Spectral features related to the auditory perception of twang-like voices.

BACKGROUND: To the best of our knowledge, studies on the relationship between spectral energy distribution and the degree of perceived twang-like voices are still sparse. Through an auditory-perceptual test we aimed to explore the spectral features that may relate with the auditory-perception of twang-like voices. METHODS: Ten judges who were blind to the test's tasks and stimuli rated the amount of twang perceived on seventy-six audio samples. The stimuli consisted of twenty voices recorded from eight CCM singers who sustained the vowel [a:] in different pitches, with and without a twang-like voice. Also, forty filtered and sixteen synthesized-manipulated stimuli were included. RESULTS AND CONCLUSIONS: Based on the intra-rater reliability scores, four judges were identified as suitable to be included in the analyses. Results showed that the frequency of F1 and F2 correlated strongly with the auditory-perception of twang-like voices (0.90 and 0.74, respectively), whereas F3 showed a moderate negative correlation (-0.52). The frequency difference between F1 and F3 showed a strong negative correlation (-0.82). The mean energy between 1-2 kHz and 2-3 kHz correlated moderately (0.51 and 0.42, respectively). The frequency of F4 and F5, and the energy above 3 kHz showed weak correlations. Since the spectral changes under 2 kHz have been associated with the jaw, lips, and tongue adjustments (i.e. vowel articulation) and a higher vertical laryngeal position might affect the frequency of all formants (including F1 and F2), our results suggest that vowel articulation and the laryngeal height may be relevant when performing twang-like voices.

Remote Voice Therapy With an Oscillatory Positive Expiratory Pressure Device in Subjects With Vocal Fatigue: A Randomized Controlled Trial.

PURPOSE: The present study aimed at assessing the efficacy of remote voice therapy (telepractice) implemented with Shaker Medic Plus device in subjects with vocal fatigue. METHOD: Thirty-six participants were initially enrolled in this study. Twenty-four participants with vocal fatigue were finally randomly assigned to one of two treatment groups: (a) voice treatment with Shaker Medic Plus device plus vocal hygiene program (n = 12) and (b) voice treatment with water resistance therapy (WRT) plus vocal hygiene program (n = 12). Laryngoscopic assessment was conducted on all subjects. Before and after voice therapy, participants underwent (a) self-assessment of voice: Vocal Fatigue Index and Vocal Tract Discomfort Scale and (b) instrumental assessment with aerodynamic, acoustic, and electroglottographic measures. The treatment period included six voice therapy sessions within 6 weeks. Each session lasted 30 min. For both groups, exercises consisted of a sequence of nine phonatory tasks performed with Shaker Medic Plus (experimental group) and WRT (control group). Comparisons for all variables were performed between the experimental group and control group. RESULTS: Significant improvements were found for self-reported variables when comparing pre- and postmeasures for both groups. No significant differences were found when comparing groups. No significant main effects or interactions were observed for any of the observed instrumental variables. CONCLUSIONS: Remote physiologic voice therapy with Shaker Medic Plus device and water resistance therapy seem to be both effective to improve voice in subjects diagnosed with vocal fatigue. No differences should be expected between these therapeutic protocols when treating patients with vocal fatigue. Moreover, both are effective at reducing tiredness of voice, voice avoidance, physical discomfort associated with voicing, subjective perception of sensory discomfort in throat, and reduction of physical, emotional, and functional impact of voice problems.

Development of Clause Complexity in Children with Specific Language Impairment/Language Development Disorder: A Longitudinal Study.

This paper addresses the grammatical challenges associated with the development of clause complexity, focusing on the performance of a group of monolingual Spanish-speaking schoolchildren with Specific Language Impairment/Developmental Language Disorder (SLI/DLD) in a longitudinal corpus of oral narrative samples. The study examines the presence of interclause relations of subordination and equivalence (hypotaxis and parataxis) in language samples of two groups: an experimental group made up of 24 schoolchildren with SLI/DLD and a control group made up of 24 schoolchildren with typical development (TD). The results show that while both groups use parataxis as the most common relation between clauses in all school grades, there is a significant decrease in paratactic relations and a significant increase in hypotactic relations from first to fourth grade of primary education. Although the development patterns are highly similar, the SLI/DLD group shows greater difficulties in mastering more complex (hypotactic) relations in fourth grade compared to the control group, indicating that it is less sophisticated in the use of these types of complex relations. These findings suggest that focused support on the most complex structures is needed towards the fourth grade of primary education, given the demands of the school academic register from 6 and 7 years of age and the potential problems that the development of clause complexity can cause in school-age children.

