Journal of Voice
Volume 24, Issue 6 , Pages 661-666 , November 2010

A Comparison of Trained and Untrained Vocalists on the Dysphonia Severity Index

Portions of this article were presented at the 37th Annual Symposium: Care of the Professional Voice, Philadelphia, PA, in May 2008.

  • Shaheen N. Awan

      Affiliations

    • Department of Audiology & Speech Pathology, Bloomsburg University of Pennsylvania, Bloomsburg, Pennsylvania
    • Corresponding Author InformationAddress correspondence and reprint requests to Shaheen N. Awan, Department of Audiology & Speech Pathology, Bloomsburg University of PA, Centennial Hall, 400, East Second Street, Bloomsburg, PA 17815-1301.
  • ,
  • Anysia J. Ensslen

      Affiliations

    • Department of Rehabilitation Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky

,Accepted 2 April 2009.

References 

  1. Orlikoff RF, Dejonckere PH, Dembowski J, et al. The perceived role of voice perception in clinical practice. Phonoscope. 1999;2:89–104
  2. Kreiman J, Gerratt B, Kempster GB, Erman A, Berke GS. Perceptual evaluation of voice quality: review, tutorial, and a framework for future research. J Speech Hear Res. 1993;36:21–40
  3. de Krom G. Consistency and reliability of voice quality ratings for different types of speech fragments. J Speech Hear Res. 1994;37:985–1000
  4. Awan SN. The Voice Diagnostic Protocol: A Practical Guide to the Diagnosis of Voice Disorders. Austin: Pro-Ed Inc.; 2001;
  5. Michaelis D, Gramss T, Strube HW. Glottal-to-noise excitation ratio: a new measure for describing pathological voices. Acustica/Acta Acustica. 1997;83:700–706
  6. Callan DE, Kent RD, Roy N, Tasko SM. Self-organizing maps for the classification of normal and disordered female voices. J Speech Lang Hear Res. 1999;42:355–366
  7. Frölich M, Michaelis D, Strube HW, Kruse E. Acoustic voice analysis by means of the hoarseness diagram. J Speech Lang Hear Res. 2000;43:706–720
  8. Awan SN, Roy N. Acoustic prediction of voice type in adult females with functional dysphonia. J Voice. 2005;19:268–282
  9. Awan SN, Roy N. Toward the development of an objective index of dysphonia severity: a four-factor model. Clin Linguist Phonet. 2006;20:35–49
  10. Awan SN, Roy N. Outcomes measurement in voice disorders: application of an acoustic index of dysphonia severity. J Speech Lang Hear Res. 2009;52:482–499
  11. 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
  12. Awan SN. Instrumental analysis of phonation and voice. In:  Ball M,  Perkins M,  Muller N,  Howard S editor. Handbook of Clinical Linguistics. Oxford, UK: Blackwell Publishing; 2008;p. 344–359
  13. Hirano M. Clinical Examination of Voice. New York: Springer Verlag; 1981;
  14. Timmermans B, De Bodt M, Wuyts F, Van de Heyning P. Voice quality change in future professional voice users after 9 months of voice training. Eur Arch Otorhinolaryngol. 2004;261:1–5
  15. Timmermans B, De Bodt MS, Wuyts FL, Van de Heyning P. Analysis and evaluation of a voice-training program in future professional voice users. J Voice. 2005;19:202–210
  16. Hakkesteegt MM, Brocaar MP, Wieringa MH, Feenstra L. Influence of age and gender on the dysphonia severity index: a study of normative values. Folia Phoniatr Logopaed. 2006;58:264–273
  17. Woisard V, Bodin S, Yardeni E, Peuch M. The Voice Handicap Index: correlation between subjective patient response and quantitative assessment of voice. J Voice. 2007;21:623–631
