Acoustic-articulatory configuration of women with vocal nodules and with healthy voice
Configuração acústico-articulatória das vogais de mulheres com nódulos vocais e vocalmente saudáveis
Fernanda Pereira França; Anna Alice de Almeida; Leonardo Wanderley Lopes
Abstract
Purpose: To analyze the acoustic-articulatory configuration of vowels in women with vocal nodules and with healthy voice. Methods: Twelve women with vocal nodules (EG) and twelve vocally health women (CG) participated of this study. All women recorded vehicle phrases with the vowels /a/, /i/, and /u/ in stress position, preceded and followed by the occlusive consonant /p/: “Digo papa baixinho”, “Digo pipa baixinho”, and “Digo pupa baixinho”. Subsequently, the first three formants (F1, F2, and F3) were extracted from these vowel targets. Results: Between the two groups studied, F1 measures differed for vowels /a/ and /u/, and F2 measures differed for the vowel /a/. Women with vocal nodules showed lower values for these measures compared to vocally healthy women. Patients with vocal nodules showed a smaller interval in F1 and F2 values between vowels /a/, /i/, and /u/ compared to vocally healthy women. Conclusion: Women with vocal nodules show lower F1 and F2 values and lower range of motion of the articulators during vowel production compared to vocally healthy women.
Keywords
Resumo
Objetivo: Analisar a configuração acústico-articulatória das vogais em mulheres com nódulos vocais e vocalmente saudáveis. Método: Participaram do estudo 12 mulheres com nódulos vocais (GE) e 12 vocalmente saudáveis (GC). Todas as mulheres gravaram frases-veículo com as vogais /a/, /i/ e /u/ em posição tônica, sucedidas e precedidas da oclusiva /p/: “Digo papa baixinho”, “Digo pipa baixinho” e “Digo pupa baixinho”. Posteriormente, foram extraídos os três primeiros formantes (F1, F2 e F3) dessas vogais. Resultados: Observou-se diferença nas medidas de F1 para as vogais /a/ e /u/ e F2 para a vogal /a/ entre os dois grupos estudados. Mulheres com nódulos vocais apresentam menor valor dessas medidas em relação às mulheres vocalmente saudáveis. Pacientes com nódulos vocais apresentaram menor intervalo nos valores de F1 e F2 entre as vogais /a/, /i/ e /u/ em relação às mulheres vocalmente saudáveis. Conclusão: Mulheres com nódulos vocais apresentam menores valores de F1 e F2, e menor amplitude de movimentação dos articuladores na produção vocálica em relação às mulheres vocalmente saudáveis
Palavras-chave
Referencias
1 Marçal CC, Peres MA. Self-reported voice problems among teachers: prevalence and associated factors. Rev Saude Publica. 2011;45(3):50311. PMid:21519720. [ Links ]
2 Rodríguez-Parra MJ, Adrián JA, Casado JC. Comparing voice-therapy and vocal-hygiene treatments in dysphonia using a limited multidimensional evaluation protocol. J Commun Disord. 2011;44(6):615-30. http://dx.doi.org/10.1016/j.jcomdis.2011.07.003. PMid:21880326. [ Links ]
3 Ali Z, Elamvazuthi I, Alsulaiman M, Muhammad G. Detection of voice pathology using fractal dimension in a multiresolution analysis of normal and disordered speech signals. J Med Syst. 2016;40(1):20. http://dx.doi.org/10.1007/s10916-015-0392-2. PMid:26531753. [ Links ]
4 Jesus LMT, Martinez J, Hall A, Ferreira A. Acoustic correlates of compensatory adjustments to the glottic and supraglottic structures in patients with unilateral vocal fold paralysis. BioMed Res Int. 2015;2015:704121. http://dx.doi.org/10.1155/2015/704121. PMid:26557690. [ Links ]
5 Ishikawa K, Boyce S, Kelchner L, Powell MG, Schieve H, de Alarcon A, et al. The effect of background noise on intelligibility of dysphonic speech. Speech Lang Hear Res. 2017;60(7):1919-29. http://dx.doi.org/10.1044/2017_JSLHR-S-16-0012. [ Links ]
6 Evitts PM, Starmer H, Teets K, Montgomery C, Calhoun L, Schulze A, et al. The impact of dysphonic voices on healthy listeners: listener reaction times, speech intelligibility, and listener comprehension. Am J Speech Lang Pathol. 2016;25(4):561-75. http://dx.doi.org/10.1044/2016_AJSLP-14-0183. PMid:27784031. [ Links ]
7 Maxfield L, Palaparthi A, Titze I. New evidence that nonlinear source-filter coupling affects harmonic intensity and fo stability during instances of harmonics crossing formants. J Voice. 2017;31(2):149-56. http://dx.doi.org/10.1016/j.jvoice.2016.04.010. [ Links ]
8 Pisanski K, Cartei V, Mcgettigan C, Raine J, Reby D. Voice modulation: a window into the origins of human vocal control? Tendências Cogn Sci. 2016;20(4):304-18. http://dx.doi.org/10.1016/j.tics.2016.01.002. PMid:26857619. [ Links ]
9 Camargo ZA, Madureira S. Avaliação vocal sob a perspectiva fonética: investigação preliminar. Distúrb Comun. 2008;20(1):77-96. [ Links ]
10 Barbosa PA, Madureira S. Manual de fonética acústica experimental: aplicações a dados do português. São Paulo: Cortez editora; 2015. [ Links ]
