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. 2021 Oct 8;16(10):e0258322. doi: 10.1371/journal.pone.0258322

How the motor aspect of speaking influences the blink rate

Mareike Brych 1,*, Supriya Murali 1, Barbara Händel 1
Editor: Markus Lappe2
PMCID: PMC8500445  PMID: 34624051

Abstract

The blink rate increases if a person indulges in a conversation compared to quiet rest. Since various factors were suggested to explain this increase, the present series of studies tested the influence of different motor activities, cognitive processes and auditory input on the blink behavior but at the same time minimized visual stimulation as well as social influences. Our results suggest that neither cognitive demands without verbalization, nor isolated lip, jaw or tongue movements, nor auditory input during vocalization or listening influence our blinking behavior. In three experiments, we provide evidence that complex facial movements during unvoiced speaking are the driving factors that increase blinking. If the complexity of the motor output increased such as during the verbalization of speech, the blink rate rose even more. Similarly, complex facial movements without cognitive demands, such as sucking on a lollipop, increased the blink rate. Such purely motor-related influences on blinking advise caution particularly when using blink rates assessed during patient interviews as a neurological indicator.

Introduction

Humans blink approximately every 3–6 seconds, which is far more than needed to keep a constant tear film on the cornea [1]. Blink behavior is known to be affected by multiple factors, including external sensory [e.g., 2,3] and internal cognitive factors [e.g., 4,5]. During visually demanding tasks such as reading, the blink rate drops from approximately 17 blinks per minute during rest to approximately 4 to 5 blinks per minute. Conversely, the blink rate increases during conversation to approximately 26 blinks per minute [6]. This increase has been proposed to reflect various internal processes such as engagement, emotions or opinions [7]. Hömke, Holler and Levinson [8] further showed that blinks can serve as communicative signals between conversation partners. Findings as to the role of motor execution on blink rate are inconsistent. Research has shown that the motor act of speaking [9], but not jaw movements as produced during gum chewing [4] or the mere act of keeping the mouth open [10] increased blinking. Interestingly, in the latter study, a small group that exhibited notable mouth and jaw movements during a no-task condition nearly had a doubled blink rate compared to those who did not show such movements. A clarification of the influence of motor activity seems relevant, especially since blinks serve as neurological indicators in clinical settings. For example, very low blink rates are observed in patients with Parkinson’s disease [11], which is possibly due to dopaminergic hypoactivity [review by 12, questioned by 13,14]. The patient’s response to medication can be assessed by the increase in blink rate, which is often measured during the conversation with the physician [11]. Consequently, if other factors such as speaking increases blink rate in the same direction, this might lead to inaccurate medical examinations. In healthy humans, blink rate is often used as an indicator of cognitive load [e.g., 4,5,15]. A speech-related motor influence might therefore affect experimental outcomes using verbal responses.

We set up an experiment to systematically investigate the influences of facial motor activity on blinking behavior, while at the same time controlled cognitive and auditory influences. Several anatomical findings reveal that the eyelid and facial muscles are connected. Speaking involves various motor processes including the respiratory system, larynx and vocal tract, which is shaped by the lips, jaw and tongue [16]. In the human brain, the area for vocalization is located inferior to the area for eyelid movements and superior to the areas for mouth movements including tongue and lip movements. The area for jaw movements is inferior to the mentioned mouth movements [17]. Considering human facial anatomy, the facial nerve (7th cranial nerve) innervates the muscles for facial expressions and eyelid closing, but is not directly involved in chewing movements [18]. Whenever the facial nerve malfunctions, blinking is ceased and the corner of the mouth drops on the affected side [19]. During surgeries, facial nerve stimulation is also used to predict the postoperative function by checking motor-evoked potential in the eye ring muscle (orbicularis oculi) and the kissing muscle (orbicularis oris) [20]. The above reviewed work clearly shows a proximity of the anatomical substrate of blinking and other facial movements. Our experiments particularly test the influence of motor activity on the blink rate including the isolated movements of the lips, jaw and tongue as well as speech-related movements with and without vocalization. Apart from the new insights on how blinks and other body movements are related, our work seeks to clarify the validity of blinks as a marker for pathological states as well as for sensory and cognitive processing in experiments using verbal responses.

Experiment 1

In a first experiment, we tested for influences of motor output during speaking. In order to account for the auditory and cognitive aspect, we included conditions in which we varied the cognitive as well as the auditory input normally introduced by speaking. We hypothesize that the blink rate is mainly increased by motor related factors as indicated by the proximity of anatomical conditions [17,18] as well as by previous research concluding a motor effect, but without strict control of other possible influences [9]. Only few studies investigated blink behavior under auditory stimulation. Concerning the number of blinks during a task, these studies reported no significant changes compared to rest [2,21] and studies testing for cognitive influences are inconsistent [22,23]. Therefore, we assume that auditory input or cognitive aspects of speaking only have a minor effect on blinking. Visual stimulation as well as social influence were minimized in our experiment.

Method

Participants

30 psychology students of the University of Würzburg (mean age: 20.17 years ± 1.86 SD, 2 male) took part in the study. All participants gave their written informed consent and received study credit for their participation. The study was approved by the local ethics committee (Institute for Psychology of the Faculty for Human Sciences of the Julius-Maximilians-University of Würzburg; project protocol number: GZEK 2015–01) and was in line with the European general data protection regulations (DSVGO).

Procedure

Participants sat alone in a noise shielded, very small, dimly lit room. They were allowed to freely move their eyes and head. Auditory instructions were given by a Sennheiser PC3 Chat headset. Binocular eye movements were recorded with the 120Hz SMI eye tracking glasses (Fig 1).

Fig 1. Experimental setup for the three experiments.

Fig 1

In experiment 1, we recorded eye movements with SMI eye tracking glasses. In experiment 2, we added EMG and in experiment 3, we used an Eyelink eye tracker and EMG.

When measuring blink rate during a conversation, there are several possible influences. Our different experimental conditions were designed to test for influences of the cognitive load during speech production (with and without vocalization), of motor output (mouth movements, with focus on lip or jaw movements) and of auditory input (due to one’s own speaking or someone else). The study consisted of eight different tasks, which were repeated 5 times (except for the baseline, which was repeated 15 times) and each lasted for 1 minute. The tasks were “normal talking”, “talking inside the head”, “talking without sound”, “lip movement”, “jaw movement”, “listen to someone else”, “listen to oneself” and “baseline” (being at rest). Table 1 summarizes all tasks. During “normal talking“, “talking inside the head”and “talking without sound“, participants were instructed to talk about easy topics like “Describe your apartment”or “Describe your last holiday“. Topics were defined by us and randomized across tasks and participants. “Talking inside the head”involved no mouth movement and no sound production, but required cognitive processes that are comparable to the cognitive processes during “normal talking”. „Talking without sound”referred to simply mouthing words mimicking mouth movements during “normal talking” but omitting auditory stimulation. To induce lip movements independent of talking, participants were asked to suck on a real lollipop (“lollipop“). In another condition (“gum“), chewing a gum resulted in jaw movements. We chose sucking on a lollipop as an easy way to induce mouth and especially lip movements. Respectively, gum chewing intended to mainly introduce jaw movements. However, we are aware that also other movements such as tongue movements and swallowing are likely executed as well. In the auditory conditions, auditory input was either a monologue of a young woman (“listen to someone else“) or a playback of their own monologue recorded from a previous “normal talking”trial (“listen to oneself“). “Listen to oneself” therefore is the same auditory input as during the “normal talking” condition, however, “listen to someone else” was added to mimic the auditory input experienced during a conversation with another person. During the baseline conditions, participants should not stand up or close their eyes, but had no additional task, which will be referred to as ‘resting’. “Baseline 1” consisted of 5 randomly selected minutes of the 15 baseline minutes, “baseline 2” of 5 randomly selected minutes of the 10 remaining minutes and “baseline 3” of the lastly 5 remaining minutes. This was done to prevent multiple testing of the same data. The order of tasks was fully randomized to exclude any time related effects, except that the task “listen to oneself”needed to be placed after the “normal talking”condition. Participants were able to start each trial at their own pace by pressing a button followed by a starting tone. The end of the trial was signaled by another tone.

