Background
Measurement of treatment outcomes is critical for of the spectrum of voice treatments, (i.e., surgical, behavioral, or pharmacological). Outcome measures typically include visual (e.g., stroboscopic data), auditory (e.g., CAPE-V, GRBAS), and objective correlates of vocal fold vibratory characteristics, such as acoustic signals (e.g., harmonics-to-noise ratio, cepstral peak prominence) or patient self-reported questionnaires (e.g., Voice Handicap Index, Voice-Related Quality of Life). Subjective measures often show high variability, while most acoustic measures of voice are only valid for signals where some degree of periodicity can be assumed. However, this assumption is often invalid for dysphonic voices where signal periodicity is suspect. Furthermore, many of these measures are not useful in isolation for diagnostic purposes.
Objective
We evaluated a recently developed algorithm (Auditory-SWIPE’) for estimating pitch and pitch strength for dysphonic voices. While fundamental frequency is a physical attribute of a signal, pitch is its psychophysical correlate. As such, the perception of pitch can extend to most signals irrespective of their periodicity.
Methods
Post-hoc analyses were conducted for three groups of patients evaluated and treated for voice problems at a major voice center: (1) muscle tension dysphonia/functional dysphonia, (2) vocal fold mass(es), and (3) presbyphonia. All patients were recorded before and after surgical/behavioral treatment for voice disorders. Pitch and pitch strength for each speaker were computed with the Auditory-SWIPE’ algorithm.
Results
Comparison of pre-and post-treatment data provides support for pitch strength as a measure of treatment outcomes for dysphonic voices.