Contact:
|
|
- Amelia Barber
- 5 years ago
- Views:
Transcription
1 Laryngeal Aerodynamic and Respiratory Kinematic Strategies to Increase Vocal Intensity as a Result of the Lombard Effect: Speakers with Parkinson s Disease Elaine T. Stathopoulos, Ph.D. Joan E. Sussman, Ph.D. Kelly Richardson, M.A., Devan DeCicco, M.A., Jennifer Kamphaus, B.A., Katrina Fulcher, M.A., University at Buffalo Jessica E. Huber, Ph.D. Meghan Darling, M.S. Purdue University Contact: stathop@buffalo.edu Contact: jhuber@purdue.edu
2 Problem Parkinson s disease (PD) results in impaired speech and voice production including hypophonia, rate changes, and articulatory imprecision Hypophonia is reduced vocal intensity; perceptually, it s soft sounding voice
3 Purpose The goal of the current study is to examine the interrelated function of the laryngeal and respiratory systems, while individuals with PD naturally increase their vocal intensity in a condition of background noise First: to investigate whether speakers with hypophonia secondary to PD would increase their sound pressure levels (SPLs) when speaking in noise (Lombard Effect) Second: to examine the effects of increased vocal intensity on underlying laryngeal and respiratory mechanisms
4 Respiratory Strategies for Increasing Vocal Intensity Typical speakers use a combination of respiratory static recoil and muscular forces synergistically to maintain a steady, pressurized airstream for speech production Typical speakers inhale to higher lung and rib cage volumes to take advantage of greater elastic recoil forces, thus reducing the effort required to produce higher subglottal air pressure Finnegan, Luschei, & Hoffman, 2000; Hixon, Goldman, & Mead, 1973; Huber, 2007; Huber, Chandrasekaran, & Wolstencroft, 2005; Stathopoulos & Sapienza, 1993; Stathopoulos & Sapienza, 1997; Winkworth & Davis, 1997
5 Speakers with PD have Respiratory Support Problems Individuals with Parkinson s disease (PD) have been shown to exhibit: Loss of muscle function Decreased rib cage and abdominal support Breakdown in the synergistic movement of rib cage &abdomen Increased paradoxing Shortened utterance lengths Difficulty planning in advance to support longer utterances Bunton, 2005; Darley, Aronson, & Brown, 1975; Duffy, 2005; Huber & Darling, 2011; Huber, Stathopoulos, Ramig, & Lancaster, 2003; Sadagopan & Huber, 2007; Solomon & Hixon, 1993
6 Laryngeal/Respiratory Mechanisms Interact to Increase Vocal Intensity The larynx is not just a passive appendage through which gases are inspired or expired but a complex organ performing subtle and well coordinated functions in relation to respiratory airflow during both inspiration and expiration (Brancatisano, p , 1996) Laryngeal contribution to increased vocal intensity is achieved through changes to glottal configuration and/or resistance Adjustments in vocal intensity are regulated by simultaneous changes to both the respiratory and laryngeal components of the speech system Holmberg, Hillman, & Perkell, 1988; Isshiki, 1964; Stathopoulos & Sapienza, 1997; Titze, 1994
7 Laryngeal Configuration in Individuals with PD The presence of decreased adduction (e.g., vocal fold bowing), increased glottal opening, and asymmetric vibratory patterns during phonation have been confirmed by videostroboscopic studies Changes to the laryngeal mechanism are thought to impact the ability of individuals with PD to produce high intensity speech Dromey, Ramig, & Johnson, 1995; Dromey, 1996; Hanson, Gerratt, & Ward, 1984; Perez, Ramig, Smith, & Dromey, 1996; Ramig, Dromey, Perez, & Samandari, 1995
8 The Lombard Effect to Cue Increases in Vocal Intensity Behavioral therapies (e.g., LSVT ) require active cognitive participation; whereas, natural cueing does not require the participant to remember specific instructions The speaker responds to stimuli in their environment in an automatic, involuntary way The SpeechVive TM played multitalker babble noise in one ear during speech The noise causes the participant to speak louder and more clearly due to the Lombard effect (Garnier, Dohen, Lævenbruck, Welby, & Bailly, 2006)
9 Hypotheses: There will be an increase in vocal intensity when participants with PD speak in noise (Lombard Effect). The increases in vocal intensity will be accomplished by simultaneous response from the respiratory and laryngeal mechanisms to increase: Subglottal pressure Vocal fold adduction Glottal resistance
10 Methods The following dependent measures were made to reflect the underlying respiratory and laryngeal mechanisms to increase SPL It was predicted that: Estimated subglottal air pressure (Ps) would increase Peak-to-peak glottal airflow would increase Maximum flow declination rate (MFDR) would increase Minimum glottal airflow would decrease Open quotient (OQ) would decrease Lung volume initiations, terminations & excursions would increase Rib cage volume initiations, terminations, & excursions would increase Abdominal volume initiations & terminations would decrease & abdominal excursions would increase
