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1.
J Speech Lang Hear Res ; 62(4S): 1188-1202, 2019 04 26.
Article in English | MEDLINE | ID: mdl-31026192

ABSTRACT

Purpose We aim to identify the possible sources for age-related differences in the perception of emotion in speech, focusing on the distinct roles of semantics (words) and prosody (tone of speech) and their interaction. Method We implement the Test for Rating of Emotions in Speech ( Ben-David, Multani, Shakuf, Rudzicz, & van Lieshout, 2016 ). Forty older and 40 younger adults were presented with spoken sentences made of different combinations of 5 emotional categories (anger, fear, happiness, sadness, and neutral) presented in the prosody and semantics. In separate tasks, listeners were asked to attend to the sentence as a whole, integrating both speech channels, or to focus on 1 channel only (prosody/semantics). Their task was to rate how much they agree the sentence is conveying a predefined emotion. Results (a) Identification of emotions: both age groups identified presented emotions. (b) Failure of selective attention: both age groups were unable to selectively attend to 1 channel when instructed, with slightly larger failures for older adults. (c) Integration of channels: younger adults showed a bias toward prosody, whereas older adults showed a slight bias toward semantics. Conclusions Three possible sources are suggested for age-related differences: (a) underestimation of the emotional content of speech, (b) slightly larger failures to selectively attend to 1 channel, and (c) different weights assigned to the 2 speech channels.


Subject(s)
Age Factors , Aging/psychology , Emotions/physiology , Semantics , Speech Perception/physiology , Adult , Aged , Attention , Female , Humans , Male , Speech Acoustics
2.
Crim Behav Ment Health ; 29(2): 94-110, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30916846

ABSTRACT

BACKGROUND: Several variables have been evidenced for their association with violent reoffending. Resultant interventions have been suggested, yet the rate of recidivism remains high. Alexithymia, characterised by deficits in emotion processing and verbal expression, might interact with these other risk factors to affect outcomes. AIM: Our goal was to examine the role of alexithymia as a possible moderator of risk factors for violent offender recidivism. Our hypothesis was that, albeit with other risk factors, alexithymia increases the risk of violent reoffending. METHOD: We conducted a systematic literature review, using terms for alexithymia and violent offending and their intersection. RESULTS: (a) No study that directly tests the role of alexithymia in conjunction with other potential risk factors for recidivism and actual violent recidivism was uncovered. (b) Primarily alexithymia researchers and primarily researchers into violence have separately found several clinical features in common between aspects of alexithymia and violence, such as impulsivity (total n = 24 studies). (c) Other researchers have established a relationship between alexithymia and both dynamic and static risk factors for violent recidivism (n = 16 studies). CONCLUSION: Alexithymia may be a possible moderator of risk of violent offence recidivism. Supplementing offenders' rehabilitation efforts with assessments of alexithymia may assist in designing individually tailored interventions to promote desistance among violent offenders.


Subject(s)
Affective Symptoms , Crime/statistics & numerical data , Criminals/psychology , Emotions , Recidivism , Violence/psychology , Aggression/psychology , Humans , Male , Recurrence , Risk Assessment , Risk Factors , Violence/statistics & numerical data
3.
Exp Brain Res ; 235(8): 2495-2510, 2017 08.
Article in English | MEDLINE | ID: mdl-28516196

ABSTRACT

Speech is a complex oral motor function that involves multiple articulators that need to be coordinated in space and time at relatively high movement speeds. How this is accomplished remains an important and largely unresolved empirical question. From a coordination dynamics perspective, coordination involves the assembly of coordinative units that are characterized by inherently stable coupling patterns that act as attractor states for task-specific actions. In the motor control literature, one particular model formulated by Haken et al. (Biol Cybern 51(5):347-356, 1985) or HKB has received considerable attention in the way it can account for changes in the nature and stability of specific coordination patterns between limbs or between limbs and external stimuli. In this model (and related versions), movement amplitude is considered a critical factor in the formation of these patterns. Several studies have demonstrated its role for bimanual coordination and similar types of tasks, but for speech motor control such studies are lacking. The current study describes a systematic approach to evaluate the impact of movement amplitude and movement duration on coordination stability in the production of bilabial and tongue body gestures for specific vowel-consonant-vowel strings. The vowel combinations that were used induced a natural contrast in movement amplitude at three speaking rate conditions (slow, habitual, fast). Data were collected on ten young adults using electromagnetic articulography, recording movement data from lips and tongue with high temporal and spatial precision. The results showed that with small movement amplitudes there is a decrease in coordination stability, independent from movement duration. These findings were found to be robust across all individuals and are interpreted as further evidence that principles of coupling dynamics operate in the oral motor control system similar to other motor systems and can be explained in terms of coupling mechanisms between neural oscillators (organized in networks) and effector systems. The relevance of these findings for understanding motor control issues in people with speech disorders is discussed as well.


