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Cepstral and spectral analysis of voices with adductor spasmodic dysphonia

내전형연축성 발성장애 음성에 대한 켑스트럼과 스펙트럼 분석

  • Received : 2016.05.18
  • Accepted : 2016.06.10
  • Published : 2016.06.30

Abstract

The purpose of this study was to analyze perceptual and spectral/cepstral measurements in patients with adductor spasmodic dysphonia(ADSD). Sixty participants with gender and age matched individuals(30 ADSD and 30 controls) were recorded in reading a sentence and sustained the vowel /a/. Acoustic data were analyzed acoustically by measuring CPP, L/H ratio, mean CPP F0 and CSID, and auditory-perceptual ratings were measured using GRBAS. The main results can be summarized as below: (a) the CSID for the connected speech was significantly higher than for the sustained vowel (b) the G, R and S for the connected speech were significantly higher than for the sustained vowel (c) Spectral/cepstral parameters were significantly correlated with the perceptual parameters, and (d) the ROC analysis showed that the threshold of 13.491 for the CSID achieved a good classification for ADSD, with 86.7% sensitivity and 96.7% specificity. Spectral and cepstral analysis for the connected speech is especially meaningful on cases where perceptual analysis and clinical evaluation alone are insufficient.

Keywords

References

  1. Rubin, J. S., Sataloff, R. T., & Korovin, G. S. (2006). Diagnosis and treatment of voice disorders. San Diego: Plural Publishing.
  2. Cannito, M. P. & Woodson, G. (2000). The spasmodic dysphonias. In R. Kent & M. Ball (Eds.), Voice quality measurement (pp. 411-430). San Diego: Singular Thomson Learning.
  3. Murry, T. & Woodson, G. E. (1995). Combined-modality treatment of adductor spasmodic dysphonia with botulinum toxin and voice therapy. Journal of Voice, 9(4), 460-465. https://doi.org/10.1016/S0892-1997(05)80211-5
  4. Silverman, E. P., Garvan, C., Shrivastav, R., & Sapienza, C. M. (2012). Combined modality treatment of adductor spasmodic dysphonia. Journal of Voice, 26(1), 77-86. https://doi.org/10.1016/j.jvoice.2010.08.004
  5. Yoon, Y. S., Kim, H. H., & Son, Y. E. (2003). Useful speech task in the perceptual evalutation of adductor spasmodic dysphonia. Korean Journal of Communication Disorders, 8(2), 146-162. (윤영선.김향희.손영익 (2003). 내전형 경련성 발성장애의 청지 각 평가에 유용한 말 과제. 언어청각장애연구, 8(2), 146-162.)
  6. Langeveld, T. P., Drost, H. A., Zwinderman, A. H., Frijns, J. H., & De Jong, R. J. B. (2000). Perceptual characteristics of adductor spasmodic dysphonia. Annals of Otology, Rhinology & Laryngology, 109(8), 741-748. https://doi.org/10.1177/000348940010900808
  7. Bloch, C. S., Hirano, M., & Gould, W. J. (1985). Symptom improvement of spastic dysphonia in response to phonatory tasks. The Annals of otology, rhinology, and laryngology, 94(1), 51-54.
  8. Ludlow, C. L., & Connor, N. P. (1987). Dynamic aspects of phonatory control in spasmodic dysphonia. Journal of Speech, Language, and Hearing Research, 30(2), 197-206. https://doi.org/10.1044/jshr.3002.197
  9. Erickson, M. L. (2003). Effects of voicing and syntactic complexity on sign expression in adductor spasmodic dysphonia. American Journal of Speech-Language Pathology, 12(4), 416-424. https://doi.org/10.1044/1058-0360(2003/087)
  10. Cannito, M. P., Doiuchi, M., Murry, T., & Woodson, G. E. (2012). Perceptual structure of adductor spasmodic dysphonia and its acoustic correlates. Journal of Voice, 26(6), 818.e5-818.e13. https://doi.org/10.1016/j.jvoice.2012.05.005
  11. Sapienza, C. M., Walton, S., & Murry, T. (2000). Adductor spasmodic dysphonia and muscular tension dysphonia: acoustic analysis of sustained phonation and reading. Journal of Voice, 14(4), 502-520. https://doi.org/10.1016/S0892-1997(00)80008-9
  12. Zwirner, P., Murry, T., & Woodson, G. E. (1993). Perceptual-acoustic relationships in spasmodic dysphonia. Journal of Voice, 7(2), 165-171. https://doi.org/10.1016/S0892-1997(05)80347-9
