Evidence map›Paper›PMID 42538221›Full record

ArticleJournal of voice : official journal of the Voice Foundation2026

Minimal Perturbation-Based Segment Selection in Connected Speech Differentiates Healthy and Pathological Voice.

Owen P Wischhoff, Maiwand M Tarazi, Jakob R Holm, Grayson J Bienhold, Eleanor A Osberg, Jack J Jiang

Abstract read
In one paragraph

Article in Journal of voice : official journal of the Voice Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Owen P WischhoffDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Maiwand M TaraziDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Jakob R HolmDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Grayson J BienholdDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Eleanor A OsbergDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Jack J JiangDepartment of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. Electronic address: jjjiang@wisc.edu.

Funding

Chaos in Human Phonation and Its MeasurementR01DC006019 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI JIANG, JACK J · 2003 to 2023
$4.8M
NIDCD NIH HHS R01 DC006019
6 · The paper itself

Abstract

objectiveAcoustic voice analysis has historically relied on sustained vowel phonation, which captures a single, controlled phonatory configuration and may underrepresent everyday communicative function. The minimal perturbation method proposes that the most regularly phonated segment of a voice sample reflects the functional capacity of the laryngeal system. This study applied a moving-window segmentation technique to connected speech to evaluate nonlinear dynamic, perturbation, and spectral acoustic measures for discriminating between healthy and pathological voices.

methodsEighty-two connected speech recordings (41 healthy, 41 pathological) were randomly selected from the KayPENTAX Disordered Voice Database. The first twelve seconds of the Rainbow Passage were segmented into 0.8-second windows with a 0.25-second shift. Each metric produced a minimally perturbed segment to represent that sample. Acoustic measures included nonlinear energy difference ratio (NEDR), weighted index of dysphonia (WID), voice-type component profile (VTCP), perturbation (jitter and shimmer), cepstral peak prominence (CPP), and signal-to-noise ratio (SNR). Group differences were evaluated using Welch's independent-samples t tests with Cohen's d. Multiple comparisons were controlled using the Benjamini-Hochberg procedure within metric groups.

resultsSeven of ten acoustic measures demonstrated significant group differences that survived within-group false discovery rate correction. CPP produced the largest effect (d = 1.953), followed by VTC1 (d = 0.711), WID (d = 0.629), NEDR (d = 0.569), SNR (d = 0.568), jitter (d = 0.530), and shimmer (d = 0.490). VTC4 reached nominal significance but did not survive correction; VTC2 and VTC3 did not reach significance.

conclusionThe moving-window method successfully classified healthy and pathological voices without using sustained vowels. Spectral and nonlinear dynamic measures produced the strongest effects, while segment-level optimization preserved the discriminative validity of perturbation measures in running speech. These findings support the minimal perturbation method in connected speech using these acoustic variables. Future research should further investigate optimal window approaches for running speech, focusing on composite acoustic analysis assessment to determine the lowest perturbation, balancing signal quality with fidelity.

Indexed as

Acoustic analysisChaosConnected speechLaryngeal pathologiesMinimal perturbation methodMoving window

Identifiers

PMID42538221
PMCPMC13430991

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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.