Aerodynamic and Acoustic Features of Vocal Effort

OBJECTIVES The purpose of this study was to determine the aerodynamic and acoustic features of speech produced at comfortable, maximal and minimal levels of vocal effort. STUDY DESIGN Prospective, quasi-experimental research design. METHOD Eighteen healthy participants with normal voice were included in this study. After task training, participants produced repeated syllable combinations at comfortable, maximal and minimal levels of vocal effort. A pneumotachometer and vented (Rothenberg) mask were used to record aerodynamic data, with simultaneous recording of the acoustic signal for subsequent analysis. Aerodynamic measures of subglottal pressure, translaryngeal airflow, maximum flow declination rate (MFDR), and laryngeal resistance were analyzed, along with acoustic measures of cepstral peak prominence (CPP) and its standard deviation (SD). RESULTS Participants produced significantly greater subglottal pressure, translaryngeal airflow, and MFDR during maximal effort speech as compared with comfortable vocal effort. When producing speech at minimal vocal effort, participants lowered subglottal pressure, MFDR, and laryngeal resistance. Acoustic changes associated with changes in vocal effort included significantly higher CPP during maximal effort speech and significantly lower CPP SD during minimal effort speech, when each was compared with comfortable effort. CONCLUSIONS For healthy speakers without voice disorders, subglottal pressure, translaryngeal airflow, and MFDR may be important factors that contribute to an increased sense of vocal effort. Changes in the cepstral signal also occur under conditions of increased or decreased vocal effort relative to comfortable effort.

[1]  I. Sanders,et al.  Sensory nerve supply of the human oro‐ and laryngopharynx: A preliminary study , 2000, The Anatomical record.

[2]  Shaheen N Awan,et al.  Outcomes measurement in voice disorders: application of an acoustic index of dysphonia severity. , 2009, Journal of speech, language, and hearing research : JSLHR.

[3]  Christopher Dromey,et al.  Estimating dysphonia severity in continuous speech: Application of a multi-parameter spectral/cepstral model , 2009, Clinical linguistics & phonetics.

[4]  D. R. Boone The Voice and Voice Therapy , 1971 .

[5]  Sofie Claeys,et al.  Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge. , 2011, Journal of voice : official journal of the Voice Foundation.

[6]  T. Hixon,et al.  Respiratory kinematics in profoundly hearing-impaired speakers. , 1977, Journal of speech and hearing research.

[7]  Ray M. Merrill,et al.  Differential Diagnosis of Adductor Spasmodic Dysphonia and Muscle Tension Dysphonia Using Phonatory Break Analysis , 2008, The Laryngoscope.

[8]  M. Hirano,et al.  Sensory innervation of the pharynx and larynx. , 2000, The American journal of medicine.

[9]  Soren Y. Lowell,et al.  Spectral- and Cepstral-Based Acoustic Features of Dysphonic, Strained Voice Quality , 2012, The Annals of otology, rhinology, and laryngology.

[10]  平野 実,et al.  Understanding Voice Problems: A Physiological Perspective for Diagnosis and Treatment , 1996 .

[11]  Soren Y Lowell,et al.  Position of the hyoid and larynx in people with muscle tension dysphonia , 2012, The Laryngoscope.

[12]  Soren Y Lowell,et al.  Spectral- and cepstral-based measures during continuous speech: capacity to distinguish dysphonia and consistency within a speaker. , 2010, Journal of voice : official journal of the Voice Foundation.

[13]  R Netsell,et al.  Aerodynamic and electroglottographic measures of normal voice production: intrasubject variability within and across sessions. , 1994, Journal of speech and hearing research.

[14]  J. Aviv,et al.  Sensory Discrimination in the Larynx and Hypopharynx , 1997, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[15]  Joseph S. Perkell,et al.  Phonatory function associated with hyperfunctionally related vocal fold lesions , 1990 .

[16]  R Netsell,et al.  Laryngeal aerodynamics associated with selected voice disorders. , 1984, American journal of otolaryngology.

[17]  M. Rothenberg A new inverse-filtering technique for deriving the glottal air flow waveform during voicing. , 1970, The Journal of the Acoustical Society of America.

[18]  L. Glaze,et al.  Preliminary study of two methods of treatment for laryngeal nodules. , 1995, Journal of voice : official journal of the Voice Foundation.

[19]  T. Hixon,et al.  A clinical method for estimating laryngeal airway resistance during vowel production. , 1981, The Journal of speech and hearing disorders.

[20]  M. Žargi,et al.  Role of surface EMG in diagnostics and treatment of muscle tension dysphonia. , 1998, Acta oto-laryngologica.

[21]  A G Askenfelt,et al.  Speech waveform perturbation analysis: a perceptual-acoustical comparison of seven measures. , 1986, Journal of speech and hearing research.

[22]  J. Rubin,et al.  Musculoskeletal patterns in patients with voice disorders. , 2007, Journal of voice : official journal of the Voice Foundation.

[23]  Ronald J. Baken,et al.  Clinical measurement of speech and voice , 1987 .

[24]  Nancy Pearl Solomon,et al.  Effects of a vocally fatiguing task and systemic hydration on men's voices. , 2003, Journal of voice : official journal of the Voice Foundation.

[25]  Geoffrey S. Meltzner,et al.  Quantifying dysphonia severity using a spectral/cepstral-based acoustic index: Comparisons with auditory-perceptual judgements from the CAPE-V , 2010, Clinical linguistics & phonetics.