Table 1. List of tasks, their description and their use in the analysis.
Task Description Analysis of which effect
“normal talking” Talk about a given topic with mouth movements and with vocalization Cognitive (Fig 2)
“talking inside the head” Talk about a given topic without mouth movements and without vocalization Cognitive (Fig 2)
“talking without sound” Talk about a given topic with mouth movements, but without vocalization Motor (Fig 3)
“lollipop” Sucking on a lollipop to induce lip movement Motor (Fig 3)
“gum” Chewing a gum to induce jaw movement Motor (Fig 3)
“listen to someone else” Listen to an unknown monologue of a woman Auditory (Fig 4)
“listen to oneself” Listen to own monologue recorded during “normal talking” Auditory (Fig 4)
“baseline 1–3” Resting All (Figs 24)

Data analysis

Four participants were excluded (three due to more than 20% eye data loss, one due to an extremely high mean blink rate >50 blinks/min). Additionally, the eye recording of one participants was lacking two trials. The blink rates over the five repetitions of each task were averaged before comparing between tasks. Since we did not have the participant’s permission to listen to the monologues, we plotted the recorded sound signal and visually inspected the amplitude of the signal representing speech to control for task fulfillment in the “normal talking” condition. Repeated measures ANOVAs and corresponding post-hoc analyses for blink rate were computed. The epsilon for Huynh-Feldt correction is given in case of violation of sphericity. Bayesian analysis was added as a supplement to the classical frequentist statistics to get insights on the credibility of the alternative as well as the null hypotheses. The experimental program was implemented and analyzed in MATLAB R2015b (Mathworks). Bayesian analysis was performed with JASP (JASP Team (2019), Version 0.11.1.0).

Blink detection

When the eyelid occludes the pupil during a blink, pupil size recordings of video-based eye tracker quickly and strongly decrease until the pupil is undetectable. Using this characteristic, our blink detection algorithm is based on the recorded pupil size. Blinks were initially detected when both z-transformed pupil radii were below a threshold of -2 standard deviations or when the pupil data was marked as lost. The start and the end of the blink were then shifted to the time point when the radii were higher than half the threshold. Blinks less than 50ms apart from each other were concatenated. Blinks longer than 1000ms and shorter than 50ms were discarded.

Results Experiment 1

To test for cognitive influences on the blink rate, we compared “baseline 1” (no task) with “talking inside the head” (only the cognitive component of speaking) and with “normal talking”. A repeated measures 1-factor ANOVA compared the blink rate between these tasks and revealed a significant main effect (F(2,50) = 25.22, p < .001, ƞp2 = .502, ɛ = .679, Huynh-Feldt correction (HF)). Post-hoc pairwise t-tests revealed a significant higher blink rate during “normal talking” than during “talking inside the head” (p < .001) as well as a significantly higher blink rate during “normal talking” than during “baseline 1”(p < .001) (Fig 2A).

Fig 2. Influence of the cognitive component on the blink rate.

Fig 2

A. Blink rate during “baseline1” (being at rest), “talking inside the head” and “normal talking”. Error bars represent one standard error of the mean (SEM). Stars mark significant differences revealed by parametric statistics. B. Posterior distributions of the effect of each condition on the blink rate. “Normal talking” has highest effect on blink rate followed by “talking inside the head” and “baseline1”. The horizontal error bars above each density represent 95% credible intervals.

In addition to the classical Frequentist analysis, a Bayesian analysis was performed to improve possible interpretations of the results. Comparing the model with the predictor, that the tasks (“baseline 1”, “normal talking” and “talking inside the head”) have an effect on the blink rate, to the null model, overwhelming evidence for the alternative was revealed (Bayes Factor: BF10 = 3.636*105). Post-hoc tests showed strong evidence that the blink rate during “normal talking” differed to the blink rate during “baseline 1” as well as to the blink rate during “talking inside the head” (adjusted posterior odds of 2.507*103 and 1.818*102). Additionally, there was evidence that the blink rate during “baseline 1” and “talking inside the head” were the same (adjusted posterior odds of 1/0.529 = 1.890) (Fig 2B).

In a next step, the influence of different motor components on the blink rate was investigated. Fig 3A shows a high blink rate during “talking without sound”, followed by lip movements during “lollipop” sucking and jaw movements during “gum” chewing. The “baseline 2” condition with no movement showed the lowest blink rate. A repeated measures ANOVA showed a significant main effect of tasks on blink rate (F(3,75) = 8.94, p < .001, ƞp2 = .263, ɛ = .800 (HF)). Post-hoc tests specified this effect. The blink rate was significantly lower during the “baseline 2” compared to “lollipop” (p = .016) and compared to “talking without sound” (p = .003). Neither did the difference between “gum” chewing and “baseline 2” reach significance (p = .106), nor did any other comparison between movements (ps > .105).

Fig 3. Influence of motor tasks on the blink rate.

Fig 3

A. Blink rate during the second baseline (being at rest), moving the lips during lollipop sucking, moving jaw muscles during gum chewing and talking without sound production. Error bars represent one SEM. Stars mark significant differences revealed by parametrical statistics. B. Posterior distributions of the effect of each condition on the blink rate. Talking without sound has highest effect on blink rate followed by lip movement during lollipop sucking, jaw movement during gum chewing and baseline. The horizontal error bars above each density represent 95% credible intervals.

Again, Bayesian ANOVA was additionally conducted to assess the differences in blink rate between tasks. Given the predictor of tasks (“baseline 2”, “lolli”, “gum” and “talking without sound”), strong evidence for the alternative was found when comparing the model with the predictor to the null model (Bayes Factor: BF10 = 5.371*102). Post-hoc comparisons revealed moderate evidence for differences in blink rate between “baseline 2” and “lollipop” as well as between “baseline 2” and “talking without sound” (adjusted posterior odds of 6.086 and 29.963). The evidence for differences in blink rate between “baseline 2”and “gum” as well as between “gum” and “talking without sound” was rather inconclusive (odds of 1.212 and 1.222). Blink rate between “gum” and “lollipop” as well as between “lollipop” and “talking without sound” was not different from each other (odds of 1/0.609 = 1.642 and 1/0.278 = 3.597) (Fig 3B).

Finally, the influence of auditory input on blink rate was examined with a repeated measures ANOVA comparing the blink rate between the conditions “baseline 3”, “listen to oneself” and “listen someone else”. The main effect suggesting a difference between conditions was significant (F(2,50) = 3.96, p = .036, ƞp2 = .137, ɛ = .790 (HF). Post-hoc tests did not reveal a difference in blink rate between the “baseline 3” condition and any auditory input (ps > .089), but a significant difference between “listen to oneself” and “listen to someone else” (p = .027) (Fig 4A).