Diseño, implementación y validación de un script de Praat para medir el rendimiento diadococinético / Design, implementation, and validation of a Praat script to measure diadochokinetic rate

Introducción: El objetivo de esta investigación es implementar y validar un código de programación que ejecuta, en una muestra de habla digitalizada, los procedimientos necesarios para calcular automáticamente cuatro indicadores cuantitativos del rendimiento diadococinético: el promedio de sílabas por segundo, el coeficiente de variabilidad del promedio de sílabas por segundo, la duración promedio de la sílaba y el coeficiente de variabilidad de la duración promedio de la sílaba. Método: En primer lugar, se diseñó e implementó un script de Praat que segmenta las sílabas presentes en una emisión diadococinética y que calcula y entrega de manera automatizada los cuatro indicadores de interés. Luego, para validar el script, se compararon los resultados obtenidos de la aplicación a una muestra de 30 hablantes de este recurso con los datos provenientes de otras dos metodologías que cumplen la misma función (aplicadas sobre la misma muestra): un análisis y cálculo no automatizados realizados por una persona y un análisis y cálculo automatizados efectuados por un programa comercial disponible en el mercado. Resultados y conclusión: Los resultados del proceso de validación no revelan diferencias significativas en el rendimiento de las tres metodologías, lo que permite ratificar la validez de la herramienta propuesta en este trabajo.(AU)

Introduction: This research aims to implement and validate a Praat script for computing four quantitative metrics of diadochokinetic rate in digital speech samples. Notably, the script computes the average number of syllables per second, the coefficient of variability of the average number of syllables per second, average syllable length, and the coefficient of variability of average syllable length in diadochokinetic sequences. Methods: To do this, a Praat script was written and implemented to segment the syllables of diadochokinetic sequences and to calculate and deliver the four metrics above. Once the script had been implemented, and to validate the code, the results obtained for the four metrics from a sample of 30 speakers were compared with two sets of results from the same 30 speakers obtained from two different methods: (a)a single human non-automated analysis and calculation; (b)an automated analysis and calculation from a commercially available program. Results and conclusion: The validation process results did not reveal any significant differences in the performance of the three methods, which ratifies the validity of the script presented in this work.(AU)

Physiologic Voice Rehabilitation Based on Water Resistance Therapy With Connected Speech in Subjects With Vocal Fatigue.

PURPOSE: The present study aimed to assess the effectiveness of a physiologic voice therapy program based on water resistance therapy (WRT) exercises including connected speech in a group of subjects with voice complaints (vocal effort and fatigue). METHODS: Twenty-four participants with behavioral dysphonia were randomly assigned to one of two treatment groups: (1) voice treatment with WRT plus vocal hygiene program (n = 12), and (2) vocal hygiene program only (n = 12). Laryngoscopic assessment was performed in all subjects. Before and after voice therapy, participants underwent aerodynamic and electroglottographic assessment. The Voice Handicap Index (VHI) and self-assessment of resonant voice were also performed. The treatment included six voice therapy sessions. For the experimental group, the exercises consisted of a sequence of seven phonatory tasks performed with two different voice training devices (PocketVox and MaskVox). Comparison for all variables was performed between experimental group and control group. RESULTS: Significant differences were found for experimental group for VHI physical subscale, and self-perceived resonant voice when comparing pre-post conditions. A strong negative correlation between self-perceived resonant voice and VHI physical sub-score was also reported. No significant differences were found for instrumented variables. CONCLUSION: Physiologic voice therapy based on WRT exercises including connected speech seems to be an effective tool to improve self-perceived voice in subjects diagnosed with voice complaints. Apparently, changes are more prone to occur in perceptual variables related with physical discomfort associate with voice production. A reduction in phonatory effort and perceptual aspects of vocal fatigue are the main improvements.

Efficacy of Voice Therapy With Acapella Choice ® Device in Subjects With Vocal Fatigue Delivered Via Telepractice.

