Cover Image: January 2012 Scientific American Magazine See Inside

Stuttering Reflects Irregularities in Brain Setup

A stutter indicates a massive change in brain wiring that affects more than just speech














Share on Tumblr

Put on a pair of headphones and turn up the volume so that you can’t even hear yourself speak. For those who stutter, this is when the magic happens. Without the ability to hear their own voice, people with this speech impediment no longer stumble over their words—as was recently portrayed in the movie The King’s Speech. This simple trick works because of the unusual way the brain of people who stutter is organized—a neural setup that affects other actions besides speech, according to a new study.

Normal speech requires the brain to control movement of the mouth and vocal chords using the sound of the speaker’s own voice as a guide. This integration of movement and hearing typically happens in the brain’s left hemisphere, in a region of the brain known as the premotor cortex. In those who stutter, however, the process occurs in the right hemisphere—prob­ably because of a slight defect on the left side, according to past brain-imaging studies. Singing requires a similar integration of aural input and motor control, but the processing typically occurs in the right hemi­sphere, which may explain why those who stutter can sing as well as anyone else. (In a related vein, The King’s Speech also mentioned the common belief that people who stutter are often left-handed, but studies have found
no such link.)

In the new study, published in the September issue of Cortex, re­searchers found that the unusual neural organization underlying a stutter also includes motor tasks completely unrelated to speech. A group of 30 adults, half of whom stuttered and half of whom did not, tapped a finger in time to a metronome. When the sci­entists interfered with the function of their left hemisphere using trans­cranial magnetic stimulation, a non­invasive technique that temporarily dampens brain activity, nonstutterers found themselves unable to tap in time—but those who stuttered were unaffected. When the researchers interfered with the right hemisphere, the results were reversed: the stut­tering group was impaired, and the nonstutterers were fine.

According to lead author Martin Sommer, a neuroscientist at the University of Göttingen in Germany,the results suggest that the left-hemisphere defect underlying a stutter causes trouble with sensory integra­tion in general, rather than specifically speech-related problems as was his­torically thought. “Like in stroke pa­tients, the right side seems to jump in and compensate,” Sommer ex­plains. But that part of the brain did not evolve to handle those tasks, so problems—such as a stutter—can emerge.


Buy This Issue
If your institution has site license access, enter here.

6 Comments

Add Comment
View
  1. 1. GloriaM 09:28 AM 1/23/12

    How interesting! Just learning more and more about stuttering helps tremendously. This should also help parents who think they might have caused their child to stutter. The Stuttering Foundation with their online videos and marvelous books have been a great help to me. Parents can get help in many ways from their site, too.

    Reply | Report Abuse | Link to this
  2. 2. Jar63 12:55 PM 1/23/12

    Two items:

    Could a young child (~3yo) possibly with apraxia have a left vs right hemisphere problem similar to the problems of a stutter?

    A 'common belief' I had heard that is similar to lefthanders and stuttering is 'when a natural lefthander is switched to righthandedness he is more inclined to developing a speech problem'. I am not aware of any studies for this population, but could the change of dominant handedness go back to a right vs. left hemisphere confusion?

    Reply | Report Abuse | Link to this
  3. 3. AnneSmith 03:22 PM 1/23/12

    Glad you mentioned the Stuttering Foundation, Gloria. They have a DVD of Martin Sommer "Neurophysiology of Stuttering."

    Reply | Report Abuse | Link to this
  4. 4. STRAAG 09:31 AM 1/24/12

    I would like to question the reasoning for stammer free speech being due to not hearing one's own voice. Is it possible that the injected sound acts like a carrier wave to aid a person's speech process,it acts like a vibratory oil which frees up the cogs of the speech mechanism.I relate this to singing,once the vocal chords are vibrating the words flow.A similar affect applies when talking as a group, your speech sits on a transmitted wave of sound and talking isn't a problem. Also in my case,when I stammer, I feel a kind of deafness and I have to fight to get over it.After a speech course in Scotland I found that telephoning became easier because I became aware of my own voice and used it to keep the speech flowing from the reflected vibration.I see a stammerer as a person with a damped vocal system which needs a stimulus, an injection of sound/vibration. A hearing aid device which gives immediate,not delayed stimulus could possibly do this.

    Reply | Report Abuse | Link to this
  5. 5. Horace P. Bogardis 11:07 AM 1/25/12

    The Stuttering Foundation (www.stutteringhelp.org) has a DVD with Dr. Martin Sommer. Very interesting stuff. The Stuttering Foundation website has a fascinating list of famous people who stutter, as well as a "Celebrity Corner" section with in-depth articles on some of these famous people. Some of the people profiled in the articles come from families with strong histories of stuttering that give credence to the genetic basis for the speech problem. One article is on author Lewis Carroll, who came from a family of eleven kids, nine of whom stuttered past childhood. Another is about Dominick Dunne and John Gregory Dunne, brothers who were famous writers. They had an additional brother who stuttered. For so long there has been compelling evidence for the causes of stuttering pointing in the directions of neurological and genetic factors. This article was a joy to read.

    By the way, the website of The Stuttering Foundation provides many free resources to children, adults and parents.

    Reply | Report Abuse | Link to this
  6. 6. rwstutler 03:37 AM 2/5/12

    Interesting. As a child I stuttered, and worked to overcome it. Including going into drama club and acting in school plays. Having "grown out" of stuttering, I wonder if there may be an element of neurological growth or maturation gone wrong in the brains os stutterers, as opposed to a "defect"?

    Reply | Report Abuse | Link to this
Leave this field empty

Add a Comment

You must sign in or register as a ScientificAmerican.com member to submit a comment.
Click one of the buttons below to register using an existing Social Account.

More from Scientific American

Follow Us:

See what we're tweeting about

Scientific American MIND

More »

Free Newsletters


Get the best from Scientific American in your inbox

Solve Innovation Challenges

Powered By: Innocentive

  SA Digital
  SA Digital

Science Jobs of the Week

Email this Article

Stuttering Reflects Irregularities in Brain Setup: Scientific American Mind

X
Scientific American Mind

Subscribe Today

Save 66% off the cover price and get a free gift!

Learn More >>

X

Please Log In

Forgot: Password

X

Account Linking

Welcome, . Do you have an existing ScientificAmerican.com account?

Yes, please link my existing account with for quick, secure access.



Forgot Password?

No, I would like to create a new account with my profile information.

Create Account
X

Report Abuse

Are you sure?

X

Institutional Access

It has been identified that the institution you are trying to access this article from has institutional site license access to Scientific American on nature.com. To access this article in its entirety through site license access, click below.

Site license access
X

Error

X

Share this Article

X