performance of more than 1 motor-oriented task may
exacerbate speech motor deficits in individuals with
Parkinson disease (PD). The purpose of the current
investigation was to examine the extent to which
performing a low-demand manual task affected the
connected speech in individuals with and without PD.
Method: Individuals with PD and neurologically healthy
controls performed speech tasks (reading and
extemporaneous speech tasks) and an oscillatory
manual task (a counterclockwise circle-drawing
task) in isolation (single-task condition) and concurrently
Results: Relative to speech task performance, no changes
in speech acoustics were observed for either group when
the low-demand motor task was performed with the
concurrent reading tasks. Speakers with PD exhibited
a significant decrease in pause duration between the
single-task (speech only) and dual-task conditions
for the extemporaneous speech task, whereas control
participants did not exhibit changes in any speech
production variable between the single- and dual-task
Conclusions: Overall, there were little to no changes in
speech production when a low-demand oscillatory motor
task was performed with concurrent reading. For the
extemporaneous task, however, individuals with PD
exhibited significant changes when the speech and manual
tasks were performed concurrently, a pattern that was
not observed for control speakers.
Supplemental Material: https://doi.org/10.23641/asha.
clear speech production for speakers with and without
Parkinson disease (PD) using several measures of working
vowel space computed from frequently sampled formant
Method: The 1st 2 formant frequencies were tracked for
a reading passage that was produced using habitual and
clear speaking styles by 15 speakers with PD and 15 healthy
control speakers. Vowel space metrics were calculated
from the distribution of frequently sampled formant frequency
tracks, including vowel space hull area, articulatory–acoustic
vowel space, and multiple vowel space density (VSD)
measures based on different percentile contours of the
formant density distribution.
Results: Both speaker groups exhibited significant
increases in the articulatory–acoustic vowel space and
VSD10, the area of the outermost (10th percentile)
contour of the formant density distribution, from habitual
to clear styles. These clarity-related vowel space increases
were significantly smaller for speakers with PD than
controls. Both groups also exhibited a significant increase
in vowel space hull area; however, this metric was not
sensitive to differences in the clear speech response
between groups. Relative to healthy controls, speakers
with PD exhibited a significantly smaller VSD90, the area
of the most central (90th percentile), densely populated
region of the formant space.
Conclusions: Using vowel space metrics calculated from
formant traces of the reading passage, the current work
suggests that speakers with PD do indeed reach the more
peripheral regions of the vowel space during connected
speech but spend a larger percentage of the time in more
central regions of formant space than healthy speakers.
Additionally, working vowel space metrics based on the
distribution of formant data suggested that speakers with
PD exhibited less of a clarity-related increase in formant
space than controls, a trend that was not observed for
perimeter-based measures of vowel space area.
The purpose of this study was to determine the validity of preliminary reports showing that glottal aerodynamic measures can identify pathophysiological phonatory mechanisms for phonotraumatic and nonphonotraumatic vocal hyperfunction, which are each distinctly different from normal vocal function.
Glottal aerodynamic measures (estimates of subglottal air pressure, peak-to-peak airflow, maximum flow declination rate, and open quotient) were obtained noninvasively using a pneumotachograph mask with an intraoral pressure catheter in 16 women with organic vocal fold lesions, 16 women with muscle tension dysphonia, and 2 associated matched control groups with normal voices. Subjects produced /pae/ syllable strings from which glottal airflow was estimated using inverse filtering during /ae/ vowels, and subglottal pressure was estimated during /p/ closures. All measures were normalized for sound pressure level (SPL) and statistically tested for differences between patient and control groups.
All SPL-normalized measures were significantly lower in the phonotraumatic group as compared with measures in its control group. For the nonphonotraumatic group, only SPL-normalized subglottal pressure and open quotient were significantly lower than measures in its control group.
Results of this study confirm previous hypotheses and preliminary results indicating that SPL-normalized estimates of glottal aerodynamic measures can be used to describe the different pathophysiological phonatory mechanisms associated with phonotraumatic and nonphonotraumatic vocal hyperfunction.
To determine the validity of preliminary reports showing that glottal aerodynamic measures can identify pathophysiological phonatory mechanisms for phonotraumatic and non-phonotraumatic vocal hyperfunction that are each distinctly different from normal vocal function.
Glottal aerodynamic measures (estimates of subglottal air pressure, peak-to-peak airflow, maximum flow declination rate, and open quotient) were obtained non-invasively using a pneumotachograph mask with intra-oral pressure catheter in 16 adult females with organic vocal fold lesions, 16 adult females with muscle tension dysphonia, and two associated matched control groups with normal voices. Subjects produced /pae/ syllable strings from which glottal airflow was estimated using inverse filtering during /ae/ vowels, and subglottal pressure was estimated during /p/ closures. All measures were normalized for sound pressure level (SPL) and statistically tested for differences between patient and control groups.
All SPL-normalized measures were significantly lower in the phonotraumatic group as compared to measures in its control group. For the non-phonotraumatic group, only SPL-normalized subglottal pressure and open quotient were significantly lower than measures in its control group.
