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More than a century of research has investigated the etiology of dyslexia, coalescing around ‘phonological awareness’ – the ability to recognize and manipulate phonemes – as a trait typically deficient in reading disorders. Meanwhile, the last few decades of research in neuroscience have highlighted the brain as a predictive organ,

More than a century of research has investigated the etiology of dyslexia, coalescing around ‘phonological awareness’ – the ability to recognize and manipulate phonemes – as a trait typically deficient in reading disorders. Meanwhile, the last few decades of research in neuroscience have highlighted the brain as a predictive organ, which subliminally calibrates sensory expectations according to experience. Do the brains of adults with dyslexia respond differently than those of matched controls to expected tones and unexpected omissions? While auditory oddball paradigms have previously been used to study dyslexia, these studies often interpret group differences to indicate deficit auditory discrimination rather than deficit auditory prediction. The current study takes a step toward fusing theories of predictive coding and dyslexia, finding that event-related potentials related to auditory prediction are attenuated in adults with dyslexia compared with typical controls. It further suggests that understanding dyslexia, and perhaps other psychiatric disorders, in terms of contributory neural systems will elucidate shared and distinct etiologies.
ContributorsBennett, Augustin (Author) / Peter, Beate (Thesis advisor) / Daliri, Ayoub (Committee member) / Goldinger, Stephen (Committee member) / Arizona State University (Publisher)
Created2023
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Description
Studies using transcranial direct current stimulation (tDCS) to enhance motor training areoften irreproducible. This may be partly due to differences in stimulation parameters across studies, but it is also plausible that uncontrolled placebo effects may interact with the true ‘treatment’ effect of tDCS. Thus, the purpose of this study was to test

Studies using transcranial direct current stimulation (tDCS) to enhance motor training areoften irreproducible. This may be partly due to differences in stimulation parameters across studies, but it is also plausible that uncontrolled placebo effects may interact with the true ‘treatment’ effect of tDCS. Thus, the purpose of this study was to test whether there was a placebo effect of tDCS on motor training and to identify possible mechanisms of such an effect. Fifty-one participants (age: 22.2 ± 4.16; 26 F) were randomly assigned to one of three groups: active anodal tDCS (n=18), sham tDCS (n=18), or no stimulation control (n=15). Participant expectations about how much tDCS could enhance motor function and their general suggestibility were assessed. Participants then completed 30 trials of functional upper extremity motor training with or without online tDCS. Stimulation (20-min, 2mA) was applied to the right primary motor cortex (C4) in a double-blind, sham-controlled fashion, while the control group was unblinded and not exposed to any stimulation. Following motor training, expectations about how much tDCS could enhance motor function were assessed again for participants in the sham and active tDCS groups only. Results showed no effect of active tDCS on motor training (p=.67). However, there was a significant placebo effect, such that the collapsed sham and active tDCS groups improved more during motor training than the control group (p=.02). This placebo effect was significantly influenced by post-training expectations about tDCS (p=.0004). Thus, this exploratory study showed that there is a measurable placebo effect of tDCS on motor training, likely driven by participants’ perceptions of whether they received stimulation. Future studies should consider placebo effects of tDCS and identify their underlying mechanisms in order to leverage them in clinical care.
ContributorsHAIKALIS, NICOLE (Author) / Schaefer, Sydney Y (Thesis advisor) / Honeycutt, Claire (Committee member) / Daliri, Ayoub (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Parkinson’s Disease is one of the most complicated and abundantneurodegenerative diseases in the world. Previous analysis of Parkinson’s disease has identified both speech and gait deficits throughout progression of the disease. There has been minimal research looking into the correlation between both the speech and gait deficits in those diagnosed with Parkinson’s. There

Parkinson’s Disease is one of the most complicated and abundantneurodegenerative diseases in the world. Previous analysis of Parkinson’s disease has identified both speech and gait deficits throughout progression of the disease. There has been minimal research looking into the correlation between both the speech and gait deficits in those diagnosed with Parkinson’s. There is high indication that there is a correlation between the two given the similar pathology and origins of both deficits. This exploratory study aims to establish correlation between both the gait and speech deficits in those diagnosed with Parkinson’s disease. Using previously identified motor and speech measurements and tasks, I conducted a correlational study of individuals with Parkinson’s disease at baseline. There were correlations between multiple speech and gait variability outcomes. The expected correlations ranged from average harmonics-to-noise ratio values against anticipatory postural adjustments-lateral peak distance to average shimmer values against anticipatory postural adjustments-lateral peak distance. There were also unexpected outcomes that ranged from F2 variability against the average number of steps in a turn to intensity variability against step duration variability. I also analyzed the speech changes over 1 year as a secondary outcome of the study. Finally, I found that averages and variabilities increased over 1 year regarding speech primary outcomes. This study serves as a basis for further treatment that may be able to simultaneously treat both speech and gait deficits in those diagnosed with Parkinson’s. The exploratory study also indicates multiple targets for further investigation to better understand cohesive and compensatory mechanisms.
ContributorsBelnavis, Alexander Salvador (Author) / Peterson, Daniel (Thesis advisor) / Daliri, Ayoub (Committee member) / Berisha, Visar (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Speech and music are traditionally thought to be primarily supported by different hemispheres. A growing body of evidence suggests that speech and music often rely on shared resources in bilateral brain networks, though the right and left hemispheres exhibit some domain-specific specialization. While there is ample research investigating speech deficits

