The Interaction of Surface Hydration and Vocal Loading on Voice Measures.

OBJECTIVES Vocal loading tasks provide insight regarding the mechanisms underlying healthy laryngeal function. Determining the manner in which the larynx can most efficiently be loaded is a complex task. The goal of this study was to determine if vocal loading could be achieved in 30 minutes by altering phonatory mode. Owing to the fact that surface hydration facilitates efficient vocal fold oscillation, the effects of environmental humidity on vocal loading were also examined. This study also investigated whether the detrimental effects of vocal loading could be attenuated by increasing environmental humidity. METHODS Sixteen vocally healthy adults (8 men, 8 women) completed a 30-minute vocal loading task in low and moderate humidity. The order of humidities was counterbalanced across subjects. The vocal loading task consisted of reading with elevated pitch and pressed vocal quality and low pitch and pressed and/or raspy vocal quality in the presence of 65 dB ambient, multi-talker babble noise. RESULTS Significant effects were observed for (1) cepstral peak prominence on soft sustained phonation at 10th and 80th pitches, (2) perceived phonatory effort, and (3) perceived tiredness ratings. No loading effects were observed for cepstral peak prominence on the rainbow passage, although fundamental frequency on the rainbow passage increased post loading. No main effect was observed for humidity. CONCLUSIONS Following a 30-minute vocal loading task involving altering laryngeal vibratory mode in combination with increased volume. Also, moderate environmental humidity did not significantly attenuate the negative effects of loading.

[1]  Marco Guzmán,et al.  Acoustic Changes of the Voice as Signs of Vocal Fatigue in Radio Broadcasters: Preliminary Findings , 2013 .

[2]  J. Stemple,et al.  Objective measures of voice production in normal subjects following prolonged voice use. , 1995, Journal of voice : official journal of the Voice Foundation.

[3]  M. Sivasankar,et al.  Phonatory effects of airway dehydration: preliminary evidence for impaired compensation to oral breathing in individuals with a history of vocal fatigue. , 2008, Journal of speech, language, and hearing research : JSLHR.

[4]  S. Thibeault,et al.  Systemic hydration: relating science to clinical practice in vocal health. , 2014, Journal of voice : official journal of the Voice Foundation.

[5]  S. Linville Changes in glottal configuration in women after loud talking. , 1995, Journal of voice : official journal of the Voice Foundation.

[6]  D. Chhetri,et al.  Dynamics of phonatory posturing at phonation onset , 2016, The Laryngoscope.

[7]  I. Titze,et al.  Objective Measurement of Vocal Fatigue in Classical Singers: A Vocal Dosimetry Pilot Study , 2006, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[8]  M. Maclagan,et al.  Vocal fatigue: current knowledge and future directions. , 2003, Journal of voice : official journal of the Voice Foundation.

[9]  Dimitar D Deliyski,et al.  Mucosal wave: a normophonic study across visualization techniques. , 2008, Journal of voice : official journal of the Voice Foundation.

[10]  Angélique Remacle,et al.  Vocal impact of a prolonged reading task in dysphonic versus normophonic female teachers. , 2012, Journal of voice : official journal of the Voice Foundation.

[11]  Gabrielle R. Merchant,et al.  Effects of voice therapy on relative fundamental frequency during voicing offset and onset in patients with vocal hyperfunction. , 2011, Journal of speech, language, and hearing research : JSLHR.

[12]  Johan Sundberg,et al.  Flow Glottogram Characteristics and Perceived Degree of Phonatory Pressedness. , 2016, Journal of voice : official journal of the Voice Foundation.

[13]  P. van de Heyning,et al.  Predicting vocal outcome by means of a vocal endurance test: A 5‐year follow‐up study in female teachers , 1998, The Laryngoscope.

[14]  Susanna Whitling,et al.  Design of a clinical vocal loading test with long-time measurement of voice. , 2015, Journal of voice : official journal of the Voice Foundation.

[15]  Elizabeth U. Grillo,et al.  Laryngeal resistance distinguished pressed, normal, and breathy voice in vocally untrained females , 2009, Logopedics, phoniatrics, vocology.

[16]  Rahul Shrivastav,et al.  A computational model to predict changes in breathiness resulting from variations in aspiration noise level. , 2010, Journal of voice : official journal of the Voice Foundation.

[17]  C. Stepp,et al.  The impact of vocal hyperfunction on relative fundamental frequency during voicing offset and onset. , 2010, Journal of speech, language, and hearing research : JSLHR.

[18]  M. Sivasankar,et al.  The role of hydration in vocal fold physiology , 2010, Current opinion in otolaryngology & head and neck surgery.

[19]  E. Yiu,et al.  Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. , 2003, Journal of voice : official journal of the Voice Foundation.

[20]  C. Dromey,et al.  Laryngeal Desiccation Challenge and Nebulized Isotonic Saline in Healthy Male Singers and Nonsingers: Effects on Acoustic, Aerodynamic, and Self-Perceived Effort and Dryness Measures. , 2016, Journal of voice : official journal of the Voice Foundation.

