Journal of Voice最新文献

{"title":"High and Wide: An In Silico Investigation of Frequency, Intensity, and Vibrato Effects on Widely Applied Acoustic Voice Perturbation and Noise Measures","authors":"Calvin Peter Baker ,&nbsp;Meike Brockmann-Bauser ,&nbsp;Suzanne C. Purdy ,&nbsp;Te Oti Rakena","doi":"10.1016/j.jvoice.2023.10.007","DOIUrl":"10.1016/j.jvoice.2023.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This <em>in silico</em> study explored the effects of a wide range of fundamental frequency (<em>f</em>_o), source-spectrum tilt (SST), and vibrato extent (VE) on commonly used frequency and amplitude perturbation and noise measures.</div></div><div><h3>Method</h3><div>Using 53 synthesized tones produced in <em>Madde</em>, the effects of stepwise increases in <em>f</em>_o, intensity (modeled by decreasing SST), and VE on the <em>PRAAT</em> parameters jitter % (local), relative average perturbation (RAP) %, shimmer % (local), amplitude perturbation quotient 3 (APQ3) %, and harmonics-to-noise ratio (HNR) dB were investigated. A secondary experiment was conducted to determine whether any <em>f</em>_o effects on jitter, RAP, shimmer, APQ3, and HNR were stable. A total of 10 sinewaves were synthesized in Sopran from 100 to 1000 Hz using formant frequencies for /a/, /i/, and /u/-like vowels, respectively. All effects were statistically assessed with Kendall’s tau-b and partial correlation.</div></div><div><h3>Results</h3><div>Increasing <em>f</em>_o resulted in an overall increase in jitter, RAP, shimmer, and APQ3 values, respectively (<em>P</em> &lt; 0.01). Oscillations of the data across the explored <em>f</em>_o range were observed in all measurement outputs. In the Sopran tests, the oscillatory pattern seen in the <em>Madde f</em> _o condition remained and showed differences between vowel conditions. Increasing intensity (decreasing SST) led to reduced pitch and amplitude perturbation and HNR (<em>P</em> &lt; 0.05). Increasing VE led to lower HNR and an almost linear increase of all other measures (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>These novel data offer a controlled demonstration for the behavior of jitter (local) %, RAP %, shimmer (local) %, APQ3 %, and HNR (dB) when varying <em>f</em>_o, SST, and VE in synthesized tones. Since humans will vary in all of these aspects in spoken language and vowel phonation, researchers should take potential resonance-harmonics type effects into account when comparing intersubject or preintervention and postintervention data using these measures.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 262-277"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vocal Fold Granuloma: Updates and Advancements in Treatment","authors":"Thomas Zheng Jie Teng ,&nbsp;Chenlu Zhai ,&nbsp;Christina Hui Lee Ng","doi":"10.1016/j.jvoice.2023.10.005","DOIUrl":"10.1016/j.jvoice.2023.10.005","url":null,"abstract":"<div><h3>Objective/Hypothesis</h3><div><span><span>Vocal fold </span>granulomas (VFGs) are benign outgrowths from vocal folds with varying etiologies. If untreated, VFGs can result in mass effects on the surrounding </span>larynx<span>, leading to dysphagia<span>, hoarseness of voice, and possibly dyspnea. With new advancements, novel treatment options and innovative collaborations of previous treatment modalities have started to surface.</span></span></div></div><div><h3>Study design</h3><div>This review aims to provide a world review of the current risks, etiologies, and complications surrounding VFGs, as well as discuss the current and future treatment modalities surrounding VFGs.</div></div><div><h3>Methods</h3><div>Four databases (PubMed, Cochrane Library, Embase, and WoS) were searched from the earliest records until February 2023 using search terms related to VFGs. Relevant articles were assessed and analyzed to provide a broad scope of the current treatment options for VFGs.</div></div><div><h3>Results/Conclusions</h3><div>The treatment options for VFGs run both wide and deep, ranging from conservative voice therapy to laser vaporization to surgical excision. Within each modality, variations to each technique and method of administration also play a role in maximizing the effectiveness of treatment. Overall, with more higher-powered studies, the complex interplay of treatment modalities can be further untangled to determine the ideal combination treatment for various VFGs.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 487-494"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138177747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and validation of the Persian Version of the Singing Voice Handicap Index-10 (SVHI-10)","authors":"Mohammad-Amin Nazari ,&nbsp;Mohammad-Sadegh Seifpanahi ,&nbsp;Soheila Saeedi","doi":"10.1016/j.jvoice.2023.10.004","DOIUrl":"10.1016/j.jvoice.2023.10.