Vocal quality of children with altered frenulum in the tongue

2020 ◽  
Vol 8 (1) ◽  
pp. 15-26
Author(s):  
Zuleica Camargo ◽  
Paula da Costa Canton
Keyword(s):  
Hyoid Bone ◽  
Vocal Tract ◽  
Muscle Tension ◽  
Voice Quality ◽  
Theoretical Background ◽  
Incidence Rates ◽  
Quality Model ◽  
Analysis Scheme ◽  
Pharyngeal Constriction ◽  
The Voice

Children with a disordered lingual frenulum are said to be more prone to various difficulties in the development process. Although these children tend to present changes in chewing, swallowing and speech, it can be assumed that the voice is practically not focused, with few studies concerned on vocal function (Camargo et al, 2017, 2017a). With the aim of investigating voice quality in children with and without lingual frenulum disorder, 61 children were clinically evaluated regarding the characteristics of the lingual frenulum (Marchesan, 2012) and the perceptual judgments of voice quality in semi-spontaneous (audio) speech samples. Video samples of orofacial clinical examinations and semi-spontaneous (audio) speech samples were recorded in a soundproof room. 28 children presented altered lingual frenulum (19 boys and 09 girls) and 33 frenulum without alterations (20 boys and 13 girls). We adopted the phonetic description of voice quality model as the theoretical background (Laver, 1980) and the Vocal Profile Analysis Scheme – VPAS (Laver et al, 1981; adapted for brazilian portuguese: Camargo, Madureira, 2008) for perceptual data analysis. Voice quality settings regarding the position of lips, tongue (tip and body), jaw, pharyngeal cavity configuration and vocal tract muscle tension occurred in a greater proportion (in terms of number of the occurrences and the degree of manifestation) in children with lingual frenulum disorded. When observing the data differently by male and female subgroups, we estimate that the former accounted for most of the occurrences related to labiodentalization, retracted and lowered tongue body and pharyngeal constriction. In the girls' subgroup, pharyngeal constriction was also recurrent. With regard to our previous explorations on the topic (Camargo et al, 2017, 2017a), we were able to advance in terms of a broader understanding of children's voice quality profiles and, particularly, those related to congenital orofacial motricity limitations. The relationships between size and position of the hyoid bone in children with an altered frenulum of the tongue (Ardekani et al, 2016), especially the raised and posterior position of the hyoid bone and the posteriorization of the jaw compared to children without frenulum disorerss, seem to influence the voice quality findings reported in this study. The high incidence rates of dysphonia in childhood tend to make it difficult to associate the alterations of the lingual frenulum to phonatory settings, although they may, hypothetically, appear as aggravating factors for dysphonia.

Impact of speech therapy on the improvement of voice quality in patients with unilateral vocal fold paralysis

2018 ◽  
Vol 7 (4) ◽  
pp. 1-7
Author(s):  
Anna Kuligowska ◽  
Barbara Jamróz ◽  
Joanna Chmielewska ◽  
Katarzyna Jędra ◽  
Tomasz Czernicki ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Speech Therapy ◽  
Acoustic Analysis ◽  
Vocal Tract ◽  
Voice Quality ◽  
Maximum Phonation Time ◽  
Before And After ◽  
Vocal Fold Palsy ◽  
The Voice

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.

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

1976 ◽  
Vol 19 (1) ◽  
pp. 168-180 ◽  
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.

The Singing Voice

2018 ◽  
pp. 116-142
Author(s):  
Johan Sundberg
Keyword(s):  
Mechanical Properties ◽  
Vocal Tract ◽  
Voice Quality ◽  
Vocal Folds ◽  
Sound Level ◽  
Vowel Sound ◽  
Formant Frequency ◽  
Voice Source ◽  
Subglottal Pressure ◽  
The Voice

The sound quality of singing is determined by three basic factors—the air pressure under the vocal folds (or the subglottal pressure), the mechanical properties of the vocal folds, and the resonance properties of the vocal tract. Subglottal pressure is controlled by the respiratory apparatus. It regulates vocal loudness and is varied with pitch in singing. Together with the mechanical properties of the folds, which are controlled by laryngeal muscles, it has a decisive influence on vocal fold vibrationswhich convert the tracheal airstream to a pulsating airflow, the voice source. The voice source determines pitch, vibrato, and register, and also the overall slope of the spectrum. The sound of the voice source is filtered by the resonances of the vocal tract, or the formants, of which the two lowest determine the vowel quality and the higher ones the personal voice quality. Timing is crucial for creating emotional expressivity; it uses an acoustic code that shows striking similarities to that used in speech. The perceived loudness of a vowel sound seems more closely related to the subglottal pressure with which it was produced than with the acoustical sound level. Some investigations of acoustical correlates of tone placement and variation of larynx height are described, as are properties that affect the perceived naturalness of synthesized singing. Finally, subglottal pressure, voice source, and formant-frequency characteristics of some non-classical styles of singing are discussed.

