Does voice amplification increase intelligibility in people with Parkinson's disease

Background/Aims: Patients with speech intelligibility difficulties associated with a quiet voice are often prescribed a voice amplifier. This study examined whether artificial voice amplification improved intelligibility in people with Parkinson's disease and whether there was an optimum increase that brought about best improvement. Methods: Twelve people diagnosed with Parkinson's disease (mild=4, moderate intelligibility difficulties=8) and five age-matched controls read low predictability sentences in their habitual voice. Audio recordings were digitally manipulated to create samples at +2.3 dB, +5 dB and +10 dB amplification. Listeners transcribed the recorded sentences. The percentage of words correctly identified was compared across levels of amplification and groups. Results: Participants with moderate Parkinson's disease were significantly less intelligible than controls in all conditions. Moderately, but not mildly affected participants with Parkinson's disease showed higher intelligibility in the amplified conditions, though statistically significantly only at +2.3 dB. No other significant effects of intensity or interactions with groups were found. At an individual level, some participants showed clear advantages of amplification. Conclusion: Based on results from the current participants, potential benefits of amplification cannot be promised to all people with Parkinson's disease. Nevertheless, several provisos regarding methods employed suggest the question can gainfully be pursued using broader measures to assess effects of amplification with more varied groups of people with Parkinson's disease and with other aetiologies where voice production can be an issue

Automatic detection of Parkinson’s disease: an experimental analysis of common speech production tasks used for diagnosis

Parkinson’s disease (PD) is the second most common neurodegenerative disorder of mid-to-late life after Alzheimer’s disease. During the progression of the disease, most individuals with PD report impairments in speech due to deficits in phonation, articulation, prosody, and fluency. In the literature, several studies perform the automatic classification of speech of people with PD considering various types of acoustic information extracted from different speech tasks. Nevertheless, it is unclear which tasks are more important for an automatic classification of the disease. In this work, we compare the discriminant capabilities of eight verbal tasks designed to capture the major symptoms affecting speech. To this end, we introduce a new database of Portuguese speakers consisting of 65 healthy control and 75 PD subjects. For each task, an automatic classifier is built using feature sets and modeling approaches in compliance with the current state of the art. Experimental results permit to identify reading aloud prosodic sentences and story-telling tasks as the most useful for the automatic detection of PD.info:eu-repo/semantics/publishedVersio

Cry features reflect pain intensity in term newborns: an alarm threshold

The purpose of this study was to assess differences in sound spectra of crying of term newborns in relation to different pain levels. Fifty-seven consecutively born neonates were evaluated during heel-prick performed with different analgesic techniques. Crying was recorded and frequency spectrograms analyzed. A pain score on the DAN (Douleur Aiguë du Nouveau-né) scale was assigned to each baby after the sampling. Three features were considered and correlated with the corresponding DAN scores: 1) whole spectral form; 2) the fundamental frequency of the first cry emitted (F0); and 3) root mean square sound pressure normalized to its maximum. After emission of the first cry, babies with DAN scores >8, but not with DAN scores 8 had a significantly higher F0 than those with lower DAN scores (p = 0.016). An alarm threshold exists between high (>8) and low (< or =8) DAN scores: crying has different features in these two groups. When pain exceeds a DAN score of 8, usually a first cry at a high pitch is emitted, followed by the siren cry, with a sound level maintained near its maximum