Skip to main content

Advertisement

Log in

Acoustical and Perceptual Analysis of Voice in Individuals with Parkinson’s Disease

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

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

  1. 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

    Article  PubMed  Google Scholar 

  2. 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

    Article  CAS  PubMed  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  Google Scholar 

  6. 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

    Article  Google Scholar 

  7. Merati AL, Bielamowicz SA (2006) Textbook of laryngology. In Google Books, Plural Publishing

    Google Scholar 

  8. 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

    Article  PubMed  Google Scholar 

  9. Hirano M (1981) Clinical examination of voice. Springer, Berlin Heidelberg

    Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. 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

    Article  CAS  PubMed  Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  CAS  PubMed  Google Scholar 

  16. 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

    Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

Download references

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

Authors

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

Correspondence to Arya Geetha.

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.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-022-03282-z

Keywords

Navigation