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Bresolin FA, Frigo LF, Rodrigues VN, Moraes DADO, Cielo CA. Voice Quality of Life and Musculoskeletal Symptoms of Pregnant Women. J Voice 2024:S0892-1997(24)00110-3. [PMID: 38704277 DOI: 10.1016/j.jvoice.2024.03.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 03/24/2024] [Accepted: 03/26/2024] [Indexed: 05/06/2024]
Abstract
INTRODUCTION Quality of life in terms of voice and musculoskeletal symptoms can be affected, especially at the end of pregnancy when major physical changes occur. OBJECTIVE To analyze the results of vocal self-assessment and musculoskeletal symptoms of pregnant women in the second and third trimester. METHODS Forty-nine pregnant women in the second and third trimester aged between 18 and 40years were examined using the Nordic Musculoskeletal Questionnaire and the Voice-Related Quality of Life Questionnaire. The data were statistically analyzed using the R environment (R Core Team, 2019) with parametric (Student's t, chi-square, and Wald) and nonparametric (Mann-Whitney and Wilcoxon) tests, taking into account a nominal significance level of 5%. RESULTS Voice-related quality of life: mean total score and socio-emotional domain significantly within the normal values; physical domain significantly below the normal value; larger number of pregnant women significantly below the normal value in the physical domain. Nordic Musculoskeletal Questionnaire: most of the examined aspects showed a significant negative response; there was a positive significance for the presence of pain and tingling in the lower back; pregnant women with musculoskeletal complaints and impairments showed a significant decrease in the three domains of voice-related quality of life, mainly in the physical domain. CONCLUSION Pregnant women showed a deterioration in the physical domain of voice-related quality of life and the presence of pain and tingling in the lower back. Pregnant women who had discomfort and musculoskeletal impairments also showed a deterioration in voice-related quality of life, mainly in the physical domain.
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Affiliation(s)
- Fernanda Anversa Bresolin
- UFSM Universidade Federal de Santa Maria, Departamento de Fonoaudiologia, Laboratório de Voz, Santa Maria, Rio Grande do Sul, Brazil
| | - Letícia Fernandez Frigo
- UFN Universidade Franciscana de Santa Maria, Curso de Fisioterapia, Laboratório de Voz UFSM Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | - Viviane Nunes Rodrigues
- UFSM Universidade Federal de Santa Maria, Departamento de Fonoaudiologia, Laboratório de Voz, Santa Maria, Rio Grande do Sul, Brazil.
| | - Denis Altieri de Oliveira Moraes
- UFSM Universidade Federal de Santa Maria, Departamento de Fonoaudiologia, Laboratório de Voz, Santa Maria, Rio Grande do Sul, Brazil; UFSM Universidade Federal de Santa Maria, Departamento de Estatística, Laboratório de Estatística, Santa Maria, Rio Grande do Sul, Brazil
| | - Carla Aparecida Cielo
- UFSM Universidade Federal de Santa Maria, Departamento de Fonoaudiologia, Laboratório de Voz, Santa Maria, Rio Grande do Sul, Brazil
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Bresolin FA, Frigo LF, Moraes DADO, Cielo CA. Aerodynamic and Manovacuometric Vocal Measurements in Pregnant Women in the Second and Third Trimesters of Pregnancy. J Voice 2022:S0892-1997(22)00230-2. [PMID: 36243554 DOI: 10.1016/j.jvoice.2022.07.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 07/27/2022] [Accepted: 07/28/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE To describe and to correlate the aerodynamic and manovacuometric voice measurements of pregnant women. METHODS The following evaluations were carried out on 49 pregnant women - between 18 and 40 years old - in the second and third trimesters of gestational age: respiratory muscle strength, maximum phonation time of /a/, habitual, minimum, and maximum sound pressure levels. The data were statistically described and tested for the hypothesis of no association between voice measurements and refence levels, and for the correlation between voice measurements. RESULTS The maximum phonation time of /a/, and the maximum inspiratory and expiratory pressures were significantly lower than expected. The habitual, minimum and maximum sound pressure levels were significantly higher than expected. The maximum sound pressure level showed a weak positive correlation with the maximum phonation time of /a/. There were moderate positive correlations between: minimum/maximum sound pressure level and habitual sound pressure level; maximum sound pressure level and minimum sound pressure level; and maximum expiratory pressure and maximum sound pressure level. A strong positive correlation occurred between maximum expiratory pressure and maximum inspiratory pressure. CONCLUSION The pregnant women showed a decreased maximum phonation time of /a/, decreased respiratory pressures, and increased sound pressure levels. This suggests that pregnancy affects the respiratory dynamics regarding support of phonation and respiratory strength, which may generate a possible vocal abuse with the increase in sound pressure levels without respiratory support.