11 Participants 33 adults with PD 6 women, mean age (7.82) years 27 men, mean age (10.05) years Hoehn & Yahr movement Stage II-IV (mild-severe) with predominantly III-IV (mild to severely disabling but still able to stand or walk unassisted) Mild to severe speech impairments, with predominantly moderate-severe impairment
12 Speech Tasks Respiratory Function: two-minute monologue on topic of choice Estimated intraoral air pressure: sentence production Buy pop or pop a papa at a slow rate, in a monotone voice and at a comfortable loudness Estimated laryngeal airflow: sustained /a/ for five seconds at a comfortable loudness level After: Smitheran and Hixon (1981) for making measures of estimated P s
13 Statistical Analysis Repeated measures analyses of variance (ANOVAs) were used to examine whether the dependent variables significantly changed when the participants spoke at: higher vocal intensity vs. comfortable intensity level
14 Results: Comfortable vs. High Vocal Intensity Significant Differences Non-Significant SPL Subglottal air pressure Max flow declination rate Minimum glottal airflow LVI, LVT RCVI, RCVT ABVI,ABVT Peak to peak airflow Open quotient (OQ) Utterance length LVE RCVE ABVE
15 Mean data from the present speakers with PD show that speaking in noise while wearing the SpeechVive TM elicits both higher SPLs and Ps SPL P S Sound Pressure Level (db) Comf High Subglottal Pressure (cmh2o) Comf High
16 Increased MFDR reflects a narrowing of the airflow waveform and indicates improved acoustic/aerodynamic efficiency 550 MFDR Maximum Flow Declination Rate (l/s/s) Comf High
17 Minimum Glottal Air Flow Speakers with PD decreased their minimum flows during the closed portion of the vibratory cycle Implies that they obtained some improved adduction Changes to the intrinsic muscles of the larynx as a result of age are likely to affect adductory forces Minimum Flow (l/s) Comf High Makes it more difficult to change OQ 0
18 Lung Volume at Utterance Initiation and Termination Speakers with PD shifted to higher lung volume (LV) ranges (and RC volumes; not shown) High LV takes advantage of higher recoil pressures to help generate higher vocal intensity Lung Volume (%VC) Comf High This moved their lung 5 volumes closer to those for elderly adults in noise 0 EEL OC PD
19 Many of the speakers with PD had poor abdominal support for speech. e.g., the abdominal position at utterance initiation indicated that the diaphragm displaced the abdominal wall outward RC and AB positions in x-y Display Rib Cage Volume EEL Abdominal Volume -0.4
20 Utterance Length No changes in utterance length when the individuals spoke at higher SPL respiratory and laryngeal mechanisms of speakers were able to maintain utterance length at high Syllables Per Breath Group SPL 9.9 Comf High
21 Summary Mean data from the present speakers with PD show that speaking in noise while wearing the SpeechVive TM elicits both higher SPLs and Ps Participants were able to improve their underlying physiologic support Interaction of both the respiratory and laryngeal mechanisms allowed speakers with PD to increase their vocal intensity: Improved vocal fold adduction Sharpened the glottal airflow waveform; provided configuration to increase vocal intensity Improved use of higher lung and rib cage volumes to take advantage of recoil pressures to generate higher Ps and vocal intensities Significantly increased values of ABVI and ABVT indicate larger abdominal volumes, speakers with PD have less abdominal support at higher vocal intensity
22 SpeechVive Off SpeechVive On Male, 68 years old Hoehn and Yahr Scale: II mild-moderate Visual Analogue speech severity: 10% mild Speech Dimension Rating Scale: mildly hypophonic SPL increase: 8 db Ps increase: 2.8 cmh 2 O
23 Acknowledgements University at Buffalo Lab Staff Adrienne Ricchiazzi Molly Dinnen-Carey Purdue Lab Staff: Sandy Synder Ashley Guss Nicole Herndon Meghan Moran Elizabeth Morgan Taylor Remick Zeina Saba Jessica Shockey Sheena Srivastava Malinda Troyer Jillian Wendel Jennifer Cohen Laurel Donaldson Jaime Doolittle Melissa Johnson Funding: NIH NIDCD R01: 5R01DC9409 NIH NIDCD Supplement AMI Purdue Indiana CTSI Special Thanks to: Jim Jones and Kirk Foster for designing the electronics and building the SpeechViveTM devices Lata Krishnan, Ph.D., CCC- A, Christine Stocking, Au.D., JoAnn Hammer, Au.D., Susan Roberts, Au.D. for completing all the hearing examinations Beth Levendoski, CCC-SLP, Kitty Kubat, CCC-SLP, and Carol Sellers, CCC-SLP for assistance with data collection Team at AMIPurdue for their assistance in the development of SpeechViveTM
24 Glottal Airflow Measures Peak to Peak Airflow Minimum Airflow
25
26 Respiratory Function Measures EEL
Jessica E. Huber, Ph.D. Associate Professor Purdue University
Jessica E. Huber, Ph.D. Associate Professor Purdue University jhuber@purdue.edu Funding: National Institutes of Health, NIDCD (R01 DC9409) National Institutes of Health, NIDCD (R03 DC05731) Research Support
More informationSpeech and Voice Impairments in Individuals with PD. Jessica E. Huber, Ph.D. Associate Professor Purdue University
