Relationship Between F2 Slope and Intelligibility in Parkinson's Disease: Lexical Effects and Listening Environment

Purpose There is a complex relationship between speech production and intelligibility of speech. The current study sought to evaluate the interaction of the factors of lexical characteristics, listening environment, and the 2nd formant transition (F2 slope) on intelligibility of speakers with Parkinson's disease (PD). Method Twelve speakers with PD and 12 healthy controls read sentences that included words with the diphthongs /aɪ/, /ɔɪ/, and /aʊ/. The F2 slope of the diphthong transition was measured and averaged across the 3 diphthongs for each speaker. Young adult listeners transcribed the sentences to assess intelligibility of words with high and low word frequency and high and low neighborhood density in quiet and noisy listening conditions. The average F2 slope and intelligibility scores were entered into regression models to examine their relationship. Results F2 slope was positively related to intelligibility in speakers with PD in both listening conditions with a stronger relationship in noise than in quiet. There was no significant relationship between F2 slope and intelligibility of healthy speakers. In the quiet condition, F2 slope was only correlated with intelligibility in less-frequent words produced by the PD group. In the noise condition, F2 slope was related to intelligibility in high- and low-frequency words and high-density words in PD. Conclusions The relationship between F2 slope and intelligibility in PD was affected by lexical factors and listening conditions. F2 slope was more strongly related to intelligibility in noise than in quiet for speakers with PD. This relationship was absent in highly frequent words presented in quiet and those with fewer lexical neighbors.