Alain Ghio

Coordination between Posture and Phonation in Vocal Effort Behavior

Background: Postural correlates of vocal effort are rarely described in the literature, while they are extensively dealt with in speech therapy. Objectives: This study aims at determining whether body movement is a side effect of vocal effort or an integral part of communication effort behavior. The answer to this question is mainly based on correlations between posture and phonation. Method: Twenty healthy subjects participated in this study. They had to communicate with a listener under 3 conditions requiring different levels of vocal effort. Results: The vocal parameters increased and confirmed that the subjects had made a vocal effort. The kinematic parameters (amplitude and duration of body movement) increased with vocal effort. Lastly, vocal and kinematic characteristics were significantly correlated. Conclusion: The close correlation of posture with vocal production shows that movement is not a mere consequence of vocal effort. Posture and voice are coordinated in communication behavior, and each body segment plays its specific role in the vocal effort behavior.

Stimulation of the pedunculopontine nucleus area in Parkinson’s disease: effects on speech and intelligibility

Improvement of gait disorders following pedunculopontine nucleus area stimulation in patients with Parkinsons disease has previously been reported and led us to propose this surgical treatment to patients who progressively developed severe gait disorders and freezing despite optimal dopaminergic drug treatment and subthalamic nucleus stimulation. The outcome of our prospective study on the first six patients was somewhat mitigated, as freezing of gait and falls related to freezing were improved by low frequency electrical stimulation of the pedunculopontine nucleus area in some, but not all, patients. Here, we report the speech data prospectively collected in these patients with Parkinsons disease. Indeed, because subthalamic nucleus surgery may lead to speech impairment and a worsening of dysarthria in some patients with Parkinsons disease, we felt it was important to precisely examine any possible modulations of speech for a novel target for deep brain stimulation. Our results suggested a trend towards speech degradation related to the pedunculopontine nucleus area surgery (off stimulation) for aero-phonatory control (maximum phonation time), phono-articulatory coordination (oral diadochokinesis) and speech intelligibility. Possibly, the observed speech degradation may also be linked to the clinical characteristics of the group of patients. The influence of pedunculopontine nucleus area stimulation per se was more complex, depending on the nature of the task: it had a deleterious effect on maximum phonation time and oral diadochokinesis, and mixed effects on speech intelligibility. Whereas levodopa intake and subthalamic nucleus stimulation alone had no and positive effects on speech dimensions, respectively, a negative interaction between the two treatments was observed both before and after pedunculopontine nucleus area surgery. This combination effect did not seem to be modulated by pedunculopontine nucleus area stimulation. Although limited in our group of patients, speech impairment following pedunculopontine nucleus area stimulation is a possible outcome that should be considered before undertaking such surgery. Deleterious effects could be dependent on electrode insertion in this brainstem structure, more than on current spread to nearby structures involved in speech control. The effect of deep brain stimulation on speech in patients with Parkinsons disease remains a challenging and exploratory research area.

Visual and linguistic determinants of the eyes' initial fixation position in reading development☆

Two eye-movement experiments with one hundred and seven first- through fifth-grade children were conducted to examine the effects of visuomotor and linguistic factors on the recognition of words and pseudowords presented in central vision (using a variable-viewing-position technique) and in parafoveal vision (shifted to the left or right of a central fixation point). For all groups of children, we found a strong effect of stimulus location, in both central and parafoveal vision. This effect corresponds to the childrens apparent tendency, for peripherally located targets, to reach a position located halfway between the middle and the left edge of the stimulus (preferred viewing location, PVL), whether saccading to the right or left. For centrally presented targets, refixation probability and lexical-decision time were the lowest near the words center, suggesting an optimal viewing position (OVP). The viewing-position effects found here were modulated (1) by print exposure, both in central and parafoveal vision; and (2) by the intrinsic qualities of the stimulus (lexicality and word frequency) for targets in central vision but not for parafoveally presented targets.

La dysarthrie au cours de la maladie de Parkinson. Histoire naturelle de ses composantes: dysphonie, dysprosodie et dysarthrie

Dysarthria refers to a collective name for a group of neurologic motor speech disorders, resulting from central and/or peripheral nervous system abnormalities. Speech alteration in Parkinsons disease, so-called hypokinetic dysarthria, presents with prosodic insufficiency, related to a monotony of pitch and intensity, a reduction of accentuation, variable speech rate and possible phoneme imprecision. In most cases, voice is harsh and breathy. This symptom can affect both voice and speech quality, as well as prosody and intelligibility. As a consequence, many patients complain about speech impairments, which affect their communication in daily living activities. Perceptual and instrumental assessments require different and numerous investigation methods, which use may help to further understand the specific dysarthria pathophysiology. This is of importance in order to adjust treatments for dysarthria; as a matter of fact, dopa-therapy, functional neurosurgery or even behavioural speech therapy have variable effects on voice and speech quality in Parkinsons disease.

