Child Voice and Noise: A Pilot Study of Noise in Day Cares and the Effects on 10 Children's Voice Quality According to Perceptual Evaluation

Aim The purpose of this study was to develop and assess the reliability of a Hindi version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Reliability was assessed by comparing Hindi CAPE-V ratings with English CAPE-V ratings and by the Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scale. Method Hindi sentences were created to match the phonemic load of the corresponding English CAPE-V sentences. The Hindi sentences were adapted for linguistic content. The original English and adapted Hindi CAPE-V and GRBAS were completed for 33 bilingual individuals with normal voice quality. Additionally, the Hindi CAPE-V and GRBAS were completed for 13 Hindi speakers with disordered voice quality. The agreement of CAPE-V ratings was assessed between language versions, GRBAS ratings, and two rater pairs (three raters in total). Pearson product–moment correlation was completed for all comparisons. Results A strong correlation ( r > .8, p < .01) was found between the Hindi CAPE-V scores and the English CAPE-V scores for most variables in normal voice participants. A weak correlation was found for the variable of strain ( r < .2, p = .400) in the normative group. A strong correlation ( r > .6, p < .01) was found between the overall severity/grade, roughness, and breathiness scores in the GRBAS scale and the CAPE-V scale in normal and disordered voice samples. Significant interrater reliability ( r > .75) was present in overall severity and breathiness. Conclusions The Hindi version of the CAPE-V demonstrates good interrater reliability and concurrent validity with the English CAPE-V and the GRBAS. The Hindi CAPE-V can be used for the auditory-perceptual voice assessment of Hindi speakers.

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Measuring Vocal Fatigue in Sports Coaches

Journal of Clinical Speech and Language Studies ◽

10.3233/acs-2017-23104 ◽

2017 ◽

Vol 23 (1) ◽

pp. 1-20

Author(s):

Kathy Connaughton ◽

Irena Yanushevskaya

Keyword(s):

Acoustic Analysis ◽

Voice Quality ◽

Professional Sports ◽

Muscle Adaptation ◽

Voice Change ◽

Acoustic Measures ◽

Perceptual Evaluation ◽

Coaching Session ◽

Sports Coaches ◽

Voice Use

Objective: This study explores the immediate impact of prolonged voice use by professional sports coaches. Method: Speech samples including sustained phonation of vowel /a/ and a short read passage were collected from two professional sports coaches. The audio recordings were made within an hour before and after a coaching session, over three sessions. Perceptual evaluation of voice quality was done using the GRBAS scale. The speech samples were subsequently analyzed using Praat. The acoustic measures included fundamental frequency (f0), jitter, shimmer, Harmonics-to-Noise ratio and Cepstral Peak Prominence. Main results: The results of perceptual and acoustic analysis suggest a slight shift towards a tenser phonation post-coaching session, which is a likely consequence of laryngeal muscle adaptation to prolonged voice use. This tendency was similar in sustained vowels and connected speech. Conclusion: Acoustic measures used in this study can be useful to capture the voice change post-coaching session. It is desirable, however, that more sophisticated and robust and at the same time intuitive and easy-to-use tools for voice assessment and monitoring be made available to clinicians and professional voice users.

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A Randomized Controlled Trial of Two Semi-Occluded Vocal Tract Voice Therapy Protocols

Journal of Speech Language and Hearing Research ◽

10.1044/2015_jslhr-s-13-0231 ◽

2015 ◽

Vol 58 (3) ◽

pp. 535-549 ◽

Cited By ~ 55

Author(s):

Mara R. Kapsner-Smith ◽

Eric J. Hunter ◽

Kimberly Kirkham ◽

Karin Cox ◽

Ingo R. Titze

Keyword(s):

