Logopedics Phoniatrics Vocology最新文献

Objective: The present study had two objectives: (1) to investigate differences in voice parameters between teachers with and without self-reported voice disorders and (2) to find differences in voice parameters between teachers and healthcare workers without self-reported voice disorders.

Method: Three respondents' groups were formed: teachers with self-reported voice disorders (mean age, 47 years; range, 34-60 years), teachers without self-reported voice disorders (46; 27-64), and healthcare workers without self-reported voice disorders (45; 31-63). All participants were women. Maximum Phonation Time (MPT), fundamental frequency (F₀), jitter, shimmer, frequency and intensity range, Dysphonia Severity Index (DSI), Voice Handicap Index-30 (VHI), and perceived stress (PSS) were assessed in respondents.

Results: Twenty-nine percent of teachers noted two or more vocal symptoms daily or weekly. Teachers with self-reported voice disorders had a higher degree of perceived stress (18 vs. 13, p = .009), higher score on the VHI (25 vs. 13, p = .001), and lower score on the DSI (2.65 vs. 3.21, p = .037), than teachers without self-reported voice disorders. The VHI-30 score of 15 points could be a cut off value describing voice disorders in female teachers. Differences between teachers and health care workers without self-reported voice disorders were found in MPT (p = .001), F₀ (p = .012), jitter (p = .009), DSI (p = .023), and the perceived stress score (p = .041).

Conclusions: The teaching profession can influence the voice, and the presence of psycho-emotional factors can lead to the development of voice disorders in teachers.

Background: Twang quality is a bright, piercing quality often produced in contemporary pop/rock/country music, musical theatre singing, and character voices. Despite its potential application to voice therapy and singing pedagogy, limited information is available regarding the exact physiologic underpinnings of twang quality. The purpose of this study was to provide quantitative information regarding three-dimensional (3D) vocal tract configurations of twang quality using magnetic resonance imaging (MRI).

Methods: Two participants, with professional singing and pedagogy experience in a variety of singing styles, sustained twang and speech quality on vowel /i/ while lying supine in the MRI scanner. Vocal tract measures included larynx height and velar height in the midsagittal view as well as lateral pharyngeal width, anteroposterior pharyngeal (AP) width, and pharyngeal area in the axial view.

Results: When compared to speech /i/, participants produced twang with a smaller pharyngeal area with significant narrowing in the lateral dimension, a slightly elevated laryngeal position, and closed VP port. Of note, Participant 1 also demonstrated significant pharyngeal narrowing in the AP dimension at the oropharyngeal level.

Conclusion: The results are consistent with some aspects of previous descriptions of twang but provide further clarification regarding physiologic underpinnings of twang quality for therapeutic and pedagogic application.

Objective: The objective is to produce a short instrument for measuring the subjectively experienced articulation handicap, i.e. the extent to which physical, functional, and emotional handicaps caused by a physical deficit are subjectively experienced.

Methods: The items for the short instrument were selected from the 30 items of the Articulation Handicap Index (AHI) by removing items on the basis of item-total correlations using data from 113 cancer survivors. Reliability and validity of the sum score of the corresponding item selection were used for determining the optimal item selection. This optimal item selection was compared with the AHI in an RCT with patients undergoing phoniatric routine diagnostics.

Results: With only 12 items left, the measurement instrument was still as reliable and valid as the AHI. With less than 12 items, reliability and validity decreased. In the RCT between the AHI (n = 41) and the 12-item selection (n = 40), reliability and validity of both instruments were the same, but processing times differed (AHI; 3.84 min; 12-item selection: 2.02 min).

Conclusion: The 12-item selection, further referred to as the Articulation Handicap Scale with 12 items (AHS-12), provides nearly as much information as the original AHI.

