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Portalete CR, Moraes DADO, Pagliarin KC, Keske-Soares M, Cielo CA. Acoustic and Physiological Voice Assessment And Maximum Phonation Time In Patients With Different Types Of Dysarthria. J Voice 2024; 38:540.e1-540.e11. [PMID: 34895782 DOI: 10.1016/j.jvoice.2021.09.034] [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: 06/19/2021] [Revised: 09/09/2021] [Accepted: 09/16/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To compare the maximum phonation time of /a/, acoustic glottal source parameters, and physiological measures in patients with dysarthria. METHOD Thirteen patients were classified according to dysarthria type and divided into functional profiles (hypofunctional, hyperfunctional, and mixed). Assessments of maximum phonation time of /a/, glottal source parameters, electroglottography, and nasometry were performed. Results were compared between groups using ANOVA and Tukey posthoc tests. RESULTS The highest fundamental frequency differed significantly between groups, with the hyperfunctional profile showing higher values than the other participant groups. Reductions in the maximum phonation time of /a/ and alterations in acoustic glottal source parameters and electroglottography measures were observed in all groups, with no significant differences between them. The remaining measures did not differ between groups. CONCLUSION The maximum phonation times for /a/ were reduced in all participant groups, suggesting air escape during phonation. The presence of alterations in several glottal source parameters in all participant groups is indicative of noise, tremor, and vocal instability. Lastly, the high fundamental frequency in patients with a hyperfunctional profile reinforces the presence of vocal instability. These findings suggest that, although the characteristics observed in the assessments were consistent with expectations of patients with dysarthria, it is difficult to perform a differential diagnosis of this condition based on acoustic and physiological parameters alone.
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Calà F, Frassineti L, Sforza E, Onesimo R, D’Alatri L, Manfredi C, Lanata A, Zampino G. Artificial Intelligence Procedure for the Screening of Genetic Syndromes Based on Voice Characteristics. Bioengineering (Basel) 2023; 10:1375. [PMID: 38135966 PMCID: PMC10741055 DOI: 10.3390/bioengineering10121375] [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: 10/11/2023] [Revised: 11/25/2023] [Accepted: 11/27/2023] [Indexed: 12/24/2023] Open
Abstract
Perceptual and statistical evidence has highlighted voice characteristics of individuals affected by genetic syndromes that differ from those of normophonic subjects. In this paper, we propose a procedure for systematically collecting such pathological voices and developing AI-based automated tools to support differential diagnosis. Guidelines on the most appropriate recording devices, vocal tasks, and acoustical parameters are provided to simplify, speed up, and make the whole procedure homogeneous and reproducible. The proposed procedure was applied to a group of 56 subjects affected by Costello syndrome (CS), Down syndrome (DS), Noonan syndrome (NS), and Smith-Magenis syndrome (SMS). The entire database was divided into three groups: pediatric subjects (PS; individuals < 12 years of age), female adults (FA), and male adults (MA). In line with the literature results, the Kruskal-Wallis test and post hoc analysis with Dunn-Bonferroni test revealed several significant differences in the acoustical features not only between healthy subjects and patients but also between syndromes within the PS, FA, and MA groups. Machine learning provided a k-nearest-neighbor classifier with 86% accuracy for the PS group, a support vector machine (SVM) model with 77% accuracy for the FA group, and an SVM model with 84% accuracy for the MA group. These preliminary results suggest that the proposed method based on acoustical analysis and AI could be useful for an effective, non-invasive automatic characterization of genetic syndromes. In addition, clinicians could benefit in the case of genetic syndromes that are extremely rare or present multiple variants and facial phenotypes.
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Affiliation(s)
- Federico Calà
- Department of Information Engineering, University of Florence, 50139 Florence, Italy; (F.C.); (L.F.); (A.L.)
| | - Lorenzo Frassineti
- Department of Information Engineering, University of Florence, 50139 Florence, Italy; (F.C.); (L.F.); (A.L.)
- Department of Information Engineering, Università degli Studi di Pisa, 56122 Pisa, Italy
| | - Elisabetta Sforza
- Department of Life Sciences and Public Health, Faculty of Medicine and Surgery, Catholic University of Sacred Heart, 00168 Rome, Italy; (E.S.); (G.Z.)
| | - Roberta Onesimo
- Centre for Rare Diseases and Transition, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy;
| | - Lucia D’Alatri
- Unit for Ear, Nose and Throat Medicine, Department of Neuroscience, Sensory Organs and Chest, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy;
| | - Claudia Manfredi
- Department of Information Engineering, University of Florence, 50139 Florence, Italy; (F.C.); (L.F.); (A.L.)
| | - Antonio Lanata
- Department of Information Engineering, University of Florence, 50139 Florence, Italy; (F.C.); (L.F.); (A.L.)
| | - Giuseppe Zampino
- Department of Life Sciences and Public Health, Faculty of Medicine and Surgery, Catholic University of Sacred Heart, 00168 Rome, Italy; (E.S.); (G.Z.)
