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Biomedical subjects

D Rossiter

Publications and source records attributed to D Rossiter.

8 recordsLinked to original sources

Voice development under training with and without the influence of real-time visually presented biofeedback.

This paper describes an investigation into the developmental nature of the voice under training with and without the influence of real-time visually presented biofeedback. Two subjects who had not previously experienced any form of vocal training took six singing lessons. One was taught conventionally, while the other was taught with the aid of a system known as Acoustic and Laryngeal Biofeedback Enhancement Real Time (ALBERT). Real-time biofeedback was presented based upon measures of (i) larynx closed quotient (CQ), (ii) spectral amplitude in the singer's formant frequency band relative to the spectral amplitude of the full band (ratio), and (iii) both parameters combined in a manner based on previously observed correlations between them. Results indicate generally increased sound pressure levels (SPL) of acoustic output and generally consistent increases in the level of CQ and ratio across consecutive lessons for both subjects.

Biofeedback, Psychology

ALBERT: a real-time visual feedback computer tool for professional vocal development.

This paper considers the nature of real-time visual feedback for vocal analysis and development and presents a new software tool, called ALBERT (acoustic and laryngeal biofeedback enhancement in real time), designed for use with those developing their voices professionally. This tool embodies several important issues in the provision of real-time visual feedback, including: (a) support for user-configurable visual displays, (b) the ability to use colour as a complementary or sole medium for the presentation of information, (c) the ability to combine algorithmically any number of vocal parameters to create a new single parameter representative of some aspect of vocal measurement which may be displayed and updated in real time, and (d) a rate of information update which may be altered by the user at any point for the most appropriate use according to the context of the feedback task. Several examples of system use are given, including the real-time display of fundamental frequency, jitter, and larynx closed quotient (CQ) parameters in a variety of visual configurations. Several examples are given relating to developing professional voice users, including the derivation of a new parameter which reflects the measure of progress of subjects along a linear correlation line between CQ and the level of energy in the singer's formant region.

Computers

The Functional Independence Measure: a comparative validity and reliability study.

The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. The Functional Independence Measure (FIM) can be weighted to possess interval properties, potentially allowing more accurate analysis of change. In this study the FIM was compared to the Barthel Index (BI) to determine its validity, reliability and ease of use in two groups of 25 patients undergoing neurorehabilitation. The FIM was considered to be more valid than the BI, and equally reliable in the assessment of disability. When the two disability scores were compared using subjective and objective assessment the agreement between them was comparable, although neither was high.

Activities of Daily Living

A real-time LPC-based vocal tract area display for voice development.

This article reports the design and implementation of a graphical display that presents an approximation to vocal tract area in real time for voiced vowel articulation. The acoustic signal is digitally sampled by the system. From these data a set of reflection coefficients is derived using linear predictive coding. A matrix of area coefficients is then determined that approximates the vocal tract area of the user. From this information a graphical display is then generated. The complete cycle of analysis and display is repeated at approximately 20 times/s. Synchronised audio and visual sequences can be recorded and used as dynamic targets for articulatory development. Use of the system is illustrated by diagrams of system output for spoken cardinal vowels and for vowels sung in a trained and untrained style.

Equipment Design

A survey of aphasia services in the United Kingdom.

A survey of the service available, in speech and language therapy departments, to adults with aphasia revealed that many districts in the United Kingdom are unable to fulfil the professional recommendations for the care of aphasic clients. Although individual 'good practice' criteria could be satisfied, only a minority of districts were able to provide a comprehensive service. Levels of staffing for the adult neurological caseload are variable and even, at best, hinder therapists in delivering the recommended standard of management to aphasic clients and their carers.

Aphasia

Introduction of integrated care pathways for patients with multiple sclerosis in an inpatient neurorehabilitation setting.

Rehabilitation of progressive neurological disorders such as multiple sclerosis poses particular problems, and clear setting of goals and clinical audit are essential for effective management. Integrated care pathways (ICPs) offer a unique opportunity to document and audit the rehabilitation process. This preliminary study has shown that ICPs are useful in both assessing process and auditing goals. Their introduction has led to the identification of the key worker role within the neurorehabilitation unit (NRU), and has provided an opportunity to increase the participation of patients and carers in the rehabilitation process. Continuing refinement of the pathway is necessary, and its application to other neurological disorders such as cerebrovascular accident may be appropriate.

Activities of Daily Living