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This study examines whether cue integration in tone perception undergoes changes caused by disparities in language experience among two groups of multidialectal speakers from Changsha: participants in the dialect-preserving group speak Changsha dialect (CD), Changsha Plastic Mandarin (CPM), and Standard Mandarin (SM), whereas participants in the dialect-lost group speak CPM and SM but not CD. An identification test on T1 and T4 was conducted, both of which are present in the CD and CPM. T1 and T4 are associated with a high pitch, but they differ in pitch height, pitch contour, and voice quality. In particular, T4 is associated with a tense voice quality. The results showed that F0 height is the primary cue for distinguishing T1 and T4 by both groups. Voice quality affects the perception of the dialect-preserving group, but it does not have an impact on the perception of the dialect-lost group. Alternatively, F0 contour plays a more important role in T1/T4 perception for the dialect-preserving group than for the dialect-lost group. This suggests that differences in language experience caused by dialect loss affect the use of F0 and voice quality cues in tone perception., (© 2024 Acoustical Society of America.)

Objective: This study aims to explore the influence of vowels and sound intensity on formant, so as to provide reference for the selection of sound samples and vocal methods in acoustic detection. Methods: Thirty-eight healthy subjects, 19 male and 19 female, aged 19-24 years old were recruited. The formants of different vowels（/a/, //, /i/ and /u/） and different sound intensities（lowest sound, comfort sound, highest true sound and highest falsetto sound） were analyzed, and pairings were compared between groups with significant differences. Results: ①The vowels /a/ and // in the first formant were larger than /i/ and /u/, and /i/ was the largest in the second formant. The minimum value of the first formant is the lowest sound of /i/ and the maximum is the highest sound of /a/. ②In the first formant, the chest sound area increases with the increase of sound intensity, while the second formant enters the highest falsetto and decreases significantly. Conclusion: Different vowels and sound intensity have different distribution of formant, that is, vowel and sound intensity have different degree of influence on formant. According to the extreme value of the first formant, the maximum normal range is determined initially, which is helpful to improve the acoustic detection., Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose., (Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.)

Persian polar questions are characterized by a rise-fall followed by a low F0 plateau and a final rise. A production experiment was designed which systematically manipulated question length and the position of stress in the nuclear accented word in the question. Results revealed that distances between tones can strongly affect their scaling and alignment in predictable manner. With respect to scaling, our data show that the postnuclear low F0 target is realized considerably higher in short questions in which tonal crowding is more acute. This scaling adjustment of the L affects the following H tone, such that the final H is realized higher in tonal space, relative to the other crowding contexts. The results for duration show that in short questions, syllable duration is significantly lengthened so that there is room for tonal targets to be realized. In addition, the alignment data in this study suggest that crowding contexts incrementally affect the temporal adjustment of tonal targets. In some circumstances, tonal crowding results in anticipatory retraction of tones, while in others it results in carry-over tonal displacement depending on the direction of the prosodic pressure. These results can best be explained in an auto-segmental approach to intonational phonology in which intonation contours are treated as strings of distinct high and low tones associated with specific elements in the segmental string.

This study examined whether the discrimination accuracy of nonnative vowels could be predicted by how listeners assimilate nonnative phones into their L1. The results demonstrated that Japanese listeners discriminated between English /æ/ and /ʌ/ better than they did between /ɑ/ and /ʌ/, although they categorized all those stimuli as the Japanese /a/. Given that the acoustic distance between stimuli was controlled to be identical, this result was attributed not to the acoustic difference but to the category-goodness difference. The goodness-of-fit to the Japanese /a/ phoneme differed between the English /æ/ and /ʌ/ but not between the English /ɑ/ and /ʌ/, suggesting that it is more difficult to discriminate between vowels when the category-goodness difference between two nonnative stimuli is smaller. In addition, this study examined the relationship between perceptual assimilation and the focalization effect. Focalization affects directional asymmetry in a manner that renders detecting a sound change from a more-focal to a less-focal vowel more difficult than detecting a change in the opposite direction. The results demonstrated that this directional asymmetry is only observed when listeners assimilate two nonnative phones into a single L1 phonemic category, with no category-goodness difference between the two nonnative phones.

Constructed languages, frequently invented to support world-building in fantasy and science fiction genres, are often intended to sound similar to the characteristics of the people who speak them. The aims of this study are (1) to investigate whether some fictional languages, such as Orkish whose speakers are portrayed as villainous, are rated more negatively by listeners than, for example, the Elvish languages, even when they are all produced without emotional involvement in the voice; and (2) to investigate whether the rating results can be related to the sound structure of the languages under investigation. An online rating experiment with three 7-point semantic differential scales was conducted, in which three sentences from each of 12 fictional languages (Neo-Orkish, Quenya, Sindarin, Khuzdul, Adûnaic, Klingon, Vulcan, Atlantean, Dothraki, Na'vi, Kesh, ʕuiʕuid) were rated, spoken by a female and a male speaker. The results from 129 participants indicate that Klingon and Dothraki do indeed sound more unpleasant, evil, and aggressive than the Elvish languages Sindarin and Quenya. Furthermore, this difference in rating is predicted by certain characteristics of the sound structure, such as the percentage of non-German sounds and the percentage of voicing. The implications of these results are discussed in relation to theories of language attitude.

The standard Beijing variety of Mandarin has a clear alveolar-retroflex contrast for phonemes featuring voiceless sibilant frication (i.e., /s/, /ʂ/, /ʈs/, /ʈʂ/, /ʈsʰ/, /ʈʂʰ/). However, some studies show that varieties in the 'outer circle', such in Taiwan, have a reduced contrast for these speech sounds via a process known as 'deretroflexion'. The variety of Mandarin spoken in Singapore is also considered as 'outer circle', as it exhibits influences from Min Nan varieties. We investigated how bilinguals of Singapore Mandarin and English perceive and produce speech tokens in minimal pairs differing only in the alveolar/retroflex place of articulation. In all, 50 participants took part in two tasks. In Task 1, participants performed a lexical identification task for minimal pairs differing only the alveolar/retroflex place of articulation, as spoken by native speakers of two varieties: Beijing Mandarin and Singapore Mandarin. No difference in comprehension of the words was observed between the two varieties indicating that both varieties contain sufficient acoustic information for discrimination. In Task 2, participants read aloud from the list of minimal pairs while their voices were recorded. Acoustic analysis revealed that the phonemes do indeed differ acoustically in terms of center of gravity of the frication and in an alternative measure: long-term averaged spectra. The magnitude of this difference appears to be smaller than previously reported differences for the Beijing variety. These findings show that although some deretroflexion is evident in the speech of bilinguals of the Singaporean variety of Mandarin, it does not translate to ambiguity in the speech signal.

Listener-oriented accounts of phonetic enhancement propose that talkers produce enhanced vowels to increase clarity when their interlocutor might experience communicative difficulty, e.g., for non-native interlocutors or for an unpredictable word given the semantic context. While style-driven enhancement has been shown to be a listener-oriented modification, it is less clear if semantic predictability effects are implemented by the same mechanism. Using three listener conditions, in which listeners varied in language proficiency, and two predictability contexts, the current study investigated how talkers tailor their speech to accommodate the varying proficiencies of their listeners and to what extent semantic predictability effects can interact with listener-oriented processes. Talkers produced longer and more dispersed vowels when talking to the low-proficiency non-native listener relative to the native and high-proficiency non-native listeners. Further, vowels were longer in low predictability contexts relative to high predictability contexts. Finally, talkers increased vowel F2 in low predictability contexts relative to high predictability contexts only for the low-proficiency non-native listener. No differences were found for the native and high-proficiency non-native listeners. The findings suggest that assessment of listeners' needs affects phonetic enhancement, and listener-oriented processes may influence predictability effects for at least some acoustic measures in some conditioning contexts., (© 2024 Acoustical Society of America.)

Accurately detecting voiced intervals in speech signals is a critical step in pitch tracking and has numerous applications. While conventional signal processing methods and deep learning algorithms have been proposed for this task, their need to fine-tune threshold parameters for different datasets and limited generalization restrict their utility in real-world applications. To address these challenges, this study proposes a supervised voicing detection model that leverages recorded laryngograph data. The model, adapted from a recently developed CrossNet architecture, is trained using reference voicing decisions derived from laryngograph datasets. Pretraining is also investigated to improve the generalization ability of the model. The proposed model produces robust voicing detection results, outperforming other strong baseline methods, and generalizes well to unseen datasets. The source code of the proposed model with pretraining is provided along with the list of used laryngograph datasets to facilitate further research in this area., (© 2024 Acoustical Society of America.)

Many speech characteristics, including conventional acoustic features such as mel frequency cepstrum coefficients and mel-spectrograms, as well as pre-trained contextualized acoustic representations such as wav2vec2.0, are used in a deep neural network or successfully fine-tuned with a connectionist temporal classification for Mandarin tone classification. In this study, the authors propose a transformer-based tone classification architecture, TNet-Full, which uses estimated fundamental frequency (F0) values and aligned boundary information on syllables and words. Key components of the model framework are the contour encoder and rhythm encoder, as well as the cross-attention between contours and rhythms established in the interaction encoder. Using contextual tonal contours as a reference, as well as rhythmic information derived from duration variations to consolidate more on contour representations for tone recognition, TNet-Full achieves absolute performance improvements of 24.4% for read speech (from 71.4% to 95.8%) and 6.3% for conversational speech (from 52.1% to 58.4%) when compared to a naive, simple baseline transformer, TNet-base. The relative improvements are 34.2% and 12.1%. As humans perceive tones, contour abstractions of tones can only be derived from F0 sequences, and tone recognition would be improved if syllable temporal organization was stable and predictable instead of fluctuating as seen in conversations., (© 2024 Acoustical Society of America.)