Back-and-forth methodology for objective voice quality assessment: from/to expert knowledge to/from automatic classification of dysphonia

This paper addresses voice disorder assessment. It proposes an original back-and-forth methodology involving an automatic classification system as well as knowledge of the human experts (machine learning experts, phoneticians, and pathologists). The goal of this methodology is to bring a better understanding of acoustic phenomena related to dysphonia. The automatic system was validated on a dysphonic corpus (80 female voices), rated according to the GRBAS perceptual scale by an expert jury. Firstly, focused on the frequency domain, the classification system showed the interest of 0–3000 Hz frequency band for the classification task based on the GRBAS scale. Later, an automatic phonemic analysis underlined the significance of consonants and more surprisingly of unvoiced consonants for the same classification task. Submitted to the human experts, these observations led to a manual analysis of unvoiced plosives, which highlighted a lengthening of VOT according to the dysphonia severity validated by a preliminary statistical analysis.

Is the perception of dysphonia severity language-dependent? A comparison of French and Italian voice assessments

Abstract In this cross-language study, six Italian and six French voice experts evaluated perceptually the speech of 27 Italian and 40 French patients with dysphonia to determine if there were differences based on native language. French and Italian voice specialists agreed substantially in their evaluations of the overall grade of dysphonia and moderately concerning roughness and breathiness. No statistically significant effects were found related to the language of the speakers with the exception of breathiness, a finding that was interpreted as being due to different voice pathologies in the patient groups. It was concluded that the perception of the overall grade of dysphonia and breathiness is not language-dependent, whereas the significant difference in the perception of roughness may be related to a perception/adaption process.

Electroglottography of speakers of Brazilian Portuguese through Objective Multiparameter Vocal Assessment (EVA)

UNLABELLED EVA was designed to study various speech production parameters. OBJECTIVE This paper aims to define the mean values for electroglottography tests of Brazilian Portuguese speakers on EVA. MATERIALS AND METHOD The voices of 20 men and 20 women without voice-related complaints were analyzed through electroglottography so as to obtain reference values for normality. CASE STUDY this is a descriptive cross-sectional study. RESULTS The mean values for normal male voices were: F0 = 127.77 Hz; F0 coefficient of variation = 2.51%; absolute jitter = 1.707 Hz; relative average perturbation = 0.0083; jitter factor = 1.34%; jitter ratio = 13.45%; QF = 0.447. The values for female voices were: F0 = 204.87 Hz; F0 coefficient of variation = 1.58%; absolute jitter = 3.30Hz; relative average perturbation = 0.0102; jitter factor = 1.60%; jitter ratio = 16.23%; QF= 0.443. Wave type for the entire sample was categorized as tilted pulse. CONCLUSION Statistically significant differences were found for gender on parameters average FO and absolute jitter. While using acoustic analysis software, users must be based on parameters inherent to the software program when analyzing the collected data.

Análise das medidas aerodinâmicas no português brasileiro por meio do método multiparamétrico de avaliação vocal objetiva assistida (EVA)

PURPOSE: to define aerodynamic measures in Brazilian Portuguese speakers without voice complaints, obtained by the EVA program. METHOD: the study included 20 men and 20 women who had their voices analyzed. RESULTS: the mean values with subglottic pressure for female and male voices were: Subglottic pressure = 5.84 hPa and 6.7 hPa; average intensity = 79.21dB and 81.7dB; oral mean flow = 0.09 dm3/s and 0.16 dm3/s; glottic efficiency = 13.87dB/hPa and 12.78 dB/hPa; laryngeal efficiency = 188.08 dB/(hPa.dm3/s) and 97.11dB/(hPa.dm3/s); laryngeal resistance = 96.26 hPa/(dm3/s) and 52.64 hPa/(dm3/s); mean fundamental frequency (F0) = 208.28 Hz and 136.56 Hz and peak mouth pressure flow = 0.093 and 0.098. There was a statistically significant difference in relation to gender for the measures of average intensity, efficiency, larynx, laryngeal resistance and mean fundamental frequency. The average flow for the oral female and male voices were: subglottic pressure = 6.05 hPa and 6.6 hPa; average intensity = 65.50 dB and 66.3 dB; oral mean flow = 0, 10 dm3/s and 0.13 dm3/s; glottic efficiency = 11.12 dB/hPa and 11.77 dB/hPa; laryngeal efficiency = 144.83 dB/( hPa.dm3/s) and 97.89 dB/( hPa.dm3/s); laryngeal resistance = 78.98 hPa/(dm3/s) and 61.81 hPa/( dm3/s); average F0 = 222.52 Hz and 139.20 Hz and peak pressure oral flow = 0.047 and 0.053. CONCLUSION: EVA is a new program in Brazil, and analysing the aerodynamic measures in Brazilian Portuguese speakers, allows us to obtain reference values, thus allowing comparisons with future studies.

Measurement of Tremor in the Voices of Speakers with Parkinson’s Disease

Abstract A study is presented analyzing tremor in the voice of speakers that were diagnosed with Parkinson’s disease (PD). The examined sounds are sustained /a/s, originating from a large dysarthric speech corpus. Six measures of vocal tremor are extracted from these vowels by applying a self-developed algorithm that is based on autocorrelation of contours and implemented as a script of an open-source speech analysis program. Univariate analyses of covariance reveal significantly raised tremor magnitudes (tremor intensity indices and tremor power indices) in PD speakers off medication as compared to a control group as well as within PD speakers in off medication condition as compared to on medication. No significant differences are found between the control group and PD speakers on medication as well as for tremor frequencies. However, the greater part of variance in tremor measures is always accounted for the speakers’ age.