Acoustic analysis of voice in children with cleft palate and velopharyngeal insufficiency

Document Type : Original Article

Author

Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

Introduction: Acoustic analysis of voice can provide instrumental data concerning vocal abnormalities. These findings can be used for monitoring clinical course in cases of voice disorders. Cleft palate severely affects the structure of the vocal tract. Hence, voice quality can also be also affected. The purpose of this study was to investigate the effect of cleft palate on acoustic parameters of voice.
Method: This study was a descriptive- analytic one and the participants consisted of30 children (15 girls and 15 boys) who had persistent velopharyngeal insufficiency (VPI) with cleft repair surgery and 30 children(17 girls and 13 boys) participated as normal peers. The age range of children in the both groups was 6-12 year-old. Severity of hypernasality was moderate to severe. Participates phonated vowel /a/ minimum for 5 seconds and mid 3 seconds of that was used for acoustic analysis by PRAAT 6.0.55 software. The Kolmogorov-Smirnov test was used to assess normality of distributions in the groups. Independent sample T tests were used for comparing mean differences of both groups.

Results: There were significant differences in acoustic parameters in F0, jitter, F0 High, Low intensity, DSI and MPT between two persistent VPI and normal groups.

Conclusion: Regarding to the results of the present study, it seems reasonable to include strategies for voice therapy in the speech and language pathology intervention plans for patients with VPI and future research should focus on voice disorders in patients with VPI is needed.

Keywords

References

1-Bellia S, Serafino L, Luca N, Farruggia E, Bellia M. Incidence of dysphonia in teaching staff of schools. G Ital Med LavErgon. 2007; 29 (3): 613-14.
2-Jadim R. Case definition and prevalence in teachers. Rev Bras Epidemiol. 2007; 10 (4): 625-36
3-Crannel, K. Voice and Articulation. Wadsworth Publishing Company; 2000, USA.
4-Bouwers F, G. Dikkers F. A retrospective study concerning the psychosocial impact of voice disorders: Voice handicap index change in patients with benign voice disorders after treatment (measured with the Dutch version of the VHI). J Voice 2009; 23(2): 218-224.
5-Wilson J, Deary I, Millar A, Mackensie K. The quality of life impact of Dysphonia.Clin Otolaryngology 2002; 27: 179–182.
6-Yu P, Ouaknine M, Revis J, Giovanni A. Objective voice analysis for dysphonic patients: a multiparametric protocol including acoustic and aerodynamic measurements. J Voice 2001; 15(4): 529-42.
7-Brockmann M, Drinnan MJ, Storck C, Carding PN. Reliable jitter and shimmer measurements in voice clinics:the relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. J Voice 2011; 25(1): 44-53.
8-E.T. Doherty, Evaluation of selected acoustic parameters for use in speaker identification, J. Acoust. Soc. Am. 58 (S107) (1975) 1121.
9-M. Grellet, J.C. Pereira, M. Oliveira Rosa, Standardization of acoustic measures of the normal voice, Braz. J. Otorhinolaryngol. 68 (2002) 540–544.
10-Z. Yang, J. Fan, J. Tian, L. Liu, C. Gan, W. Chen, et al., Cepstral analysis in children with velopharyngeal insufficiency after cleft palate surgery, J. Voice 28 (2014) 789–792.
11-Ysunza A, Pamplona M, Molina F, Drucker M, Felemovicius J, Ramirez E, et al., Surgery for speech, Int. J. Pediatr. Otorhinolaryngol. 2004 ; 68 :1499–1505.
12-Pamplona M.C, Ysunza A, Morales S. Strategies for treating compensatory articulation in patients with cleft palate, Int. J. Biomed. Sci. 2014; 10 : 43–51.
13-Villafuerte-Gonzalez R.et al.Acoustic analysis of voice in children with cleft palate and velopharyngeal insufficiency. IntJPediatrOtorhinolaryngol . 2015; 79: 1073–1076
14- Hamming KK, Finkelstein M, Sidman JD. Hoarseness in children with cleft palate. Otolaryngol Head Neck Surg. 2009; 140(6): 902-6.
15-Van Lierde KM, Claeys S, De BM, Van CP. Vocal quality characteristics in children with cleft palate: a multiparameter approach. J Voice 2004; 18(3): 354-62.
16-Zajac DJ, Linville RN. Voice perturbations of children with perceived nasality and hoarseness. Cleft Palate J.1989; 26(3): 226-231.
17-Kummer AW. Cleft palate and craniofacial anomalies: effects on speech and resonance. 2nd ed. New York:Cengage Learning; 2008.
18-Mojiri F,etal.Compare acoustic analysis in children with VPI and normal. J Res RehabilSci 2012; 7(4):540-548
19-Tarlow AJ, Saxman JH. A comparative study of the speaking fundamental frequency characteristics in children with cleft palate. Cleft Palate J 1970; 7: 696-705.
20-Boone DR, MacFarlane SC, Von Berg SL, Zraick RI. The voice and voice therapy. 8th ed. New York: Allyn & Bacon; 2010.
21-Niedzielska G. Acoustic estimation of voice when incorrect resonance function of the nose takes place. Int J PediatrOtorhinolaryngol 2005; 69(8): 1065-9.
22-Behrman A. Speech and voice science. San Diego: Plural Pub; 2007.
23-L. Wanderley Lopes, S.L. Do Nascimento Cunha Costa, W.C. De Almeida Costa, S.E. Nobrega Correia, V.J. Dias Vieira, Acoustic assessment of the voices of children using nonlinear analysis: proposal for assessment and vocal monitoring, J. Voice 28 (2014) 565–573.
Jundishapur Scientific Medical Journal
Volume 18, Issue 3 - Serial Number 120
September and October 2019
Pages 215-223

Files

History

  • Receive Date: 08 June 2019
  • Revise Date: 16 July 2019
  • Accept Date: 01 September 2019

Share

How to cite

Statistics