Speech Intelligibility in Speakers With Adductor Laryngeal Dystonia.

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Title: Speech Intelligibility in Speakers With Adductor Laryngeal Dystonia.
Authors: Duque, Turley1 turleyd@bu.edu, Vojtech, Jenny1, Marks, Katherine L.1,2, Toles, Laura E.3, Sauder, Cara4, Eadie, Tanya L.4, Stepp, Cara E.1,5,6
Source: Journal of Speech, Language & Hearing Research. Apr2026, Vol. 69 Issue 4, p1568-1575. 8p.
Subject Terms: *Intelligibility of speech, *Research methodology, Pearson correlation (Statistics), Laryngeal muscles, Noise, Research funding, Severity of illness index, Descriptive statistics, Case-control method, Dystonia, Analysis of variance, Data analysis software, Spasmodic dysphonia, Disease complications
Abstract: Purpose: Adductor laryngeal dystonia (AdLD) is a neurological voice disorder characterized by spasms in the adductory muscles of the larynx, resulting in a dysphonic voice with intermittent voice breaks. This study compared the intelligibility of individuals with AdLD to those without in noisy environments and characterized the relationship between their overall severity of dysphonia and intelligibility. Method: Speakers (44 with AdLD and 44 age- and sex-matched controls) each read a unique set of stimuli from the Sentence Intelligibility Test. Overall severity of dysphonia was assessed by five experienced speech-language pathologists. Five inexperienced listeners orthographically transcribed all sentences presented with multispeaker babble. An analysis of variance was performed to determine the effect of group on intelligibility scores. The strength of the linear relationship between intelligibility and overall severity of dysphonia was assessed in the AdLD group. Results: Individuals with AdLD had significantly lower intelligibility than controls. Individuals with AdLD with more severe dysphonia had significantly lower intelligibility. Conclusions: AdLD negatively impacts an individual's ability to be understood in noisy environments, and this effect becomes stronger as dysphonia is perceived as more severe. These negative impacts on intelligibility should be considered when creating treatment strategies or counseling individuals with AdLD. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research 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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  Data: Speech Intelligibility in Speakers With Adductor Laryngeal Dystonia.
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  Data: <searchLink fieldCode="AR" term="%22Duque%2C+Turley%22">Duque, Turley</searchLink><relatesTo>1</relatesTo><i> turleyd@bu.edu</i><br /><searchLink fieldCode="AR" term="%22Vojtech%2C+Jenny%22">Vojtech, Jenny</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Marks%2C+Katherine+L%2E%22">Marks, Katherine L.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Toles%2C+Laura+E%2E%22">Toles, Laura E.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Sauder%2C+Cara%22">Sauder, Cara</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Eadie%2C+Tanya+L%2E%22">Eadie, Tanya L.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Stepp%2C+Cara+E%2E%22">Stepp, Cara E.</searchLink><relatesTo>1,5,6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Apr2026, Vol. 69 Issue 4, p1568-1575. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22Intelligibility+of+speech%22">Intelligibility of speech</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngeal+muscles%22">Laryngeal muscles</searchLink><br /><searchLink fieldCode="DE" term="%22Noise%22">Noise</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Case-control+method%22">Case-control method</searchLink><br /><searchLink fieldCode="DE" term="%22Dystonia%22">Dystonia</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Spasmodic+dysphonia%22">Spasmodic dysphonia</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Adductor laryngeal dystonia (AdLD) is a neurological voice disorder characterized by spasms in the adductory muscles of the larynx, resulting in a dysphonic voice with intermittent voice breaks. This study compared the intelligibility of individuals with AdLD to those without in noisy environments and characterized the relationship between their overall severity of dysphonia and intelligibility. Method: Speakers (44 with AdLD and 44 age- and sex-matched controls) each read a unique set of stimuli from the Sentence Intelligibility Test. Overall severity of dysphonia was assessed by five experienced speech-language pathologists. Five inexperienced listeners orthographically transcribed all sentences presented with multispeaker babble. An analysis of variance was performed to determine the effect of group on intelligibility scores. The strength of the linear relationship between intelligibility and overall severity of dysphonia was assessed in the AdLD group. Results: Individuals with AdLD had significantly lower intelligibility than controls. Individuals with AdLD with more severe dysphonia had significantly lower intelligibility. Conclusions: AdLD negatively impacts an individual's ability to be understood in noisy environments, and this effect becomes stronger as dysphonia is perceived as more severe. These negative impacts on intelligibility should be considered when creating treatment strategies or counseling individuals with AdLD. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research 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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      – Type: doi
        Value: 10.1044/2025_JSLHR-25-00633
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1568
    Subjects:
      – SubjectFull: Intelligibility of speech
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Laryngeal muscles
        Type: general
      – SubjectFull: Noise
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Case-control method
        Type: general
      – SubjectFull: Dystonia
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Spasmodic dysphonia
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Speech Intelligibility in Speakers With Adductor Laryngeal Dystonia.
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              Text: Apr2026
              Type: published
              Y: 2026
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