Journal of Voice最新文献

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Analysis of 1782 Pediatric Hoarseness Cases: A Clinical Retrospect Study. 1782 例小儿声音嘶哑病例分析:临床回顾研究
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-12 DOI: 10.1016/j.jvoice.2024.06.024
Fangli Yang, Demin Kong, Yusheng Wang, Xiaoying Du, Yangjuan Chen, Na Li, Minjuan Yang, Yiqing He, Xiaoyong Ren, Jin Hou
{"title":"Analysis of 1782 Pediatric Hoarseness Cases: A Clinical Retrospect Study.","authors":"Fangli Yang, Demin Kong, Yusheng Wang, Xiaoying Du, Yangjuan Chen, Na Li, Minjuan Yang, Yiqing He, Xiaoyong Ren, Jin Hou","doi":"10.1016/j.jvoice.2024.06.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.06.024","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to clarify the clinical characteristics of pediatric voice disorders.</p><p><strong>Methods: </strong>The clinical data of 1782 pediatric patients presenting with voice disorders were retrospectively analyzed. These cases were categorized into four age-based cohorts: 0-3, 4-7, 8-11, and 12-15years. Variables such as gender disparities, laryngoscopic manifestation, disease types, and acoustic parameters were thoroughly examined.</p><p><strong>Results: </strong>A total of 1782 children with acoustic hoarseness were included in this study, comprising 1325 males and 457 females. When the sex ratio among the children in each group was compared, males were found to outnumber females. A notable male predominance was observed across all age groups. Laryngoscopic results revealed that the most prevalent condition was vocal cord nodules (1363 cases, 76.48%), followed by vocal cord polyps (271 cases, 15.20%). Other diseases included laryngeal papillomas, vocal fold movement impairment, vocal cord cysts, functional dysphonia, leukoplakia of the vocal cords, and benign laryngeal tumors such as laryngeal amyloidosis and subglottic granular cell tumors. Among these, adenoid hypertrophy was presented in 382 children (21.44%). Additionally, the Reflux Finding Score (RFS) was conducted, and 799 cases (44.83%) were found to have a score above 7. The distribution of various diseases across different age groups indicated that children with vocal cord nodules (637 cases, 46.74%), vocal cord polyps (109 cases, 40.22%), and laryngeal papillomas (35, 36.84%) were predominantly found in the 4-7 years age group. Pediatric acute laryngitis (three cases, 75%) and vocal fold movement impairment (eight cases, 36.36%) were more common in the 0-3 years age group. Functional dysphonia (four cases, 66.67%) and vocal cord leukoplakia (four cases, 80%) were mainly observed in the 12-15 years age group, while vocal cord cysts were predominantly seen in the 8-11 years age group (four cases, 57.14%). A comparative analysis of acoustic parameters among 153 children showed statistically significant differences in jitter, fundamental frequency (F0), voice handicap index (VHI), reflux symptom index (RSI), and RFS across different pathologies.</p><p><strong>Conclusion: </strong>This study highlighted that vocal cord nodules, vocal cord polyps, and laryngeal papillomas were the primary causes of pediatric hoarseness, although the possibility of tumors and rare diseases cannot be disregarded. There was a noticeable gender bias towards males, and functional dysphonia was significantly more prevalent in older children.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977125","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}
引用次数: 0
Office-Based Blue Laser Therapy vs Thulium Laser Therapy for Reinke's Edema. 办公室蓝激光疗法与铥激光疗法治疗莱因克氏水肿的对比。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-09 DOI: 10.1016/j.jvoice.2024.07.005
Abdul-Latif Hamdan, Jad Hosri, Christophe Abi Zeid Daou, Yara Yammine, Lana Ghzayel, Nader Nawfal, Robert T Sataloff
{"title":"Office-Based Blue Laser Therapy vs Thulium Laser Therapy for Reinke's Edema.","authors":"Abdul-Latif Hamdan, Jad Hosri, Christophe Abi Zeid Daou, Yara Yammine, Lana Ghzayel, Nader Nawfal, Robert T Sataloff","doi":"10.1016/j.jvoice.2024.07.005","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.005","url":null,"abstract":"<p><strong>Objective: </strong>To compare the treatment outcomes of patients with Reinke's edema (RE) who were treated in-office using the blue laser vs those treated in-office using the thulium laser.</p><p><strong>Study design: </strong>Retrospective case-control study.