[26]  Simon C. Gandevia,et al.  Fatigue : neural and muscular mechanisms , 1995 .

[27]  J. Perkell,et al.  Objective assessment of vocal hyperfunction: an experimental framework and initial results. , 1989, Journal of speech and hearing research.

[28]  L. A. Jones,et al.  The senses of effort and force during fatiguing contractions. , 1995, Advances in experimental medicine and biology.

[29]  C. Lazarus,et al.  Current and emerging concepts in muscle tension dysphonia: a 30-month review. , 2005, Journal of voice : official journal of the Voice Foundation.

[30]  Philip C Doyle,et al.  Classification of dysphonic voice: acoustic and auditory-perceptual measures. , 2005, Journal of voice : official journal of the Voice Foundation.

[31]  M. Rothenberg,et al.  Interpolating subglottal pressure from oral pressure. , 1982, The Journal of speech and hearing disorders.

[32]  R. Sacco,et al.  Laryngopharyngeal Sensory Discrimination Testing and the Laryngeal Adductor Reflex , 1999, The Annals of otology, rhinology, and laryngology.

[33]  J. Perkell,et al.  Group differences in measures of voice production and revised values of maximum airflow declination rate. , 1994, The Journal of the Acoustical Society of America.

[34]  S. Awan,et al.  Effects of vocal intensity and vowel type on cepstral analysis of voice. , 2012, Journal of voice : official journal of the Voice Foundation.

[35]  E Cafarelli,et al.  Peripheral contributions to the perception of effort. , 1982, Medicine and science in sports and exercise.

[36]  R L Plant,et al.  The interrelationship of subglottic air pressure, fundamental frequency, and vocal intensity during speech. , 2000, Journal of voice : official journal of the Voice Foundation.

[37]  W. S. Brown,et al.  Some Relationships between Vocal Effort and Intraoral Air Pressure , 1973 .

[38]  H. Hoffman,et al.  Comparison of Aerodynamic and Electroglottographic Parameters in Evaluating Clinically Relevant Voicing Patterns , 1994, The Annals of otology, rhinology, and laryngology.

[39]  Elizabeth U. Grillo,et al.  Evidence for distinguishing pressed, normal, resonant, and breathy voice qualities by laryngeal resistance and vocal efficiency in vocally trained subjects. , 2008, Journal of voice : official journal of the Voice Foundation.

[40]  R. Plant,et al.  Aerodynamics of the Human Larynx During Vocal Fold Vibration , 2005, The Laryngoscope.

[41]  I. Titze Regulation of vocal power and efficiency by subglottal pressure and glottal width , 1988 .

[42]  L Mathieson,et al.  Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia. , 2009, Journal of voice : official journal of the Voice Foundation.

[43]  Christopher R Watts,et al.  Use of spectral/cepstral analyses for differentiating normal from hypofunctional voices in sustained vowel and continuous speech contexts. , 2011, Journal of speech, language, and hearing research : JSLHR.

[44]  J. Labrousse,et al.  [Functional dysphonia]. , 1983, L'union medicale du Canada.

[45]  Ann Chang,et al.  Perceived phonatory effort and phonation threshold pressure across a prolonged voice loading task: a study of vocal fatigue. , 2004, Journal of voice : official journal of the Voice Foundation.

[46]  Christopher Ricks,et al.  To J.S. , 2014 .

[47]  J. Hillenbrand,et al.  Acoustic correlates of breathy vocal quality: dysphonic voices and continuous speech. , 1996, Journal of speech and hearing research.

[48]  H Lane,et al.  Changes in speech breathing following cochlear implant in postlingually deafened adults. , 1991, Journal of speech and hearing research.

[49]  C. Baylor,et al.  The effect of perceptual training on inexperienced listeners' judgments of dysphonic voice. , 2006, Journal of voice : official journal of the Voice Foundation.

[50]  H Nichol,et al.  Diagnostic criteria in functional dysphonia , 1986, The Laryngoscope.

[51]  H. N. Wright,et al.  Some Parameters of Vocal Effort , 1972 .

[52]  M. B. Higgins,et al.  Phonatory air flow characteristics of adductor spasmodic dysphonia and muscle tension dysphonia. , 1999, Journal of speech, language, and hearing research : JSLHR.

[53]  J. F. Brandt,et al.  Vocal loudness and effort in continuous speech. , 1969, The Journal of the Acoustical Society of America.

[54]  S. Stager,et al.  Supraglottic activity: evidence of vocal hyperfunction or laryngeal articulation? , 2000, Journal of speech, language, and hearing research : JSLHR.

[55]  Steven Bielamowicz,et al.  Thyroarytenoid Muscle Responses to Air Pressure Stimulation of the Laryngeal Mucosa in Humans , 2003, The Annals of otology, rhinology, and laryngology.

[56]  R. Hillman,et al.  Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol. , 2009, American journal of speech-language pathology.

[57]  N. Roy,et al.  Acoustic prediction of voice type in women with functional dysphonia. , 2005, Journal of voice : official journal of the Voice Foundation.

[58]  S. Kelsen,et al.  Effect of inspiratory muscle fatigue on perception of effort during loaded breathing. , 1987, Journal of applied physiology.

[59]  N. Solomon,et al.  Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure. , 2000, Journal of voice : official journal of the Voice Foundation.

[60]  B. Nail,et al.  Quantitative analysis of laryngeal mechanosensitivity in the cat and rabbit. , 1987, Journal of Physiology.