The Science of Voice and the Body

2018 ◽  
pp. 61-78
Author(s):  
Marina Gilman
Keyword(s):  
Acoustic Analysis ◽  
Vocal Tract ◽  
Muscle Tension ◽  
Vocal Pedagogy ◽  
Complex Interaction ◽  
The Body ◽  
Vocal Production ◽  
Laryngeal Imaging ◽  
Improved Technology ◽  
The Voice

“Voice” is the complex interaction of the vocal mechanism with the rest of the body used to produce speech and song (melody, rhythm, and language) as well as so-called vegetative sounds, such as coughing, crying, screaming, and so on. The voice and vocal production for speech or singing is so much more than the lungs, larynx, and vocal tract depicted in many vocal pedagogy texts. Balance, as well as increased muscle tension of the neck, shoulders, and torso, can change the necessary finely tuned coordination of respiration, phonation, and resonance necessary for speaking, singing, and swallowing. Understanding of this exquisite mechanism has increased one-hundred-fold since the middle of the twentieth century due to improved technology and research opportunities in laryngeal imaging and acoustic analysis.

The Vocal Tract in Singing

2016 ◽  
pp. 144-166 ◽  
Author(s):  
Brad Story
Keyword(s):  
Vocal Tract ◽  
Spectral Characteristics ◽  
Voice Quality ◽  
Excitation Source ◽  
Critical Importance ◽  
Acoustic Characteristics ◽  
Precise Control ◽  
Acoustic Resonances ◽  
The Voice ◽  
Vocal Tract Shape

Precise control of the vocal tract configuration is of critical importance for producing the desired acoustic characteristics of singing. The pattern of acoustic resonances generated by a given vocal tract shape influences vowel identity, voice quality (timbre), and, to some degree, the spectral characteristics of the voice excitation source itself. This chapter is broadly focused on how the vocal tract shape can be tuned (i.e., modified) in subtle ways to enhance the signal radiated from a singer to an audience. In particular, the vocal tract shape contributions to the “singing formant,” the enhancement of vibrato, and harmonic/formant alignment are discussed.

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

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.

scholarly journals Effects of Laryngeal Massage on Muscle Tension Dysphonia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 32 (2) ◽  
pp. 64-74
Author(s):  
Jaeock Kim
Keyword(s):  
Systematic Review ◽  
Clinical Evidence ◽  
Meta Analysis ◽  
Muscle Tension ◽  
Voice Quality ◽  
Effect Sizes ◽  
Muscle Tension Dysphonia ◽  
Cepstral Peak Prominence ◽  
The Voice ◽  
Harmonic Ratio

Background and Objectives This study was to investigate the voice quality and articulation effects of laryngeal massage on muscle tension dysphonia (MTD).Materials and Method A systematic review of articles published between January 2000 and December 2020 in Cochrane, PubMed, ScienceDirect, SpingerLink, ERIC, and Naver Academic was conducted. From the total of 2094 articles identified, 10 peer-reviewed articles were included in a meta-analysis. Mean effect sizes of the variables related to voice quality (jitter, shimmer, harmonic to noise ratio or noise to harmonic ratio, high-F0, low-I, cepstral peak prominence) and articulation (F1, F2, F1 slope, F2 slope) were calculated by Hedges’g.Results Meta-analysis of the selected articles showed that laryngeal massage had medium to large effects on all variables of voice quality and articulation except F0-high and F1 slope in the MTD patients.Conclusion This study provided comprehensive clinical evidence that it is highly desirable to apply laryngeal massage to MTD patients.

scholarly journals A New Application-Aware No-Reference Quality Assessment Method for IP Voice Services

2021 ◽  
Vol 29 (3) ◽  
Author(s):  
Péter Orosz ◽  
Tamás Tóthfalusi
Keyword(s):  
Service Quality ◽  
Performance Metrics ◽  
Assessment Method ◽  
Reference Source ◽  
User Privacy ◽  
Quality Model ◽  
Estimation Model ◽  
Full Reference ◽  
Reference Quality ◽  
The Voice

AbstractThe increasing number of Voice over LTE deployments and IP-based voice services raise the demand for their user-centric service quality monitoring. This domain’s leading challenge is measuring user experience quality reliably without performing subjective assessments or applying the standard full-reference objective models. While the former is time- and resource-consuming and primarily executed ad-hoc, the latter depends upon a reference source and processes the voice payload that may offend user privacy. This paper presents a packet-level measurement method (introducing a novel metric set) to objectively assess network and service quality online. It is accomplished without inspecting the voice payload and needing the reference voice sample. The proposal has three contributions: (i) our method focuses on the timeliness of the media traffic. It introduces new performance metrics that describe and measure the service’s time-domain behavior from the voice application viewpoint. (ii) Based on the proposed metrics, we also present a no-reference Quality of Experience (QoE) estimation model. (iii) Additionally, we propose a new method to identify the pace of the speech (slow or dynamic) as long as voice activity detection (VAD) is present between the endpoints. This identification supports the introduced quality model to estimate the perceived quality with higher accuracy. The performance of the proposed model is validated against a full-reference voice quality estimation model called AQuA, using real VoIP traffic (originated in assorted voice samples) in controlled transmission scenarios.

scholarly journals Impact of Vocal Tract Resonance on the Perception of Voice Quality Changes Caused by Varying Vocal Fold Stiffness

2016 ◽  
Vol 102 (2) ◽  
pp. 209-213 ◽  
Author(s):  
Rosario Signorello ◽  
Zhaoyan Zhang ◽  
Bruce Gerratt ◽  
Jody Kreiman
Keyword(s):  
Vocal Fold ◽  
Vocal Tract ◽  
Voice Quality ◽  
Quality Changes ◽  
Vocal Tract Resonance

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

2015 ◽  
Vol 58 (3) ◽  
pp. 535-549 ◽  
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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