Objective acoustic and aerodynamic measures of breathiness in paralytic dysphonia
This study was designed to determine which objective acoustic or aerodynamic parameters allowed a homogeneous group of patients with unilateral vocal fold paralysis (UVFP) to be distinguished from an age-matched and smoking-matched control group and to search for linear correlations between the obje...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2003-04, Vol.260 (4), p.175-182 |
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| creator | HARTL, Dana M HANS, Stéphane VAISSIERE, Jacqueline BRASNU, Daniel F |
| description | This study was designed to determine which objective acoustic or aerodynamic parameters allowed a homogeneous group of patients with unilateral vocal fold paralysis (UVFP) to be distinguished from an age-matched and smoking-matched control group and to search for linear correlations between the objective parameters and the subjective breathiness ratings. Eight patients with recent-onset UVFP and 12 controls were prospectively studied. The acoustic parameters measured for the vowel /a/ at a comfortable frequency and intensity were: jitter, shimmer, harmonics-to-noise ratio, cepstral peak prominence, the difference between the levels of the first two harmonics and the relative energy above 6 kHz. Aerodynamic parameters included the mean flow rate during a sustained /a/ and intraoral pressure during the production of the phoneme /pi/. The long-term average spectrum was calculated for 40 s of text, and the relative average energies in four frequency bands were compared. Six judges rated a mid-/a/ sample using a five-parameter scale with four levels of severity. Nonparametric statistical analysis revealed significant differences ( P |
| doi_str_mv | 10.1007/s00405-002-0542-2 |
| format | Article |
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Eight patients with recent-onset UVFP and 12 controls were prospectively studied. The acoustic parameters measured for the vowel /a/ at a comfortable frequency and intensity were: jitter, shimmer, harmonics-to-noise ratio, cepstral peak prominence, the difference between the levels of the first two harmonics and the relative energy above 6 kHz. Aerodynamic parameters included the mean flow rate during a sustained /a/ and intraoral pressure during the production of the phoneme /pi/. The long-term average spectrum was calculated for 40 s of text, and the relative average energies in four frequency bands were compared. Six judges rated a mid-/a/ sample using a five-parameter scale with four levels of severity. Nonparametric statistical analysis revealed significant differences ( P<.05) between the UVFP group and the control group for 14 of the 19 parameters studied. Correlations between the objective parameters and perceived breathiness differed in the two groups. Correlations were not always as expected as based on previous literature reports. These measurements provided an objective qualification of voice in patients with UVFP and successfully distinguished them from the normal controls. The objective acoustic and aerodynamic measurements had generally low linear correlations with breathiness ratings in the control group. Higher correlations were seen in the UVFP group, in which breathiness was best correlated with airflow measurements.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-002-0542-2</identifier><identifier>PMID: 12709799</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Aged ; Biological and medical sciences ; Diagnostic Techniques, Respiratory System ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) ; Otorhinolaryngology. Stomatology ; Phonation - physiology ; Prospective Studies ; Respiratory Mechanics ; Speech Acoustics ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vocal Cord Paralysis - complications ; Voice Disorders - diagnosis ; Voice Disorders - etiology ; Voice Disorders - physiopathology</subject><ispartof>European archives of oto-rhino-laryngology, 2003-04, Vol.260 (4), p.175-182</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-89d2702dc13629fe8748175d2b3210e27d9458f6ab1c8b51957a6bef73f2b39d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14753872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12709799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HARTL, Dana M</creatorcontrib><creatorcontrib>HANS, Stéphane</creatorcontrib><creatorcontrib>VAISSIERE, Jacqueline</creatorcontrib><creatorcontrib>BRASNU, Daniel F</creatorcontrib><title>Objective acoustic and aerodynamic measures of breathiness in paralytic dysphonia</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>This study was designed to determine which objective acoustic or aerodynamic parameters allowed a homogeneous group of patients with unilateral vocal fold paralysis (UVFP) to be distinguished from an age-matched and smoking-matched control group and to search for linear correlations between the objective parameters and the subjective breathiness ratings. Eight patients with recent-onset UVFP and 12 controls were prospectively studied. The acoustic parameters measured for the vowel /a/ at a comfortable frequency and intensity were: jitter, shimmer, harmonics-to-noise ratio, cepstral peak prominence, the difference between the levels of the first two harmonics and the relative energy above 6 kHz. Aerodynamic parameters included the mean flow rate during a sustained /a/ and intraoral pressure during the production of the phoneme /pi/. The long-term average spectrum was calculated for 40 s of text, and the relative average energies in four frequency bands were compared. Six judges rated a mid-/a/ sample using a five-parameter scale with four levels of severity. Nonparametric statistical analysis revealed significant differences ( P<.05) between the UVFP group and the control group for 14 of the 19 parameters studied. Correlations between the objective parameters and perceived breathiness differed in the two groups. Correlations were not always as expected as based on previous literature reports. These measurements provided an objective qualification of voice in patients with UVFP and successfully distinguished them from the normal controls. The objective acoustic and aerodynamic measurements had generally low linear correlations with breathiness ratings in the control group. Higher correlations were seen in the UVFP group, in which breathiness was best correlated with airflow measurements.