</p><p><strong>Methods: </strong>The medical records and video recordings of patients who underwent office-based thulium laser therapy for RE between November 2018 and July 2019, and office-based blue laser therapy for RE between November 2023 and March 2024 in a tertiary referral center were reviewed. The primary outcome measures used in this study were the Voice Handicap Index-10 (VHI-10) score and disease regression based on the laryngeal examination performed before and after therapy.</p><p><strong>Results: </strong>Twenty-two patients were included in this study. They were divided into 2 subgroups, 12 patients with 22 lesions who underwent office-based thulium therapy and 10 patients with 17 lesions who underwent office-based blue laser therapy. There was no significant difference in the decrease in the mean VHI-10 score following surgery between those treated with the thulium laser vs those treated with the blue laser (10.5 ± 13.15 vs 8.2 ± 5.98, P = 0.657). Nine out of 22 lesions (40.9%) treated with thulium laser regressed completely compared to 9 out of 17 lesions (52.9%) treated with a blue laser. The difference in disease regression between the two subgroups was not statistically significant (P = 0.455).</p><p><strong>Conclusions: </strong>Blue laser and thulium laser can be used interchangeably in-office for the treatment of RE with no significant difference in patient self-perceived improvement in voice quality and disease regression. A larger study using objective measures is warranted.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914388","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}
引用次数: 0
Extrinsic Laryngeal Muscle Activity and Vocal Economy in Professionally Trained Voices During Vocal Vibrato. 经过专业训练的声音在发声颤动时的喉外肌活动和发声经济性。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-09 DOI: 10.1016/j.jvoice.2024.07.009
Junseo Cha, Seong Hee Choi
{"title":"Extrinsic Laryngeal Muscle Activity and Vocal Economy in Professionally Trained Voices During Vocal Vibrato.","authors":"Junseo Cha, Seong Hee Choi","doi":"10.1016/j.jvoice.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.009","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the present study was to determine the extrinsic laryngeal muscle activity and vocal economy during two different singing conditions (straight-tone- vs vibrato singing) over a physiologically relevant singing range.</p><p><strong>Methods: </strong>Thirty professional singers or voice coaches participated in the study. The participants sang a sustained /a:/ vowel for approximately 5seconds, once in straight-tone singing conditions and once more in vibrato. The target pitches were C3, F3, A3, C4, F4, A4, and C5. Surface electromyographic (sEMG) measures were performed in the infrahyoid (IH)- and the suprahyoid (SH) muscle region. Contact quotient (CQ), sound pressure level (SPL), and fundamental frequencies were measured to derive the electroglottographic-based vocal economy parameter quasi-output cost ratio (QOCR).</p><p><strong>Results: </strong>sEMG measures show that IH and SH muscles significantly increased in activity with ascending pitch. IH and SH muscle activity was also significantly higher when singing in vibrato than straight-tone. Moreover, SPL also increased with ascending pitch and when sung in vibrato. CQ increased and QOCR decreased as pitch ascended but did not significantly change when sung in vibrato.</p><p><strong>Conclusion: </strong>Singing higher pitches was generally associated with higher extrinsic laryngeal muscle activity and lower QOCR values. When comparing two singing conditions, extrinsic laryngeal muscle activity was higher during vibrato, implicating that IH and the SH muscles may contribute to rhythmic pulsations of pitch modulation. Although the QOCR value did not show significant differences between the two singing conditions, a significantly higher SPL during vibrato may offer some acoustical and physiological advantages. Results also indicate that extrinsic muscle activity may not be reliably measure vocal economy.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914387","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}
引用次数: 0
Alterations in Emotional Expression Through Speech in Patients With Unilateral Vocal Fold Paralysis: A Preliminary Study. 单侧声带褶皱麻痹患者通过言语表达情感的变化:初步研究。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-08 DOI: 10.1016/j.jvoice.2024.07.010
Ralph Haddad, Alexia Mattei, Caterina Petrone, Marie Cachi-Pouyenne, Estelle Bogdanski, Camille Galant, Antoine Giovanni
