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Xavier CB, Dassie-Leite AP, Pereira RM, Nesi-França S, De Lacerda L. Vocal Characteristics of Children With Short Stature Before and After Growth Hormone Treatment. J Voice 2024; 38:968.e9-968.e17. [PMID: 35090764 DOI: 10.1016/j.jvoice.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 12/29/2021] [Accepted: 01/04/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the vocal characteristics of children with short stature before and 12 months after growth hormone treatment. MATERIAL AND METHODS This analytical, observational cohort study included 23 children (age 5-11 years) diagnosed with short stature. Children in the short stature group (SSG) were matched (1:1) for age and sex with children with normal growth (normal stature group; NSG). Participants in the SSG underwent assessments before and 12 months after growth hormone treatment, while those in the NSG underwent the same assessments at baseline and 12 months. The assessments included evaluation of (A) vocal characteristics (history, vocal self-assessment, auditory-perceptual evaluation, and acoustic analysis), (B) anthropometry, (C) bone age, and (D) measurement of insulin-like growth factor-1 (IGF-1) levels. RESULTS Children in the SSG had more vocal complaints (P = 0.026) than those in the NSG. The groups were similar in terms of vocal self-assessment and auditory-perceptual evaluation (P = nonsignificant). Results of acoustic analysis were also similar for fundamental frequency (F 0) and perturbation measures (P for both = nonsignificant). F 0 and speech frequency decreased significantly at 12 months in both groups. F1 values were higher at 12 months in the NSG, while F2 values were significantly higher in the baseline evaluation in boys in the SSG. Children in the SSG compared with those in the NSG presented a greater increase in height measurements at 12 months, although the anthropometric means were lower in both evaluations (P < 0.001). CONCLUSION Vocal characteristics in children with short stature before and after treatment with growth hormone are comparable to those in children with normal growth.
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Affiliation(s)
- Congeta Bruniera Xavier
- Postgraduate Program of Childhood and Adolescence Health, Department of Pediatrics, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
| | - Ana Paula Dassie-Leite
- Department of Speech-Language Pathology, Universidade Estadual do Centro-Oeste, Irati, Paraná, Brazil
| | - Rosana Marques Pereira
- Division of Pediatric Endocrinology, Department of Pediatrics, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Suzana Nesi-França
- Division of Pediatric Endocrinology, Department of Pediatrics, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Luiz De Lacerda
- Division of Pediatric Endocrinology, Department of Pediatrics, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
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Viegas F, Camargo Z, Viegas D, Guimarães GS, Luiz RR, Ritto F, Simões-Zenari M, Nemr K. Acoustic Measurements of Speech and Voice in Men with Angle Class II, Division 1, Malocclusion. Int Arch Otorhinolaryngol 2022; 27:e10-e15. [PMID: 36714887 PMCID: PMC9879633 DOI: 10.1055/s-0041-1730428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 03/03/2021] [Indexed: 11/12/2022] Open
Abstract
Introduction The acoustic analysis of speech (measurements of the fundamental frequency and formant frequencies) of different vowels produced by speakers with the Angle class II, division 1, malocclusion can provide information about the relationship between articulatory and phonatory mechanisms in this type of maxillomandibular disproportion. Objectives To investigate acoustic measurements related to the fundamental frequency (F0) and formant frequencies (F1 and F2) of the oral vowels of Brazilian Portuguese (BP) produced by male speakers with Angle class II, division 1, malocclusion (study group) and compare with men with Angle class I malocclusion (control group). Methods In total, 60 men (20 with class II, 40 with class I) aged between 18 and 40 years were included in the study. Measurements of F0, F1 and F2 of the seven oral vowels of BP were estimated from the audio samples containing repetitions of carrier sentences. The statistical analysis was performed using the Student t -test and the effect size was calculated. Results Significant differences ( p -values) were detected for F0 values in five vowels ([e], [i], [ᴐ], [o] and [u]), and for F1 in vowels [a] and [ᴐ], with high levels for class II, division 1. Conclusion Statistical differences were found in the F0 measurements with higher values in five of the seven vowels analysed in subjects with Angle class II, division 1. The formant frequencies showed differences only in F1 in two vowels with higher values in the study group. The data suggest that data on voice and speech production must be included in the protocol's assessment of patients with malocclusion.