- Centre for Rare Diseases and Transition, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy;
- European Reference Network for Rare Malformation Syndromes, Intellectual and Other Neurodevelopmental Disorders—ERN ITHACA
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Angelakis E, Kotsani N, Georgaki A. Towards a Singing Voice Multi-Sensor Analysis Tool: System Design, and Assessment Based on Vocal Breathiness. SENSORS 2021; 21:s21238006. [PMID: 34884019 PMCID: PMC8659512 DOI: 10.3390/s21238006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 11/14/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022]
Abstract
Singing voice is a human quality that requires the precise coordination of numerous kinetic functions and results in a perceptually variable auditory outcome. The use of multi-sensor systems can facilitate the study of correlations between the vocal mechanism kinetic functions and the voice output. This is directly relevant to vocal education, rehabilitation, and prevention of vocal health issues in educators; professionals; and students of singing, music, and acting. In this work, we present the initial design of a modular multi-sensor system for singing voice analysis, and describe its first assessment experiment on the ‘vocal breathiness’ qualitative characteristic. A system case study with two professional singers was conducted, utilizing signals from four sensors. Participants sung a protocol of vocal trials in various degrees of intended vocal breathiness. Their (i) vocal output, (ii) phonatory function, and (iii) respiratory behavior-per-condition were recorded through a condenser microphone (CM), an Electroglottograph (EGG), and thoracic and abdominal respiratory effort transducers (RET), respectively. Participants’ individual respiratory management strategies were studied through qualitative analysis of RET data. Microphone audio samples breathiness degree was rated perceptually, and correlation analysis was performed between sample ratings and parameters extracted from CM and EGG data. Smoothed Cepstral Peak Prominence (CPPS) and vocal folds’ Open Quotient (OQ), as computed with the Howard method (HOQ), demonstrated the higher correlation coefficients, when analyzed individually. DECOM method-computed OQ (DOQ) was also examined. Interestingly, the correlation coefficient of pitch difference between estimates from CM and EGG signals appeared to be (based on the Pearson correlation coefficient) statistically insignificant (a result that warrants investigation in larger populations). The study of multi-variate models revealed even higher correlation coefficients. Models studied were the Acoustic Breathiness Index (ABI) and the proposed multiple regression model CDH (CPPS, DOQ, and HOQ), which was attempted in order to combine analysis results from microphone and EGG signals. The model combination of ABI and the proposed CDH appeared to yield the highest correlation with perceptual breathiness ratings. Study results suggest potential for the use of a completed system version in vocal pedagogy and research, as the case study indicated system practicality, a number of pertinent correlations, and introduced topics with further research possibilities.
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Liu B, Polce E, Raj H, Jiang J. Quantification of Voice Type Components Present in Human Phonation Using a Modified Diffusive Chaos Technique. Ann Otol Rhinol Laryngol 2019; 128:921-931. [DOI: 10.1177/0003489419848451] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: Signal typing has been used to categorize healthy and disordered voices; however, human voices are likely comprised of differing proportions of periodic type 1 elements, type 2 elements that are periodic with modulations, aperiodic type 3 elements, and stochastic type 4 elements. A novel diffusive chaos method is presented to detect the distribution of voice types within a signal with the goal of providing an objective and clinically useful tool for evaluating the voice. It was predicted that continuous calculation of the diffusive chaos parameter throughout the voice sample would allow for construction of comprehensive voice type component profiles (VTCP). Methods: One hundred thirty-five voice samples of sustained /a/ vowels were randomly selected from the Disordered Voice Database Model 4337. All samples were classified according to the voice type paradigm using spectrogram analysis, yielding 34 type 1, 35 type 2, 42 type 3, and 24 type 4 voice samples. All samples were then analyzed using the diffusive chaos method, and VTCPs were generated to show the distribution of the 4 voice type components (VTC). Results: The proportions of VTC1 varied significantly between the majority of the traditional voice types ( P < .001). Three of the 4 VTCs of type 3 voices were significantly different from the VTCs of type 4 voices ( P < .001). These results were compared to calculations of spectrum convergence ratio, which did not vary significantly between voice types 1 and 2 or 2 and 3. Conclusion: The diffusive chaos method demonstrates proficiency in generating comprehensive VTCPs for disordered voices with varying severity. In contrast to acoustic parameters that provide a single measure of disorder, VTCPs can be used to detect subtler changes by observing variations in each VTC over time. This method also provides the advantage of quantifying stochastic noise components that are due to breathiness in the voice.