Speech and Voice Impairments in Individuals with PD Jessica E. Huber, Ph.D. Associate Professor Purdue University jhuber@purdue.edu Parkinson s Disease Progressive disorder which affects about 1 million
More informationCURRICULUM VITA Meghan Darling-White, Ph.D., CCC-SLP
CURRICULUM VITA Meghan Darling-White, Ph.D., CCC-SLP UNIVERSITY ADDRESS AND TELEPHONE NUMBER University of Wisconsin- Madison Waisman Center 1500 Highland Avenue Madison, WI 53705 Office: 608-890-0752
More informationClinical Assessment and Treatment of Respiration
CLINICAL ASSESSMENT AND TREATMENT OF RESPIRATION Jessica E. Huber, Ph.D. Professor Purdue University jhuber@purdue.edu Why Is Respiration Important? The respiratory system provides the support for the
More informationVOCALIZATION SUBSYSTEM RESPONSES TO A TEMPORARILY INDUCED UNILATERAL VOCAL FOLD PARALYSIS
University of Kentucky UKnowledge Theses and Dissertations--Rehabilitation Sciences Rehabilitation Sciences 2016 VOCALIZATION SUBSYSTEM RESPONSES TO A TEMPORARILY INDUCED UNILATERAL VOCAL FOLD PARALYSIS
More informationDisclosures and Acknowledgements
Voice and Speech Production in Parkinson s Disease and Multiple Sclerosis: Deborah Matheron, Ph.D., CCC SLP/L Assistant Professor, SUNY College at Cortland Long Island Speech Language Hearing Association,
More informationEffect of Age, Gender, and Repeated Measures on Intraoral Air Pressure in Normal Adults. Susan G. Hiss, Kathleen Treole, and Andrew Stuart
Intraoral Air Pressure 1 Running head: INTRAORAL AIR PRESSURE MEASURES IN ADULTS Effect of Age, Gender, and Repeated Measures on Intraoral Air Pressure in Normal Adults Susan G. Hiss, Kathleen Treole,
More informationExpiratory Retraining Techniques BY: SARAH LEWIS
Expiratory Retraining Techniques BY: SARAH LEWIS What is Expiratory Retraining? Expiratory retraining techniques include various procedures one may use to alter the ways in which air is expelled from the
More informationThe Effects of Specific Respiratory Muscle Training on the Speech Intelligibility of a Patient with Parkinson s Disease
The Effects of Specific Respiratory Muscle Training on the Speech Intelligibility of a Patient with Parkinson s Disease Vaneysa Hansen, M.A., SLP (C) & Barbara Mathers-Schmidt, PhD, SLP-CCC Western Washington
More informationChapter 1. Respiratory Anatomy and Physiology. 1. Describe the difference between anatomy and physiology in the space below:
Contents Preface vii 1 Respiratory Anatomy and Physiology 1 2 Laryngeal Anatomy and Physiology 11 3 Vocal Health 27 4 Evaluation 33 5 Vocal Pathology 51 6 Neurologically Based Voice Disorders 67 7 Vocal
More informationABSTRACT REPEATABILITY OF AERODYNAMIC MEASUREMENTS OF VOICE. by Courtney Rollins Garrison
ABSTRACT REPEATABILITY OF AERODYNAMIC MEASUREMENTS OF VOICE by Courtney Rollins Garrison The purpose of this study was to compare baseline aerodynamic measurements of voice to measurements repeated after
More informationIdiopathic Parkinson s disease (IPD) affects as many as 10% of Americans. Speech Motor Stability in IPD: Effects of Rate and Loudness Manipulations
Speech Motor Stability in IPD: Effects of Rate and Loudness Manipulations Jennifer Kleinow Anne Smith Department of Audiology and Speech Sciences Purdue University West Lafayette, IN Lorraine Olson Ramig
More informationCURRICULUM VITAE Kelly C. Richardson, Ph.D. Department of Communicative Disorders and Sciences
CURRICULUM VITAE Kelly C. Richardson, Ph.D. Business University of Massachusetts Amherst Address: School of Public Health and Health Sciences Department of Communication Disorders 358 N. Pleasant Street,
More informationCURRICULUM VITAE Jessica E. Huber, Ph.D.
CURRICULUM VITAE Jessica E. Huber, Ph.D. UNIVERSITY ADDRESS AND TELEPHONE NUMBER Purdue University College of Health and Human Sciences Department of Speech, Language, and Hearing Sciences Lyles-Porter
More informationCURRICULUM VITAE Jessica E. Huber, Ph.D.
CURRICULUM VITAE Jessica E. Huber, Ph.D. UNIVERSITY ADDRESS AND TELEPHONE NUMBER Purdue University College of Health and Human Sciences Department of Speech, Language, and Hearing Sciences Lyles-Porter
More informationA retrospective study of long-term treatment outcomes for reduced vocal intensity in hypokinetic dysarthria
Watts BMC Ear, Nose and Throat Disorders (2016) 16:2 DOI 10.1186/s12901-016-0022-8 RESEARCH ARTICLE Open Access A retrospective study of long-term treatment outcomes for reduced vocal intensity in hypokinetic
More informationAccuracy of perceptual and acoustic methods for the detection of inspiratory loci in spontaneous speech
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Special Education and Communication Disorders Faculty Publications Department of Special Education and Communication Disorders
More informationAn Aerodynamic Evaluation of Parkinsonian Dysarthria: Laryngeal and Supralaryngeal Manifestations*
Haskins Laboratories Status Report on Speech Research 1992, SR 111/112, 13 11 An Aerodynamic Evaluation of Parkinsonian Dysarthria: Laryngeal and Supralaryngeal Manifestations* L Carol Gracco,t Vincent
More informationImproving Communication in Parkinson's Disease: One Voice, Many Listeners. This session was recorded on: Tuesday, June 4, 2013 at 1:00 PM ET.
