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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Acoustic Assessment.

Declan Costello1

  • 1Wexham Park Hospital, Slough, United Kingdom, dc@dcostello.net.

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|November 9, 2020
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Summary
This summary is machine-generated.

Voice clinic assessments should combine stroboscopic examination, patient questionnaires, and clinician ratings for optimal voice evaluation. While acoustic measures like jitter and shimmer are common, they have limitations, suggesting a need for more robust methods.

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Acoustic Analysis

Background:

  • Voice clinics utilize various assessment methods.
  • Standard acoustic measures (jitter, shimmer, noise-to-harmonic ratio) have limitations.
  • Need for reliable and clinically relevant voice assessment tools.

Purpose of the Study:

  • To evaluate current voice assessment practices in clinics.
  • To identify limitations of traditional acoustic analysis.
  • To propose a pragmatic approach to voice assessment.

Main Methods:

  • Review of standard voice assessment techniques.
  • Discussion of limitations of acoustic measures (jitter, shimmer, noise-to-harmonic ratio).
  • Consideration of advanced mathematical techniques (nonlinear algorithms).

Main Results:

  • Stroboscopic examination, patient questionnaires, and clinician ratings are essential.
  • Acoustic measures have practical limitations (equipment, reliability, clinical correlation).
  • Nonlinear algorithms may offer more robust voice measurements.

Conclusions:

  • A pragmatic voice clinic assessment integrates stroboscopic examination, patient-reported outcomes, and clinician perception.
  • Limitations of standard acoustic measures necessitate careful interpretation.
  • Future research may focus on advanced signal processing for voice analysis.