{"title":"Alterations in Emotional Expression Through Speech in Patients With Unilateral Vocal Fold Paralysis: A Preliminary Study.","authors":"Ralph Haddad, Alexia Mattei, Caterina Petrone, Marie Cachi-Pouyenne, Estelle Bogdanski, Camille Galant, Antoine Giovanni","doi":"10.1016/j.jvoice.2024.07.010","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.010","url":null,"abstract":"<p><p>Unilateral vocal fold paralysis (UVFP) has a known impact on patients' quality of life. One of the potentially affected domains that has not been studied yet is emotional prosody. To produce and transmit an efficient emotional prosody, several vocal parameters are modulated by the speaker, principally the fundamental frequency, the speech rate, and the voice intensity. We retrieved 300 sentences produced by 10 patients suffering from UVFP, equally in neutral, anger, and sadness. A jury of six health care voice experts was asked to hear these sentences and choose an emotion for each vocalization, between neutral, anger, and sadness. The jury mainly considered the heard sentences as being in a neutral emotion. Vocal parameters analysis of the anger and sadness sentences that were mistaken as neutral showed the absence of significant difference in their fundamental frequencies and speech rates. By being unable to modulate their vocal parameters as needed to produce emotional prosody, specifically the fundamental frequency and speech rate, patients with UVFP suffer from limitations in their capacity to produce the emotional prosody wanted, making the emotions they feel hardly transmitted to their entourage, which can explain the social barriers these patients complain of.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914384","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}
引用次数: 0
The Effect of Speaking Rate on Voice and Breathing Behavior. 说话速度对声音和呼吸行为的影响
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-08 DOI: 10.1016/j.jvoice.2024.07.004
Anna Katrine Eichler Waage, Jenny Iwarsson
{"title":"The Effect of Speaking Rate on Voice and Breathing Behavior.","authors":"Anna Katrine Eichler Waage, Jenny Iwarsson","doi":"10.1016/j.jvoice.2024.07.004","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.004","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the present study was to investigate the effect of fast speaking on pause duration, breath group duration, and fundamental frequency (F<sub>O</sub>) in rote speech (counting).</p><p><strong>Method: </strong>Twenty-eight healthy women (age 18-39) who had no experience of voice training, repeated a counting task in both a habitual and fast speaking rate. Pause duration, breath group duration, and mean fundamental frequency were measured from audio recordings. Differences in the study variables between habitual and fast speaking rates were analyzed and tested for statistical significance.</p><p><strong>Results: </strong>In fast speaking rate, mean pause duration was shorter and mean breath group duration longer as compared with habitual speaking rate, both with statistical significance at the group level. Surprisingly, mean fundamental frequency was significantly lower in the fast-speaking rate condition.</p><p><strong>Conclusion: </strong>The results overall supported the hypothesis that pause duration becomes shorter and breath group duration longer with a fast-speaking rate. This may have clinical relevance for voice therapy and supports the importance of speaking rate for the understanding and treatment of some hyperfunctional voice disorders. Notably, however, our findings indicated that counting as a speech task induces a specific pattern which may not be comparable to other speech tasks, nor representative of spontaneous speech in every-day-life.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914389","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}
引用次数: 0
Effectiveness of Voice Therapy on Voice Quality and Function in Individuals with Unilateral Vocal Fold Paralysis: Systematic Review and Meta-Analysis. 嗓音治疗对单侧声带褶皱麻痹患者嗓音质量和功能的影响:系统回顾与元分析》。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-08 DOI: 10.1016/j.jvoice.2024.07.006
Te-Wei Cheng, Edward Hung-Lun Chu, Che-Hsuan Lin, Sung-Hui Tseng, Wen-Hsuan Hou, Chien-Hung Lai