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Affiliation(s)
- Boquan Liu
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | - Evan Polce
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | - Hayley Raj
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | - Jack Jiang
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
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On the design of automatic voice condition analysis systems. Part I: Review of concepts and an insight to the state of the art. Biomed Signal Process Control 2019. [DOI: 10.1016/j.bspc.2018.12.024] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Liu B, Polce E, Jiang J. Application of Local Intrinsic Dimension for Acoustical Analysis of Voice Signal Components. Ann Otol Rhinol Laryngol 2018; 127:588-597. [DOI: 10.1177/0003489418780439] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: The overall aim of this study was to apply local intrinsic dimension ( Di) estimation to quantify high-dimensional, disordered voice and discriminate between the 4 types of voice signals. It was predicted that continuous Di analysis throughout the entire time-series would generate comprehensive descriptions of voice signal components, called voice type component profiles (VTCP), that effectively distinguish between the 4 voice types. Method: One hundred thirty-five voice recording samples of the sustained vowel /a/ were obtained from the Disordered Voice Database Model 4337 and spectrographically classified into the voice type paradigm. The Di and correlation dimension ( D2) were then used to objectively analyze the voice samples and compared based on voice type differentiation efficacy. Results: The D2 exhibited limited effectiveness in distinguishing between the 4 voice type signals. For Di analysis, significant differences were primarily observed when comparing voice type component 1 (VTC1) and 4 (VTC4) across the 4 voice type signals ( P < .001). The 4 voice type components (VTCs) significantly differentiated between low-dimensional, type 3 and high-dimensional, type 4 signals ( P < .001). Conclusions: The Di demonstrated improvements over D2 in 2 distinct manners: enhanced resolution at high data dimensions and comprehensive description of voice signal elements.
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Affiliation(s)
- Boquan Liu
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Evan Polce
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Jack Jiang
- Department of Surgery-Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
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Morris AE, Norris SA, Perlmutter JS, Mink JW. Quantitative, clinically relevant acoustic measurements of focal embouchure dystonia. Mov Disord 2018; 33:449-458. [PMID: 29460980 PMCID: PMC5839997 DOI: 10.1002/mds.27298] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 12/13/2017] [Accepted: 12/17/2017] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Focal embouchure dystonia impairs orofacial motor control in wind musicians and causes professional disability. A paucity of quantitative measures or rating scales impedes the objective assessment of treatment efficacy. OBJECTIVES We quantified specific features of focal embouchure dystonia using acoustic measures and developed a metric to assess severity across multiple domains of symptomatic impairment. METHODS We recruited 9 brass musicians with and 6 without embouchure dystonia. The following 4 domains of symptomatic dysfunction in focal embouchure dystonia were identified: pitch inaccuracy, sound instability and tremor, sound breaks, and timing variability. Musicians performed sustained tones and sequences, and then acoustic variables within each domain were quantified. A composite brass acoustic severity score composed of these variables was validated against clinical global impressions of severity. RESULTS Musicians with dystonia performed worse in acoustic domains of pitch inaccuracy (median: dystonia = 100%, control = 62%), instability (median shimmer: dystonia = 3%, control = 2%), and breaks (median: dystonia = 0.34%, control = 0.05%). Tremor in embouchure dystonia was 5 to 8 Hz, intermittent, and variable in amplitude. Rhythmic variability did not differ between groups. Participants with embouchure dystonia had different patterns of impairment across variables. Composite severity scores strongly predicted clinical global impression of severity (R2 = 0.95). CONCLUSIONS Acoustic variables distinguish musicians with embouchure dystonia from controls and reflect different types of symptomatic impairments. Our composite acoustic severity score predicts severity of clinical global impression for musicians with different patterns of symptomatic impairment and may provide a foundation for developing a clinical rating scale. © 2018 International Parkinson and Movement Disorder Society.
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Affiliation(s)
- Aimee E Morris
- Medical Scientist Training Program, University of Rochester, Rochester, New York, USA
| | - Scott A Norris
- Department of Neurology, Washington University in Saint Louis, Saint Louis, Missouri, USA
| | - Joel S Perlmutter
- Departments of Neurology, Radiology, Neuroscience, Occupational Therapy, and Physical Therapy, Washington University in Saint Louis, Saint Louis, Missouri, USA
| | - Jonathan W Mink
- Departments of Neurology, Neuroscience, and Pediatrics, University of Rochester, Rochester, New York, USA
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Khan AA, Qureshi IZ. Vocalizations of adult male Asian koels (Eudynamys scolopacea) in the breeding season. PLoS One 2017; 12:e0186604. [PMID: 29053720 PMCID: PMC5650150 DOI: 10.1371/journal.pone.0186604] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 10/04/2017] [Indexed: 11/18/2022] Open
Abstract
Defining the vocal repertoire provides a basis for understanding the role of acoustic signals in sexual and social interactions of an animal. The Asian koel (Eudynamys scolopacea) is a migratory bird which spends its summer breeding season in the plains of Pakistan. The bird is typically wary and secretive but produces loud and distinct calls, making it easily detected when unseen. Like the other birds in the wild, presumably Asian koels use their calls for social cohesion and coordination of different behaviors. To date, the description of vocal repertoire of the male Asian koel has been lacking. Presently we analyzed and described for the first time the vocalizations of the adult male Asian koel, recorded in two consecutive breeding seasons. Using 10 call parameters, we categorized the vocalization type into six different categories on the basis of spectrogram and statistical analyses, namely the; “type 1 cooee call”, “type 2 cooee call”, “type 1 coegh call”, “type 2 coegh call”, “wurroo call” and “coe call”. These names were assigned not on the basis of functional analysis and were therefore onomatopoeic. Stepwise cross validated discriminant function analysis classified the vocalization correctly (100%) into the predicted vocal categories that we initially classified on the basis of spectrographic examination. Our findings enrich the biological knowledge about vocalizations of the adult male Asian koel and provide a foundation for future acoustic monitoring of the species, as well as for comparative studies with vocalizations of other bird species of the cuckoo family. Further studies on the vocalizations of the Asian koel are required to unravel their functions in sexual selection and individual recognition.