PURPOSE: The present study aimed at assessing the effectiveness of remote voice therapy (telepractice) implemented with Acapella Choice device in subjects with vocal fatigue. METHODS: Thirty participants with vocal fatigue were randomly assigned to one of two treatment groups: (1) voice treatment with acapella Choice device plus vocal hygiene program (n=15), and (2) voice treatment with Water resistance therapy plus vocal hygiene program (n=15). Laryngoscopic assessment was conducted in all subjects to confirm diagnosis. Before and after voice therapy, participants underwent self-assessment of voice. Vocal Fatigue Index (VFI), Voice Handicap Index (VHI), and Vocal tract discomfort scale (VTDS) were used. Treatment period included six voice therapy sessions within 3 weeks, with a frequency of two therapy sessions per week. Each session lasted 30 minutes. For both groups, exercises consisted of a sequence of nine phonatory tasks performed with Acapella Choice (experimental group) and WRT (control group). Comparison for all variables were performed between experimental group and control group. RESULTS: Significant improvements were found when comparing Pre and Post measures for both groups. No significant differences were found when comparing Acapella Choice group and WRT group. CONCLUSION: Remote physiologic voice therapy with Acapella Choice device and water resistance therapy seem to be both effective to improve voice in subjects diagnosed with vocal fatigue. No differences should be expected between these therapeutic protocols when treating patients with vocal fatigue. Moreover, both are effective at reducing tiredness of voice, voice avoidance, physical discomfort associated with voicing, subjective perception of sensory discomfort in throat, and reduction of physical, emotional, and functional impact of voice problems.

H2O2 Concentration in Exhaled Breath Condensate Increases After Phonotrauma: A Promise of Noninvasive Monitoring?

PURPOSE: The present study was designed to observe the concentration of hydrogen peroxide (H2O2) in exhaled breath condensate (EBC) after induced phonotrauma. METHODS: Thirty-five participants were randomly assigned to one of two conditions (1) Vocal demand and (2) Control. Participants in the experimental group (vocal demand) were asked to read aloud some texts during 1 hour, at 85-90 dB. Inflammation (H2O2 from exhaled breath condensate), acoustic, aerodynamic, and subjective measures were obtained at four time points: before vocal demand (baseline), immediately after baseline, 4-hour after baseline, and 24 hours after baseline. The same acquisition process was implemented for subjects in control group, except that they were not asked to engage in any vocal demand tasks at all. RESULTS: As for biological samples, a significant effect for group was observed. Higher values were found for participants in experimental condition. Significant differences were observed for within contrasts in the experimental group, namely 4 hours against baseline, 4 hours against immediately post, and 24 hours against 4 hours. Instrumental outcomes did not show significant differences across the different conditions at any time points. Self-reported measures (vocal fatigue and sensation of muscle tension) showed a significant main effect for group and main effect for condition. CONCLUSIONS: Intense vocal demand causes an increase in the concentration of H2O2 obtained from EBC at four hours after baseline, which is compatible with the generation of an inflammatory process in the vocal folds (phonotrauma). Moreover, the increase in the sensation of vocal fatigue and muscle tension after demand tasks seems to be an immediate reaction that did not match in time with the increment of H2O2 concentration.

Tissue Mobilization During Double Source of Vibration Semioccluded Vocal Tract Exercises: A Neck and Face Surface Acceleration Study.

Purpose This study primarily aimed at observing the possible tissue mobilization on facial, neck, and chest tissues caused by different double source of vibration semioccluded vocal tract exercises (DSV-SOVTEs). Another goal was to inspect the degree of self-perceived sensation of a massage-like sensation. Method Fifty-five participants engaged in a set of several DSV-SOVTEs: (a) phonation with a silicone tube submerged 2 and 8 cm below water surface, (b) Acapella Choice device, (c) lip trills, and (d) tongue trills. A self-perceived massage-like sensation was also assessed. All exercises were performed at three loudness levels. Tissue mobilization signal was captured by four accelerometers placed in four different body regions: (a) over the cheek, (b) over the neck, (c) over the thyroid cartilage, and (d) over the suprasternal notch. Results There is a differential effect of all DSV-SOVTEs on tissue mobilization. All four observed dependent variables from tissue oscillation modulation (frequency, amplitude, jitter, and shimmer) showed significant three-way interactions. In general, amplitude and frequency of tissue oscillation modulation increases with loudness. A self-perceived massage-like sensation showed highly significant differences between DSV-SOVTEs. Conclusions All DSV-SOVTEs do mobilize tissues. Type of exercise, loudness level, and body region produce an effect on all tissue oscillation variables. Acapella device produces the largest amplitude of vibration, lowest frequency, and more regular oscillation of tissue. Water resistance therapy showed the most irregular tissue oscillation. Control of these variables is likely to be relevant to obtain the best outcomes in patients.