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Affiliation(s)
- Fernanda Anversa Bresolin
- UFSM Federal University of Santa Maria, Speech Therapy Department, Voice Lab, Santa Maria, RS, Brazil.
| | - Letícia Fernandez Frigo
- UFN Franciscan University of Santa Maria, Physiotherapy course, Voice Lab, UFSM Federal University of Santa Maria, RS, Brazil
| | | | - Carla Aparecida Cielo
- UFSM Federal University of Santa Maria, Speech Therapy Department, Voice Lab, Santa Maria, RS, Brazil
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Rechenberg L, Meurer EM, Melos M, Nienov OH, Corleta HVE, Capp E. Voice, Speech, and Clinical Aspects During Pregnancy: A Longitudinal Study. J Voice 2022:S0892-1997(22)00133-3. [PMID: 35662512 DOI: 10.1016/j.jvoice.2022.04.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Pregnancy involves anatomical, physiological, and metabolic changes in a woman's body. However, the effects of these changes on the voice remains unclear, particularly regarding the clinical characteristics. OBJECTIVES We aimed to evaluate changes in vocal and speech acoustic measures and the relationship between them and clinical aspects in women during pregnancy. METHOD A prospective, longitudinal study was carried out with 41 low risk, adult, pregnant women, followed for prenatal care. Demographic and anthropometric data as well as lifestyle habits and health conditions were collected. Voice recordings of sustained vowels, and automatic and spontaneous speech were held over each trimester and analyzed by PRAAT®to evaluate acoustic, aerodynamic, and articulatory measures. RESULTS There were no changes in fundamental frequency, jitter, shimmer, and harmony to noise ratio during pregnancy. Maximum phonation time (MPT), pause rate, and pause duration reduced at the end of pregnancy. MPT was lower in sedentary pregnant women. The fundamental frequency peak rate was higher in eutrophic participants and lower in the third trimester in women with BMI ≥25 kg/m2. Pause rate was higher in pregnant women with BMI ≥25 kg/m2. There was no relationship between sleep quality, reflux, and vocal symptoms and acoustic and aerodynamic measures. CONCLUSIONS Differences were shown in MPT and temporal pause measurements during pregnancy. Acoustic measurements did not change. There was a relationship between acoustic and aerodynamic measures and clinical variables (BMI, physical activity, and body mass gain).
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Affiliation(s)
- Leila Rechenberg
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Undergraduate Program of Speech and Language Therapy, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Department of Social and Preventive Dentistry, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
| | - Eliséa Maria Meurer
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Monica Melos
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Undergraduate Program of Speech and Language Therapy, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Otto Henrique Nienov
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Helena von Eye Corleta
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Department of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Edison Capp
- Graduate Program of Health Science: Obstetrics and Gynecology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Department of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Zamponi V, Mazzilli R, Mazzilli F, Fantini M. Effect of sex hormones on human voice physiology: from childhood to senescence. Hormones (Athens) 2021; 20:691-696. [PMID: 34046877 PMCID: PMC8594207 DOI: 10.1007/s42000-021-00298-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 05/10/2021] [Indexed: 11/08/2022]
Abstract
The aim of the present literature review is to describe the influence of sex hormones on the human voice in physiological conditions. As a secondary sexual organ, the larynx is affected by sex hormones and may change considerably over the lifespan. In the current review, sex hormone-related voice modifications occurring during childhood, puberty, the menstrual cycle, pregnancy and senescence are described. The roles of sex hormones (including gonadotropins, testosterone, estrogen, androstenedione, dehydroepiandrosterone, and dehydroepiandrosterone-sulfate) underlying physiological voice changes are discussed, the main differences between males and females are explained and clinical implications are taken into account.