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Affiliation(s)
- Abdul Aziz Khan
- Department of Animal Sciences, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan
| | - Irfan Zia Qureshi
- Department of Animal Sciences, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan
- * E-mail:
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Cataldo E, Soize C. Voice Signals Produced With Jitter Through a Stochastic One-mass Mechanical Model. J Voice 2017; 31:111.e9-111.e18. [DOI: 10.1016/j.jvoice.2016.01.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Accepted: 01/04/2016] [Indexed: 11/28/2022]
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10
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Investigation of the Immediate Effects of Humming on Vocal Fold Vibration Irregularity Using Electroglottography and High-speed Laryngoscopy in Patients With Organic Voice Disorders. J Voice 2017; 31:48-56. [DOI: 10.1016/j.jvoice.2016.03.010] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 03/17/2016] [Indexed: 11/22/2022]
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Cordeiro H, Fonseca J, Guimarães I, Meneses C. Hierarchical Classification and System Combination for Automatically Identifying Physiological and Neuromuscular Laryngeal Pathologies. J Voice 2016; 31:384.e9-384.e14. [PMID: 27743845 DOI: 10.1016/j.jvoice.2016.09.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Revised: 09/08/2016] [Accepted: 09/08/2016] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Speech signal processing techniques have provided several contributions to pathologic voice identification, in which healthy and unhealthy voice samples are evaluated. A less common approach is to identify laryngeal pathologies, for which the use of a noninvasive method for pathologic voice identification is an important step forward for preliminary diagnosis. In this study, a hierarchical classifier and a combination of systems are used to improve the accuracy of a three-class identification system (healthy, physiological larynx pathologies, and neuromuscular larynx pathologies). METHOD Three main subject classes were considered: subjects with physiological larynx pathologies (vocal fold nodules and edemas: 59 samples), subjects with neuromuscular larynx pathologies (unilateral vocal fold paralysis: 59 samples), and healthy subjects (36 samples). The variables used in this study were a speech task (sustained vowel /a/ or continuous reading speech), features with or without perceptual information, and features with or without direct information about formants evaluated using single classifiers. A hierarchical classification system was designed based on this information. RESULTS The resulting system combines an analysis of continuous speech by way of the commonly used sustained vowel /a/ to obtain spectral and perceptual speech features. It achieved an accuracy of 84.4%, which represents an improvement of approximately 9% compared with the stand-alone approach. For pathologic voice identification, the accuracy obtained was 98.7%, and the identification accuracy for the two pathology classes was 81.3%. CONCLUSIONS Hierarchical classification and system combination create significant benefits and introduce a modular approach to the classification of larynx pathologies.
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Affiliation(s)
- Hugo Cordeiro
- Department of Electrical Engineering, Faculty of Sciences and Technology of the New University of Lisbon, 2829-516 Caparica, Portugal; Department of Electronics, Telecommunications and Computers, Higher Institute of Engineering of Lisbon, 1959-007 Lisbon, Portugal.
| | - José Fonseca
- Department of Electrical Engineering, Faculty of Sciences and Technology of the New University of Lisbon, 2829-516 Caparica, Portugal
| | - Isabel Guimarães
- Department of Speech and Language Therapy, School of Health Sciences at Alcoitão, 2649-506 Alcabideche, Portugal
| | - Carlos Meneses
- Department of Electronics, Telecommunications and Computers, Higher Institute of Engineering of Lisbon, 1959-007 Lisbon, Portugal
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Jitter generation in voice signals produced by a two-mass stochastic mechanical model. Biomed Signal Process Control 2016. [DOI: 10.1016/j.bspc.2016.02.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Hohm J, Döllinger M, Bohr C, Kniesburges S, Ziethe A. Influence of F0 and Sequence Length of Audio and Electroglottographic Signals on Perturbation Measures for Voice Assessment. J Voice 2015; 29:517.e11-21. [PMID: 25944290 DOI: 10.1016/j.jvoice.2014.10.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Accepted: 10/01/2014] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Within the functional assessment of voice disorders, an objective analysis of measured parameters from audio, electroglottographic (EGG), or visual signals is desired. In a typical clinical situation, reliable objective analysis is not always possible due to missing standardization and unknown stability of the clinical parameters. The aim of this study was to investigate the robustness/stability of measured clinical parameters of the audio and EGG signals in a typical clinical setting to ensure a reliable objective analysis. In particular, the influence of F0 and of the sequence length on several definitions of jitter and shimmer will be analyzed. PATIENTS AND METHODS Seventy-four young healthy women produced a sustained vowel /a/ and an upward triad with abrupt changeovers. Different sequence lengths (100, 150, 500, and 1000 ms) of sustained phonation and triads (100 and 150 ms) were extracted from the audio and EGG signals. In total, six variations of jitter and four variations of shimmer parameters were analyzed. RESULTS Jitter%, Jitter11p, and JitterPPQ of the audio signal as well as Jittermean, Shimmer, and Shimmer11p of the EGG signal are unaffected by both sequence length and F0. CONCLUSIONS Influence of F0 and sequence length on several perturbation measures of the audio and EGG signals was identified. For an objective clinical voice assessment, unaffected definitions of jitter and shimmer should be preferred and applied to enable comparability between different recordings, examinations, and studies.