Subject(s)
Gestures , Movement/physiology , Psychomotor Performance/physiology , Speech/physiology , Acoustic Stimulation , Adolescent , Adult , Analysis of Variance , Biomechanical Phenomena , Female , Humans , Male , Speech Production Measurement , Young Adult
4.
J Fluency Disord ; 49: 1-12, 2016 09.
Article in English | MEDLINE | ID: mdl-27638188

ABSTRACT

Purpose: Fluency assessment in people who stutter (PWS) includes reading aloud passages. There is little information on properties of these passages that may affect reading performance: emotional valance, arousal, word familiarity and frequency and passage-readability. Our first goal was to present an extensive examination of these factors in three commonly used ("traditional") passages. The second goal was to compare a traditional passage to a new passage, designed to minimize the impact of these properties. Methods: Content words were rated (129 participants) on arousal, valence and familiarity. Other linguistic features were analyzed based on available datasets. This information was used to assess traditional passages, and to construct a new well-balanced passage, made of neutral, low-arousal and highly-familiar words. Readability for all passages was tested using formula-based and CLOZE tests (31 participants). Finally, 26 PWS were evaluated on fluency comparing the commonly used "Rainbow" passage with the novel one. Results: The three traditional passages contain a share of emotionally valenced (22-34%), high arousal (15-18%), lower familiarity (6-8%) and polysyllabic (5-9%) content words. Readability was highest for the novel passage (on formula-based scales). Average disfluencies percent for the Rainbow and our novel passage were not significantly different. Yet half of the individuals in this sample showed a large difference between the two passages. Conclusion: We provide detailed information on potential sources of variance using the traditional passages. Knowledge about these characteristics can inform clinical practice (and research). We suggest a combined procedure, using more than one passage to assess stuttering in individual cases.


Subject(s)
Emotions/physiology , Linguistics/methods , Reading , Female , Humans , Male , Research Design
5.
J Speech Lang Hear Res ; 59(1): 72-89, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26903033

ABSTRACT

PURPOSE: Our aim is to explore the complex interplay of prosody (tone of speech) and semantics (verbal content) in the perception of discrete emotions in speech. METHOD: We implement a novel tool, the Test for Rating of Emotions in Speech. Eighty native English speakers were presented with spoken sentences made of different combinations of 5 discrete emotions (anger, fear, happiness, sadness, and neutral) presented in prosody and semantics. Listeners were asked to rate the sentence as a whole, integrating both speech channels, or to focus on one channel only (prosody or semantics). RESULTS: We observed supremacy of congruency, failure of selective attention, and prosodic dominance. Supremacy of congruency means that a sentence that presents the same emotion in both speech channels was rated highest; failure of selective attention means that listeners were unable to selectively attend to one channel when instructed; and prosodic dominance means that prosodic information plays a larger role than semantics in processing emotional speech. CONCLUSIONS: Emotional prosody and semantics are separate but not separable channels, and it is difficult to perceive one without the influence of the other. Our findings indicate that the Test for Rating of Emotions in Speech can reveal specific aspects in the processing of emotional speech and may in the future prove useful for understanding emotion-processing deficits in individuals with pathologies.


