• Phonetics and Speech Sciences
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• v.15 no.2
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• pp.31-40
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• 2023

Tube phonation in water has been widely used for voice training among semi-occluded vocal tract (SOVT) exercises in which the patient bubbles with phonation keeping the tube submerged in water. This study aims to investigate the effect of tube diameter and water depth on bubble height and maximum phonation time (MPT) for patients with hyperfunctional voice disorders. Seventeen patients with hyperfunctional voice disorders were asked to bubble with sustained /u/ at the different inner diameters of tube (5, 7, and 10 mm), water depth (4, 7, and 10 cm). A water resistance phonation biofeedback system using a water height sensor was used for recording bubble height and MPT. The bubble height was significantly changed by the tube diameter while MPT was significantly changed with the tube diameter and water depth. Although the wider tube presented significantly lower bubble height for a given depth, relatively consistent bubble height was maintained. Depending on the water depth, the bubble height did not significantly differ for a given tube diameter. In addtion, MPT significantly decreased with water depth and a wider tube led significantly shorter MPT. A water level-driven water resistance biofeedback system provided useful information on bubble characteristics and vocal fold vibration depending on tube diameter and water depth. It can be useful to monitor the breath support during water resistance phonation for patients with hyperfunctional voice disorders.

• Phonetics and Speech Sciences
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• v.5 no.1
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• pp.63-69
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• 2013

This study attempted to investigate the characteristics of Phonation Threshold Pressure and Phonation Threshold Airflow of Patients who have Functional voice disorder. 50 subjects participated in study (32 subjects were patients who had functional voice disorders and 20 subjects were normal adults). The PAS (Phonatory aerodynamic system, model 6600, KAY electronics, Inc.) was used to measure the data and to do the analysis. Data from the Phonation Threshold Pressure was measured using voicing efficiency of the PAS protocol. Data from the Phonation Threshold Airflow was measured using Maximum Sustained Phonation of the PAS protocol. Those were used because of the ease of phonation. The results of this study showed that the differences in Phonation Threshold Pressure and Phonation Threshold Airflow between patients who had functional voice disorder and normal adults could be significant index. Patients who had functional voice disorder showed more higher figures than normal adults. These results suggest that Phonation Threshold Pressure and Phonation Threshold Airflow are very useful in diagnosing the voice disorder. The measured data also provided useful information for diagnosing patients with vocal fold diseases.

• Phonetics and Speech Sciences
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• v.6 no.2
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• pp.133-138
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• 2014

This study attempted to investigate the validation of Phonation Threshold Power of Patients who have Functional voice disorder. 50 subjects participated in the study (32 subjects were patients who had functional voice disorders and 20 subjects were normal adults). The PAS (Phonatory aerodynamic system, model 6600, KAY electronics, Inc.) was used to measure the data and to do the analysis. Data from the Phonation Threshold Power was measured multiplying Phonation Threshold Pressure and Phonation Threshold Airflow. Phonation Threshold Pressure and Phonation Threshold Airflow were measured by the PAS protocol. Those were used because of the ease of phonation. The results of this study showed that the differences in Phonation Threshold Power between patients who had functional voice disorder and normal adults could become a significant index. Patients who had functional voice disorder showed more higher figures than normal adults. The results of study showed that Phonation threshold Power is more sensitive than Phonation Threshold Pressure and Phonation Threshold Airflow. The measured data also provided useful information for diagnosing patients with vocal fold.