{"title":"Effectiveness of Voice Therapy on Voice Quality and Function in Individuals with Unilateral Vocal Fold Paralysis: Systematic Review and Meta-Analysis.","authors":"Te-Wei Cheng, Edward Hung-Lun Chu, Che-Hsuan Lin, Sung-Hui Tseng, Wen-Hsuan Hou, Chien-Hung Lai","doi":"10.1016/j.jvoice.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.006","url":null,"abstract":"<p><strong>Background: </strong>Unilateral vocal fold paralysis (UVFP), characterized by immobility of one vocal fold, results from injuries of recurrent laryngeal nerves. Voice therapy is a conservative intervention aiming to address these symptoms, but standard protocols are lacking. In this study, we provided an updated review of voice therapy for UVFP over the past 3 years and analyzed the effect of voice therapy from the perspective of voice assessment recommended by the guidelines of the European Laryngological Society and the Union of the European Phoniatricians in 2023.</p><p><strong>Methods: </strong>Following preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 statement, we searched the databases, including PubMed, Embase, Web of Science, the Cochrane Library, and SCOPUS, from their earliest records to December 1, 2023. Quality assessment utilized Cochrane Risk of Bias and Risk Of Bias In Non-randomized Studies of Interventions tools. Data extraction encompassed study design, participant characteristics, therapy protocols, and outcome measures, including subjective and objective assessments. We performed heterogeneity analysis by calculating the I<sup>2</sup> statistic and meta-analysis by calculating the standardized difference of means and weighted mean differences.</p><p><strong>Results: </strong>Our systematic review and meta-analysis included 12 studies encompassing 459 patients. The review revealed a predominance of female participants across studies. Therapy protocols primarily included breathing control, laryngeal manipulation, and resonance training, often supplemented by home exercises. Outcome measures demonstrated significant improvements in subjective parameter: Voice Handicap Index ((standard mean difference) SMD = -1.51, P < 0.001), acoustic parameters: fundamental frequency (SMD = -0.38, P = 0.003), jitter (SMD = -0.97, P < 0.001), shimmer (SMD = -0.94, P < 0.001), and noise-to-harmonic ratio (SMD = -0.89, P < 0.001), and aerodynamic parameters: maximum phonation time (SMD = 1.29, P < 0.001), with early intervention yielding enhanced rate of complete glottal closure.</p><p><strong>Discussion: </strong>Two randomized controlled trials (RCTs) involved patients aware of their allocation to the treatment group, and the remaining 10 studies were retrospective, leading to bias from deviations in the intended intervention. Subjective and aerodynamic parameter inconsistency was observed, but after excluding studies with the onset of UVFP greater than 12 months, the heterogeneity of VHI scores decreased. The funnel plot was grossly symmetrical in the publication bias test. Significant improvements were noted in subjective, acoustic, and aerodynamic outcomes after intervention. Besides, there were commonalities in protocols, such as breathing control, laryngeal manipulation, and resonance training, often supplemented by home exercises.</p><p><strong>Systematic review registration: </strong>This protoco","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914386","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}
引用次数: 0
Comparison of the Effectiveness of Injection Laryngoplasty Using Autologous Platelet-Rich Plasma or Autologous Fat With Platelet-Rich Fibrin for the Treatment of Patients With Unilateral Vocal Fold Paralysis. 使用自体富血小板血浆或自体脂肪加富血小板纤维蛋白进行注射喉成形术治疗单侧声带褶皱麻痹患者的效果比较。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-08 DOI: 10.1016/j.jvoice.2024.07.017
Vanusanan Sudsamai, Vipa Rath Marpukdee, Phurich Praneetvatakul, Nilnetre Mahathanaruk
{"title":"Comparison of the Effectiveness of Injection Laryngoplasty Using Autologous Platelet-Rich Plasma or Autologous Fat With Platelet-Rich Fibrin for the Treatment of Patients With Unilateral Vocal Fold Paralysis.","authors":"Vanusanan Sudsamai, Vipa Rath Marpukdee, Phurich Praneetvatakul, Nilnetre Mahathanaruk","doi":"10.1016/j.jvoice.2024.07.017","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.017","url":null,"abstract":"<p><strong>Objectives: </strong>Unilateral vocal fold paralysis (UVFP) can be idiopathic or a result of surgery, cancer, or neurological disease. The most common presentation is dysphonia, which causes problems with communication, and can lead to anxiety and depression. Injection laryngoplasty (IL) is a current means of treatment, but there have been few studies to determine the optimal material to use. Therefore, we aimed to compare the use of autologous platelet-rich plasma and autologous fat with platelet-rich fibrin for IL under local anesthesia and general anesthesia, respectively.