How Do Tube Diameter and Vocal Tract Configuration Affect Oral Pressure Oscillation Characteristics Caused by Bubbling During Water Resistance Therapy?

PURPOSE: The present study aimed at observing the effect of tube diameter and vocal tract configuration on frequency, amplitude, and regularity of Poral oscillation caused by bubbling during water resistance therapy (WRT). A secondary objective was to examine the degree of self-perceived sensation of massage-like effect produced by bubbles during WRT. METHODS: Forty-two participants were included in this study. Assessment protocol included: (1) self-assessment of massage-like sensation and (2) objective assessment of air pressure-related variables. In the first section, participants were instructed to select and produce a sustained-vowel like phonation into three different tubes (varying inner diameter) submerged 5 cm below the water surface. Also, two different vocal tract configurations were produced by all subjects: (1) horizontal position (regular vocal tract position), (2) vertical position (yawning position with low vertical laryngeal position). Participants were asked to self-assess their massage-like sensation. In the second section, objective measurements of air pressure-related variables were acquired during WRT exercises. RESULTS: Statistical differences were driven by tube inner diameter for oral pressure oscillation frequency, amplitude, jitter and shimmer and self-perceived massage-like sensation. Vocal tract position generated differences for medium-size tube and large-size tube only for self-perceived massage-like sensation. CONCLUSION: Inner diameter of tube and configuration of vocal tract affect bubble characteristics and massage-like sensation during WRT. Larger tube diameters and vocal tract volumes seem to produce more regular bubbles, lower bubble frequency, and larger bubble amplitude, causing a more evident massage-like sensation. Therefore, control of these variables is apparently relevant to obtain the best effect in patients with voice disorders.

Effectiveness of a physiologic voice therapy program based on different semioccluded vocal tract exercises in subjects with behavioral dysphonia: A randomized controlled trial.

PURPOSE: The present study aimed to assess the effectiveness of a physiologic voice therapy program based on different semioccluded vocal tract exercises in subjects with behavioral dysphonia. METHODS: Thirty-four participants with behavioral dysphonia were randomly assigned to one of two treatment groups: 1) voice treatment with physiologic voice therapy plus vocal hygiene program (n=20), and 2) vocal hygiene program only (n=14). Laryngoscopic assessment was performed in all subjects. Before and after voice therapy, participants underwent aerodynamic, electroglottographic, and acoustic assessment. The Voice Handicap Index (VHI), Voice symptom scale (VoiSs), Vocal tract discomfort scale (VTDS), and self-assessment of resonant voice quality were also performed. The treatment included eight voice therapy sessions. For the experimental group, the exercises consisted of a sequence of seven phonatory tasks performed with four different semioccluded vocal tract exercises (SOVTE). Comparison for all variables were performed between experimental group and control group. RESULTS: Wilcoxon test showed significant improvements for experimental group for VHI, VoiSs, VTDS (decrease), and self-perception of resonant voice quality (increase). Significant decrease for experimental groups was observed on subglottic pressure, phonation threshold pressure, and glottal airflow across the implemented tasks. CONCLUSION: Physiologic voice therapy based on semioccluded vocal tract exercises seems to be an effective tool to improve voice in subjects diagnosed with behavioral dysphonia. Apparently, most changes should be expected in variables related to physical and functional aspects compared to objective variables. Subglottic pressure and phonation threshold pressure seem to be the most change-sensitive parameters and they may reflect a reduction in phonatory effort reported by patients after voice therapy.

The impact of vocabulary, grammar and decoding on reading comprehension among children with SLI: a longitudinal study.

Predictors of reading comprehension among children with SLI have been rarely studied in Spanish. Even more sparse are longitudinal studies inspecting the evolution of their reading abilities. The aim of the present study is to inspect how decoding, production of grammatical/ungrammatical sentences, production of simple/complex sentences, and vocabulary (measured with two instruments) predict reading comprehension among Spanish-speaking monolingual school-age children with SLI in two grades: 2nd grade and 4th grade. Forty-eight children were recruited for this study, evenly grouped in two conditions: SLI and Typical. Groups were balanced by gender with no differences in months of age. All children were assessed twice: when in 2nd grade and when in 4th grade. Several multiple regression analyses were conducted. Findings revealed differences in terms of which particular predictors significantly impacted reading comprehension in each group. Vocabulary and syntax complexity are the most consistent predictors of reading performance. Decoding predicted reading comprehension performance only in the observed early stage (2nd grade), becoming non-significant over time. Grammaticality was found to have no impact on reading comprehension in both groups. Reported results suggest that vocabulary and complex syntax solidly predict reading comprehension, while decoding and grammaticality play a minor or even negligible role. Thus, interventions designed to improve reading comprehension among children with SLI might benefit from targeting these two particular dimensions of language.