Subject(s)
Emotions , Psycholinguistics , Semantics , Speech Perception , Female , Humans , Language Tests , Male , Models, Psychological , Pattern Recognition, Physiological , Psychological Tests , Young Adult
8.
J Alzheimers Dis ; 38(4): 923-38, 2014.
Article in English | MEDLINE | ID: mdl-24100125

ABSTRACT

Selective attention, an essential part of daily activity, is often impaired in people with Alzheimer's disease (AD). Usually, it is measured by the color-word Stroop test. However, there is no universal agreement whether performance on the Stroop task changes significantly in AD patients; or if so, whether an increase in Stroop effects reflects a decrease in selective attention, a slowing in generalized speed of processing (SOP), or is the result of degraded color-vision. The current study investigated the impact of AD on Stroop performance and its potential sources in a meta-analysis and mathematical modeling of 18 studies, comparing 637 AD patients with 977 healthy age-matched participants. We found a significant increase in Stroop effects for AD patients, across studies. This AD-related change was associated with a slowing in SOP. However, after correcting for a bias in the distribution of latencies, SOP could only explain a moderate portion of the total variance (25%). Moreover, we found strong evidence for an AD-related increase in the latency difference between naming the font-color and reading color-neutral stimuli (r2 = 0.98). This increase in the dimensional imbalance between color-naming and word-reading was found to explain a significant portion of the AD-related increase in Stroop effects (r2 = 0.87), hinting on a possible sensory source. In conclusion, our analysis highlights the importance of controlling for sensory degradation and SOP when testing cognitive performance and, specifically, selective attention in AD patients. We also suggest possible measures and tools to better test for selective attention in AD.


Subject(s)
Alzheimer Disease/diagnosis , Alzheimer Disease/psychology , Attention/physiology , Color Perception/physiology , Reaction Time/physiology , Stroop Test , Humans
10.
J Speech Lang Hear Res ; 55(1): 262-75, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22199186

ABSTRACT

PURPOSE: To explore the influence of taste and trigeminal irritation (chemesthesis) on durational aspects of tongue movement in liquid swallowing, controlling for the influence of perceived taste intensity. METHOD: Electromagnetic midsagittal articulography was used to trace tongue movements during discrete liquid swallowing with 5 liquids: water, 3 moderate concentration tastants without odor (sweet, sour, sweet-sour), and a high concentration of citric acid (sour taste plus chemesthesis). Participants were 33 healthy adults in 2 gender-balanced, age-stratified groups (under/over 50). Perceived taste intensity was measured using the Generalized Labeled Magnitude Scale (Bartoshuk, 2000; Bartoshuk et al., 2004). Tongue movement sequencing and durations of the composite tongue movement envelope and component events (rise phase, location of first movement peak, release phase) were calculated. RESULTS: No obligate sequence of tongue segment movement was observed. Overall durations and the timing of the first movement peak were significantly longer with water than with the moderate concentration of sweet-sour liquid. Perceived taste intensity did not modulate stimulus effects in a significant way. The expected pattern of shorter movement durations with the high concentration of citric acid was not seen. CONCLUSIONS: A chemesthetic-taste stimulus of high citric acid did not influence the durations of tongue movements compared with those seen during the swallowing of moderate concentration tastants and water.


Subject(s)
Deglutition/drug effects , Movement/drug effects , Taste/physiology , Tongue/physiology , Trigeminal Nerve/drug effects , Adaptation, Physiological , Adult , Age Factors , Aged , Drinking , Female , Flavoring Agents/pharmacology , Humans , Male , Reference Values , Taste/drug effects , Tongue/drug effects , Trigeminal Nerve/physiology
11.
Mov Disord ; 26(9): 1725-9, 2011 Aug 01.
Article in English | MEDLINE | ID: mdl-21542018

ABSTRACT

BACKGROUND: Patients with Parkinson's disease often suffer from swallowing problems, especially at more advanced stages of the disease. Efficient swallows require well-coordinated tongue movements during bolus flow, but little is known about such movements in Parkinson's disease. METHODS: The current study presents data on tongue movements for patients with mild to moderate Parkinson's disease (n=10), age-matched adults (n=13), and younger healthy adults (n=15). RESULTS: Participants with Parkinson's disease showed smaller and more variable movements in the horizontal movement plane, indicating that tongue movements are affected in early stages of Parkinson's disease. CONCLUSIONS: The small and more variable movements in the horizontal plane of Patients with Parkinson's disease may pose challenges for swallowing liquids efficiently and safely.


