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46 - Speech Rhythm in Stuttering: Perception and Production

from Section 7 - Rhythm in Speech and Language Disabilities

Published online by Cambridge University Press:  23 April 2026

Lars Meyer
Affiliation:
Max Planck Institute for Human Cognitive and Brain Sciences
Antje Strauss
Affiliation:
University of Konstanz

Summary

What is the relation between rhythm and stuttering in speech production/perception? Stuttering is a neurodevelopmental speech disorder that has an impact on the timing and rhythmic flow of production. It is marked by several repetitions, blocks, or lengthening of sounds and syllables that unsettle the rhythm of speech. There is a lot of behavioral and imaging research on speech disruptions; however, the mechanism behind stuttering is still unclear. Speech timing is rhythmically structured. Children who stutter do not easily generate an internal rhythm; they have a worse rhythm discrimination ability than typically developing children. In this chapter we investigate how adults who stutter pace their speech. We illustrate evidence of rhythm perception/production dysfunctions, assessing the hypothesis that neurodevelopmental stuttering is associated with a deficit in temporal processing and rhythmic patterning. Speech rhythm has been quantified using rhythmic measures (especially the pairwise variability index = PVI).

Information

Figure 0

Figure 46.1 Spectrogram: tiers and intervals.Spectrogram illustrating characteristic disfluencies in the speech of a PWS, including prolonged intervals and atypical rhythm patterns. Visible disruptions in speech flow are evidenced by irregular spacing between phonetic elements, reflecting the temporal dynamics of stuttering. Vocalic and intervocalic intervals on tier 5.

Figure 1

Figure 46.2 Spectrogram: stuttering on consonants (speaker B31).Spectrogram of stuttered speech. This visual representation captures the prolonged and repeated articulations typically seen in PWS, such as extended consonant intervals and the irregular vocalic segments, reflecting the disrupted timing and rhythm patterns that challenge the regular speech flow.

Figure 2

Figure 46.3 Spectrogram: stuttering on vowels at the beginning of the utterance (speaker 00001bis).Spectrogram highlighting the pattern of stuttering on vowels at the beginning of an utterance in a person who stutters. The image showcases the characteristic stuttering disfluencies including a high number of repetitions, prolongations, and blocks, illustrating the unique temporal dynamics and rhythm disruptions encountered in stuttered speech.

Figure 3

Table 46.1 Percentage of vocalic intervals, intervocalic intervals, pauses, and hesitations in stuttering and normal speechComparative analysis of vocalic and intervocalic intervals, pauses, and hesitations in stuttered versus normal speech. This table presents the percentages of vocalic intervals (%V) and intervocalic intervals (%C), as well as the proportions of pauses and hesitations, for both PWS and PWNS.

Figure 4

Figure 46.4 Average standard deviation of vocalic intervals, intervocalic intervals, duration of pauses, and duration of hesitations.Variability in speech patterns: comparing standard deviation of speech components between PWS and PWNS. This bar graph quantifies the standard deviation for vocalic intervals, intervocalic intervals, pauses, and hesitations. The data show PWS experience more variability in the duration of pauses and hesitations, indicative of stuttering disfluencies. PWNS show lower standard deviation in both vocalic and intervocalic intervals, indicating more consistent timing. This increased variability in intervocalic intervals among PWS suggests a disruption in speech rhythm typical of stuttering patterns.Figure 46.4 long description.

Figure 5

Figure 46.5 Average duration of speech according to vocalic intervals, intervocalic intervals, pauses, and hesitation.Comparative duration of speech elements in stuttering and normal speech. This bar chart presents the mean durations of vocalic and intervocalic intervals, pauses, and hesitations for both normal speakers and PWS. PWS demonstrate longer and more variable durations for pauses and hesitations, highlighting the temporal disruption characteristic of stuttered speech.Figure 46.5 long description.

Figure 6

Figure 46.6 Effect of speech style: read and spontaneous.Variability in speech components during read and spontaneous speech. The bar graph compares the standard deviation of vocalic and intervocalic intervals, pauses, and hesitations for both PWS and PWNS across read and spontaneous speaking tasks. Notably, PWS exhibit a higher standard deviation in intervocalic intervals than PWNS in both speech contexts, which is indicative of greater timing irregularities during stuttered speech. This variability is more pronounced during spontaneous speech, suggesting that unplanned speaking poses additional challenges for PWS.Figure 46.6 long description.

Figure 7

Figure 46.7 Mean duration of normal and stuttered speech across read and spontaneous tasks.Duration of speech elements in read and spontaneous speech. The bar graph illustrates the average duration of vocalic and intervocalic intervals, pauses, and hesitations for PWS compared to PWNS during read and spontaneous speech. The graph indicates that PWS experience longer and more variable durations of these speech components, especially during spontaneous speech, highlighting the increased challenges faced by PWS in real-time conversational contexts.Figure 46.7 long description.

Figure 8

Figure 46.8 Comparison of speech rates between PWNS and PWS.Speech rate distribution for PWS versus PWNS. This box plot reveals that PWS generally have a slower speech rate than PWNS, as evidenced by the lower median value. The plot also shows a wider range of speech rates among PWS, indicating greater variability within this group.

