Impact of vocal tract resonance on the perception of voice quality changes caused by vocal fold stiffness

Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.

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Vocal Fold Vibration Characteristics during SOVTE using a Vibration Simulator and Digital Kymography

Communication Sciences & Disorders ◽

10.12963/csd.21849 ◽

2021 ◽

Vol 26 (4) ◽

pp. 921-932

Author(s):

Ji Sung Kim ◽

Seong Hee Choi ◽

Kyoungjae Lee ◽

Chul-Hee Choi ◽

Soo-Geun Wang ◽

...

Keyword(s):

Clinical Practice ◽

Vocal Fold ◽

Clinical Evidence ◽

Vocal Tract ◽

Voice Quality ◽

Vibration Characteristics ◽

Single Source ◽

Vocal Fold Vibration ◽

Vibration Parameters

Objectives: The purpose of this study is to investigate the characteristics of vocal fold vibration during sustained vowel /a/ phonation and various semi-occluded vocal tract exercise (SOVTEs) using a vibration simulator and digital kymography (DKG).Methods: A total of 12 normal young speakers (6 males, 6 females) aged 20-30 years participated in the study. They phonated a sustained /a/ vowel and performed SOVTE. The vocal fold vibration characteristics were measured according to the number of vibration sources (single vs. double), and vocal tract occlusion degree using a vibration simulator and DKG. Glottal gap quotient (GQ, %), speed quotient (SQ, %) and amplitude (pixel) were estimated quantitatively from the DKG image.Results: The results showed that significantly higher GQ (p = .000) and SQ (p = .000) were observed in the humming and bilabial fricative /β/ compared to open vowels. The amplitude was significantly higher in the open vowel /a/ than in humming (p = .018) and bilabial fricative /β/ (p = .003). Also, when comparing the vocal fold vibration parameters according to vibration type (single source: straw phonation vs. double source: straw phonation with water), the double source presented a significantly higher GQ (p = .000) as well as SQ (p = .008) in comparison with a single source.Conclusion: SOVTE showed a glottal gap that is different from the opened vowel /a/. It also had a longer opening of the vocal fold and a smaller amplitude than the vowel. This suggests that SOVTE may be helpful for facilitating vocal fold vibration and good voice quality in clinical practice. The current study can be meaningful in providing theoretical and clinical evidence for SOVTE.

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A Comparison of the Contributions of Two Voice Quality Characteristics to the Perception of Maleness and Femaleness in the Voice

Journal of Speech and Hearing Research ◽

10.1044/jshr.1901.168 ◽

1976 ◽

Vol 19 (1) ◽

pp. 168-180 ◽

Cited By ~ 93

Author(s):

Ralph O. Coleman

Keyword(s):

Vocal Tract ◽

Voice Quality ◽

Quality Characteristics ◽

The Other ◽

Female Voice ◽

Basic Difference ◽

Males And Females ◽

Vocal Tract Resonance ◽

Highly Correlated ◽

The Voice

Comparisons were made between the contributions of the fundamental frequency (F 0 ) on one hand, and vocal tract resonances on the other, to a perception of maleness and femaleness in the adult voice. In the first of two experiments, the F 0 of natural voice was found to be very highly correlated with the degree of maleness and femalenesss in the voice. The vocal tract resonances were less highly correlated and it is apparent that in the presence of the natural laryngeal tone, these perceptions are based on the frequency of the F 0 . In the second experiment, a tone produced by a laryngeal vibrator was substituted for the normal glottal tone at simulated F 0 's representing both males (120 Hz) and females (240 Hz). When listeners were asked to identify the sex of the speakers some inconsistency with the findings of the first experiment was seen. The female F 0 was a weak indicator of female voice quality when combined with male vocal tract resonance although the male F 0 retained the perceptual prominence seen in the first experiment. This finding may be indicative of some basic difference in the normal glottal characteristics of males and females.

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Does neuromonitoring affect voice quality in patients subjected to a complete thyroidectomy ?

