An assessment of vocal impairment is presented for separating healthy people from persons with early untreated Parkinson’s disease (PD). This study’s main purpose was to (a) determine whether voice and speech disorder are present from early stages of PD before starting dopaminergic pharmacotherapy, (b) ascertain the specific characteristics of the PD-related vocal impairment, (c) identify PD-related acoustic signatures for the major part of traditional clinically used measurement methods with respect to their automatic assessment, and (d) design new automatic measurement methods of articulation. The varied speech data were collected from 46 Czech native speakers, 23 with PD. Subsequently, 19 representative measurements were pre-selected, and Wald sequential analysis was then applied to assess the efficiency of each measure and the extent of vocal impairment of each subject. It was found that measurement of the fundamental frequency variations applied to two selected tasks was the best method for separating healthy from PD subjects. On the basis of objective acoustic measures, statistical decision-making theory, and validation from practicing speech therapists, it has been demonstrated that 78% of early untreated PD subjects indicate some form of vocal impairment. The speech defects thus uncovered differ individually in various characteristics including phonation, articulation, and prosody.
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January 2011
February 02 2011
Quantitative acoustic measurements for characterization of speech and voice disorders in early untreated Parkinson’s disease Available to Purchase
J. Rusz;
J. Rusz
a)
Department of Circuit Theory, Faculty of Electrical Engineering,
Czech Technical University in Prague
, Technicka 2, 116 27, Prague 6, Czech Republic
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R. Cmejla;
R. Cmejla
Department of Circuit Theory, Faculty of Electrical Engineering,
Czech Technical University in Prague
, Technicka 2, 116 27, Prague 6, Czech Republic
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H. Ruzickova;
H. Ruzickova
Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine,
Charles University in Prague
, Katerinska 30, 120 00, Prague 2, Czech Republic
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E. Ruzicka
E. Ruzicka
Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine,
Charles University in Prague
, Katerinska 30, 120 00, Prague 2, Czech Republic
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J. Rusz
a)
Department of Circuit Theory, Faculty of Electrical Engineering,
Czech Technical University in Prague
, Technicka 2, 116 27, Prague 6, Czech Republic
R. Cmejla
Department of Circuit Theory, Faculty of Electrical Engineering,
Czech Technical University in Prague
, Technicka 2, 116 27, Prague 6, Czech Republic
H. Ruzickova
Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine,
Charles University in Prague
, Katerinska 30, 120 00, Prague 2, Czech Republic
E. Ruzicka
Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine,
Charles University in Prague
, Katerinska 30, 120 00, Prague 2, Czech Republic
a)
Author to whom correspondence should be addressed. Electronic mail: [email protected]
J. Acoust. Soc. Am. 129, 350–367 (2011)
Article history
Received:
December 03 2009
Accepted:
October 07 2010
Citation
J. Rusz, R. Cmejla, H. Ruzickova, E. Ruzicka; Quantitative acoustic measurements for characterization of speech and voice disorders in early untreated Parkinson’s disease. J. Acoust. Soc. Am. 1 January 2011; 129 (1): 350–367. https://doi.org/10.1121/1.3514381
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