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Singers' self-reporting of their voice problems can be helpful in the treatment of voice disorders by speech-language pathologists (SLP), which requires a valid questionnaire. This study was conducted to translate and validate the Singing Voice Handicap Index-10 (SVHI-10) questionnaire in the Persian language.</div></div><div><h3>Methods</h3><div><span>This cross-sectional study was conducted in two main steps (1) translation of the questionnaire and determination of face and content validity and (2) survey of singers. The questionnaire was first translated by a SLP who was an expert in voice disorder and also proficient in the English language. The face and content validity of the questionnaire was confirmed by experts through impact score, content validity ratio, and content validity index. Then it was translated into English and adapted to its original version. A valid questionnaire was given to 70 singers to determine their ability to distinguish singers with voice problems from healthy singers and their </span>internal consistency.</div></div><div><h3>Results</h3><div>The face and content validity of the questionnaire was confirmed without excluding any item. The results showed that the questionnaire has excellent internal consistency (α = 0.930). With the optimal cut-off point of 14.5, this questionnaire was able to identify singers with voice problems with 90% accuracy. Also, the sensitivity and specificity were 84.85% and 94.59%, respectively. Also, the area under the Receiver Operating Characteristic (ROC) curve was equal to 0.937.</div></div><div><h3>Conclusion</h3><div>The results revealed that the Persian version of SVHI-10 is a reliable and valid instrument to identify singers with voice problems, so it can be used by SLPs.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 520.e1-520.e7"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138177746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volitional and Non-volitional Devices Used in Voice Therapy and Training: A Scoping Review—Part A","authors":"Denis de Jesus Batista ,&nbsp;João M. da Trindade Duarte ,&nbsp;Larissa T.D. Siqueira ,&nbsp;Anna A. Almeida ,&nbsp;Leonardo W. Lopes ,&nbsp;Vanessa V. Ribeiro","doi":"10.1016/j.jvoice.2023.10.027","DOIUrl":"10.1016/j.jvoice.2023.10.027","url":null,"abstract":"<div><h3>Objective</h3><div>To map the volitional and non-volitional devices used by speech and language pathologists (SLPs) in voice training and therapy and characterize their use in research on voice interventions.</div></div><div><h3>Methods</h3><div>This scoping review is the first part of a larger study. The electronic search was carried out by mapping the references in PubMed/Medline, LILACS/BVS, Scopus, Web of Science, EMBASE, and the Cochrane Library, and the manual search was carried out in the grey literature. Two blind independent reviewers selected and extracted data; divergences were solved by consensus. The data extracted in this part of the study were the authorship and year of publication, country, study design, sample characteristics, intervention modality, ingredient, target, mechanism of action, dosage, and outcome measures. They were addressed with descriptive analysis.</div></div><div><h3>Results</h3><div><span>Publications that use devices as ingredients are mostly from the last two decades, mainly carried out in the United States of America and Brazil, in adults of both sexes with behavioral dysphonia. Forty-two types of devices were used, many of them with similar approaches but different nomenclatures. Most devices were used voluntarily, focusing on vocal function, and aiming to increase source and filter interaction. Most studies used silicone tubes. The most reported technical specification to apply the ingredient was surface electrodes on the neck. Device dosage was time-controlled, and the most used outcomes were self-assessment and </span>acoustic analysis.</div></div><div><h3>Conclusion</h3><div>Devices are currently used as ingredients in vocal interventions, with a greater focus on increasing the source and filter interaction, associated with silicone tubes (the most used devices in these studies), which have been dosed with performance time. Outcomes were measured with self-assessment instruments.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 515.e21-515.e65"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of an 8-Week Mindfulness Course in People With Voice Disorders","authors":"Catherine Kay Brown ,&nbsp;Julinette Vazquez ,&nbsp;Stacie M. Metz ,&nbsp;Donald McCown","doi":"10.1016/j.jvoice.2023.10.031","DOIUrl":"10.1016/j.jvoice.2023.10.031","url":null,"abstract":"<div><h3>Objectives</h3><div>Nearly every modern textbook on the etiology and treatment of voice disorders (VD) recommends stress reduction for VD patients. The benefits of mindfulness<span> for stress reduction are well documented, but published literature on mindfulness<span> and VD is sparse. Our objective was to determine whether an 8-week mindfulness course could increase mindfulness and lower stress in people with VD, leading to a decrease in vocal handicap.