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What is the pitch correlate?
Frequency
Mean Fundamental Frequency
Average number of vibrations per second
Frequency Range
Minimum and maximum
Standard Deviation of Frequency
Variation seen from mean frequency; the accepted range from the mean
A clinician notices a patient’s fundamental frequency varies significantly from moment to moment. What specific frequency-related measure might they analyze, and what would a high value suggest?
They would analyze the Standard Deviation of Frequency; a high value suggests instability or inconsistency in pitch, which may indicate a voice disorder.
If a speaker's voice shows both a very low and very high frequency during speech, what measure does this relate to, and why is it important?
It relates to the Frequency Range. It’s important because it shows vocal flexibility and expressiveness; a narrow range may indicate vocal monotony or pathology.
What is the loudness correlate?
Intensity
What are the intensity-related measures?
Mean amplitude, intensity range, and standard deviation of amplitude
What would a higher intensity look like?
Higher peaks
You observe that a patient’s voice shows very little variation in loudness. What measure might be useful to evaluate this and what might it indicate?
Standard Deviation of Amplitude; low variation may suggest monotone speech or possible vocal fatigue or neurological issues.
A voice sample has unusually high peaks in its waveform. What does this indicate about the intensity and how might it be perceived?
It indicates high intensity (amplitude), which may be perceived as shouting or vocal strain.
What are the quality correlates?
Noise, perturbation, and cepstral
What is noise (in terms of quality)?
Extra signal in the voice sample
Noise to Harmonic Ratio (NHR)
Bad energy (noise) divided by good noise (harmonic); only for phonation
If a patient's NHR is significantly elevated, what does this say about their voice quality?
It suggests that there is a lot of noise (bad energy) compared to harmonic content, indicating poor voice quality and possibly a vocal pathology.
Jitter (perturbation measure)
Cycle to cycle variation in frequency
Shimmer (perturbation measure)
Cycle to cycle variation in intensity
When are perturbation measures used?
Only for phonation
What does higher jitter shimmer mean? Lower?
Higher jitter/shimmer indicates irregular frequency and amplitude cycles, suggesting unstable vocal fold vibration and poor voice quality, which relates to the mucosal wave; lower suggests stable, regular vocal fold vibration.
When can you use the cepstral measures?
For both speech and phonation samples
Waveforms
Illustrates amplitude over time
Spectrum
Illustrates amplitude and frequency over time
Cepstrum
The inverse of a spectrum
Cepstral Peak Prominence (CPP)
Index of voice quality; gives a numerical score called Cepstral Spectral Index of Dysphonia (CSID)
When can CSID and CPP be used?
For both running speech samples and sustained vowel phonations
A patient receives a low CPP score. What does this indicate about their voice quality?
A low CPP indicates poor harmonic structure and breathy/hoarse voice quality, which can signal dysphonia.
Sensitivity
How well a test identifies someone with a disorder as having a disorder
Specificity
How well a test identifies a person with normal voice as having a normal voice