ConclusionsResults of this study confirm previous hypotheses and preliminary results indicating that SPL-normalized estimates of glottal aerodynamic measures can be used to describe the different pathophysiological phonatory mechanisms associated with phonotraumatic and non-phonotraumatic vocal hyperfunction.
Purpose The purpose of this study was to evaluate the potential for estimating subglottal air pressure using a neck-surface accelerometer and to compare the accuracy of predicting subglottal air pressure relative to predicting acoustic sound pressure level (SPL).
Method Indirect estimates of subglottal pressure (Psg′) were obtained from 10 vocally healthy speakers during loud-to-soft repetitions of 3 different /p/–vowel gestures (/pa/, /pi/, /pu/) at 3 pitch levels in the modal register. Intraoral air pressure, neck-surface acceleration, and radiated acoustic pressure were recorded, and the root-mean-square amplitude of the acceleration signal was correlated with Psg′ and SPL.
Results The coefficient of determination between accelerometer level and Psg′ was high when data were pooled from all vowel and pitch contexts for each participant (r 2 = .68–.93). These relationships were stronger than corresponding relationships between accelerometer level and SPL (r 2 = .46–.81). The average 95% prediction interval for estimating Psg′ using accelerometer level was ±2.53 cm H2O, ranging from ±1.70 to ±3.74 cm H2O across participants.
Conclusions Accelerometer signal amplitude correlated more strongly with Psg′ than with SPL. Future work is warranted to investigate the robustness of the relationship in nonmodal voice qualities, individuals with voice disorders, and accelerometer-based ambulatory monitoring of subglottal pressure.
Monitoring subglottal neck-surface acceleration has received renewed attention due to the ability of low-profile accelerometers to confidentially and noninvasively track properties related to normal and disordered voice characteristics and behavior. This study investigated the ability of subglottal necksurface acceleration to yield vocal function measures traditionally derived from the acoustic voice signal and help guide the development of clinically functional accelerometer-based measures from a physiological perspective. Results are reported for 82 adult speakers with voice disorders and 52 adult speakers with normal voices who produced the sustained vowels /A/, /i/, and /u/ at a comfortable pitch and loudness during the simultaneous recording of radiated acoustic pressure and subglottal necksurface acceleration. As expected, timing-related measures of jitter exhibited the strongest correlation between acoustic and necksurface acceleration waveforms (r 0:99), whereas amplitudebased measures of shimmer correlated less strongly (r 0:74). Additionally, weaker correlations were exhibited by spectral measures of harmonics-to-noise ratio (r 0:69) and tilt (r 0:57), whereas the cepstral peak prominence correlated more strongly (r 0:90). These empirical relationships provide evidence to support the use of accelerometers as effective complements to acoustic recordings in the assessment and monitoring of vocal function in the laboratory, clinic, and during an individual’s daily activities.
Abstract Purpose: This study investigated the use of neck-skin acceleration for relative fundamental frequency (RFF) analysis. Method: Forty individuals with voice disorders associated with vocal hyperfunction and 20 age- and sex-matched control participants were recorded with a subglottal neck-surface accelerometer and a microphone while producing speech stimuli appropriate for RFF. Rater reliabilities, RFF means, and RFF standard deviations derived from the accelerometer were compared with those derived from the microphone. Results: RFF estimated from the accelerometer had slightly higher intrarater reliability and identical interrater reliability compared with values estimated with the microphone. Although sensor type and the Vocal Cycle Ã— Sensor and Vocal Cycle Ã— Sensor Ã— Group interactions showed significant effects on RFF means, the typical RFF pattern could be derived from either sensor. For both sensors, the RFF of individuals with vocal hyperfunction was lower than that of the controls. Sensor type and its interactions did not have significant effects on RFF standard deviations. Conclusions: RFF can be reliably estimated using an accelerometer, but these values cannot be compared with those collected via microphone. Future studies are needed to determine the physiological basis of RFF and examine the effect of sensors on RFF in practical voice assessment and monitoring settings.
Many common voice disorders are chronic or recurring conditions that are likely to result from inefficient and/or abusive patterns of vocal behavior, referred to as vocal hyperfunction. The clinical management of hyperfunctional voice disorders would be greatly enhanced by the ability to monitor and quantify detrimental vocal behaviors during an individualâ€™s activities of daily life. This paper provides an update on ongoing work that uses a miniature accelerometer on the neck surface below the larynx to collect a large set of ambulatory data on patients with hyperfunctional voice disorders (before and after treatment) and matched-control subjects. Three types of analysis approaches are being employed in an effort to identify the best set of measures for differentiating among hyperfunctional and normal patterns of vocal behavior: (1) ambulatory measures of voice use that include vocal dose and voice quality correlates, (2) aerodynamic measures based on glottal airflow estimates extracted from the accelerometer signal using subject-specific vocal system models, and (3) classification based on machine learning and pattern recognition approaches that have been used successfully in analyzing long-term recordings of other physiological signals. Preliminary results demonstrate the potential for ambulatory voice monitoring to improve the diagnosis and treatment of common hyperfunctional voice disorders.