Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Auditory-Perceptual and Acoustic Evaluation in Measuring Dysphonia Severity of Vocal Cord Paralysis

성대마비의 음성장애 측정을 위한 청지각적 및 음향학적 평가

  • Kim, Geun-Hyo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital) ;
  • Lee, Yeon-Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital) ;
  • Park, Hee-June (Department of Speech Rehabilitation, Choonhae College of Health Sciences) ;
  • Bae, In-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital) ;
  • Lee, Byung-Joo (Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital) ;
  • Kwon, Soon-Bok (Department of Humanities, Language and Information, Busan National University)
  • 김근효 (부산대학교병원 이비인후과) ;
  • 이연우 (부산대학교병원 이비인후과) ;
  • 박희준 (춘해보건대학교 언어재활과) ;
  • 배인호 (양산부산대학교병원 이비인후과) ;
  • 이병주 (부산대학교병원 이비인후과) ;
  • 권순복 (부산대학교 인문대학 언어정보학과)
  • Received : 2017.11.01
  • Accepted : 2017.11.23
  • Published : 2017.12.30
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Abstract

Background and Objectives : The purpose of this study was to investigate the criterion-related concurrent validity of two standardized auditory-perceptual assessments and the Acoustic Voice Quality Index (AVQI) for measuring dysphonia severity in patients with vocal cord paralysis (VCP). Materials and Methods : Total 210 patients with VCP and 236 normal voice subjects were asked to sustain the vowel [a:] and to read aloud the Korean text "Walk". A 2 second mid-vowel portion of the sustained vowel and two sentences (with 26 syllables) were recorded. And then voice samples were edited, concatenated, and analyzed according to Praat script. Two standardized auditory-perceptual assessment (GRBAS and CAPE-V) were performed by three raters. Results : The VCP group showed higher AVQI, Grade (G) and Overall Severity (OS) values than normal voice group. And the correlation among AVQI, G, and OS ranged from 0.904 to 0.926. In ROC curve analysis, cutoff values of AVQI, G, and OS were <3.79, <0.00, and <30.00, respectively, and the AUC of each analysis was over .89. Conclusion : AVQI and auditory evaluation can improve the early screening ability of VCP voice and help to establish effective diagnosis and treatment plan for VCP-related dysphonia.