Fig 4. Influence of auditory input on the blink rate.

Fig 4

A. Blink rate during the rest (“baseline 3”), “listen to someone else” and listening to a previously recorded monologue. Error bars represent one SEM. Stars mark significant differences revealed by parametric statistics. B. Posterior distributions of the effect of each condition on the blink rate. The blink rate between “listening to someone else” was not different to “baseline3”, but the blink rate between “listening to oneself” and”listen to someone else” was different. The horizontal error bars above each density represent 95% credible intervals.

Bayesian analysis revealed evidence that the model with the predictor of tasks on the outcome of the blink rate is better than the null model (BF10 = 2.022). Post-hoc tests revealed that the blink rates between “baseline 3” and “listen to oneself” are not different from each other (1/0.163 = 6.135), while the blink rates between “listen to someone else” and “listen to oneself” are different (odds of 2.992). The data does not seem to be sufficiently informative to show whether there is a difference between “baseline 3” and “listen to someone else” or not (odds of 1.127) (Fig 4B).

Discussion Experiment 1

Our results replicated previous findings that talking is accompanied by an increase in blink rate compared to baseline [e.g., 4]. More specifically, our results suggest that neither the cognitive processes nor the auditory input, but rather, the motor activity of the mouth has the main influence on our blink rate.

The conditions “talking inside the head” and “normal talking” differed in terms of motor output and auditory input but not cognitive processes, which are needed for the production of meaningful sentences. Since the blink rate was significantly lower during “talking inside the head” than during “normal talking” and highly similar to “baseline 1”, cognitive processes without motor output seem to have, if at all, little effect on our blinking. Various researchers have investigated the influence of cognitive load on blink rate, but even the use of similar tasks across different studies, e.g. mental arithmetic, revealed contradictory outcomes. While some researchers showed a negative correlation between blink rate and cognitive load during mental arithmetic [24,25], other studies found an increase in blink rate for difficult arithmetic compared to rest or easy arithmetic [5,23]. The advantage of an arithmetic task, in comparison to our task, namely talking about a given topic, is that one can receive feedback as to the solution for such a task and easily control for the task fulfilment. In experiment 1, we were not able to control for task fulfillment especially during “talking inside the head”. We specifically focused on this aspect in experiment 2. However, given the above reviewed work and the contradictory findings, a clear-cut influence of cognition is not indicated.

Similarly, auditory input during listening and self-induced auditory input during talking does not seem to be the cause for the increase in blink rate during a conversation. Listening had no significant effect on blink rate as supported by Bayesian analysis showing that the effect on the blink rate during being at rest (“baseline 3”) and during “listen to oneself” is the same. The findings of Bailly, Raidt and Elisei [26] not only fail to show an increase in blink rate due to auditory input, but further suggest an inhibition of blinking during listening periods within a conversation compared to waiting periods. While one is bound to attend to the auditory input of the conversation partner in order to respond accordingly, in our experiment the auditory input was not task relevant. Such a difference in attentional demand might explain the different observations. The differences might also be explained by the fact that our experiment explicitly excluded social interaction. Indeed, it was shown that the duration of blinks can serve as a feedback signal for the conversation partner [8], serving a role in social communication. If social aspects are missing, the reduction of blink rate during listening might also cease. The finding, that “listening to someone else” showed a slightly but significantly increased blink rate compared to “listening to oneself” suggests that the content or characteristics of the auditory stimulation can at least weakly influence blinking.

Our results also indicate that the self-induced auditory input during talking is not the driving factor for the pronounced increase in blink rate, because blinking was significantly enhanced during “talking without sound” (mean: 19.15, SEM: 2.03) which was only slightly less than during “normal talking” (mean: 23.05, SEM: 2.07). Therefore, auditory input as introduced through speaking seems not to exert substantial influences on the blink rate. Importantly, auditory input might alter blink behavior in terms of blink timing. During an attended and continuous stream of auditory input, blinks are seldom elicited shortly before or during stimulus presentation, but rather after stimulus offset [27]. Furthermore, it was shown that blinks are synchronized to the rhythm of auditory presented sentences or even to a specifically attended syllable within a heard sentence [28]. When listening to a monologue, blinks occur predominately at breakpoints of speech or are synchronized with the speaker’s blinks [29].

Our findings strongly suggest that motor related factors during talking exert the main influence on the blink rate independent of cognitive or auditory factors. This is indicated by increased blinking during “talking without sound” as well as during the “lollipop” condition. More specifically, by separately investigating the influence of different muscle groups, our results suggest that not all types of motor output are equally linked to blinks. Chewing movements did not significantly increase the blink rate when using a parametric statistical approach, a finding that is in line with previous research [4]. The mouth movements during “lollipop” on the other hand showed a clear effect on blink rate. The prevalent lip movements during “lollipop” and the closeness of motor cortical areas for the lip and eye lid [17] or the innervation of the same nerve [18] might be responsible for this influence. This will be further clarified in experiment 2 and 3.

Experiment 2

Experiment 1 provides evidence that the motor activity during speaking has a major influence on blinking, while auditory input and cognitive processes only have a minor effect. Our second experiment was designed to replicate the findings of experiment 1, and additionally to describe the underlying causes of the blink rate modulation in greater detail. Concerning cognitive influences, we experimentally manipulated cognitive load by using easy and difficult mental arithmetic tasks and controlled for task fulfillment. In the auditory task, we ensured that participants carefully listen to the spoken words by means of experimental tasks. Concerning motor influences, we isolated defined facial movements, namely lip and jaw movements.

Method

Participants

A power analysis using the effect size of the second analysis of experiment 1 (np2 = .263, alpha = .05 and a power of 0.95) suggested a minimum sample size of 22. We tested 23 new participants (mean age: 25.78 years ± 7.60 SD, 6 male) compensating for one potential exclusion. None of the participants took part in experiment 1. All participants gave their written informed consent, agreed to voice recordings and received payment for their participation. The study was conducted in line with the European data protection rules and was approved by the local ethics committee (Institute for Psychology of the Faculty for Human Sciences of the Julius-Maximilians-University of Würzburg; protocol number: GZEK 2020–52).

Procedure

Participants sat alone in a moderately lit room. Instructions prior to the task were presented on an Eizo LCD monitor, which was controlled by a Dell Precision M6700 laptop. The monitor turned black during the tasks. The start and end of each trial was marked with a short tone (500 Hz, 100 ms). Binocular eye movements were recorded with 120 Hz using the SMI eye tracking glasses. To record electromyographic (EMG) activity with a sampling rate of 500 Hz, electrodes were placed on the chin, under the left lip corner, on the left cheek, on the left musculus masseter and above and below the left eye (Fig 1). Two participants lost their chin and lip electrodes during the recording probably due to movement, so we did not attach these electrodes to the last nine participants, in order to prevent them from focusing on the electrodes instead of the task requirements. There was no obvious differences in blink behavior between subjects with four or six electrodes.