Gender and language effects on the long-term average speech spectrum (LTASS) have been reported, but typically using recordings that were bandlimited and/or failed to accurately capture extended high frequencies (EHFs). Accurate characterization of the full-band LTASS is warranted given recent data on the contribution of EHFs to speech perception. The present study characterized the LTASS for high-fidelity, anechoic recordings of males and females producing Bamford-Kowal-Bench sentences, digits, and unscripted narratives. Gender had an effect on spectral levels at both ends of the spectrum: males had higher levels than females below approximately 160 Hz, owing to lower fundamental frequencies; females had ∼4 dB higher levels at EHFs, but this effect was dependent on speech material. Gender differences were also observed at ∼300 Hz, and between 800 and 1000 Hz, as previously reported. Despite differences in phonetic content, there were only small, gender-dependent differences in EHF levels across speech materials. EHF levels were highly correlated across materials, indicating relative consistency within talkers. Our findings suggest that LTASS levels at EHFs are influenced primarily by talker and gender, highlighting the need for future research to assess whether EHF cues are more audible for female speech than for male speech., (© 2024 Acoustical Society of America.)

A comprehensive literature review is conducted to summarize and discuss prior findings on how cochlear implants (CI) affect the users' abilities to produce and control vocal and articulatory movements within the auditory-motor integration framework of speech. Patterns of speech production pre- versus post-implantation, post-implantation adjustments, deviations from the typical ranges of speakers with normal hearing (NH), the effects of switching the CI on and off, as well as the impact of altered auditory feedback on vocal and articulatory speech control are discussed. Overall, findings indicate that CIs enhance the vocal and articulatory control aspects of speech production at both segmental and suprasegmental levels. While many CI users achieve speech quality comparable to NH individuals, some features still deviate in a group of CI users even years post-implantation. More specifically, contracted vowel space, increased vocal jitter and shimmer, longer phoneme and utterance durations, shorter voice onset time, decreased contrast in fricative production, limited prosodic patterns, and reduced intelligibility have been reported in subgroups of CI users compared to NH individuals. Significant individual variations among CI users have been observed in both the pace of speech production adjustments and long-term speech outcomes. Few controlled studies have explored how the implantation age and the duration of CI use influence speech features, leaving substantial gaps in our understanding about the effects of spectral resolution, auditory rehabilitation, and individual auditory-motor processing abilities on vocal and articulatory speech outcomes in CI users. Future studies under the auditory-motor integration framework are warranted to determine how suboptimal CI auditory feedback impacts auditory-motor processing and precise vocal and articulatory control in CI users., Competing Interests: Declaration of competing interest Authors declare that there are no competing interests associated with this manuscript., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Partial deafness is a condition characterised by normal hearing thresholds in low frequencies and increased hearing thresholds (nearly deafness) for high frequencies. Typical hearing aids are rather of a very limited use in this condition as they do not improve understanding of speech. Patients with partial deafness can be presently treated with cochlear implants, which had not been used before due to the risk of damage of hearing remains by electrode introduced into cochlea. The purpose of our study was an objective and subjective assessment of voice quality in partial deafness patients before and after cochlear implantation. The subjects in this study were 25 post-lingual, bilaterally partially deaf patients, 13 females and 12 males. The reference group composed of 55 normal hearing individuals (28 females and 27 males). The acoustic analysis was performed with a multidimensional voice analysis MDVP (Multi Dimension Voice Program), and the subjective assessment was done with GRBAS scale. Initial analysis of voice changes in partial deafness patients was performed versus normal hearing individuals, then voice parameters were measured and perceptual voice assessment was done before and 9 months after cochlear implantation. Measurements of acoustic voice parameters in partially deaf patients showed changes in most of frequency, amplitude, noise and subharmonic components versus normal hearing control group. The most significant, statistically important changes were observed in fundamental frequency variation (vF0), absolute jitter (Jita), jitter percent (Jitt), amplitude perturbation quotient (APQ), smoothed amplitude perturbation quotient (sAPQ), relative average perturbation (RAP), peak amplitude variation (vAm), relative amplitude modulation (Shim), percent shimmer (%Shim), pitch perturbation quotient (PPQ), smoothed pitched perturbation quotient (sPPQ), degree of subharmonics (DSH), degree of voiceless (DUV), number of subharmonic segments (NSH), noise-to-harmonic ratio (NHR), voice turbulence index (VTI). All patients in the study group were subjects to cochlear implantation. After 9 months objective and subjective assessment of patients` voices were performed again. Statistically important changes were identified in average fundamental frequency variability (vF0), relative amplitude modulation index (ShdB), noise-to-harmonic ratio (NHR), number of subharmonics NSH, degree of subharmonics (DSH) and the degree of voiceless (DUV). Comparison of the objective voice parameters changes after cochlear implantation with subjective, perceptual voice quality assessments leads to observation, that improvement of subjective voice quality after cochlear implantation takes place parallelly with improvement of certain objective acoustic voice parameters and some correlations exist. We found, that G correlates with vF0 and Shim, R correlates with DSH and NSH, B correlates with NSH and NHR, A correlates with DUV. We did not prove correlation of S with any of the objective parameters in our research group. Our study proved, that acoustic and perceptual features of voice in partially deaf adults are different than in normally hearing people and cochlear implantation in partial deafness patients is an effective tool to improve hearing and leads to improvement of the acoustic structure of the voice.Partial deafness is a condition characterised by normal hearing thresholds in low frequencies and increased hearing thresholds (nearly deafness) for high frequencies. Typical hearing aids are rather of a very limited use in this condition as they do not improve understanding of speech. Patients with partial deafness can be presently treated with cochlear implants, which had not been used before due to the risk of damage of hearing remains by electrode introduced into cochlea. The purpose of our study was an objective and subjective assessment of voice quality in partial deafness patients before and after cochlear implantation. The subjects in this study were 25 post-lingual, bilaterally partially deaf patients, 13 females and 12 males. The reference group composed of 55 normal hearing individuals (28 females and 27 males). The acoustic analysis was performed with a multidimensional voice analysis MDVP (Multi Dimension Voice Program), and the subjective assessment was done with GRBAS scale. Initial analysis of voice changes in partial deafness patients was performed versus normal hearing individuals, then voice parameters were measured and perceptual voice assessment was done before and 9 months after cochlear implantation. Measurements of acoustic voice parameters in partially deaf patients showed changes in most of frequency, amplitude, noise and subharmonic components versus normal hearing control group. The most significant, statistically important changes were observed in fundamental frequency variation (vF0), absolute jitter (Jita), jitter percent (Jitt), amplitude perturbation quotient (APQ), smoothed amplitude perturbation quotient (sAPQ), relative average perturbation (RAP), peak amplitude variation (vAm), relative amplitude modulation (Shim), percent shimmer (%Shim), pitch perturbation quotient (PPQ), smoothed pitched perturbation quotient (sPPQ), degree of subharmonics (DSH), degree of voiceless (DUV), number of subharmonic segments (NSH), noise-to-harmonic ratio (NHR), voice turbulence index (VTI). All patients in the study group were subjects to cochlear implantation. After 9 months objective and subjective assessment of patients` voices were performed again. Statistically important changes were identified in average fundamental frequency variability (vF0), relative amplitude modulation index (ShdB), noise-to-harmonic ratio (NHR), number of subharmonics NSH, degree of subharmonics (DSH) and the degree of voiceless (DUV). Comparison of the objective voice parameters changes after cochlear implantation with subjective, perceptual voice quality assessments leads to observation, that improvement of subjective voice quality after cochlear implantation takes place parallelly with improvement of certain objective acoustic voice parameters and some correlations exist. We found, that G correlates with vF0 and Shim, R correlates with DSH and NSH, B correlates with NSH and NHR, A correlates with DUV. We did not prove correlation of S with any of the objective parameters in our research group. Our study proved, that acoustic and perceptual features of voice in partially deaf adults are different than in normally hearing people and cochlear implantation in partial deafness patients is an effective tool to improve hearing and leads to improvement of the acoustic structure of the voice., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: Acoustic measurements are useful tools to objectively measure overall voice quality. The Acoustic Voice Quality Index (AVQI) has shown to be a valid multiparametric tool to objectify dysphonia severity. The increasing number of validity studies investigating AVQI's validity demands a comprehensive synthesis of the available outcomes., Objective of Review: The aim of the present meta-analysis is to quantify the evidence for the diagnostic accuracy of the AVQI, including its sensitivity, specificity and likelihood ratio statistics, and its concurrent validity and sensitivity to changes in auditory-perceptual voice quality ratings., Type of Review: Meta-analysis SEARCH STRATEGY: MEDLINE, EMBASE, the Cochrane library and Web of Science were searched from 2010 till April 2021 with an additional manual search, using keywords related to AVQI and common terminologies of validity outcomes. Studies considering the clinical validity of AVQI (ie, diagnostic accuracy, concurrent validity and sensitivity to change), using auditory-perceptual voice quality evaluation as reference, were included., Evaluation Method: The Preferred Reporting Items for Systematic reviews and Meta-Analyses of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines were used. Quality assessment of included studies was conducted using the QUADAS-2 tool. For the diagnostic accuracy of AVQI, the pooled sensitivity, specificity and likelihood ratio statistics were determined using a summary receiver operating characteristic approach. Weighted correlation coefficient measures (r W ¯) were used to assess the concurrent validity and sensitivity to change., Results: A total of 198 studies were screened and 33 articles were included. In total, voice samples of 11447, 10272, and 367 different subjects were considered for analysis of diagnostic accuracy, concurrent validity and change responsiveness, respectively. Satisfying diagnostic accuracy results were found with a pooled sensitivity of 0.83 (95% CI: 0.82-0.83), a pooled specificity of 0.89 (95% CI: 0.88-0.90), a pooled positive LR of 7.75 (95% CI: 6.04-9.95), a pooled negative LR of 0.20 (95% CI: 0.16-0.23), and a pooled diagnostic odds ratio of 47.13 (95% CI: 34.82-63.79). Summary receiver operating characteristic curve analysis showed an excellent AUC value of 0.937 and Q* index of 0.874. Strong correlations of r W ¯ = 0.838 for concurrent validity and r W ¯ = 0.796 for sensitivity to change were found., Conclusions: Our results confirm the general clinical utility of the AVQI as a robust and valid objective measure for evaluating overall dysphonia severity across languages and study methods., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: Pregnancy involves anatomical, physiological, and metabolic changes in a woman's body. However, the effects of these changes on the voice remains unclear, particularly regarding the clinical characteristics., Objectives: We aimed to evaluate changes in vocal and speech acoustic measures and the relationship between them and clinical aspects in women during pregnancy., Method: A prospective, longitudinal study was carried out with 41 low risk, adult, pregnant women, followed for prenatal care. Demographic and anthropometric data as well as lifestyle habits and health conditions were collected. Voice recordings of sustained vowels, and automatic and spontaneous speech were held over each trimester and analyzed by PRAAT®to evaluate acoustic, aerodynamic, and articulatory measures., Results: There were no changes in fundamental frequency, jitter, shimmer, and harmony to noise ratio during pregnancy. Maximum phonation time (MPT), pause rate, and pause duration reduced at the end of pregnancy. MPT was lower in sedentary pregnant women. The fundamental frequency peak rate was higher in eutrophic participants and lower in the third trimester in women with BMI ≥25 kg/m 2 . Pause rate was higher in pregnant women with BMI ≥25 kg/m 2 . There was no relationship between sleep quality, reflux, and vocal symptoms and acoustic and aerodynamic measures., Conclusions: Differences were shown in MPT and temporal pause measurements during pregnancy. Acoustic measurements did not change. There was a relationship between acoustic and aerodynamic measures and clinical variables (BMI, physical activity, and body mass gain)., Competing Interests: DECLARATION OF COMPETING INTEREST None., (Copyright © 2022. Published by Elsevier Inc.)

