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Vocal loading-related subjective symptoms were studied in a day-long vocal loading test. The voices of 40 female and 40 male voluntary young students were loaded by having them read aloud a novel for five times 45 min. The subjective symptoms that occurred during the vocal loading session were reported by filling in a questionnaire after each session. The responses loaded on five factors in a factor analysis: (1) ‘central fatigue’; (2) ‘symptoms of the neck, shoulders and back’; (3) ‘drying in the mouth and throat’; (4) ‘symptoms of the throat’; (5) ‘symptoms of the voice’. The exposure groups (5 females and 5 males per cell) consisted of eight combinations of the following factors: (1) low (25 ± 5%) or high (65 ± 5%) relative humidity of ambient air; (2) low [<65 dB(SPL)] or high [>65 dB(SPL)] speech output level of vocal loading; (3) sitting or standing posture during vocal loading. The lowest mean score for symptoms pooled over the test were found in ‘symptoms of the neck, shoulders and back’ and the highest mean symptom score in ‘drying in the mouth and throat’ and ‘symptoms of the throat’. Most symptoms were at their minimum during the first loading session and increased statistically significantly to a peak mean value after three or five vocal loading sessions. Statistically significant differences in the mean level between the gender or exposure groups emerged for ‘central fatigue’ (humidity had clear effects) and ‘symptoms of the neck, shoulders and back’ (gender, humidity and posture had clear effects). In these cases, females had more symptoms than males; the low-humidity group had more symptoms than the high-humidity group, and the standing subjects had more symptoms than the sitting subjects.

No abstract

In all, 32 of 33 laryngeal fracture patients had blunt trauma and the main causative factors were sport injuries (39%) and physical assault (33%). All of the 33 laryngeal fracture patients had a good airway outcome. The subjective voice outcome was good for 20 (61%) and fair for 13 (39%) patients. The mean follow-up time was 39.5 months (range 2-114 months). In phoniatric evaluation most (six of eight) patients with fair voice outcome could not produce high pitched voices because of inability to stretch the vocal folds.

It is a common experience that vocal quality changes during a break in vocal loading. The purpose of the present study was (1) to analyse the effects of a short post-loading vocal rest in terms of changes in a large variety of voice parameters and (2) to assess the possible effects of gender and exposure factors on these changes. The voices of a randomly chosen group of 40 female and 40 male young students were loaded by having them read aloud a novel. Two sets of voice samples were recorded: a post-loading sample after three times 45-min vocal loading during the morning and a post-resting sample after a 45-min lunch break. The material recorded consisted of /pa:ppa/ words produced normally, as softly and as loudly as possible in this order. The long /a/ vowel of the test word was inverse-filtered to obtain the glottal flow waveform. Time-domain parameters of the glottal flow [open quotient, closing quotient (ClQ), speed quotient (SQ), fundamental frequency (F₀)], amplitude-domain parameters of the glottal flow [glottal flow, minimum of the first derivative of glottal flow, amplitude quotient (AQ)], intraoral pressure and sound pressure level (SPL) values of the phonations were analysed. Voice range profiles and the singer’s formant (g/G, a/A, c^∣/c, e^∣/e, g^∣/g for females/males) of the loud phonations were also measured. The subjects were divided into eight exposure groups (5 females and 5 males per cell) according to different combinations of the following exposure factors: (1) low (25 ± 5%) or high (65 ± 5%) relative humidity of ambient air, (2) low [<65 dB(A)] or high [>65 dB(A)] speech output level during vocal loading and (3) sitting or standing posture during vocal loading. Statistically significant differences between the post-loading and post-resting samples could be observed in many parameters (the values of intraoral pressure in the soft phonations decreased, the values of SPL and SQ in the normal phonations decreased and the values of AQ, F₀ and ClQ in the normal phonations increased). Most of the differences reflected a shift towards softer phonation. Gender and exposure factors also had significant effects.