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Affiliation(s)
- Flávia Viegas
- Department of Speech Therapy, Universidade Federal Fluminense, Nova Friburgo, RJ, Brazil,Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil,Address for correspondence Flávia Viegas, PhD Universidade Federal FluminenseNova Friburgo, RJBrazil
| | - Zuleica Camargo
- Department of Philosophy, Communication, Language and Arts, Pontifícia Universidade Católica de São Paulo, São Paulo, SP, Brazil
| | - Danieli Viegas
- Voice Postgraduate Course, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Glaucio Serra Guimarães
- Department of Dentistry, Universidade Federal Fluminense, Nova Friburgo, Rio de Janeiro, Brazil
| | - Ronir Raggio Luiz
- Institute for Studies in Public Health, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Fabio Ritto
- Department of Buccomaxillofacial Surgery and Traumatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | - Katia Nemr
- Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil
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Viegas F, Viegas D, Serra Guimarães G, Ritto F, Simões-Zenari M, Nemr K. Acoustic Analysis of Voice and Speech in Men with Skeletal Class III Malocclusion: A Pilot Study. Folia Phoniatr Logop 2020; 73:117-125. [PMID: 32036357 DOI: 10.1159/000505186] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 12/01/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To assess the fundamental (f0) and first third formant (F1, F2, F3) frequencies of the 7 oral vowels of Brazilian Portuguese in men with skeletal class III malocclusion and to compare these measures with a control group of individuals with Angle's class I. METHODS Sixty men aged 18-40 years, 20 with Angle's class III skeletal malocclusion and 40 with Angle's class I malocclusion were selected by speech therapists and dentists. The speech signals were obtained from sustained vowels, and the values of f0 and frequencies of F1, F2 and F3 were estimated. The differences were verified through Student's t test, and the effect size calculation was performed. RESULTS In the class III group, more acute f0 values were observed in all vowels, higher values of F1 in the vowels [a] and [ε] and in F2 in the vowels [a], [e] and [i] and lower F1 and F3 values of the vowel [u]. CONCLUSION More acute f0 values were found in all vowels investigated in the class III group, which showed a higher laryngeal position in the production of these sounds. The frequencies of the first 3 formants showed punctual differences, with higher values of F1 in the vowels [a] and [ε] and of F2 in [a], [e] and [i], and lower values of F1 and F3 in the vowel [u] in the experimental group. Thus, it is concluded that the fundamental frequency of the voice was the main parameter that differentiated the studied group from the control.
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Affiliation(s)
- Flávia Viegas
- Department of Physical Therapy, Speech and Hearing Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil, .,Department of Specific Training in Speech and Hearing Pathology, Federal Fluminense University, Rio de Janeiro, Brazil,
| | | | - Glaucio Serra Guimarães
- Department of Specific Training (Dentistry), Federal Fluminense University, Rio de Janeiro, Brazil
| | - Fabio Ritto
- Pedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Marcia Simões-Zenari
- Department of Physical Therapy, Speech and Hearing Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil
| | - Katia Nemr
- Department of Physical Therapy, Speech and Hearing Therapy and Occupational Therapy, University of São Paulo, São Paulo, Brazil
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Hoffmann CF, Cielo CA. Characteristics of the Voice of Dysphonic School Children from 4:0 to 7:11 Years Old. J Voice 2020; 35:664.e11-664.e19. [PMID: 31889646 DOI: 10.1016/j.jvoice.2019.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 12/01/2019] [Accepted: 12/02/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Childhood dysphonia is frequent and has many origins, with the most common initial symptom being the altered vocal quality. OBJECTIVE Describe and correlate the auditory-perceptual and acoustic characteristics of the voice, and the maximum phonation time (MPT), of dysphonic schoolchildren from private and public schools from 4:0 to 7:11 years old, female and male. METHODS MPT, acoustic (Multi-Dimensional Voice Program Advanced and Real Time Spectrogram), and auditory-perceptual (Consensus Auditory-Perceptual Evaluation of Voice) evaluations of 115 schoolchildren were statistically analyzed. RESULTS Auditory-perceptual parameters values were classified as mild, and MPT values were reduced, in most children. Fundamental frequency and Jitt values decreased significantly with age; MPT/i/ increased significantly with age. Relative average perturbation, voice turbulence index (VTI), and number of sub-harmonic segments values were significantly higher in 4:0 years old children. The number of unvoiced segments was higher in 6:0 years old children. Shimmer percent was higher in 7:0 years old children. There were negative correlations between the high frequency spectrographic tracing color intensity and the vocal strain; the VTI and the MPT; the degree of unvoiced segments and the MPT. There was a positive correlation between the smoothed pitch period perturbation quotient and the roughness. CONCLUSION In dysphonic schoolchildren, auditory-perceptual parameters were moderate, MPT was reduced, several acoustic parameters were altered, and these vocal characteristics improved with age.
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Affiliation(s)
- Carla Franco Hoffmann
- Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
| | - Carla Aparecida Cielo
- Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.