Parkinson s Disease Foundation PD ExpertBriefing: Understanding PD ExpertBriefing: the Progression of Parkinson s Led By: Ronald F. Pfeiffer, M.D. Improving Communication in Parkinson's Disease: One Voice,
More informationSophia Neppel M.Cl.Sc (SLP) Candidate University of Western Ontario: School of Communication Sciences and Disorders
Critical Review: What is the evidence of the effectiveness of Lee Silverman Voice Treatment (LSVT) in increasing speech intensity in individuals with non-hypokinetic dysarthria?* Sophia Neppel M.Cl.Sc
More informationVoice Analysis in Individuals with Chronic Obstructive Pulmonary Disease
ORIGINAL ARTICLE Voice Analysis in Individuals with Chronic 10.5005/jp-journals-10023-1081 Obstructive Pulmonary Disease Voice Analysis in Individuals with Chronic Obstructive Pulmonary Disease 1 Anuradha
More informationAn Example of the Role of Basic Science Research to Inform the Treatment of Unilateral Vocal Fold Paralysis
An Example of the Role of Basic Science Research to Inform the Treatment of Unilateral Vocal Fold Paralysis Sid Khosla Department of Otolaryngology/Head & Neck Surgery, University of Cincinnati School
More informationJitter, Shimmer, and Noise in Pathological Voice Quality Perception
ISCA Archive VOQUAL'03, Geneva, August 27-29, 2003 Jitter, Shimmer, and Noise in Pathological Voice Quality Perception Jody Kreiman and Bruce R. Gerratt Division of Head and Neck Surgery, School of Medicine
More information9/29/2017. Stuttering Therapy Workshop. Objectives today: Holistic Treatment. Data collection
Stuttering Therapy Workshop Ashlen Thomason, Ph.D., CCC-SLP Objectives today: Fluency Shaping Stuttering Modification Counseling components Goal-writing Data collection Ideas for therapy activities Holistic
More informationNeurolaryngology and Neurogenic Voice Disorders. Introduction. If it walks like a duck.. Erin Guidera, MS, CCC-SLP 4/8/17
Neurolaryngology and Neurogenic Voice Disorders Erin Guidera, MS, CCC-SLP 4/8/17 Introduction Changes in vocal quality and speech can be the presenting symptom of underlying neurological disorders (e.g.,
More informationwww.optimalsp.com.au What may happen to breathing, voice and swallow in PD? Muscles of breathing, voice and speech can be subject to the same disease processes as other muscle groups in PD Slowness, stiffness,
More informationYour Voice Can Get Old, Too
This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues, clients or customers visit http://www.djreprints.com. http://www.wsj.com/articles/your-voice-can-get-old-too-1477326119
More informationSpeech Generation and Perception
Speech Generation and Perception 1 Speech Generation and Perception : The study of the anatomy of the organs of speech is required as a background for articulatory and acoustic phonetics. An understanding
More informationCopyright of LSVT Global, Inc
Freezing in PD: Tricky, Sticky Situations: I m not cold, but my feet want to stick and my words won t come out! Laura Gusé, MPT, MSCS LSVT BIG Training and Certification Faculty, LSVT Global, Inc. Elizabeth
More informationEffects of Multi-talker Noise on the Acoustics of Voiceless Stop Consonants in Parkinson's Disease
Western Papers in Linguistics / Cahiers linguistiques de Western Volume 3 Proceedings of Western Interdisciplinary Student Symposium on Language Research (WISSLR) 2016 Article 2 July 2016 Effects of Multi-talker
More informationThe effect of wearing conventional and level-dependent hearing protectors on speech production in noise and quiet
The effect of wearing conventional and level-dependent hearing protectors on speech production in noise and quiet Ghazaleh Vaziri Christian Giguère Hilmi R. Dajani Nicolas Ellaham Annual National Hearing
More informationNIH Public Access Author Manuscript Behav Res Methods. Author manuscript; available in PMC 2013 December 01.
NIH Public Access Author Manuscript Published in final edited form as: Behav Res Methods. 2012 December ; 44(4): 1121 1128. doi:10.3758/s13428-012-0194-0. Accuracy of Perceptual and Acoustic Methods for
More informationBiomechanics of Voice
Biomechanics of Voice Stephen F. Austin, M.M., Ph.D. Chair, Division of Vocal Studies College of Music University of North Texas Goals: To offer medical professionals a review of the function of the vocal
More information2012, Greenwood, L.
Critical Review: How Accurate are Voice Accumulators for Measuring Vocal Behaviour? Lauren Greenwood M.Cl.Sc. (SLP) Candidate University of Western Ontario: School of Communication Sciences and Disorders
More informationNIH Public Access Author Manuscript Folia Phoniatr Logop. Author manuscript; available in PMC 2014 June 09.