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Affiliation(s)
- Virginia Zamponi
- Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
| | - Rossella Mazzilli
- Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Fernando Mazzilli
- Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Marco Fantini
- Head and Neck Oncology Unit, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Turin, Italy
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Ulkumen B, Artunc-Ulkumen B, Celik O. Impact of pregnancy on voice: a prospective observational study. LOGOP PHONIATR VOCO 2021; 47:183-188. [PMID: 33787432 DOI: 10.1080/14015439.2021.1903076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE We aimed to assess if there is a significant change in voice of pregnant women by the end of third trimester. MATERIALS AND METHODS Forty-nine pregnant women were enrolled in this study between April 2019 and March 2020. Subjective and objective voice evaluation was conducted in the third trimester and three months after delivery. The Turkish version of the VHI-10 questionnaire was filled out by every participant. GRBAS scale was used for perceptual voice evaluation. Acoustic analyses were conducted by Multi-Dimensional Voice Program (MDVP) (Computerized Speech Lab, Kay Elemetrics Corporation, Lincoln Park, NJ). Fundamental frequency (fo), Jitter percent (Jitt), Shimmer percent (Shim), noise to harmonic ratio (NHR), maximum phonation time (MPT), voice turbulence index (VTI), vocal intensity, and scale parameters were categorized as predelivery (a) and postdelivery (b). RESULTS Comparison of acoustic parameters of the third trimester with the third month postpartum revealed statistically significant increases for fo (p = .013), MPT (p = .008), and vocal intensity (p≤.001) as well as a significant decrease for VTI (p≤ .001). No statistically significant difference was found for NHR, Jitt, and Shim. Comparison of both VHI-10 and GRBAS scores revealed statistically significant decreases. CONCLUSIONS Disturbances in certain vocal parameters suggest that vocal abnormalities observed during pregnancy are mainly due to anatomical alterations of the lower respiratory system. It would be appropriate to warn pregnant women about bad vocal habits and vocal hygiene. In addition, it would be appropriate to recommend professional voice support to pregnant women who use their voices intensively due to their profession.
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Affiliation(s)
- Burak Ulkumen
- Otorhinolaryngology Department, Manisa Celal Bayar University, Manisa, Turkey
| | - Burcu Artunc-Ulkumen
- Department of Obstetrics and Gynecology, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey
| | - Onur Celik
- Otorhinolaryngology Department, Manisa Celal Bayar University, Manisa, Turkey
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Saggio G, Costantini G. Worldwide Healthy Adult Voice Baseline Parameters: A Comprehensive Review. J Voice 2020; 36:637-649. [PMID: 33039203 DOI: 10.1016/j.jvoice.2020.08.028] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 08/20/2020] [Accepted: 08/21/2020] [Indexed: 12/17/2022]
Abstract
The voice results in acoustic signals analyzed and synthetized at first for telecommunication matters, and more recently investigated for medical purposes. In particular, voice signal characteristics can evidence individual health conditions useful for screening, diagnostic and remote monitoring aims. Within this frame, the knowledge of baseline features of healthy voice is mandatory, in order to balance a comparison with their unhealthy counterpart. However, the baseline features of the human voice depend on gender, age-range and ethnicity and, as far as we know, no work reports as those features spread worldwide. This paper intends to cover this lack. Our database research yielded 179 relevant published studies, retrieved using digital libraries of IEEE Xplore, Scopus, Web of Science, Iop Science, Taylor and Francis Online, and Scitepress. These relevant studies report different features, among which here we consider the most investigated ones, within the most investigated age-range. In particular, the features are the fundamental frequency, the jitter, the shimmer, the harmonic-to-noise ratio, and the cepstral peak prominence, the most investigated age-range is within 20-40 years and, related to the ethnicity, 20 countries are considered.
