Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
권호 표지
DOI QR코드

DOI QR Code

Characteristics of voice quality on clear versus casual speech in individuals with Parkinson's disease

명료발화와 보통발화에서 파킨슨병환자 음성의 켑스트럼 및 스펙트럼 분석

  • 신희백 (한림대학교 보건과학대학원) ;
  • 심희정 (한림대학교 보건과학대학원) ;
  • 정훈 (구미대학교 언어재활과) ;
  • 고도흥 (한림대학교 언어청각학부)
  • Received : 2018.05.01
  • Accepted : 2018.06.12
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to examine the acoustic characteristics of Parkinsonian speech, with respect to different utterance conditions, by employing acoustic/auditory-perceptual analysis. The subjects of the study were 15 patients (M=7, F=8) with Parkinson's disease who were asked to read out sentences under different utterance conditions (clear/casual). The sentences read out by each subject were recorded, and the recorded speech was subjected to cepstrum and spectrum analysis using Analysis of Dysphonia in Speech and Voice (ADSV). Additionally, auditory-perceptual evaluation of the recorded speech was conducted with respect to breathiness and loudness. Results indicate that in the case of clear speech, there was a statistically significant increase in the cepstral peak prominence (CPP), and a decrease in the L/H ratio SD (ratio of low to high frequency spectral energy SD) and CPP F0 SD values. In the auditory-perceptual evaluation, a decrease in breathiness and an increase in loudness were noted. Furthermore, CPP was found to be highly correlated to breathiness and loudness. This provides objective evidence of the immediate usefulness of clear speech intervention in improving the voice quality of Parkinsonian speech.

