Changes After Voice Therapy in Acoustic Voice Analysis of Chinese Patients With Voice Disorders

Publication date: Available online 9 June 2017
Source:Journal of Voice
Author(s): Dan Lu, Fei Chen, Hui Yang, Rong Yu, Qi Zhou, Xinyuan Zhang, Jia Ren, Yitao Zheng, Xiaoyan Zhang, Jian Zou, Haiyang Wang, Jun Liu
ObjectivesThis study aimed to evaluate the effects of voice therapy on patients with voice disorders by comparing the acoustic parameter changes before and after treatment.Study DesignThis is a retrospective study.MethodsForty-five female patients with early-stage vocal nodules or polyps, postoperative patients, and patients with chronic laryngitis were divided into three subgroups. Videostroboscopic, acoustic analysis (fundamental frequency, jitter, shimmer, mean harmonics-to-noise ratio), and maximum phonation time (MPT) were measured before and after treatment. Fifty healthy female volunteers were the control group.ResultsAfter treatment, 24.4% of nodules or polyps had decreased in size, 11.1% of patients with chronic laryngitis and postoperative patients had reduced edema, and the mucosal wave of vocal folds had different degrees of recovery in postoperative patients. All acoustic analysis values and MPT in the patient group were statistically worse than in the control group, except for fundamental frequency before treatment (P > 0.05). After treatment, the acoustic analysis and MPT values were improved. However, the jitter, mean harmonics-to-noise ratio, and MPT values in the patient group were still worse after voice therapy than in the control group (P < 0.05).ConclusionsMost of acoustic analysis values can be useful as a complementary tool in diagnosis and assessment of voice disorders; however, it is not recommended to use a single parameter to assess voice quality. Voice therapy can improve voice quality in patients with voice disorders, but a period longer than 8 weeks is recommended for these patients.



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Salicylate-induced frequency-map reorganization in four subfields of the mouse auditory cortex

Publication date: Available online 10 June 2017
Source:Hearing Research
Author(s): Yasutaka Yanagawa, Kengo Takasu, Hisayuki Osanai, Takashi Tateno
Salicylate is the active ingredient in aspirin, and in high-doses it is used as an experimental tool to induce transient hearing loss, tinnitus, and hyperacusis. These salicylate-induced perceptual disturbances are associated with tonotopic-map reorganization and neural activity modulation, and such neural correlates have been examined in the central auditory pathway, including the auditory cortex (AC). Although previous studies have reported that salicylate induces increases in noise-burst-evoked neural responses and reorganization of tonotopic maps in the primary AC, little is known about the effects of salicylate on other frequency-organized AC subfields such as the anterior auditory, secondary auditory, and dorsomedial fields. Therefore, to examine salicylate-induced spatiotemporal effects on AC subfields, we measured sound-evoked neural activity in mice before and after the administration of sodium salicylate (SS, 200 mg/kg), using flavoprotein auto-fluorescence imaging. SS-treatment gradually reduced responses driven by tone-bursts with lower (≤8 kHz) and higher (≥25 kHz) frequencies over 3 h, whereas evoked responses to tone-bursts within middle-range frequencies (e.g., 12 and 16 kHz) were sustained and unchanged in the four subfields. Additionally, in each of the four subfields, SS-treatment induced similar reorganization of tonotopic maps, and the response areas selectively driven by the middle-range frequencies were profoundly expanded. Our results indicate that the SS-induced tonotopic map reorganizations in each of the four AC subfields were similar, and only the extent of the activated areas responsive to tone-bursts with specific frequencies was subfield-dependent. Thus, we expect that examining cortical reorganization induced by SS may open the possibility of new treatments aimed at altering cortical reorganization into the normative functional organization.



