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Correlating an Ambulatory Voice Measure to Electrodermal Activity in Patients with Vocal Hyperfunction
Gregory Ciccarelli1, Daryush Mehta2, Andrew Ortiz2
1Bioengineering Sys. and Tech., MIT Lincoln Laboratory, Lexington, USA.
Summary
This study explored the link between the autonomic nervous system and voice in vocal hyperfunction. Preliminary findings suggest a connection in non-phonotraumatic vocal hyperfunction patients.
Area of Science:
- Speech and Voice Science
- Autonomic Nervous System Research
- Medical Physiology
Background:
- Vocal hyperfunction disorders can impact voice quality and vocal fold health.
- The autonomic nervous system (ANS) regulates involuntary bodily functions, potentially influencing vocalization.
- Understanding the interplay between the ANS and the vocal system is crucial for comprehending vocal disorders.
Purpose of the Study:
- To investigate the relationship between autonomic nervous system activity and vocal function in patients with vocal hyperfunction.
- To develop and validate a methodology for simultaneously measuring vocal and autonomic parameters.
- To explore potential differences in this relationship between patients and healthy controls.
Main Methods:
- Ambulatory, multi-modal data collection including voice recordings and wrist-based electrodermal activity (EDA).
- Calculation of vocal function measures (e.g., fundamental frequency) and autonomic function measures (e.g., skin conductance response).
- Statistical analysis using Spearman correlation coefficients over sliding windows to assess real-time coupling.
Main Results:
- Preliminary evidence suggests a coupling between the autonomic nervous system and the vocal system in patients with non-phonotraumatic vocal hyperfunction.
- Individual variability in the strength and nature of this coupling was observed.
- No significant coupling was found in the healthy-control group during the preliminary analysis.
Conclusions:
- The autonomic nervous system may play a role in the pathophysiology of certain types of vocal hyperfunction.
- This research opens avenues for novel diagnostic and therapeutic strategies targeting the ANS in vocal disorders.
- Further research is needed to confirm these findings and elucidate the precise mechanisms involved.