Purpose: At a worldwide level, suicide is a public health problem that, despite displaying downward trends in several areas of the world, in many countries these rates have increased. One of the elements that contributes to its prevention is an early and dynamic evaluation. Due to this, the objective is to determine the association between acoustic parameters of voice and speech (F0, F1, F2, F3, dB, and Jitter) and suicidal ideation arousal amongst some university students from the city of Temuco, Chile.

Methods: Attending to this issue, a cross-sectional design study was conducted through a non-probabilistic sampling of sixty 18- and 19-year-old adolescents from the city of Temuco, that went through an acoustic evaluation of their voice and speech after taking a test to determine suicidal ideation. Afterwards, data were analyzed through IBM SPSS version 23.0 software (IBM SPSS Statistics, Armonk, NY), by means of exploratory, descriptive, and inferential statistics taking the variable's levels of measurements and the types of distributions into account.

Results: The results point out that 30% of the adolescents, from both genders, displayed suicidal ideation. Taking into account the acoustic results of their voice, it is possible to recognize that the fundamental frequency (F0), the formants (F1, F2), and Jitter, are the ones that majorly link to the presence of suicidal ideation, both in women and men (p < .05). The characteristics that describe F3 were only linked to the presence of suicidal ideation in men (p < .05).

Conclusions: It is concluded that the acoustic parameters of voice and speech differ in adolescents with suicidal behavior, opening the possibility of representing a useful tool in the diagnosis of suicide.

Objective: Unilateral vocal folds paralysis is a disorder that affects a patient's quality-of-life by disturbing their phonation, breathing, and swallowing activities. This systematic review aimed to estimate the efficacy of voice treatment on the vocal fold motility in adult patients with unilateral vocal folds paralysis.

Methods: PubMed, CINAHL, CENTRAL, and Web of Science were searched for retrospective and prospective cohort, case-control, and cross-sectional with comparative studies with adults that were published between 1 January 2008 to 31 December 2018. After applying the inclusion and exclusion criteria a total of 10 studies containing morpho-functional evaluation results were included in the analysis. Pooled data analysis of the motility of the vocal folds before and after voice therapy allowed inferring about the efficacy of voice therapy intervention in patients with unilateral vocal folds paralysis. A random-effect model was used to estimate the effect size. Publication bias was considered.

Results: The pooled data analysis of the visual-perceptual measures revealed that vocal fold motility improved in 72% (95% CI: 64.0-80.0) of all patients after the therapeutic interventions. The inconsistency index (I² = 18.35%) of the studies included in this meta-analysis revealed an extremely low heterogeneity. Funnel plot and Cochran's Q test showed no publication bias. The systematic review was limited to only English language articles.

Conclusion: This meta-analysis supports the evidence that voice therapy intervention can have a positive effect on the vocal fold motility, that is, they can improve the glottal gap closure, irrespective of the exercises and techniques used.

Aim: The aim of this study was to investigate the voice problems with vocal loading in physicians.

Method: It was planned to have two groups and thirty participants in each group. The participants were surgeon and nonsurgeon, male and female doctors (first group: 15 female +15 male nonsurgeon; second group: 15 female +15 male surgeon). Volunteers were also separated according to the duration of career, patients seen daily and polyclinic days weekly. Visual analog scale (VAS) scores and voice fatigue index (VFI) version 2 were applied. Objective measurements (F0, jitter, shimmer, harmonics-to-noise ratio) of acoustic evaluation according to the same variables were recorded.

Results: There was a statistically significant difference in the number of patients seen daily between the groups (<50 patients/day and >50 patients/day) in terms of VFI parts 1 and 2 averages. There was a statistically significant difference between branches (surgical vs. nonsurgical) in terms of VFI part 1 (p = .034). The tiredness of voice was prominent in the physicians who saw more patients and who had more workdays weekly and who were nonsurgeon (VFI part 1). Physical discomfort was more prominent in physicians whose duration of career was long and whose daily patients were more (VFI part 2) (p < .05).The number of patients seen daily and number of days to work did not affect objective acoustic parameters. Being experienced as year in women and being surgeon decreased the mean shimmer values in objective measurements (p < .05).