Objective: There is no normative voice dataset regarding the vocal capacity of Japanese speakers in the English literature. We collected age- and sex-stratified data on the vocal capacity of vocally healthy Japanese speakers., Methods: In total, 111 vocally healthy Japanese speakers (42 men and 69 women) were divided into the young (13 men and 30 women), middle-aged (18 men and 27 women), and elderly (11 men and 12 women) groups. Participants underwent duration-, intensity-, and pitch-related vocal capacity tests using either a conventional method or an aerodynamic method or both. The data obtained were statistically analyzed in terms of age and sex., Results: Overall, the duration- and pitch-related parameters measured by the conventional method were generally comparable to the previous results in the literature, while duration-, pitch-, and intensity-related parameters measured by the aerodynamic method differed significantly from them. Significant sex differences were noted in all parameters in the duration-, intensity-, and pitch-related vocal capacity tests. Furthermore, significant age-related changes were observed in all parameters, except for the mean flow rate and highest pitch measured by the aerodynamic method., Conclusion: This study is the first to provide a sex- and age-stratified database of the normative vocal capacity data of Japanese speakers. However, further improvements will be needed in the assessment protocols, conditions, or devices used for the duration-, intensity-, and pitch-related vocal capacity tests in the aerodynamic method., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: Acoustic Breathiness Index (ABI) is an acoustic model which equates to the auditory-perceptual (A-P) measure of breathiness. Globally, ABI has been validated in multiple languages. To date, empirical studies validating ABI in the South Indian population have not been carried out. Moreover, there is only minimal evidence on the impact of language and gender on ABI., Objectives: This study attempted to validate ABI in languages of Malayalam and Kannada with "B" and "G" of GRBAS. The authors also examined the influence of language and gender on ABI., Methods: The authors retrospectively analyzed a dataset consisting of 160 voice samples (91 normophonic and 69 dysphonic). Five speech-language pathologists perceptually evaluated these samples on the GRBAS scale. PRAAT software was used to calculate ABI for each voice sample. The authors also determined the effects of language and gender on ABI. Following this, ABI's concurrent validity and diagnostic accuracy were examined relating to "B" and "G" of the GRBAS scale., Results: The judges reached a moderate agreement on the perceptual evaluation of voice quality. The authors observed neither language nor gender differences in ABI. The concurrent validity of ABI was strong (r = 0.761) when correlated against "B". Further, evaluations revealed that an ABI value of >3.66 could distinguish between breathy and non-breathy voice samples with an area under the curve of 0.816 (Sensitivity = 61.73%; Specificity = 94.93%). On the other hand, the concurrent validity of ABI in correlation with "G" did not yield the optimal result., Conclusions: ABI is a valid acoustic tool for identifying breathiness in the languages of Malayalam and Kannada. ABI correlates better with "B" than "G" on the GRBAS scale. ABI is independent of language and gender., Competing Interests: Disclosure Statement “The authors have no conflicts of interest to declare.”, (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives/hypothesis: The validity of cepstral analysis (Cepstral Peak Prominence [CPP] and Cepstral Peak Prominence-Smoothed [CPPS]) as an indicator of perceptual dysphonia was investigated in the Persian language STUDY DESIGN: Cross-sectional study., Methods: A total of 223 participants (159 with and 64 without dysphonia) uttered vowels /a/ and /i/, six standard sentences, and non-standard connected speech. All vocal samples were perceptually evaluated by three raters on a visual analog scale and put into four groups (normal voice, mild, moderate, and severe perpetual dysphonia). CPP and CPPS of sustained vowel /a/, reading the second standard sentence, and a sentence extracted from non-standard connected speech were established using "Praat" software. Statistical analysis involved a one-way factorial analysis of variance (ANOVA), Kruskal-Wallis H, Kendall's Tau-b correlation, t test, and receiver operating characteristics (ROC) curve., Results: The results showed that CPP of sustained vowels and reading the standard sentence and CPPS of sustained vowel differed significantly (P < 0.05), except between the normal voice and mild perpetual dysphonia groups (P > 0.05). The CPP of non-standard connected speech, CPPS of reading the standard sentence, and non-standard connected speech differed significantly between all groups (P < 0.05). The mean of cepstral analysis of all tasks, "averaged CPP," and "averaged CPPS" were significantly different between two groups of the normal voice and perceptual dysphonia (P < 0.05). Correlation between the cepstral analysis and the perceptual ratings demonstrated that the correlation coefficients for CPP and CPPS were between 0.4 and 0.6 (P < 0.05). ROC curve analysis revealed that the area under the ROC curve for "averaged CPP" and "averaged CPPS" was greater than 0.8 (P < 0.05). The values of 22.11 and 12.29 were determined as cut-off scores of "averaged CPP" and "averaged CPPS," respectively., Conclusions: Cepstral analysis was known as useful clinical tool for diagnosis of perpetual dysphonia and determining its severity level in the Persian language., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives: The majority of individuals with Parkinson's disease (PD) experience voice and speech problems during the course of the disease. Despite the importance of voice quality in communication and the documented disordered voice quality in PD, few studies have explored the effects of speech treatment on this variable., Study Design/methods: A parallel arm, unblinded randomized controlled trial (RCT) was conducted with two active comparators, LSVT LOUD (n = 23) and LSVT ARTIC (n = 20), and an inactive comparator group of untreated individuals with PD (n = 22). A group of 20 healthy adults was also included for pre-treatment analysis. Voice recordings were obtained pre-treatment, immediately post-treatment and at 6-month follow-up. The acoustic voice quality index (AVQI) is reported here as a secondary outcome measure of the RCT. Linear mixed-effects regression analysis was performed with AVQI and sound pressure level (SPL) as dependent variables. Pearson correlation coefficient analysis was also conducted to explore the relationship between voice quality and SPL., Results: Statistically significant improvements in AVQI and SPL from pre-treatment to post-treatment and follow-up were only observed in the LSVT LOUD group. Voice quality significantly improved only from pre-treatment to follow-up in the LSVT ARTIC group, whilst significant improvements in SPL were observed during maximum phonation only immediately post-treatment. No significant changes were observed in the untreated group., Discussion: This study investigated the effects of intensive speech treatment targeting voice or targeting articulation on voice quality, as measured by the AVQI, in individuals with PD. Findings indicate that voice-focused treatment leads to greater improvements in voice quality in this population., Competing Interests: DISCLOSURES Dr. Gemma Moya-Galé is employed by Long Island University, and has no relevant financial or nonfinancial relationships to disclose. Jennifer Spielman has been a paid consultant for LSVT Global since 2012. She currently receives consulting fees for research and training projects. She has a preference for the LSVT LOUD treatment protocol in her clinical practice. Dr. Lorraine Ann Ramig is employed as Chief Scientific Officer and has ownership interest in the for-profit company LSVT Global, Inc. She is in full compliance with Federal Statute 42 C.F.R. Part 50, Subpart F (see https://grants.nih.gov/grants/policy/coi/index.htm). She has disclosed any conflict of interest and her conflict of interest management plan has been approved by the Office of Conflict of Interest and Commitment at the University of Colorado, Boulder and she is in full compliance. Dr. Lorraine Ann Ramig reports funding from the National Institutes of Health and National Institute of Deafness and other Communicative Disorders (NIH-NIDCD) R01 DC 01150 during the conduct of the study. Dr. Luca Campanelli is employed by the University of Alabama, and has no relevant financial or nonfinancial relationships to disclose. Dr. Youri Maryn is employed by the Department of Otorhinolaryngology & Head and Neck Surgery, Sint-Augustinus Hospital (Wilrijk, Belgium); serves as professor at University College Ghent, University of Ghent and Université Catholique Louvain, for which he receives salaries. He is executive board member of Vlaamse Vereniging voor Logopedisten (Flemish Association of Speech-Language Therapists) for which he also receives a salary. He owns Phonanium (Lokeren, Belgium) and receives royalty payments from the sale of voice analysis products. He is post-doctoral researcher at University of Antwerp and received no compensation for this project., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives: Although vowels are of interest for acoustic analysis in clinics, there is no consensus regarding the effect of vowel selection on acoustic