Acoustic Analysis of Intonation in Persons With Parkinson's Disease Receiving Transcranial Magnetic Stimulation and Intensive Voice Treatment.

Intonation is one of the prosodic features manifested acoustically in the fundamental frequency (f0). Intonation abnormality is common and prominent in the speech of persons with Parkinson's disease (PD). The current research investigated acoustically five intonational features including f0 declination, f0 resetting, sentence stress, terminal fall, and syntactic prejunctural fall in 20 PD participants, receiving Lee Silverman Voice Treatment (LSVT)-LOUD alone, or combined with transcranial magnetic stimulation delivered to the left or right primary laryngeal motor cortex.

Mapping typical and hypokinetic dysarthric speech production network using a connected speech paradigm in functional MRI.

We developed a task paradigm whereby subjects spoke aloud while minimizing head motion during functional MRI (fMRI) in order to better understand the neural circuitry involved in motor speech disorders due to dysfunction of the central nervous system. To validate our overt continuous speech paradigm, we mapped the speech production network (SPN) in typical speakers (n = 19, 10 females) and speakers with hypokinetic dysarthria as a manifestation of Parkinson disease (HKD; n = 21, 8 females) in fMRI. We then compared it with the SPN derived during overt speech production by O-water PET in the same group of typical speakers and another HKD cohort (n = 10, 2 females).

Spectral/Cepstral Analyses of Phonation in Parkinson's Disease before and after Voice Treatment: A Preliminary Study.

Purpose: This article examines cepstral/spectral analyses of sustained /α/ vowels produced by speakers with hypokinetic dysarthria secondary to idiopathic Parkinson's disease (PD) before and after Lee Silverman Voice Treatment (LSVT®LOUD) and the relationship of these measures with overall voice intensity.

Methodology: Nine speakers with PD were examined in a pre-/post-treatment design, with multiple daily audio recordings before and after treatment. Sustained vowels were analyzed for cepstral peak prominence (CPP), CPP standard deviation (CPP SD), low/high spectral ratio (L/H SR), and Cepstral/Spectral Index of Dysphonia (CSID) using the KAYPENTAX computer software.

Auditory comprehension performance of college students with and without sport concussion on Computerized-Revised Token Test Subtest VIII.

Aim: Auditory comprehension (AC) and visually assessed cognitive functions were compared in early stage postconcussed (PC) athletes and healthy controls using the Subtest VIII of the Computerized-Revised Token Test (C-RTT) and Immediate Postconcussion Assessment and Cognitive Test (ImPACT).

Results: As compared with healthy controls (n = 30), PC subjects (n = 30) had significantly lower C-RTT efficiency scores (p = 0.018), and lower ImPACT scores; total symptom score (p = 0.

Referential Ambiguity in the Narrative Productions of African American Adults.

Purpose: The purpose of this study was to examine the production of referential ambiguities in two contrasting narrative conditions among age-defined groups of healthy African American women.

Method: Twenty middle-aged adults (M = 51 years) and 20 older adults (M = 72 years) produced a complex story retelling and a personal narrative. All narratives were transcribed orthographically, parsed into T-units, and analyzed for surface structure markings of referents and the presence of ambiguities.

Distance and Interference in the Reference Management of African American Adults.

Purpose: The purpose of this study was to examine the effect of distance and interference on the adequacy of reference management in 2 contrasting narrative conditions among age-defined groups of healthy African American adults.

Methods: Twenty middle-aged (M = 51 years) and 20 older (M = 72 years) women produced a complex story retelling and a personal narrative of a childhood experience. All narratives were transcribed orthographically, parsed into terminal units (T-units), and analyzed for surface structure markings of referents.

Clinical assessment of motor speech disorders in adults with concussion.

This article reviews the occurrence of motor speech disorders of dysarthria and apraxia of speech following closed head injury and other traumatic brain injuries in adults as they apply to sport concussion and related trauma. Athletic sideline and speech-language pathology screenings are considered. Procedures for clinical assessment and diagnosis of motor speech disorder, most particularly dysarthria, are discussed with special reference to closed head injury.

Influence of consonant voicing characteristics on sentence production in abductor versus adductor spasmodic dysphonia.

Objectives/hypothesis: This study evaluated the hypotheses that sentence production by speakers with adductor (AD) and abductor (AB) spasmodic dysphonia (SD) may be differentially influenced by consonant voicing and manner features, in comparison with healthy, matched, nondysphonic controls.

Study Design: This was a prospective, single blind study, using a between-groups, repeated measures design for the independent variables of perceived voice quality and sentence duration.

Methods: Sixteen subjects with ADSD and 10 subjects with ABSD, as well as 26 matched healthy controls produced four short, simple sentences that were systematically loaded with voiced or voiceless consonants of either obstruant or continuant manner categories.

Perceptual structure of adductor spasmodic dysphonia and its acoustic correlates.