Does a Systematic Vocal Exercise Program Enhance the Physiologic Range of Voice Production in Classical Singing Graduate-Level Students?

Purpose The purpose of this study was to assess the effects of vocal function exercises (VFEs) on the physiologic range of the operatic voice. The primary outcome measure was total voice range profile (VRP) area. Method Forty graduate-level opera majors were randomly assigned to experimental (training with VFE + vocal hygiene) and control (vocal hygiene only) groups. All participants underwent an acoustic voice assessment (modified VRP) pre and post 10 weeks of the assigned intervention. VRP total area was calculated and compared between and within the two groups. The total VRP area was subsequently divided into three area thirds (low, medium, and high). Results A significant improvement (increase) was observed in the VFE group for the primary outcome measure of VRP area when pre- and postvoice conditions were compared for total area, upper third, and middle third. No significant improvement was found in the vocal hygiene-only group. Conclusion Vocal training with VFEs over a 10-week period demonstrated positive effects on physiologic voice range as evidenced by an increase in the total VRP area and therefore may enhance the potential of those who already have professional voice training.

Water Resistance Therapy as Vocal Warm-Up Method in Contemporary Commercial Music Singers.

BACKGROUND/AIMS: Although water resistance therapy (WRT) has been widely used in voice training, no data are supporting the effectiveness of WRT as vocal warm-up for singers. The present study aimed to determine the effects of WRT as a vocal warm-up method in contemporary commercial music (CCM) singers. METHODS: Twenty-two CCM singers were randomly assigned to one of two types of 15-min vocal warm-up: open vocal tract (OVT) warm-up and WRT. Self-perceived resonant voice quality and aerodynamic, electroglottographic, and acoustic measures were assessed before, immediately after vocal warm-up, and after 40 min of vocal loading. RESULTS: Significant results were found immediately after vocal warm-up. Subglottic pressure and inspiratory airflow duration decreased in both groups. SPL decreased for the OVT group. No changes in SPL were found for the WRT group. Significant results were observed after vocal loading. Subglottic pressure and inspiratory airflow duration decreased for both groups after vocal loading. Expiratory airflow duration and electroglottographic contact quotient decreased for the OVT group. CONCLUSION: Some objective data suggest that the WRT method is more effective as vocal warm-up than OVT exercises. Since outcomes in self-perceived resonant voice quality for both methods were similar but physiological effects were different, vocal warm-up strategies might produce a placebo effect.

Immediate Effects of the Semi-Occluded Ventilation Mask on Subjects Diagnosed With Functional Dysphonia and Subjects With Normal Voices.

PURPOSE: The present study was designed to assess the immediate effects of the semi-occluded ventilation mask (SOVM) in subjects with functional dysphonia and subjects with normal voice. METHODS: Sixty-four participants were included in this study (48 women and 16 men). Thirty-one of them were diagnosed with functional dysphonia and 33 with normal voice. All subjects were randomly assigned to one of two conditions: an experimental condition using the SOVM (n = 33) and a control condition with participants not using the SOVM (n = 31). Thus, within both conditions, participants could be either dysphonic or normal-voiced. This produced a total of four different groups: (1) subjects with normal voice with SOVM (n = 17), (2) subjects with normal voice without SOVM (n = 16), (3) dysphonic subjects with SOVM (n = 16), and (4) dysphonic subjects without SOVM (n = 15). All participants underwent aerodynamic, electroglottographic (EGG), and acoustic assessments, and were also asked to assess their own voice, before and after voice exercises. RESULTS: Significant differences were found for aerodynamic, EGG, and acoustic variables when comparing SOVM conditions (dysphonic and normal) against control. Cepstral peak prominence and EGG contact quotient showed an increase among dysphonic participants with SOVM. L1-L0 showed an increase for all participants in SOVM condition (dysphonic and normal). Self-perceived resonant voice quality showed an increase for both groups in SOVM condition. Glottal airflow showed a decrease for the dysphonic participants in SOVM condition. Phonation threshold pressure and subglottic pressure showed a decrease for both groups in SOVM condition. CONCLUSION: The present study suggests that immediate positive effect could be produced by connected speech phonatory tasks using the SOVM in both dysphonic subjects and subjects with normal voice, the change being greater among the former. SOVM seems to promote an easy voice production and a more efficient phonation.