perturbation parameters. This study aimed to reveal the effects of Mandarin vowels on acoustic measurements., Study Design: A prospective observational study., Methods: This prospective observational study enrolled normal phonation Mandarin speakers at the Otolaryngology Department of the Eye & ENT Hospital affiliated with Fudan University from December 2020 to August 2021. This study recruited 107 normal-voiced Mandarin speakers (59 women and 49 men) with a median age of 26 (22, 33) years old. The objective measures included traditional acoustic parameters (fundamental frequency, harmonic-to-noise ratio, percent jitter, and percent shimmer) and cepstral analysis (smoothed cepstral peak prominence) of six Mandarin vowels (ɑ /a/, o /o/, e /ɤ/, i /i/, u /u/, ü /y/)., Results: The acoustic analysis revealed no significant differences in the fundamental frequency among vowels. The low vowel /a/ had the highest values for percent jitter and percent shimmer and the lowest harmonic-to-noise ratio value. The back vowel /u/ had the lowest cepstral measures (P < 0.05)., Conclusions: The acoustic analysis significantly varied across the different Mandarin vowels, and these differences must be considered for the effective clinical application of objective evaluations., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Introduction: Outcome measures describing acoustic voice quality and self-perceived vocal handicap are commonly used in clinical voice practice. Previous reports of the relationship between acoustic and self-perceived measures have found only limited associations, but it is unclear if acoustic measures associated with voice quality and self-perceived voice handicap change in a similar manner over the course of voice treatment. The current study, therefore, considered the relationship between the degree of change in Acoustic Voice Quality Index (AVQI) and Voice Handicap Index (VHI-30 and VHI-10) in dysphonic patients receiving treatment in a private practice voice clinic., Methods: Data were collected retrospectively from patient records of a private practice voice clinic over 80 consecutive months. For each patient, their voice disorder diagnosis, age, and biological sex were collected as well as pre-and post-treatment measures of the AVQI and VHI-30 or VHI-10 depending on which version was used. Correlations were calculated between the AVQI and VHI-30 and the AVQI and VHI-10 before and after treatment as well as for the percentage change of AVQI and VHI-30/VHI-10. Friedman and Kruskal-Wallis tests were used to determine the pre-and post-treatment effect and group differences respectively., Results: Seventy-eight patients were included in the analyses. The scores of the AVQI (χ²[1] = 24.01, P < 0.001), VHI-30 (χ²[1] = 18.00, P < 0.001), and VHI-10 (χ²[1] = 38.35, P < 0.001) all improved significantly after treatment. However, correlations between the AVQI and VHI-30, and the AVQI and VHI-10 were all non-significant, except for a moderate correlation between the AVQI and VHI-10 before treatment (r[43] = 0.31, P = 0.04). The percentage change of the AVQI and the VHI-30/VHI-10 did not correlate significantly., Conclusions: Voice therapy significantly improved acoustic and self-perceived vocal outcome measures. However, there was no significant relationship between these measures before or after treatment, nor was there a relationship in their degree of change. Results support the notion that VHI and AVQI measure unique constructs and that voice therapy can have a positive impact on both., Competing Interests: DECLARATION OF INTEREST Kristie Knickerbocker is the Chief Executive Officer and operator of a tempo Voice Center., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: The acoustic assessment of phonation after total laryngectomy is challenged by signal aperiodicity which makes frequency-based acoustic measures less reliable. This is important for patients who use esophageal voice since voice samples mostly include type III (highly aperiodic) and 4 (chaotic) signals. As such, using non-linear measures, which are better suited for aperiodic phonation, may be useful to investigate the relationship between acoustic signal characteristics and perception of esophageal voice quality., Objectives: This study aimed to investigate whether nonlinear dynamic acoustic methods, nonlinear energy difference Ratio (NEDR) and spectrum convergence ratio (SCR), were correlated with perceptual measures in subjects who used esophageal phonation., Methods: Thirty-one subjects who had undergone total laryngectomy and use esophageal voice as a rehabilitation method were included in this study. Expert and non-expert raters listened to the esophageal voice samples from the subjects and rated vowels and connected speech samples on a scale from 1 to 7 on dysphonia severity and intelligibility. In addition, non-linear acoustic analysis was performed to calculate NEDR and SCR. Analysis from the raters was compared to the non-linear acoustic analysis to find the correlation between the variables., Results: There were no significant correlations between any of the non-linear acoustic measures NEDR and SCR and the perceptual ratings at the significance level of 0.05. Correlations were calculated for each acoustic measure among the expert raters and among the non-expert raters in both connected speech samples and sustained vowel fragments., Conclusions: In conclusion, the nonlinear dynamic acoustic analyses of spectrum convergence ratio and nonlinear energy difference ratio do not have a significant correlation with perceptual measures of esophageal voice., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Objectives: The COVID-19 pandemic has affected the voice assessment protocols for dysphonic patients. In this study, we compared the changes in acoustic measures of the healthy population as well as dysphonic patients due to glottic insufficiency between the pandemic period requiring face masks and the prepandemic period when the masks were not essential. The clinical reliability of the acoustic measures with and without face masks was explored., Methods: A total of 120 patients (age = 42.3 ± 11.9 yrs) with glottic insufficiencies such as UVFP and sulcus vocalis and 40 healthy population (age = 40.5 ± 11.2 yrs) cohorts were enrolled during the pandemic period. Age- and gender-matched 120 patients and 40 healthy population cohorts who underwent voice assessment without face masks before the pandemic were enrolled as prepandemic controls. Acoustic measures and overall severity estimates of vowel and speech samples were compared, which included cepstral peak prominence (CPP), L/H spectral ratio (SR), their standard deviations, F0, jitter percent (Jitt), shimmer percent (Shim), noise-to-harmonic ratio (NHR), Cepstral Spectral Index of Dysphonia (CSID), and Acoustic Psychometric Severity Index of Dysphonia., Results: Both patients and healthy cohorts showed higher SRv and SRs but lower CSIDv during the pandemic compared to the prepandemic period. F0 of the healthy male controls during the pandemic was higher than during the prepandemic periods, while the CSIDs was lower for the pandemic period. The pandemic patient cohort showed lower σSRs compared to the prepandemic patient cohort. When the acoustic measures of patients were compared to the healthy population cohort, the patient cohort showed lower CPP and σCPPs, while higher σCPPv, Jitt, Shim, and NHR during both pandemic and prepandemic period. Overall, the area under the curve of the acoustic measures and overall severity estimates was similar between the mask and non-mask groups, although the AUC of the SR measures was poor., Conclusions: Wearing face masks during the pandemic did not compromise the overall reliability of the acoustic analysis in patients with glottic insufficiency, suggesting the current protocol of acoustic analysis can be carried out reliably while wearing a mask to ensure safety in the pandemic era., Competing Interests: Declaration of Competing Interest There are no potential conflicts of interest to disclose., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Vowels vary in their acoustic similarity across regional dialects of American English, such that some vowels are more similar to one another in some dialects than others. Acoustic vowel distance measures typically evaluate vowel similarity at a discrete time point, resulting in distance estimates that may not fully capture vowel similarity in formant trajectory dynamics. In the current study, language and accent distance measures, which evaluate acoustic distances between talkers over time, were applied to the evaluation of vowel category similarity within talkers. These vowel category distances were then compared across dialects, and their utility in capturing predicted patterns of regional dialect variation in American English was examined. Dynamic time warping of mel-frequency cepstral coefficients was used to assess acoustic distance across the frequency spectrum and captured predicted Southern American English vowel similarity. Root-mean-square distance and generalized additive mixed models were used to assess acoustic distance for selected formant trajectories and captured predicted Southern, New England, and Northern American English vowel similarity. Generalized additive mixed models captured the most predicted variation, but, unlike the other measures, do not return a single acoustic distance value. All three measures are potentially useful for understanding variation in vowel category similarity across dialects., (© 2024 Acoustical Society of America.)