• Journal of radiological science and technology
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• v.20 no.1
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• pp.21-27
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• 1997

Total laryngectomy has become an usual treatment for any advanced carcinoma of the laynx, but most patients who have undergone total laryngectomy have shown permanant disability in voice production. I compared the first three formant frequencies estimated from MRI to those measured directly from speech data of the T-E patients and the normal. It was to estimate the accuracy of MRI and to compare the vocal tract shape of the normal to T-E patients. The obtained results were as follows : 1. The middle sagittle section of the MRI represents vocal tract well during pnonation. The vocal tract shape of the T-E shunt patients are lack of pharyngeal space and superior space of the glottis. 2. The length of the normal subject's vocal tract is 17 cm. For the T-E shunt patients, the length from lip to shunt opening is 17.5 cm in case 1, and 18.5 cm in case 2. That of the true resonante chamber is 13 cm and 13.5 cm for each case respectively. 3. T-E shunt patients phonated strained voice. The intensity of the higher formant frequency decreased especially in /o/, /u/. 4. The vocal tract is shortened during the phonation by T-E shunt patients. In case of /e/ and /i/, front cavities are constricted while back cavities are shortened. 5. The pseudoglottis of the T-E shunt patients is located at $14{\sim}15\;cm$ below from lips.

• Phonetics and Speech Sciences
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• v.10 no.4
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• pp.135-146
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• 2018

The Modified Voiced Lip Trill (MVoLT) training is a variant of voiced lip-till training characterized by increased loudness, lowered laryngeal position, and lip contact facilitated with fingers. The purpose of the current study was to assess the effect of the MVoLT training program on vocal changes of musical singing theater students. A total of 32 musical theater students (17 males and 15 females, age ranging from 18 to 29) participated in the study. For about three months, each participant was tutored using a systematic program focussing on the MVoLT training, accompanied by certain facilitating strategies. Pre- & post-training multi-dimensional vocal characteristics were assesed and compared. Results showed that cepstral peak prominence during vowel phonation increased after training, while its standard deviation and Cepstral Spectral Index of Dysphonia decreased. When an aerodynamic assessment was performed, maximum phonation time, subglottal pressure, mean airflow rate increased, while electroglottographic measures did not change. In addition, decreased psychometric measures, higher maximum pitch, and increased vocal range were noted after training. In conclusion, the MVoLT was proven to have a potential as an effective and safe training method for musical theater singing.

• Journal of information and communication convergence engineering
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• v.22 no.2
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• pp.145-152
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• 2024

Closed quotient (CQ) represents the time ratio for which the vocal folds remain in contact during voice production. Because analyzing CQ values serves as an important reference point in vocal training for professional singers, these values have been measured mechanically or electrically by either inverse filtering of airflows captured by a circumferentially vented mask or post-processing of electroglottography waveforms. In this study, we introduced a novel algorithm to predict the CQ values only from audio signals. This has eliminated the need for mechanical or electrical measurement techniques. Our algorithm is based on a gated recurrent unit (GRU)-type neural network. To enhance the efficiency, we pre-processed an audio signal using the pitch feature extraction algorithm. Then, GRU-type neural networks were employed to extract the features. This was followed by a dense layer for the final prediction. The Results section reports the mean square error between the predicted and real CQ. It shows the capability of the proposed algorithm to predict CQ values.

• Phonetics and Speech Sciences
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• v.4 no.1
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• pp.125-131
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• 2012

The patients with incomplete glottic closure have an important feature decreasing the maximum phonation time (MPT) because airflow rate or air leakage is greater than people without voice disorders. Also they can appear a problem in the intensity regulation. This study analyzed MPT difference based on the comfortable intensity and louder intensity and the correlation between MPT and respiration volume of unilateral vocal fold palsy (UVFP) and sulcus vocalis (SV) group. The twenty with UVFP, the 21 with SV, the 21 normal subjects measured MPT in /a/ vowel prolongation task with comfortable intensity and louder intensity and compared analysis by measuring FVC, $FEV_1$, $FEV_1/FVC$ to analyze the correlation between MPT and respiration volume. First, a comparison of MPT according to the intensity between groups is that MPT of the normal group was statistically significant long compared to the patient group in comfortable intensity, but MPT between groups was not statistically significant difference in the louder intensity. Second, an analysis of the correlation between MPT and respiration volume is that this was statistically significant correlation between MPT in comfortable intensity and MPT in louder intensity. But this did not show statistically significant correlation between intensity and respiration volume. This study can be supported the preceding study results deduced that shorting MPT of the patient group compared to the normal group was originated in the problem of laryngeal valving mechanism at the level of vocal folds rather than a problem of respiratory function. Also at the phonation by varying the intensity, the result can deduce that in the case of patient group, the length of MPT had been improved by increasing the glottal closure ratio in the louder intensity. These results can support the theoretical basis that should be applied to the clinicians by varying the intensity at the voice evaluation and voice therapy for the patients with the glottis incompetence.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.28 no.1
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• pp.14-16
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• 2017