Subject(s)
Deglutition Disorders/etiology , Deglutition Disorders/pathology , Parkinson Disease/complications , Tongue/physiopathology , Age Factors , Aged , Biomechanical Phenomena , Case-Control Studies , Electromyography , Female , Humans , Male , Middle Aged , Movement/physiology
12.
J Int Neuropsychol Soc ; 17(2): 354-63, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21320377

ABSTRACT

The color word Stroop test is the most common tool used to assess selective attention in persons with traumatic brain injury (TBI). A larger Stroop effect for TBI patients, as compared to controls, is generally interpreted as reflecting a decrease in selective attention. Alternatively, it has been suggested that this increase in Stroop effects is influenced by group differences in generalized speed of processing (SOP). The current study describes an overview and meta-analysis of 10 studies, where persons with TBI (N = 324) were compared to matched controls (N = 501) on the Stroop task. The findings confirmed that Stroop interference was significantly larger for TBI groups (p = .008). However, these differences may be strongly biased by TBI-related slowdown in generalized SOP (r² = .81 in a Brinley analysis). We also found that TBI-related changes in sensory processing may affect group differences. Mainly, a TBI-related increase in the latency difference between reading and naming the font color of a color-neutral word (r² = .96) was linked to Stroop effects. Our results suggest that, in using Stroop, it seems prudent to control for both sensory factors and SOP to differentiate potential changes in selective attention from other changes following TBI.


Subject(s)
Attention/physiology , Cognition Disorders/diagnosis , Color Perception/physiology , Reaction Time/physiology , Stroop Test , Brain Injuries/complications , Cognition Disorders/etiology , Databases, Bibliographic/statistics & numerical data , Humans , Names , Neuropsychological Tests
13.
Brain Inj ; 25(2): 206-20, 2011.
Article in English | MEDLINE | ID: mdl-21117915

ABSTRACT

PRIMARY OBJECTIVE: The ability to identify emotions in spoken language is an essential component of communication and could be disrupted in persons with brain injury. Current tools to assess this function show important shortcomings. The aim is to present a set of validated and linguistically equated lexical sentences that can be used to separate the impact of lexical content and prosody on the processing of emotion in speech in persons with brain injury. METHODS AND PROCEDURES: Using six-point Likert scales, a set of 125 sentences, carefully matched for linguistic variables, were rated by a group of young adults (n = 48) on their suitability to represent a particular emotion (anger, fear, happiness and sadness) in their lexical content. MAIN OUTCOMES AND RESULTS: The findings identified a set of 50 sentences that were reliably associated with one particular emotion only or no emotion at all (neutral). Using less stringent criteria, 94 sentences were also found to be good representatives for these affective categories. CONCLUSIONS: The findings generated a robust set of validated lexical stimuli necessary to reliably identify the specific contributions of verbal and prosodic information on difficulties in identifying emotions in speech with persons with brain injury.


Subject(s)
Affective Symptoms/psychology , Emotions/physiology , Language Tests/standards , Adolescent , Adult , Affective Symptoms/diagnosis , Female , Humans , Male , Psycholinguistics , Speech Perception , Young Adult
14.
Dysphagia ; 24(2): 152-8, 2009 Jun.
Article in English | MEDLINE | ID: mdl-18841414

ABSTRACT

To understand disordered physiology, it is first necessary to determine what constitutes normal function. Liquid sip size during swallowing in healthy individuals has been investigated with varied results. Bolus size is a variable that is manipulated in both research studies and clinical swallowing assessments, so defining normal sip size has relevance in both domains. This study looked at sip size under instruction in experimental tasks and compared it to sip size in free drinking while participants were unaware that drinking was being observed. A statistically significant difference was found in water sip volume between natural drinking (mean = 16 ml) and instructed experimental drinking tasks (mean = 6.6-6.8 ml). This difference far exceeded the magnitude of sip-size variation observed between instructed drinking tasks using different stimuli and as a function of participant's gender or age group.


