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Characterizing Neurological Disease from Voice Quality Biomechanical Analysis

The dramatic impact of neurological degenerative pathologies in life quality is a growing concern nowadays. Many techniques have been designed for the detection, diagnosis, and monitoring of the neurological disease. Most of them are too expensive or complex for being used by primary attention medical services. On the other hand, it is well known that many neurological diseases leave a signature in voice and speech. Through the present paper, a new method to trace some neurological diseases at the level of phonation will be shown. In this way, the detection and grading of the neurological disease could be based on a simple voice test. This methodology is benefiting from the advances achieved during the last years in detecting and grading organic pathologies in phonation. The paper hypothesizes that some of the underlying neurological mechanisms affecting phonation produce observable correlates in vocal fold biomechanics and that these correlates behave differentially in neurological diseases than in organic pathologies. A general description about the main hypotheses involved and their validation by acoustic voice analysis based on biomechanical correlates of the neurological disease is given. The validation is carried out on a balanced database of normal and organic dysphonic patients of both genders. Selected study cases will be presented to illustrate the possibilities offered by this methodology.

Estimating Tremor in Vocal Fold Biomechanics for Neurological Disease Characterization

Neurological Diseases (ND) are affecting larger segments of aging population every year. Treatment is dependent on expensive accurate and frequent monitoring. It is well known that ND leave correlates in speech and phonation. The present work shows a method to detect alterations in vocal fold tension during phonation. These may appear either as hypertension or as cyclical tremor. Estimations of tremor may be produced by auto-regressive modeling of the vocal fold tension series in sustained phonation. The correlates obtained are a set of cyclicality coefficients, the frequency and the root mean square amplitude of the tremor. Statistical distributions of these correlates obtained from a set of male and female subjects are presented. Results from five study cases of female voice are also given.

Neurological disease detection and monitoring from voice production

The dramatic impact of neurological degenerative pathologies in life quality is a growing concern. It is well known that many neurological diseases leave a fingerprint in voice and speech production. Many techniques have been designed for the detection, diagnose and monitoring the neurological disease. Most of them are costly or difficult to extend to primary attention medical services. Through the present paper it will be shown how some neurological diseases can be traced at the level of phonation. The detection procedure would be based on a simple voice test. The availability of advanced tools and methodologies to monitor the organic pathology of voice would facilitate the implantation of these tests. The paper hypothesizes that some of the underlying mechanisms affecting the production of voice produce measurable correlates in vocal fold biomechanics. A general description of the methodological foundations for the voice analysis system which can estimate correlates to the neurological disease is shown. Some study cases will be presented to illustrate the possibilities of the methodology to monitor neurological diseases by voice.

Parkinson's disease monitoring by biomechanical instability of phonation

Abstract Patients suffering from Parkinsons disease (PD) may be successfully treated pharmacologically and surgically to preserve and even improve their life quality and health conditions. Although the progress of the disease cannot be stopped, at least mitigation of the most handicapping symptoms can be achieved. But both pharmacological and surgical treatments require the adequate monitoring of the disease stage of progress and the effects of treatment. Several techniques have been proposed for PD evolution monitoring, ranging from subjective auto-evaluation by questionnaires, or from gait and handwriting examination by specialists. Nevertheless, these techniques present certain difficulties, which make frequent evaluation impractical. On the other hand, it is known that speech acoustic analysis may estimate indicators of patients conditions, and can be implemented for a frequent evaluation protocol; and under minimal help, it can be carried out at distance using communication technologies. The acoustic analysis, may be based on mel-cepstral coefficients, distortion features as jitter, shimmer, harmonic-to-noise contents, or pitch-perturbation estimates, among others. Phonation biomechanical parameter and tremor estimates are also good markers of PD. The present work proposes a combination of biomechanical features to predict PD progress using Bayesian likelihood estimation. This methodology proves to be very sensitive and allows a three-band based comparison: pre-treatment versus post-treatment in reference to a control subject or a normative population. Results from a study are presented, including eight patients recorded on a 4-week separation interval, meanwhile they were treated with medication, physical exercising and speech therapy. The conclusions show that certain distortion, biomechanical and tremor features are of special relevance to monitor PD phonation, and that they can be used as evolution markers.