The study consisted of nine tasks. Similar to the first experiment, each task was repeated 5 times (except for the baseline, which was repeated 15 times) and lasted for 1 minute each. For an overview of tasks, please refer to Table 2. During “calculating aloud—easy”, participants had to count upwards continuously adding one (starting from one) in a normal voice. During “calculating aloud—difficult”, they had to continuously subtract seven starting from 200. The same tasks had to be performed in the “calculating inside the head–easy” and “calculating inside the head–difficult”, except that they were to perform the arithmetic in their head without moving the mouth and without producing any sound. At the end of these silent trials, participants were asked which number they had reached and how well they performed on a scale from one to seven, where 1 meant “I haven’t done the task” and 7 “I was highly concentrated most of the time”. During “calculating without sound”, participants had to mouth the numbers from one in steps of one without producing any sound. To induce lip movements independent of talking, participants were asked to open and close their lips without moving the jaw (“lip movement”), and to move the jaw up and down without moving the lips during the “jaw movement” task. Again, they scaled their performance from 1 (very bad) to 7 (very good). During the “listen” task, participants had to listen to a voice counting upward (from one in steps of one) leaving out one number that had to be reported after the trial. Again, self-rated concentration had to be indicated on the above-mentioned scale between one to seven. The left out number differed between trials, but was always placed in the second half of the trial. Each analysis included a baseline task where participants were at rest without task. As in experiment 1, the different baseline conditions (1–3) consisted of five randomly, but exclusive, selected minutes out of the 15 minutes. The order of tasks was completely randomized. Participants started each trial by pressing a button at their own pace. The experiment lasted for approximately 65 minutes.

Table 2. List of tasks, their description and their use in the analysis of experiment 2.
Task Description Analysis of which effect
“calculating aloud–easy” Add 1: 1, 2, 3, … Cognitive (Fig 5)
“calculating aloud–difficult” Subtract 7: 200, 193, 186, … Cognitive (Fig 5)
“calculating inside the head–easy” Add 1 internally: 1, 2, 3, … Cognitive (Fig 5)
“calculating inside the head–difficult” Subtract 7 internally: 200, 193, 186, … Cognitive (Fig 5)
“calculating without sound” Mouthing numbers: 1, 2, 3, … Motor (Fig 6)
“lip movement” Open and close lips Motor (Fig 6)
“jaw movement” Move jaw up and down Motor (Fig 6)
“listen” Listen to someone adding 1 leaving out one number: 1, 2, … 22, 23, 25 … Auditory (Fig 7)
“baseline 1–3” Resting All (Figs 57)

Blink detection

We detected blinks based on pupil size as described for experiment 1. In addition, we used the low-passed filtered (20 Hz) data of the electrodes around the eye and detected blinks according to the EOG blink detection described by Wascher [15]. However, we defined the blink on- and offsets as the point where the peak amplitude decreased by three quarters, which slightly differs from the approach used by Wascher and colleagues. For most of the participants, both blink detection methods revealed similar blink numbers, but the eyetracker data was unusable for three participants and therefore, we present the results based on the EOG blink detection.

Data analysis

We excluded one participant due to a very low blink rate (3.80 blinks/minute) from all analyses. We also excluded trials where participants evaluated their own performance equal or less than 3 on the scale from 1 to 7. This resulted in a list-wise exclusion of two participants from the analysis of cognitive influence on blink rate. One trial of one participant with a blink rate of 110 was also excluded (participant’s mean: 27.9 blinks/min). Blink rate during the five minutes of one task were averaged for each participant before the comparisons between conditions.

To evaluate the task demands on performance, we took the entered last number during “calculating inside the head” conditions and extracted the last spoken number that was recorded during “calculating aloud” conditions. This allowed to quantify calculations in the same way for both conditions. If the last number was not a number obtained after correct calculation (only difficult conditions), we counted calculations that were possible up to this point. For example, after 14 calculations, the participant should have arrived at 102, but entered 105. Then, 13 correct calculations were possible and minimally one error. In case of 100, 14 correct calculations were possible. Please note, that this quantification could only result in an overestimation of correct calculations in case of an incorrect last number, and thus, was rather conservative as it made the analysis less likely to find a difference between easy and difficult mental arithmetic. The error identification in the “calculating aloud–difficult” condition, where participants made approximately one error per trial (mean: 1.32, SD: 1.11), supported our approach to only assume one error if the last number was incorrect. As for the blink rate analysis, trials were excluded after which participants evaluated their performance less or equal than 3 on a scale from 1 to 7 (i.e. two participant were excluded for this analysis).

Electromyographical (EMG) data of each electrode was preprocessed by subtracting the mean of all other electrodes in a first step. Subsequently, the data was bandpass filtered between 20 and 90 Hz and a Hilbert transformation was applied. Finally, the resulting EMG amplitudes were averaged over facial electrodes excluding eye-related electrodes.

Implementation and analysis of the experiment was done with MATLAB R2015b (The MathWorks Inc., Natick, MA, USA) in combination with Psychtoolbox [3032].

Results Experiment 2

We tested performance with the number of correct calculations based on the last number given by the participants. A repeated measures ANOVA with factors difficulty (easy vs difficult) and condition (calculating aloud vs calculating inside the head) revealed that participants made significantly more calculations during the easy task (add 1) compared to the difficult task (subtract 7) (F(1,19) = 71.91, p < .001, ƞp2 = .791) as expected. Moreover, the performance was not significantly better during “calculating inside the head” than during “calculating aloud” (F(1,19) = 2.89, p = .106, ƞp2 = .132). Additionally, the interaction was significant (F(1,19) = 11.83, p = .003, ƞp2 = .384) showing that participants added more numbers in the “calculating inside the head” condition compared to the “calculating aloud” condition, but made less calculations in the more difficult subtraction task during the “calculating inside the head” condition than during the “calculating aloud” condition (Fig 5A).

Fig 5. Results of cognitive tasks.

Fig 5

A. Performance assessment during cognitive tasks. B. Influence of cognitive task demands on the blink rate. Blink rate during “baseline 1” was subtracted from the blink rate in each task showing that only the blink rate in the “calculating aloud–difficult” task was strongly increased. Only the main effect of “calculating aloud” vs “calculating inside the head” was significant (p < .004).

Comparable to the analysis of the influence of task demands on performance, the impact of cognitive load on blink rate was examined. To see whether blink rate was increased or decreased during task compared to baseline, we subtracted the blink rate during baseline from the blink rate during the tasks “calculating aloud” and “calculating inside the head” (Fig 5B). While the blink rate increased during “calculating aloud—difficult”, the blink rate seemed to be only slightly affected during “calculating inside the head” conditions as well as during “calculating aloud–easy”. A repeated measures ANOVA on blink rate with factors aloud/inside the head and easy/difficult revealed a significant increase for aloud tasks compared to quiet tasks (F(1,19) = 10.43, p = .004, ƞp2 = .354). In addition, blink rate was higher during difficult tasks compared to easy tasks, but the difference was not significant (F(1,19) = 2.61, p = .123, ƞp2 = .121). Also, the interaction was not significant (F(1,19) = 1.35, p = .260, ƞp2 = .066).

EMG activity was analyzed in a 1-factor repeated-measures ANOVA across these five tasks (“calculating aloud–easy/difficult”, “calculating inside the head–easy/difficult”, baseline 1), which revealed a significant difference between the tasks (F(4,76) = 9.55, p < .001, ƞp2 = .334, ɛ = .598 (HF)). Bonferroni-adjusted post-hoc tests revealed increases in EMG activity during “calculating aloud” tasks compared to “calculating inside the head” tasks and all baselines (ps < .045) except for the comparison between “calculating aloud—difficult” and “calculating inside the head—easy” (p = .437). “Calculating inside the head” tasks did not significantly vary in EMG activity compared to baseline 1 (ps = 1) as expected.