This study examined the acoustic correlates of the alignment between lexical stress and narrow focus prosody in English and investigated how this alignment is learned by second language learners whose native language is prosodically distinct from English. A production experiment was conducted where native English speakers and Korean learners of English were asked to read aloud sentences with a narrow focus on trisyllabic words with various stress patterns (e.g., ánimal, Novémber, submaríne). In the native English productions, the stressed syllables were characterized by either a rising F0 contour (for word-initial stress) or increased periodic energy (for word-medial and -final stress). The Korean speakers (KSs) produced stressed syllables with a rising F0 contour regardless of stress position, differing from the native speakers, and they exhibited greater periodic energy for word-medial and -final stressed syllables, similar to the native speakers. In addition, the KSs with higher English proficiency showed more native-like patterns by exhibiting a post-focus F0 drop immediately after word-initial stressed syllables. These findings are discussed in the context of existing literature and potential factors contributing to the challenges observed in L2 prosody learning., (© 2024 Acoustical Society of America.)

This paper deals with study of formant and harmonic contours by processing the group delay (GD) spectrograms of speech signals. The GD spectrum is the negative derivative of the phase spectrum with respect to frequency. Recent study shows that the GD spectrogram can be obtained without phase wrapping. Formant frequency contours can be observed in the display of the peaks of the instantaneous wideband equivalent GD spectrogram, derived using the modified single frequency filtering (SFF) analysis of speech signals. Harmonic frequency contours can be observed in the display of the peaks of the instantaneous narrowband equivalent GD spectrogram, derived using the modified SFF analysis of speech signals. For synthetic speech signals, the observed formant contours match the ground truth formant contours from which the signal is derived. For natural speech signals, the observed formant contours match approximately with the given ground truth formant contours mostly in the voiced regions. The results are illustrated for several randomly selected utterances from the TIMIT database. While this study helps to observe the contours of formants in the display, automatic extraction of the formant frequencies needs further processing, requiring logic for eliminating the spurious points, without forcing the number of formants., (© 2024 Acoustical Society of America.)

Objective: to compare the immediate effects of low-frequency TENS employment on vocal quality in women with behavioral dysphonia before and after vocal exercises. Methodology: 30 women (mean = 31.3 years old), diagnosed with behavioral dysphonia received low-frequency TENS before (TENS + VE Group) and after vocal exercises (VE + TENS Group) with a 1-week washout. They had their sustained vowel/a/and running speech recorded before and after each procedure for auditory-perceptual analysis and acoustic measures. The low-frequency TENS parameters applied were symmetrical biphasic quadratic pulse, 200 µs phase, 10 Hz frequency, intensity on the motor threshold, and the electrodes were positioned on the submandibular and superior fibers of the trapezius muscle region. The vocal exercises: tongue trill, humming, finger kazoo, and water resistance therapy were performed totalizing 20 min. Results: intragroup analysis of sustained vowel/a/showed reduction in both groups of strain parameter and increased the breathiness; only VE + TENS Group increased the instability parameter, decreased fundamental frequency, and increased in SPI values; the running speech analysis showed an increase in the overall degree, roughness, and breathiness parameters. However, in VE + TENS Group, there was a statistically significant decrease in the intensity of the strain and an increase in breathiness. The acoustic measures showed that VE + TENS Group had a higher variation than TENS + VE Group regarding NHR. Conclusion: vocal exercises followed by low-frequency TENS have more immediate positive effects on voice quality than the low-frequency TENS followed by vocal exercises. This is a preliminary immediate effects study, and these effects could be verified through long-term assessments.

A growing number of studies in forensic voice comparison have explored how elements of phonetic analysis and automatic speaker recognition systems may be integrated for optimal speaker discrimination performance. However, few studies have investigated the evidential value of long-term speech features using forensically-relevant speech data. This paper reports an empirical validation study that assesses the evidential strength of the following long-term features: fundamental frequency (F0), formant distributions, laryngeal voice quality, mel-frequency cepstral coefficients (MFCCs), and combinations thereof. Non-contemporaneous recordings with speech style mismatch from 75 male Australian English speakers were analyzed. Results show that 1) MFCCs outperform long-term acoustic phonetic features; 2) source and filter features do not provide considerably complementary speaker-specific information; and 3) the addition of long-term phonetic features to an MFCCs-based system does not lead to meaningful improvement in system performance. Implications for the complementarity of phonetic analysis and automatic speaker recognition systems are discussed., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Purpose: The goal of this study was to determine the relationship between the perceptual measure of speech naturalness and objective measures of pitch, loudness, and rate control as a potential tool for assessment of ataxic dysarthria., Method: Twenty-seven participants with ataxia and 29 age- and sex-matched control participants completed the pitch glide and loudness step tasks drawn from the Frenchay Dysarthria Assessment-Second Edition (FDA-2) in addition to speech diadochokinetic (DDK) tasks. First, group differences were compared for pitch variability in the pitch glide task, loudness variability in the loudness step task, and syllable duration and speech rate in the DDK task. Then, these acoustic measures were compared with previously collected ratings of speech naturalness by speech-language pathology graduate students., Results: Robust group differences were measured for pitch variability and both DDK syllable duration and speech rate, indicating that the ataxia group had greater pitch variability, longer DDK syllable duration, and slower DDK speech rate than the control group. No group differences were measured for loudness variability. There were robust relationships between speech naturalness and pitch variability, DDK syllable duration, and DDK speech rate, but not for loudness variability., Conclusions: Objective acoustic measures of pitch variability in the FDA-2 pitch glide task and syllable duration and speech rate in the DDK task can be used to validate perceptual measures of speech naturalness. Overall, speech-language pathologists can incorporate both perceptual measures of speech naturalness and acoustic measures of pitch variability and DDK performance for a comprehensive evaluation of ataxic dysarthria.

Previous research has shown that prosodic structure can regulate the relationship between co-speech gestures and speech itself. Most co-speech studies have focused on manual gestures, but head movements have also been observed to accompany speech events by Munhall, Jones, Callan, Kuratate, and Vatikiotis-Bateson [(2004). Psychol. Sci. 15(2), 133-137], and these co-verbal gestures may be linked to prosodic prominence, as shown by Esteve-Gibert, Borrás-Comes, Asor, Swerts, and Prieto [(2017). J. Acoust. Soc. Am. 141(6), 4727-4739], Hadar, Steiner, Grant, and Rose [(1984). Hum. Mov. Sci. 3, 237-245], and House, Beskow, and Granström [(2001). Lang. Speech 26(2), 117-129]. This study examines how the timing and magnitude of head nods may be related to degrees of prosodic prominence connected to different focus conditions. Using electromagnetic articulometry, a time-varying signal of vertical head movement for 12 native French speakers was generated to examine the relationship between head nod gestures and F0 peaks. The results suggest that speakers use two different alignment strategies, which integrate both temporal and magnitudinal aspects of the gesture. Some evidence of inter-speaker preferences in the use of the two strategies was observed, although the inter-speaker variability is not categorical. Importantly, prosodic prominence itself is not the cause of the difference between the two strategies, but instead magnifies their inherent differences. In this way, the use of co-speech head nod gestures under French focus conditions can be considered as a method of prosodic enhancement., (© 2024 Acoustical Society of America.)

This study investigates listeners' ability to track individual speakers' habitual speech rate in a dialogue and adjust their perception of durational contrasts. Previous studies that found such adjustments are inconclusive as adjustments can be attributed to exemplars of target structures in the dialogue rather than perceptual calibration of habitual speech rates. In this study, English listeners were presented with a dialogue between a fast and slow speaker, containing no stressed syllable-initial voiceless stops. Listeners then categorized /pi/-/bi/ syllables differing along a voice onset time continuum. Results did not show conclusive evidence that listeners' response differed systematically depending on speakers' habitual speech rate.