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Affiliation(s)
- Julian Hohm
- Department for Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Erlangen, Germany
| | - Michael Döllinger
- Department for Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Erlangen, Germany
| | - Christopher Bohr
- Department for Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Erlangen, Germany
| | - Stefan Kniesburges
- Department for Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Erlangen, Germany
| | - Anke Ziethe
- Department for Phoniatrics and Pediatric Audiology, University Hospital Erlangen, Erlangen, Germany.
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Hosokawa K, Ogawa M, Iwahashi T, Hashimoto M, Inohara H. Does Cervical Muscular Contraction Affect the Measurement for Electroglottographic Perturbation Parameters? J Voice 2015; 29:660-9. [PMID: 25873542 DOI: 10.1016/j.jvoice.2014.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2014] [Accepted: 11/04/2014] [Indexed: 10/23/2022]
Abstract
OBJECTIVES The purpose was to assess whether cervical muscular contraction during phonation influences the period and amplitude perturbation quotients (PPQ and APQ, respectively) of electroglottographic (EGG) signals, and whether high-pass filtering can attenuate these effects. STUDY DESIGN Prospective. METHODS We included 19 nondysphonic speakers and 21 patients with muscle tension dysphonia. During the recording of acoustic and EGG signals, each participant was instructed to naturally phonate sustained vowels /i:/ and /a:/ (NP tasks), and additionally, each nondysphonic participant was asked to phonate the same vowels in a nondysphonic voice quality while contracting the cervical muscles (muscular contracted phonation [MCP] tasks). To confirm the contraction, surface and needle electromyography (EMG) was performed. The EGG signals were high-pass filtered at different cutoff frequencies from 0 to 90 Hz and were subsequently analyzed for the PPQ and APQ. RESULTS Compared with the NP tasks, the MCP tasks enhanced the cervical EMG activities ranging from 0 to more than 1000 Hz, but conferred only low-frequency noise to the EGG signals under 50 Hz and increased the values for EGG-APQ, but not EGG-PPQ. These EGG-APQ values exhibited gradual decreases after high-pass filtering with an increase in the cutoff frequency ranging from 0 to 50 Hz in both groups, followed by plateaus during the MCP tasks in the nondysphonic group. CONCLUSIONS The present results demonstrate that cervical muscular contraction seriously affects the EGG-APQ values for unfiltered EGG signals independent of the EMG activities and that appropriate high-pass filtering over 50 Hz can attenuate these effects.
