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An fMRI study of initiation and inhibition of manual and spoken responses in people who stutter

Wiltshire, Charlotte EE; Chesters, Jennifer; Krishnan, Saloni; Cler, Gabriel J; Healy, Máiréad P; Watkins, Kate E; (2025) An fMRI study of initiation and inhibition of manual and spoken responses in people who stutter. Imaging Neuroscience 10.1162/imag.a.89. (In press). Green open access

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Abstract

Stuttering is characterised by difficulties initiating speech and frequent interruptions to the flow of speech. Neuroimaging studies of speech production in people who stutter consistently reveal greater activity of the right inferior frontal cortex, an area robustly implicated in stopping manual and spoken responses. This has been linked to an “overactive response suppression mechanism” in people who stutter. Here, we used fMRI to investigate neural differences related to response initiation and inhibition in people who stutter and matched controls (aged 19-45) during performance of the stop-signal task in both the manual and speech domains. We hypothesised there would be increased activity in an inhibitory network centred on right inferior frontal cortex. Out of scanner behavioural testing revealed that people who stutter were slower than controls to respond to ‘go’ stimuli in both the manual and the speech domains, but the groups did not differ in their stop-signal reaction times in either domain. During the fMRI task, both groups activated the expected networks for the manual and speech tasks. Contrary to our hypothesis, we did not observe differences in task-evoked activity between people who stutter and controls during either ‘go’ or ‘stop’ trials. Targeted region-of-interest analyses in the inferior frontal cortex, the supplementary motor area and the putamen bilaterally confirmed that there were no group differences in activity. These results focus on tasks involving button presses and production of single nonwords, and therefore do not preclude inhibitory involvement related specifically to stuttering events. Our findings indicate that people who stutter do not show behavioural or neural differences in response inhibition, when making simple manual responses and producing fluent speech, contrary to predictions from the global inhibition hypothesis.

Type: Article
Title: An fMRI study of initiation and inhibition of manual and spoken responses in people who stutter
Open access status: An open access version is available from UCL Discovery
DOI: 10.1162/imag.a.89
Publisher version: https://doi.org/10.1162/imag.a.89
Language: English
Additional information: © 2025 The Authors. Published under a Creative Commons Attribution 4.0 International (CC BY 4.0) license (https://creativecommons.org/licenses/by/4.0/legalcode).
Keywords: Functional Magnetic Resonance Imaging Stuttering, Developmental Basal Ganglia Speech Inhibition, Psychological Prefrontal Cortex
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
URI: https://discovery.ucl.ac.uk/id/eprint/10210975
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