NIH Public Access Author Manuscript Published in final edited form as: Folia Phoniatr Logop. 2003 ; 55(1): 17 27. Lip Kinematics for /p/ and /b/ Production during Whispered and Voiced Speech Masahiko Higashikawa
More informationTreatment of Speech Impairments in Individuals with. Parkinson Disease
Treatment of Speech Impairments in Individuals with : Principles of Motor Learning Jason A. Whitfield, Ph.D., CCC SLP Assistant Professor Communication Sciences and Disorders Bowling Green State University
More informationEssential Speech Skills for School-Age Children Who Stutter
Essential Speech Skills for School-Age Children Who Stutter Presented by: Mark Allen, Ph.D. CCC-SLP Center for Stuttering Therapy 820 Gaffield Place Evanston, IL 60201 email: markallen@cfst.com internet:
More informationAEROWIN RT: CLINCAL APPLICATION
MOTOR SPEECH DISORDERS Track Aug 2003 -COVER PAGE- AEROWIN RT: CLINCAL APPLICATION for MOTOR SPEECH DISORDERS Rajesh Vantipalli rajeshv@ku.edu 785-864-0650 Steven Barlow smbarlow@ku.edu 785-864-0632 785-864-4403
More informationOriginal Article. Clinical Archives of Communication Disorders / Vol. 2, No. 1:15-22 / April 2017 INTRODUCTION
Original Article http://e-cacd.org/ eissn: 2287-903X Clinical Archives of Communication Disorders / Vol. 2, No. 1:15-22 / April 2017 https://doi.org/10.21849/cacd.2017.00024 Open Access Aerodynamic Parameters
More informationCommon complaints included: "No one can hear me!" "My voice wears out too quickly." "My throat feels so tight and strained."
PART ONE OF THREE ARTICLES The George Washington University Speech and Hearing Center in Washington DC has treated clients with voice problems since the 1970 s. One of the most common vocal issues that
More informationEffects of Divided Attention on Speech in Parkinson's Disease
Brigham Young University BYU ScholarsArchive All Theses and Dissertations 2018-03-01 Effects of Divided Attention on Speech in Parkinson's Disease Melissa Inkley Brigham Young University Follow this and
More informationRespiration & Trunk control The Great Connection. Brief Review of Normal Development of the Rib Cage
Respiration & Trunk control The Great Connection. are part of a complex combination of interactive systems. Muscles of respiration are part of the musculature of dynamic postural control. First 3 Years
More informationCleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563. Key Components of Cleft Palate Speech.
Cleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563 Key Components of Cleft Palate Speech Disorder Type of Disorder/ Causes Hypernasality Resonance Disorder insufficiency
More informationHoarseness. Common referral Hoarseness reflects any abnormality of normal phonation
Hoarseness Kevin Katzenmeyer, MD Faculty Advisor: Byron J Bailey, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation October 24, 2001 Hoarseness Common referral
More informationSPEAKING DYSPNEA: EFFECT OF BREATHING DISCOMFORT ON SPEAKING IN PEOPLE WITH COPD SHERIDAN LEIGH PEARSON. A Thesis Submitted to The Honors College
1 SPEAKING DYSPNEA: EFFECT OF BREATHING DISCOMFORT ON SPEAKING IN PEOPLE WITH COPD By SHERIDAN LEIGH PEARSON A Thesis Submitted to The Honors College In Partial Fulfillment of the Bachelor s degree With
More informationLaryngeal Biomechanics: An Overview of Mucosal Wave Mechanics
Journal of Voice Vol. 7, No. 2, pp. 123-128 1993 Raven Press, Lt~l., New York Laryngeal Biomechanics: An Overview of Mucosal Wave Mechanics Gerald S. Berke and Bruce R. Gerratt Head and Neck Surgery, University
More informationYOGIC BREATHING Anatomy and Physiology of the Respiratory System
YOGIC BREATHING Anatomy and Physiology of the Respiratory System BREATHING Breath in, breath out. As long as you keep doing this you will never die! Breathing is an involuntary process. However unlike
More informationACOUSTIC AND PERCEPTUAL PROPERTIES OF ENGLISH FRICATIVES
ISCA Archive ACOUSTIC AND PERCEPTUAL PROPERTIES OF ENGLISH FRICATIVES Allard Jongman 1, Yue Wang 2, and Joan Sereno 1 1 Linguistics Department, University of Kansas, Lawrence, KS 66045 U.S.A. 2 Department
More informationEffects of speaker's and listener's environments on speech intelligibili annoyance. Author(s)Kubo, Rieko; Morikawa, Daisuke; Akag
JAIST Reposi https://dspace.j Title Effects of speaker's and listener's environments on speech intelligibili annoyance Author(s)Kubo, Rieko; Morikawa, Daisuke; Akag Citation Inter-noise 2016: 171-176 Issue
More informationLisa T. Fry, PhD Marshall University. Joseph C. Stemple, PhD University of Kentucky
Lisa T. Fry, PhD Marshall University Joseph C. Stemple, PhD University of Kentucky Muscular Components of Voice Disorders Resonance Requires balance among the 3 Phonation Disruption in 1 may perturb the
More informationWhy Can t I breathe? Asthma vs. Vocal Cord Dysfunction (VCD) Lindsey Frohn, M.S., CCC-SLP Madonna Rehabilitation Hospital (Lincoln, NE)
Why Can t I breathe? Asthma vs. Vocal Cord Dysfunction (VCD) Lindsey Frohn, M.S., CCC-SLP Madonna Rehabilitation Hospital (Lincoln, NE) Objectives Examine Vocal Cord Dysfunction Examine Exercise Induced
More informationThe Art of Choral Techniques
Source: Phillips, TKTS, p. 145/157. Main Sources for Images: Phillips, Kenneth. Teaching Kids to Sing (TKTS), 2nd ed. U.S.: Schirmer CENGAGE Learning, 2014. Doscher, Barbara. The Functional Unity of the
More informationSunshine Act Disclosure
A Laryngologist s Approach to Voice Presentation at the Nebraska Speech- Language-Hearing Association Fall Convention Thursday, September 27, 2018 15:45-16:45 Christopher M. Bingcang, MD Assistant Professor
More informationABSTRACT THE EFFECT OF INSPIRATORY MUSCLE STRENGTH TRAINING ON VENTILATION AND DYSPNEA DURING SIMULTANEOUS EXERCISE AND SPEECH
ABSTRACT THE EFFECT OF INSPIRATORY MUSCLE STRENGTH TRAINING ON VENTILATION AND DYSPNEA DURING SIMULTANEOUS EXERCISE AND SPEECH By: Jamie Eileen Luketic The demands placed on respiration during simultaneous
More informationSequential swallowing of thin liquids requires precisely. Lung Volume Measured During Sequential Swallowing in Healthy Young Adults.
