Folia Phoniatrica et Logopaedica

Original Paper

The Impact of Vocal Intensity and Pitch Modulation on Nasalance Scores: A Pilot Study

Van Lierde K.M. · Van Borsel J. · Cardinael A. · Reeckmans S. · Bonte K.

Author affiliations

Department of Otorinolaryngology, Head and Neck Surgery, Cleft Palate and Craniofacial Team, University Hospital Gent, Gent, Belgium

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Folia Phoniatr Logop 2011;63:21–26

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: August 05, 2010
Issue release date: January 2011

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: https://www.karger.com/FPL

Abstract

Objective: The purpose of this study was to examine the impact of pitch and intensity modulation on nasalance scores. Methods: A single-group pretest-posttest design was used in which subjects produced reading passages at different pitch and intensity levels. The Nasometer™ was used for the registration of nasalance scores in subjects with and without cleft palate. Results: An increase in intensity in the non-cleft group resulted in a small but significant decrease in nasalance. Lowering the pitch level resulted in a small but significant decrease in nasalance scores for both the non-cleft and cleft palate subjects. Conclusions: The nasalance changes after vocal modulations during connected speech are reliable and not biased but the impact of these vocal changes on speech intelligibility and daily communication and the usefulness of these vocal modulations as part of a behavioral management program is not yet proven.

© 2010 S. Karger AG, Basel




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References

  1. De Bodt M, Van Lierde K: Cleft palate speech and velopharyngeal dysfunction: the approach of the speech therapist. B-ENT 2006;2 suppl 4:63–70.
  2. Peterson-Falzone S, Hardin-Jones M, Karnell M: Cleft Palate Speech. St Louis, Mosby, 2001.
  3. Boone D, McFarlane S: The Voice and Voice Therapy. New York, Prentice Hall, 1994.
  4. McHenry M: The effect of increased vocal effort on estimated velopharyngeal orifice area. Am J Speech Lang Pathol 1997;6:55–61.
  5. Counihan D, Cullinan W: Some relationships between vocal intensity and rated nasality. Cleft Palate J 1972;9:101–108.
  6. Hess D: Pitch, intensity, and cleft palate vocal intensity. J Speech Hear Res 1959;2:113–125.
  7. Williamson A: Diagnosis and treatment of eighty-four cases of nasality. Q J Speech 1944;30:471–479.
    External Resources
  8. Watterson T, York S, McFarlane S: Effects of vocal loudness on nasalance measures. J Commun Disord 1994:27:257–262.
  9. Stemple J: Voice Therapy, Clinical Studies. Baltimore, Mosby, 1993.
  10. Duffy JR: Motor Speech Disorders: Substrates, Differential Diagnosis and Management. St Louis, Mosby, 1995.
  11. Shprintzen R, Bardach J: Cleft Palate Speech Management: A Multidisciplinary Approach. Baltimore, Mosby, 1995.
  12. Jones D, Folkins J: Effect of speaking rate on judgments of disordered speech in children with cleft palate. Cleft Palate J 1985;22:246–252.
  13. Witzel M, Tobe J, Salyer S: The use of nasopharyngoscopy biofeedback therapy in the correction of inconsistent velopharyngeal closure. Int J Pediatr Otorhinolaryngol 1988;15:137–142.
  14. Van Lierde K, Claeys S, De Bodt M, Van Cauwenberge P: Outcome of laryngeal and velopharyngeal biofeedback in children; a pilot study. J Voice 2004;18:97–106.
  15. Barlow S: Handbook of Clinical Speech Physiology. San Diego, Singular, 1999.
  16. Van Den Broecke M: Frequenties van letters, lettergrepen, woorden en fonemen in het Nederlands; in Van Den Broecke M (ed): Ter Sprake: spraak als betekenisvol geluid in 36 thematische hoofdstukken. Utrecht, PWT, 1988.
  17. Fairbanks G: Voice and Articulation Drillbook. New York, Harper & Row, 1960.
  18. Fletcher S, Adams L, McCutcheon M: Cleft palate speech assessment through oral-nasal acoustic measures; in Bzoch KR (ed): Communication Disorders Related to Cleft Lip and Palate. Boston, College Hill Press, 1989, pp 246–257.
  19. Kay Elemetrics Corporation: Instruction Manual of the Nasometer™ Model 6200-3, IBM PC. New York, Kay Elemetrics, 1994.
  20. Ramig L, Pawlas A, Countryman S: The Lee Silverman Voice Treatment (LSVT): A Practical Guide to Treating the Voice and Speech Disorders in Parkinson Disease. Iowa City, University of Iowa, National Center for Voice and Speech, 1995.
  21. Ramig L, Verdolini K: The efficacy of voice therapy. Curr Opin Otolaryngol Head Neck Surg 1999;5:153–160.
  22. Dromey C, Ramig L: Intentional changes in sound pressure level and rate: their impact on measures of respiration, phonation and articulation. J Speech Lang Hear Res 1998;1:1003–1018.
  23. Benninger M, Murry T: The Performer’s Voice. San Diego, Plural Publishing, 2006.
  24. Titze I, Luschei E, Hirano M: Role of the thyroarytenoid muscle in regulation of fundamental frequency. J Voice 1989;3:213–224.
    External Resources
  25. Plant R, Younger R: The interrelationship of subglottic air pressure, fundamental frequency and vocal intensity during speech. J Voice 2000;14:170–177.
  26. Monsen R, Engebretson A, Vemula N: Indirect assessment of the contribution of subglottal air pressure and vocal-fold tension to changes of fundamental frequency in English. J Acoust Soc Am 1978;64:65–80.
  27. Litzaw L, Dalston R: Nasal area differences across gender and its impact on nasalance scores. Am Speech-Lang-Hear Assoc Annu Convention, Seattle, 1990.
  28. Mayo R, Floyd L, Warren D, Dalston R, Mayo C: Nasalance and nasal area values: cross-racial study. Cleft Palate Craniofac J 1996;33:143–149.
  29. Seaver E, Dalston R, Leeper H, Adams L: A study of nasometric values for normal nasal resonance. J Speech Hear Res 1991;34:715–721.
  30. Van Doorn J, Purcell A: Nasalance levels in the speech of normal Australian children. Cleft Palate Craniofac J 1998;35:287–292.
  31. Baken R, Orlikoff R: Clinical Measurement of Speech and Voice, ed 2. San Diego, Singular, 2000.
  32. Dalston R, Neiman G, Gonzalez-Landa G: Nasometric sensitivity and specificity: a cross-dialect and cross-culture study. Cleft Palate Craniofac J 1993;30:285–291.
  33. Dalston R, Warren D, Dalston E: The identification of nasal obstruction through clinical judgements of hyponasality and nasometric assessment of speech acoustics. Am J Orthod Dentofacial Orthop 1991;100:59–65.
  34. Dalston R, Warren D, Dalston E: A preliminary investigation concerning the use of nasometry in identifying patients with hyponasality and/or nasal airway impairment. J Speech Hear Res 1991;34:11–18.
  35. Hardin M, Van Demark D, Morris H, Payne M: Correspondence between nasalance scores and listener judgements of hypernasality and hyponasality. Cleft Palate Craniofac J 1992;29:346–351.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: August 05, 2010
Issue release date: January 2011

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISSN: 1021-7762 (Print)
eISSN: 1421-9972 (Online)

For additional information: https://www.karger.com/FPL


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