A Preliminary Quantitative Comparison of Vibratory Amplitude Using Rigid and Flexible Stroboscopic Assessment

Carly J. Hosbach-Cannon, Soren Y. Lowell, Richard T. Kelley, Raymond H. Colton

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Study Objective: The purpose of this study was to establish preliminary, quantitative data on amplitude of vibration during stroboscopic assessment in healthy speakers with normal voice characteristics. Amplitude of vocal fold vibration is a core physiological parameter used in diagnosing voice disorders, yet quantitative data are lacking to guide the determination of what constitutes normal vibratory amplitude. Methods/Study Design: Eleven participants were assessed during sustained vowel production using rigid and flexible endoscopy with stroboscopy. Still images were extracted from digital recordings of a sustained /i/ produced at a comfortable pitch and loudness, with F 0 controlled so that levels were within ±15% of each participant's comfortable mean level as determined from connected speech. Glottal width (GW), true vocal fold (TVF) length, and TVF width were measured from still frames representing the maximum open phase of the vibratory cycle. To control for anatomic and magnification differences across participants, GW was normalized to TVF length. GW as a ratio of TVF width was also computed for comparison with prior studies. Results: Mean values and standard deviations were computed for the normalized measures. Paired t tests showed no significant differences between rigid and flexible endoscopy methods. Interrater and intrarater reliability values for raw measurements were found to be high (0.89-0.99). Conclusions: These preliminary quantitative data may be helpful in determining normality or abnormality of vocal fold vibration. Results indicatethat quantified amplitude of vibration is similar between endoscopic methods, a clinically relevant finding for individuals performing and interpreting stroboscopic assessments.

Original languageEnglish (US)
Pages (from-to)485-492
Number of pages8
JournalJournal of Voice
Volume30
Issue number4
DOIs
StatePublished - Jul 1 2016

Keywords

  • Amplitude
  • Flexible stroboscopy
  • Rigid stroboscopy
  • Stroboscopy
  • Vibratory amplitude

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

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