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Delayed auditory feedback

Extension of the time between speech and auditory perception

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Through Hearing and Software

It is a type of altered auditory feedback that—along with frequency-altered feedback and white noise masking—is used to treat stuttering; it has also demonstrated interesting discoveries about the auditory feedback system when used with non-stuttering individuals. It is most effective when used in both ears. Delayed auditory feedback devices are used in speech perception experiments in order to demonstrate the importance of auditory feedback in speech perception as well as in speech production.

There are now also different mobile apps available that use DAF in phone calls.

Effects in people who stutter

Electronic fluency devices use delayed auditory feedback and have been used as a technique to aid with stuttering. Stuttering is a speech disorder that interferes with the fluent production of speech. Some of the symptoms that characterize stuttering disfluencies are repetitions, prolongations and blocks. Early investigators suggested and have continually been proven correct in assuming that those who stutter had an abnormal speech–auditory feedback loop that was corrected or bypassed while speaking under DAF. More specifically, neuroimaging studies of people with stuttering have revealed abnormalities in several fronto-paretotemporal pathways and are thought to affect connectivity between speech (pre)motor regions and auditory regions. The above is consistent with behavioral studies that demonstrate that stutterers present reduced compensatory motor responses to unexpected perturbations of auditory feedback.

The mechanism of action of DAF is to reduce the speed of speech in such a way that the longer the delay time, the greater the reduction is made. It has been proposed that it is in fact the reduction in speaking rate that produces fluency when using DAF however, it has been evidenced in other studies that a slow speaking rate is not a prerequisite for improving fluency under DAF. Furthermore, DAF is believed to continue to cause increased fluency over a long period of time, but reports of long-term effects are inconsistent. This is because in some cases a continued but small benefit was obtained, while in others little benefit was found from the beginning and they did not continue using DAF. Clinical observations have determined that DAF may be less effective in people whose fluency failures are mostly blocks as opposed to people who present mostly repetitions and prolongations. In people who stutter with atypical auditory anatomy, DAF improves fluency, but not in those with typical anatomy. DAF is also used with people who clutter. Its effects are slowing of speech which can result in increased fluency for people who clutter and also syllable awareness.

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