Perceptual and Acoustic Characteristics of Voice Changes in Reflux Laryngitis Patients

The aim of the study was to outline the multidimensional perceptual, subjective, and instrumental acoustic voice changes in the group of reflux laryngitis (RL) patients. Data of multidimensional voice assessment of 108 RL patients and 90 healthy persons of the control group were subjected to comparative analysis. A slight hoarseness according to the GRB (G-grade, R- rough, B-breathy) scale was prevailing in the RL patients group. Statistically significant difference (P < 0.001) between RL patients group and the control group was found of all voice parameters measured, with the patients having worse results--increased mean jitter, shimmer, normalized noise energy, voice handicap index (VHI), and decreased parameters of phonetogram. The results of the study demonstrated that multidimensional voice assessment documented deteriorated voice quality and restricted phonation capabilities in the tested group of RL patients.     

Objective acoustic voice-quality parameters in the computer phonetogram

A phonetogram is a plot of the dynamic range of the voice as a function of fundamental frequency. Traditionally, the phonetogram only records the sound-pressure level (SPL) of the threshold of phonation and the upper limit in SPL the voice can reach with sustained phonation as a function of the fundamental frequency (F₀). In this study, the phonetogram is extended by including acoustic voice-quality parameters. Three additional parameters are tested: jitter, shimmer, and crest factor. For each individual voice, the variation in the three parameters is evaluated over the entire phonetogram area. By averaging individual phonetograms, standard or norm phonetograms are obtained revealing general patterns in voice-quality variation. These patterns reflect the complex relations between F₀, SPL, and the acoustic voice-quality parameters just mentioned. Jitter and shimmer distributions over the phonetogram show that large variations in perturbation values can be expected when production conditions are altered. Highest perturbation values are found for the low F₀ and low SPL phonations. For all voices, a gradual decrease of the crest factor is found with increasing F₀, reflecting the degrading of spectral complexity with F₀. The crest-factor parameter can also be used to mark those areas in the phonetogram where the fundamental dominates the waveform and where flow control is the main SPL regulating mechanism in voice production. The strong quality variations within the phonetogram stress the need for accurate control of F₀ and SPL in objective voice-quality measurement.     

Phonetogram Changes for Trained Singers Over a Nine-Month Period of Vocal Training

Professional vocalists encounter demands requiring voluntary control of phonation, while utilizing a considerable range of frequency and intensity. These quantifiable acoustic events can be measured and represented in a phonetogram. Previous research has compared the phonetograms of trained and untrained voices and found significant differences between these groups. This study was designed to assess the effects of vocal training for singers over a period of nine months. Phonetogram contour changes were examined, with the primary focus on expansion of frequency range and/or intensity control. Twenty-one first-year, master's level, vocal music students, who were engaged in an intensive vocal performance curriculum, participated in this study. Following nine months of vocal training, significant differences were revealed in the subjects' mean frequency range and minimum vocal intensity across frequency levels. There was no significant difference for the mean maximum vocal intensity across frequency levels following vocal training.     

An Exploration of Skin Acceleration Level as a Measure of Phonatory Function in Singing

Two kinds of fluctuations are observed in phonetogram recordings of singing. Sound pressure level (SPL) can vary due to vibrato and also due to the effect of open and closed vowels. Since vowel variation is mostly a consequence of vocal tract modification and is not directly related to phonatory function, it could be helpful to suppress such variation when studying phonation. Skin acceleration level (SAL), measured at the jugular notch and on the sternum, might be less influenced by effects of the vocal tract. It is explored in this study as an alternative measure to SPL. Five female singers sang vowel series on selected pitches and in different tasks. Recorded data were used to investigate two null hypotheses: (1) SPL and SAL are equally influenced by vowel variation and (2) SPL and SAL are equally correlated to subglottal pressure (P(S)). Interestingly, the vowel variation effect was small in both SPL and SAL. Furthermore, in comparison to SPL, SAL correlated weakly to P(S). SAL exhibited practically no dependence on fundamental frequency, rather, its major determinant was the musical dynamic. This results in a non-sloping, square-like phonetogram contour. These outcomes show that SAL potentially can facilitate phonetographic analysis of the singing voice.     

Relationship between changes in voice pitch and loudness

Changes in mean fundamental frequency accompanying changes in loudness of phonation are analyzed in 9 professional singers, 9 nonsingers, and 10 male and 10 female patients suffering from vocal functional dysfunction. The subjects read discursive texts with noise in earphones, and some also at voluntarily varied vocal loudness. The healthy subjects phonated as softly and as loudly as possible at various fundamental frequencies throughout their pitch ranges, and the resulting mean phonetograms are compared. Mean pitch was found to increase by about half-semitones per decibel sound level. Grossly, the subject groups gave similar results, although the singers changed voice pitch more than the nonsingers. The voice pitch changes may be explained as passive results of changes of subglottal pressure required for the sound level variation.     

Sound level variation findings for pianissimo and fortissimo phonations in repeated measurements

Ten vocally untrained female university students vocalized /a:/ at five given pitches within the average female speaking range (196, 220, 262, 330, and 396 Hz) as softly as possible (pianissimo) and as loudly as musically acceptable (fortissimo). To study the repeatability of voice range profile (sound level) measurement, the procedure was repeated 10 times in each of the five sample sessions during the day, in connection with vocal loading that included five oral readings (45 min each), 15-min pauses, and a lunch break (45 min). A sound level meter specially designed for voice range profile measurement was used. The effect of the loading was seen on the mean sound level changes and intraindividual variation on SDs. The difference between the first phonation and best performance indicates significance of the repetition of the measurement. The sound level averaged across the pitches rose significantly during loading. The intraindividual SD varied between 3 and 4 dBA according to pitch and loudness, and the sound level difference between the first phonation and best performance was 5 dBA in pianissimo and 7 dBA in fortissimo     

Time-of-day effects on voice range profile performance in young, vocally untrained adult females

Time-of-day effects on voice range profile performance were investigated in 20 vocally healthy untrained women between the ages of 18 and 35 years. Each subject produced two complete voice range profiles: one in the morning and one in the evening, about 36 hours apart. The order of morning and evening trials was counterbalanced across subjects. Dependent variables were (1) average minimum and average maximum intensity, (2) Voice range profile area and (3) center of gravity (median semitone pitch and median intensity). In this study, the results failed to reveal any clear evidence of time-of-day effects on voice range profile performance, for any of the dependent variables. However, a reliable interaction of time-of-day and trial order was obtained for average minimum intensity. Investigation of other subject populations, in particular trained vocalists or those with laryngeal lesions, is required for any generalization of the results.