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Altered attentional filters in subjects with graded levels of sensorineural hearing loss

Publication date: Available online 6 June 2017
Source:Hearing Research
Author(s): Christofer W. Bester, Donald Robertson, Dunay Taljaard, Geoff Hammond
Near-threshold tones (targets) in noise that are preceded by cues of the same frequency or occur with a high probability are detected better than tones of other frequencies that may occur with a lower probability (probes); the better detection of targets than probes defines the attentional filter. We measured attentional filters using a cued probe-signal procedure with a two-interval forced-choice (2IFC) method in normal-hearing subjects (N = 15) and subjects with sensorineural hearing loss (SNHL; N = 14) with a range of hearing levels. Attentional filters were altered in SNHL subjects, who detected low-frequency probes as well as targets at all hearing levels and who detected high-frequency probes increasingly well with increasing hearing level. These effects were present in both intervals of the 2IFC procedure. As auditory filters measured psychophysically are typically asymmetric in subjects with SNHL, these results suggest that the signal frequencies affected by the attentional filter are governed by the shapes of the auditory filters at and around the cue frequency. The normal-hearing subjects showed the expected attentional filters in the first interval and shallower filters in the second interval, suggesting that the cue-evoked attentional process is transient. In the first interval, both low- and high-frequency probes were detected better as hearing level increased over a narrow range (from −5 to 10 dB at the target frequency), with a resultant loss of attentional filtering. This finding adds to observations of variable auditory function in individuals with clinically normal hearing thresholds established by audiometry.



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Salicylate-induced frequency-map reorganization in four subfields of the mouse auditory cortex

Publication date: Available online 10 June 2017
Source:Hearing Research
Author(s): Yasutaka Yanagawa, Kengo Takasu, Hisayuki Osanai, Takashi Tateno
Salicylate is the active ingredient in aspirin, and in high-doses it is used as an experimental tool to induce transient hearing loss, tinnitus, and hyperacusis. These salicylate-induced perceptual disturbances are associated with tonotopic-map reorganization and neural activity modulation, and such neural correlates have been examined in the central auditory pathway, including the auditory cortex (AC). Although previous studies have reported that salicylate induces increases in noise-burst-evoked neural responses and reorganization of tonotopic maps in the primary AC, little is known about the effects of salicylate on other frequency-organized AC subfields such as the anterior auditory, secondary auditory, and dorsomedial fields. Therefore, to examine salicylate-induced spatiotemporal effects on AC subfields, we measured sound-evoked neural activity in mice before and after the administration of sodium salicylate (SS, 200 mg/kg), using flavoprotein auto-fluorescence imaging. SS-treatment gradually reduced responses driven by tone-bursts with lower (≤8 kHz) and higher (≥25 kHz) frequencies over 3 h, whereas evoked responses to tone-bursts within middle-range frequencies (e.g., 12 and 16 kHz) were sustained and unchanged in the four subfields. Additionally, in each of the four subfields, SS-treatment induced similar reorganization of tonotopic maps, and the response areas selectively driven by the middle-range frequencies were profoundly expanded. Our results indicate that the SS-induced tonotopic map reorganizations in each of the four AC subfields were similar, and only the extent of the activated areas responsive to tone-bursts with specific frequencies was subfield-dependent. Thus, we expect that examining cortical reorganization induced by SS may open the possibility of new treatments aimed at altering cortical reorganization into the normative functional organization.



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Altered attentional filters in subjects with graded levels of sensorineural hearing loss

Publication date: Available online 6 June 2017
Source:Hearing Research
Author(s): Christofer W. Bester, Donald Robertson, Dunay Taljaard, Geoff Hammond
Near-threshold tones (targets) in noise that are preceded by cues of the same frequency or occur with a high probability are detected better than tones of other frequencies that may occur with a lower probability (probes); the better detection of targets than probes defines the attentional filter. We measured attentional filters using a cued probe-signal procedure with a two-interval forced-choice (2IFC) method in normal-hearing subjects (N = 15) and subjects with sensorineural hearing loss (SNHL; N = 14) with a range of hearing levels. Attentional filters were altered in SNHL subjects, who detected low-frequency probes as well as targets at all hearing levels and who detected high-frequency probes increasingly well with increasing hearing level. These effects were present in both intervals of the 2IFC procedure. As auditory filters measured psychophysically are typically asymmetric in subjects with SNHL, these results suggest that the signal frequencies affected by the attentional filter are governed by the shapes of the auditory filters at and around the cue frequency. The normal-hearing subjects showed the expected attentional filters in the first interval and shallower filters in the second interval, suggesting that the cue-evoked attentional process is transient. In the first interval, both low- and high-frequency probes were detected better as hearing level increased over a narrow range (from −5 to 10 dB at the target frequency), with a resultant loss of attentional filtering. This finding adds to observations of variable auditory function in individuals with clinically normal hearing thresholds established by audiometry.