Pop singers frequently use breathy voice to express diverse emotion. Such method is the major factor that divides vocalization in pop and classical music. Using breathy voice too much for a long time could make singer short-winded, which might cause the voice injured. In order to prevent the problem, singers need to find resonance balance between high notes and low notes and among vowels. Moreover, they should take more attention when producing resonance in consonants with much air flow. Along with finding resonance balance, if skilled at controlling the volume of voice, singers can use the breathy voice selectively at the desired part, adjusting close quotient freely. Through this kind of approach, pop singers can develope their unique style of vocalization and avoid the vocal damage.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.20 no.2
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• pp.131-135
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• 2009

Background and Objectives: Benign vocal fold lesions have shown various voice onset types on phonation, however, they have not been documented yet. We studied to know the relationships between benign vocal fold lesions and voice onset types. Materials and Method: 114 subjects were evaluated by using videokymographic examinations. The subjects were classified into three types: normal, contact, and open types according to the patterns of voice onset types on phonation. Benign vocal fold lesions were investigated and voice onset types were compared between normal and disease groups. Voice parameters were obtained from and compared in all subjects to assess acoustic and aerodynamic factors. Results: The normal type among onset types were more than contact type or open type in both normal and disease groups. Disease group showed many contact and open types when. compared with normal group. Vocal nodule and vocal polyp were showed many normal and contact types, however, sulcus vocalis was almost showed open type among voice onset groups. The values of mean flow rate (MFR) of contact type were significantly higher compared to normal type in disease group (p<0.05). Shimmer of contact type was higher than normal type in diseasegroup, but the difference was not significant (p=0.057). Conclusion: Benign vocal fold lesions were related to the various types of voice onset. The various types of voice onset should be considered when benign vocal fold lesions were examined.

• Phonetics and Speech Sciences
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• v.10 no.4
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• pp.155-161
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• 2018

The purpose of this study was to evaluate the efficacy of a multiple voice therapy technique ($SKMVTT^{(R)}$) using laughter for the treatment of various benign vocal fold lesions. To achieve this, 23 female patients diagnosed with vocal nodules, vocal polyp, and muscle tension dysphonia through videostroboscopy were enrolled in vocal hygiene and $SKMVTT^{(R)}$. All of the patients were treated once a week for 4 to 12 sessions. The GRBAS scale was used to confirm the changes in voice quality before and after the treatment. Acoustic analysis was performed to evaluate jitter, shimmer, NHR, fundamental frequency variation, amplitude variation, PFR, and dB range. Videostroboscopy was performed to confirm the changes in the laryngeal features before and after the treatment. After the $SKMVTT^{(R)}$, the results of the perceptual evaluation demonstrated that the G, R, and B scales significantly improved. An acoustic evaluation also demonstrated that jitter, shimmer, NHR, vAm, vFo, PFR, and dB range also significantly improved after the $SKMVTT^{(R)}$. In comparison to the videostroboscopic findings, the size of the vocal nodules and vocal polyp decreased or disappeared after the treatment. In addition, the size of the cuneiform tubercles decreased, the length of the aryepiglottic folds became longer, and the laryngeal findings of the supraglottic compressions improved after the $SKMVTT^{(R)}$. These results suggest that the $SKMVTT^{(R)}$ is effective in improving the vocal quality of patients with benign vocal fold lesions. In conclusion, it seems that laughter and inspiratory phonation suppressed abnormal laryngeal elevation and lowered laryngeal height, which seems to have the effect of improving hyperfunctional phonation.