[21]  Charles P. Schmidt,et al.  Effects of prolonged loud reading on selected measures of vocal function in trained and untrained singers , 1991 .

[22]  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.

[23]  M. Sivasankar,et al.  Vocal fold surface hydration: a review. , 2009, Journal of voice : official journal of the Voice Foundation.

[24]  Nancy Pearl Solomon,et al.  Vocal fatigue and its relation to vocal hyperfunction , 2008, International journal of speech-language pathology.

[25]  Angélique Remacle,et al.  Vocal impact of a prolonged reading task at two intensity levels: objective measurements and subjective self-ratings. , 2012, Journal of voice : official journal of the Voice Foundation.

[26]  N. Tayama,et al.  Biomechanical Effects of Hydration in Vocal Fold Tissues , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[27]  R. Buekers Are voice endurance tests able to assess vocal fatigue? , 1998, Clinical otolaryngology and allied sciences.

[28]  Jackie L. Gartner-Schmidt,et al.  Vocal Fatigue Index (VFI): Development and Validation. , 2015, Journal of voice : official journal of the Voice Foundation.

[29]  Ingo R Titze,et al.  Refinements in modeling the passive properties of laryngeal soft tissue. , 2007, Journal of applied physiology.

[30]  Jennifer L. Spielman,et al.  The inability to produce soft voice (IPSV): A tool to detect vocal change in school-teachers , 2009, Logopedics, phoniatrics, vocology.

[31]  E. Yairi,et al.  Effects of speaking in noise on vocal fatigue and vocal recovery. , 1987, Folia phoniatrica.

[32]  A. Laukkanen,et al.  Changes in Voice and Subjective Sensations during a 45-min Vocal Loading Test in Female Subjects with Vocal Training , 2004, Folia Phoniatrica et Logopaedica.

[33]  C. Stepp,et al.  Acoustic Correlate of Vocal Effort in Spasmodic Dysphonia , 2013, The Annals of otology, rhinology, and laryngology.

[34]  J. Sundberg,et al.  Collision and phonation threshold pressures before and after loud, prolonged vocalization in trained and untrained voices. , 2013, Journal of voice : official journal of the Voice Foundation.

[35]  S. Gray,et al.  An evaluation of the effects of three laryngeal lubricants on phonation threshold pressure (PTP). , 2003, Journal of voice : official journal of the Voice Foundation.

[36]  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.

[37]  L. Kelchner,et al.  Effects of prolonged loud reading on normal adolescent male voices. , 2006, Language, speech, and hearing services in schools.

[38]  P. Alku,et al.  Effects of prolonged oral reading on F0, SPL, subglottal pressure and amplitude characteristics of glottal flow waveforms. , 1999, Journal of voice : official journal of the Voice Foundation.

[39]  Anusha Sundarrajan,et al.  Reducing the Negative Vocal Effects of Superficial Laryngeal Dehydration With Humidification , 2014, The Annals of otology, rhinology, and laryngology.

[40]  Elizabeth U. Grillo,et al.  Effects of masking noise on laryngeal resistance for breathy, normal, and pressed voice. , 2010, Journal of speech, language, and hearing research : JSLHR.

[41]  Ingo R Titze,et al.  Quantifying Vocal Fatigue Recovery: Dynamic Vocal Recovery Trajectories after a Vocal Loading Exercise , 2009, The Annals of otology, rhinology, and laryngology.

[42]  F. Debruyne,et al.  The effect of sustained phonation at high and low pitch on vocal jitter and shimmer. , 1993, Folia phoniatrica.

[43]  M. Guzmán,et al.  Cambios acústicos de la voz como signos de fatiga vocal en locutores de radio: resultados preliminares , 2013 .

[44]  Cara Sauder,et al.  Nebulized isotonic saline versus water following a laryngeal desiccation challenge in classically trained sopranos. , 2010, Journal of speech, language, and hearing research : JSLHR.

[45]  J. Koufman,et al.  Validity and reliability of the reflux symptom index (RSI). , 2002, Journal of voice : official journal of the Voice Foundation.

[46]  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.

[47]  Anat Keidar,et al.  Simple vocal tasks for detecting vocal fold swelling , 1990 .

[48]  S. Gray,et al.  Hyaluronic acid: its role in voice. , 2002, Journal of voice : official journal of the Voice Foundation.

[49]  Paavo Alku,et al.  The Effects of Post-Loading Rest on Acoustic Parameters with Special Reference to Gender and Ergonomic Factors , 2001, Folia Phoniatrica et Logopaedica.

[50]  D. Pascoe,et al.  Vocal function and upper airway thermoregulation in five different environmental conditions. , 2014, Journal of speech, language, and hearing research : JSLHR.

[51]  Kristine Tanner,et al.  The Effects of Three Nebulized Osmotic Agents in the Dry Larynx , 2007 .

[52]  Shaheen N Awan,et al.  Exploring the relationship between spectral and cepstral measures of voice and the Voice Handicap Index (VHI). , 2014, Journal of voice : official journal of the Voice Foundation.

[53]  Yu-An S. Lien Optimization and automation of relative fundamental frequency for objective assessment of vocal hyperfunction , 2015 .