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Yang J, Crawley B, Dehom S, Krishna P, Murry T. Chronic Refractory Cough: Objective Improvement With Aerodynamic-Focused. J Voice 2021; 35:324.e9-324.e13. [DOI: 10.1016/j.jvoice.2019.08.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 07/15/2019] [Accepted: 08/26/2019] [Indexed: 12/12/2022]
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Perrine BL, Scherer RC. Aerodynamic and Acoustic Voice Measures Before and After an Acute Public Speaking Stressor. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:3311-3325. [PMID: 32916082 DOI: 10.1044/2020_jslhr-19-00252] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Purpose The goal of this study was to determine if differences in stress system activation lead to changes in speaking fundamental frequency, average oral airflow, and estimated subglottal pressure before and after an acute, psychosocial stressor. Method Eighteen vocally healthy adult females experienced the Trier Social Stress Test (TSST) to activate the hypothalamic-pituitary-adrenal axis. The TSST includes public speaking and performing mental arithmetic in front of an audience. At seven time points, three before the stressor and four after the stressor, the participants produced /pa/ repetitions, read the Rainbow Passage, and provided a saliva sample. Measures included (a) salivary cortisol level, (b) oral airflow, (c) estimated subglottal pressure, and (d) speaking fundamental frequency from the second sentence of the Rainbow Passage. Results Ten of the 18 participants experienced a hypothalamic-pituitary-adrenal axis response to stress as indicated by a 2.5-nmol/L increase in salivary cortisol from before the TSST to after the TSST. Those who experienced a response to stress had a significantly higher speaking fundamental frequency before and immediately after the stressor than later after the stressor. No other variable varied significantly due to the stressor. Conclusions This study suggests that the idiosyncratic and inconsistent voice changes reported in the literature may be explained by differences in stress system activation. In addition, laryngeal aerodynamic measures appear resilient to changes due to acute stress. Further work is needed to examine the influence of other stress systems and if these findings hold for dysphonic individuals.
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Affiliation(s)
- Brittany L Perrine
- Department of Communication Sciences and Disorders, Baylor University, Waco, TX
| | - Ronald C Scherer
- Department of Communication Sciences and Disorders, Bowling Green State University, OH
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Mozzanica F, Scarponi L, Rota M, Succo G, Crosetti E, Guzzo M, Bossi P, Piazza C, Ottaviani F, Schindler A. Psychometric properties of the Italian version of the Speech Handicap Index. Disabil Rehabil 2019; 43:1307-1312. [DOI: 10.1080/09638288.2019.1655595] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Affiliation(s)
- Francesco Mozzanica
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- ENT Unit, San Giuseppe Hospital, IRCCS Multimedica, Milan, Italy
| | - Letizia Scarponi
- Department of Biomedical and Clinical Sciences, L. Sacco Hospital, University of Milan, Milan, Italy
| | - Martina Rota
- Department of Biomedical and Clinical Sciences, L. Sacco Hospital, University of Milan, Milan, Italy
| | - Giovanni Succo
- Head/Neck Oncology Service, Department of Oncology, University of Turin, FPO IRCCS-Candiolo Cancer Institute, Turin, Italy
| | - Erika Crosetti
- Head/Neck Oncology Service, Department of Oncology, University of Turin, FPO IRCCS-Candiolo Cancer Institute, Turin, Italy
| | - Marco Guzzo
- Department of Otorhinolaryngology, Maxillofacial, and Thyroid Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, University of Milan, Milan, Italy
| | - Paolo Bossi
- Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Cesare Piazza
- Department of Otorhinolaryngology, Maxillofacial, and Thyroid Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, University of Milan, Milan, Italy
| | - Francesco Ottaviani
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- ENT Unit, San Giuseppe Hospital, IRCCS Multimedica, Milan, Italy
| | - Antonio Schindler
- Department of Biomedical and Clinical Sciences, L. Sacco Hospital, University of Milan, Milan, Italy
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