic processes related to phonological chunking were found in the right superior lateral cerebellum. Active regions that were not sensitive to sublexical manipulations included primary motor and auditory cortical areas, and medial cerebellum. These results offer a quantitative technique for localizing sublexical neural processes that are difficult to dissociate using non-invasive imaging techniques and provide the beginnings of a "brain map" for language output.

Impairments in language and communication are core features of Autism Spectrum Disorder (ASD), and a substantial percentage of children with ASD do not develop speech. ASD is often characterized as a disorder of brain connectivity, and a number of studies have identified white matter impairments in affected individuals. The current study investigated white matter integrity in the speech network of high-functioning adults with ASD. Diffusion tensor imaging (DTI) scans were collected from 18 participants with ASD and 18 neurotypical participants. Probabilistic tractography was used to estimate the connection strength between ventral premotor cortex (vPMC), a cortical region responsible for speech motor planning, and five other cortical regions in the network of areas involved in speech production. We found a weaker connection between the left vPMC and the supplementary motor area in the ASD group. This pathway has been hypothesized to underlie the initiation of speech motor programs. Our results indicate that a key pathway in the speech production network is impaired in ASD, and that this impairment can occur even in the presence of normal language abilities. Therapies that result in normalization of this pathway may hold particular promise for improving speech output in ASD.

Speech production is marked by rapid, coordinated movements of the vocal articulators. This is an impressive feat given the large number of muscles involved in producing even the simplest monosyllable. Yet, fluent speakers meet these demands with relative ease, producing as many as four to seven syllables per second. By 2 years of age, children learning American English have typically mastered the fine articulatory distinctions that differentiate the consonants /b/ and /d/ and the fine timing control that differentiates /b/ and /p/. By grade school they have mastered nearly the full inventory of phonemes, which they can combine in any syllable structure to produce long, complex, intelligible utterances. This article explores how the integration of auditory and somatosensory feedback with motor commands contributes to learning and maintaining these skills.

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