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diagnostic Techniques, Respiratory System</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Phonation - physiology</subject><subject>Prospective Studies</subject><subject>Respiratory Mechanics</subject><subject>Speech Acoustics</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Vocal Cord Paralysis - complications</subject><subject>Voice Disorders - diagnosis</subject><subject>Voice Disorders - etiology</subject><subject>Voice Disorders - physiopathology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtKAzEUhoMotlYfwI3MRnejuc0kWUrxBoUi6DqcSTI0ZW4mU2He3pQOuDoc-P6fcz6Ebgl-JBiLp4gxx0WOMc1xwWlOz9CScMZzLmh5jpZYMZFzLsQCXcW4xzhRil2iBaECK6HUEn1uq70zo_91GZj-EEdvMuhsBi70duqgTXvrIB6Ci1lfZ1VwMO5852LMfJcNEKCZjiE7xWHXdx6u0UUNTXQ381yh79eXr_V7vtm-fayfN7lhio25VDYdQa0hrKSqdlJwSURhacUowY4Kq3gh6xIqYmRVEFUIKCtXC1YnRFm2Qg-n3iH0PwcXR936aFzTQOfSI1owopQsZQLJCTShjzG4Wg_BtxAmTbA-etQnjzp51EePmqbM3Vx-qFpn_xOzuATczwBEA00doDM-_nNcFEwKyv4Aj6R7Lw</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>HARTL, Dana M</creator><creator>HANS, Stéphane</creator><creator>VAISSIERE, Jacqueline</creator><creator>BRASNU, Daniel F</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030401</creationdate><title>Objective acoustic and aerodynamic measures of breathiness in paralytic dysphonia</title><author>HARTL, Dana M ; HANS, Stéphane ; VAISSIERE, Jacqueline ; BRASNU, Daniel F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-89d2702dc13629fe8748175d2b3210e27d9458f6ab1c8b51957a6bef73f2b39d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diagnostic Techniques, Respiratory System</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Phonation - physiology</topic><topic>Prospective Studies</topic><topic>Respiratory Mechanics</topic><topic>Speech Acoustics</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vocal Cord Paralysis - complications</topic><topic>Voice Disorders - diagnosis</topic><topic>Voice Disorders - etiology</topic><topic>Voice Disorders - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HARTL, Dana M</creatorcontrib><creatorcontrib>HANS, Stéphane</creatorcontrib><creatorcontrib>VAISSIERE, Jacqueline</creatorcontrib><creatorcontrib>BRASNU, Daniel F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HARTL, Dana M</au><au>HANS, Stéphane</au><au>VAISSIERE, Jacqueline</au><au>BRASNU, Daniel F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Objective acoustic and aerodynamic measures of breathiness in paralytic dysphonia</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2003-04-01</date><risdate>2003</risdate><volume>260</volume><issue>4</issue><spage>175</spage><epage>182</epage><pages>175-182</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>This study was designed to determine which objective acoustic or aerodynamic parameters allowed a homogeneous group of patients with unilateral vocal fold paralysis (UVFP) to be distinguished from an age-matched and smoking-matched control group and to search for linear correlations between the objective parameters and the subjective breathiness ratings. Eight patients with recent-onset UVFP and 12 controls were prospectively studied. The acoustic parameters measured for the vowel /a/ at a comfortable frequency and intensity were: jitter, shimmer, harmonics-to-noise ratio, cepstral peak prominence, the difference between the levels of the first two harmonics and the relative energy above 6 kHz. Aerodynamic parameters included the mean flow rate during a sustained /a/ and intraoral pressure during the production of the phoneme /pi/. The long-term average spectrum was calculated for 40 s of text, and the relative average energies in four frequency bands were compared. Six judges rated a mid-/a/ sample using a five-parameter scale with four levels of severity. Nonparametric statistical analysis revealed significant differences ( P<.05) between the UVFP group and the control group for 14 of the 19 parameters studied. Correlations between the objective parameters and perceived breathiness differed in the two groups. Correlations were not always as expected as based on previous literature reports. These measurements provided an objective qualification of voice in patients with UVFP and successfully distinguished them from the normal controls. The objective acoustic and aerodynamic measurements had generally low linear correlations with breathiness ratings in the control group. Higher correlations were seen in the UVFP group, in which breathiness was best correlated with airflow measurements.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12709799</pmid><doi>10.1007/s00405-002-0542-2</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Diagnostic Techniques, Respiratory System Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology functional investigation (larynx, voice, audiometry, vestibular function, equilibration...) Otorhinolaryngology. Stomatology Phonation - physiology Prospective Studies Respiratory Mechanics Speech Acoustics Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Vocal Cord Paralysis - complications Voice Disorders - diagnosis Voice Disorders - etiology Voice Disorders - physiopathology |
| title | Objective acoustic and aerodynamic measures of breathiness in paralytic dysphonia |
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