Keywords

References

  1. Holinger LD, Holinger PC, Holinger PH. Etiology of bilateral abductor vocal cord paralysis: a review of 389 cases. Annals of Otology, Rhinology & Laryngology 1976;85:428-36. https://doi.org/10.1177/000348947608500402
  2. Benninger MS, Gillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope 1998;108:1346-50. https://doi.org/10.1097/00005537-199809000-00016
  3. Munin MC, Heman-Ackah YD, Rosen CA, Sulica L, Maronian N, Mandel S, et al. Consensus Statement: Using Laryngeal Electromyography for the Diagnosis and Treatment of Vocal Cord Paralysis. Muscle & Nerve 2016;53:850-855. https://doi.org/10.1002/mus.25090
  4. Bando H, Nishio T, Bamba H, Uno T, Hisa Y. Vocal fold paralysis as a sign of chest diseases: A 15-year retrospective study. World Journal of Surgery 2006;30:293-8. https://doi.org/10.1007/s00268-005-7959-x
  5. Rosenthal LHS, Benninger MS, Deeb RH. Vocal fold immobility: A longitudinal analysis of etiology over 20 years. Laryngoscope 2007;117:1864-70. https://doi.org/10.1097/MLG.0b013e3180de4d49
  6. Woodson GE. Configuration of the Glottis in Laryngeal Paralysis .1. Clinical-Study. Laryngoscope 1993;103:1227-34.
  7. Titze IR. Workshop on Acoustic Voice Analysis: Summary statement. National Centre for Voice and Speech, America 1995:1-36.
  8. Gayvert R, Hillenbrand J. SpeechTool(Version 1.65). Computer software] Kalamazoo, MI: Western Michigan University;2000.
  9. Deliyski DD. Acoustic model and evaluation of pathological voice production. Eurospeech 1993;93:1969-72.
  10. Boersma P. Accurate short-term analysis of the fundamental frequency and the harmonics-to-noise ratio of a sampled sound. Proceedings of the Institute of Phonetic Sciences 1993;17:97-110.
  11. Maryn Y, Corthals P, De Bodt M, Van Cauwenberge P, Deliyski D. Perturbation measures of voice: A comparative study between multidimensional voice program and praat. Folia Phoniatrica et Logopaedica 2009;61:217-26. https://doi.org/10.1159/000227999
  12. Maryn Y, De Bodt M, Roy N. The Acoustic Voice Quality Index: Toward improved treatment outcomes assessment in voice disorders. Journal of Communication Disorders 2010;43:161-74. https://doi.org/10.1016/j.jcomdis.2009.12.004
  13. Uloza V, Petrauskas T, Padervinskis E, Ulozaite N, Barsties B, Maryn Y. Validation of the Acoustic Voice Quality Index in the Lithuanian Language. Journal of Voice 2017;31:257.e1-275.e11. https://doi.org/10.1016/j.jvoice.2016.06.002
  14. Hosokawa K, Barsties B, Iwahashi T, Iwahashi M, Kato C, Iwaki S, et al. Validation of the Acoustic Voice Quality Index in the Japanese Language. Journal of Voice 2017;31:260.e1-260.e9. https://doi.org/10.1016/j.jvoice.2016.05.010
  15. Maryn Y, Kim H-T, Kim J. Auditory-Perceptual and Acoustic Methods in Measuring Dysphonia Severity of Korean Speech. Journal of Voice 2016;30:587-94. https://doi.org/10.1016/j.jvoice.2015.06.011
  16. Maryn Y, De Bodt M, Barsties B, Roy N. The value of the Acoustic Voice Quality Index as a measure of dysphonia severity in subjects speaking different languages. European Archives of Oto-Rhino-Laryngology 2014;271:1609-19.
  17. Barsties B, Maryn Y. Test-retest variability and internal consistency of the Acoustic Voice Quality Index Hno 2013;61:399-403. https://doi.org/10.1007/s00106-012-2649-0
  18. Reynolds V, Buckland A, Bailey J, Lipscombe J, Nathan E, Vijayasekaran S, et al. Objective assessment of pediatric voice disorders with the acoustic voice quality index. Journal of Voice 2012;26:672.e1-7.
  19. Barsties B, Maryn Y. The Acoustic Voice Quality Index. Toward expanded measurement of dysphonia severity in German subjects. Hno 2012;60:715-20. https://doi.org/10.1007/s00106-012-2499-9
  20. Maryn Y, Corthals P, Van Cauwenberge P, Roy N, De Bodt M. Toward Improved Ecological Validity in the Acoustic Measurement of Overall Voice Quality: Combining Continuous Speech and Sustained Vowels. Journal of Voice 2010;24:540-555. https://doi.org/10.1016/j.jvoice.2008.12.014
  21. Wuyts FL, De Bodt MS, Van de Heyning PH. Is the reliability of a visual analog scale higher than an ordinal scale? An experiment with the GRBAS scale for the perceptual evaluation of dysphonia. Journal of Voice 1999;13:508-17. https://doi.org/10.1016/S0892-1997(99)80006-X
  22. Nemr K, Simoes-Zenari M, Cordeiro GF, Tsuji D, Ogawa AI, Ubrig MT, et al. GRBAS and Cape-V Scales: High Reliability and Consensus When Applied at Different Times. Journal of Voice 2012;26:812.e17-22. https://doi.org/10.1016/j.jvoice.2012.03.005
  23. Ingrisano DRS, Perry CK, Jepson KR. Environmental noise: A threat to automatic voice analysis. American Journal of Speech-Language Pathology 1998;7:91-6. https://doi.org/10.1044/1058-0360.0701.91
  24. Deliyski DD, Shaw HS, Evans MK. Adverse Effects of Environmental Noise on Acoustic Voice Quality Measurements. Journal of Voice 2005;19:15-28. https://doi.org/10.1016/j.jvoice.2004.07.003
  25. Lee YA, Kim HT, Kim J. The Effect of Perceptual Training on the Reliability of Voice Quality Evaluation Communication Sciences & Disorders 2010;15:526-36.