Validity and Reliability of Surface Electromyography in the Assessment of Primary Muscle Tension Dysphonia

Khoddami, Seyyedeh Maryam; Talebian, Saeed; Izadi, Farzad; Ansari, Noureddin Nakhostin

doi:10.1016/j.jvoice.2016.09.010

Cited by 19 publications

(13 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite its limitations, authors predicted that surface LEMG would play a larger role in the evaluation of speech and swallowing disorders as the technique improves [ 15 ]. Numerous researchers used SEMG in phonation studies to assess patients with MTDg [ 16 ]. A number of past studies have used surface electromyography of the suprahyoid muscles to assess oropharyngeal dysfunction in dysphagia [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

et al. 2021

View full text Add to dashboard Cite

Introduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyography. Methods: The material of the work included 58 patients with muscle tension dysphonia (MTD). Each patient underwent otolaryngologic, phoniatric and logopaedic examination. We collected information about medical history and asked patients to fill out Reflux Symptom Index (RSI), Eating Assessment Tool (EAT-10), Dysphagia Handicap Index (DHI) and Swallowing Disorder Scale (SDS). The algorithm of dysphagia diagnostics in our clinic assumes parallel surface electromyography (SEMG) during Functional Endoscopic Evaluation of Swallowing. Results: In comparison to patients suffering from atypical swallowing, patients with muscle tension dysphagia (MTDg) obtained higher values from almost all questionnaires. Logopaedic evaluation revealed abnormalities in the structure and efficiency of the articulatory organs and in the assessment of primary functions. Patients with more abnormalities in logopaedic examination had significantly higher infrahyoid muscle activity during swallowing observed in EMG. Patients with non-normative swallowing pattern had significantly greater asymmetry of the average and maximum amplitude of masseters, as well as submental muscles. Patients with higher percent of muscles asymmetry gained higher scores in questionnaires. Conclusions: Surface electromyography objectifies logopaedic examination of patients with swallowing difficulties. The results of this work showed that, apart from longer swallows, patients with MTDg differ from patients with non-normative swallowing patterns in the muscle activity measured by SEMG, abnormalities in logopaedic evaluation and the severity of complaints reported by patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

et al. 2021

View full text Add to dashboard Cite

show abstract

“…It is noteworthy that surface electromyography (sEMG) is an important technique for detecting, recording, and interpreting the electrophysiological characteristics of muscular activities (Tang et al, 2018). Meanwhile, the sEMG approach is noninvasive, safe, easy to operate, and cost-effective when compared with other methods (Naik et al, 2015;Strazzulla et al, 2016), making it widely utilized for assessing the muscular function associated with phonation activities (Pettersen et al, 2005;Van Houtte et al, 2013;Khoddami et al, 2017;Kaneko et al, 2018;Xu et al, 2018). For instance, four channels of sEMG signals recorded while the subjects were phonating a set of vowels at an increasing pitch were utilized to study the electrical activities of scalenus, sternocleidomastoideus, and upper trapezius muscles (Pettersen et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, four channels of sEMG signals recorded while the subjects were phonating a set of vowels at an increasing pitch were utilized to study the electrical activities of scalenus, sternocleidomastoideus, and upper trapezius muscles (Pettersen et al, 2005). In another study, time-domain features of sEMG signals from two channels were used to assess the functions of the cricothyroid and thyrohyoid muscles in patients with dysphonia (Khoddami et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Up to date, most of the previous studies mainly focused on assessing pitch-related phonation functions individually using either speech signals (Gerratt et al, 2016;Brajot and Lawrence, 2018;Murtola et al, 2019) or sEMG recordings (Pettersen et al, 2005;Van Houtte et al, 2013;Khoddami et al, 2017;Kaneko et al, 2018;Xu et al, 2018), whereas the quantitative interrelationship between the pitches and the corresponding muscular activities during the pitch-related phonation remains unclear. It is noteworthy that the interrelations between the pitches and the corresponding muscular activities are an essential prerequisite for exploring the electrophysiological mechanisms of pitch-related phonation functions, and such mechanisms play an important role in pronunciation training and dysphonia diagnosing.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, since the phonation process involves a large group of small facial and neck muscles that span a relatively large area (Dewan et al, 2017), dynamically evaluating the electrophysiological spatiotemporal properties of the entire group of coordinated facial and neck muscles could be helpful for the analysis of the pitch-related phonation functions. However, most of the existing studies utilized only a few surface electrodes (typical 2-4 channels) with limited coverage, and they rarely provided adequate neuromuscular information required for consistently accurate diagnoses (Pettersen et al, 2005;Khoddami et al, 2017). A small number of sEMG electrodes might miss important muscles and major electrical activities that would be essential for the dynamic assessment of the entire phonation process.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Towards Evaluating Pitch-Related Phonation Function in Speech Communication Using High-Density Surface Electromyography

et al. 2022

View full text Add to dashboard Cite

Pitch, as a sensation of the sound frequency, is a crucial attribute toward constructing a natural voice for communication. Producing intelligible sounds with normal pitches depend on substantive interdependencies among facial and neck muscles. Clarifying the interrelations between the pitches and the corresponding muscular activities would be helpful for evaluating the pitch-related phonating functions, which would play a significant role both in training pronunciation and in assessing dysphonia. In this study, the speech signals and the high-density surface electromyography (HD sEMG) signals were synchronously acquired when phonating [a:], [i:], and [ә:] vowels with increasing pitches, respectively. The HD sEMG energy maps were constructed based on the root mean square values to visualize spatiotemporal characteristics of facial and neck muscle activities. Normalized median frequency (nMF) and root-mean square (nRMS) were correspondingly extracted from the speech and sEMG recordings to quantitatively investigate the correlations between sound frequencies and myoelectric characteristics. The results showed that the frame-wise energy maps built from sEMG recordings presented that the muscle contraction strength increased monotonously across pitch-rising, with left-right symmetrical distribution for the face/neck. Furthermore, the nRMS increased at a similar rate to the nMF when there were rising pitches, and the two parameters had a significant correlation across different vowel tasks [(a:) (0.88 ± 0.04), (i:) (0.89 ± 0.04), and (ә:) (0.87 ± 0.05)]. These findings suggested the possibility of utilizing muscle contraction patterns as a reference for evaluating pitch-related phonation functions. The proposed method could open a new window for developing a clinical approach for assessing the muscular functions of dysphonia.

show abstract

Changes in kinematics and work physiology during progressive lifting in healthy adults

et al. 2021

View full text Add to dashboard Cite

Validity and Reliability of Surface Electromyography in the Assessment of Primary Muscle Tension Dysphonia

Cited by 19 publications

References 25 publications

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

Towards Evaluating Pitch-Related Phonation Function in Speech Communication Using High-Density Surface Electromyography

Changes in kinematics and work physiology during progressive lifting in healthy adults

Contact Info

Product

Resources

About