Quality Of Life ◽

Vocal Tract ◽

Controlled Trial ◽

Voice Quality ◽

Voice Handicap Index ◽

Voice Therapy ◽

Control Group ◽

Perceptual Evaluation ◽

Therapy Program

PurposeAlthough there is a long history of use of semi-occluded vocal tract gestures in voice therapy, including phonation through thin tubes or straws, the efficacy of phonation through tubes has not been established. This study compares results from a therapy program on the basis of phonation through a flow-resistant tube (FRT) with Vocal Function Exercises (VFE), an established set of exercises that utilize oral semi-occlusions.MethodTwenty subjects (16 women, 4 men) with dysphonia and/or vocal fatigue were randomly assigned to 1 of 4 treatment conditions: (a) immediate FRT therapy, (b) immediate VFE therapy, (c) delayed FRT therapy, or (d) delayed VFE therapy. Subjects receiving delayed therapy served as a no-treatment control group.ResultsVoice Handicap Index (Jacobson et al., 1997) scores showed significant improvement for both treatment groups relative to the no-treatment group. Comparison of the effect sizes suggests FRT therapy is noninferior to VFE in terms of reduction in Voice Handicap Index scores. Significant reductions in Roughness on the Consensus Auditory-Perceptual Evaluation of Voice (Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kraemer, & Hillman, 2009) were found for the FRT subjects, with no other significant voice quality findings.ConclusionsVFE and FRT therapy may improve voice quality of life in some individuals with dysphonia. FRT therapy was noninferior to VFE in improving voice quality of life in this study.

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Perceptual Evaluation of Voice Disorder in Children Who Have Had Laryngotracheal Reconstruction Surgery and the Relationship Between Clinician Perceptual Ratingof Voice Quality and Parent Proxy/Child Self-Report of Voice-Related Quality of Life

Journal of Voice ◽

10.1016/j.jvoice.2018.07.009 ◽

2019 ◽

Vol 33 (6) ◽

pp. 945.e27-945.e35 ◽

Cited By ~ 1

Author(s):

Wendy Cohen ◽

Susan Lloyd ◽

David M. Wynne ◽

Richard B Townsley

Keyword(s):

Voice Quality ◽

Self Report ◽

Voice Disorder ◽

Reconstruction Surgery ◽

Perceptual Evaluation ◽

Laryngotracheal Reconstruction ◽

Related Quality ◽

The Relationship ◽

Parent Proxy

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Vocal fold injury following endotracheal intubation

The Journal of Laryngology & Otology ◽

10.1258/002221505774481192 ◽

2005 ◽

Vol 119 (10) ◽

pp. 825-827 ◽

Cited By ~ 15

Author(s):

Satoshi Kitahara ◽

Yukihiro Masuda ◽

Yoko Kitagawa

Keyword(s):

Endotracheal Intubation ◽

Fibrin Glue ◽

Vocal Fold ◽

Case Reports ◽

Voice Quality ◽

Fibrous Tissue ◽

Normal Result ◽

Perceptual Evaluation ◽

Vibratory Pattern

Vocal fold scarring results in the formation of fibrous tissue which disturbs the vibratory pattern of the fold during phonation. However, vocal fold scarring in humans is poorly understood because of the lack of clear case reports focusing on voice quality. The authors present a case of vocal fold scarring with changes in voice quality. At the time of injury the pedicle mucosa was cemented with fibrin glue. Phonation was inhibited for two weeks and tranilast (300 mg/day) was given for 3 months. Sixty-nine days later, perceptual evaluation showed a normal result and the phonation time became better, but the mucosal vibration was still lacking. Ninety-seven days later, mucosal vibration was finally restored. We suggest that characterization of vocal fold scarring in humans may be different from that in animals, and recommend that surgical management should be avoided for at least three months after injury.

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Age Differences in Voice Evaluation: From Auditory-Perceptual Evaluation to Social Interactions

Journal of Speech Language and Hearing Research ◽

10.1044/2017_jslhr-s-16-0202 ◽

2018 ◽

Vol 61 (2) ◽

pp. 227-245 ◽

Cited By ~ 3

Author(s):

Catherine L. Lortie ◽

Isabelle Deschamps ◽

Matthieu J. Guitton ◽

Pascale Tremblay

Keyword(s):

Social Interactions ◽

Age Differences ◽

Smoking Status ◽

Voice Quality ◽

Cross Sectional Study ◽

Cross Sectional ◽

Younger Adults ◽

Perceptual Evaluation ◽

Younger Age ◽

The Voice

Purpose The factors that influence the evaluation of voice in adulthood, as well as the consequences of such evaluation on social interactions, are not well understood. Here, we examined the effect of listeners' age and the effect of talker age, sex, and smoking status on the auditory-perceptual evaluation of voice, voice-related psychosocial attributions, and perceived speech tempo. We also examined the voice dimensions affecting the propensity to engage in social interactions. Method Twenty-five younger (age 19–37 years) and 25 older (age 51–74 years) healthy adults participated in this cross-sectional study. Their task was to evaluate the voice of 80 talkers. Results Statistical analyses revealed limited effects of the age of the listener on voice evaluation. Specifically, older listeners provided relatively more favorable voice ratings than younger listeners, mainly in terms of roughness. In contrast, the age of the talker had a broader impact on voice evaluation, affecting auditory-perceptual evaluations, psychosocial attributions, and perceived speech tempo. Some of these talker differences were dependent upon the sex of the talker and his or her smoking status. Finally, the results also show that voice-related psychosocial attribution was more strongly associated with the propensity of the listener to engage in social interactions with a person than auditory-perceptual dimensions and perceived speech tempo, especially for the younger adults. Conclusions These results suggest that age has a broad influence on voice evaluation, with a stronger impact for talker age compared with listener age. While voice-related psychosocial attributions may be an important determinant of social interactions, perceived voice quality and speech tempo appear to be less influential. Supplemental Materials https://doi.org/10.23641/asha.5844102

