Journal of Voice
Volume 24, Issue 5 , Pages 540-555 , September 2010

Toward Improved Ecological Validity in the Acoustic Measurement of Overall Voice Quality: Combining Continuous Speech and Sustained Vowels

  • Youri Maryn

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Speech-Language Pathology and Audiology, Sint-Jan General Hospital, Bruges, Belgium
    • Faculty of Health Care Vesalius, University College Ghent, Ghent, Belgium
    • Department of Otorhinolaryngology & Head and Neck Surgery and Speech-Language Pathology, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
    • Corresponding Author InformationAddress correspondence and reprint requests to Youri Maryn, Department of Speech-Language Pathology and Audiology, Sint-Jan General Hospital, Ruddershove 10, 8000 Bruges, Belgium.
  • ,
  • Paul Corthals

      Affiliations

    • Faculty of Health Care Vesalius, University College Ghent, Ghent, Belgium
    • Department of Otorhinolaryngology & Head and Neck Surgery and Speech-Language Pathology, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
  • ,
  • Paul Van Cauwenberge

      Affiliations

    • Department of Otorhinolaryngology & Head and Neck Surgery and Speech-Language Pathology, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
  • ,
  • Nelson Roy

      Affiliations

    • Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah
  • ,
  • Marc De Bodt

      Affiliations

    • Department of Otorhinolaryngology & Head and Neck Surgery and Speech-Language Pathology, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium
    • Department of Otorhinolaryngology & Head and Neck Surgery and Communication Disorders, University Hospital, Antwerp, Belgium

Received 7 November 2008 ,Accepted 31 December 2008.

