PMID- 28688672
OWN - NLM
STAT- MEDLINE
DCOM- 20180904
LR  - 20180904
IS  - 1873-4588 (Electronic)
IS  - 0892-1997 (Linking)
VI  - 32
IP  - 2
DP  - 2018 Mar
TI  - An Examination of Pre- and Posttreatment Acoustic Versus Auditory Perceptual
      Analyses of Voice Across Four Common Voice Disorders.
PG  - 169-176
LID - S0892-1997(16)30529-X [pii]
LID - 10.1016/j.jvoice.2017.04.018 [doi]
AB  - OBJECTIVE: The objective, instrumental acoustic measure of Cepstral Spectral
      Index of Dysphonia (CSID) correlates with audio-perceptual measures, is sensitive
      in detecting voice abnormalities, and tracks change following treatment. The
      goals of the current study were to (1) test the agreement between CSID versus
      auditory perceptual measures of pre- versus posttreatment voice change, and (2)
      investigate whether change in scores is based on voice disorder or phonemic
      structure of sentence stimuli. METHODS: Forty patients with benign voice
      disorders produced sentences and a sustained /a/ vowel from the Consensus
      Auditory Perceptual Evaluation of Voice protocol before and after treatment. CSID
      was calculated, and overall audio-perceptual voice severity was judged by 7
      blinded, trained raters using a 100-mm visual analog scale. Differences between
      CSID and audio-perceptual measures of voice change across voice disorder and
      stimuli, and correlation between change in CSID and perceptual rating scores were
      assessed pre- and postintervention. RESULTS: Across all subjects, there were
      significant correlations between CSID and perceptual ratings change scores (P <
      0.001), and no significant differences in pre- and posttreatment change.
      Disorder-specific analyses indicated that all tested sentence/vowel contexts are 
      effective measures for pre- versus posttreatment change in atrophy and paralysis 
      cases. Acoustic versus perceptual measures of voice change were significantly
      correlated in lesion cases for the sentence "How hard did he hit him" and with
      all sentences combined. There were no significant findings observed for muscle
      tension dysphonia. CONCLUSION: CSID provides an accurate objective correlate to
      auditory-perceptual posttreatment change in overall voice severity ratings.
      Implications for outcomes testing and disorder-specific findings are discussed.
CI  - Copyright (c) 2018. Published by Elsevier Inc.
FAU - Gillespie, Amanda I
AU  - Gillespie AI
AD  - University of Pittsburgh Voice Center, Department of Otolaryngology, University
      of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. Electronic address:
      gillespieai@upmc.edu.
FAU - Gartner-Schmidt, Jackie
AU  - Gartner-Schmidt J
AD  - University of Pittsburgh Voice Center, Department of Otolaryngology, University
      of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
FAU - Lewandowski, Ali
AU  - Lewandowski A
AD  - University of Pittsburgh Voice Center, Department of Otolaryngology, University
      of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
FAU - Awan, Shaheen N
AU  - Awan SN
AD  - Bloomsburg University of Pennsylvania, Bloomsburg, Pennsylvania.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20170705
PL  - United States
TA  - J Voice
JT  - Journal of voice : official journal of the Voice Foundation
JID - 8712262
SB  - IM
MH  - *Acoustics
MH  - Humans
MH  - Judgment
MH  - Predictive Value of Tests
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - *Speech Acoustics
MH  - *Speech Perception
MH  - Speech Production Measurement/*methods
MH  - Treatment Outcome
MH  - Voice Disorders/*diagnosis/physiopathology/psychology/*therapy
MH  - *Voice Quality
OTO - NOTNLM
OT  - Acoustics
OT  - Analysis
OT  - Auditory perceptual
OT  - Cepstral
OT  - Voice
EDAT- 2017/07/10 06:00
MHDA- 2018/09/05 06:00
CRDT- 2017/07/10 06:00
PHST- 2016/12/23 00:00 [received]
PHST- 2017/04/18 00:00 [revised]
PHST- 2017/04/19 00:00 [accepted]
PHST- 2017/07/10 06:00 [pubmed]
PHST- 2018/09/05 06:00 [medline]
PHST- 2017/07/10 06:00 [entrez]
AID - S0892-1997(16)30529-X [pii]
AID - 10.1016/j.jvoice.2017.04.018 [doi]
PST - ppublish
SO  - J Voice. 2018 Mar;32(2):169-176. doi: 10.1016/j.jvoice.2017.04.018. Epub 2017 Jul
      5.