Subject(s)
Deglutition Disorders , Deglutition , Drinking Behavior , Adult , Analysis of Variance , Female , Humans , Male
15.
Dysphagia ; 23(1): 33-46, 2008 Mar.
Article in English | MEDLINE | ID: mdl-17701249

ABSTRACT

Previous literature on tongue-jaw relationships during swallowing has focused on behaviors observed with chewable solid foods. The present investigation was undertaken to evaluate both the nature and stability of coordinative relationships between the jaw and three points located along the midsagittal groove of the tongue--anterior (blade), middle (body), and posterior (dorsum)--during swallowing of thin and honey-thick liquids. A reiterative swallowing paradigm was used, with two task conditions (discrete and sequential), to explore the stability of tongue-jaw coordination across different frequencies of swallowing. Eight healthy participants in two age groups (young, older) performed sets of repeated swallows. Tongue and jaw movements were measured using electromagnetic midsagittal articulography. The data were analyzed in terms of variability in the spatiotemporal movement pattern for each fleshpoint of interest, and the temporal coupling (frequency entrainment) and relative phasing of movement for each tongue segment compared to the mandible. The results illustrate a stereotypical but not invariant sequence of movement phasing in the tongue-jaw complex during liquid swallowing and task-related reductions in variability at higher frequencies of swallowing in tongue dorsum movements. This evidence supports the idea that different segments of the tongue couple with the jaw as a synergy for swallowing, but can modify their coupling relationship to accommodate task demands.


Subject(s)
Beverages , Deglutition/physiology , Jaw/physiology , Tongue/physiology , Adult , Age Factors , Aged , Deglutition Disorders/physiopathology , Female , Humans , Male , Middle Aged , Pilot Projects
16.
Clin Linguist Phon ; 21(3): 159-88, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17364624

ABSTRACT

Apraxia of speech (AOS) is typically described as a motor-speech disorder with clinically well-defined symptoms, but without a clear understanding of the underlying problems in motor control. A number of studies have compared the speech of subjects with AOS to the fluent speech of controls, but only a few have included speech movement data and if so, this was primarily restricted to the study of single articulators. If AOS reflects a basic neuromotor dysfunction, this should somehow be evident in the production of both dysfluent and perceptually fluent speech. The current study compared motor control strategies for the production of perceptually fluent speech between a young woman with apraxia of speech (AOS) and Broca's aphasia and a group of age-matched control speakers using concepts and tools from articulation-based theories. In addition, to examine the potential role of specific movement variables on gestural coordination, a second part of this study involved a comparison of fluent and dysfluent speech samples from the speaker with AOS. Movement data from the lips, jaw and tongue were acquired using the AG-100 EMMA system during the reiterated production of multisyllabic nonwords. The findings indicated that although in general kinematic parameters of fluent speech were similar in the subject with AOS and Broca's aphasia to those of the age-matched controls, speech task-related differences were observed in upper lip movements and lip coordination. The comparison between fluent and dysfluent speech characteristics suggested that fluent speech was achieved through the use of specific motor control strategies, highlighting the potential association between the stability of coordinative patterns and movement range, as described in Coordination Dynamics theory.


Subject(s)
Aphasia, Broca/diagnosis , Aphasia, Broca/physiopathology , Apraxias/diagnosis , Apraxias/physiopathology , Gestures , Adult , Biomechanical Phenomena , Female , Functional Laterality/physiology , Humans , Neuropsychological Tests , Severity of Illness Index
17.
Int J Orofacial Myology ; 33: 5-18, 2007 Nov.
Article in English | MEDLINE | ID: mdl-18942477

ABSTRACT

Current literature on oral motor control reports contradictory findings regarding physiological, functional and sensory changes that occur in the muscles of the tongue with normal aging. It has been suggested that the high level of activity required of tongue muscles in mastication and speech may play a role in preserving them when other skeletal muscles are more likely to show functional effects of such changes. To test whether indeed tongue movements remain unaltered in both speech and swallowing tasks as a function of aging, kinematic measures of tongue dorsum movements were taken as 21 healthy young (20-30) and older (65-74) adults performed repeated iterations of speech tasks and a sequential water swallowing task. Tongue motion was recorded using electromagnetic articulography and from these data information was extracted with respect to movement range, duration, and variability. The findings suggest that in general tongue movements for swallowing were slower and more variable than for speech, and most importantly, more variable among older than younger participants. As well, the findings show that aging does influence the nature of tongue motions, in particular by inducing a more extreme distinction in the variability of movements for speech (less variable) and swallowing (more variable) tasks.