Keywords

References

  1. Brinca, L. F., Batista, A. P. F., Tavares, A. I., Goncalves, I. C., & Moreno, M. L. (2014). Use of cepstral analyses for differentiating normal from dysphonic voices: A comparative study of connected speech versus sustained vowel in European Portuguese female speakers. Journal of Voice, 28(3), 282-286. https://doi.org/10.1016/j.jvoice.2013.10.001
  2. Bunton, K. (2005). Patterns of lung volume use during an extemporaneous speech task in persons with Parkinson disease. Journal of Communication Disorders, 38(5), 331-348. https://doi.org/10.1016/j.jcomdis.2005.01.001
  3. Byeon, H., & Cho, S. (2016). Cepstral analysis of connected speech of hypokinetic dysarthria and normal speakers. Advanced Science and Technology Letters, 132, 212-215.
  4. Cunnington, R., Iansek, R., Bradshaw, L., & Phillips, G. (1995). Movement-related potentials in Parkinson's disease: Presence and predictability of temporal and spatial cues. Brain, 118(4), 935-950. https://doi.org/10.1093/brain/118.4.935
  5. Gillespie, A. I., & Gartner-Schmidt, J. (2016). Immediate effect of stimulability assessment on acoustic, aerodynamic, and patient-perceptual measures of voice. Journal of Voice, 30(4), 507.e9-507.e14. https://doi.org/10.1016/j.jvoice.2015.06.004
  6. Gilman, S., & Kluin, K. J. (1992). Speech disorders in cerebellar degeneration studied with positron emission tomography. In: A. Blitzer, F. Brin, T. Sasaki, S. Fahn, & S. Harris (Eds.) Neurologic disorders of the larynx. New York, NY: Thieme, 1992.
  7. Goberman, A. M., & Elmer, L. W. (2005). Acoustic analysis of clear versus conversational speech in individuals with Parkinson disease. Journal of Communication Disorders, 38(3), 215-230. https://doi.org/10.1016/j.jcomdis.2004.10.001
  8. Heman-Ackah, Y. D., Michael, D. D., & Goding, G. S. (2002). The relationship between cepstral peak prominence and selected parameters of dysphonia. Journal of Voice, 16(1), 20-27. https://doi.org/10.1016/S0892-1997(02)00067-X
  9. Hertrich, I., & Ackermann, H. (1998). Auditory perceptual evaluation of rhythm-manipulated and resynthesized sentence utterances obtained from cerebellar patients and normal speakers: A preliminary report. Clinical Linguistics & Phonetics, 12(6), 427-437. https://doi.org/10.3109/02699209808985236
  10. Hillenbrand, J., Cleveland, R. A., & Erickson, R. L. (1994). Acoustic correlates of breathy vocal quality. Journal of Speech, Language, and Hearing Research, 37(4), 769-778. https://doi.org/10.1044/jshr.3704.769
  11. Holmes, J., Oates, M., Phyland, J., & Hughes, J. (2000). Voice characteristics in the progression of Parkinson's disease. International Journal of Language & Communication Disorders, 35(3), 407-418. https://doi.org/10.1080/136828200410654
  12. Jannetts, S., & Lowit, A. (2014). Cepstral analysis of hypokinetic and ataxic voices: Correlations with perceptual and other acoustic measures. Journal of Voice, 28(6), 673-680. https://doi.org/10.1016/j.jvoice.2014.01.013
  13. Jimenez-Jimenez, F. J., Gamboa, J., Nieto, A., Guerrero, J., Orti-Pareja, M., Molina, A., Garcia-Albea, E., & Cobeta, I. (1997). Acoustic voice analysis in untreated patients with Parkinson's disease. Parkinsonism & Related Disorders, 3(2), 111-116. https://doi.org/10.1016/S1353-8020(97)00007-2
  14. Jung, H. (2007). Nationwide survey on the prevalence of Parkinson's disease in Korea. Korea Center for Diease Control and Prevention.
  15. Kang, Y. (2006). A normative study of the Korean Mini-Mental State Examination (K-MMSE) in the elderly. Korean Journal of Psychology, 25(2), 1-12.
  16. Kent, R. D., Kent, J. F., Duffy, J. R., Thomas, J. E., Weismer, G., & Stuntebeck, S. (2000). Ataxic dysarthria. Journal of Speech, Language, and Hearing Research, 43(5), 1275-1289. https://doi.org/10.1044/jslhr.4305.1275
  17. Kim, Y., Choi, Y., Kim, Y., & Choi, E. (2012). Treatment efficacy of LSVT program on individuals with Parkinson disease: A meta analysis. Journal of Speech-Language & Hearing Disorders, 21(1), 71-87.
  18. Lam, J., Tjaden, K., & Wilding, G. (2012). Acoustics of clear speech: Effect of instruction. Journal of Speech-Language & Hearing Research, 55(6), 1807-1821. https://doi.org/10.1044/1092-4388(2012/11-0154)
  19. Lam, J., & Tjaden, K. (2016). Clear speech variants: An acoustic study in Parkinson's disease. Journal of Speech-Language & Hearing Research, 59(4), 631-646. https://doi.org/10.1044/2015_JSLHR-S-15-0216
  20. Lee, S., Lim, S., & Choi, H. (2017). A comparison of cepstral and spectral measures according to measurement position in a reading passage. Communication Sciences & Disorders, 22(4), 818-826. https://doi.org/10.12963/csd.17433
  21. Logemann, J., Fisher, H., Boshes, B., & Blonsky, E. (1978). Frequency and cooccurrence of vocal tract dysfunctions in the speech of a large sample of Parkinson patients. Journal of Speech and Hearing Disorders, 43(1), 47-57. https://doi.org/10.1044/jshd.4301.47
  22. Lowell, Y., Kelley, T., Awan, N., Colton, H., & Chan, H. (2012). Spectral-and cepstral-based acoustic features of dysphonic, strained voice quality. Annals of Otology, Rhinology & Laryngology, 121(8), 539-548. https://doi.org/10.1177/000348941212100808
  23. Lowell, Y., Colton, H., Kelley, T., & Mizia, A. (2013). Predictive value and discriminant capacity of cepstral-and spectral-based measures during continuous speech. Journal of Voice, 27(4), 393-400. https://doi.org/10.1016/j.jvoice.2013.02.005
  24. Ramig, L., Pawlas, A., & Countryman, S. (1995). The Lee Silverman Voice Treatment: A practical guide for treating the voice and speech disorders in Parkinson disease. Iowa: National Centre for Voice and Speech.
  25. Rosenthal, L., Lowell, Y., & Colton, H. (2014). Aerodynamic and acoustic features of vocal effort. Journal of Voice, 28(2), 144-153. https://doi.org/10.1016/j.jvoice.2013.09.007
  26. Santos, M., Reis, D., Bassi, I., Guzella, C., Cardoso, F., Reis, C., & Gama, C. (2010). Acoustic and hearing-perceptual voice analysis in individuals with idiopathic Parkinson's disease in "on" and "off" stages. Arquivos de Neuro-Psiquiatria, 68(5), 706-711. https://doi.org/10.1590/S0004-282X2010000500006
  27. Seo, I. (2014). Acoustic measures of voice quality and phonation types across speech conditions in dysarthria. Ph.D. Dissertation, Chungnam National University.
  28. Seo, I., & Lee, O. (2015). Cepstral and spectral analysis of whispery voice by healthy adults: Preliminary study. Journal of Speech-Language & Hearing Disorders, 24(4), 259-266. https://doi.org/10.15724/jslhd.2015.24.4.024
  29. Shim, H., Jung, H., Lee, S., Choi, B., Heo, J., & Ko, D. (2016). Cepstral and spectral analysis of voices with adductor spasmodic dysphonia. Phonetics and Speech Sciences, 8(2), 73-80. https://doi.org/10.13064/KSSS.2016.8.2.073
  30. Shin, H., & Ko, D. (2017). An aerodynamic and acoustic characteristics of Clear Speech in patients with Parkinson's disease. Phonetics and Speech Sciences, 9(3), 67-74. https://doi.org/10.13064/KSSS.2017.9.3.067
  31. Stepp, E., Sawin, E., & Eadie, L. (2012). The relationship between perception of vocal effort and relative fundamental frequency during voicing offset and onset. Journal of Speech-Language & Hearing Research, 55(6), 1887-1896. https://doi.org/10.1044/1092-4388(2012/11-0294)
  32. Tjaden, K. (2008). Speech and swallowing in Parkinson's disease. Topics in Geriatric Rehabilitation, 24(2), 115. https://doi.org/10.1097/01.TGR.0000318899.87690.44
  33. Tjaden, K., Sussman, J., & Wilding, G. (2014). Impact of clear, loud, and slow speech on scaled intelligibility and speech severity in Parkinson's disease and multiple sclerosis. Journal of Speech-Language & Hearing Research, 57(3), 779-792. https://doi.org/10.1044/2014_JSLHR-S-12-0372
  34. Whitfield, A., & Goberman, M. (2014). Articulatory-acoustic vowel space: Application to clear speech in individuals with Parkinson's disease. Journal of Communication Disorders, 51, 19-28. https://doi.org/10.1016/j.jcomdis.2014.06.005
  35. Yuceturk, V., Yilmaz, H., Egrilmez, M., & Karaca, S. (2002). Voice analysis and videolaryngostroboscopy in patients with Parkinson's disease. European Archives of Oto-Rhino-Laryngology, 259(6), 290-293. https://doi.org/10.1007/s00405-002-0462-1