Background: Evidence across a range of musically trained, hearing disordered and voice disordered populations present conflicting results regarding the relationship between pitch discrimination (PD) and voice quality. PD characteristics of female speakers with and without a musical training background and no self-reported voice disorder, and the relationship between PD and voice quality in this particular population, have not been investigated., Aims: To evaluate PD characteristics in a cohort of female participants without a self-reported voice disorder and the relationship between PD and acoustic voice measures., Method: One hundred fourteen female participants were studied, all of whom self-reported as being non-voice disordered. All completed the Newcastle Assessment of Pitch Discrimination which involved a two-tone PD task. Their voices were recorded producing standardized vocal tasks. Voice samples were acoustically analyzed for frequency-domain measures (fundamental frequency and its standard deviation, and harmonics-to-noise ratio) and spectral-domain measures (cepstral peak prominence and the Cepstral/Spectral Index of Dysphonia). Data were analyzed for the whole cohort and for musical and non-musical training backgrounds., Results: In the whole cohort, there were no significant correlations between PD and acoustic voice measures. PD accuracy in musically trained speakers was better than in non-trained speakers and correlated with fundamental frequency standard deviation in prolonged vowel tasks. Vocalists demonstrated superior PD accuracy and fundamental frequency standard deviation in prolonged vowels compared to instrumentalists but did not show significant correlations between PD and acoustic measures. The Newcastle Assessment of Pitch Discrimination was a reliable tool, showing moderate-good prediction value in differentiating musical background., Conclusions: There was little evidence of a relationship between PD and acoustic measures of voice quality, regardless of musical training background and superior PD accuracy among the musically trained. These data do not support ideas concerning the co-development of perception and action among individuals identified as having voice quality measures within normal ranges. Numerous measures of voice quality, including measures sensitive to pitch, did not distinguish across musically and non-musically trained individuals, despite individual differences in pitch discrimination., Competing Interests: Competing interests The authors have no competing interests to declare in this study., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Objective: To examine the immediate impact of 30 minutes of targeted voice exercises on measures of vocal function and lesion characteristics in female speakers with phonotraumatic vocal fold lesions (PVFLs)., Study Design: Prospective cohort study., Method: Twenty-nine (n = 29) female subjects with PVFLs completed a 30 minutes targeted voice exercise protocol and a multidimensional voice analysis was conducted immediately pre and post-exercise. Analysis included expert perceptual evaluation of connected speech and stroboscopy recordings, instrumental analysis by selected aerodynamic and acoustic parameters, and self-ratings of effort and vocal function by participants. The direction and magnitude of the change from pre- to post-exercise for each individual across parameters was assessed against a Minimal Clinically Important Difference criteria., Results: Variability was observed among participants in their response to exercise and across parameters. Multidirectional change in function was demonstrated across instrumental parameters, with observations of both improvement and decline. The most consistent change observed was a reduced PTP post-exercises for 38% of participants (n = 11), and the greatest magnitude of change was observed in aerodynamic measures of airflow and pressure, and the acoustic parameter semitone range. Variability in the direction of change across instrumental measures was observed for 24% of participants (n = 7), while consistent improved function was seen for 45% (n = 13), declined function for 17% (n = 5) and no change for 14% (n = 4). Participant's self-reported effort and function post-exercise was also multidirectional, with the greatest number reporting improvement. Comparatively little change was observed in perceptual evaluation of speech and stroboscopy recordings. Findings suggest that individuals with all lesion types, sizes and liabilities have the potential to improve vocal function immediately post-exercises according to instrumental measures, with the greatest magnitude of change observed in participants with large lesions. Although participants' characteristics did not differentiate, those with nodules or polyps tended to report improvement in function and reduced effort post-exercise, whereas those with a diagnosis of pseudocyst/s or a unilateral lesion appeared to report no change or declined function., Conclusion: Change in measures of vocal function was observed in female speakers with PVFLs immediately following a 30 minutes targeted exercises protocol. Many demonstrated improvement but a high degree of variability was observed in the way speakers respond, and it is likely an individual's response is influenced by a range of factors. Self-rating scales, along with key instrumental parameters sensitive to the presence of PVFLs, may prove most useful in tracking initial change in the immediate and short-term duration in this population, and in assessing stimulability and candidacy for therapy. Further exploration is warranted of stimulability for immediate and cumulative change to achieve sustained improvement in function and efficiency across time., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: Acoustic Voice Quality Index (AVQI) has emerged in the recent past as a robust multiparametric voice quality evaluation tool. Two versions of AVQI derived using the program PRAAT have found extensive clinical and research applications. These versions have been validated in several languages around the world. However, no research reports are available on validation of AVQI in the South Indian population. Further, studies comparing the performance of the two versions of AVQI are limited in the literature., Objectives: This study was designed to validate and compare the two versions of AVQI (AVQIv02.02 and AVQIv03.01) in South Indian languages (Malayalam and Kannada)., Methods: A retrospective analysis of previously recorded voice samples was carried out on a total of 160 (91 normophonic and 69 dysphonic) voice samples. These samples were perceptually rated on a GRBAS scale by five experienced speech-language pathologists. Standardized Syllable Number (SSN) necessary to derive AVQIv03.01 was computed. Following this, these samples were analyzed to obtain the AVQIv02.02 and AVQIv03.01. The concurrent validity and diagnostic accuracy of these measures were then examined and compared., Results: A moderate agreement was obtained across the judges on perceptual evaluation of voice quality. SSN in Malayalam and Kannada languages were identified to be 29 and 25 syllables respectively. Language differences were not observed on both versions of AVQI. The concurrent validity of AVQIv03.01 (r = 0.788) was superior to that of AVQIv02.02 (r = 0.655). Further, the threshold of differentiating normophonic and dysphonic samples were determined to be >3.45 for AVQIv02.02 and >2.45 for AVQIv03.01., Conclusions: AVQIv03.01 is superior to AVQIv02.02 in terms of its diagnostic accuracy and concurrent validity. Current findings also extend the application of AVQI as a robust tool for the evaluation of voice characteristics to the South Indian population., Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Introduction: Patients undergoing maxillectomies may present alterations in the stomatognathic functions involved in oral communication. Rehabilitative treatment should favor the rescue of these functions, through surgical flaps, obturator prostheses or both., Objectives: The present study aims to present the impact of the use of the palatal obturator on the oropharyngeal geometry and on the voice of patients undergoing maxillectomies, after adaptation to trans-surgical palatine obturators (TPO)., Methods: Twelve patients treated at a Cancer Hospital, submitted to maxillectomy and rehabilitated during surgery were evaluated. The oropharyngeal geometry was measured by acoustic pharyngometry and the vocal parameters were evaluated through auditory-perceptual and acoustic analyses. The comparison between the results with and without TPO was analyzed using the Wilcoxon test and the correlation between oropharyngeal measurements and acoustic parameters using Spearman's correlation coefficient, all with a significance level of 5%., Results: There was a decrease in the following oropharyngeal measurements with the use of TPO: length of the pharyngeal cavity and vocal tract, volume of the oral cavity, pharyngeal and vocal tract and area of ​​the oropharyngeal junction. There was no difference in the length of the oral cavity and in the glottic area between situations with and without TPO. In the vocal evaluation, changes in intelligibility and resonance were observed in the situation without TPO and, in only one case, mild hypernasality was detected in the situation with TPO., Conclusions: It is concluded that the use of TPO brought the oropharyngeal measurements closer to normal values ​​and provided an improvement in speech intelligibility and vocal resonance in maxilectomized individuals., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

The normal functioning of the larynx or voicebox gives humans the ability to converse with others effortlessly. However, if the larynx is permanently removed due to injury or illness, speech cannot be produced. The electrolarynx, a noninvasive device used to produce speech for such persons, has a motor-induced hum which hinders telephone-based communication among electrolaryngeal speakers. This adversely affects the morale of electrolarynx users, leading to abandonment of technology, psychological issues and decreased quality of life. This paper examines a technique based on bandpass filtering of electrolaryngeal speech which has the potential of increasing the quality and intelligibility of speech produced by means of an electrolarynx. Finite impulse response and infinite impulse response filtering with bandpass frequencies analogous to telephone landline and wideband filtering were investigated. Objective testing and subjective testing of quality and intelligibility of electrolaryngeal speech have been performed in each phase of the work. Statistical analysis based on one-way analysis of variance (ANOVA) has been conducted after each round of subjective testing. Results indicate that the quality as well as intelligibility of electrolaryngeal speech can be improved with the help of bandpass filtering., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

In Korean, voiced oral stops can occur intervocalically as allophones of their voiceless lenis counterparts; they can also occur initially as variants of nasal stops as a result of initial denasalization (e.g., /motu/→[ b o d u] "all"). However, neither [ŋ] nor [ɡ] (the denasalized variant of the velar nasal) is allowed in the initial position due to the phonotactic restriction against initial [ŋ] in Korean. Given the distribution of nasal and voiced stops in Korean, this study draws on the idea of cue informativeness, exploring (a) whether Korean listeners' attention to nasality and voicing cues is based on the distributional characteristics of nasal and voiced stops, and (b) whether their attention can be generalized across different places of articulation without such linguistic experience. In a forced-choice identification experiment, Korean listeners were more likely than Taiwanese listeners to perceive items on the voiced oral-to-nasal stop continua as nasal when they occurred in the initial position than in the intervocalic position, with the exception of velar stops. The results demonstrate that the Korean listeners attended to the nasality cue more reliably in the medial position than in the initial position, since the nasality cue in this position is less informative due to initial denasalization. Two additional forced-choice identification experiments suggested that upon hearing initial velar nasal [ŋ], Korean listeners variably employed different perceptual strategies (i.e., vowel insertion and place change) to repair the phonotactic illegality. These findings provide support for exemplar models of speech perception in which cue attention is specific to the position of a word, and to segments rather than to features.