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Salicylate-induced frequency-map reorganization in four subfields of the mouse auditory cortex

Publication date: Available online 10 June 2017
Source:Hearing Research
Author(s): Yasutaka Yanagawa, Kengo Takasu, Hisayuki Osanai, Takashi Tateno
Salicylate is the active ingredient in aspirin, and in high-doses it is used as an experimental tool to induce transient hearing loss, tinnitus, and hyperacusis. These salicylate-induced perceptual disturbances are associated with tonotopic-map reorganization and neural activity modulation, and such neural correlates have been examined in the central auditory pathway, including the auditory cortex (AC). Although previous studies have reported that salicylate induces increases in noise-burst-evoked neural responses and reorganization of tonotopic maps in the primary AC, little is known about the effects of salicylate on other frequency-organized AC subfields such as the anterior auditory, secondary auditory, and dorsomedial fields. Therefore, to examine salicylate-induced spatiotemporal effects on AC subfields, we measured sound-evoked neural activity in mice before and after the administration of sodium salicylate (SS, 200 mg/kg), using flavoprotein auto-fluorescence imaging. SS-treatment gradually reduced responses driven by tone-bursts with lower (≤8 kHz) and higher (≥25 kHz) frequencies over 3 h, whereas evoked responses to tone-bursts within middle-range frequencies (e.g., 12 and 16 kHz) were sustained and unchanged in the four subfields. Additionally, in each of the four subfields, SS-treatment induced similar reorganization of tonotopic maps, and the response areas selectively driven by the middle-range frequencies were profoundly expanded. Our results indicate that the SS-induced tonotopic map reorganizations in each of the four AC subfields were similar, and only the extent of the activated areas responsive to tone-bursts with specific frequencies was subfield-dependent. Thus, we expect that examining cortical reorganization induced by SS may open the possibility of new treatments aimed at altering cortical reorganization into the normative functional organization.



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Altered attentional filters in subjects with graded levels of sensorineural hearing loss

Publication date: Available online 6 June 2017
Source:Hearing Research
Author(s): Christofer W. Bester, Donald Robertson, Dunay Taljaard, Geoff Hammond
Near-threshold tones (targets) in noise that are preceded by cues of the same frequency or occur with a high probability are detected better than tones of other frequencies that may occur with a lower probability (probes); the better detection of targets than probes defines the attentional filter. We measured attentional filters using a cued probe-signal procedure with a two-interval forced-choice (2IFC) method in normal-hearing subjects (N = 15) and subjects with sensorineural hearing loss (SNHL; N = 14) with a range of hearing levels. Attentional filters were altered in SNHL subjects, who detected low-frequency probes as well as targets at all hearing levels and who detected high-frequency probes increasingly well with increasing hearing level. These effects were present in both intervals of the 2IFC procedure. As auditory filters measured psychophysically are typically asymmetric in subjects with SNHL, these results suggest that the signal frequencies affected by the attentional filter are governed by the shapes of the auditory filters at and around the cue frequency. The normal-hearing subjects showed the expected attentional filters in the first interval and shallower filters in the second interval, suggesting that the cue-evoked attentional process is transient. In the first interval, both low- and high-frequency probes were detected better as hearing level increased over a narrow range (from −5 to 10 dB at the target frequency), with a resultant loss of attentional filtering. This finding adds to observations of variable auditory function in individuals with clinically normal hearing thresholds established by audiometry.



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