References 

  1. Hirano M. Psycho-acoustic evaluation of voice. In:  Arnold GE,  Winckel F,  Wyke BD editor. Disorders of Human Communication 5. Clinical Examination of Voice. Vienna, Austria: Springer-Verlag; 1981;p. 81–84
  2. Hillman R. Overview of the consensus auditory-perceptual evaluation of voice (CAPE-V), instrument developed by ASHA Special Interest Division 3. Presented at: 32nd Symposium of the Voice Foundation: Care of the Professional Voice; June 4–8, 2003; Philadelphia.
  3. Kempster GB, Gerratt BR, Verdolini Abbott K, Barkmeier-Kraemer J, Hillman RE. Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol. Am J Speech Lang Pathol. 2008;epub ahead of print
  4. De Bodt M, Van de Heyning PH, Wuyts FL, Lambrechts L. The perceptual evaluation of voice disorders. Acta Otorhinolaryngol Belg. 1996;50:283–291
  5. De Bodt M. A framework for voice assessment, the relation between subjective and objective parameters in the judgment of normal and pathological voice [unpublished doctoral dissertation]. Antwerp, Belgium: University of Antwerp; 1997.
  6. Bele IV. Reliability in perceptual analysis of voice quality. J Voice. 2005;19:555–573
  7. Kreiman J, Gerratt BR, Kempster GB, Erman A, Berke GS. Perceptual evaluation of voice quality: review, tutorial, and a framework for research. J Speech Hear Res. 1993;36:21–40
  8. Kreiman J, Gerratt BR, Precoda K. Listener experience and perception of voice quality. J Speech Hear Res. 1990;33:103–115
  9. Kreiman J, Gerratt BR, Precoda K, Berke G. Individual differences in voice quality perception. J Speech Hear Res. 1992;35:512–520
  10. De Bodt MS, Wuyts FL, Van de Heyning PH, Croux C. Test-retest study of the GRBAS scale: influence of experience and professional background on perceptual rating of voice quality. J Voice. 1997;11:74–80
  11. Wolfe VI, Martin DP, Palmer CI. Perception of dysphonic voice quality by naïve listeners. J Speech Lang Hear Res. 2000;43:697–705
  12. Eadie TL, Baylor CR. The effect of perceptual training on inexperienced listeners' judgments of dysphonic voice. J Voice. 2006;20:527–544
  13. Rabinov CR, Kreiman J, Gerratt BR, Bielamowicz S. Comparing reliability of perceptual ratings of roughness and acoustic measure of jitter. J Speech Hear Res. 1995;38:26–32
  14. Dejonckere PH, Obbens C, de Moor GM, Wieneke GH. Perceptual evaluation of dysphonia: reliability and relevance. Folia Phoniatr. 1993;45:76–83
  15. Wuyts FL, De Bodt MS, Van de Heyning PH. Is the reliability of a visual analog scale higher than an ordinal scale? An experiment with the GRBAS scale for the perceptual evaluation of dysphonia. J Voice. 1999;13:508–517
  16. Eadie TL, Doyle PC. Direct magnitude estimation and interval scaling of pleasantness and severity in dysphonic and normal speakers. J Acoust Soc Am. 2002;112:3014–3021
  17. Yu P, Revis J, Wuyts FL, Zanaret M, Giovanni A. Correlation of instrumental voice evaluation with perceptual voice analysis using a modified visual analog scale. Folia Phoniatr Logop. 2002;54:271–281
  18. Karnell MP, Melton SD, Childes JM, Coleman TC, Dailey SA, Hoffman HT. Reliability of clinician-based (GRBAS and CAPE-V) and patient-based (V-RQOL and IPVI) documentation of voice disorders. J Voice. 2007;21:576–590
  19. Zraick RI, Wendel K, Smith-Olinde L. The effect of speaking task on perceptual judgment of the severity of dysphonic voice. J Voice. 2005;19:574–581
  20. Orlikoff RF, Dejonckere PH, Dembowski J, et al. The perceived role of voice perception in clinical practice. Phonoscope. 1999;2:89–104
  21. Hammarberg B, Fritzell B, Gauffin J, Sundberg J, Wedin L. Perceptual and acoustic correlates of abnormal voice qualities. Acta Otolaryngol. 1980;90:441–451
  22. Awan SN, Roy N. Toward the development of an objective index of dysphonia severity: a four-factor acoustic model. Clin Linguist Phon. 2006;20:35–49
  23. Parsa V, Jamieson DG. Acoustic discrimination of pathological voice: sustained vowels versus continuous speech. J Speech Lang Hear Res. 2001;44:327–339
  24. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to Practice. 2nd Ed.. Upper Saddle River, NJ: Prentice-Hall; 2000;
  25. Buder EH. Acoustic analysis of voice quality: a tabulation of algorithms 1902–1990. In:  Kent RD,  Ball MJ editor. Voice Quality Measurement. San Diego, CA: Singular Publishing Group; 2000;p. 119–244
  26. Maryn Y, De Bodt M, Van Cauwenberge P, Roy N, Corthals P. Acoustic measurement of overall voice quality: a meta-analysis. J Acoust Soc Am. 2008. Submitted for publication.
  27. Murry T, Doherty ET. Selected acoustic characteristics of pathological and normal speakers. J Speech Hear Res. 1980;23:361–369
  28. Askenfelt AG, Hammarberg B. Speech waveform perturbation analysis: a perceptual-acoustical comparison of seven measures. J Speech Hear Res. 1986;29:50–64
  29. Yiu E, Worrall L, Longland J, Mitchell C. Analysing vocal quality of connected speech using Kay's computerized speech lab: a preliminary finding. Clin Linguist Phon. 2000;14:295–305
  30. Roy N, Gouse M, Mauszycki SC, Merrill RM, Smith ME. Task specificity in adductor spasmodic dysphonia versus muscle tension dysphonia. Laryngoscope. 1995;115:311–316
  31. de Krom G. Consistency and reliability of voice quality ratings for different types of speech fragments. J Speech Hear Res. 1994;37:985–1000
  32. Revis J, Giovanni A, Wuyts F, Triglia JM. Comparison of different voice samples for perceptual analysis. Folia Phoniatr Logop. 1999;51:108–116