Otolaryngologia Polska ◽

10.5604/01.3001.0014.8779 ◽

2021 ◽

Vol 75 (5) ◽

pp. 1-8

Author(s):

Piotr Bryk ◽

Stanislaw Głuszek

Keyword(s):

Vocal Fold ◽

Vocal Tract ◽

Voice Quality ◽

Recurrent Laryngeal Nerve Injury ◽

Control Group ◽

Study Group ◽

Laryngeal Nerves ◽

Vocal Fold Palsy ◽

Recurrent Laryngeal Nerves ◽

The Voice

Voice dysfunction is the most common complication of thyroid surgery. The use of intraoperative neuromonitoring (IONM) is to protect the recurrent laryngeal nerves, the damage of which causes voice dysfunction. The aim of the study was to evaluate voice quality in patients who underwent complete thyroidectomy operated on with the application of IONM as well as a group of patients operated on with only macroscopic nerve visualization. In the analysis, clinical voice assessment was performed with particular focus on voice efficiency using the Voice Handicap Index (VHI), Vocal Tract Discomfort (VTD) and GRBAS scale. The study group consisted of 205 patients operated on with IONM. The control group consisted of 162 patients subjected to surgery only with macroscopic visualization of recurrent laryngeal nerves, without IONM. During the follow-up period from 2 to 10 years after surgery, checkups were performed. Each patient who came for a checkup was subjected to perceptual voice evaluation with the use of the GRBAS scale, indirect laryngoscopy procedure and voice selfevaluation with two questionnaires (VHI and VTD). The frequency of vocal fold palsy did not differ significantly statistically in the study group and the control group. Both in the study group and in the control group, patients with vocal fold paralysis had statistically significantly higher results in the VHI and VTD questionnaires as well as in the GRBAS study. Patients with recurrent laryngeal nerve injury show significant differences in the scope of voice handicap, both in the voice quality assessment with the use of the GRBAS scale, and self-evaluation questionnaires: VHI and VTD. All voice disorders evaluated with self-assessment are medium voice disability.

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Contributions of Voice and Nonverbal Communication to Perceived Masculinity–Femininity for Cisgender and Transgender Communicators

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-19-00387 ◽

2020 ◽

Vol 63 (4) ◽

pp. 931-947

Author(s):

Teresa L. D. Hardy ◽

Carol A. Boliek ◽

Daniel Aalto ◽

Justin Lewicke ◽

Kristopher Wells ◽

...

Keyword(s):

Fundamental Frequency ◽

Sound Pressure Level ◽

Sound Pressure ◽

Vocal Tract ◽

Presentation Mode ◽

Pressure Level ◽

Presentation Modes ◽

Audiovisual Stimuli ◽

Vocal Tract Resonance ◽

Point Light

Purpose The purpose of this study was twofold: (a) to identify a set of communication-based predictors (including both acoustic and gestural variables) of masculinity–femininity ratings and (b) to explore differences in ratings between audio and audiovisual presentation modes for transgender and cisgender communicators. Method The voices and gestures of a group of cisgender men and women ( n = 10 of each) and transgender women ( n = 20) communicators were recorded while they recounted the story of a cartoon using acoustic and motion capture recording systems. A total of 17 acoustic and gestural variables were measured from these recordings. A group of observers ( n = 20) rated each communicator's masculinity–femininity based on 30- to 45-s samples of the cartoon description presented in three modes: audio, visual, and audio visual. Visual and audiovisual stimuli contained point light displays standardized for size. Ratings were made using a direct magnitude estimation scale without modulus. Communication-based predictors of masculinity–femininity ratings were identified using multiple regression, and analysis of variance was used to determine the effect of presentation mode on perceptual ratings. Results Fundamental frequency, average vowel formant, and sound pressure level were identified as significant predictors of masculinity–femininity ratings for these communicators. Communicators were rated significantly more feminine in the audio than the audiovisual mode and unreliably in the visual-only mode. Conclusions Both study purposes were met. Results support continued emphasis on fundamental frequency and vocal tract resonance in voice and communication modification training with transgender individuals and provide evidence for the potential benefit of modifying sound pressure level, especially when a masculine presentation is desired.