Concerning motor tasks, the repeated measures ANOVA comparing the blink rate between motor tasks (“calculating without sound”, “lip movement”, “jaw movement”, “baseline 2”) did not reveal a significant effect across tasks (F(3,63) < 1) (Fig 6). Neither the “lip movements” nor the “calculating without sound” tasks increased blink rate. The ANOVA comparing EMG activity between these tasks showed a significant main effect (F(3,63) = 9.73, p = .001, ƞp2 = .317, ɛ = .525 (HF)). Bonferroni-adjusted post-hoc tests revealed that the activity during the motor tasks (“lip movement”, “jaw movement” and “calculating w/o sound”) was significantly increased compared to baseline (ps < .017).The EMG activity between the motor tasks did not differ (ps > .060).

Fig 6. Influence of motor activity on the blink rate.

Fig 6

Neither isolated “lip movements”, nor isolated “jaw movements” influenced the blink rate compared to baseline. During “calculating without sound” participants performed the easy ‘Add 1’ task, which did not increase the blink rate.

Finally, participants performed perfectly on the auditory task (100% correct) and always rated their concentration higher or equal to 4 on the 7-point scale (except for two trials). This proves that the cognitive load was quite low and that participants actually listened to the presented numbers. A t-test comparing the blink rate between “listen” and “baseline 3” did not reveal a significant difference (t(1,21) = 1.53, p = .141, d = .326) which replicates the results of experiment 1 (Fig 7). As expected, EMG activity during these tasks was not significantly different (t(1,21) = 1.60, p = .124, d = .341).

Fig 7. No influence of auditory input on the blink rate.

Fig 7

Participants listened to the easy ‘Add 1’ task, where one number was skipped. This number had to be reported afterwards. Blink rate between “listen” and “baseline 3” was not significantly different from each other.

Discussion Experiment 2

Our second experiment focused on the cognitive aspects during speaking controlling for task performance. First, trials with low subjective ratings on attentional involvement in the task were excluded. Second, participants had to report the last number of their calculations, which was used to measure performance based on the number of sub-calculations. Participants performed significantly better during easy compared to difficult mental arithmetic tasks. This confirms that the addition task was indeed easier than the subtraction task. Importantly, performance was comparable or better during silent conditions compared to normal vocalization showing that participants followed task instructions even during silence. This clearly indicates that the cognitive load was not particularly increased during normal vocalization. After this important step, we did not find a significant difference in blink rate between the easy and difficult task, but there is a tendency towards a higher blink rate during difficult tasks, which has been reported previously [5,23,33]. Our results further showed that an increase above baseline and a clearly visible modulation due to task difficulty was only observed when the task was performed with vocalization. The difference in blink rate between the easy and difficult mental arithmetic when performed in silence was substantially smaller and stayed around baseline level. This small difference of less than five blinks per minute is in line with previous studies using no visual stimulation and no hand movement [5,33]. These findings would suggest that the influence of cognition on blink rate is dependent on additional factors. Indeed, reviewing work on the relation between blink rate and task difficulty shows a rather complex picture. Neither the reading of words compared to the reading of mirror images of the same words [34], nor an easy compared to a difficult letter search task revealed any difference in blink rate [23]. Some other tasks like driving in open country vs in heavy traffic [35] and an easy vs difficult tone counting task [36] show a negative correlation between blink rate and task difficulty. Except for studies investigating conversations [e.g. 4,6,7] or tasks involving spoken responses [22], only few studies show an increase in blink rate during a task compared to rest [37]. In conclusion, whether the blink rate is influence by the cognitive demands of a task seems to be dependent on the specific task requirements. The combined results of experiment 1 showing that “talking inside the head” about an easy topic did not increase the blink rate, and experiment 2 showing that neither easy nor difficult mental arithmetic during silence substantially increased the blink rate compared to baseline, suggest that the cognitive component during a conversation alone is not the driving influence on the blink rate.

Experiment 2 further strengthened the findings of experiment 1 that auditory input during listening does not substantially alter the blink rate. Importantly, this time we controlled if participants indeed attended to the auditory input, because they had to report the number that was left out in the stream of easy calculations. While performance and self-rated concentration on the task was very high, blink rate was not significantly increased. This shows that attending auditory input is not the driving factor for the often reported blink rate increase during conversation.

Experiment 2 additionally broke down speaking into isolated facial movements to concretize our finding that motor output influences blinking. Interestingly, neither isolated lip movements, nor isolated jaw movements increased the blink rate. Consequently, other aspects of speaking modulate blinking behavior. One possibility could be that motor output needs to be combined with a certain amount of cognitive demand. Our results that the blink rate was not substantially affected by “calculating aloud–easy” would point in that direction. However, experiment 1 showed that movements introduced by simply sucking on a lollipop are sufficient to increase the blink rate, which clearly argues against the necessity of cognitive demands. A second possible aspect might be the complexity of movement. Lollipop sucking, as used in the first experiment, does not solely activate isolated lip movements but involves complex muscular activity. Forming full sentences during talking with and without sound as in experiment 1 can also be considered complex motor output [16] and to a certain extent, the utterance of mainly two- and three-digit numbers during the “calculating aloud–difficult” task is possibly more complex than mainly one- and two-digit numbers during the “calculating aloud–easy” task. Unfortunately, to quantify movement complexity, a more sensitive methods, than the EMG data collection as applied by us would be necessary. A third possibility is a specific involvement of the tongue, as surely can be found during lollipop sucking, but not during isolated lip and jaw movement. The shape and position of the tongue further has a primary function during speech as it shapes the vocal tract [16].

Experiment 3

In a last experiment, we set out to test a possible involvement of isolated tongue movement on the blink rate increase during speaking and confirm again that motor execution during a complex (cognitive/motor) task leads to an increased blink rate. More specifically, our third experiment compared “normal talking” and “talking without sound” during forming meaningful sentences, with isolated tongue movements and being at rest. In addition to the approach applied in experiment 1, we control for task fulfillment by recording facial EMG activity.

Method

Participants

24 new participants (mean: 25.00 years, SD: 5.63, 6 male) took part in the third experiment. None of them took part in experiment 1 or 2. The number of participants was chosen upon the power analysis described in experiment 2, which was based on the data of experiment 1 and resulted in 22 participants (+ 2 potential dropouts). All gave their written informed consent and received payment for their participation. The experiment was conducted in line with the European data protection rules.

Procedure

Participants sat alone in a moderately lit room. Auditory instructions were presented via two loudspeakers left and right to the Eyelink 1000 eyetracker (SR Research, ON, Canada). Eye movements were recorded binocularly at a sampling rate of 500Hz. Participants had to touch a horizontally mounted bar with their forehead fixing the distance of the eyes to the eyetracker minimizing large head movements. In addition, electrodes were placed above and below the left eye, under the left lip corner, on the left musculus masseter and below the chin to record the muscular activity of the face and tongue (Fig 1). EMG activity was recorded with 500 Hz. The experiment was controlled by a Dell Precision M6700 laptop.

The study consisted of four tasks (see Table 3). Each task lasted for 1 minute and was repeated five times. As in experiment 1, participants had to talk about easy topics (e.g. “Describe your apartment”) during the “normal talking” condition and during the “talking without sound” condition. During the “tongue” condition, participants had to write the numbers from 0 to 9 with their tongue towards the palate in the oral cavity with the mouth closed. Participants had no task and rested during the “baseline” condition. Participants started each trial by pressing a button at their own pace. The trial was preceded and followed by a short auditory tone. The experiment lasted approximately 25 minutes.