  33. Wolfe V, Cornell R, Fitch J. Sentence/vowel correlation in the evaluation of dysphonia. J Voice. 1995;9:297–303
  34. Hillenbrand J, Houde RA. Acoustic correlates of breathy vocal quality: dysphonic voices and continuous speech. J Speech Hear Res. 1996;39:311–321
  35. Prosek RA, Montgomery AA, Walden E, Hawkins DB. An evaluation of residue features as correlates of voice disorders. J Commun Dis. 1987;20:105–117
  36. Eskenazi L, Childers DG, Hicks DM. Acoustic correlates of vocal quality. J Speech Hear Res. 1990;33:298–306
  37. Wolfe V, Fitch J, Cornell R. Acoustic prediction of severity in commonly occurring voice problems. J Speech Hear Res. 1995;38:273–279
  38. Giovanni A, Robert D, Estublier N, Teston B, Zanaret M, Cannoni M. Objective evaluation of dysphonia: preliminary results of a device allowing simultaneous acoustic and aerodynamic measurements. Folia Phoniatr Logop. 1996;48:175–185
  39. Wolfe V, Fitch J, Martin D. Acoustic measures of dysphonic severity across and within voice types. Folia Phoniatr Logop. 1997;49:292–299
  40. Piccirillo JF, Painter C, Fuller D, Haiduk A, Fredrickson JM. Assessment of two objective voice function indices. Ann Otol Rhinol Laryngol. 1998;107:396–400
  41. Wuyts FL, De Bodt MS, Molenberghs G, et al. The dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach. J Speech Lang Hear Res. 2000;43:796–809
  42. Yu P, Ouaknine M, Revis J, Giovanni A. Objective voice analysis for dysphonic patients: a multiparametric protocol including acoustic and aerodynamic measurements. J Voice. 2001;15:529–542
  43. Bhuta T, Patrick L, Garnett JD. Perceptual evaluation of voice quality and its correlation with acoustic measurement. J Voice. 2004;18:299–304
  44. Ma E, Yiu E. Multiparametric evaluation of dysphonic severity. J Voice. 2006;20:380–390
  45. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS. The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol. 1997;6:66–70
  46. Van de Weijer JC, Slis IH. Nasaliteitsmeting met de nasometer. Tijdschrift voor Logopedie en Foniatrie. 1991;63:97–101
  47. Van Lierde K. Nasalance and nasality in clinical practice [unpublished doctoral dissertation]. Ghent, Belgium: University of Ghent; 2001.
  48. AKG Acoustics . C420: User Instruction. MicroMic Series II. München, Germany: AKG Acoustics Harman Pro; 2000;
  49. Roark RM. Frequency and voice: perspectives in the time domain. J Voice. 2006;20:325–354
  50. KayPentax . Multi-Speech and CSL Software: Software Instruction Manual. Lincoln Park, NJ: KayPentax; 2004;
  51. Boersma P. Praat, a system for doing phonetics by computer. Glot Int. 2001;5:341–345
  52. Boersma P, Weenink D [computer program]. Praat: Doing Phonetics by Computer (Version 4.6.15). Amsterdam, The Netherlands: Institute of Phonetic Sciences; 2006. Available at: http://www.praat.org. Accessed February 20, 2007.
  53. Chan KM, Yiu EM. The effect of anchors and training on the reliability of perceptual voice evaluation. J Speech Lang Hear Res. 2002;45:111–126
  54. Kreiman J, Gerratt B. Measuring vocal quality. In:  Kent RD,  Ball MJ editor. Voice Quality Measurement. San Diego, CA: Singular Publishing Group; 2000;p. 73–101
  55. Hillenbrand J. SpeechTool, Version 1.56 [computer program], 2006. Available at: http://homepages.wmich.edu/~hillenbr/. Accessed February 20, 2007.
  56. Hillenbrand J, Cleveland RA, Erickson RL. Acoustic correlates of breathy vocal quality. J Speech Hear Res. 1994;37:769–778
  57. Cohen JA. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37–46
  58. Sheskin DJ. Handbook of Parametric and Nonparametric Statistical Procedures. Boca Raton, FL: CRC Press LLC; 1997;
  59. Frey LR, Botan CH, Friedman PG, Kreps GL. Investigating Communication: An Introduction to Research Methods. Englewood Cliffs, NJ: Prentice-Hall; 1991;
  60. Parsa V, Jamieson DG. Identification of pathological voices using glottal noise measures. J Speech Lang Hear Res. 2000;43:469–485
  61. Heman-Ackah YD, Heuer RJ, Michael DD, et al. Cepstral peak prominence: a more reliable measure of dysphonia. Ann Otol Rhinol Laryngol. 2003;112:324–333
  62. Umapathy K, Krishnan S, Parsa V, Jamieson DG. Discrimination of pathological voices using a time-frequency approach. IEEE T Bio-Med Eng. 2005;52:421–430
  63. Dollaghan CA. The Handbook for Evidence-Based Practice in Communication Disorders. Baltimore, MD: MD Brookes; 2007;
  64. Heman-Ackah YD, Michael DD, Goding GS. The relationship between cepstral peak prominence and selected parameters of dysphonia. J Voice. 2002;16:20–27
  65. Dejonckere PH, Wieneke GH. Cepstra of normal and pathological voices: correlation with acoustic, aerodynamic and perceptual data. In:  Ball MJ,  Duckworth M editor. Advances in Clinical Phonetics. Amsterdam, The Netherlands: John Benjamins Publishing Co; 1996;p. 217–226
  66. Kreiman J, Gerratt B. Perception of aperiodicity in pathological voice. J Acoust Soc Am. 2005;117:2201–2211
  67. Kreiman J, Gerratt BR, Ito M. When and why listeners disagree in voice quality assessment tasks. J Acoust Soc Am. 2007;122:2354–2364
  68. Qi Y, Hillman RE, Milstein C. The estimation of signal-to-noise ratio in continuous speech for disordered voices. J Acoustic Soc Am. 1999;105:2532–2535

PII: S0892-1997(09)00003-4

doi: 10.1016/j.jvoice.2008.12.014

Journal of Voice
Volume 24, Issue 5 , Pages 540-555 , September 2010