Models and Analysis of Vocal Emissions for Biomedical Applications

The International Workshop on Models and Analysis of Vocal Emissions for Biomedical Applications (MAVEBA) came into being in 1999 from the particularly felt need of sharing know-how, objectives and results between areas that until then seemed quite distinct such as bioengineering, medicine and singing. MAVEBA deals with all aspects concerning the study of the human voice with applications ranging from the newborn to the adult and elderly. Over the years the initial issues have grown and spread also in other fields of research such as occupational voice disorders, neurology, rehabilitation, image and video analysis. MAVEBA takes place every two years in Firenze, Italy. This edition celebrates twenty-two years of uninterrupted and successful research in the field of voice analysis

Automatic analysis of pathological speech

De ernst van een spraakstoornis wordt vaak gemeten a.d.h.v. spraakverstaanbaarheid. Deze maat wordt in de klinische praktijk vaak bepaald met een perceptuele test. Zo’n test is van nature subjectief vermits de therapeut die de test afneemt de (stoornis van de) patiënt vaak kent en ook vertrouwd is met het gebruikte testmateriaal. Daarom is het interessant te onderzoeken of men met spraakherkenning een objectieve beoordelaar van verstaanbaarheid kan creëren. In deze thesis wordt een methodologie uitgewerkt om een gestandaardiseerde perceptuele test, het Nederlandstalig Spraakverstaanbaarheidsonderzoek (NSVO), te automatiseren. Hiervoor wordt gebruik gemaakt van spraakherkenning om de patiënt fonologisch en fonemisch te karakteriseren en uit deze karakterisering een spraakverstaanbaarheidsscore af te leiden. Experimenten hebben aangetoond dat de berekende scores zeer betrouwbaar zijn. Vermits het NSVO met nonsenswoorden werkt, kunnen vooral kinderen hierdoor leesfouten maken. Daarom werden nieuwe methodes ontwikkeld, gebaseerd op betekenisdragende lopende spraak, die hiertegen robuust zijn en tegelijk ook in verschillende talen gebruikt kunnen worden. Met deze nieuwe modellen bleek het mogelijk te zijn om betrouwbare verstaanbaarheidsscores te berekenen voor Vlaamse, Nederlandse en Duitse spraak. Tenslotte heeft het onderzoek ook belangrijke stappen gezet in de richting van een automatische karakterisering van andere aspecten van de spraakstoornis, zoals articulatie en stemgeving

Models and Analysis of Vocal Emissions for Biomedical Applications

The MAVEBA Workshop proceedings, held on a biannual basis, collect the scientific papers presented both as oral and poster contributions, during the conference. The main subjects are: development of theoretical and mechanical models as an aid to the study of main phonatory dysfunctions, as well as the biomedical engineering methods for the analysis of voice signals and images, as a support to clinical diagnosis and classification of vocal pathologies

Pan European Voice Conference - PEVOC 11

The Pan European VOice Conference (PEVOC) was born in 1995 and therefore in 2015 it celebrates the 20th anniversary of its establishment: an important milestone that clearly expresses the strength and interest of the scientific community for the topics of this conference. The most significant themes of PEVOC are singing pedagogy and art, but also occupational voice disorders, neurology, rehabilitation, image and video analysis. PEVOC takes place in different European cities every two years (www.pevoc.org). The PEVOC 11 conference includes a symposium of the Collegium Medicorum Theatri (www.comet collegium.com

Tongue-Palate Interaction in Discrete and Sequential Swallowing

Historically, swallowing motor control was thought to involve a central mechanism that generated patterned responses with little use of sensory input. Although increasing evidence of peripheral modulation has altered this concept, our knowledge about the flexibility in deglutitive motor control and performance is incomplete. This study sought to gain a better understanding by examining lingual motor strategies in light of changing bolus properties (volume, consistency) and task demands (discrete vs. sequential swallowing). Specifically, the timing and patterns of tongue-palate contact and the associated changes in tongue shape and action were examined in five normal adults using simultaneous electropalatography (EPG) and ultrasound. Tasks for discrete swallowing included 5 and 30 cc of water, 5 and 30 cc of gelatin, and saliva. Tasks for sequential swallowing involved drinking 200 cc of water at normal and fast rates. Two analysis schemes were used to make timing and percent-contact measurements: segmentation of the EPG time series into four stages (prepropulsion, propulsion, full contact, withdrawal), and compartmentalization of the pseudopalate into six bins (front, central, back, lateral, medial, midline). Results showed little variation in contact pattern as a function of bolus property or subject, suggesting considerable stereotypy in lingual motor strategies for movement sequencing. However, unlike the conventional description, tongue-palate contact during propulsion was multidimensional with two distinct degrees of freedom in the front-to-back and the lateral-to-midline continua. Significant (Q<. 0 I) timing differences were found in that larger and thinner boluses were propelled faster than smaller and thicker ones, and dry swallows had longer full contact than water. For sequential swallowing during continuous drinking, the tongue used faster movement speed and overlapping gestures to meet the task demands, while propulsive contact pattern remained invariant. Thus, the change was not in motor strategies per se but in the timing coordination of the "drink" and "swallow" sequences. A 3-D model of oral lingual action for swallowing was proposed. Clinical implications were discussed. In sum, results of this study support the theory that swallowing motor control includes a peripheral mechanism capable of modulating centrally generated responses, and that the deglutitive motor program has both invariant and variant parameters

Relationships between cognitive status, speech impairment and communicative participation in Parkinson’s disease

Aim: To assess the relationships between cognitive status, speech impairment and communicative participation in Parkinson’s disease. Introduction: Speech and communication difficulties, as well as cognitive impairment, are prevalent in Parkinson’s. The contributions of cognitive impairment and acoustic speech characteristics remain equivocal. Relationships between Impairment and Participation levels of the International Classification of Functioning, Disability and Health (ICF) have not been thoroughly investigated. Methods: 45 people with Parkinson’s and 29 familiar controls performed read, mood and conversational speech tasks as part of a multimethod investigation. Data analysis formed three main parts. Depression, cognition and communication were assessed using questionnaires. Phonetic analysis was used to produce an acoustic characterisation of speech. Listener assessment was used to assess conveyance of emotion and intelligibility. Qualitative Content Analysis was used to provide a participant’s insight into speech and communicative difficulties associated with Parkinson’s disease. Results: Cognitive status was significantly associated with certain read speech acoustic characteristics, emotional conveyance and communicative participation. No association was found with intelligibility or conversational speech acoustic characteristics. The only acoustic speech characteristics that predicted intelligibility were intensity and pause in the read speech condition. The contribution of intelligibility to communicative participation was modest. People with Parkinson’s disease reported a range of psychosocial, cognitive and physical factors affecting their speech and communication. Conclusions: I provide evidence for a role for cognitive status in emotional conveyance and communicative participation, but not necessarily general speech production, in Parkinson’s disease. I demonstrate that there may not be a strong relationship between ICF Impairment level speech measures and functional measures of communication. I also highlight the distinction between measures of communication at the ICF Activity and Participation levels. This study demonstrates that reduced participation in everyday communication in Parkinson’s disease appears to result from a complex interplay of physical, cognitive and psychosocial factors. Further research is required to apply these findings to contribute to future advances in speech and language therapy for Parkinson’s disease