Abstract
Parkinson’s disease is a neurodegenerative disorder that affects motor efficiency which is also required for voice production. Voice is part of the identity of a person, any abnormality in voice quality hampers the quality of communication, and quality of life. This study aimed to analyse the voice of individuals with Parkinson’s disease objectively through acoustic analysis, and subjectively through perceptual analysis. Quasi-experimental study conducted in a tertiary health care centre. The study comprised two groups: 12 individuals with Parkinson’s disease (11 males and 1 female, mean age: 72.41 years), and 12 healthy controls (10 males and 2 females, mean age: 53.83 years). The voice samples of all the participants were recorded and analyzed using the MDVP software of CSL 4500. The voice samples were analyzed for eleven acoustical parameters, and the perceptual analysis was carried out using the GRBAS scale by two experienced Speech Language Pathologists. Mann–Whitney U test was performed to compare the two groups of participants, and Cronbach’s alpha test was performed to find the inter-judge reliability between the perceptual ratings of two listeners. Acoustical comparison showed significant variations in seven parameters (jitter, shimmer, PPQ, APQ, Fatr Hz, Fftr, ATRI), and the perceptual analysis between two listeners showed a fair amount of reliability.
Similar content being viewed by others
Data availability
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
References
Przedborski S (2005) Pathogenesis of nigral cell death in Parkinson’s disease. Parkinsonism Relat Disord 11:S3–S7. https://doi.org/10.1016/j.parkreldis.2004.10.012
Jankovic J (2008) Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry 79:368–376. https://doi.org/10.1136/jnnp.2007.131045
Lim SY, Fox SH, Lang AE (2009) Overview of the extranigral aspects of Parkinson disease. Arch Neurol 66:167–172. https://doi.org/10.1001/archneurol.2008.561
Politis M, Wu K, Molloy SG, Bain P, Chaudhuri KR, Piccini P (2010) Parkinson’s disease symptoms: the patient’s perspective. Mov Disord 25:1646–1651. https://doi.org/10.1002/mds.23135
Dyduch A, Załuska M (2014) Depression in Parkinson’s disease: the effectiveness and risk of pharmacotherapy. Clin Rev Psychogeriatr 15:147–153. https://doi.org/10.1111/psyg.12078
Moya-Galé G, Levy ES (2019) Parkinson’s disease-associated dysarthria: prevalence, impact and management strategies. Res Rev Parkinsonism 9:9–16. https://doi.org/10.2147/jprls.s168090
Merati AL, Bielamowicz SA (2006) Textbook of laryngology. In Google Books, Plural Publishing
Miller N, Noble E, Jones D, Burn D (2006) Life with communication changes in Parkinson’s disease. Age Ageing 35:235–239. https://doi.org/10.1093/ageing/afj053
Hirano M (1981) Clinical examination of voice. Springer, Berlin Heidelberg
Tanaka Y, Nishio M, Niimi S (2011) Vocal acoustic characteristics of patients with Parkinson’s disease. Folia Phoniatr Logop 63:223–230. https://doi.org/10.1159/000322059
Shao J, MacCallum JK, Zhang Y, Sprecher A, Jiang JJ (2010) Acoustic analysis of the tremulous voice: assessing the utility of the correlation dimension and perturbation parameters. J Commun Disord 43:35–44. https://doi.org/10.1016/j.jcomdis.2009.09.001
Kent RD, Vorperian HK, Kent JF, Duffy JR (2003) Voice dysfunction in dysarthria: application of the multi-dimensional voice program™. J Commun Disord 36:281–306. https://doi.org/10.1016/s0021-9924(03)00016-9
González J, Cervera T, Miralles JL (2002) Acoustic voice analysis: reliability of a set of multi-dimensional parameters. Acta Otorrinolaringol Esp 53:256–268. https://doi.org/10.1016/s0001-6519(02)78309-x
Santos LLM, Reis LO, Bassi I, Guzella C, Cardoso F, Reis C, Gama ACC (2010) Acoustic and hearing-perceptual voice analysis in individuals with idiopathic Parkinson’s disease in “on” and “off” stages. Arq Neuropsiquiatr 68:706–711. https://doi.org/10.1590/s0004-282x2010000500006
Rusz J, Cmejla R, Ruzickova H, Ruzicka E (2011) Quantitative acoustic measurements for characterization of speech and voice disorders in early untreated Parkinson’s disease. J Acoust Soc Am 129:350–367. https://doi.org/10.1121/1.3514381
Vásquez Correa JC, Orozco Arroyave JR, Arias-Londoño JD, Vargas Bonilla JF, Noth E (2014) New computer aided device for real time analysis of speech of people with Parkinson’s disease. Rev Fac Ing Univ Antioq N 72:87–103
Silva LF, Gama AC, Cardoso FE, Reis CA, Bassi IB (2012) Idiopathic Parkinson’s disease: vocal and quality of life analysis. Arq Neuropsiquiatr 70:674–679. https://doi.org/10.1590/s0004-282x2012000900005
Acknowledgements
We would like to thank the Dean, and the Head of the Department for their support. We extend our sincere gratitude to Prof. Usha A. Dalvi, Ms. Ruth D. Deborah and Dr. Savitha V. H. for their constant help and support throughout the study. We also thank all the participants of the study.
Funding
There has been no significant financial support for this work. It is a non-funded student dissertation work.
Author information
Authors and Affiliations
Contributions
Both authors contributed substantially to the conception and design of the study, data interpretation, and drafting of the manuscript. The first author was responsible for data acquisition and analysis. The second author contributed significantly to manuscript preparation, corrections, and revisions. Both of us agree and approve the final manuscript being submitted.
Corresponding author
Ethics declarations
Conflict of interest
We know of no conflicts of interest associated with this study.
Ethical standard
The study protocol was approved by the Institutional Ethics Committee. (Ref: 1575/IEC/2019).
Patient Consent Statement
Informed consent was obtained from all the participants of this study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Abraham, E.A., Geetha, A. Acoustical and Perceptual Analysis of Voice in Individuals with Parkinson’s Disease. Indian J Otolaryngol Head Neck Surg 75, 427–432 (2023). https://doi.org/10.1007/s12070-022-03282-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-022-03282-z