  18. Hakkesteegt MM, Wieringa MH, Brocaar MP, Mulder PGH, Feenstra L. The interobserver and test-retest variability of the Dysphonia Severity Index. Folia Phoniatr. 2008;60:86–90
  19. Hakkesteegt MM, Brocaar MP, Wieringa MH, Feenstra L. The relationship between perceptual evaluation and objective multiparametric evaluation in dysphonia severity. J Voice. 2008;22:138–145
  20. Hakkesteegt MM, Brocaar MP, Wieringa MH. The applicability of the Dysphonia Severity Index and the Voice Handicap Index in evaluating effects of voice therapy and phonosurgery. J Voice. 2010;24:199–205
  21. Sulter AM, Meijer JM. Effects of voice training on phonetograms and maximum phonation times in female speech therapy students. In:  Sulter AM editors. Variations of Voice Quality Features and Aspects of Voice Training in Males and Females. Groningen: Rijkuniversiteit Groningen; 1996;p. 133–147
  22. Large J. Observations on the vocal capacity of singers. NATS Bull. 1971;28:34–35
  23. Gould W. The effect of voice training on lung volumes in singers and the possible relationship to the damping factor of Pressman. J Res Sing. 1977;1:3–15
  24. Hixon T, Hoffman C. Chest wall shape in singing. In:  Lawrence V editors. Transcripts of the Seventh Symposium Care of the Professional Voice, Part I: Scientific Papers. New York: The Voice Foundation; 1979;p. 9–10
  25. Watson B, Hixon T. Respiratory kinematics in classical (opera) singing. J Speech Hear Res. 1985;28:104–122
  26. Troup G. The physics of the singing voice. J Res Sing. 1982;6:1–26
  27. Awan SN. Phonetographic profiles and frequency-SPL characteristics of untrained versus trained vocal groups. J Voice. 1991;5:41–50
  28. Titze I. Principles of the Singing Voice. Englewood Cliffs: Prentice Hall; 1994;
  29. Sulter AM, Schutte HK, Miller DG. Differences in phonetogram features between male and female subjects with and without vocal training. J Voice. 1995;9:363–377
  30. Murbe D, Sundberg J, Iwarsson J, Pabst F. Phonetogram measurements of singers. Before and after solo singer education. TMH-QPSR. 1996;37:49–56
  31. Sulter AM, Peters HF. Perceptive characteristics of speech of untrained and trained subjects, and influences of gender and age. In:  Sulter AM editors. Variations of Voice Quality Features and Aspects of Voice Training in Males and Females. Groningen: Rijkuniversiteit Groningen; 1996;p. 73–105
  32. McCrae CR, Morris RJ. Voice onset time for female trained and untrained singers during speech and singing. J Commun Disord. 2007;40:418–431
  33. Sound Forge v. 4.0. Madison, WI: Sonic Foundry Inc.; 1998;[Computer Software]
  34. TF32. Madison, WI: Milenkovic, P.; 2002;[Computer Software]
  35. Aerophone II Model 6800. Lincoln Park: Kay Elemetrics Corp.; 1995;[Computer Software]
  36. Asplund A. How loud was it? A calibration system for voice recording in clinical and research applications. Available at http://www.umu.se/clin_sci/logopedi/personal/AndersA0902.pdf(Accessed June 2006)
  37. SPSS 15.0 for Windows. Chicago: SPSS, Inc; 2006;[Computer Program]
  38. Mendes A, Rothman H, Sapienza C, Brown WS. Acoustic effects of vocal training on the singing voice. J Voice. 2003;17:529–543
  39. LeBorgne WD, Weinrich BD. Phonetogram changes for trained singers over a nine-month period of vocal training. J Voice. 2002;16:37–43
  40. Dworkin JP, Meleca RJ. Vocal Pathologies: Diagnosis, Treatment, and Case Studies. San Diego: Singular Publishing Group, Inc.; 1997;

PII: S0892-1997(09)00045-9

doi: 10.1016/j.jvoice.2009.04.001

Journal of Voice
Volume 24, Issue 6 , Pages 661-666 , November 2010