Neural Speech Tracking Contribution of Lip Movements Predicts Behavioral Deterioration When the Speaker's Mouth Is Occluded.

Observing lip movements of a speaker facilitates speech understanding, especially in challenging listening situations. Converging evidence from neuroscientific studies shows stronger neural responses to audiovisual stimuli compared with audio-only stimuli. However, the interindividual variability of this contribution of lip movement information and its consequences on behavior are unknown. We analyzed source-localized magnetoencephalographic responses from 29 normal-hearing participants (12 females) listening to audiovisual speech, both with and without the speaker wearing a surgical face mask, and in the presence or absence of a distractor speaker. Using temporal response functions to quantify neural speech tracking, we show that neural responses to lip movements are, in general, enhanced when speech is challenging. After controlling for speech acoustics, we show that lip movements contribute to enhanced neural speech tracking, particularly when a distractor speaker is present. However, the extent of this visual contribution to neural speech tracking varied greatly among participants. Probing the behavioral relevance, we demonstrate that individuals who show a higher contribution of lip movements in terms of neural speech tracking show a stronger drop in comprehension and an increase in perceived difficulty when the mouth is occluded by a surgical face mask. In contrast, no effect was found when the mouth was not occluded. We provide novel insights on how the contribution of lip movements in terms of neural speech tracking varies among individuals and its behavioral relevance, revealing negative consequences when visual speech is absent. Our results also offer potential implications for objective assessments of audiovisual speech perception.