Conclusion: Physicians experienced vocal fatigue (VF) in varying degrees according to the differences in working conditions.

Objective: To report the volumetric measures of the paralyzed vocal fold in patients undergoing injection laryngoplasty.

Material and method: All the medical records of patients with unilateral vocal fold paralysis who had high resolution computerized tomography scan of the neck and chest prior to injection laryngoplasty between October 2015 and May 2018 were included. Volumetric evaluation of the vocal folds was performed by measuring the vocal fold height using coronal images and the vocal fold length and width using axial images.

Results: A total of 21 patients divided into 13 males and 8 females were identified. The mean age was 56.66 ± 20.94 years. The mean volume of the paralyzed vocal fold was significantly smaller than that of the non-paralyzed vocal fold (p < .05). Similarly, the mean length and height of the paralyzed vocal folds were smaller than those of the non-paralyzed vocal folds (p < .05).

Conclusion: Volumetric measurements of the paralyzed vocal fold in comparison to the normal vocal fold in a group of 21 patients with unilateral vocal fold paralysis shows the presence of significant difference between the normal and affected site, and the presence of large inter-subject variation. Information on the volume difference between the two vocal folds may be used to better estimate the amount that needs to be injected in medialization procedures.

Aim: Self-efficacy for writing is an important motivational factor and considered to predict writing performance. Self-efficacy for narrative writing has been sparsely studied, and few studies focus on the effects of writing intervention on self-efficacy. Additionally, there is a lack of validated measures of self-efficacy for elementary school students. In a previous study, we found that a trained panel rated personal narrative text quality higher for girls than for boys, which led to our aim: to investigate boys' and girls' self-efficacy for narrative writing before and after an intervention, and to explore associations between self-efficacy and text quality.

Methods: An 18-item self-efficacy scale was developed. Fifty-five fifth-grade students (M 11:2 years, SD 3.7 months) filled out the scale before and after a five-lesson observational learning intervention. Self-efficacy was then related to writing performance as measured by holistic text quality ratings.

Results: The students demonstrated strong self-efficacy, which increased significantly post-intervention. Girls and boys demonstrated similar self-efficacy, despite girls' higher text quality. There were moderate correlations between self-efficacy and writing performance pre- and post-intervention.

Conclusions: The results support previous findings of strong self-efficacy at this age. The interaction between writing self-efficacy and performance is complex. Young students may not be able to differentiate between self-efficacy, general writing skills, task performance, and self-regulation. Self-efficacy scales should thus be carefully constructed with respect to age, genre, instruction, and to students' general educational context.

Introduction: The duration of the nuclei is a crucial factor for the shift of prelexical to mature speech, since control of duration is closely related with improved speech intelligibility.

Objectives: This work records the suprasegmental feature of duration in infants with normal hearing (NH) compared to those with cochlear implants (CI) based on vocant productions (quasivowels and full vowels).

Materinals and methods: In this longitudinal study, 102 vocant productions were analyzed from cases of congenitally hearing-impaired infants (implantation ages 1:4 and 1:11 years; post-implant ages 0:6 months and 1:3 years) who were matched with three NH infants of similar hearing experience (ages 0:8-0:11 months). Current methodology analyzes vocants using a combination of acoustical and auditory analyses. Vegetative data or reflexive sounds were excluded. Participants had had unknown deafness etiology and no other disabilities. Duration was measured using wideband spectrographic analysis, from voice onset to the loss of audible signal and the decrease of higher formant's energy.

Results: The results showed that the mean vocant duration of young CI users was longer, compared to hearing matched peers during the first six months after cochlear implantation.

Conclusions: This recorded weakness for CI users' speech production is a challenge for future work in speech processing strategies. This is the first study measuring production of vocants during the pre-linguistic stage in CI recipients.