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Remacle A, Genel Y, Segers M, de Bodt M. Vocal characteristics of 5-year-old children: proposed normative values based on a French-speaking population †. LOGOP PHONIATR VOCO 2019; 45:30-38. [PMID: 30648500 DOI: 10.1080/14015439.2018.1551928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Purpose: Previous research proposed normative data on gender- and age-specific voice acoustics for adults. Such reference values are lacking for children, particularly under the age of 6. This study was intended (1) to collect reliable normative data for the acoustic parameters of 5-year-old children's voices, and (2) to investigate potential gender-specific differences.Study: Prospective and cross-sectional.Methods: Acoustic analyses were done on the voices of 53 normophonic children (26 girls; 27 boys) aged 5;0-5;11 years, using Praat software. The fundamental frequency, local jitter, local shimmer, and noise-to-harmonics ratio (NHR) were measured on the sustained vowels [a], [i], and [u]. The highest frequency, lowest frequency, and frequency range were measured using ascending and descending glissandi on the vowel [a].Results: For the three sustained vowels, the mean fundamental frequency ranged from 255 Hz to 277 Hz, mean jitter ranged from 0.394% to 0.591%, mean shimmer ranged from 2.571% to 5.824%, and mean NHR ranged from 0.009 to 0.034. The frequency range was from 190 Hz to 750 Hz, which corresponds to 23.7 semitones. No gender difference was found, except for NHR on the vowel [a].Conclusions: The lack of gender differences - other than for NHR on the vowel [a] - led us to propose mixed norms for 5-year-old boys and girls combined.Implications: These normative data will allow clinicians to compare children's voice assessments to specific references in order to enhance diagnostic accuracy and measure therapy outcomes.
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Affiliation(s)
- Angélique Remacle
- Faculty of Psychology, Speech and Language Therapy, and Education, University of Liège, Liège, Belgium.,Fund for Scientific Research FNRS, Brussels, Belgium.,Faculty of Psychology and Educational Science, Université Catholique de Louvain, Brussels, Belgium
| | - Ysaline Genel
- Faculty of Psychology and Educational Science, Université Catholique de Louvain, Brussels, Belgium
| | - Magali Segers
- Faculty of Psychology and Educational Science, Université Catholique de Louvain, Brussels, Belgium
| | - Marc de Bodt
- Faculty of Medicine and Health Sciences, Antwerp University, Antwerp, Belgium.,Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
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Viegas F, Viegas D, Guimarães GS, Souza MMGD, Luiz RR, Simões-Zenari M, Nemr K. Comparison of fundamental frequency and formants frequency measurements in two speech tasks. REVISTA CEFAC 2019. [DOI: 10.1590/1982-0216/201921612819] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose: to compare the measurements of fundamental frequency (F0) and frequency of the first two formants (F1 and F2) of the seven oral vowels of the Brazilian Portuguese in two speech tasks, in adults without voice and speech disorders. Methods: eighty participants in the age range 18 and 40 years, paired by gender, were selected after orofacial, orthodontic and auditory-perceptual assessments of voice and speech. The speech signals were obtained from carrier phrases and sustained vowels and the values of the F0 and frequencies of F1 and F2 were estimated. The differences were verified through the t Test, and the effect size was calculated. Results: differences were found in the F0 measurements between the two speech tasks, in two vowels in males, and in five vowels, in females. In the F1 frequencies, differences were noted in six vowels, in men, and in two, in women. In the F2 frequencies, there was a difference in four vowels, in men, and three, in women. Conclusion: based on the differences found, it is concluded that the speech task for evaluation of fundamental frequency and formants’ frequencies, in the Brazilian Portuguese, can show distinct results in both glottal and supraglottal measures in the production of different oral vowels of this language. Thus, it is suggested that clinicians and researchers consider both forms of emission for a more accurate interpretation of the implications of these data in the evaluation of oral communication and therapeutic conducts.
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Affiliation(s)
- Flávia Viegas
- Universidade de São Paulo, Brazil; Universidade Federal Fluminense, Brazil
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Macari AT, Ziade G, Khandakji M, Tamim H, Hamdan AL. Effect of Rapid Maxillary Expansion on Voice. J Voice 2015; 30:760.e1-760.e6. [PMID: 26572721 DOI: 10.1016/j.jvoice.2015.09.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Accepted: 09/22/2015] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The purpose of this investigation is to evaluate the effect of rapid maxillary expansion (RME) on the fundamental frequency (F0) and formant frequencies F1-F4. STUDY DESIGN Cross-sectional study. MATERIALS AND METHODS A total of 14 consecutive patients between the ages of 9.6 years and 15 years with a constricted maxilla undergoing RME were included in this study. Measurements were made before (T1) and after treatment (T2). These included maxillary arch length, depth, width, and perimeter in addition to F0, habitual pitch, and formants F1, F2, F3, and F4 for the vowels /ɑ/, /i/, /o/, and /u/. RESULTS There was a significant difference in the mean of F1/ɑ/ and F2/ɑ/ before and after treatment (P value of 0.04 and 0.013, respectively). It is worth noting that F1/ɑ/ decreased in 11 and F2/ɑ/ decreased in 10 of the 14 subjects. CONCLUSION The application of RME in the treatment of maxillary constriction leads to a significant lowering of the first and second formants for the vowel /ɑ/ in most subjects. Subjects undergoing rapid maxillary application should be aware of the potential change in voice quality especially in case of professional voice users.
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Affiliation(s)
- Anthony T Macari
- Department of Otolaryngology-Head and Neck Surgery, Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut Medical Center, Beirut, Lebanon
| | - Georges Ziade
- Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
| | - Mohannad Khandakji
- Department of Otolaryngology-Head and Neck Surgery, Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut Medical Center, Beirut, Lebanon
| | - Hani Tamim
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Abdul-Latif Hamdan
- Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
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