Figure 9

Figure 46.9 Speech rate: effect of speech style.Speech rate in read and spontaneous speech for PWS and PWNS. The box plots compare speech rates, showing that PWS have a consistently slower speech rate than normal speakers in both read and spontaneous speech modes. The wider spread of rates for PWS during spontaneous speech suggests greater variability in speech production when speaking without a script.Figure 46.9 long description.

Figure 10

Figure 46.10 PVI (raw and normalized) results for all utterances (PWS and PWNS).PVI in read and spontaneous speech for PWNS and PWS. This scatterplot displays individual utterances, comparing vocalic nPVI and intervocalic rPVI. The data points illustrate that PWS, particularly in spontaneous speech, tend to have higher intervocalic rPVI values, signifying greater variability in the timing of their speech and reflecting the rhythmic irregularities associated with stuttering.Figure 46.10 long description.

Figure 11

Figure 46.11 PVI results for PWS and PWNS: average (read and spontaneous speech).Rhythmic variability in speech. The plot illustrates the relationship between vocalic nPVI and intervocalic rPVI for both PWNS and PWS in read and spontaneous speech contexts. Each symbol represents a distinct speech sample, with higher intervocalic rPVI values observed among PWS, especially in spontaneous speech. This indicates a more variable and disrupted speech rhythm in PWS, which contrasts with the more uniform rhythmic pattern seen in normal speakers.Figure 46.11 long description.

Figure 12

Figure 46.12 Average duration metrics for vocalic and intervocalic intervals, pauses, and hesitations among individual speakers.Duration of speech components among individual speakers. The bar graph compares the average duration of vocalic and intervocalic intervals, pauses, and hesitations for individual speakers identified as 00001bis, B31, C14, and C15. It highlights the contrast in speech durations between normal speakers and PWS, with PWS generally showing longer durations in pauses and hesitations, indicative of the speech disfluencies commonly associated with stuttering. The differences in duration and variability between speakers underscore the individual nature of stuttering manifestations.Figure 46.12 long description.

Figure 13

Figure 46.13 Comparative analysis of speech for individual speakers. Mean durations for vocalic intervals, intervocalic intervals, pauses, and hesitations.Detailed speech component durations by speaker. Presenting both mean values and variability, this dual-bar graph compares the duration of vocalic and intervocalic intervals, pauses, and hesitations for each of the four speakers distinguished by ‘normal’ and ‘stutter’ speech patterns. Inter-speaker variability is marked, with PWS often showing extended durations and higher variability in pauses and hesitations. The graph also illustrates significant inter-speaker variability, particularly in the stuttering group, underscoring the personalized nature of speech disruptions experienced by PWS.Figure 46.13 long description.

Figure 14

Table 46.2 Percentage of vocalic intervals, intervocalic intervals, pauses, and hesitations: stuttering and normal speech for individual speakersThis table delineates the percentage of intervocalic and vocalic intervals, along with the frequency of pauses and hesitations, for both PWS and PWNS. It highlights that PWS tend to have a higher percentage of hesitations and a variable distribution of pauses, reflecting the stuttering characteristics. Meanwhile, the percentage of intervocalic and vocalic intervals does not significantly differ between PWS and PWNS.

Figure 15

Figure 46.14 Standard deviation of vocalic intervals, intervocalic intervals, duration of pauses, and duration of hesitations.Variability in speech components among individual speakers. The graph displays the standard deviation of vocalic and intervocalic intervals, pauses, and hesitations for two PWNS (C14 and C15) and two PWS (00001bis and B31). The pronounced variability in the stuttering speakers’ intervocalic intervals and hesitations, particularly for B31, indicates the degree to which stuttering can affect speech rhythm and flow.Figure 46.14 long description.

Figure 16

Figure 46.15 Standard deviation of vocalic intervals, intervocalic intervals, duration of pauses, and duration of hesitations. Effect of speech style: read and spontaneous.Speech component variability across speaking conditions for individuals. In this graph, intervocalic intervals demonstrate notable variability for PWS, especially in spontaneous speech, with speaker B31 showing a heightened standard deviation in intervocalic intervals during spontaneous speech. This suggests that the timing between spoken sounds is a critical indicator of stuttering, highlighting the irregular speech rhythm and flow for PWS. Additionally, the variability in pause and hesitation durations for PWS further emphasizes the rhythmic disruptions characteristic of stuttering.Figure 46.15 long description.

Figure 17

Figure 46.16 PVI results for all utterances.PVI values by individual and speech context. This scatterplot maps the vocalic nPVI against the intervocalic rPVI for four speakers, distinguishing between ‘normal’ and ‘stutter’ speech patterns during read and spontaneous speaking tasks. For both 00001bis and B31, who stutter, there is a noticeable spread in intervocalic rPVI values, particularly in spontaneous speech, indicating substantial rhythmic variability.Figure 46.16 long description.

Figure 18

Figure 46.17 PVI results: average.Vocalic and intervocalic temporal variability in speech. This scatterplot contrasts vocalic nPVI and intervocalic rPVI across read and spontaneous speech tasks for each speaker, showcasing the temporal dynamics of speech. The plot points to differences between normal speakers (C14 and C15) and those who stutter (00001bis and B31), particularly in spontaneous speech. The individuals who stutter demonstrate wider scatter in intervocalic rPVI values, indicative of the variability in speech rhythm and timing that is characteristic of stuttering.Figure 46.17 long description.

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