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Affiliation(s)
- Giovanni Saggio
- Department of Electronic Engineering, University of Rome Tor Vergata, Rome, Italy.
| | - Giovanni Costantini
- Department of Electronic Engineering, University of Rome Tor Vergata, Rome, Italy
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Ulkumen B, Artunc Ulkumen B, Batir MB, Cam S, Vatansever S. The Role of TREK-1 and AQP5 in Gonadocorticoid-Related Voice Disorders. J Voice 2020; 36:150-155. [PMID: 32439217 DOI: 10.1016/j.jvoice.2020.04.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Revised: 04/22/2020] [Accepted: 04/23/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES TWIK-related potassium channel-1 (TREK-1) and Aquaporin 5 (AQP5) are involved in epithelial integrity and fluid transport, respectively. In this study, we aimed to compare physiological and gestational patterns of TREK-1 and AQP5 location and expression in rat larynx. Our secondary objective was to reveal the effect of estradiol (E2) and progesterone (PG) on these two biomolecules. METHODS This study was conducted on 20 Wister albino female rats which were assigned as control (group A) and pregnant group (group B). The rats were sacrificed at 20th day of pregnancy. Blood was obtained directly from the ventricle for detection of serum E2 and PG levels. Larynx was resected for immunohistochemical analyses and real-time polymerase chain reaction testing for detection of TREK-1 and AQP5 staining and expression, respectively. RESULTS Relative TREK-1 (P = 0.035) and AQP5 (P = 0.019) expression was found to be significantly high in group B when compared with group A. We found positive correlation between serum E2 levels and both biomolecules (TREK-1; P = 0.018, AQP5; P = 0.016). We also found positive correlation between serum PG levels and both biomolecules (TREK-1; P = 0.001, AQP5; P = 0.019). TREK-1 immunostaining was found to be higher in surface epithelium and lamina propria of vocal cord mucosa. AQP5 was particularly found to be located in basement membrane and adjacent superficial lamina propria. We revealed the physiological and gestational pattern of laryngeal TREK-1 and AQP5 expression for the first time. Gestational expression of both TREK-1 and AQP5 was found to be increased. Stimulatory effect of E2 and PG on laryngeal TREK-1 and AQP5 expression was also revealed. CONCLUSIONS We revealed upregulatory effect of E2 and PG on laryngeal TREK-1 and AQP5 expression. Based on this finding, it can be suggested that TREK-1 and AQP5 play role in biomolecular processes leading gonadocorticoid-related voice changes.
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Affiliation(s)
- Burak Ulkumen
- Department of Otorhinolaryngology-Head Neck Surgery, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey.
| | - Burcu Artunc Ulkumen
- Department of Obstetrics and Gynecology, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey
| | - Muhammet Burak Batir
- Department of Biology, Faculty of Science and Letters, Manisa Celal Bayar University, Manisa, Turkey
| | - Sirri Cam
- Department of Medical Genetics, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey
| | - Seda Vatansever
- Department of Histology-Embryology, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkey; Experimental Research Center of Health (DESAM), Near East University, Mersin, Turkey
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Voice Changes During Pregnancy Trimesters in Iranian Pregnant Women. J Voice 2020; 34:358-363. [DOI: 10.1016/j.jvoice.2018.09.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 09/19/2018] [Accepted: 09/20/2018] [Indexed: 11/24/2022]
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Ulkumen B, Artunc Ulkumen B, Batir MB, Pala HG, Vatansever S, Cam S. Impact of Pregnancy and Glucocorticoid Treatment on NF-κB and MUC5AC in Mucosa of Rat Larynx. J Voice 2019; 35:342-348. [PMID: 31806275 DOI: 10.1016/j.jvoice.2019.11.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 11/12/2019] [Accepted: 11/13/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The aim of this study is to reveal physiological expression and distribution of nuclear factor-kappa B (NF-κB) and MUC 5 subtype AC (MUC5AC) in rat laryngeal mucosa and to find out the effect of pregnancy and glucocorticoid treatment on these biomolecules. METHODS This animal experiment was done in Experimental Animals Research and Application Center of Manisa Celal Bayar University in accordance with the accepted policy on the use of animals. A total of 30 young, adult Wister albino female rats were randomized into a control group (group A), a pregnant group (group B), and a steroid administered group (group C). Sacrification was done by injection of sodium-pentobarbitone (400 mg/kg) solution via intraperitoneal route in all groups. Serum estradiole (E2) and progesterone (PG) were determined by enzyme-linked immunosorbent assay. The relative expression and distribution of NF-κB and MUC5AC in laryngeal mucosa was studied both by immunohistochemistry (IHC) and polymerase chain reaction testing. Expression and immunohistochemical localization of NF-κB