Table 3. List of tasks and their description of experiment 3.
Task Description
“normal talking” Talk about a given topic with mouth movements and with vocalization
“talking without sound” Talk about a given topic with mouth movements, but without vocalization
“tongue” Write the numbers from 0–9 with the tip of the tongue
“baseline” Resting

Data analysis

Two participants were excluded, because neither the eyetracking data nor the EMG data was usable for blink detection. We used the same EOG and video-based blink detection algorithms as in experiment 2 and the same preprocessing of electromyographical data for muscle activity. The eyetracker data for two other participants showed reduced accuracy, which is why we present the results of the EOG blink detection. Please note that the results are similar between the different methods. Again, the implementation and analysis was done with MATLAB R2015b (The MathWorks Inc., Natick, MA, USA).

Results Experiment 3

Fig 8 shows the blink rate during the four tasks. It was highest for “normal talking” followed by “talking without sound”. “Tongue” and “baseline” blink rates were nearly equal and lower than for the other two tasks. A repeated-measures ANOVA comparing the four tasks revealed a significant difference between tasks (F(3,63) = 24.57, p < .001, ƞp2 = .539). Bonferroni-adjusted post-hoc tests revealed that every combination is different from the other (ps < .019) except for “tongue” vs “baseline” (p = 1). EMG activity analysis, taking into account the jaw, lip and tongue electrode, revealed a significant difference between tasks (repeated-measures ANOVA: F(3,63) = 84.54, p < .001, ƞp2 = .801, ɛ = .591 (HF)). Bonferroni-adjusted post-hoc tests showed the expected significant difference between all movements and the baseline (ps < .003), no difference between “talking without sound” and “normal talking” (p = 1) and a significant difference between “tongue” and the other two movements (ps < .001).

Fig 8. Influence of motor activity varying in complexity on the blink rate.

Fig 8

All pair-wise post-hoc tests revealed a significant difference in blink rate except for the tasks “tongue” and “baseline”. EMG analysis showed that participants fulfilled task requirements.

Discussion Experiment 3

Our third experiment replicated the findings of experiment 1 and other studies showing that “normal talking” about a specified topic [4,6,7] increased the blink rate. Moreover, experiment 3 showed again that “talking without sound” requiring similar cognitive effort and motor activity as “normal talking” but lacking auditory components, also significantly increased the blink rate. Adding to experiment 1, this time, task fulfillment was controlled using EMG, which showed that all talking conditions had increased muscle activity compared to baseline. Further, experiment 3 showed that isolated tongue movements were not the driving factor for the increase in blink rate.

Given the finding of experiments 1 and 2 that cognitive demand had only a minor influence on blinking, we assume that complex motor output is the relevant modulator of the blink rate during speaking. The increased complexity of the facial movements during forming sentences compared to counting upwards in experiment 2 (“calculating aloud–easy” and “calculating without sound”), could therefore explain the difference in blink rate modulation between conditions. Accordingly, the additional motor activity (e.g. of the respiratory system and larynx) during vocalization leading to an increased complexity of motor activity as compared to “talking without sound”, could explain the stronger increase in blink rate for “normal talking” compared to “talking without sound”.

General discussion

In sum, we found that neither cognitive demands without verbalization, nor isolated movements of the lips, jaw or tongue, nor the auditory input during vocalization or listening influenced the blink rate. However, our three experiments clearly showed that complex motor tasks as well as verbalization of cognitively demanding tasks increased the blink rate.

During a conversation, we speak at a rate of 3–5 syllables per second [38], which refers to approximately 200 words per minute (language dependent). Given the amount of muscles that are involved in speech production, this motor activity can be described as complex [16]. In our experiments, “normal talking” is the most complex movement followed by “talking without sound”, “lollipop”, “gum” chewing and finally isolated facial movements. Since we could find blink rates during these tasks in descending order, the complexity of facial motor activity is likely a relevant factor for the amount of blink rate enhancement. An influence of articulation complexity on blinking was touched by von Cramon and Schuri [9] who compared the possibly more complex mouth movements during reciting numbers from 100 upward and the simpler movements during reciting the alphabet. We added a stringent control for auditory and cognitive influences, and excluding these as possible explanations strengthened the evidence that motor activity influences blinking.

Previous research revealed various interactions between different types of movements. For example, blink and saccade rate increases with walking speed [39] and is especially high around the stance phase of the gait cycle [40]. Furthermore, finger tapping entrains spontaneous blinking [41] and a large saccade size holds an increased blink probability [42]. (Micro-)Saccades further co-occur with head movements [43,44] and saccades and reach movements can influence each other’s trajectories [45]. This suggests a common phenomenon of motor interaction beyond speaking and blinking. Moreover, our results add to theories on cross-modal multiple action control that demonstrated that eye-related responses are linked to other effector systems such as manual or vocal responses [e.g., 46,47]. Finally, understanding the interaction of movements might advance the realistic visualization of human behavior in artificial avatars thereby possibly improving engagement and/or acceptance of such systems.

Given our results, we advise caution when using blinks as neurological indicators during patient interviews or as indicators of cognitive load during tasks involving verbal responses. In order to obtain optimized blink rate measurements, we suggest to carefully monitor and take into account the duration and complexity of talking, as well as the actual execution of motor output during the evaluation.

Data Availability

The data is available on OpenScienceFramework (http://doi.org/10.17605/OSF.IO/JT3V7).

Funding Statement

This study was supported by a starting grant from the European Research Council awarded to B. Händel (grant number 677819; https://erc.europa.eu/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Decision Letter 0

Steven R Livingstone

28 May 2020

PONE-D-20-10213

How the Motor Aspect of Speaking Influences the Blink Rate

PLOS ONE

Dear Dr. Brych,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

I have now received two reviews of the manuscript entitled How the Motor Aspect of Speaking Influences the Blink Rate (PONE-D-20-10213) that you submitted to PLOS ONE. I was fortunate to secure reviews from two experts in the field of blinking and speech, both of whom provided strong insight to the strengths and weaknesses of the manuscript.

I read the original manuscript, and then again with comments provided by the reviewers. As you will see, the reviewers found the manuscript to be well written, concise, and well referenced. The topic is relevant to the broad readership at PLOS One, and you made an admiral attempt at disentangling the contribution of cognitive load, speech, and motor movements on blink rate. I also appreciated the use of dual analyses, both frequentist and Bayesian.

There was however pronounced disagreement between the reviewers regarding the manuscript’s suitability for publication in its current form. Ultimately, I concur with the views of both reviewers. Like Reviewer 2, there is much to like in the presented experiment. It is neat, well thought through, and clear. The findings are important, and I believe should be highlighted to our readers. Yet simultaneously, as noted by Reviewer 1, I had concerns regarding the reliability of the tasks. Satisfying Reviewer 1’s concerns will likely involve the collection of new data in the form of a second experiment. As such, I am rejecting the manuscript in its current form, and I invite you to resubmit in the form of major revisions. If you feel that you cannot resubmit within the allotted timeframe, then you may wish to retract and submit a ‘new’ manuscript. If that is the case, I would ask that you please note this on your submission so that I am asked to handle the ‘new’ version.

A primary concern of Reviewer 1 is that we cannot be sure whether participants engaged in “talking inside the head”. I share this concern, but feel that it extends to several other conditions: “talking without sound” and “listen to someone else”. None of these tasks included a reliability measure. For example, you asked your participants to listen to someone else, but did they? Simple reliability check such as “you’ll be asked a question about the person’s conversation” would go a long way to ensure compliance. For “talking without sound”, this again would be easy to confirm with an analysis of video recording, or if you wanted to get precise, facial EMG. I am not suggesting you deploy fEMG, but this would provide clarity that motor movements between chewing gum and sucking on a lollipop differed in the way that you theorised. Again, a video analysis with a human coder would be the most straightforward solution. For “talking inside the head”, you may wish to consult the imagery literature to identify a suitable reliability task.