</p><p><strong>Study design: </strong>A prospective randomized controlled study was conducted at the Otolaryngology-Head and Neck Surgery Department, Ramathibodi Hospital, Faculty of Medicine, Mahidol University.</p><p><strong>Methods: </strong>Thirty-four patients with UVFP were recruited. All met the inclusion criteria and were randomized to two groups, to be treated using autologous platelet-rich plasma under local anesthesia or autologous fat with platelet-rich fibrin under general anesthesia. The primary outcome was the mean difference in the Voice Handicap Index (VHI) between the groups at 1- and 6-months post. The secondary outcomes were the mean differences in voice acoustic parameters [maximum phonation time (MPT), jitter, shimmer, and harmonic-to-noise ratio (HNR)] between the groups at these time points.</p><p><strong>Results: </strong>At the measured time points, there were no significant differences in the mean VHIs (P = 0.462), MPT (P = 0.79), jitter (P = 0.234), shimmer (P = 0.863), or HNR (P = 0.096) between the groups. Few people who underwent the procedure under local anesthesia developed laryngospasm, while some of those in the fat with platelet-rich fibrin developed postoperative abdominal contusion or hematoma which resolved spontaneously.</p><p><strong>Conclusions: </strong>We have found no difference in the effectiveness of IL using autologous platelet-rich plasma under local anesthesia or autologous fat with platelet-rich fibrin performed under general anesthesia in patients with UVFP. No serious or life-threatening complications were found in both groups.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914385","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}
引用次数: 0
Heart Rate Variability in a Vocal Stress Test with Special Consideration of the Objective Voice Function. 声乐压力测试中的心率变异性,特别考虑客观嗓音功能。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-07 DOI: 10.1016/j.jvoice.2024.07.019
Stephanie Piatek, Susanne Voigt-Zimmermann, Irina Böckelmann
{"title":"Heart Rate Variability in a Vocal Stress Test with Special Consideration of the Objective Voice Function.","authors":"Stephanie Piatek, Susanne Voigt-Zimmermann, Irina Böckelmann","doi":"10.1016/j.jvoice.2024.07.019","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.019","url":null,"abstract":"<p><strong>Objective: </strong>Many employees, especially in voice-intensive professions, are under psychological stress at work, which is very difficult to objectify. The aim of the study was to analyze correlations between heart rate variability (HRV) parameters and objective voice function using weighted voice parameters (Dysphonia Severity Index [DSI]) in order to determine whether subjects with impaired vocal function show a predominance of sympathetic control during a vocal stress test.</p><p><strong>Study design: </strong>Prospective.</p><p><strong>Methods: </strong>Fifty-three people of working age were examined. After asking for sociodemographic, occupational, and voice-related data, the objective voice function was determined using the DiVAS voice diagnostics system, and a 20-minute vocal stress test was performed. The electrocardiogram was recorded using medilog AR12plus during the vocal stress test and in a 5-minute rest phase before and a 5-minute recovery phase after the test. HRV was analyzed using the Kubios HRV Premium software.</p><p><strong>Results: </strong>HRV was reduced during the vocal stress test compared to the resting and recovery phase. A Spearman correlation analysis showed significant correlations, particularly between the frequency-related HRV parameters and the DSI. The DSI correlated positively with the high frequency (HF) band (the relative power and the normalized unit). The DSI correlated negatively with the quotient between low frequency and HF and the low frequency normalized unit.</p><p><strong>Conclusion: </strong>During a vocal stress test, adults in working age show a correlation between parameters of objective vocal function and parameters of HRV. The more impaired the objective vocal function, the higher the predominance of sympathetic activation under vocal stress. The voice can therefore be seen as a \"warning signal\" for the processes in the autonomic nervous system. The use of preventive strategies for stress management and for voice health appears to be particularly beneficial in vocally stressful occupations in order to achieve a positive effect on parasympathetic activity.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908187","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}
引用次数: 0