Objectives: To examine the perceptual structure of voice attributes in adductor spasmodic dysphonia (ADSD) before and after botulinum toxin treatment and identify acoustic correlates of underlying perceptual factors. Reliability of perceptual judgments is considered in detail.

Study Design: Pre- and posttreatment trial with comparison to healthy controls, using single-blind randomized listener judgments of voice qualities, as well as retrospective comparison with acoustic measurements.

Sentence intelligibility before and after voice treatment in speakers with idiopathic Parkinson's disease.

Objectives/hypothesis: The purpose of this study was to determine whether sentence intelligibility improves in speakers with idiopathic Parkinson's disease (PD) as a result of Lee Silverman Voice Treatment (LSVT). It was hypothesized that all the speakers would improve following treatment, in association with increased vocal loudness, which was the primary target of the treatment.

Study Design: Prospective study of eight Speakers with PD using a single-blinded, randomized pre-post treatment design, with multiple daily assessments before and after treatment was carried out.

Vocal aging and adductor spasmodic dysphonia: response to botulinum toxin injection.

Aging of the larynx is characterized by involutional changes which alter its biomechanical and neural properties and create a biological environment that is different from younger counterparts. Illustrative anatomical examples are presented. This natural, non-disease process appears to set conditions which may influence the effectiveness of botulinum toxin injection and our expectations for its success.

Spectral amplitude measures of adductor spasmodic dysphonic speech.

Spectral amplitude measures are sensitive to varying degrees of vocal fold adduction in normal speakers. This study examined the applicability of harmonic amplitude differences to adductor spasmodic dysphonia (ADSD) in comparison with normal controls. Amplitudes of the first and second harmonics (H1, H2) and of harmonics affiliated with the first, second, and third formants (A1, A2, A3) were obtained from spectra of vowels and /i/ excerpted from connected speech.

Perceptual analyses of spasmodic dysphonia before and after treatment.

Objective: To evaluate expert listeners' perceptions of voice and fluency in persons with adductor spasmodic dysphonia (ADSD) before and after treatment with botulinum toxin type A (Botox), as a function of initial severity of the disorder (while controlling for patients' age at injection).

Design: Simple before-and-after trial with blinded randomized listener judgments.

Setting: Ambulatory care clinic at a single medical center.

Speech intelligibility in severe adductor spasmodic dysphonia.

This study compared speech intelligibility in nondisabled speakers and speakers with adductor spasmodic dysphonia (ADSD) before and after botulinum toxin (Botox) injection. Standard speech samples were obtained from 10 speakers diagnosed with severe ADSD prior to and 1 month following Botox injection, as well as from 10 age- and gender-matched healthy adults. This yielded 3 speaking conditions: pre-Botox injection, post-Botox injection, and normal control.

Cortical control mechanisms in volitional swallowing: the Bereitschaftspotential.

Objective: This research sought to identify a well-defined pre-motor potential, the Bereitschaftspotential (BP), as a manifestation of cortical contribution to the pre-motor planning of volitional swallowing.

Methods: EEG data were collected from 20 research participants during volitional execution of swallowing and finger movement tasks. A5 second pre-movement epoch for each task was triggered on EMG identification of movement onset.

Acoustic variations in reading produced by speakers with spasmodic dysphonia pre-botox injection and within early stages of post-botox injection.

Acoustic analysis of a reading passage was used to identify the abnormal phonatory events associated with adductor spasmodic dysphonia (ADSD) pre- and postinjection of Botulinum Toxin A (Botox). Thirty-one patients (age 22 to 74 years) diagnosed with ADSD were included for study. All patients were new recipients of Botox, and the examination of their voice occurred before and after their initial injection of Botox.

Botox treatment in adductor spasmodic dysphonia: a meta-analysis.

Over the years many studies have been conducted to document the treatment effects of Botulinum toxin type A in adductor spasmodic dysphonia. The results of these studies have led to the view that overall Botulinum toxin treatment is moderately effective. This study reviews efficacy research qualitatively and quantitatively to determine the extent to which this conclusion is fully supported by the data.

Modes of vocal variation in Sykes's monkey (Cercopithecus albogularis) squeals.

Acoustic and laryngographic measurements of Sykes's monkey (Cercopithecus albogularis) squeals showed that acoustic variation between exemplars was principally due to 4 underlying modes of modification: (Class I) variation in the transfer function produced by articulation, (Class II) variation in F0 produced by inflection, (Class III) variation in turbulence, and (Class IV) variation in the pattern of vibration of laryngeal tissue with large or small surface areas (polyphonic variation). These findings suggest that some modes of variation (Class I, II, and III calls) were due to phonatory and articulatory acts resembling, at a very general level, sound production mechanics used in speech. Acoustic variation in the polyphonic group (Class IV calls) is not evident in speech and was attributed to the possibility of independent and simultaneous vibrations of the vocal lip and the principal component of the vocal folds.