</span></span></div></div><div><h3>Study Design</h3><div>Mixed methods study.</div></div><div><h3>Methods</h3><div>Participants: 69 individuals with VD: 39 were mindfulness course participants (MCP), 30 were in a waitlist control group (WCG). Exclusionary criteria: patients in voice therapy. Before and after the 8-week timeframe, participants took the Mindful Attention and Awareness Scale (MAAS), Perceived Stress Scale-10 (PSS-10), Voice Handicap Index (VHI), and—for singers (n = 36)—the Singing Voice Handicap Index (SVHI). Follow-up interviews were conducted with select participants.</div></div><div><h3>Results</h3><div>In the MCP, each of the outcomes significantly changed in the direction hypothesized, resulting in increased MAAS (<em>P</em> = 0.000) and decreased PSS-10 (<em>P</em> = 0.007), VHI (<em>P</em> = 0.000), and SVHI (<em>P</em><span> = 0.021, n = 22) scores. Using a 2 × 2 Repeated Measures ANOVA, two outcomes were statistically different for the MCP from pre to postcourse—MAAS increased (</span><em>P</em><span> = 0.006, ES = 0.107) and VHI decreased (</span><em>P</em><span> = 0.034, ES = 0.065)—in comparison to no change in the WCG. Follow-up interviews revealed increased acceptance of the VD; reduced stress, physical tension, and pain/discomfort; increased somatic (or interoceptive) awareness; community with other VD patients; and positive speaking and singing voice changes.</span></div></div><div><h3>Conclusions</h3><div>An 8-week mindfulness course shows promise for reducing stress in people with VD, lowering voice handicap, and improving quality of life. Future research should evaluate mindfulness in patients with specific voice disorders; patients with higher and lower VHI scores; singers; and patients who experience throat pain. Mindfulness should also be evaluated within a standard voice therapy protocol.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 518.e13-518.e24"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the Arabic Thyroidectomy-Related Voice and Symptom Questionnaire (A-TVSQ) for Assessing Post-Thyroidectomy Patients","authors":"Mashal Abaalkhail ,&nbsp;Mohammed Alessa ,&nbsp;Raghad AlKhashan ,&nbsp;Yara Saleh Alasmari ,&nbsp;Tamer A. Mesallam ,&nbsp;Mohamed Farahat ,&nbsp;Saleh Aldhahri ,&nbsp;Saleh Alqaryan ,&nbsp;Khalid Al-Qahtani ,&nbsp;Khalid H. Malki","doi":"10.1016/j.jvoice.2023.10.001","DOIUrl":"10.1016/j.jvoice.2023.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>Post-thyroidectomy patients commonly experience voice changes, swallowing symptoms, and neck discomfort, a condition known as post-thyroidectomy syndrome. The Thyroidectomy-Related Voice and Symptom Questionnaire (TVSQ) is a validated tool showing strong correlations with established tools with a potential predictive value for post-thyroidectomy voice outcomes. Our study aims to translate and validate the TVSQ into Arabic.</div></div><div><h3>Methods</h3><div>This validation study was conducted at King Abdulaziz University Hospital and King Khalid University Hospital in Riyadh, Saudi Arabia. Forward and backward translations ensured the conceptual equivalence of the Arabic TVSQ (A-TVSQ) and were reviewed by an expert panel. A pilot test assessed the A-TVSQ’s face validity and clarity, leading to necessary cultural adjustments. The final A-TVSQ was preoperatively and postoperatively administered to thyroidectomy patients to evaluate its test-retest reliability.</div></div><div><h3>Results</h3><div>Data were collected from 116 participants (53 cases [45.6%] and 63 controls [54.3%]). The internal consistency analysis showed strong intercorrelation among the A-TVSQ items, with Cronbach’s alpha coefficients (0.951) indicating excellent estimated internal consistency within both domains. Test-retest reliability showed a moderate level of reliability with an intraclass correlation coefficient of 0.696. A-TVSQ item discrimination analysis showed significant associations between the total and domain scores pre- and post-thyroidectomy. External validity analysis showed significant changes in A-TVSQ voice change (<em>P</em> &lt; 0.010) and neck discomfort (<em>P</em> = 0.011) domains and total scores (<em>P</em> &lt; 0.010) between before and 2 weeks after thyroidectomy. However, no significant changes were observed between 2 and 4 weeks after thyroidectomy.