Abstract
The variability of a child's voice onset time (VOT) decreases during development as they learn to coordinate upper vocal tract and laryngeal articulatory gestures. Yet, little is known about the relationship between VOT and other early motor tasks. The aims of this study were to evaluate the relationship between infant vocalization and another early oromotor task, non-nutritive suck (NNS). Twenty-five full-term infants (11 male, 14 female) completed this study. NNS was measured with a customized pacifier at 3 months to evaluate this early reflex. Measures of mean VOT and variability of VOT (measured via coefficient of variation) were collected from 12-month-old infants using a Language Environmental Analysis device. Variability of VOTs at 12 months was significantly related to NNS measures at 3-months. Increased VOT variability was primarily driven by increased NNS intraburst frequency and increased NNS burst duration. There were no relationships between average VOT or range of VOT and NNS measures. Findings from this pilot study indicate a relationship between NNS measures of intraburst frequency and burst duration and VOT variability. Infants with increased NNS intraburst frequency and NNS burst duration had increased VOT variability, suggesting a relationship between the development of VOT and NNS in the first year of life. Future work is needed to continue to examine the relationship between these early oromotor actions and to evaluate how this may impact later speech development.
Highlights
The infant suck reflex is one of the earliest motor reflexes to develop, emerging in utero around 15 weeks’ gestational age [1] and stabilizing around 34 weeks’ gestational age [2]
Examination of individual productions indicated infants produced a large range of voice onset time (VOT) values (Fig 3), with average coefficient of variation (CoV) of VOT measured at 1.22
Increased variability of VOT was driven by increased non-nutritive suck (NNS) burst duration (β = 0.53, p = 0.008) and increased NNS intraburst frequency (β = 0.50, p = 0.01)
Summary
The infant suck reflex is one of the earliest motor reflexes to develop, emerging in utero around 15 weeks’ gestational age [1] and stabilizing around 34 weeks’ gestational age [2]. Infants have two types of suck: a nutritive suck used for feeding and a non-nutritive suck (NNS) characterized by the absence of nutrient delivery [1,3]. Infant non-nutritive suck is less complex than nutritive suck as it does not involve swallowing and given that it develops early, provides an early metric into the infants developing oromotor system. NNS is characterized by bursts of suck cycles, occurring at approximately 2 hertz, separated by pause periods for respiration, see Fig 1 [3]. NNS provides a window into central nervous system function, with disordered NNS patterns noted in infants who are preterm or who have neurological impairments [4,5,6,7].
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