JSLHR Article Lung Volume Measured During Sequential Swallowing in Healthy Young Adults Karen Wheeler Hegland, a,b Jessica E. Huber, c Teresa Pitts, a,b Paul W. Davenport, b and Christine M. Sapienza a,b
More informationA visual concomitant of the Lombard reflex
ISCA Archive http://www.isca-speech.org/archive Auditory-Visual Speech Processing 2005 (AVSP 05) British Columbia, Canada July 24-27, 2005 A visual concomitant of the Lombard reflex Jeesun Kim 1, Chris
More informationPhonatory Function Parameters in Females with Prolonged Usage of Inhaled Corticosteroids for Asthma: An Exploratory Laryngeal Aerodynamic Study
International Journal of Science and Healthcare Research Vol.4; Issue: 1; Jan.-March 2019 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 Phonatory Function Parameters in Females with
More informationSwallow-respiratory coordination. Liza Bergström, Leg. logoped.
Swallow-respiratory coordination Liza Bergström, Leg. logoped. Biological timeshare When we breathe, we don t swallow When we swallow, we don t breathe Body will always choose to breathe over anything
More informationCLOSED PHASE ESTIMATION FOR INVERSE FILTERING THE ORAL AIRFLOW WAVEFORM*
CLOSED PHASE ESTIMATION FOR INVERSE FILTERING THE ORAL AIRFLOW WAVEFORM* Jón Guðnason 1, Daryush D. Mehta 2,3, Thomas F. Quatieri 3 1 Center for Analysis and Design of Intelligent Agents, Reykyavik University,
More informationChapter Effects of Smoke on the Respiratory System Part 1 pages
Chapter 18.1 Effects of Smoke on the Respiratory System Part 1 pages 412-416 ETS (Environmental Tobacco Smoke) Environmental Tobacco Smoke = ETS The smoke exhaled by active smokers. This smoke affects
More informationAn assessment of the validity of a subjective hearing aid verification procedure
An assessment of the validity of a subjective hearing aid verification procedure Whitney M. Vineyard, B. A. AuD Research Project April, 211 University of Memphis Project Advisor Robyn M. Cox, PhD. Purpose
More informationLindsay De Souza M.Cl.Sc AUD Candidate University of Western Ontario: School of Communication Sciences and Disorders
Critical Review: Do Personal FM Systems Improve Speech Perception Ability for Aided and/or Unaided Pediatric Listeners with Minimal to Mild, and/or Unilateral Hearing Loss? Lindsay De Souza M.Cl.Sc AUD
More information7/13/2016. Copyright LSVT Global, Inc Plan for Webinar
Freezing in PD: Tricky, Sticky Situations: I m not cold, but my feet want to stick and my words won t come out! Heather Cianci, PT, MS, GCS LSVT BIG Training and Certification Faculty, LSVT Global, Inc.
More informationVoice Disorders in Medically Complex Children
Voice Disorders in Medically Complex Children Roger C. Nuss, MD, FACS Geralyn Harvey Woodnorth, M.A., CCC-SLP Department of Otolaryngology and Communication Enhancement Children s Hospital Boston Harvard
More informationVocal Hygiene. How to Get The Best Mileage From Your Voice
Vocal Hygiene How to Get The Best Mileage From Your Voice Speech and Voice Production Speech and voice are the result of a complex interplay of physical and emotional events. The first event is in the
More informationVocal Hygiene. How to Get The Best Mileage From Your Voice. Provincial Voice Care Resource Program Vancouver General Hospital
Vocal Hygiene How to Get The Best Mileage From Your Voice Provincial Voice Care Resource Program Vancouver General Hospital Gordon & Leslie Diamond Health Care Centre Vancouver General Hospital 4th Floor,
More informationMultimodal Assessment and Speech Perception Outcomes in Children with Cochlear Implants or Hearing Aids
Multimodal Assessment and Speech Perception Outcomes in Children with Cochlear Implants or Hearing Aids Karen Iler Kirk, Ph.D., CCC-SLP* Shahid and Ann Carlson Khan Professor and Head Department of Speech
More informationDr Sabah Mohammed Hassan. Consultant Phoniatrician
Consultant Phoniatrician King Abul Aziz University Hospital King Saud University Non-organic (Functional)Voice Disorders Introduction Etiological Classification Of Voice Disorders: 1-Organic. 2- Non-Organic
More informationPresented by. How LSVT LOUD and LSVT BIG Benefit People with Advanced Parkinson Disease. Plan for Webinar 2/10/2016. Copyright LSVT Global Inc.
