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Updated: May 12, 2026

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Published on: August 1, 2017
Mean contact quotient using electroglottography in patients with multiple sclerosis
Bassem Yamout1, Zaid Al-Zaghal, Iyad El-Dahouk
1Department of Neurology, American University of Beirut Medical Center, Beirut, Lebanon.
This study found that the mean closed quotient (CQ) for sustained vowels is similar in multiple sclerosis (MS) patients and controls, except for MS patients experiencing dysphonia. This suggests voice quality changes in MS may be linked to specific vocal fold issues.
Area of Science:
- Neurology
- Speech-Language Pathology
- Biomedical Engineering
Background:
- Multiple sclerosis (MS) can affect speech production, leading to dysphonia.
- Understanding laryngeal function in MS is crucial for managing voice disorders.
Purpose of the Study:
- To compare the contact quotient (CQ) of sustained vowels ([a] and [e]) in multiple sclerosis (MS) patients and healthy controls.
- To investigate if CQ differs in MS patients with and without dysphonia.
Main Methods:
- A cross-sectional study involving 24 MS patients and 15 healthy controls.
- Laryngeal electroglottography was used to record sustained vowels [a] and [e].
- Analysis included fundamental frequency, mean CQ, standard deviations, and jitter.
Main Results:
- Mean CQ for sustained vowels [a] and [e] were comparable between MS patients and controls.
- Five MS patients with dysphonia showed a significantly lower mean CQ for the vowel [a] compared to controls.
- No significant differences in mean CQ were observed for the vowel [e] between MS patients with dysphonia and controls.
Conclusions:
- The mean closed quotient for sustained vowels [a] and [e] are comparable in MS patients and healthy controls.
- Dysphonia in MS patients is associated with a lower mean closed quotient for the vowel [a].
- These findings highlight the potential of electroglottography in assessing voice changes in MS.
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