E. Vilkman

High-speed registration of phonation-related glottal area variation during artificial lengthening of the vocal tract

Vocal exercises that increase the vocal tract impedance are widely used in voice training and therapy. The present study applies a versatile methodology to investigate phonation during varying artificial extension of the vocal tract. Two males and one female phonated into a hard-walled plastic tube (φ 2 cm), whose physical length was randomly pair-wise changed between 30 cm, 60 cm and 100 cm. High-speed image (1900 f/sec) sequences of the vocal folds were obtained via a rigid endoscope. Acoustic and electroglottographic signals (EGG) were recorded. Oral pressure during shuttering of the tube was used to give an estimate of subglottic pressure (Psub). The only trend observed was that with the two longer tubes compared to the shortest one, fundamental frequency was lower, open time of the glottis shorter, and Psub higher. The results may partly reflect increased vocal tract impedance as such and partly the increased vocal effort to compensate for it. In other parameters there were individual differences in tube length-related changes, suggesting complexity of the coupling between supraglottic space and the glottis.

A comparison of the effects of Voice Massage and voice hygiene lecture on self-reported vocal well-being and acoustic and perceptual speech parameters in female teachers.

This study compared the effects of Voice Massage™ (VM) and a voice hygiene lecture (VHL) on 60 female teachers. VM is a Finnish massage method which treats muscles related to voice production. All subjects attended the VHL (3 h). Half of them were randomly assigned to the VM group, the other half received only VHL. VM was given 5 times in 1-hour sessions at intervals of 1–2 weeks. At the beginning and end of the autumn school term, before and after a working day, (1) a 1-min reading sample was recorded at both the subject’s habitual loudness and loudly, (2) a prolonged phonation on [a:] was recorded at habitual speaking pitch and (3) a questionnaire on voice quality, ease or difficulty of phonation, and tiredness of the throat was completed. The reading samples were analysed for the fundamental frequency (F₀), equivalent sound level (Leq) and α-ratio [Leq (1–5 kHz) – Leq (50–1,000 Hz)]. The vowel samples were analysed for the F₀ and Leq, as well as for jitter and shimmer. The reading samples were also evaluated perceptually by 3 speech trainers. The mean F₀ and difficulty of phonation increased from the beginning to the end of the term in the VHL group (p = 0.026, p = 0.007, respectively). In the VM group, the perceived firmness of loud reading decreased (p = 0.026). The results suggest that VM may help in sustaining vocal well-being during a school term.

Immediate Effects of ‘Voice Massage’ Treatment on the Speaking Voice of Healthy Subjects

‘Voice massage’ (VM) treatment includes manipulation of muscles related to speech production and voice and breathing exercises. This study investigated the effects of VM in 10 healthy subjects (5 females, 5 males). They recorded repetitions of the word ‘paappa’ at normal loudness and as softly as possible and read a text sample before and after 1-hour (1) VM treatment, (2) fast walking, (3) sitting in a library and (4) lying on a bed. Subglottic pressure was estimated from oral pressure during [p]. Transglottal flow and glottal resistance were measured. Voice production was studied with electroglottography. Fundamental frequency, sound pressure level (SPL) and alpha ratio [(SPL of the range 1–5 kHz) – (SPL of the range 50 Hz–1 kHz)] were calculated from text samples, which were also evaluated by 7 voice experts. A questionnaire was used to record subjects’ sensations. Changes after lying and sitting suggest lowered effort in phonatory muscles, while after fast walking effort seemed to increase. After VM no significant changes were observed in voice parameters or perceptual quality, but ease of phonation and reduced tension in the neck, shoulders and back were reported. The effects of VM may be partly psychological, partly related to a search of phonatory balance.

Laryngeal Mucosal Reaction during Bronchial Histamine Challenge Test Visualized by Videolaryngostroboscopy

OBJECTIVES/HYPOTHESISnTo examine the changes in the larynx, as well as self-reported voice and throat symptoms, among patients undergoing a histamine challenge test. Thus, to understand the possible clinical effects of histamine on the larynx.nnnSTUDY DESIGNnControlled, open prospective study.nnnMETHODSnThirty adult patients with prolonged cough and suspicion of bronchial asthma underwent a histamine challenge test. Videolaryngostroboscopy was performed immediately before and after the challenge. Voice and throat symptoms immediately before and after the challenge test were assessed using a visual analog scale.nnnRESULTSnVideolaryngostroboscopy after exposure showed significant increases in edema (Pu2009<u20090.001) as well as redness (Pu2009<u20090.001) of the vocal folds after the exposure. Self-reported voice complaints increased significantly for 8 of 11 symptoms. A moderate positive correlation was found between the increase in edema of the vocal folds and reported heartburn/regurgitation symptoms (ru2009=u20090.42, Pu2009<u20090.05). Atopy, asthma, nasal symptoms, or bronchial hyperreactivity during the histamine challenge test were not associated with laryngeal reactions.nnnCONCLUSIONSnAccording to the results, the laryngeal mucosal reaction during a histamine challenge test can be objectively visualized. Videolaryngostroboscopy findings, together with an increase in self-reported voice and throat symptoms, show that histamine has potential effects on vocal folds. The mucosal reaction seems to be pronounced among patients with reflux symptoms, probably reflecting the permeability features of the vocal folds.