and MUC5AC was evaluated by light microscopy (Olympus BX41). In statistical analyses; relative expression of NF-κB and MUC5AC were compared on group basis. The effect of E2 and PG levels on these biomolecules was also evaluated. RESULTS NF-κB was found to be significantly low both in group B (P < 0.05) and C (P < 0.001) when compared with group A, while MUC5AC was found to be significantly high both in group B (P < 0.05) and group C (P < 0.05) when compared with group A. Concerning IHC; NF-κB was found to be expressed in epithelium and lamina propria. MUC5AC was found to be expressed particularly in the epithelial layer in all groups. Statistically significant negative correlation between PG and NF-κB expression (P = 0.048), but no correlation between PG and MUC5AC expression (P = 0.487) were revealed. On the other hand, no correlation was found between E2 and the expression of relevant biomolecules (NF-κB [P = 0.270], MUC5AC [P = 0.829]). We also did found a significant negative correlation between the expression of NF-κB and MUC5AC (P = 0.031). CONCLUSIONS In this study, the physiological expression of NF-κB and MUC5AC in rat laryngeal mucosa was shown for the first time both by polymerase chain reaction and IHC. The impact of pregnancy and glucocorticoid treatment on the expression and distribution of these biomolecules was also revealed. The expression of NF-κB was found to be decreased while the expression of MUC5AC was found to be increased both by pregnancy and glucocorticoid treatment. The inhibitory effect of serum PG on NF-κB expression in rat laryngeal mucosa was also shown for the first time. The expression of MUC5AC was found to be increased both in pregnant and glucocorticoid administered group. Negative correlation between NF-κB and MUC5AC expression was also revealed in rat larynx for the first time. These findings may partially unclose the histochemical background of voice changes caused by pregnancy and as well as by glucocorticoid treatment.
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Affiliation(s)
- Burak Ulkumen
- Manisa Celal Bayar University, Faculty of Medicine, Department of Otorhinolaryngology-Head Neck Surgery, Manisa, Turkey.
| | - Burcu Artunc Ulkumen
- Manisa Celal Bayar University, Faculty of Medicine, Department of Obstetrics and Gynecology, Manisa, Turkey
| | - Muhammet Burak Batir
- Manisa Celal Bayar University, Faculty of Medicine, Department of Medical Genetics, Manisa, Turkey
| | - Halil Gursoy Pala
- The University of Health Sciences Tepecik Training and Research Hospital, Department of Obstetrics and Gynecology, İzmir, Turkey
| | - Seda Vatansever
- Manisa Celal Bayar University, Faculty of Medicine, Department of Histology-Embryology, Manisa, Turkey and Near East University, Experimental Research Center of Health (DESAM), Mersin, Turkey
| | - Sirri Cam
- Manisa Celal Bayar University, Faculty of Medicine, Department of Medical Genetics, Manisa, Turkey
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Weirich M, Simpson A. Effects of Gender, Parental Role, and Time on Infant- and Adult-Directed Read and Spontaneous Speech. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:4001-4014. [PMID: 31693443 DOI: 10.1044/2019_jslhr-s-19-0047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose The study sets out to investigate inter- and intraspeaker variation in German infant-directed speech (IDS) and considers the potential impact that the factors gender, parental involvement, and speech material (read vs. spontaneous speech) may have. In addition, we analyze data from 3 time points prior to and after the birth of the child to examine potential changes in the features of IDS and, particularly also, of adult-directed speech (ADS). Here, the gender identity of a speaker is considered as an additional factor. Method IDS and ADS data from 34 participants (15 mothers, 19 fathers) is gathered by means of a reading and a picture description task. For IDS, 2 recordings were made when the baby was approximately 6 and 9 months old, respectively. For ADS, an additional recording was made before the baby was born. Phonetic analyses comprise mean fundamental frequency (f0), variation in f0, the 1st 2 formants measured in /i: ɛ a u:/, and the vowel space size. Moreover, social and behavioral data were gathered regarding parental involvement and gender identity. Results German IDS is characterized by an increase in mean f0, a larger variation in f0, vowel- and formant-specific differences, and a larger acoustic vowel space. No effect of gender or parental involvement was found. Also, the phonetic features of IDS were found in both spontaneous and read speech. Regarding ADS, changes in vowel space size in some of the fathers and in mean f0 in mothers were found. Conclusion Phonetic features of German IDS are robust with respect to the factors gender, parental involvement, speech material (read vs. spontaneous speech), and time. Some phonetic features of ADS changed within the child's first year depending on gender and parental involvement/gender identity. Thus, further research on IDS needs to address also potential changes in ADS.