Purpose: This study reports on two experiments to examine vocal fold abduction and its relationship with relative fundamental frequency (RFF), considering two attributes that have been shown to elicit group differences in RFF: age (Experiment 1) and Parkinson's disease (PD; Experiment 2)., Methods: For both experiments, simultaneous acoustic and nasendoscopic recordings were collected as participants produced the utterance, /ifi/. RFF values were computed from the acoustic signal, whereas abduction duration and glottic angle at voicing offset were identified from the laryngoscopic images. In Experiment 1, 50 speakers with typical voices (18-83 years) were analyzed to examine (1A) the effects of speaker age on individual outcome measures (RFF, abduction duration, glottic angle) via Pearson's correlation coefficients, and (1B) the effects of abductory measures and age on RFF via an analysis of covariance. In Experiment 2, 20 speakers with PD and 20 matched controls were analyzed to examine (2A) the effects of group (with/without PD) on outcome measures via an analysis of variance, and (2B) the relationship of RFF with abduction duration, glottic angle, and age when considering group via an analysis of covariance., Results: Age demonstrated a significant, negative relationship with glottic angle (1A) but was not a significant factor when examining the relationship of vocal fold abduction and RFF (1B). Speaker group (with/without PD) demonstrated a significant effect on measures of RFF and abduction duration (2A) but was not a significant factor when examining the relationship of vocal fold abduction and RFF (2B)., Conclusions: RFF is sensitive to changes in vocal fold abductory patterns during devoicing, irrespective of speaker age or PD status., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Automatic voice pathology detection is a research topic, which has gained increasing interest recently. Although methods based on deep learning are becoming popular, the classical pipeline systems based on a two-stage architecture consisting of a feature extraction stage and a classifier stage are still widely used. In these classical detection systems, frame-wise computation of mel-frequency cepstral coefficients (MFCCs) is the most popular feature extraction method. However, no systematic study has been conducted to investigate the effect of the MFCC frame length on automatic voice pathology detection. In this work, we studied the effect of the MFCC frame length in voice pathology detection using three disorders (hyperkinetic dysphonia, hypokinetic dysphonia and reflux laryngitis) from the Saarbrücken Voice Disorders (SVD) database. The detection performance was compared between speaker-dependent and speaker-independent scenarios as well as between speaking task -dependent and speaking task -independent scenarios. The Support Vector Machine, which is the most widely used classifier in the study area, was used as the classifier. The results show that the detection accuracy depended on the MFFC frame length in all the scenarios studied. The best detection accuracy was obtained by using a MFFC frame length of 500 ms with a shift of 5 ms., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Introduction: Childhood and adolescence are essential stages in the development of voice and speech quality; therefore, it is essential to understand the vocal changes that occur during this period. Frequency-based measurement methods like cepstral measurements stand out among the methods described, which are able to identify f o and estimate the periodicity and noise in the acoustic wave without establishing individual cycles of the sound wave., Methods: Two hundred seventy-one recordings (128 female and 131 male) from children and adolescents aged 5 to 18 years with no vocal complaints were analyzed. Three speech-language pathologists assessed the vocal quality and determined as appropriate for the age. The recordings were divided into six age groups (G1:5-7; G2:8-9; G3:10-11; G4:12; G5:13-15 and G6:16-18 years old). Sustained production of the vowel /a/ were inspected and edited using the PRAAT software. Then, it was extract de Cepstrum Peak Prominence Smoothed (CPPS) using a script in the same software. A Two-way ANOVA was applied to investigate the effect of sex, age and sex*age interaction, followed by Bonferroni's correction for each gender separately. Finally, the Student's t test for independent samples was performed to compare genders within each age group., Results: Male children and adolescents from G5 and G6 had higher CPPS measures than G1, G2 and G3 (P ≤ 0.001). In addition, G6 also had higher values than G4 (P ≤ 0.001). There was no difference between age groups in the female group. In turn, sex differences were reported from 12 years of age onwards, with higher CPPS values found for male participants compared to female participants (P ≤ 0.01)., Conclusion: Vocal changes that usually occur from childhood to adolescence are reflected in the acoustic CPPS measure in males, resulting in higher values in the 13 to 18 years old. On the other hand, no changes in CPPS values were observed in the age groups of female participants. Males have higher CPPS values than females and that sex differences are reported after 12 years of age., (Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Background: Sustained vowels are important vocal tasks that have been investigated in discriminating voice disorders using acoustic analysis. To date, no study has combined vowel acoustic measures only that evaluate major aspects of the pathological voice signals in voice disorder discrimination., Aims: To investigate the value of vowel acoustic measures that quantify glottal noise, signal stability, signal periodicity, spectral slope and overall voice quality in discriminating female speakers with and without voice disorders., Methods & Procedures: Sustained vowel /ɑ/ samples were extracted from 133 voice-disordered female patients and 97 non-voice disordered female speakers and were signal typed prior to analysis. Praat software was used to measure harmonics-to-noise ratio (HNR), glottal-to-noise excitation ratio (GNE), the standard deviation of fundamental frequency (F0SD) and cepstral peak prominence (CPPp); and the Analysis of Dysphonia in Speech and Voice (ADSV) program was used to measure CPPadsv, low/high spectral ratio (LH) and the cepstral/spectral index of dysphonia (CSID). Outcome measures included sensitivity, specificity, and discrimination accuracy., Outcomes & Results: As individual acoustic measures, only spectral-based measures showed good (CPPadsv) and acceptable (CSID) discrimination results. The HNR, GNE and CPPp measures had acceptable sensitivity but poor or non-acceptable specificity and discrimination accuracy. Logistic regression models with all Praat measures (F0SD, HNR, GNE, CPPp) plus ADSV measures (CPPadsv, LH or CSID) provided excellent sensitivity, good-to-excellent specificity and excellent discrimination accuracy. ROC analysis for all individual measures showed that CPPadsv, CSID, CPPp, GNE and F0SD had the highest area under the curve (AUC) values., Conclusions & Implications: A combination of acoustic measures that evaluate the major aspects of vocal dysfunction resulted in good to excellent voice discrimination outcomes. Individual acoustic measures had lower discrimination ability than combined measures. The findings implied that acoustic measures extracted from a prolonged vowel were useful in voice disorder discrimination., What This Paper Adds: What is already known on this subject Acoustic measures hold great value in discriminating voice disorders from normal voices. However, no study has evaluated discrimination values of a combination of sustained vowel acoustic measures that quantify additive noise, signal stability, signal periodicity, spectral slope and overall voice quality in single-gender cohorts. Previous studies have not used signal typing (the classification of the acoustic signals) for time-based measures, impacting the reliability of discrimination. What this study adds to the existing knowledge This study was the first to implement signal typing to include sustained vowel samples of Types 1 and 2 signals for discrimination statistics. We showed that a combination of vocal acoustic measures using time- and spectral-based extraction from the sustained /ɑ/ vowel evaluating additive noise, signal stability, signal periodicity, spectral slope and overall voice quality resulted in good to excellent sensitivity, specificity and discrimination accuracy. As individual measures, traditional time-based measures such as HNR had rather limited discrimination values whilst spectral-based measures provided higher discrimination values. Measures that are sensitive to signal types have low discrimination ability. What are the potential or actual clinical implications of this work? The sustained vowel /ɑ/ is a relevant, universal vocal task for clinical application using acoustic measures to discriminate female speakers with and without voice disorders if signal typing is implemented. Clinical voice assessment using vowels may not be effective if relying solely on time-based measurements. Spectral-based measures perform better in voice disorder discrimination given their insensitivity to signal types. The most effective voice disorder discrimination could only be obtained using a combination of acoustic measures that quantify major phenomena in the signals of disordered voices. Using measures extracted from both programs, Praat and ADSV, is useful given that specific settings in a program may impact on discrimination accuracy., (© 2024 The Author(s). International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists.)

This study investigates whether downstep in Japanese is directly triggered by accents. When the pitch height of a word X is lower after an accented word (A) than after an unaccented word (U), X is diagnosed as downstepped. However, this diagnosis involves two confounding factors: the already lowered F0 before X and phonological phrasing. To control these factors, this study contrasts genitive and nominative case markers and adjusts measurement points. Eight native speakers of Tokyo Japanese participated in a production experiment. The results show six key findings. First, a structure-dependent F0 downtrend was observed in UX. Second, higher F0 peaks with larger initial lowering were observed after accents with a nominative case marker compared to those with a genitive case marker, suggesting a boosting effect by boundaries. Third, larger initial lowering was observed in AX compared to UX, contradicting the notion that X is more compressed in AX due to downstep. Fourth, the paradigmatic difference in F0 height between AX and UX decreases when F0 of X is increased, supporting that boundaries trigger downstep. Fifth, downstep is not physiologically constrained but is phonologically controlled. Finally, the blocking of initial lowering in heavy syllables is not phonological but rather an articulatory phenomenon., (© 2024 Author(s). All article content, except where otherwise noted, is licensed under a Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).)

For most of his illustrious career, Ken Stevens focused on examining and documenting the rich detail about vocal tract changes available to listeners underlying the acoustic signal of speech. Current approaches to speech inversion take advantage of this rich detail to recover information about articulatory movement. Our previous speech inversion work focused on movements of the tongue and lips, for which "ground truth" is readily available. In this study, we describe acquisition and validation of ground-truth articulatory data about velopharyngeal port constriction, using both the well-established measure of nasometry plus a novel technique-high-speed nasopharyngoscopy. Nasometry measures the acoustic output of the nasal and oral cavities to derive the measure nasalance. High-speed nasopharyngoscopy captures images of the nasopharyngeal region and can resolve velar motion during speech. By comparing simultaneously collected data from both acquisition modalities, we show that nasalance is a sufficiently sensitive measure to use as ground truth for our speech inversion system. Further, a speech inversion system trained on nasalance can recover known patterns of velopharyngeal port constriction shown by American English speakers. Our findings match well with Stevens' own studies of the acoustics of nasal consonants., (© 2024 Acoustical Society of America.)

Voice and speech production change with age, which can lead to potential communication challenges. This study explored the use of Landmark-based analysis of speech (LMBAS), a knowledge-based speech analysis algorithm based on Stevens' Landmark Theory, to describe age-related changes in adult speakers. The speech samples analyzed were sourced from the University of Florida Aging Voice Database, which included recordings of 16 sentences from the Speech Perception in Noise test of Bilger, Rzcezkowski, Nuetzel, and Rabinowitz [J. Acoust. Soc. Am. 65, S98-S98 (1979)] and Bilger, Nuetzel, Rabinowitz, and Rzeczkowski [J. Speech. Lang. Hear. Res. 27, 32-84 (1984)]. These sentences were read in quiet environments by 50 young, 50 middle-aged, and 50 older American English speakers, with an equal distribution of sexes. Acoustic landmarks, specifically, glottal, bursts, and syllabicity landmarks, were extracted using SpeechMark®, MATLAB Toolbox version 1.1.2. The results showed significant age effect on glottal and burst landmarks. Furthermore, the sex effect was significant for burst and syllabicity landmarks. While the results of LMBAS suggest its potential in detecting age-related changes in speech, increase in syllabicity landmarks with age was unexpected. This finding may suggest the need for further refinement and adjustment of this analytical approach., (© 2024 Acoustical Society of America.)