Phonation biomechanic analysis of Alzheimer's Disease cases

Speech production in patients suffering of dementias of Alzheimer?s type is known to experience noticeable changes with respect to normative speakers. Classically this kind of speech has been described as presenting altered prosody, rhythmic pace, anomy, or impaired semantics. Phonation, conceived as the production of voice in voiced speech fragments remains as an unexplored field. The aim of the present paper is to open a preliminary study presenting biomechanical estimates from phonation produced by two patients (male and female) suffering Alzheimer?s Disease (AD), contrasted on two controls of both genders (CS: control speakers). A vocal fold biomechanical model is inverted to facilitate estimates of the vocal fold stiffness to analyze significant segments of phonated speech as long vowels and fillers. The estimates of both the AD patients and CS subjects are contrasted on a database of phonation features from a normative speaker population of both genders, as well as in paired tests contrasting AD and CS subjects. Results show the possibility of establishing significant discrimination between AD and CS when using f0, as well as vocal fold body stiffness, although this last feature seems to be more relevant and shows larger statistical significance.

KPCA vs. PCA study for an age classification of speakers

Kernel-PCA and PCA techniques are compared in the task of age and gender separation. A feature extraction process that discriminates between vocal tract and glottal source is implemented. The reason why speech is processed in that way is because vocal tract length and resonant characteristics are related to gender and age and there is also a great relationship between glottal source and age and gender. The obtained features are then processed with PCA and kernel-PCA techniques. The results show that gender and age separation is possible and that kernel-PCA (especially with RBF kernel) clearly outperforms classical PCA or no preprocessing features.

Relating Facial Myoelectric Activity to Speech Formants

Speech articulation is conditioned by the movements produced by well determined groups of muscles in the larynx, pharynx, mouth and face. The resulting speech shows acoustic features which are directly related with muscle neuromotor actions. Formants are some of the observable correlates most related to certain muscle actions, such as the ones activating jaw and tongue. As the recording of speech is simple and ubiquitous, the use of speech as a vehicular tool for neuromotor action monitoring would open a wide set of applications in the study of functional grading of neurodegenerative diseases. A relevant question is how far speech correlates and neuromotor action are related. This question is answered by the present study using electromyographic recordings on the masseter and the acoustic kinematics related with the first formant. Correlation measurements help in establishing a clear relation between the time derivative of the first formant and the masseter myoelectric activity. Monitoring disease progress by acoustic kinematics in one case of Amyotrophic Lateral Sclerosis ALS is described.

Parkinson’s Disease Monitoring from Phonation Biomechanics

Organic as well as neurologic diseases leave important correlates in phonation. Parkinson’s Disease (PD) may leave marks in vocal fold dystonia and tremor. Biomechanical parameters monitoring vocal fold tension and unbalance, as well as tremor are defined in the study. These correlates are known to be of help in tracing the neuromotor activity of both laryngeal and articulatory pathways. As the population affected by PD is mainly above 60, the main problem found is how to differentiate PD phonation correlates from aging voice (presbyphonia). An important objective is to explore which correlates react differentially to PD than to aging voice. As an example a study is conducted on a set of male PD patients being monitored in short intervals by recording their phonation. The results of these longitudinal studies are presented and discussed.

Towards the search of detection in speech-relevant features for stress

Most of the parameters proposed for the characterization of the emotion in speech concentrate their attention on phonetic and prosodic features. Our approach goes beyond trying to relate the biometrical signature of voice with a possible neural activity that might generate alterations in voice production. A total of 68, acoustical, glottal and biomechanical parameters were extracted from neutral and stressed speeches. The importance of the parameters was evaluated using t-test, entropy, Receiver Operator Characteristic ROC and Wilcoxon methods and support vector machines algorithms for classification. The emotion under study is the stress produced when a speaker has to defend an idea opposite to his/her thoughts or feelings, and this stress is compared to self-consistent speech. The results show tremor in the vocal folds to be the most relevant feature.

Wavelet description of the Glottal Gap

The Glottal Source correlates reconstructed from the phonated parts of voice may render interesting information with applicability in different fields. One of them is defective closure (gap) detection. Through the paper the background to explain the physical foundations of defective gap are reviewed. A possible method to estimate defective gap is also presented based on a Wavelet Description of the Glottal Source. The method is validated using results from the analysis of a gender-balanced speakers database. Normative values for the different parameters estimated are given. A set of study cases with deficient glottal closure is presented and discussed.