Female Classical Singers Apply Different Resonatory Strategies Than Male: Insights from an MRI-Based Analysis. 古典音乐女歌手的共鸣策略与男歌手不同:基于核磁共振成像分析的启示
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-07 DOI: 10.1016/j.jvoice.2024.06.016
Faina Lyubarskaya, Anna Klimova, Mario Fleischer, Dirk Mürbe, Alexander Mainka
{"title":"Female Classical Singers Apply Different Resonatory Strategies Than Male: Insights from an MRI-Based Analysis.","authors":"Faina Lyubarskaya, Anna Klimova, Mario Fleischer, Dirk Mürbe, Alexander Mainka","doi":"10.1016/j.jvoice.2024.06.016","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.06.016","url":null,"abstract":"<p><strong>Introduction: </strong>The morphology of the vocal tract plays a crucial role in singing. Adjustments of the lower part of the vocal tract are essential for voice quality and timbre. Structured investigations of this region are challenging due to the small extent of the morphological modifications.</p><p><strong>Material and methods: </strong>This study analyzed the morphology of the endolaryngeal tube and parts of the surrounding hypopharynx for the sustained vowels /a/, /e/, /i/, //, and // by 11 female singer subjects who were at the beginning of their academic singing studies. As in a previous study with male subjects, analysis was based on two phonatory conditions: a natural, speech-like phonation and a singing phonation, like in classical singing. By means of 3D image processing from magnetic resonance imaging, multiple measures were derived. The data were statistically analyzed using linear mixed effects models and ANOVA.</p><p><strong>Results: </strong>The female singers enlarged the ratio of the endolaryngeal tube to the adjacent hypopharynx for singing.</p><p><strong>Discussion: </strong>In contrast to the findings of the male singers in a previous study, the ratios of the laryngeal volumes to the neighboring hypopharynx increased while singing. The female singer subjects of the present study increased those ratios, mediated by an over-proportional enlargement of the endolaryngeal tube. Existing acoustic differences to male singers are thus given a morphological basis.</p><p><strong>Conclusion: </strong>The study gives insight into the characteristic adjustments of the vocal tract of female classical singers. The resonatory strategies for females in classical singing differ from those found in males.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908186","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}
引用次数: 0
Lie Detection Based on Acoustic Analysis. 基于声学分析的谎言检测
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-08-06 DOI: 10.1016/j.jvoice.2024.07.026
Noé Xiu, Wenmei Li, Zhaoqi Liu, Béatrice Vaxelaire, Rudolph Sock, Zhenhua Ling
{"title":"Lie Detection Based on Acoustic Analysis.","authors":"Noé Xiu, Wenmei Li, Zhaoqi Liu, Béatrice Vaxelaire, Rudolph Sock, Zhenhua Ling","doi":"10.1016/j.jvoice.2024.07.026","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.07.026","url":null,"abstract":"<p><strong>Purpose: </strong>Acoustic lie detection, prized for its covert nature and capability for remote processing, has spurred growing interest in acoustic features that can reliably aid in lie detection. In this study, the aim was to construct an acoustic polygraph based on a variety of phonetic and acoustic features rather than on electrodermal, cardiovascular, and respiratory values.</p><p><strong>Methods: </strong>Sixty-two participants from the University of Science and Technology of China, aged 18-30 years old, were involved in the mock crime experiment and were randomly assigned to the innocent and guilty groups. We collected 31 deceptive and truthful audios to analyze the performance of voice onset time (VOT) in lie detection.</p><p><strong>Results: </strong>Our findings revealed that VOT performed well in lie detection. Both the average sensitivity and specificity of the area under the curve are 0.888, and its lower and upper confidence limit are up to 0.803 and 0.973 respectively at the 95% confidence level. Although the other acoustic features had a lower reference value, they also provided a general trend in the judgment of lie detection.</p><p><strong>Conclusions: </strong>Our results suggested that some acoustic features can be effectively used as aids to lie detection. Through a similar approach, we will explore more acoustic and phonetic features that contribute to detecting lies in the future.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898785","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}
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