I shared reviewer 2’s concerns over the reported blink analysis technique. I am not an expert in eye blink analysis, and will defer to their expertise here, and they seem relatively satisfied. However, it needs to be clarified if this is a novel technique. If so, why was a new eye blink technique required? This is a relatively mature field, and there appear to be more robust eye blink detection methods out there. Why was a dimly lit room used with this optic/vision-based hardware? If this is a novel analysis technique, I would like to see some basic reliability data comparing tracking glass-derived blinks against that of a human coder, or that of a validated technique. This is not a methods paper, and so the sample would not need to be large, but sufficient to give confidence in the technique.

The statistics were a strength of the manuscript; however, several issues should be addressed. First, was a prospective power analysis conducted? If not, the implications need to be discussed. In particular, that several conditions in post-hoc tests approached significance, but may not have due to insufficient power. Second, were assumptions of normality etc. assessed prior to running ANOVAs? Like Reviewer 2, the description of ANOVA structure could be made clearer to the reader. For example, “a two-way repeated measures ANOVA was conducted on DV, with X (2 levels: A, B), and Y (3 levels: C, D, E) as within-subjects factors”. Relatedly, the description of the 8 conditions could be improved; I had difficulty tracking them all. There appeared to be a natural grouping, which you may find helpful for improving clarity: baseline (1), speech (3 levels: inside head, movement without sound, normal), motor (2 levels: lollipop, gum), listening (2 levels: someone else, self-recorded). Please also report the software used to conduct statistical analyses, along with associated packages. Finally, a policy of PLOS One is to make all underlying data available with the manuscript. Please ensure that you adhere to this policy.

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Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Partly

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The present study examined which factor induced an increase in blink rate during speaking by comparing blink rate between various conditions. They revealed that the motor activity during speaking was a major factor to increase blink rate. They carefully designed the research and the data analysis using Bayesian estimation was performed properly.

The main claim of the present study is that neither the cognitive processes nor the auditory input, but rather, the motor activity of the mouth has the main influence on our blink rate. They conclude this statement depending on the finding that the blink rate during speaking was significantly higher than that during speaking inside the head. However, I cannot agree to their conclusion because it is quite difficult to assess whether participants will seriously generate the sentence during speaking inside the head. There is a high possibility that the cognitive load between those two conditions were different. Large amount of previous studies consistently reported that cognitive load and arousal significantly influence on blink rate. The present study contradicts with those findings. Further experiment is necessary to support the current findings. For example, an experiment examines whether the blink rate changes when the cognitive load is changed due to the difficulty level of the topic under the same conditions for the motor activity of speaking.

Reviewer #2: This is a very interesting, concisely written and important study on the relationship between blink rate and cognitive and motor factors during speech. The idea is very clear: blink rate is increased during speaking, but is this due to the movements involved in speaking or the cognitive effort required of the speaking act. The present study is an elegant one that tries to de-confound the motor and cognitive functions and examines the results in blink rate. I have a fair few comments related to the clarity and completeness of the introduction and methods, but I find the experiment sound, the analysis valid, and the conclusion reasonable. Indeed, I believe this type of work that seeks to test the validity of ‘biomarkers’ of critical importance for the long-term health of science and would like to see the importance of the contribution underlined. To that end, I sincerely you find my comments informative and useful.

1) blink rate (perhaps include a definition) is assumed to be a physiological indicator of cognitive load. I'm not entirely sure what perceptual load could be, perhaps attentional is meant. Some people have suggested that blink rate is a correlate for dopaminergic activity (c.f. Colzato et al., 2008, Neuropsychologia), which might explain the relation with clinical diagnosis. This will also tie neatly into some of the existing controversies in the cognitive load – blink rate correlation as some failures to replicate have been reported (Sescousse et al., 2018, European Journal of Neuroscience; Dang et al., 2017, eNeuro; although Van Slooten et al., 2019, Psychopharmacology).

2) I would suggest slight restructuring of the first paragraph to first explain blink rate, what it does and why it would involve cognitive load and so on, and then to move the correlation between blink rate and speaking to a second paragraph - currently the second sentence in paragraph 1 seems like a strange shift of focus ("Also, the often found increase in blink rate during conversation").

3) Procedure: What does 'no task' mean in the baseline? Is this like a resting state recording in an fMRI experiment?

4) Procedure: Were participants told to come up with topics for themselves or was some randomisation of task x topic done? Perhaps it would help the reader if you could give a table with each of the 8 conditions with a short explanation.

5) Procedure: I imagine participants didn't immediately know what to say during talking conditions, was the length of the task 1 minute from onset of talking or onset of instruction?

6) Data analysis: Digitally recorded speech can be represented as waveforms, it's strictly speaking not transformed. Also, I do not understand what 'which were controlled for outburst signalling continuous talking' means. What is controlled? Is an 'outburst' a sudden high intensity or do you just mean if there's any amplitude in the waveforms it suggested continuous talking? Or is a noise gate filter applied?

7) Blink detection: This is to some extent part of data analysis and might be better presented as part of that.

8) Blink detection: I have some problems with identifying the blink with the pupil radius. That is, I understand that you get pupil radius values from the SMI recordings, but 1) pupil radius tends to be very strongly affected by whatever people are looking at, and 2) if people close their eyes, their pupils increase in size (due to lower light intensity reaching the eye through the lid), not decrease. Perhaps if SMI doesn't see a pupil, or the pupil is partially occluded, it outputs values of them that are small, but that seems an idiosyncracy of the equipment. That said, I find the detection clear enough, it's just that the biological (pupil size, blink) should not be confused for the technological. Please rewrite the preprocessing steps with this in mind.

9) Results: In general, I would advice a little bit of preamble and restructuring. Currently, the analyses seem to drop one after another and it is not always clear what hypotheses you are exactly trying to prove/disprove. Am I correct you are first trying to estimate the effect of talking on blink rate, the basic effect of interest; then to see whether this effect is best approximated by lip movements rather than chewing movements; and then by listening? Both the introductions and method sections could more easily provide predictions, and overview of analysis.

10) Results: The second factor ('repetition') makes very little sense if there is no clear manipulation. If the randomisation was by condition first and repetition second (repeating each condition once before re-randomising) rather than full randomisation, then the repetition suggests a factor of time, which could of course have an effect, but this is not explained.

11) Results, classic analysis: I am not sure which factor is used in the 2-way repeated measures analysis: is it between the 3 conditions, between the 8, or between the 3 and then the 5 remaining? Please use a standard type phrase ('A repeated measures ANOVA with Condition (baseline vs normal talking vs talking inside the head) and Repetition (1st to 5th) as factors - or something to that tune, then write out the analysis. I think the rest of the analysis concerns the differences between the 3 conditions, but what happened with the other 5?

12) Results, Bayesian: A Bayesian analysis is not done to assess the magnitude of differences (that's the effect size), but rather to estimate the evidence of the hypothesis given the evidence. However, I am not entirely sure what the null- and alternative hypothesis are - please specify. It would make things a bit easier if the repetition factor were entirely eliminated from the analysis (as the null-model can both include and not include it currently). Instead, if you are interested in revealing magnitude of differences and the partial eta squares provided are not enough (they rarely are), I would appreciate a simple magnitude (e.g. normal talking increased blink rate by ca. 100%).

