“…The degree of vowel centralization was measured using the four-vowel articulation index (VAI; Roy, Nissen, Dromey, & Sapir, 2009;Sapir, Ramig, Spielman, & Fox, 2011), a metric that has successfully distinguished acoustic vowel production in individuals with PD (Sapir et al, 2011). Measures such as the VAI and its inverse, the formant centralization ratio, were developed in order to capture acoustic vowel differences in speakers with dysarthria for whom conventional vowel metrics (such as vowel space area) were not sufficiently sensitive (Karlsson & van Doorn, 2012;Martel-Sauvageau et al, 2014;Martel-Sauvageau, Roy, Cantin, et al, 2015;Roy et al, 2009;Rusz et al, 2013;Sapir, Ramig, Spielman, & Fox, 2010;Skodda et al, 2011). The VAI measures the coefficient of vowel centralization in such a way that minimizes the effects of interspeaker variability (Roy et al, 2009).…”