[en] Objectives: The objectives of this study are to evaluate the impact on voice of both duration and intensity level of 2 hours of continuous oral reading. Voice modifications accompanying changes in intensity level during prolonged reading tasks are analyzed.
Methods: Fifty normophonic women undergo two sessions of voice loading in which the required intensity level of voice varied between 60–65 dB(A) for the first session and 70–75 dB(A) for the second session. The effects of loading on objective data (average fundamental frequency [F0], jitter%, shimmer%, noise-to-harmonic ratio, maximum phonation time, lowest frequency [F-Low], highest frequency [F-High], frequency range [Range], lowest intensity [I-Low] level, and highest intensity level) and self-ratings (voice quality, phonation effort, vocal fatigue, and laryngeal discomfort) are assessed every 30 minutes during the loading tasks.
Results: Results indicate that average F0, F-Low, I-Low, maximum phonation time, feeling of phonation effort, vocal fatigue, and laryngeal discomfort increase during prolonged reading, whereas shimmer% and self-rating of voice quality decrease. Average F0, F-High, and Range are the only parameters influenced by the required intensity of vocal load; they are significantly higher in the 70- to 75-dB session compared with the 60- to 65-dB session. Concerning the subjective self-ratings, similar results for the four ratings used suggest that only one would suffice in future studies.
Conclusions: These results confirm the importance of both duration and intensity level as loading factors, even if intensity level affects fewer variables than duration.
Disciplines :
Otolaryngology
Author, co-author :
Remacle, Angélique ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Logopédie des troubles de la voix
FINCK, Camille ; Centre Hospitalier Universitaire de Liège - CHU > O.R.L.
Roche, Anne
Morsomme, Dominique ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Logopédie des troubles de la voix
Language :
English
Title :
Vocal Impact of a Prolonged Reading Task at Two Intensity Levels: Objective Measurements and Subjective Self-Ratings
I.R. Titze Criteria for occupational risk in vocalization P.H. Dejonckere, Occupational Voice: Care and Cure 2001 Kugler The Hague, The Netherlands 1 10
M. Doellinger, J. Lohscheller, A. McWhorter, and M. Kunduk Variability of normal vocal fold dynamics for different vocal loading in one healthy subject investigated by phonovibrograms J Voice 23 2009 175 181
L. Lehto, L. Laaksonen, E. Vilkman, and P. Alku Occupational voice complaints and objective acoustic measurements-do they correlate? Logoped Phoniatr Vocol 31 2006 147 152 (Pubitemid 44782230)
M. Sodersten, S. Granqvist, B. Hammarberg, and A. Szabo Vocal behavior and vocal loading factors for preschool teachers at work studied with binaural DAT recordings J Voice 16 2002 356 371 (Pubitemid 36628775)
V. Jonsdottir, A.-M. Laukkanen, and E. Vilkman Changes in teachers' speech during a working day with and without electric sound amplification Folia Phoniatr Logop 54 2002 282 287 (Pubitemid 36151514)
A.-M. Laukkanen, I. Ilomaki, K. Leppanen, and E. Vilkman Acoustic measures and self-reports of vocal fatigue by female teachers J Voice 22 2008 283 289 (Pubitemid 351609314)
L. Rantala, E. Vilkman, and R. Bloigu Voice changes during work: subjective complaints and objective measurements for female primary and secondary schoolteachers J Voice 16 2002 344 355 (Pubitemid 36628774)
F. Lindstrom, K.P. Waye, M. Sodersten, A. McAllister, and S. Ternström Observations of the relationship between noise exposure and preschool teacher voice usage in day care center environments J Voice 25 2011 166 172
L. Lehto, L. Laaksonen, E. Vilkman, and P. Alku Changes in objective acoustic measurements and subjective voice complaints in call center customer-service advisors during one working day J Voice 22 2008 164 177 (Pubitemid 351273976)
L.N. Kelchner, M.M. Toner, and L. Lee Effects of prolonged loud reading on normal adolescent male voices Lang Speech Hear Serv Sch 37 2006 96 103 (Pubitemid 43745351)
V.J. Boucher, and T. Ayad Physiological attributes of vocal fatigue and their acoustic effects: a synthesis of findings for a criterion-based prevention of acquired voice disorders J Voice 24 2010 324 336
M.P. Gelfer, M.L. Andrews, and C.P. Schmidt Documenting laryngeal change following prolonged loud reading. A videostroboscopic study J Voice 10 1996 368 377 (Pubitemid 26394226)
E. Niebudek-Bogusz, P. Kotylo, and M. Sliwinska-Kowalska Evaluation of voice acoustic parameters related to the vocal-loading test in professionally active teachers with dysphonia Int J Occup Med Environ Health 20 2007 25 30 (Pubitemid 46815035)
I.R. Titze, J.G. Svec, and P.S. Popolo Vocal dose measures: quantifying accumulated vibration exposure in vocal fold tissues J Speech Lang Hear Res 46 2003 919 932 (Pubitemid 37012656)