  13. Heo, J. H., Song, K. B., & Choi, Y. G. (2013). A comparison of aerodynamic characteristics in muscle tension dysphonia and adductor spasmodic dysphonia. Phonetics and Speech Sciences, 5(4), 63-70. (허정화.송기범.최양규 (2013). 근긴장성 발성장애와 내전형 연축성 발성장애의 공기역학적 특성 비교. 말소리와 음성과학, 5(4), 63-70.) https://doi.org/10.13064/KSSS.2013.5.4.063
  14. Higgins, M. B., Chait, D. H., & Schulte, L. (1999). Phonatory air flow characteristics of adductor spasmodic dysphonia and muscle tension dysphonia. Journal of Speech, Language, and Hearing Research, 42(1), 101-111. https://doi.org/10.1044/jslhr.4201.101
  15. Seo, I. & Seong, C. (2013). Voice quality of dysarthric speakers in connected speech. Phonetics and Speech Sciences, 5(4), 33-41. (서인효.성철재 (2013). 연결발화에서 마비말화자의 음질 특성. 말소리와 음성과학, 5(4), 33-41.) https://doi.org/10.13064/KSSS.2013.5.4.033
  16. Moers, C., Mobius, B., Rosanowski, F., Noth, E., Eysholdt, U., & Haderlein, T. (2012). Vowel-and text-based cepstral analysis of chronic hoarseness. Journal of Voice, 26(4), 416-424. https://doi.org/10.1016/j.jvoice.2011.05.001
  17. Heman-Ackah, Y., Heuer, R., Michael, D., Ostrowski, R., Horman, M., Baroody, M., Hillenbrand, J., & Sataloff, R. (2003). Cepstral peak prominence: a more reliable measure of dysphonia. Annals of Otology, Rhinogogy & Laryngology, 112(4), 324-333. https://doi.org/10.1177/000348940311200406
  18. Awan, S., Roy, N., & Dromey, C. (2009). Estimating dysphonia severity in continuous speech: Application of a multi-parameter spectral/cepstral model. Clinical linguistics & phonetics, 23(11), 825-841. https://doi.org/10.3109/02699200903242988
  19. Kumar, B., Bhat, J., & Prasad, N. (2010). Cepstral analysis of voice in persons with vocal nodules. Journal of Voice, 24(6), 651-653. https://doi.org/10.1016/j.jvoice.2009.07.008
  20. Watts, C. & Awan, S. (2011). Use of spectral/cepstral analyses for differentiating normal from hypofunctional voices in sustained vowel and continuous speech contexts. Journal of Speech, Language, and Hearing Research, 54, 1525-1537. https://doi.org/10.1044/1092-4388(2011/10-0209)
  21. Lowell, S. Y., Kelley, R. T., Awan, S. N., Colton, R. H., & Chan, N. H. (2012). Spectral-and cepstral-based acoustic features of dysphonic, strained voice quality. The Annals of otology, rhinology, and laryngology, 121(8), 539-548. https://doi.org/10.1177/000348941212100808
  22. Awan, S. N., Roy, N., Zhang, D., & Cohen, S. M. (2016). Validation of the cepstral spectral index of dysphonia (CSID) as a screening tool for voice disorders: development of clinical cutoff scores. Journal of Voice, 30(2), 130-144. https://doi.org/10.1016/j.jvoice.2015.04.009
  23. Jalalinajafabadi, F., Gadepalli, C., Ascott, F., Homer, J., Lujan, M., & Cheetham, B. (2013). Perceptual evaluation of voice quality and its correlation with acoustic measurement. Modelling Symposium, 283-286.
  24. Peterson, E. A., Roy, N., Awan, S. N., Merrill, R. M., Banks, R., & Tanner, K. (2013). Toward validation of the cepstral spectral index of dysphonia (CSID) as an objective treatment outcomes measure. Journal of Voice, 27(4), 401-410. https://doi.org/10.1016/j.jvoice.2013.04.002
  25. Awan, S. & Roy, N. (2009). Outcomes measurement in voice disorders: application of an acoustic index of dysphonia severity. Journal of Speech, Language & Hearing Research, 52(2), 482-499. https://doi.org/10.1044/1092-4388(2008/08-0034)
  26. Shim, H. J., Jang, H. R., Shin, H. B., & Ko, D. H. (2015). Cepstral, Spectral and Time-Based Analysis of Voices of Esophageal Speakers. Folia Phoniatrica et Logopaedica, 67(2), 90-96. https://doi.org/10.1159/000439379
  27. Roy, N., Gouse, M., Mauszycki, S. C., Merrill, R. M., & Smith, M. E. (2005). Task specificity in adductor spasmodic dysphonia versus muscle tension dysphonia. The Laryngoscope, 115(2), 311-316. https://doi.org/10.1097/01.mlg.0000154739.48314.ee
  28. Roy, N., Mazin, A., & Awan, S. N. (2014). Automated acoustic analysis of task dependency in adductor spasmodic dysphonia versus muscle tension dysphonia. The Laryngoscope, 124(3), 718-724. https://doi.org/10.1002/lary.24362

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