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At least 19 recordsLinked to original sources

[Seeing the timbre in the singing voice: training and retraining].

Voice clinicians, as well as singers, always correlate the assessment of the singing voice to the vocal and corporal gestures that model singing, and among these parameters, especially timbre. The authors have shown how and what to see in the timbre; first of all, through analysis of the voice by oscillography and sonagraphy, then through observation of the singing act in artists, with special interest for dynamic recordings by vuccal and nasal fibroscopy. In this manner, each variation of the timbre heard clearly corresponds to modifications of the glottic vibratory cycle, volume changes of the resonators, pharynx, oropharynx and buccal cavity. The analysis of the action of the different muscles coming into play in singing, their synergies and their antagonistic effects, give a physiological basis to the singer's vocal work. This analysis also makes it possible to more effectively guide the rehabilitation of dysacusia which effect the timbre.

Female

Late voice function after surgical injury to the recurrent nerve.

In the period 1960 to 1970, a total of 213 patients underwent subtotal thyroidectomy for benign cervical toxic goitre. Postoperatively, immobile vocal cord indicating paralysis of the recurrent nerve was found in 17 patients. In 8 patients, immobility of the vocal cord was permanent. Seven of the 17 patients received voice training which was initiated within 3 weeks after operation. After a period of 5-10 years, on an average 8 years, the 17 patients had a clinical and a comprehensive objective examination of the voice function comprising stroboscopy, electroglottography, phono-oscillometry, voice range, phonation time, peak-flow and pitch. Only a few complaints were ciliated whereas the objective examination of the voice function revealed abnormal findings in all but one patient. The findings were less abnormal in patients who had received early voice training. It is concluded that despite abnormal objective findings, all 17 patients found their voice function satisfactory. Moreover, early voice training seemed to offer a fair chance of minimizing late voice problems, whether the paralysis was permanent or transitory.

Adult

[The lombard reflex as a test of vocal function (author's transl)].

Any impairment of audio-phonatory control by background noise is followed by an increase in both the intensity and pitch of the speaking voice (Lombard reflex, 1911), thus increasing vocal strain. As a consequence, it might be anticipated that persons reacting to noise with marked changes in voice might be more liable to develop dysphonia. 22 singers, 34 normal controls, and 22 patients with hyperfunctional dysphonia where studied. In all patients, both ears were gradually masked with white noise. The change of the mean intensity level and of the mean pitch level of the speaking voice were then measured objectively with a special fundamental frequency analyzer (Fedders and Schultz-Coulon, 1975). Results show that the increase of intensity is comparable in all subjects, whereas the elevation of the mean pitch level differs significantly: trained voices (singers) react with the least pitch increment whereas dysphonic patients react with the most. The following conclusions were made from the present investigation: 1. Extreme increments in pitch level can be considered to be a more significant etiological factor of dysphonia than intensity increments; 2. Vocal therapy and voice training may have a favorable effect on the Lombard reflex (probably by improvement of the kinesthetic control mechanism) so that the speaking voice in a noisy environment is raised less with less vocal strain. The study also indicates that measurement of pitch changes during binaural masking can provide important information for the diagnosis, therapy and prophylaxis of dysphonia.

Aphonia

[The voice of the singer in the phonetogram].

Phonetograms were subdivided into areas approximating voice registers. By means of an analytical description of the areas, parameters could be established for a differentiation of voice categories and efficiency. The evaluation of 21 untrained and 34 trained voices showed a significant difference between the two groups. Male singers demonstrated more efficiency in the head and chest registers than male non-singers; female singers showed a stronger efficiency only in the head voice in comparison with their non-singer counterparts. Proceeding from voice sound alone, voices are often misclassified regarding the voice categories, and voice problems arise. Moreover, enhanced training of only chest or head voice function results in functional disorders in the singing voice. Such cases can be demonstrated by means of phonetograms.

Adult

Voice, speech, and language habilitation in young children without laryngeal function.

We discuss aphonia in children, secondary to laryngeal obstruction, with regard to the development of a voice, speech, and language system that can be an effective and efficient means of communication while obstruction persists and a precursor to good voice and speech habits if and when the laryngeal function is reestablished. Several methods were considered. A technique of esophageal voice training for children was developed and implemented, which combined the aspects of normal language learning with the mechanical aspects of esophageal voice production. Results showed rapid learning in a 2 1/2-year-old child with severe juvenile laryngeal papillomatosis and normal speech and language at the age of 4 years when laryngeal function returned. A second technique, a communication board, was used with a 4-year-old child with total subglottic stenosis and brain damage.

Aphonia

Essential vocal tremor: clinical characteristics and response to therapy.

We evaluated four patients with an initial and predominant voice tremor. All were referred for evaluation for suspected parkinsonism, though vocal tremor was the only symptom. These three women and one man ranged in age from 37 to 59 years. Neurologic evaluation and laryngeal examination were unremarkable. No signs of parkinsonism were present. All patients had a family history of tremor, though in only one family was vocal tremor the sole manifestation. Tremor was suppressed by alcohol ingestion in all patients and with whisper in two. Duration of tremor before evaluation ranged from eight months to six years. Visual representation of tremor was obtained in three, with frequencies ranging from 4 to 10 cps. Three patients responded to treatment with propranolol (Inderal), and one did well with voice training. Follow-up was six months to ten years. Although previous cases of essential vocal tremor with concurrent tremor elsewhere have been noted, only six cases of isolated voice tremor had been reported and response to therapy was not mentioned. Essential tremor may also be isolated to the head, chin, and hands.

