Summary
Objectives
This retrospective study examines the influence of voice quality in connected speech
(CS) and sustained vowels (SV) on the voice-related disability in patients’ daily
living documented by Voice Handicap Index-10 (VHI-10).
Methods
A total of 500 voice recordings of CS and SV samples from 338 patients with voice
disturbances were included, along with the patients' age, diagnoses, maximum phonation
time, and VHI-10. Dataset-1 comprised of 338 untreated patients, whereas Dataset-2
included 162 patients before and after phonosurgeries. As a preliminary study, the
concurrent and diagnostic validities based on auditory-perceptual judgments were examined
for cepstral peak prominence (CPP) and CPP smoothed (CPPS) for CS and SV tasks. Next,
simple correlations and multivariate regression analyses (MRA) were performed to identify
which of the acoustic measures for the CS or SV tasks significantly influenced the
total score or improvement of VHI-10.
Results
The preliminary study confirmed high correlations with hoarseness levels as well as
the excellent diagnostic accuracy of CPP and CPPS for both CS and SV tasks.
In Dataset-1, the simple correlations and MRA results showed that cepstral measures
in both tasks demonstrated moderate correlations with, and significant contribution
to the total score of VHI-10, respectively. However, in Dataset-2, the changes of
cepstral measures, as well as the median pitch after phonosurgeries in the CS tasks
only, showed significant contributions to the improvement of VHI-10.
Conclusion
The study demonstrated that the hoarseness levels in both the CS and SV tasks equivalently
influenced the VHI-10 scores, and that the post-surgical change of voice quality only
in the CS tasks influenced the improvement of voice-related disability in daily living.
Key words
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Published online: December 26, 2020
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© 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