</div></div><div><h3>Conclusions</h3><div>The translated and validated A-TVSQ showed excellent internal consistency and moderate test-retest reliability, comparable to the original version. Voice change significantly worsened after thyroidectomy, highlighting the need for continued monitoring and management strategies for this complication.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 521.e7-521.e12"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Clinical Expertise on Efficacy of Vocal Function Exercises in Individuals With Typical Voice","authors":"Maria Bane ,&nbsp;Vrushali Angadi,&nbsp;Richard Andreatta,&nbsp;Joseph Stemple","doi":"10.1016/j.jvoice.2023.11.002","DOIUrl":"10.1016/j.jvoice.2023.11.002","url":null,"abstract":"<div><h3>Objectives/Hypothesis</h3><div>To determine the effect of clinical expertise on efficacy of Vocal Function Exercises (VFEs) as measured by change in percent of maximum phonation time goal attained. The hypothesis was that clinical expertise would result in greater increases in percent of maximum phonation time goal attained.</div></div><div><h3>Study Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>A convenience sample of 19 individuals with typical voice was recruited in a university academic clinic setting. All participants completed baseline assessment and 17 completed all study procedures. Participants were randomized to receive VFEs from an expert voice clinician with more than 40 years’ experience (expert group (EG)) or from a master’s student in Communication Sciences and Disorders trained in VFEs (novice group (NG)). The primary outcome measure was change in percent of maximum phonation time goal attained during VFE tasks 1 and 4.</div></div><div><h3>Results</h3><div>Mean change scores for maximum phonation time were 27.71 (<em>P</em> = 0.001) and 25.31 (<em>P</em> = 0.003) for EG and NG, respectively. Both groups improved significantly on the primary outcome measure, but the difference between groups was not statistically significant (<em>P</em><span> = 0.759). A Hedges’-g effect size of −0.14 [−1.10, 0.81] was obtained comparing EG and NG groups, indicating a small negative effect of limited clinical expertise on VFE outcomes in individuals with typical voice.</span></div></div><div><h3>Conclusions</h3><div>Speech-language pathologists with varied levels of expertise are capable of efficaciously administering VFEs in individuals with typical voice.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 369-375"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeing Voices: A Dynamic, Interprofessional Approach to Teaching Performing Arts and Speech-Language Pathology Students About Vocal Anatomy and Physiology","authors":"Deborah Hersh ,&nbsp;Luzita Fereday ,&nbsp;Fiona Palmer ,&nbsp;David Hall ,&nbsp;Pedro Amarante Andrade ,&nbsp;Priscilla Cornelius ,&nbsp;Charn Nang ,&nbsp;Jane White","doi":"10.1016/j.jvoice.2023.07.029","DOIUrl":"10.1016/j.jvoice.2023.07.029","url":null,"abstract":"<div><h3>Objectives</h3><div><em>Seeing Voices</em> was an interprofessional, technology-enabled, large-scale, teaching and learning event developed to address the need to improve voice students’ knowledge of laryngeal anatomy and physiology toward understanding and maintaining vocal health. <em>Seeing Voices</em> trialed a novel interprofessional educational approach, collected both quantitative and qualitative data about student experiences of laryngostroboscopic examination, and built a databank of laryngeal recordings for future student learning.</div></div><div><h3>Methods</h3><div><em>Seeing Voices</em> involved two 3-hour seminars in a large, university lecture space, run by an interprofessional team (speech-language pathologists, vocal coach, Ear Nose and Throat consultant) with quality equipment projecting laryngeal images to large screens with expert commentary in real time. Participants were 18 students who volunteered for laryngeal examination (9 per seminar) and student attendees (n = 175) from performing arts courses (classical singing, contemporary, jazz, musical theater, acting) and a speech-language pathology course. A quantitative evaluation of knowledge gained was undertaken using a Qualtrics survey. Results from pre (n = 175; performing arts = 120; speech-language pathology (SLP) = 55) and postevent (n = 99; performing arts = 56; SLP = 43) questionnaires were received from the students who attended. Interviews were collected from 15 of the 18 student volunteers about their experiences of nasendoscopic evaluation and data were analyzed using qualitative description and qualitative content analysis.</div></div><div><h3>Results</h3><div>Quantitative results demonstrated a strong trend toward increased knowledge following attendance at the event across year cohorts for both student groups. Qualitative interviews highlighted the value in seeing multiple examples of normal laryngeal functioning across different vocal techniques in real time. For those undertaking nasendoscopic examination, simultaneously seeing and feeling laryngeal maneuvers used in training appeared to promote understanding of their own vocal mechanism and the purpose of different vocal techniques.