How LSVT LOUD and LSVT BIG Benefit People with Advanced Parkinson Disease This work was supported, in part, by the: National Institutes of Health - R01 DC01150, R21DC006078, R21 NS043711, Michael J. Fox
More informationComparing Speech Movements in Different Types of Noise
Brigham Young University BYU ScholarsArchive All Theses and Dissertations 2014-07-11 Comparing Speech Movements in Different Types of Noise Sarah Jane Scott Brigham Young University - Provo Follow this
More informationDisclosures. Roadmap of Talk. Tremor Classification 2/4/2018. Are tremor disorders diagnosed in the limbs the same as those affecting speech?
Disclosures Zen and art of vocal mechanics: Vocal Tremor Financial: I am an affiliate instructor and receive royalties from MedBridge Inc related to my online courses on vocal tremor Julie Barkmeier Kraemer,
More informationA Prospective Crossover Trial of Botulinum Toxin Chemodenervation Versus Injection Augmentation for Essential Voice Tremor
The Laryngoscope VC 2017 The American Laryngological, Rhinological and Otological Society, Inc. A Prospective Crossover Trial of Botulinum Toxin Chemodenervation Versus Injection Augmentation for Essential
More informationABSTRACT FACTORS AFFECTING AERODYNAMIC MEASUREMENT IN PEDIATRIC AIRWAY PATHOLOGIES. By Meghan Kathleen McCarthy
ABSTRACT FACTORS AFFECTING AERODYNAMIC MEASUREMENT IN PEDIATRIC AIRWAY PATHOLOGIES By Meghan Kathleen McCarthy This study was a retrospective chart review designed to evaluate factors that impact the collection
More informationSpeech, Language, and Hearing Sciences. Discovery with delivery as WE BUILD OUR FUTURE
Speech, Language, and Hearing Sciences Discovery with delivery as WE BUILD OUR FUTURE It began with Dr. Mack Steer.. SLHS celebrates 75 years at Purdue since its beginning in the basement of University
More informationCochlear Implants and SSD: Initial Findings With Adults: Implications for Children
Cochlear Implants and SSD: Initial Findings With Adults: Implications for Children Doug Sladen, Ph.D. 14 th Symposium on Cochlear Implants in Children December 10-13, 2014 2014 MFMER slide-1 Ann Peterson,
More informationCOMMUNICATION AND SWALLOWING DISORDERS IN PARKINSON S DISEASE Challenges, Treatments, and Resources
COMMUNICATION AND SWALLOWING DISORDERS IN PARKINSON S DISEASE Challenges, Treatments, and Resources Rosemary B. Loftin, M.S. CCC/SLP Supervisor of Speech Pathology Services Mayo Clinic Hospital Arizona
More informationWhat happens when we can t communicate? Managing difficult communication challenges
What happens when we can t communicate? Managing difficult communication challenges Alicia Mould Speech and Language Therapist alicia.mould@sth.nhs.uk 1 Aims To improve the experience of health care for
More information-Rachel Naomi Remen. Respiratory System 1
Life is known only by those who have found a way to be comfortable with change and the unknown. Given the nature of life, there may be no security, but only adventure. Respiratory System 1 -Rachel Naomi
More information11 Music and Speech Perception
11 Music and Speech Perception Properties of sound Sound has three basic dimensions: Frequency (pitch) Intensity (loudness) Time (length) Properties of sound The frequency of a sound wave, measured in
More informationEvaluation of a Danish speech corpus for assessment of spatial unmasking
Syddansk Universitet Evaluation of a Danish speech corpus for assessment of spatial unmasking Behrens, Thomas; Neher, Tobias; Johannesson, René B. Published in: Proceedings of the International Symposium
More informationPatterns of respiratory coordination in children who stutter during conversation
University of Iowa Iowa Research Online Theses and Dissertations Spring 2014 Patterns of respiratory coordination in children who stutter during conversation Danielle Rae Werle University of Iowa Copyright
More informationSLHS 1301 The Physics and Biology of Spoken Language. Practice Exam 2. b) 2 32
SLHS 1301 The Physics and Biology of Spoken Language Practice Exam 2 Chapter 9 1. In analog-to-digital conversion, quantization of the signal means that a) small differences in signal amplitude over time
More informationCorrelating Speech and Voice Features of Transgender Women with Ratings of Femininity and Gender
University of Rhode Island DigitalCommons@URI Open Access Master's Theses 2018 Correlating Speech and Voice Features of Transgender Women with Ratings of Femininity and Gender Kimberly Dahl University
More informationSYLLABUS FOR PH.D ENTRANCE TEST IN SPEECH AND HEARING
SYLLABUS FOR PH.D ENTRANCE TEST IN SPEECH AND HEARING 1) ADVANCES IN SPEECH SCIENCE. a) Life span changes in speech mechanism including developmental milestones b) Physiology of Speech production: Respiratory
