Acoustic and Physiologic Correlates of Vocal Effort in Individuals With and Without Primary Muscle Tension Dysphonia.

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Title: Acoustic and Physiologic Correlates of Vocal Effort in Individuals With and Without Primary Muscle Tension Dysphonia.
Authors: Toles, Laura E.1 laura.toles@utsouthwestern.edu, Shembel, Adrianna C.1,2
Source: American Journal of Speech-Language Pathology. Jan2024, Vol. 33 Issue 1, p237-247. 11p.
Subject Terms: *Self-evaluation, *Data analysis, *Voice disorders, Vocal cord physiology, Glottis, Statistics, Larynx, Physiological aspects of speech, Human voice, Multiple regression analysis, Regression analysis, Pearson correlation (Statistics), Research funding, Quality assurance, Descriptive statistics, Muscle tension dysphonia, Sound, Statistical sampling, Data analysis software
Company/Entity: American Speech-Language-Hearing Association
Abstract: Objectives: The aims of this study were to determine relationships between vocal effort and (a) acoustic correlates of vocal output and (b) supraglottic compression in individuals with primary muscle tension dysphonia (pMTD) and without voice disorders (controls) in the context of a vocal load challenge. Method: Twenty-six individuals with pMTD and 35 vocally healthy controls participated in a 30-min vocal load challenge. The pre- and postload relationships among self-ratings of vocal effort, various acoustic voice measures, and supraglottic compression (mediolateral and anteroposterior) were tested with multiple regression models and post hoc Pearson's correlations. Acoustic measures included cepstral peak prominence (CPP), low-to-high spectral ratio, difference in intensity between the first two harmonics, fundamental frequency, and sound pressure level (dB SPL). Results: Regression models for CPP and mediolateral compression were statistically significant. Vocal effort, diagnosis of pMTD, and vocal demand were each significant variables influencing CPP measures. CPP was lower in the pMTD group across stages. There was no statistical change in CPP following the vocal load challenge within either group, but both groups had an increase in vocal effort postload. Vocal effort and diagnosis influenced the mediolateral compression model. Mediolateral compression was higher in the pMTD group across stages and had a negative relationship with vocal effort, but it did not differ after vocal loading. Conclusions: CPP and mediolateral supraglottic compression were influenced by vocal effort and diagnosis of pMTD. Increased vocal effort was associated with lower CPP, particularly after vocal load, and decreased mediolateral supraglottic compression in the pMTD group. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Label: Title
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  Data: Acoustic and Physiologic Correlates of Vocal Effort in Individuals With and Without Primary Muscle Tension Dysphonia.
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  Data: <searchLink fieldCode="AR" term="%22Toles%2C+Laura+E%2E%22">Toles, Laura E.</searchLink><relatesTo>1</relatesTo><i> laura.toles@utsouthwestern.edu</i><br /><searchLink fieldCode="AR" term="%22Shembel%2C+Adrianna+C%2E%22">Shembel, Adrianna C.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Jan2024, Vol. 33 Issue 1, p237-247. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Voice+disorders%22">Voice disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Vocal+cord+physiology%22">Vocal cord physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Glottis%22">Glottis</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Larynx%22">Larynx</searchLink><br /><searchLink fieldCode="DE" term="%22Physiological+aspects+of+speech%22">Physiological aspects of speech</searchLink><br /><searchLink fieldCode="DE" term="%22Human+voice%22">Human voice</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+tension+dysphonia%22">Muscle tension dysphonia</searchLink><br /><searchLink fieldCode="DE" term="%22Sound%22">Sound</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
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  Label: Company/Entity
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  Data: <searchLink fieldCode="DE" term="%22American+Speech-Language-Hearing+Association%22">American Speech-Language-Hearing Association</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: The aims of this study were to determine relationships between vocal effort and (a) acoustic correlates of vocal output and (b) supraglottic compression in individuals with primary muscle tension dysphonia (pMTD) and without voice disorders (controls) in the context of a vocal load challenge. Method: Twenty-six individuals with pMTD and 35 vocally healthy controls participated in a 30-min vocal load challenge. The pre- and postload relationships among self-ratings of vocal effort, various acoustic voice measures, and supraglottic compression (mediolateral and anteroposterior) were tested with multiple regression models and post hoc Pearson's correlations. Acoustic measures included cepstral peak prominence (CPP), low-to-high spectral ratio, difference in intensity between the first two harmonics, fundamental frequency, and sound pressure level (dB SPL). Results: Regression models for CPP and mediolateral compression were statistically significant. Vocal effort, diagnosis of pMTD, and vocal demand were each significant variables influencing CPP measures. CPP was lower in the pMTD group across stages. There was no statistical change in CPP following the vocal load challenge within either group, but both groups had an increase in vocal effort postload. Vocal effort and diagnosis influenced the mediolateral compression model. Mediolateral compression was higher in the pMTD group across stages and had a negative relationship with vocal effort, but it did not differ after vocal loading. Conclusions: CPP and mediolateral supraglottic compression were influenced by vocal effort and diagnosis of pMTD. Increased vocal effort was associated with lower CPP, particularly after vocal load, and decreased mediolateral supraglottic compression in the pMTD group. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2023_AJSLP-23-00159
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 237
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Voice disorders
        Type: general
      – SubjectFull: Vocal cord physiology
        Type: general
      – SubjectFull: Glottis
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Larynx
        Type: general
      – SubjectFull: Physiological aspects of speech
        Type: general
      – SubjectFull: Human voice
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
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      – SubjectFull: Research funding
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      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Muscle tension dysphonia
        Type: general
      – SubjectFull: Sound
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: American Speech-Language-Hearing Association
        Type: general
    Titles:
      – TitleFull: Acoustic and Physiologic Correlates of Vocal Effort in Individuals With and Without Primary Muscle Tension Dysphonia.
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            NameFull: Toles, Laura E.
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            NameFull: Shembel, Adrianna C.
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              M: 01
              Text: Jan2024
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              Y: 2024
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            – TitleFull: American Journal of Speech-Language Pathology
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