Summary
Purpose
Coughing is related to voice problems, since it involves firm glottal closure, fast
glottal opening, and high subglottic pressure and flow rate. In this study, the glottal
area variation and movements of laryngeal structures during coughing and phonation
are compared.
Methods
High-speed laryngoscopy recordings were made of a normophonic male participant with
a healthy larynx producing a neutral vowel and coughing. Oral air pressure was registered
in a mouthpiece, through which an endoscope was inserted into the pharynx. Electroglottography,
acoustic, and pressure signals were recorded simultaneously. The glottal width variation
at the membranous and cartilaginous parts of the glottis was derived from the high-speed
images, and the strong vibration of the false vocal folds was also registered.
Results
In coughing, compared to ordinary vowel phonation in nearly the same sound pressure
level (93–94 dB6cm), the glottal width was 25% larger at the middle of the vocal folds, the maximum
glottal opening velocity was 39% higher, and the maximum glottal width declination
rate during glottal closing was up to three times higher. The maximum acceleration
was 40% higher, and the maximum deceleration was 47% higher. Fundamental frequency
f0 was the highest (ca. 400 Hz) at the beginning of the first phase of a typical coughing
process. During the last part of the coughing process, f0 decreased from ca. 250 Hz to ca. 85 Hz at the phonation offset.
Conclusions
The remarkable increase in maximum glottal width declination rate implies much higher
vocal fold loading in coughing compared to phonation.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Membranous vocal fold lesions in patients with chronic cough: A case series.J Voice. 2023; (Available online 11 March 2023)https://doi.org/10.1016/j.jvoice.2023.02.006
- Prognosis of patients with laryngeal contact granuloma: development and validation of RCGSG score.Laryngoscope Investig Otolaryngol. 2022; 7: 1973-1978https://doi.org/10.1002/lio2.969
- Effects of cough suppression therapy on voice disorder severity.The Laryngoscope. 2021; 131: 2747-2751https://doi.org/10.1002/lary.29705
- Effect of chronic cough on voice measures in patients with dysphonia.J Voice. 2021; https://doi.org/10.1016/j.jvoice.2020.12.025
- Physiology of respiration.2nd ed. Year Book Medical Publishers Inc., Chicago1974
- Cough: a comprehensive review.Arch Intern Med. 1977; 137: 1181-1191
- Analysis of the cough sound: an overview.Pulm Pharmacol. 1996; 9: 261-268
- Physical dynamics of the cough mechanism.J App Physiol. 1955; 8: 264-268
- Mechanical aspects of coughing.Pneumonologie. 1975; 152: 253-257
- Clinical examination of voice.in: Arnold GE Winckel F Wyke BD Disorders of human communication 5. Springer-Verlag, Wien1981
- Clinical measurement of speech and voice.2nd edn. Singular Publishing Group, San Diego, USA2000
- Study on the initial velocity distribution of exhaled air from coughing and speaking.Chemosphere. 2012; 87: 1260-1264
- Laryngeal contact granuloma.The Laryngoscope. 1999; 109: 1589-1593
- Mechanical stress in phonation.J Voice. 1994; 8: 99-105
- Measurement of vocal fold intraglottal stress and impact stress.J Voice. 1994; 8: 132-144
- Theoretical analysis of maximum flow declination rate versus maximum area declination rate in phonation.J Speech Lang Hear Res. 2006; 49: 439-447
- Can vocal economy in phonation be increased with an artificially lengthened vocal tract? a computer modeling study.Logoped Phoniatr Vocol. 2007; 32: 147-156
- How much loading does water resistance voice therapy impose on the vocal folds? An experimental human study.J Voice. 2020; 34: 387-397
- Experimental modelling and human data of glottal area declination rate for vowel and semi-occluded vocal tract phonation.Biomed Signal Process Control. 2021; 66102432https://doi.org/10.1016/j.bspc.2021.102432
- Videokymography in voice disorders: What to look for?.Ann Otol Rhinol Laryngol. 2007; 116: 172-180
- Experimental and computational modeling of the effects of voice therapy using tubes.J Speech Lang Hear Res. 2019; 62: 2227-2244
- Impact stress in water resistance voice therapy: a physical modeling study.J Voice. 2019; 33: 490-496https://doi.org/10.1016/j.jvoice.2018.01.025
- The physical parameters of cough: the larynx in a normal single cough.Acta Oto-Laryng. 1966; 61: 495-509
Horáček J, Laukkanen AM, Šidlof P,et al. (2009) Comparison of acceleration and impact stress as possible loading factors in phonation: a computer modeling study. Folia Phoniatr Logop 61:137-145. http://doi.org/10.1159%2F000219949
- Glottal airflow and glottal area waveform characteristics of flow phonation in untrained vocally healthy adults.J Voice. 2020; 36 (0892-1997): 140.e1-140.e21
- Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings.J Speech Lang Hear Res. 2006; 49: 448-459
- The “silent cough” method for vocal hyperfunction.J Speech Hear Disord. 1973; 38: 119-125
Article info
Publication history
Published online: May 08, 2023
Accepted:
April 6,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