</div></div><div><h3>Conclusions</h3><div><em>Seeing Voices</em> offers a novel way to improve interprofessional collaboration, and engagement with, and understanding of, laryngeal anatomy and vocal health by students in performing arts and speech-language pathology courses.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 350-359"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PVGAN: A Pathological Voice Generation Model Incorporating a Progressive Nesting Strategy","authors":"Xiaoying Pan ,&nbsp;Tong Feng ,&nbsp;Nijuan Zhang","doi":"10.1016/j.jvoice.2023.10.006","DOIUrl":"10.1016/j.jvoice.2023.10.006","url":null,"abstract":"<div><div><span><span><span>The voice generation task is to solve the problem of limited samples in the voice dataset using computer technology. By increasing the number of samples, the accuracy of voice disorder diagnosis can be improved, which has a wide range of application value in medical diagnosis and other fields. At present, there are insufficient models for detailed features such as pitch, timbre, and different frequency components in pathological voice data. Therefore, this paper proposes a PVGAN network for learning different </span>frequency information of audio to generate pathological voice data. The proposed network captures the multi-scale features and different periodic patterns of </span>audio signals by designing multiscale perceptual residual blocks and periodic </span>discriminators. At the same time, a progressive nesting strategy was proposed to combine the generator and the discriminator to improve the learning ability of different resolution information. In addition, a latent mapping network is designed to fuse the latent vector with the condition information to generate sound features related to specific diseases or pathological states. The loss function is optimized to further improve the model performance. On the Saarbruecken Voice Database(SVD), the average values of each index of the data generated after training with different pathological types as conditional information are similar to the original data. Finally, the generated data were used to expand the SVD dataset, and the accuracy of the two classification experiments was improved to a certain extent.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 289-302"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Linguistic Adaptation of Vocal Fatigue Handicap Questionnaire into Kannada (VFHQ-K)","authors":"Srirangam Vijayakumar Narasimhan,&nbsp;Srikanth Reethushree","doi":"10.1016/j.jvoice.2023.08.010","DOIUrl":"10.1016/j.jvoice.2023.08.010","url":null,"abstract":"<div><h3>Background</h3><div>It is often considered appropriate to assess vocal fatigue using a self-reported tool or a subjective measure, as vocal fatigue is primarily described through self-reported symptoms. The vocal fatigue handicap questionnaire (VFHQ) is a self-rated questionnaire that addresses the concern of vocal fatigue in persons with voice disorders. Adapting and validating this questionnaire into the Kannada language can be helpful in assessing the physical, emotional, and functional effects of vocal fatigue among Kannada-speaking individuals.</div></div><div><h3>Objective</h3><div>Adaptation and Validation of the VFHQ into the Kannada language.</div></div><div><h3>Study design</h3><div>A validation study.</div></div><div><h3>Method</h3><div>Initially, the VFHQ was translated into Kannada. The translated questionnaire was given to two SLPs and two Linguists for content validation and to assess the cultural and linguistic equivalency. 65 participants (34 males and 31 females) were diagnosed with voice disorders, and 65 participants who were age and gender-matched and had healthy voices were administered the Kannada version of VFHQ (VFHQ-K).</div></div><div><h3>Results</h3><div>The results showed that the VFHQ-K had good test-retest reliability, internal consistency<span>, and known groups’ discriminative validity. The cut-off point of the VFHQ-K was equal to 26.50, indicating that the VFHQ-K had acceptable discrimination between the patients with and without dysphonia.</span></div></div><div><h3>Conclusion</h3><div>VFHQ-K is a valid, reliable, and sensitive questionnaire to assess the emotional, physical, and functional effects of vocal fatigue in the Kannada-speaking population.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 2","pages":"Pages 518.e25-518.e30"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10244592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}