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Affiliation(s)
- Kiyohito Hosokawa
- Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Japan
| | - Makoto Ogawa
- Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
| | - Toshihiko Iwahashi
- Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Japan
| | - Michiko Hashimoto
- Department of Otorhinolaryngology, Kinki Central Hospital of Mutual Aid Association of Public School Teachers, Hyogo, Japan
| | - Hidenori Inohara
- Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Japan
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Petrovic-Lazic M, Jovanovic N, Kulic M, Babac S, Jurisic V. Acoustic and Perceptual Characteristics of the Voice in Patients With Vocal Polyps After Surgery and Voice Therapy. J Voice 2015; 29:241-6. [DOI: 10.1016/j.jvoice.2014.07.009] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Accepted: 07/17/2014] [Indexed: 11/30/2022]
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Immediate Effects of Humming on Computed Electroglottographic Parameters in Patients With Muscle Tension Dysphonia. J Voice 2014; 28:733-41. [DOI: 10.1016/j.jvoice.2014.02.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Accepted: 02/10/2014] [Indexed: 11/23/2022]
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17
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Statistical Analysis of the Reliability of Acoustic and Electroglottographic Perturbation Parameters for the Detection of Vocal Roughness. J Voice 2014; 28:263.e9-263.e16. [DOI: 10.1016/j.jvoice.2013.07.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Accepted: 07/15/2013] [Indexed: 11/22/2022]
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Persistent dysphonia after laryngomicrosurgery for benign vocal fold disease. Clin Exp Otorhinolaryngol 2013; 6:166-70. [PMID: 24069520 PMCID: PMC3781230 DOI: 10.3342/ceo.2013.6.3.166] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2012] [Revised: 08/13/2012] [Accepted: 08/17/2012] [Indexed: 12/03/2022] Open
Abstract
Objectives Laryngomicrosurgery (LMS) is used to manage most vocal fold lesions. However, the functional voice outcome of the LMS might be diverse due to the influence of various factors. We intend to evaluate the incidence and etiologic factors of persistent dysphonia after LMS for benign vocal fold disease (BVFD). Methods We performed a retrospective review of 755 patients who underwent LMS for BVFD. We analyzed the clinical characteristics, preoperative and postoperative two onths voice studies. Postsurgical dysphonia was defined as grade 1 or above in GRBAS (grade, roughness, breathiness, asthenia, and strain) scale. Thirty nine patients (5.2%; 25 males and 14 females; average, 42.9 years; range, 21 to 70 years) were diagnosed with postsurgical dysphonia. Results There was no correlation between the diagnosis, coexistence with laryngopharyngeal reflux disease, habit of smoking, or occupational voice abuse and voice outcome. The patients with a worse preoperative acoustic parameter had aworse voice outcome. Stroboscopic findings showed excessive scarring or bowing in 21 cases, presence of lesion remnant in eight cases, prolonged laryngeal edema in five and no abnormal findings in three. Conclusion Great care should be taken in patients with worse preoperative jitter. With a few exceptions, postoperative dysphonia can be avoided by the use of an ppropriate surgical technique.
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Uloza V, Vegienė A, Pribuišienė R, Šaferis V. Quantitative Evaluation of Video Laryngostroboscopy: Reliability of the Basic Parameters. J Voice 2013; 27:361-8. [DOI: 10.1016/j.jvoice.2012.12.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2012] [Accepted: 12/17/2012] [Indexed: 10/27/2022]
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Hosokawa K, Yoshida M, Yoshii T, Takenaka Y, Hashimoto M, Ogawa M, Inohara H. Effectiveness of the Computed Analysis of Electroglottographic Signals in Muscle Tension Dysphonia. Folia Phoniatr Logop 2012; 64:145-50. [PMID: 22965009 DOI: 10.1159/000342146] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- K Hosokawa
- Department of Otorhinolaryngology, Head and Neck Surgery, Osaka University Graduate School of Medicine, Toyonaka-Heisei Hospital, Osaka, Japan.
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Markaki M, Stylianou Y. Voice Pathology Detection and Discrimination Based on Modulation Spectral Features. ACTA ACUST UNITED AC 2011. [DOI: 10.1109/tasl.2010.2104141] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Olszewski AE, Shen L, Jiang JJ. Objective methods of sample selection in acoustic analysis of voice. Ann Otol Rhinol Laryngol 2011; 120:155-61. [PMID: 21510140 DOI: 10.1177/000348941112000303] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES In acoustic voice analysis, the fact that reproducible methods of sample selection have not been defined impedes research study generalizability and clinical assessment of treatment efficacy. Because perturbation results differ along a single signal, this study sought to establish objective methods of sample selection by use of a moving window to determine the most stable regions of phonation. METHODS Voice signals obtained from 21 patients affected by laryngeal conditions associated with Parkinson's disease were analyzed to study jitter, shimmer, signal-to-noise ratio, and correlation dimension parameters when various sample selection procedures were used. Objectively selected voice samples were chosen based upon 5%, 10%, and 20% variance from a signal's minimum perturbation value. The stability of these samples, defined by the standard deviations of the acoustic measurements, was compared to the stability of unselected samples and subjectively selected samples. RESULTS A significant decrease in standard deviation values of acoustic parameters was found in comparing the objectively selected samples (particularly those selected with 5% and 10% variance) to the subjectively selected and unselected samples. CONCLUSIONS These results suggest that the development of an objective sample selection method may have significant effects on the stability and reliability of acoustic voice measurements.
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Affiliation(s)
- Aleksandra E Olszewski
- Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53706-1532, USA
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Petrović-Lazić M, Babac S, Vuković M, Kosanović R, Ivanković Z. Acoustic Voice Analysis of Patients With Vocal Fold Polyp. J Voice 2011; 25:94-7. [DOI: 10.1016/j.jvoice.2009.04.002] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2008] [Accepted: 04/17/2009] [Indexed: 11/17/2022]
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Herbst CT, Fitch WTS, Svec JG. Electroglottographic wavegrams: a technique for visualizing vocal fold dynamics noninvasively. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2010; 128:3070-3078. [PMID: 21110602 DOI: 10.1121/1.3493423] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
A method for analyzing and displaying electroglottographic (EGG) signals (and their first derivative, DEGG) is introduced: the electroglottographic wavegram ("wavegram" hereafter). To construct a wavegram, the time-varying fundamental frequency is measured and consecutive individual glottal cycles are identified. Each cycle is locally normalized in duration and amplitude, the signal values are encoded by color intensity and the cycles are concatenated to display the entire voice sample in a single image, similar as in sound spectrography. The wavegram provides an intuitive means for quickly assessing vocal fold contact phenomena and their variation over time. Variations in vocal fold contact appear here as a sequence of events rather than single phenomena, taking place over a certain period of time, and changing with pitch, loudness and register. Multiple DEGG peaks are revealed in wavegrams to behave systematically, indicating subtle changes of vocal fold oscillatory regime. As such, EGG wavegrams promise to reveal more information on vocal fold contacting and de-contacting events than previous methods.
