Evidence map›Paper›PMID 32531515›Full record

ArticleJournal of communication disorders

An exploratory model of speech intelligibility for healthy aging based on phonatory and articulatory measures.

Mili Kuruvilla-Dugdale, Maria Dietrich, Jacob D McKinley, Chelsea Deroche

Open access · greenAbstract read
In one paragraph

Article in Journal of communication disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sensorimotor Adaptation to a Nonuniform Formant Perturbation Is Preserved in Healthy Aging.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  4. Article
  5. Factors influencing objective voice profile and speech intelligibility of patients after oral oncological treatment: a prospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mili Kuruvilla-DugdaleDepartment of Speech, Language and Hearing Sciences, University of Missouri, Columbia, MO, United States. Electronic address: kuruvillam@missouri.edu.
Maria DietrichDepartment of Speech, Language and Hearing Sciences, University of Missouri, Columbia, MO, United States.
Jacob D McKinleyDepartment of Rehabilitation Services, University of Kansas Health System, Kansas City, MO, United States.
Chelsea DerocheDepartment of Health Management and Informatics, University of Missouri, Columbia, MO, United States.
University of Missouri · USUniversity of Kansas · US

Funding

A Systematic Investigation of Phonetic Complexity Effects on Articulatory Motor Performance in Progressive DysarthriaR15DC016383 · NIDCD · UNIVERSITY OF MISSOURI-COLUMBIA · PI KURUVILLA-DUGDALE, MILI · 2017 to 2017
$427k
Classifying Neck Surface EMG Signals for the Early Detection of Vocal Fatigue in Student TeachersR15DC015335 · NIDCD · UNIVERSITY OF MISSOURI-COLUMBIA · PI DIETRICH, MARIA · 2016 to 2016
$322k
NIDCD NIH HHS R15 DC015335NIDCD NIH HHS R15 DC016383
6 · The paper itself

Abstract

purposeThe aims of the current study were to determine age-related changes to the phonatory and articulatory subsystems and to investigate an exploratory model of intelligibility for healthy aging based on phonatory and articulatory measures.

methodFifteen healthy, older adults (55-81 years) and 15 younger adults (20-35 years) participated in instrumental assessments of the phonatory (aerodynamic, acoustic) and articulatory (kinematic) subsystems. Speech intelligibility was determined by five listeners during multi-talker babble.

resultsOlder adults displayed shorter maximum phonation time, greater airflow during sentence reading, and lower cepstral peak prominence (CPP) and CPP SD. Additionally, older adults had slower tongue movement speed than younger adults. Speech intelligibility was also significantly reduced in the older group. A generalized estimating equations model combining phonatory and articulatory measures showed that CPP SD, low/high (L/H) spectral ratio mean and SD, Cepstral Spectral Index of Dysphonia (CSID), and maximum tongue movement speed were significant contributors to intelligibility changes in older individuals. While L/H mean and SD and CSID displayed an inverse relationship with intelligibility, CPP SD and maximum tongue speed displayed a direct relationship with intelligibility. DISCUSSION: Aging affects the phonatory and articulatory subsystems with implications for speech intelligibility. Phonatory cepstral/spectral measures (except mean CPP) were associated with speech intelligibility changes, suggesting that changes in voice quality may contribute to reduced intelligibility in older adults. Pertaining to articulation, slower tongue movement speed likely contributed to reduced intelligibility in older individuals.

Indexed as

Healthy AgingPhonationSpeech IntelligibilityAdultAgedAged, 80 and overHumansMiddle AgedSpeech AcousticsSpeech Production MeasurementYoung AdultAgingArticulationSpeech intelligibilityVoice

Identifiers

PMID32531515
PMCPMC7494532
OpenAlexW3021947642

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.