Subject(s)
Aging/physiology , Deglutition/physiology , Speech/physiology , Tongue/physiology , Adult , Aged , Cohort Studies , Drinking/physiology , Electrodiagnosis/instrumentation , Electromagnetic Phenomena , Female , Humans , Male , Movement , Phonetics , Sex Factors , Signal Processing, Computer-Assisted , Time Factors , Young Adult
18.
Am J Speech Lang Pathol ; 14(1): 27-39, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15962845

ABSTRACT

The validity of videofluoroscopic swallowing assessments rests on the understanding that thin, nectar-, honey-, and spoon-thick radiopaque liquids resemble nonopaque liquids, both in their consistency and in the variations in swallowing that they elicit. Tongue movements during sequential swallows of opaque and nonopaque liquids were studied in 8 healthy participants in 2 age groups (<30 years, >50 years) using electromagnetic midsagittal articulography. Differences included smaller sip size, longer oropharyngeal transit times, and greater variability in tongue movement patterns with opaque liquids compared to nonopaque liquids, but effect sizes for these differences were small. Transit times were significantly longer for older participants than younger participants. We recommend matching radiopaque bolus size in videofluoroscopy to the patient's habitually preferred sip mass for comparator nonopaque liquids.


Subject(s)
Barium Sulfate/pharmacology , Contrast Media/pharmacology , Deglutition/physiology , Movement/drug effects , Tongue/drug effects , Tongue/physiology , Adult , Aged , Aging/physiology , Analysis of Variance , Biomechanical Phenomena , Deglutition/drug effects , Electromagnetic Phenomena , Female , Fluoroscopy , Honey , Humans , Male , Middle Aged , Mouth/physiology , Pharynx/physiology , Reference Values , Sample Size , Time Factors , Tongue/diagnostic imaging , Videotape Recording
19.
J Psychosom Res ; 58(1): 97-102, 2005 Jan.
Article in English | MEDLINE | ID: mdl-15771876

ABSTRACT

OBJECTIVE: The purpose of the present study was to analyze the frequency and type of speech disfluencies in a relatively large group of individuals with Tourette's syndrome (TS) and to compare their results with similar speech data from a control group of unselected individuals. METHOD: Self-report data, as well as conversation and reading samples, were obtained from 69 children diagnosed with TS (mean age=12.49) and 27 control participants (mean age=10.9). RESULTS: Self-report data on fluency difficulties did not reveal significant group differences; however, detailed analysis of fluency during reading and spontaneous speech revealed an overall higher level of more typical (normal) disfluencies in the TS group. No overall differences in less typical (stuttering) disfluencies were observed between the two groups of children. CONCLUSION: Results are discussed in light of previous studies proposing a common aetiology and neuropathological link between TS and developmental stuttering.


Subject(s)
Stuttering/epidemiology , Tourette Syndrome/epidemiology , Adolescent , Child , Child, Preschool , Female , Humans , Language , Male , Severity of Illness Index , Speech Production Measurement , Stuttering/diagnosis , Surveys and Questionnaires
20.
Dysphagia ; 19(3): 192-206, 2004.
Article in English | MEDLINE | ID: mdl-15383949

ABSTRACT

Thickened liquids are a commonly recommended intervention for dysphagia. Previous research has documented differences in temporal aspects of bolus transit for paste versus liquid consistencies; however, the influence of liquid viscosity on tongue movements during swallowing remains unstudied. We report an analysis of the influence of bolus consistency on lingual kinematics during swallowing. Electromagnetic midsagittal articulography was used to trace tongue body and dorsum movement during sequential swallows of three bolus consistencies: thin, nectar-thick, and honey-thick liquids. Rheological profiling was conducted to characterize viscosity and density differences among six liquids (two of each consistency). Eight healthy volunteers participated; four were in a younger age cohort (under age 30) and four were over the age of 50. The primary difference observed across the liquids of interest was a previously unreported phenomenon of sip-mass modulation; both flavor and density appeared to influence sip-sizing behaviors. Additionally, significantly greater variability in lingual movement patterns was observed in the older subject group. Systematic variations in lingual kinematics related to bolus consistency were restricted to the variability of downward tongue dorsum movement. Otherwise, the present analysis failed to find empirical evidence of significant modulations in tongue behaviors across the thin to honey-thick consistency range.


Subject(s)
Deglutition/physiology , Drinking/physiology , Tongue/physiology , Viscosity , Adult , Aged , Beverages , Humans , Middle Aged , Reference Values
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