ArticleJournal of voice : official journal of the Voice Foundation2023
Characterization of Primary Muscle Tension Dysphonia Using Acoustic and Aerodynamic Voice Metrics.
Article in Journal of voice : official journal of the Voice Foundation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Effects of Respiratory Lung Volume Training on Speech Breathing, Voice, and Vocal Function: A Randomized Controlled Trial.American journal of speech-language pathology · 2025Trial
- Voice over time: long-term effects of therapy in muscle tension dysphonia with a 24-month follow-up.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Relationships Between Vocal Fold Adduction Patterns, Vocal Acoustic Quality, and Vocal Effort in Individuals With and Without Hyperfunctional Voice Disorders.Journal of voice : official journal of the Voice Foundation · 2026Article
- Clinician Perceptions of Phonatory-Respiratory Kinematic Patterns in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2026Article
- Relationships Between Aerodynamics and Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- Clinical Characteristics and Effects of Vocal Demands in Occupational Voice Users With and Without Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- Salient Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025Article
- Characterization of upper esophageal sphincter pressures relative to vocal acoustics.Journal of applied physiology (Bethesda, Md. : 1985) · 2025Article
- Correlation of Multiple Measures of Voice Evaluation Among Individuals with Muscle Tension Dysphonia: An Exploratory Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Investigation of Acoustic Voice Characteristics of Individuals Diagnosed with Muscle Tension Dysphonia.Turkish archives of otorhinolaryngology · 2024Article
- Laryngeal and Global Somatosensation in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2024Article
- Optical Flow Analysis of Paralaryngeal Muscle Movement.The Laryngoscope · 2024Article
- Extrinsic Laryngeal Muscle Tension in Primary Muscle Tension Dysphonia with Shear Wave Elastography.The Laryngoscope · 2023Article
- Use of Motion Capture Technology to Study Extrinsic Laryngeal Muscle Tension and Hyperfunction.The Laryngoscope · 2023Article
- Examining Therapy Duration in Adults With Voice Disorders.American journal of speech-language pathology · 2023Observational
- Modifications of auditory feedback and its effects on the voice of adult subjects: a scoping review.CoDAS · 2023Article
- Integrative Review and Framework of Suggested Mechanisms in Primary Muscle Tension Dysphonia.Journal of speech, language, and hearing research : JSLHR · 2022Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectives/hypothesisThe objectives of this study were to (1) identify optimal clusters of 15 standard acoustic and aerodynamic voice metrics recommended by the American Speech-Language-Hearing Association (ASHA) to improve characterization of patients with primary muscle tension dysphonia (pMTD) and (2) identify combinations of these 15 metrics that could differentiate pMTD from other types of voice disorders. STUDY
designRetrospective multiparametric
methodsRandom forest modeling, independent t-tests, logistic regression, and affinity propagation clustering were implemented on a retrospective dataset of 15 acoustic and aerodynamic metrics.
resultsTen percent of patients seen at the New York University (NYU) Voice Center over two years met the study criteria for pMTD (92 out of 983 patients), with 65 patients with pMTD and 701 of non-pMTD patients with complete data across all 15 acoustic and aerodynamic voice metrics. PCA plots and affinity propagation clustering demonstrated substantial overlap between the two groups on these parameters. The highest ranked parameters by level of importance with random forest models-(1) mean airflow during voicing (L/sec), (2) mean SPL during voicing (dB), (3) mean peak air pressure (cmH2O), (4) highest F0 (Hz), and (5) CPP mean vowel (dB)-accounted for only 65% of variance. T-tests showed three of these parameters-(1) CPP mean vowel (dB), (2) highest F0 (Hz), and (3) mean peak air pressure (cmH2O)-were statistically significant; however, the log2-fold change for each parameter was minimal.
conclusionComputational models and multivariate statistical testing on 15 acoustic and aerodynamic voice metrics were unable to adequately characterize pMTD and determine differences between the two groups (pMTD and non-pMTD). Further validation of these metrics is needed with voice elicitation tasks that target physiological challenges to the vocal system from baseline vocal acoustic and aerodynamic ouput. Future work should also place greater focus on validating metrics of physiological correlates (eg, neuromuscular processes, laryngeal-respiratory kinematics) across the vocal subsystems over traditional vocal output measures (eg, acoustics, aerodynamics) for patients with pMTD. LEVEL OF EVIDENCE: II.
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