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Affiliation(s)
- Christian T Herbst
- Laboratory of Biophysics, Department of Experimental Physics, Faculty of Science, Palacký University Olomouc, tř 17 listopadu 12, 771 46 Olomouc, Czech Republic.
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Sprecher A, Olszewski A, Jiang JJ, Zhang Y. Updating signal typing in voice: addition of type 4 signals. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2010; 127:3710-3716. [PMID: 20550269 PMCID: PMC2896412 DOI: 10.1121/1.3397477] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2009] [Revised: 03/22/2010] [Accepted: 03/25/2010] [Indexed: 05/29/2023]
Abstract
The addition of a fourth type of voice to Titze's voice classification scheme is proposed. This fourth voice type is characterized by primarily stochastic noise behavior and is therefore unsuitable for both perturbation and correlation dimension analysis. Forty voice samples were classified into the proposed four types using narrowband spectrograms. Acoustic, perceptual, and correlation dimension analyses were completed for all voice samples. Perturbation measures tended to increase with voice type. Based on reliability cutoffs, the type 1 and type 2 voices were considered suitable for perturbation analysis. Measures of unreliability were higher for type 3 and 4 voices. Correlation dimension analyses increased significantly with signal type as indicated by a one-way analysis of variance. Notably, correlation dimension analysis could not quantify the type 4 voices. The proposed fourth voice type represents a subset of voices dominated by noise behavior. Current measures capable of evaluating type 4 voices provide only qualitative data (spectrograms, perceptual analysis, and an infinite correlation dimension). Type 4 voices are highly complex and the development of objective measures capable of analyzing these voices remains a topic of future investigation.
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Affiliation(s)
- Alicia Sprecher
- Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA
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Murugappan S, Boyce S, Khosla S, Kelchner L, Gutmark E. Acoustic characteristics of phonation in "wet voice" conditions. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2010; 127:2578-89. [PMID: 20370039 PMCID: PMC2865707 DOI: 10.1121/1.3308478] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2009] [Revised: 01/11/2010] [Accepted: 01/13/2010] [Indexed: 05/29/2023]
Abstract
A perceptible change in phonation characteristics after a swallow has long been considered evidence that food and/or drink material has entered the laryngeal vestibule and is on the surface of the vocal folds as they vibrate. The current paper investigates the acoustic characteristics of phonation when liquid material is present on the vocal folds, using ex vivo porcine larynges as a model. Consistent with instrumental examinations of swallowing disorders or dysphagia in humans, three liquids of different Varibar viscosity ("thin liquid," "nectar," and "honey") were studied at constant volume. The presence of materials on the folds during phonation was generally found to suppress the higher frequency harmonics and generate intermittent additional frequencies in the low and high end of the acoustic spectrum. Perturbation measures showed a higher percentage of jitter and shimmer when liquid material was present on the folds during phonation, but they were unable to differentiate statistically between the three fluid conditions. The finite correlation dimension and positive Lyapunov exponent measures indicated that the presence of materials on the vocal folds excited a chaotic system. Further, these measures were able to reliably differentiate between the baseline and different types of liquid on the vocal folds.
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Affiliation(s)
- Shanmugam Murugappan
- Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati Medical Center, 231 Albert B. Sabin Way, Cincinnati, OH 45267-0528, USA.
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Clinical value of acoustic voice measures: a retrospective study. Eur Arch Otorhinolaryngol 2010; 267:1261-71. [DOI: 10.1007/s00405-010-1214-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2009] [Accepted: 02/02/2010] [Indexed: 10/19/2022]
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Dibazar AA, Berger TW, Narayanan SS. Pathological voice assessment. CONFERENCE PROCEEDINGS : ... ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL CONFERENCE 2008; 2006:1669-73. [PMID: 17946059 DOI: 10.1109/iembs.2006.259835] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
While there are number of guidelines and methods used in practice, there is no standard universally agreed upon system for assessment of pathological voices. Pathological voices are primarily labeled based on the perceptual judgments of specialists, a process that may result in different label(s) being assigned to a given voice sample. This paper focuses on the recognition of five specific pathologies. The main goal is to compare two different classification methods. The first method considers single label classification by assigning a new label (single label) to the ensembles to which they most likely belong. The second method employs all labels originally assigned to the voice samples. Our results show that the pathological voice assessment performance in the second method is improved with respect to the first method.
