Voice acoustic patterns of patients diagnosed with vibroacoustic disease
Padrões acústicos da voz em indivíduos com a doença vibroacústica
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Castelo Branco" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Ana" "apellidos" => "Mendes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Mariana" "apellidos" => "Alves-Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Nuno A.A." "apellidos" => "Castelo Branco" "email" => array:1 [ 0 => "vibroacoustic.disease@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Escola Superior de Saúde, Instituto Politécnico de Setúbal" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "ERISA, Universidade Lusófona, Lisboa" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Centro da Performance Humana, Lisboa" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Padrões acústicos da voz em indivíduos com a doença vibroacústica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-02-28" "fechaAceptado" => "2006-04-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec158751" "palabras" => array:6 [ 0 => "Low frequency noise" 1 => "infrasound" 2 => "shimmer" 3 => "jitter" 4 => "voice acoustics" 5 => "vocal folds" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec158752" "palabras" => array:6 [ 0 => "Ruído de baixa frequência" 1 => "infra-sons" 2 => "<span class="elsevierStyleItalic">shimmer</span>" 3 => "<span class="elsevierStyleItalic">jitter</span>" 4 => "acústica da voz" 5 => "cordas vocais" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Long-term low frequency noise exposure (LFN) (≤<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz, including infrasound) may lead to the development of vibroacoustic disease (VAD), a systemic pathology characterized by the abnormal growth of extra-cellular matrices. The respiratory system is a target for LFN. Fibrosis of the respiratory tract epithelia was observed in VAD patients through biopsy, and confirmed in animal models exposed to LFN. Voice acoustic analysis can detect vocal fold variations of mass, tension, muscular and neural activity. Frequency perturbation (jitter), amplitude perturbation (shimmer) and harmonicto- noise ratio (HNR) are used in the evaluation of the vocal function, and can be indicators of the presence and degree of severity of vocal pathology. Since the respiratory system is the energy source of the phonation process, this raises questions about the effects of VAD on voice production. The purpose of this study was to determine if voice acoustic parameters of VAD patients are different from normative data.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Nine individuals (5 males and 4 females) diagnosed with VAD were recorded performing spoken and sung tasks. The spoken tasks included sustaining vowels and fricatives. The sung tasks consisted of maximum phonational frequency range (MPFR). Voice acoustic parameters analysed were: fundamental frequency (F<span class="elsevierStyleInf">0</span>), jitter, shimmer, HNR and temporal measures.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Compared with normative data, both males and females diagnosed with VAD exhibited increased F<span class="elsevierStyleInf">0</span>, shimmer and HNR. Jitter, MPFR and one temporal measure were reduced.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">VAD individuals presented voice acoustic parameter differences in spectral, temporal and perturbation measures, which may be indicative of small morphological changes in the phonatory system.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Enquadramento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A exposição crónica ao ruído de baixa frequência (RBF) (≤<span class="elsevierStyleHsp" style=""></span>500<span class="elsevierStyleHsp" style=""></span>Hz, incluindo infra-sons) pode conduzir ao desenvolvimento da doença vibroacústica (VAD – <span class="elsevierStyleItalic">vibroacoustic disease</span>), uma patologia sistémica caracterizada pela proliferação anormal das matrizes extracelulares. O aparelho respiratório é alvo do RBF, como foi observado em doentes com VAD através de biópsia e confirmado com modelos animais expostos a RBF, sendo um dos aspectos mais evidentes a fibrose intersticial da traqueia. A análise acústica vocal pode detectar pequenas variações na massa, tensão, actividade muscular e neuronal das pregas vocais através de parâmetros como frequência fundamental (F<span class="elsevierStyleInf">0</span>), <span class="elsevierStyleItalic">jitter</span>, <span class="elsevierStyleItalic">shimmer</span> e índice harmónico-ruído (H/R). Dado que o sistema respiratório é a fonte de energia do processo fonatório, e sabendo das alterações morfológicas na traqueia dos doentes com VAD, pode perguntar-se quais os efeitos destas alterações na voz. O objectivo deste estudo foi determinar se os parâmetros acústicos dos doentes com VAD diferem dos dados normativos.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0150" class="elsevierStyleSimplePara elsevierViewall">Nove indivíduos diagnosticados com a VAD (5 homens e 4 mulheres) foram gravados durante a produção de tarefas fonatórias e foram efectuadas as análises acústicas vocais.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os doentes com a VAD apresentaram valores elevados de F<span class="elsevierStyleInf">0</span>, <span class="elsevierStyleItalic">shimmer</span> e H/R e valores reduzidos de <span class="elsevierStyleItalic">jitter</span> e extensão máxima de frequência vocal.</p> <span class="elsevierStyleSectionTitle">Conclusões</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Os doentes com a VAD, quando comparados com dados normativos, apresentaram diferentes parâmetros acústicos vocais, espectrais e de perturbação, podendo indicar alterações morfológicas no sistema fonatório.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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