More informationShaheen N. Awan 1, Nancy Pearl Solomon 2, Leah B. Helou 3, & Alexander Stojadinovic 2
Shaheen N. Awan 1, Nancy Pearl Solomon 2, Leah B. Helou 3, & Alexander Stojadinovic 2 1 Bloomsburg University of Pennsylvania; 2 Walter Reed National Military Medical Center; 3 University of Pittsburgh
More informationAnalysis of the Audio Home Environment of Children with Normal vs. Impaired Hearing
University of Tennessee, Knoxville Trace: Tennessee Research and Creative Exchange University of Tennessee Honors Thesis Projects University of Tennessee Honors Program 5-2010 Analysis of the Audio Home
More informationNURSE-UP RESPIRATORY SYSTEM
NURSE-UP RESPIRATORY SYSTEM FUNCTIONS OF THE RESPIRATORY SYSTEM Pulmonary Ventilation - Breathing Gas exchanger External Respiration between lungs and bloodstream Internal Respiration between bloodstream
More informationSapienza, C.M. (2008, invited). Respiratory muscle strength training. Current Opinion in Otolaryngology and Head and Neck Surgery, 16, 3,
Pitts, T., Bolser, D., Rosenbek, J., Troche, M., & Sapienza, C. (2008). Voluntary cough production and swallow dysfunction in Parkinson's disease. Dysphagia, 23, 3, 297-301. Epub ahead of print. Cough
More informationVocal fold hydration: Current knowledge and Future directions. Research Goals 10/8/2015. Sivasankar 1
Vocal fold hydration: Current knowledge and Future directions Preeti M. Sivasankar, Ph.D., CCC-SLP Professor Purdue University msivasan@purdue.edu Research Goals To identify factors that increase a speaker
More informationWebinar Presenters. LSVT BIG : Evidence-Based Physical and Occupational Therapy for Parkinson s Disease. Plan for Webinar 1/25/2016
LSVT : Evidence-Based Physical and Occupational Therapy for Parkinson s Disease Supported, in part by research grants: R01 DC01150, R21 RFA-NS-02-006, R21 DC006078, R21 NS043711 Plan for Webinar Logistics
More informationSupplementary Online Content
Supplementary Online Content Wang C-C, Chang M-H, Jiang R-S, et al. Laryngeal electromyography-guided hyaluronic acid vocal fold injection for unilateral vocal fold paralysis: a prospective long-term follow-up
More information1 Announcing Your Speaking Voice 2 Current Trends More Program choices and increased specialization increase in importance of one-to-one contact
1 Announcing Your Speaking Voice 2 Current Trends More Program choices and increased specialization increase in importance of one-to-one contact between announcer and audience ongoing regulatory debate
More informationSun City Texas Computer Club. October 12, 2017
Sun City Texas Computer Club October 12, 2017 Enhance Weak Speech To Better Communicate with Hearing Loss Dr. Natasha Dewald, AuD Hears To You Natasha@HearsToYouTx.com Dr. Natasha Dewald Education Undergraduate
More informationFitting Frequency Compression Hearing Aids to Kids: The Basics
Fitting Frequency Compression Hearing Aids to Kids: The Basics Presenters: Susan Scollie and Danielle Glista Presented at AudiologyNow! 2011, Chicago Support This work was supported by: Canadian Institutes
More informationMuse Wireless CROS System
Clinical Validation of the Muse Wireless CROS System Ashley Hughes, Au.D., & Chad Parrish Introduction Fitting individuals with unilateral hearing loss (UHL) or asymmetrical hearing loss can pose unique
More informationExpanded Cochlear Implant Candidacy Guidelines and Technology Advances
Expanded Cochlear Implant Candidacy Guidelines and Technology Advances University of Michigan Cochlear Implant Program Caroline Arnedt, AuD, CCC-A Financial- Employed by University of Michigan and receives
More informationIntroduction. Changes in speech as it relates to PD: Deep Brain Stimulation (DBS) and its impact on speech: Treatment for Speech Disturbance:
Introduction Speech is one of the most fundamental means of connecting with others and expressing our wants and needs. Speech difficulties, then, can result in significant challenges when interacting with
More informationIS THERE A STARTING POINT IN THE NOISE LEVEL FOR THE LOMBARD EFFECT?
IS THERE A STARTING POINT IN THE NOISE LEVEL FOR THE LOMBARD EFFECT? Pasquale Bottalico, Ivano Ipsaro Passione, Simone Graetzer, Eric J. Hunter Communicative Sciences and Disorders, Michigan State University,
More informationSingle channel noise reduction in hearing aids
Single channel noise reduction in hearing aids Recordings for perceptual evaluation Inge Brons Rolph Houben Wouter Dreschler Introduction Hearing impaired have difficulty understanding speech in noise
More informationOptimizing Dynamic Range in Children Using the Nucleus Cochlear Implant
Optimizing Dynamic Range in Children Using the Nucleus Cochlear Implant P. W. Dawson, J. A. Decker, and C. E. Psarros Objective: The aim of this study was to investigate the benefits of the preprocessing
More information