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  • Purpose: Although speech motor changes are reported as a common sign of Huntington’s disease (HD), the most prominent signs of voice dysfunction remain unknown. The aim of the current study was to explore specific changes in phonatory function in subjects with HD. Method: 34 subjects with HD and 34 age- and sex-matched healthy controls were examined. Participants performed sustained vowel phonation for subsequent analyses of airflow insufficiency, aperiodicity, irregular vibrations of vocal folds, signal perturbations, increased noise, and articulation deficiency. In total, 272 phonations were collected and 12 voice parameters were extracted. Subsequently, a predictive model was built to find the most salient patterns of voice disorders in HD. The results were also correlated with disease severity according to the Unified HD Rating Scale (UHDRS) motor score. Results: Subjects with HD showed deterioration in all investigated phonatory functions. Irregular pitch fluctuations, sudden phonation interruption, increased noise, and misplacement of articulators were found to be most significant patterns of phonatory dysfunction in HD (p < 0.001). The combination of these four dysphonia aspects contributed to the best classification performance of 94.1 % (sensitivity: 95.1 %; specificity: 93.2 %) in the separation of HD patients from healthy participants. Our results further indicated stronger associations between sudden phonation interruption and voluntary components of the UHDRS (r = - 0.48, p < 0.01) and between misplacement of articulators and involuntary components of the UHDRS (r = 0.52, p < 0.01). Conclusions: Our configuration of phonatory features can detect subtle voice abnormalities in subjects with HD. As impairment of phonatory function in HD was found to parallel increasing motor involvement, a qualitative description of voice dysfunction may be helpful to gain better insight into the pathophysiology of the vocal mechanism.
  • Purpose: Although speech motor changes are reported as a common sign of Huntington’s disease (HD), the most prominent signs of voice dysfunction remain unknown. The aim of the current study was to explore specific changes in phonatory function in subjects with HD. Method: 34 subjects with HD and 34 age- and sex-matched healthy controls were examined. Participants performed sustained vowel phonation for subsequent analyses of airflow insufficiency, aperiodicity, irregular vibrations of vocal folds, signal perturbations, increased noise, and articulation deficiency. In total, 272 phonations were collected and 12 voice parameters were extracted. Subsequently, a predictive model was built to find the most salient patterns of voice disorders in HD. The results were also correlated with disease severity according to the Unified HD Rating Scale (UHDRS) motor score. Results: Subjects with HD showed deterioration in all investigated phonatory functions. Irregular pitch fluctuations, sudden phonation interruption, increased noise, and misplacement of articulators were found to be most significant patterns of phonatory dysfunction in HD (p < 0.001). The combination of these four dysphonia aspects contributed to the best classification performance of 94.1 % (sensitivity: 95.1 %; specificity: 93.2 %) in the separation of HD patients from healthy participants. Our results further indicated stronger associations between sudden phonation interruption and voluntary components of the UHDRS (r = - 0.48, p < 0.01) and between misplacement of articulators and involuntary components of the UHDRS (r = 0.52, p < 0.01). Conclusions: Our configuration of phonatory features can detect subtle voice abnormalities in subjects with HD. As impairment of phonatory function in HD was found to parallel increasing motor involvement, a qualitative description of voice dysfunction may be helpful to gain better insight into the pathophysiology of the vocal mechanism. (en)
Title
  • Objective Acoustic Quantification of Phonatory Dysfunction in Huntington's Disease
  • Objective Acoustic Quantification of Phonatory Dysfunction in Huntington's Disease (en)
skos:prefLabel
  • Objective Acoustic Quantification of Phonatory Dysfunction in Huntington's Disease
  • Objective Acoustic Quantification of Phonatory Dysfunction in Huntington's Disease (en)
skos:notation
  • RIV/68407700:21230/13:00206221!RIV14-MSM-21230___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(GAP102/12/2230), P(NT11331), S, Z(MSM0021620849)
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 92877
http://linked.open...ai/riv/idVysledku
  • RIV/68407700:21230/13:00206221
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Huntington’s disease; dysarthria; voice and speech disorder; dysphonia; acoustic analysis. (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [12CBE155516A]
http://linked.open...i/riv/nazevZdroje
  • PLoS ONE
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 8
http://linked.open...iv/tvurceVysledku
  • Klempíř, J.
  • Majerová, V.
  • Roth, J.
  • Rusz, Jan
  • Růžička, E.
  • Čmejla, Roman
  • Tykalová, Tereza
  • Baborová, E.
http://linked.open...ain/vavai/riv/wos
  • 000320440500056
http://linked.open...n/vavai/riv/zamer
issn
  • 1932-6203
number of pages
http://bibframe.org/vocab/doi
  • 10.1371/journal.pone.0065881
http://localhost/t...ganizacniJednotka
  • 21230
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