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Affiliation(s)
- Alireza A Dibazar
- Dept. of Biomed. Eng., Univ. of Southern California, Los Angeles, CA 90089-1111, USA.
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Uloza V, Saferis V, Uloziene I. Perceptual and Acoustic Assessment of Voice Pathology and the Efficacy of Endolaryngeal Phonomicrosurgery. J Voice 2005; 19:138-45. [PMID: 15766859 DOI: 10.1016/j.jvoice.2004.01.009] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2004] [Indexed: 11/23/2022]
Abstract
Values for acoustic voice measurements were obtained from 88 normal individuals and 98 pathological cases of mass lesions of vocal fold and 50 cases of unilateral vocal fold paralysis. Overall, all items reflecting perturbations of pitch and amplitude as well as glottal noise were significantly higher in the groups of patients compared with the normal group. The measurement of normalized noise energy (NNE) was found to be an optimum parameter for discrimination of normal/abnormal voices. The voices of patients with vocal fold nodules and vocal fold polyps were analyzed before endolaryngeal phonomicrosurgery (EPM) and 2 weeks after. Statistically significant (p < 0.01) improvement was achieved both in perceptual and acoustic analysis. EPM resulted in a significant decrease of mean jitter, shimmer, and NNE. Clinically, these measures provided documentable and measurable evidence of vocal function and were helpful for comparing patients with normal speakers. They also were useful for a thorough documentation of patient's voice pathology and for evaluation of the presurgical and postsurgical voice status.
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Affiliation(s)
- Virgilijus Uloza
- Department of Otolaryngology, Kaunas University of Medicine, Kaunas, Lithuania.
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Jilek C, Marienhagen J, Hacki T. Vocal stability in functional dysphonic versus healthy voices at different times of voice loading. J Voice 2004; 18:443-53. [PMID: 15567046 DOI: 10.1016/j.jvoice.2004.01.002] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2004] [Indexed: 11/17/2022]
Abstract
Functional (nonorganic) dysphonia is often characterized by vocal instability. The purpose of the prospective study was to examine whether there is a difference in vocal instability of functional dysphonic voices compared with healthy ones, this means whether electroglottographic perturbation values differ (1) between healthy and dysphonic voices and (2) between two subgroups of the dysphponic voices (hypertonic and hypotonic dysphonic voices). Twenty-three patients with hypertonic functional dysphonia, 9 with hypotonic functional dysphonia and 31 healthy nonsmokers, were each examined electroglottographically before (Ex 1), immediately after (Ex 2), and 1 hour after (Ex 3) voice loading. Perturbations of frequency, amplitude, quasi-open-quotient, and contact-index were calculated from the EGG signal. At all three times of examination, hypertonic dysphonic voices showed higher perturbations than healthy voices, and they had higher perturbations than hypotonic dysphonic voices before and 1 hour after voice loading. Hypotonic dysphonic voices showed higher perturbations than healthy voices only 1 hour after voice loading. Voice loading induced different reactions in dysphonic voices: Some voices showed increased perturbations, and others exhibited normal or even decreased perturbation immediately after voice loading. Examination of electroglottographic-derived perturbations immediately after voice loading seems not to be useful. Differentiation of hypertonic and hypotonic dysphonic voices was possible with an estimated sensitivity of 88.9% and a specificity of 87.0% by using the sum of the amplitude-perturbation and the quasi-open-quotient-perturbation measured before voice loading.
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Affiliation(s)
- C Jilek
- Phoniatrics and Pediatric Audiology, Department of ENT, University of Regensburg, Regensburg, Germany.
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Nelson BS. Dynamics of frequency and amplitude modulations in vocalizations produced by eastern towhees, Pipilo erythrophthalmus. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2004; 115:1333-1344. [PMID: 15058355 DOI: 10.1121/1.1648976] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Eastern towhees, Pipilo erythrophthalmus (Emberizidae, Passeriformes), appear to estimate source-SPL using spectral or temporal variables. Nevertheless, vocalizations are dynamic by nature and it remains unclear whether subjects pay attention to correlations between discrete variables or pay attention to the dynamics that these variables summarize. Sine functions are used to describe coarse (slow, < 10 Hz) frequency and amplitude modulations in towhee calls and correlations between variables are identified. Towhee calls are also finely (rapidly, > 400 Hz) modulated in both amplitude and frequency. Fine amplitude and frequency modulations correlate well (occur in phase) over relatively low fundamental frequencies (< approximately 3.5 kHz) and tend to have greater amplitudes and frequencies over these same frequencies. Modulations and correlations between modulations might exist due to stable dynamic interactions that occur within and between the physical forces that function to produce modulations in vocalizations. Results support the hypothesis that towhees communicate within separate sound frequency channels defined to each side of approximately 3.5 kHz.
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Affiliation(s)
- Brian S Nelson
- Department of Biology, Indiana University, Bloomington, Indiana 47405-3700, USA.
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