Neuropsychological assessment of Chilean children with a history of extreme prematurity: An exploratory study.

This study was conducted to explore the neuropsychological abilities of premature Chilean children. Two groups (Premature and Control, 10 children each, age ranging from 5 to 7.11) were established based on weeks of gestation and/or weight at birth. Relevant variables such as age, gender, schooling, and socioeconomic level were matched considering Chile's particular demographic context. Children were assessed by means of the Evaluación Neuropsicológica Infantil (ENI-2) battery, measuring nine cognitive domains encompassing 23 subscales. In turn, subscales are grouped in two scales: Cognitive Functions and Executive Functions. Since the ENI-2 battery provides norms for Spanish-speaking children, obtained data were inspected both for possible between-group differences and either adjustment or deviance from average range. Results show that premature children perform within typical ranges in all subscales except for Visual attention and Graphic fluency. When comparing both groups, some differences emerged. These differences are most prominent in subscales related to visuoperceptual skills. Interestingly, between-group linguistic performance is very similar. The point is made that early linguistic interventions conducted on premature children seem to positively impact on oral language expression and comprehension. On the contrary, early interventions focused on visuospatial abilities did not seem to attain the same impact. This may be a consequence of visual-information processing problems derived from cortical dorsal stream's vulnerability, which literature correlates with prematurity.

Calidad de vida en personas con disartria / Quality of life in people with dysarthria

Introducción: La disartria corresponde a un trastorno adquirido del habla de origen neurológico. Habitualmente, la evaluación se centra en describir los procesos motores del habla afectados, las características perceptuales y determinar el grado de severidad a través de la inteligibilidad del habla. Pocas veces se explora el impacto de este trastorno sobre la calidad de vida de la persona. Método: Se realizó un estudio cuantitativo, no experimental, transversal, descriptivo y correlacional. Se evaluaron 21 personas con disartria (51.04 ± 13.06 años, 13 hombres) con el protocolo de evaluación de habla para pacientes disártricos y el cuestionario autoadministrado de calidad de vida en hablantes disártricos (QOL-Dys). Resultados: Las personas con disartria ven alterada su calidad de vida. Hay una correlación significativa con el grado de severidad de la disartria (r = -.5, p =.02). La inteligibilidad predice de manera significativa el puntaje en el cuestionario de calidad de vida total (R2 =.2, p =.04). El puntaje más bajo se presenta en la percepción de la reacción de los otros (1.66 ± 12.93), y el más alto en enfrentarse a situaciones difíciles (24.38 ± 9.12). Conclusión: La disartria afecta la calidad de vida de las personas. Se recomienda su evaluación para mejorar la intervención en estas personas

Introduction: Dysarthria is an acquired motor speech disorder of neurological origin. Usually assessment focuses on describing the affected motor processes of speech, perceptual characteristics and determining the degree of severity through speech intelligibility, but rarely explores the impact it has on the quality of life of the person. Method: A quantitative, non-experimental, cross-sectional, descriptive and correlational study was performed. Twenty-one patients with dysarthria (51.04 ± 13.06 years, 13 men) were evaluated with the speech assessment protocol for dysarthric patients and the self-administered quality of life questionnaire for dysarthric speakers (QOL-Dys). Results: The quality of life of people with dysarthria is affected (QOL), which correlates significantly with the degree of severity of the dysarthria (r = -.5, p = .02). Intelligibility significantly predicts the score of the total quality of life questionnaire (R2 =.2, p = .04). The lowest score occurred in the perception of the reaction of the others (16.66 ± 12.93), and the highest in dealing with difficult situations (24.38 ± 9.12). Conclusion: Quality of life is affected in people with dysarthria, its assessment is recommended to improve intervention in these people

Aerodynamic Characteristics of Growl Voice and Reinforced Falsetto in Metal Singing.