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Affiliation(s)
- Melanie Weirich
- Institute for German Linguistics, Friedrich Schiller Universität Jena, Germany
| | - Adrian Simpson
- Institute for German Linguistics, Friedrich Schiller Universität Jena, Germany
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11
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Li X, Xu W. Clinical Characteristics of Women With Low Vocal Pitch During Pregnancy. J Voice 2019; 35:113-115. [PMID: 31350115 DOI: 10.1016/j.jvoice.2019.06.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Accepted: 06/26/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To analyze voice changes in 29 women with low pitch during pregnancy. METHODS Clinical features, voice characteristics and laryngoscopic signs, changes in hormone levels, and prognosis in 29 women with low pitch during pregnancy were retrospectively analyzed and compared with data from 30 age-matched nonpregnant controls. RESULTS Compared with controls, there was a statistically significant reduction in pitch in the patients. This occurred in the first trimester of their pregnancies in 7/29 patients (27.5%), in the second trimester in 17 (58.6%), and in the third trimester in 5 (17.2%). Of 22 patients who had data on hormonal levels, 9 patients (40.9%) had abnormal hormone levels. Of the remaining seven patients with no hormonal data, three had acne, rough skin, or thick hair during pregnancy. Among the 23 patients who were followed up, 1 (4.3%) recovered to normal pitch 6 months postpartum, 12 (52.2%) had higher pitch but this did not return to normal levels, and 10 (43.5%) showed no significant improvement in phonation. CONCLUSIONS Low pitch during pregnancy occurs most frequently in the second trimester and is more likely to occur when the fetus is a boy. Mucosal edema of vocal folds is common and is closely related to changes in hormone levels during pregnancy. After delivery, the pitch of some patients can improve, and some return to normal pitch.
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Affiliation(s)
- Xueyan Li
- Department of Otolaryngology - Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Ministry of Education of China, Beijing, China
| | - Wen Xu
- Department of Otolaryngology - Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Ministry of Education of China, Beijing, China.
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13
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Saltürk Z, Kumral TL, Bekiten G, Atar Y, Ataç E, Aydoğdu İ, Yıldırım G, Kılıç A, Uyar Y. Objective and Subjective Aspects of Voice in Pregnancy. J Voice 2015; 30:70-3. [PMID: 25913751 DOI: 10.1016/j.jvoice.2015.02.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 02/25/2015] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This study aimed to evaluate vocal changes in pregnancy according to trimesters both objectively and subjectively. METHODS Fifty pregnant women and 15 nonpregnant women were included in the study. Eighteen of the 50 pregnant women were in the first trimester, 17 in the second trimester, and 15 in the third trimester of their pregnancies. The fundamental frequency (F0), jitter, shimmer, noise-to-harmonics ratio (NHR), and minimum and maximum pitch were determined during acoustic voice analysis. Laryngologic examination was evaluated via reflux finding score (RFS). Voice Handicap Index 10 (VHI-10) was used for subjective analysis. RESULTS Maximum phonation time (MPT), VHI-10, and RFS were the parameters that differed significantly. MPT was significantly shorter in the third trimester. Acoustic analysis revealed that F0, jitter, shimmer, NHR, and minimum and maximum pitch values were not significantly different in any groups. RFS was higher in the first and third trimesters than the second trimester and control groups. VHI-10 scores were significantly higher in the third trimester. CONCLUSIONS Our results showed that MPT is decreased during the third trimester, although acoustic parameters did not differ. VHI-10 results deteriorated in the third trimester significantly.
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Affiliation(s)
- Ziya Saltürk
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey.
| | - Tolgar Lütfi Kumral
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Güler Bekiten
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Yavuz Atar
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Enes Ataç
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - İmran Aydoğdu
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Güven Yıldırım
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Aydın Kılıç
- Gynecology and Obstetrics Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Yavuz Uyar
- Ear Nose and Throat Clinic, Okmeydanı Training and Research Hospital, Istanbul, Turkey
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