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Asthma Detection Research Based on Voice Signal Processing and Machine Learning
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Detection of Chronic Musculoskeletal Pain Using Voice Characteristics.

Masakazu Higuchi1, Toshiko Iidaka2, Chiaki Horii3

  • 1Department of BioengineeringGraduate School of EngineeringThe University of Tokyo Tokyo 113-8656 Japan.

IEEE Journal of Translational Engineering in Health and Medicine
|July 14, 2025
PubMed
Summary

Researchers developed a voice index to detect chronic musculoskeletal pain in older adults. This noninvasive method analyzes voice characteristics, offering a new tool for pain assessment and improving quality of life.

Keywords:
Chronic musculoskeletal painlogistic regression analysisvoice characteristics

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Area of Science:

  • Gerontology
  • Biomedical Engineering
  • Pain Medicine

Background:

  • Musculoskeletal pain significantly diminishes daily activities and quality of life in the elderly.
  • Current pain assessment is subjective and lacks standardized objective procedures.
  • Physiological changes associated with chronic pain may influence vocal cord function.

Purpose of the Study:

  • To quantitatively assess chronic musculoskeletal pain in older adults.
  • To develop and validate a voice-based index for detecting chronic musculoskeletal pain.
  • To explore the relationship between voice characteristics and musculoskeletal pain.

Main Methods:

  • A large-scale, population-based cohort study involving adults aged 65+ with chronic lumbar or knee pain.
  • Extraction and analysis of voice characteristics using principal component analysis.
  • Logistic regression analysis to develop a voice index for pain discrimination.

Main Results:

  • A novel voice index was proposed to differentiate between individuals with and without chronic musculoskeletal pain.
  • Discrimination accuracy of approximately 80% was achieved for knee pain detection.
  • Cross-validation yielded a discrimination accuracy of approximately 70% for knee pain.

Conclusions:

  • The proposed voice index demonstrates potential as a novel, noninvasive tool for detecting chronic musculoskeletal pain.
  • Voice-based pain detection offers clinical significance through its ease of use and scalability.
  • This method could facilitate efficient, large-scale screening of pain in older populations.