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Assessment of Tongue Position and Laryngeal Height in Two Professional Voice Populations

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-19-00164 ◽

2020 ◽

Vol 63 (1) ◽

pp. 109-124

Author(s):

Carly Jo Hosbach-Cannon ◽

Soren Y. Lowell ◽

Raymond H. Colton ◽

Richard T. Kelley ◽

Xue Bao

Keyword(s):

Vocal Fold ◽

Vocal Tract ◽

Current Knowledge ◽

Acoustic Resonance ◽

Contact Dynamics ◽

Voice Disorder ◽

Music Program ◽

Tongue Position ◽

Singer Groups ◽

Professional Voice

Purpose To advance our current knowledge of singer physiology by using ultrasonography in combination with acoustic measures to compare physiological differences between musical theater (MT) and opera (OP) singers under controlled phonation conditions. Primary objectives addressed in this study were (a) to determine if differences in hyolaryngeal and vocal fold contact dynamics occur between two professional voice populations (MT and OP) during singing tasks and (b) to determine if differences occur between MT and OP singers in oral configuration and associated acoustic resonance during singing tasks. Method Twenty-one singers (10 MT and 11 OP) were included. All participants were currently enrolled in a music program. Experimental procedures consisted of sustained phonation on the vowels /i/ and /ɑ/ during both a low-pitch task and a high-pitch task. Measures of hyolaryngeal elevation, tongue height, and tongue advancement were assessed using ultrasonography. Vocal fold contact dynamics were measured using electroglottography. Simultaneous acoustic recordings were obtained during all ultrasonography procedures for analysis of the first two formant frequencies. Results Significant oral configuration differences, reflected by measures of tongue height and tongue advancement, were seen between groups. Measures of acoustic resonance also showed significant differences between groups during specific tasks. Both singer groups significantly raised their hyoid position when singing high-pitched vowels, but hyoid elevation was not statistically different between groups. Likewise, vocal fold contact dynamics did not significantly differentiate the two singer groups. Conclusions These findings suggest that, under controlled phonation conditions, MT singers alter their oral configuration and achieve differing resultant formants as compared with OP singers. Because singers are at a high risk of developing a voice disorder, understanding how these two groups of singers adjust their vocal tract configuration during their specific singing genre may help to identify risky vocal behavior and provide a basis for prevention of voice disorders.

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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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Comments on the Myoelastic - Aerodynamic Theory of Phonation

Journal of Speech Language and Hearing Research ◽

10.1044/jshr.2303.495 ◽

1980 ◽

Vol 23 (3) ◽

pp. 495-510 ◽

Cited By ~ 60

Author(s):

Ingo R. Titze

Keyword(s):

Vocal Fold ◽

Vocal Tract ◽

Driving Forces ◽

Vibrational Amplitude ◽

Subglottal Pressure ◽

Vertical Displacements ◽

Vocal Intensity ◽

Tissue Deformations ◽

Chest Voice ◽

Phase Differences

The myoelastic-aerodynamic theory of phonation has been quantified and tested with mathematical models. The models suggest that vocal fold oscillation is produced as a result of asymmetric forcing functions over closing and opening portions of the glottal cycle. For nearly uniform tissue displacements, as in falsetto voice, the asymmetry in the driving forces can result from the inertia of the air moving through the glottis. This inertia can in turn be enhanced or suppressed by supraglottal or subglottal vocal tract coupling. More obvious and pronounced asymmetries in the driving forces are associated with non-uniform vocal fold tissue displacements. These are combinations of normal tissue modes, and can result in vertical and horizontal phase differences along the surfaces, as observed in chest voice. The ranges of oscillation increase among various models as more freedom in the simulated tissue movement is incorporated. Of particular significance in initiating and maintaining oscillation are the vertical motions that facilitate coupling of aerodynamic energy into the tissues and allow tissue deformations under conditions of incompressibility. Vertical displacements also can have a significant effect on vocal tract excitation. Control of fundamental frequency of oscillation (FO) is basically myoelastic, partially as a result of deliberate or reflex adjustments of laryngeal muscles, and partially as a result of nonlinear tissue strain over the vibrational cycle. This places limits on the control of FO by subglottal pressure, and forces such control to be inseparably connected with vibrational amplitude, or less directly, with vocal intensity.

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