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The Effects of Endoscopic Sinus Surgery on Voice Characteristics in Chronic Rhinosinusitis Patients

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489419861124 ◽

2019 ◽

Vol 128 (12) ◽

pp. 1129-1133

Author(s):

Danny B. Jandali ◽

Ashwin Ganti ◽

Inna A. Husain ◽

Pete S. Batra ◽

Bobby A. Tajudeen

Keyword(s):

Quality Of Life ◽

Chronic Rhinosinusitis ◽

Endoscopic Sinus Surgery ◽

Tertiary Care ◽

Voice Quality ◽

Upper Airway ◽

Sinus Surgery ◽

Perceptual Evaluation ◽

Snot 22

Objectives: Functional endoscopic sinus surgery (FESS) is a standard treatment modality for patients with chronic rhinosinusitis (CRS) who have failed appropriate medical therapy. However, FESS entails modification of the upper airway tract that may alter phonatory resonance and produce voice changes. The effects of FESS on postoperative voice characteristics in patients with CRS have yet to be quantitatively assessed. Methods: Patients with severe CRS who underwent FESS at a tertiary care referral center between May and October 2017 were prospectively enrolled. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) and the Voice Handicap Index (VHI) were used to quantitatively evaluate voice characteristics and quality of life, respectively. Preoperative and postoperative CAPE-V and VHI scores were compared with postoperative scores for each patient. Sino-Nasal Outcome Test (SNOT-22) scores were also obtained to assess changes in patient symptoms. Results: 18 CRS patients undergoing FESS were enrolled. The average preoperative Lund-Mackay score was 14, indicating baseline severe CRS. Postoperative assessments demonstrated a statistically significant decrease in CAPE-V (45-27, p = .005) and VHI (10-4.7, p < .001) scores. These correlated with a statistically significant decrease in SNOT-22 scores (42-13, p < .001). Conclusions: Patients with CRS experience a significant improvement in voice characteristics and vocal quality of life following FESS. Furthermore, this appears to correlate with a significant decrease in self-reported disease severity. These findings may augment the discussion of potential benefits of FESS to a new potential domain for voice quality.

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Association between voice disorder and breathing alteration in children

Revista CEFAC ◽

10.1590/1982-0216201820217416 ◽

2018 ◽

Vol 20 (2) ◽

pp. 191-200

Author(s):

Cristiane Marangom ◽

Viviani Souza Peruchi ◽

Marta Assumpção de Andrada e Silva ◽

Irene Queiroz Marchesan ◽

Léslie Piccolotto Ferreira

Keyword(s):

Voice Quality ◽

Voice Disorder ◽

Chi Square ◽

Breathing Mode ◽

Perceptual Evaluation ◽

Significant Difference ◽

Chi Square Test ◽

And Gender ◽

Nasal Flow ◽

The Voice

ABSTRACT Objective: to analyze the association between voice disorder and aspects related to breathing mode in children, according to sex. Methods: 250 children, aged six to nine years, attending a public school in São Paulo city, were selected. The collection consisted of spontaneously audio recorded speech samples. The breathing mode was evaluated for lip resting posture and nasal flow. Three audiologists performed the perceptual evaluation of the voice quality, with the help of GIRBAS scale. The results were associated using the chi-square test (p = 0.05). Results: 50.4% females and 49.6% males. As for the overall grade (G), 12.8% had voice disorder with respect to voice quality. In the breathing mode, 36.8% presented alterations in lip posture and 71.2%, in nasal flow. The associations between voice disorder and gender (p = 0.96), lip posture (p = 0.38) and nasal flow (p = 0.18) and between alterations in the nasal flow and sex (p = 0.449) were not confirmed. The association between lip posture and sex revealed significant differences in favor of males (p = 0.003). Conclusion: there was no statistically significant difference associating voice disorders with breathing mode (lip posture and nasal flow) and gender.

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