13) Discussion: The conclusions seem sound and follow the data analysis. I was a bit disappointed that the authors did not follow up their analysis with an exploratory analysis of the number of syllables uttered and blink rate, as that seems not too prohibitive an amount of additional work. Perhaps that might be added as supplementary analysis?

14) Discussion: I very much agree with the suggestion that blink rate should not be seen as somehow a pure indicator of cognitive load. As to that, I would recommend the authors to phrase their caution even stronger, and not merely in the context of patient interviews, but also experimental work. It is quite possible, for example, that cognitive load or task difficulty could lead to affective responses expresed by the mouth, which may then lead to measurements of blink-rate patterns that are only indirectly related to the suggested causal mechanism (c.f. Maffei & Angrilli, Physiology and behavior, 2019). In that sense, the present study had a very clear focus on speech, but the results may well transfer to other domains, and the finding that blink rate does not provide a process-pure measure of cognition (or emotion, for that matter) is a critical one to get across.

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Reviewer #1: No

Reviewer #2: Yes: Michiel Spape

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Decision Letter 1

Markus Lappe

25 Aug 2021

PONE-D-20-10213R1

How the Motor Aspect of Speaking Influences the Blink Rate

PLOS ONE

Dear Dr. Brych,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Since the editor for this manuscript was not available at this time to continue handling the paper I have taken over  as active editor for the current revision. As you will see below, the manuscript was seen by a third reviewer who raised several issues. Please address these issues as best as you can. I look forward to receiving your revision.

Please submit your revised manuscript by Oct 09 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

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If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

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We look forward to receiving your revised manuscript.

Kind regards,

Markus Lappe

Academic Editor

PLOS ONE

Journal Requirements:

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #2: All comments have been addressed

Reviewer #3: (No Response)

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #2: Yes

Reviewer #3: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #2: Yes

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #2: Yes

Reviewer #3: No

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #2: Yes

Reviewer #3: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #2: Thank you for one of the most solid responses to reviewers I have ever had the pleasure to receive. I'm impressed by the changes (including additional experiments), the completeness of the response letter, and the final manuscript. No further comments!

Reviewer #3: Comments

Introduction

The research aim seems to be clearly stated in L64-L66. However, I find it difficult to extract a clear rationale for the research in general. Why is it interesting to find a relationship between blinking behavior and isolated muscle movement and potential concurrent cognitive effort? The authors state in L41-L44: “A clarification of the influence of motor activity seems relevant, especially since blinks serve as neurological indicators in clinical settings. For example, Parkinson’s disease is associated with very low blink rates [8], while high blink rates are observed in patients with Schizophrenia [9].”. It is however not clear to me how the relationships between blinking rate and the different tested conditions could be clinically related to e.g., the aforementioned illnesses. Please provide a clearer rationale. If blink rate is not mediated by dopaminergic hypo- or hyperactivity, and – as suggested by the authors – hypothetically through “facial motor activity”, then the authors should cite plenty sources as to the origins of this hypothesis. See also the next comment.

In L67-L75 the authors continue to provide some hypotheses, however I find no references to literature that give rise to such hypotheses in the first place. Please cite relevant sources that back your claims. Also, specifically in L71-L75 the authors already discuss the results from the first experiment. I believe they have done this they appended the paper with further experiments, However, it is no good practice to discuss results already in the introduction, so please omit this section from the introduction.

Methods exp.1

Please include a visual schematic as to how the subjects were seated relative to the experimental equipment. (if identical for all three experiments, one schematic would suffice)

The eight different experimental conditions, e.g. “talking inside the head” and “lollipop” seem not to be sufficiently motivated. Why have the authors choses specifically these activities and could they cite other sources on the credibility of these conditions.

What does “Additionally, we visually inspected the waveforms representing speech to control for task fulfillment in the “normal talking” condition.” Mean?

Could the authors provide us with a pseudocode of the novel blink detection algorithm? And also discuss how it differs from other state-of-the-art methods?

Results exp.1

The authors should elaborate more on the added value of Bayesian analysis in comparison to the (well executed) regular frequentist statistics.

Discussion exp.1

From L274 onwards, the aim of the second experiment is explained, however it feels more appropriate to include this text in a small introduction section - similar to L29-L75 – rather than putting it in the introduction section of experiment 1.

Experiment 2:

Blink detection: are eye-tracker and EOG data comparable in temporal resolution with respect to blink detection? Could the authors include a metric that quantifies the overlap between the two methods?

It is not clear to me how performance on the mental arithmetic conditions between (and within) participants differed. What was the general level of performance of the participants? Is there any correlation between task performance and blink rate? Also: for me it is not entirely clear how the authors defined an “error” in case of ‘arithmetic in the head’. E.g. if in a minute a subject subtracts 7, 14 times from 200. Ideally the subject would arrive at 102. However, what if the subject reported 100? Or 104? How did the authors infer a performance metric from these ‘singular’ reports?

L485-L491 – same comment as above. It seems that a small, separate introduction seems appropriate

Experiment 3:

Was a prospective power analysis done for experiment 3, if so, could the authors report the results?

L507-L508: was the baseline condition repeated for 15 times, as in the other experiments? Please report on this.

In general: it was not reported if the participants differed between experiments or if the participants were different. This seems important, as I would expect a “lollipop” condition with experiment 3. Why did the authors not include a “lollipop” condition in experiment 3 for comparison purposes? It seems to me that this was the primary reason for doing experiment 3 in the first place.

In L562-L563 the authors start talking about pupil diameter and the usage of short syllables. To what extent is this observation valid within the scope of this paper? The introduction of these subjects seems rather ad hoc, and I would advise to omit the sentence.

General discussion:

L588-L592: it would be nice if the authors could circle back to the general intro, by explaining how the current results are related to the larger picture they paint – the clinical applicability of blinking as a neurological indicator. Since the authors did not include a between subject condition in which they tested several groups, e.g., people with Parkinson’s or schizophrenia, it seems that the clinical applicability of the current results are not as evident as they put it here. As said above, this general (‘clinical’) narrative seems not to be backed by the experiments here, and needs to be revised, both in the general introduction, as well as in the general discussion.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #2: No

Reviewer #3: No

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

PLoS One. 2021 Oct 8;16(10):e0258322. doi: 10.1371/journal.pone.0258322.r004

Author response to Decision Letter 1


10 Sep 2021

Our answers to the reviewer's comments can be found in a point-by-point manner in the responseToReviewer_minorRevision.docx file.

Attachment

Submitted filename: ResponseToReviewers_minorRevision.docx

Decision Letter 2

Markus Lappe

27 Sep 2021

How the Motor Aspect of Speaking Influences the Blink Rate

PONE-D-20-10213R2

Dear Dr. Brych,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Markus Lappe

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #3: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #3: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #3: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #3: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #3: (No Response)

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #3: No

Acceptance letter

Markus Lappe

30 Sep 2021

PONE-D-20-10213R2

How the Motor Aspect of Speaking Influences the Blink Rate

Dear Dr. Brych:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

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Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Markus Lappe

Academic Editor

PLOS ONE

Associated Data

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    Supplementary Materials

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    Submitted filename: answer_to_reviewers_editor.docx

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    Data Availability Statement

    The data is available on OpenScienceFramework (http://doi.org/10.17605/OSF.IO/JT3V7).


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