Department of Health Sciences, Speech and Language Pathology Program, Universidad Manuela Beltrán, Bogotá, Colombia.
Department of Engineering, Biomedical Engineering Program, Universidad Manuela Beltrán, Bogotá, Colombia.
J Voice. 2022 Mar;36(2):219-225. doi: 10.1016/j.jvoice.2020.05.008. Epub 2020 Jun 19.
To determine which acoustic parameters may be associated with vocal fatigue among college professors in Bogotá-Colombia.
This was a cross-sectional study including 27 voice samples of college professors.
A gender analysis showed that mean fundamental frequency increased significantly among men and women who reported vocal fatigue compared with the those without fatigue (138.2Hz vs 122.3Hz for males; and 228.7Hz vs 188.9Hz for females; Mann-Whitney U test P value <0.01). Participants with vocal fatigue demonstrated a significantly decreased standard deviation of vocal sound pressure level compared to participants without vocal fatigue (8.7 dB vs 10.2 dB; Mann-Whitney U test P value <0.01). For the males in our sample, fundamental frequency had fair discriminatory value for vocal fatigue (area under the curve = 0.7). Sensitivity and specificity were moderate at a cut-off of 125 Hz (0.7 and 0.6 respectively). For females in this sample, the discriminatory value of fundamental frequency was slightly higher (area under the curve = 0.8). At a cut-off of 200 Hz, sensitivity was high (0.9) and specificity were moderate (0.7).
In conclusion, the fundamental frequencies and standard deviations of vocal sound pressure level are good indicators of and may be used to identify college professors with vocal fatigue. Clinically, voice clinicians may aim to train their clients to produce speech with a higher variation of "intensity" in order to avoid vocal fatigue.
确定在哥伦比亚波哥大的大学教授中,哪些声学参数可能与嗓音疲劳有关。
这是一项横断面研究,共纳入 27 名大学教授的嗓音样本。
性别分析表明,与无疲劳的教授相比,报告有嗓音疲劳的男性和女性的平均基频显著升高(男性为 138.2Hz 对 122.3Hz;女性为 228.7Hz 对 188.9Hz;Mann-Whitney U 检验 P 值均<0.01)。与无嗓音疲劳的参与者相比,有嗓音疲劳的参与者的嗓音声压级标准差显著降低(8.7dB 对 10.2dB;Mann-Whitney U 检验 P 值均<0.01)。对于我们样本中的男性,基频对嗓音疲劳具有较好的鉴别价值(曲线下面积=0.7)。在 125Hz 的截点下,灵敏度和特异性为中等(分别为 0.7 和 0.6)。在本样本中,女性的基频鉴别值稍高(曲线下面积=0.8)。在 200Hz 的截点下,灵敏度较高(0.9),特异性为中等(0.7)。
总之,基频和嗓音声压级的标准差是识别有嗓音疲劳的大学教授的良好指标,并且可能被用于识别。在临床上,嗓音临床医生可能旨在训练他们的客户使用更高变化的“强度”来产生言语,以避免嗓音疲劳。