Speech and music are traditionally thought to be primarily supported by different hemispheres. A growing body of evidence suggests that speech and music often rely on shared resources in bilateral brain networks, though the right and left hemispheres exhibit some domain-specific specialization. While there is ample research investigating speech deficits in individuals with right hemisphere lesions and amusia, fewer investigate amusia in individuals with left hemisphere lesions and aphasia. Many of the fronto-temporal-parietal regions in the left hemisphere commonly associated with speech processing and production are also implicated in bilateral music processing networks. The current study investigates the relationship between damage to specific regions of interest within these networks, and an individual’s ability to successfully match the pitch and rhythm of a presented melody. Twenty-seven participants with chronic-stroke lesions were given a melody repetition task to hum short novel piano melodies. Participants underwent structural MRI acquisition and were administered an extensive speech and cognitive battery. Pitch and rhythm scores were calculated by correlating participant responses and target piano notes. Production errors were calculated by counting trials with responses that don’t match the target melody’s note count. Overall, performance varied widely, and rhythm scores were significantly correlated. Working memory scores were significantly correlated with rhythm scores and production errors, but not pitch scores. Broca’s area lesions were not associated with significant differences in any of the melody repetition measures, while left Heschl’s gyrus lesions were associated with worse performance on pitch, rhythm, and production errors. Lower rhythm scores were associated with lesions including both the left anterior and posterior superior temporal gyrus, and in participants with damage to the left planum temporale. The other regions of interest were not consistently associated with poorer pitch scores or production errors. Although the present study does have limitations, the current study suggests lesions to left hemisphere regions thought to only affect speech also affect musical pitch and rhythm processing. Therefore, amusia should not be characterized solely as a right hemisphere disorder. Instead, musical abilities of individuals with left hemisphere stroke and aphasia should be characterized to better understand their deficits and mechanisms of impairment.
ContributorsWojtaszek, Mallory (Author) / Rogalsky, Corianne (Thesis advisor) / Daliri, Ayoub (Committee member) / Patten, Kristopher (Committee member) / Arizona State University (Publisher)
Created2022
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Description
The brain uses the somatosensory system to interact with the environment and control movements. Additionally, many movement disorders are associated with deficits in the somatosensory sensory system. Thus, understanding the somatosensory system is essential for developing treatments for movement disorders. Previous studies have extensively examined the role of the somatosensory

The brain uses the somatosensory system to interact with the environment and control movements. Additionally, many movement disorders are associated with deficits in the somatosensory sensory system. Thus, understanding the somatosensory system is essential for developing treatments for movement disorders. Previous studies have extensively examined the role of the somatosensory system in controlling the lower and upper extremities; however, little is known about the contributions of the orofacial somatosensory system. The overall goal of this study was to determine factors that influence the sensitivity of the orofacial somatosensory system. To measure the somatosensory system's sensitivity, transcutaneous electrical current stimulation was applied to the skin overlaying the trigeminal nerve on the lower portion of the face. After applying stimulation, participants' sensitivity was determined through the detection of the electrical stimuli (i.e., perceptual threshold). The data analysis focused on the impact of (1) stimulation parameters, (2) electrode placement, and (3) motor tasks on the perceptual threshold. The results showed that, as expected, stimulation parameters (such as stimulation frequency and duration) influenced perceptual thresholds. However, electrode placement (left vs. right side of the face) and motor tasks (lip contraction vs. rest) did not influence perceptual thresholds. Overall, these findings have important implications for designing and developing therapeutic neuromodulation techniques based on trigeminal nerve stimulation.
ContributorsKhoury, Maya Elie (Author) / Daliri, Ayoub (Thesis advisor) / Patten, Jake (Committee member) / Liss, Julie (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Stroke is the leading cause of long-term disability in the U.S., with up to 60% of strokescausing speech loss. Individuals with severe stroke, who require the most frequent, intense speech therapy, often cannot adhere to treatments due to high cost and low success rates. Therefore, the ability to make functionally

Stroke is the leading cause of long-term disability in the U.S., with up to 60% of strokescausing speech loss. Individuals with severe stroke, who require the most frequent, intense speech therapy, often cannot adhere to treatments due to high cost and low success rates. Therefore, the ability to make functionally significant changes in individuals with severe post- stroke aphasia remains a key challenge for the rehabilitation community. This dissertation aimed to evaluate the efficacy of Startle Adjuvant Rehabilitation Therapy (START), a tele-enabled, low- cost treatment, to improve quality of life and speech in individuals with severe-to-moderate stroke. START is the exposure to startling acoustic stimuli during practice of motor tasks in individuals with stroke. START increases the speed and intensity of practice in severely impaired post-stroke reaching, with START eliciting muscle activity 2-3 times higher than maximum voluntary contraction. Voluntary reaching distance, onset, and final accuracy increased after a session of START, suggesting a rehabilitative effect. However, START has not been evaluated during impaired speech. The objective of this study is to determine if impaired speech can be elicited by startling acoustic stimuli, and if three days of START training can enhance clinical measures of moderate to severe post-stroke aphasia and apraxia of speech. This dissertation evaluates START in 42 individuals with post-stroke speech impairment via telehealth in a Phase 0 clinical trial. Results suggest that impaired speech can be elicited by startling acoustic stimuli and that START benefits individuals with severe-to-moderate post-stroke impairments in both linguistic and motor speech domains. This fills an important gap in aphasia care, as many speech therapies remain ineffective and financially inaccessible for patients with severe deficits. START is effective, remotely delivered, and may likely serve as an affordable adjuvant to traditional therapy for those that have poor access to quality care.
ContributorsSwann, Zoe Elisabeth (Author) / Honeycutt, Claire F (Thesis advisor) / Daliri, Ayoub (Committee member) / Rogalsky, Corianne (Committee member) / Liss, Julie (Committee member) / Schaefer, Sydney (Committee member) / Arizona State University (Publisher)
Created2022