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A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS
Published on: February 21, 2011
Relationships between vocal function measures derived from an acoustic microphone and a subglottal neck-surface
Daryush D Mehta1, Jarrad H Van Stan2, Robert E Hillman3
1Center for Laryngeal Surgery & Voice Rehabilitation, Massachusetts General Hospital, Boston MA 02114 USA, Department of Surgery, Harvard Medical School, Boston, MA 02115 USA, and the Institute of Health Professions, Massachusetts General Hospital, Boston, Massachusetts 02129 USA ( mehta.daryush@mgh.harvard.edu ).
Neck-surface accelerometers can noninvasively monitor voice function, correlating well with acoustic measures, especially for jitter. This technology offers a promising complement to traditional voice analysis for clinical and daily use.
Area of Science:
- Biomedical Engineering
- Speech Science
- Acoustics
Background:
- Subglottal neck-surface acceleration monitoring offers a noninvasive method for assessing voice characteristics.
- Low-profile accelerometers are increasingly utilized for tracking normal and disordered voice behavior.
- This study explores accelerometer-based measures as a physiological complement to traditional acoustic voice analysis.
Purpose of the Study:
- To investigate the efficacy of subglottal neck-surface acceleration in yielding vocal function measures.
- To guide the development of clinically applicable accelerometer-based voice assessment tools.
- To compare the correlation between acoustic and accelerometer-derived voice parameters.
Main Methods:
- Simultaneous recording of acoustic pressure and subglottal neck-surface acceleration.
- Analysis of sustained vowels (/a/, /i/, /u/) from 82 adults with voice disorders and 52 healthy adults.
- Calculation and comparison of timing (jitter), amplitude (shimmer), spectral (HNR, tilt), and cepstral (CPP) measures.
Main Results:
- Strongest correlations between acoustic and accelerometer data were observed for jitter (r ≤ 0.99).
- Moderate correlations were found for shimmer (r ≤ 0.74) and cepstral peak prominence (r ≤ 0.90).
- Weaker correlations were noted for harmonics-to-noise ratio (r ≤ 0.69) and spectral tilt (r ≤ 0.57).
Conclusions:
- Subglottal neck-surface acceleration provides reliable vocal function measures, complementing acoustic analysis.
- Accelerometer technology shows potential for effective voice assessment in diverse settings.
- This research supports the integration of accelerometers into laboratory, clinical, and daily voice monitoring.
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