11 Soares MFP. Estratégias de produção de vogais e fricativas: análise acústica da fala de sujeitos portadores de doença de Parkinson [tese]. Campinas (SP): Universidade Estadual de Campinas; 2009. 163 p. [ Links ]
12 Gonçalves MIR, Pontes PAL, Vieira VP, Pontes AAL, Curcio D, Biase NG. Função de transferência das vogais orais do Português brasileiro: análise acústica comparativa. Rev Bras Otorrinolaringol (Engl Ed). 2009;75(5):680-4. [ Links ]
13 Lopes LW, Freitas JA, Almeida AA, Silva POC, Alves GÂDS. Performance of the phonatory deviation diagram in the evaluation of rough and breathy synthesized voices. Braz J Otorhinolaryngol. 2018;84(4):460-472. https://doi.org/10.1016/j.bjorl.2017.05.012. [ Links ]
14 Lu D, Chen F, Yang H, Yu R, Zhou Q, Zhang X, Ren J, Zheng Y, Zhang X, Zou J, Wang H, Liu J. Changes after voice therapy in acoustic voice analysis of chinese patients with voice disorders. J Voice. 2018;32(3):386.e1-386.e9. https://doi.org/10.1016/j.jvoice.2017.05.005. [ Links ]
15 Dargin TC, Searl J. Semi-occluded vocal tract exercises: aerodynamic and electroglottographic measurements in singers. J Voice. 2015;29(2):155-64. http://dx.doi.org/10.1016/j.jvoice.2014.05.009. PMid:25261954. [ Links ]
16 Yamasaki R, Murano EZ, Gebrim E, Hachiya A, Montagnoli A, Behlau M, et al. Vocal tract adjustments of dysphonic and non-dysphonic women pre- and post-flexible resonance tube in water exercise: a quantitative mri study. J Voice. 2016;31(4):442-54. http://dx.doi.org/10.1016/j.jvoice.2016.10.015. PMid:28017460. [ Links ]
17 Gama ACC, Behlau MS. Estudo da constância de medidas acústicas de vogais prolongadas e consecutivas em mulheres sem queixa de voz e em mulheres com disfonia. Rev Soc Bras Fonoaudiol. 2009;14(1):8-14. http://dx.doi.org/10.1590/S1516-80342009000100004. [ Links ]
18 Kara M, Öztürk K, Özer B. An evaluation of the effects of adenoidectomy on voice and speech function in children. Kulak Burun Bogaz Ihtis Derg. 2013;23(4):225-31. http://dx.doi.org/10.5606/kbbihtisas.2013.09476. PMid:23834133. [ Links ]
19 Suzart DD, Carvalho ARR. Alterações de fala relacionadas às alterações do frênulo lingual em escolares. Rev CEFAC. 2016;18(6):1332-9. http://dx.doi.org/10.1590/1982-0216201618621715. [ Links ]
20 Verhoeven J, Hide O, De Maeyer S, Gillis S, Gillis S. Hearing impairment and vowel production. A comparison between normally hearing, hearing-aided and cochlear implanted Dutch children. J Commun Disord. 2016;59:24-39. http://dx.doi.org/10.1016/j.jcomdis.2015.10.007. PMid:26629749. [ Links ]
21 Dromey C, Nissen SL, Roy N, Merrill RM. Articulatory changes following treatment of muscle tension dysphonia: preliminary acoustic evidence. J Speech Lang Hear Res. 2008;51(1):196-208. http://dx.doi.org/10.1044/1092-4388(2008/015). PMid:18230866. [ Links ]
22 Lee JW, Kang HG, Choi JY, Son YI. An investigation of vocal tract characteristics for acoustic discrimination of pathological voices. BioMed Res Int. 2013;2013:758731. http://dx.doi.org/10.1155/2013/758731. PMid:24288686. [ Links ]
23 Titze IR. Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings. J Speech Lang Hear Res. 2006;49(2):448-59. http://dx.doi.org/10.1044/1092-4388(2006/035). PMid:16671856. [ Links ]
24 Nalesso KS. Efeito terapêutico do uso exclusivo do tubo deressonância flexível na região glótica e no trato vocal supraglótico [dissertação]. Campinas: Faculdade de Ciências Médicas, Universidade Estadual de Campinas; 2015. 70 p. [ Links ]
25 Jiang JJ, Zhang Y, Maccallum J, Sprecher A, Zhou L. Objective acoustic analysis of pathological voices from patients with vocal nodules and polyps. Folia Phoniatr Logop. 2009;61(6):342-9. http://dx.doi.org/10.1159/000252851. PMid:19864916. [ Links ]
26 Hocevar-boltezar I, Boltezar M, Zargi M. The influence of cochlear implantation on vowel articulation. J Acoust Soc Am. 2008;123(6):4466-81. PMid:18537397. [ Links ]
27 Ferguson SH, Kewley-port D. Talker differences in clear and conversational speech: acoustic characteristics of vowels. J Speech Lang Hear Res. 2007;50(5):1241-55. http://dx.doi.org/10.1044/1092-4388(2007/087). PMid:17905909. [ Links ]
28 Allison KM, Annear L, Policicchio M, Hustad KC. Range and precision of formant movement in pediatric dysarthria. J Speech Lang Hear Res. 2017;60(7):1864-76. http://dx.doi.org/10.1044/2017_JSLHR-S-15-0438. PMid:28655064. [ Links ]
29 Hung YC, Lee YJ, Tsai LC. Vowel production of mandarin-speaking hearing aid users with different types of hearing loss. PLoS One. 2017;12(6):e0178588. http://dx.doi.org/10.1371/journal.pone.0178588. PMid:28575087. [ Links ]
30 França FP, Evangelista DS, Lopes LW. Revisão sistemática sobre os formantes e a produção da voz e fala. Revista Prolíngua. 2017;12(1):2-16. [ Links ]
Submitted date:
26/09/2018
Accepted date:
04/04/2019
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email