J. Lohscheller, M. Doellinger, A.J. McWhorter, and M. Kunduk Preliminary study on the quantitative analysis of vocal loading effects on vocal fold dynamics using phonovibrograms Ann Otol Rhinol Laryngol 117 2008 484 493
A. Chang, and M.P. Karnell Perceived phonatory effort and phonation threshold pressure across a prolonged voice loading task: a study of vocal fatigue J Voice 18 2004 454 466 (Pubitemid 39574519)
A.-M. Laukkanen, K. Jarvinen, and M. Artkoski Changes in voice and subjective sensations during a 45-min vocal loading test in female subjects with vocal training Folia Phoniatr Logop 56 2004 335 346 (Pubitemid 39541226)
J. Vintturi, P. Alku, E.R. Lauri, E. Sala, M. Sihvo, and I. Vilkman Objective analysis of vocal warm-up with special reference to ergonomic factors J Voice 15 2001 36 53 (Pubitemid 32231492)
E. Vilkman, E.R. Lauri, P. Alku, E. Sala, and M. Sihvo Effects of prolonged oral reading on F0, SPL, subglottal pressure and amplitude characteristics of glottal flow waveforms J Voice 13 1999 303 312 (Pubitemid 29325947)
M. Sihvo, P. Laippala, and E. Sala A study of repeated measures of softest and loudest phonations J Voice 14 2000 161 169 (Pubitemid 30415362)
J.C. Stemple, J. Stanley, and L. Lee Objective measures of voice production in normal subjects following prolonged voice use J Voice 9 1995 127 133
M. Sihvo, and E. Sala Sound level variation findings for pianissimo and fortissimo phonations in repeated measurements J Voice 10 1996 262 268 (Pubitemid 26275000)
E.R. Lauri, P. Alku, E. Vilkman, E. Sala, and M. Sihvo Effects of prolonged oral reading on time-based glottal flow waveform parameters with special reference to gender differences Folia Phoniatr Logop 49 1997 234 246 (Pubitemid 127472012)
L. Akerlund Phonetograms before and after exposure to noise Scand J Log Phon 18 1993 93 97
C. Jilek, J. Marienhagen, and T. Hacki Vocal stability in functional dysphonic versus healthy voices at different times of voice loading J Voice 18 2004 443 453 (Pubitemid 39574518)
S.H. Chen, S.-C. Chiang, Y.-M. Chung, L.-C. Hsiao, and Y. Hsiao T- Risk factors and effects of voice problems for teachers J Voice 24 2010 183 190
A. Villanueva-Reyes Voice disorders in the metropolitan area of San Juan, Puerto Rico, Spain: profiles of occupational groups J Voice 25 2011 83 87
M. Sliwinska-Kowalska, E. Niebudek-Bogusz, M. Fiszer, T. Los-Spychalska, P. Kotylo, B. Sznurowska-Przygocka, and M. Modrzewska The prevalence and risk factors for occupational voice disorders in teachers Folia Phoniatr Logop 58 2006 85 101 (Pubitemid 43259185)
E. Vilkman Occupational safety and health aspects of voice and speech professions Folia Phoniatr Logop 56 2004 220 253 (Pubitemid 39060992)
N. Roy, R.M. Merrill, S. Thibeault, R.A. Parsa, S.D. Gray, and E.M. Smith Prevalence of voice disorders in teachers and the general population J Speech Lang Hear Res 47 2004 281 293 (Pubitemid 38544549)
J.G. Svec, P.S. Popolo, and I.R. Titze Measurement of vocal doses in speech: experimental procedure and signal processing Logoped Phoniatr Vocol 28 2003 181 192 (Pubitemid 37526902)
J. Vintturi, P. Alku, E. Sala, M. Sihvo, and E. Vilkman Loading-related subjective symptoms during a vocal loading test with special reference to gender and some ergonomic factors Folia Phoniatr Logop 55 2003 55 69 (Pubitemid 36438789)
H.E. Gunter Modeling mechanical stresses as a factor in the etiology of benign vocal fold lesions J Biomech 37 2004 1119 1124 (Pubitemid 38686337)
M. Sodersten, S. Ternstrom, and M. Bohman Loud speech in realistic environmental noise: phonetogram data, perceptual voice quality, subjective ratings, and gender differences in healthy speakers J Voice 19 2005 29 46 (Pubitemid 40342772)
C. Aronsson, M. Bohman, S. Ternström, and M. Södersten Loud voice during environmental noise exposure in patients with vocal nodules Logoped Phoniatr Vocol 32 2007 60 70 (Pubitemid 47097593)
E. Vilkman Voice problems at work: a challenge for occupational safety and health arrangement Folia Phoniatr Logop 52 2000 120 125 (Pubitemid 29439019)
P. Gramming, J. Sundberg, S. Ternström, R. Leanderson, and W. Perkins Relationship between changes in voice pitch and loudness J Voice 2 1988 118 126
S. Ternström, M. Bohman, and M. Södersten Loud speech over noise: some spectral attributes, with gender differences J Acoust Soc Am 119 2006 1648 1665 (Pubitemid 43326033)
L.R. Neils, and E. Yairi Effects of speaking in noise on vocal fatigue and vocal recovery Folia Phoniatr (Basel) 39 1987 104 112
M.P. Gelfer Fundamental frequency, intensity, and vowel selection: effects on measures of phonatory stability J Speech Hear Res 38 1995 1189 1198
J. Vintturi, P. Alku, E.R. Lauri, E. Sala, M. Sihvo, and E. Vilkman The effects of post-loading rest on acoustic parameters with special reference to gender and ergonomic factors Folia Phoniatr Logop 53 2001 338 350 (Pubitemid 34025176)