Purpose: The current study compared temporal and spectral acoustic contrast between vowel segments produced by speakers with dysarthria across three speech tasks-interactive, solo habitual, and solo clear., Method: Nine speakers with dysarthria secondary to amyotrophic lateral sclerosis participated in the study. Each speaker was paired with a typical interlocutor over videoconferencing software. The speakers produced the vowels /i, ɪ, ɛ, æ/ in /h/-vowel-/d/ words. For the solo tasks, speakers read the stimuli aloud in both their habitual and clear speaking styles. For the interactive task, speakers produced a target stimulus for their interlocutor to select among the four possibilities. We measured the duration difference between long and short vowels, as well as the F1/F2 Euclidean distance between adjacent vowels, and also determined how well the vowels could be classified based on their acoustic characteristics., Results: Temporal contrast between long and short vowels was higher in the interactive task than in both solo tasks. Spectral distance between adjacent vowel pairs was also higher for some pairs in the interactive task than the habitual speech task. Finally, vowel classification accuracy was highest in the interactive task., Conclusions: Overall, we found evidence that individuals with dysarthria produced vowels with greater acoustic contrast in structured interactions than they did in solo tasks. Furthermore, the speech adjustments they made to the vowel segments differed from those observed in solo speech.

Aim: The purpose of this study was to evaluate the improvement in acoustic and nasalance in patients with maxillary obturators, using PRAAT software., Materials and Methods: The current study comprised a total of 16 patients who had acquired maxillary defects. Regardless of gender, the age range of these patients was 40-75 years old. The total number of patients were randomly divided into two groups (8 participants in each group) namely (A) Interim obturator group and (B) Definitive obturator group. Analysis was done using PRAAT software for two speech parameters namely nasalance and acoustic value. The first stage of speech analysis was completed without the use of an obturator, whereas the second stage involved inserting the obturator on the same day. The third stage occurred 2 months after the usage of the obturator. The data were recorded and statistically analyzed., Results: In definitive obturator group, mean value for relative nasalance increases from before prosthesis (60.93 ± 3.34 db) to after 2 months of prosthesis (70.53 ± 2.24 db) while in interim group increased from 57.55 ± 4.31 db (before prosthesis) to 63.77 ± 3.66 db (after 2 months of prosthesis). This improvement was more marked with definitive obturator than interim obturator. The F2-F1 comparative mean value changed from before prosthesis to immediate after prosthesis in definitive group for /a/, /e/, and /u/ vowels was 9.77, 22, and 24.38, respectively. F2-F1 comparative mean changes from before prosthesis to after 2 months of prosthesis was 102, 75.75, and 87 for three vowels /a/, /e/, and /u/, respectively. Similarly, F2-F1 mean value in interim prosthesis group changes from before to after 2 months of prosthesis was 62.25, 27.62, and 1.75 for /a/, /e/, and /u/, respectively., Conclusion: On conclusion, the definitive obturators were well-tolerated by patients with major defects and the results show that maxillary resection significantly impairs speech and definitive obturator rehabilitation is effective in regaining nasalance and acoustic speech components., Clinical Significance: Speech disorders in maxillectomy patients are a significant clinical issue since the surgery results in hypernasality, which impairs a person's ability to understand their own speech. Either surgical techniques or prosthetic rehabilitation are used to correct these abnormalities. Certain people require prosthetics to fix their speech even after surgery. How to cite this article: Bhushan P, Thenumkal E, Khosla E, et al. Assessment of Acoustic and Nasalance Improvement in Maxillary Obturator Patients Using PRAAT Software: An In Vivo Study. J Contemp Dent Pract 2024;25(7):656-660.

The Kam language has experienced historical tonal splits, resulting in the development of a complex tonal system. However, there is still limited knowledge regarding the acoustic characteristics associated with aspiration-based tone splitting. This study aims to investigate the acoustic cues related to the tonal registers and laryngeal configurations in Donglei Kam, a dialect of Southern Kam. Sixteen native speakers of Donglei Kam participated, producing lexical tones. Statistical analyses were conducted to examine the acoustic distinctions between tonal registers, using measurements of voice onset time, spectral tilt, noise, and energy. The results indicated that Donglei Kam retained a two-way contrast of aspiration, albeit with a trend toward gradual loss. Additionally, a breathy voice was detected in the Ciyin tonal register, characterized by elevated spectral tilt values and spectral noise throughout the vowels. Moreover, machine learning classifiers effectively identified tonal registers using voice-quality data, suggesting that the phonation contrast between breathy and modal voice could contribute to the tonal split alongside pitch contrast. In summary, these findings enhance our understanding of the acoustic implementation of breathiness in Kam and offer valuable insights into the role of laryngeal contrast in tonal splits., (© 2024 Acoustical Society of America.)

Anticipatory coarticulation is a highly informative cue to upcoming linguistic information: listeners can identify that the word is ben and not bed by hearing the vowel alone. The present study compares the relative performances of human listeners and a self-supervised pre-trained speech model (wav2vec 2.0) in the use of nasal coarticulation to classify vowels. Stimuli consisted of nasalized (from CVN words) and non-nasalized (from CVCs) American English vowels produced by 60 humans and generated in 36 TTS voices. wav2vec 2.0 performance is similar to human listener performance, in aggregate. Broken down by vowel type: both wav2vec 2.0 and listeners perform higher for non-nasalized vowels produced naturally by humans. However, wav2vec 2.0 shows higher correct classification performance for nasalized vowels, than for non-nasalized vowels, for TTS voices. Speaker-level patterns reveal that listeners' use of coarticulation is highly variable across talkers. wav2vec 2.0 also shows cross-talker variability in performance. Analyses also reveal differences in the use of multiple acoustic cues in nasalized vowel classifications across listeners and the wav2vec 2.0. Findings have implications for understanding how coarticulatory variation is used in speech perception. Results also can provide insight into how neural systems learn to attend to the unique acoustic features of coarticulation., (© 2024 Acoustical Society of America.)

The purpose of this action research, scholarship of teaching and learning study was to develop and integrate effective, student-informed teaching methods for voice acoustics instruction in a graduate speech-language pathology voice disorders course. An online focus group was used to determine what aspects of voice acoustics to include in the course as well as how these aspects were to be covered. A blend of face-to-face, technology-assisted, and practice-based teaching/learning activities resulted from the focused group and were employed in the course. An open-ended application question was used to measure student learning regarding application of voice acoustics to the understanding of human voice. A summative assessment of student recall and application of voice acoustics to speech-language pathology practice was also administered. Results showed significant, positive change pre- to post-course on the open-ended application question. Results of the summative assessment revealed that the largest distribution of student scores was in the 90%-100% range. While individual classes in different programs will differ, this project provides instructors with a baseline format from which to work to tailor acoustics instruction in their own classrooms., (Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)

Introduction: The voice is an important parameter for identifying the speaker's gender. Transgender people seek to adapt their bodies to gender identity, and transgender women have greater difficulties in achieving vocal acceptance. In this context, the evaluation of the various parameters of the voice of transgender and cisgender women is essential to make it possible to propose appropriate intervention measures., Objectives: To identify the differences in vocal characteristics of transgender and cisgender women., Methods: An sectional study was conducted. The sample comprised 20 transgender women and 20 cisgender women who underwent evaluation of acoustic parameters, emotional prosody, self-perception, and perception of gender by lay listeners., Results: The vocal characteristics of transgender and cisgender women differ in terms of the following parameters: f0, glottal noise excitation (GNE), vocal intensity, speech range profile (SRP), the first three formants of the vowel /a/, and in terms of emotional prosody, including duration and melodic contour. Higher values ​​were mostly found in the cisgender population, except for noise level and vocal intensity. In addition, in most cases lay listeners identified the voices of transgender women as belonging to the male gender. There was a negative correlation between vocal dissatisfaction and f0 among transgender women., Conclusions: Even though they perform vocal adjustments, the voices of transgender women are different from cisgender women in terms of acoustic parameters, vocal extension, and emotional prosody including duration and melodic contour. These differences have repercussions on the perception of gender by listeners., (Copyright © 2022. Published by Elsevier Inc.)

Objectives: Voice is the one of the sexual maturation characteristics that differs between boys and girls. Voice analysis is a non-invasive diagnostic tool and well-tolerated by children. Our aim is to investigate the capability of MDVP to predict precocious puberty (PP). To our knowledge, this is the only study to assess the voice parameters in the diagnosis of PP., Material and Methods: The data of PP and control group were retrospectively reviewed. Voice parameters including fundamental frequency, jitter, shimmer and harmonic-to-noise ratio (HNR), age, and gender of subjects were noted. ROC curve was performed to the statistically significant parameters after double group comparisons and cut-off values were defined. 2 × 2 table were created and compared between the groups., Results: A total of 54 children comprising 32 subjects (8 boys and 24 girls) in the PP group and 22 (10 boys and 12 girls) in the control group were included, and the mean age of girls were 8.17 and 7.92 years, and those of the boys were 8.83 and 7.90, respectively. Jitter and HNR values were statistically significant in the girls but not in boys between the 2 groups (P = 0.013, P = 0.032, respectively). The cut-off points were 1.31 for jitter, 6.39 for HNR. Univariate analysis according to cut-off values of jitter and HNR revealed a statistically significant difference between the 2 groups (P = 0.004, OR: 8.80 [1.26- 61,15] and P = 0.012, OR: 5.00 [1.27-19.68], respectively)., Conclusions: Our findings suggest that, along with an evaluation of other secondary sexual maturation characteristics, voice analysis may be used by pediatric endocrinologists and otolaryngologists to diagnose PP in girls but not in boys., (Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)