OBJECTIVES: The present study aimed to assess the aerodynamic characteristics of vocally healthy metal singers when producing growl voice or reinforced falsetto. METHODS: Fifty-four participants (metal singers) were initially enrolled in this study, with 23 meeting the inclusion criteria. Sixteen participants performed growl voice and seven performed reinforced falsetto as a voice resource during metal singing. All participants were asked to undergo rigid laryngeal videostroboscopy to confirm the absence of laryngeal pathology. Then, subjects were aerodynamically assessed while performing growl voice or reinforced falsetto. RESULTS: Higher glottal airflow rate, sound pressure level, and subglottic pressure (Psub) for growl voice samples compared to vowel production without growl voice (keeping the same fundamental frequency [F0]) were found. Higher Psub, sound pressure level, and glottal resistance for high-pitched reinforced falsetto compared to naïve falsetto (keeping the same F0) were found. No differences for F0 were found for neither growl voice nor reinforced falsetto. CONCLUSIONS: It seems that growl voice is produced by decreasing vocal folds adduction and increasing Psub, which in turn, promotes an increased airflow rate. Reinforced falsetto is characterized by an increased vocal fold adduction and an increased Psub. A proper resonance strategy in reinforced falsetto and a decreased glottal adduction in growl voice might probably be the factors that contribute to prevent voice problems in singers who use these vocal resources, classically labeled as vocal abuse.

Decodificación y comprensión lectora en escolares con trastorno específico del lenguaje / Decoding and reading comprehension in children with specific language impairment

El objetivo del presente estudio fue describir el desempeño en decodificación y en comprensión lectora de escolares con Trastorno Específico del Lenguaje (TEL). Para ello, se trabajó con 58 niños de 2do básico, distribuidos en dos grupos: uno de 29 escolares con Trastorno Específico del Lenguaje (TEL) y otro de 29 escolares con desarrollo típico (DT). Las habilidades evaluadas fueron decodificación y comprensión lectora. Los resultados generales mostraron que el grupo con TEL presentó un menor desempeño que los niños con DT en ambas habilidades lectoras. Los menores con TEL tendieron a mostrar un mejor rendimiento en decodificación que en comprensión lectora. Respecto a la decodificación, los resultados mostraron que los niños con TEL lograban decodificar palabras comunes y trisilábicas. En cuanto a comprensión lectora, comprendían frases, oraciones y textos. Sin embargo, en el nivel del texto evidenciaron dificultades para responder las preguntas inferenciales y en el reconocimiento de la idea central.

This study was conducted to describe the reading performance of schoolers with Specific Language Impairment (SLI), observing their decoding skills and reading comprehension. A sample of 58 children of a second-grade primary school was studied, evenly grouped in two conditions: SLI and TLD (Typical Language Development). General results show that children with SLI perform lower than children with TLD on decoding and reading comprehension. Results for decoding skills showed that SLI children were able to decode trisyllabic words and common words. As for reading comprehension abilities, children were able to understand phrases, complete sentences, and give a proper title to the texts they read.

Comparison of Effects Produced by Physiological Versus Traditional Vocal Warm-up in Contemporary Commercial Music Singers.

PURPOSE: The present study aimed to observe whether physiological warm-up and traditional singing warm-up differently affect aerodynamic, electroglottographic, acoustic, and self-perceived parameters of voice in Contemporary Commercial Music singers. METHODS: Thirty subjects were asked to perform a 15-minute session of vocal warm-up. They were randomly assigned to one of two types of vocal warm-up: physiological (based on semi-occluded exercises) or traditional (singing warm-up based on open vowel [a:]). Aerodynamic, electroglottographic, acoustic, and self-perceived voice quality assessments were carried out before (pre) and after (post) warm-up. RESULTS: No significant differences were found when comparing both types of vocal warm-up methods, either in subjective or in objective measures. Furthermore, the main positive effect observed in both groups when comparing pre and post conditions was a better self-reported quality of voice. Additionally, significant differences were observed for sound pressure level (decrease), glottal airflow (increase), and aerodynamic efficiency (decrease) in the traditional warm-up group. CONCLUSION: Both traditional and physiological warm-ups produce favorable voice sensations. Moreover, there are no evident differences in aerodynamic and electroglottographic variables when comparing both types of vocal warm-ups. Some changes after traditional warm-up (decreased intensity, increased airflow, and decreased aerodynamic efficiency) could imply an early stage of vocal fatigue.