The Effect of Formant Measurement Methods on Vowel Space in Patients with Parkinson\u27s Disease Before and After Voice Treatment

Abstract

LSVT-LOUDยฎ has been shown to improve phonatory quality in patients with PD. Previous studies have shown an increase in vowel space area following treatment, but questions remain regarding possible methodological issues in interaction with phonatory factors. This study addresses these questions by comparing multiple formant measurment methods and vowel space metrics. Ten participants were recorded on two separate days before and after treatment. Formants were measured using a human-guided reference (dubbed \u27HGIM\u27), LPC, and two forms of cepstrally-liftered spectrum. Multiple vowel space metrics including the vowel articulation index, F2i/F2u, area of the vowel quadrilateral, and vowel formant dispersion utilized both lax and corner vowels to explore vowel space changes. Analysis revealed no significant change in vowel space following LSVT. High variability in LPC with a fixed coefficient was noted. These results do not support previous claims of increased vowel space but suggest that formant measurement methods may influence results

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