Adult

[Computer-assisted phonetography as a diagnostic aid in functional dysphonia].

A total of 160 voice-trained and untrained subjects with functional dysphonia were given a "clinical rating" according to their clinical findings. This was a certain value on a scale that recorded the degree of functional voice disorder ranging from a marked hypofunction to an extreme hyperfunction. The phonetograms of these patients were approximated by ellipses, whereby the definition and quantitative recording of several phonetogram parameters were rendered possible. By means of a linear combination of phonetogram parameters, a "calculated assessment" was obtained for each patient that was expected to tally with the "clinical rating". This paper demonstrates that a graduation of the dysphonic clinical picture with regard to the presence of hypofunctional or hyperfunctional components is possible via computerised phonetogram evaluation. In this case, the "calculated assessments" for both male and female singers and non-singers must be computed using different linear combinations. The method can be introduced as a supplementary diagnostic procedure in the diagnosis of functional dysphonia.

Adolescent

Electroglottogram waveform types of untrained speakers.

Electroglottography is a useful, non-invasive technique that can assist in the assessment of vocal fold dysfunction. However, if it is to become a useful clinical tool, there is a need for normative studies of the electroglottogram waveform types that characterize different groups of speakers. This report compares the electroglottogram waveform types characterizing one trained professional voice user phonating in 15 experimental sessions under various fundamental frequencies, intensities and voice qualities with those obtained from 52 untrained non-professional speakers.

Adult

Articulation generalization of voiced-voiceless sounds in hearing-impaired children.

Eight hearing-impaired children participated in a study exploring the effect of training (+) or (-) voicing on generalization to cognates. In an experimental multiple baseline study across behaviors, children were trained on pairs of voiced and voiceless target sounds that they had previously omitted in final position. The pairs consisted of the /t/ and /g/ and the /d/ and /k/. When /t/ was trained, generalization was tested to (a) untrained words with the /t/ in the final position and (b) untrained words containing /d/ (the cognate) of the /t/. In like manner, when /d/ was trained, generalization was tested to both the /d/ and /t/ words. The /g/ and /k/ received identical treatment. A contrast procedure was used to teach the children to produce the final consonants. When training criterion was reached, generalization was tested. Results showed that 6 of the 8 children generalized both the voiced and unvoiced target sounds to 50% or more of the target sound probe items. Results also indicated that more generalization occurred to the voiceless cognate from voiced target sound training than occurred to voiced cognates from voiceless target sound training.

Child

Electroglottogram waveform types.

Electroglottography is a useful, non-invasive technique that can assist in the assessment of vocal fold dysfunction. However, if it is to become a useful clinical tool, there is a need for normative studies of the electroglottogram waveform types that characterize trained professional voice users, untrained non-professional speakers and patients with voice disorders and for a way of quantifying and objectively comparing similarities and differences. This report describes our methodology and an investigation into the waveform types characterizing one trained professional voice user phonating in 15 experimental sessions under various fundamental frequency, intensity and voice quality conditions. A number of strong tendencies were noted. In normal voice the lower frequencies and intensities represent one pole of a scale of a mode of phonation, while the higher frequencies and intensities depict the other pole. In these studies breathy voice data overlapped the lower end of the scale and tense voice data overlapped the upper end.

Electrodiagnosis

Methods of training deaf children to comprehend the passive voice.

Four variations of programmed filmstrips were shown to deaf children to improve comprehension of the passive voice. The design included two training strategies that treated the passive voice either as a unitary structure or as a contrast to the active voice. Within strategies two orders of training were compared for the various types of passive sentences: (nonreversible, reversible, agent-deleted) and (agent-deleted, nonreversible, reversible). Six filmstrips were constructed for the two strategies and three types of passive. Evaluation tests were administered before, immediately after, and three months following training. Forty deaf children were selected from two age ranges, 9 to 12 and 13 to 16 years. Within age groups 10 subjects served under each of the four strategy-order conditions. Evaluation tests consisted of a multiple choice picture-sentence matching test and a performance test in which subjects acted out six passive sentences using toys. Performance test scores increased significantly after training and surpassed pretraining after three months. Highest scores were achieved on nonreversible passives followed by reversible and agent-deleted passives. Reversal of agent and object was the most frequent error. Strategy and order differences were not significant.

Adolescent

Evaluation of a technique for training new speech contrasts: generalization across voices, but not word-position or task.

We used the perceptual fading technique (Jamieson & Morosan, 1986) to teach unilingual adult Canadian francophones to identify the voiceless and voiced linguadental fricatives, /0/ and /o/. Training began with the identification of synthetic consonant-vowel (CV) exemplars that contained exaggerated amounts of frication (140 ms), with feedback given to identify errors and correct responses. Subsequently, stimuli with progressively shorter fricative durations were added to the identification set. After just 90 min of such training, francophone adults were better able to identify both the training stimuli and an untrained set of natural CVs produced by four different speakers, two men and two women. These results replicate and extend those reported by Jamieson and Morosan, and establish that such training generalizes to the identification of natural CVs produced by a variety of voices, both male and female. Thus, the effects of training are not restricted to a small range of acoustic cues. However, such learning was still strongly sensitive both to other aspects of the acoustic context and to the testing situation: Training failed to improve identifications of /0/ and /o/ phonemes when these were presented in word-medial and word-final positions, and identifications of synthetic and natural examples of /o/ vs. /d/ did not improve, even though identifications of /0/ vs. /o/ were very good.

Adolescent