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Biomedical subjects

J C Montague

Publications and source records attributed to J C Montague.

At least 19 recordsLinked to original sources

The effect of task on determination of habitual pitch.

The purpose of this study was to investigate if there was an effect of task on determination of habitual pitch, or speaking fundamental frequency (SFF). Seven tasks commonly used to elicit habitual pitch in clinical voice evaluations were compared. Three groups of normal subjects (N = 36) were examined (adult males, adult females, and male and female prepubescent children). For the adult male (n = 12) and pediatric (n = 12) subjects, no significant effect of task was found. For the adult female (n = 12) subjects, a statistically significant (P < .001) effect of task was found. All tasks were found to have high (>0.90) test-retest reliability for all subjects. Implications of the use of one task for determination of habitual pitch are discussed, as is the possibility of a task effect on determination of other voice parameters.

Adult↗

The effect of task on determination of maximum phonational frequency range.

The purpose of this study was to investigate if there was an effect of task on determination of maximum phonational frequency range (MPFR). Two tasks commonly used to elicit MPFR in clinical voice evaluations were compared. Normal adult females (N = 30) were examined. No statistically significant effect of task was found. Both tasks (glissando and discrete-step) were found to have a high positive correlation (0.84). Implications of the use of one task for determination of maximum phonational frequency range are discussed, as is the possibility of a task effect on determination of other voice parameters.

Adult↗

A pilot study of SPINE test scores and measures of tongue deviancy in speakers with severe-to-profound hearing loss.

Two developments show promise in the assessment and remediation of defective speech production in persons with hearing loss. A perceptual speech-intelligibility test, the SPINE (for Speech Intelligibility Evaluation), is a simple, clinician-administered instrument which is valid, reliable, and clinically efficient. In addition, the development of acoustic measures of tongue deviancy, computed from formant frequencies, makes possible a direct lateral visualization of tongue placement in relation to standard vowel placement. In this study, SPINE test scores of 28 persons with severe-to-profound hearing loss were correlated with two measures of tongue deviancy during production of the vowels /i/, /a/, and /u/. For both measures of tongue deviancy, correlations with the SPINE were significant for the three vowels combined and for the isolated vowel /i/. These findings suggest that clinicians may ultimately have two different but complementary means of assessing speech production in persons with hearing loss.

Adolescent↗

Tracheoesophageal speech: with and without tracheostoma valve.

The tracheostoma valve, developed by Blom and Singer combines the advantages of pulmonary air for phonation with hands-free speech. Patients have anecdotally reported "more normal speech" with the use of the valve. This study was designed to objectively determine if speech acoustic and temporal measures existed between tracheoesophageal puncture using the valve, and those without the valve prosthesis, during speech production among the same subjects. The speech samples of nine male laryngectomees were recorded with and without the valve. Six speech acoustic and temporal measures were calculated and compared under both speaking conditions. No statistically significant differences were found between the two speaking conditions for the six tasks measured. However, other advantages and disadvantages were observed and reported under the valve condition.

Aged↗

A pilot study on the effect of training parents of language-delayed children in pragmatic interaction strategies.

This pilot study investigated pragmatic language training on parental expansion of interactive strategies, and a corresponding decrease in using questions and imperatives in parental communication with their language-delayed preschool children. Seven parent-child dyads participated, with the parents receiving training in the acquisition of six pragmatic categories, including reference, model, imitation, description, parallel talk, and expansion. Training results showed a significant increase in the parents' use of parallel talk and a decrease in their use of questions. Apparently in many instances parallel talk may incorporate the strategies of referencing, modeling, imitation, description, and expansion. Findings are discussed in terms of parallel talk functioning as a facilitator for language-delayed children.

Child, Preschool↗

Relationships between esophageal speech proficiency and surgical, biographical, and social factors.

The relationship between judged esophageal speech proficiency and detailed medical/surgical, biographical, and social factors was investigated among a large sample of alaryngeal speakers. The data suggested that more extensive surgery such as radical neck dissection did not lessen the subjects' ability to learn esophageal speech. Surprisingly, subjects who had undergone radical neck surgery had better voices in many cases than those who had undergone only a simple laryngectomy. Educational level, socioeconomic status, length of time spent in speech therapy, and the number of years since surgery did not statistically influence speech results. However, those subjects still gainfully employed did achieve esophageal speech more often than those who were unemployed, particularly with reference to female subjects.

Age Factors↗

Location of the vibratory segment in tracheoesophageal speakers.

The Singer-Blom tracheoesophageal puncture procedure for surgical-prosthetic voice restoration has proved to be a viable option for alaryngeal speech rehabilitation. Following tracheoesophageal puncture, occlusion of the tracheostoma shunts pulmonary air through the Blom-Singer prosthesis into the cervical esophagus. The pulmonary air passing through the cervical esophagus and into the hypopharynx causes a portion of the upper alimentary tract to vibrate in a manner similar to that of the pharyngoesophageal segment during the production of esophageal speech. To study the location and shape of the vibratory segment in tracheoesophageal speakers, videofluoroscopy and simultaneous voice recording were performed with 16 patients. To analyze the vibratory segment(s), photographs were made of the videotaped image while it was stopped during the patients' production of the /a/ sound. The most frequent location of the vibratory segment was in the lower third of the neck, which corresponds to cervical vertebrae C5 through C7. Five of the subjects had two separate vibratory segments and two other subjects had long vibratory segments. The vibratory segment(s) in tracheoesophageal speakers was found to be similar to the vibratory segment(s) in esophageal speakers.

Aged↗

A noninvasive acoustic method using frequency perturbations and computer-generated vocal-tract shapes.

This study investigated improved processing of acoustic data with two adult Down's syndrome subjects. Sustained vowel samples were processed through a fast-Fourier-transform spectrum analyzer, and digital waveform data were used to obtain period-by-period measurements of the fundamental frequencies. Unusual frequency perturbation (jitter), later identified as diplophonia, was found for one of the Down's subjects. In addition, the first three formant frequencies of the vowels were determined and, utilizing an algorithm described by Ladefoged and his colleagues, computer-generated vocal-tract shapes were plotted. Differences in vocal-tract shapes, especially for the back vowels, were observed between the Down's female and the normal shape. Correlations between vocal-tract shapes of the Down's subjects and those for a normal man or woman were computed. A partial three-way factor analysis was carried out to determine those load factors or coefficients for each subject that were due to individual differences. These procedures, offering synthesized techniques portraying the interpharyngeal/oral functioning of the speech structures, may eventually have direct noninvasive diagnostic and therapeutic benefit for voice/resonance-disordered clients.

Adult↗

Perceived age and sex characteristics of voices of institutionalized children with Down's syndrome.

It was hypothesized that the voices of children with Down's syndrome would be perceived as younger than their true chronological age and that perceptual auditors would have considerable difficulty in identifying the correct sex of these children by voice alone. Perceived age and sex were investigated in 20 institutional children with Down's syndrome who were matched for sex and age with a control group of 20 normal children. Randomized matched verbal samples were played backwards to a group of 16 listener/judges who rated the samples as to age and sex. The results indicated that the voices of these Down syndrome children were perceived as being more than 2 yr. younger than their group mean age and that there was a negative correlation between the biological sex of such children and their perceived sex.

Adolescent↗

A comparative computer content analysis of the verbal behavior of institutionalized and noninstitutionalized retarded children.

Previous studies have indicated structural language differences favoring the noninstitutionalized retarded when compared to matched institutionalized retarded children. In this study, a sociological and psychological deficit hypothesis for institutional retardates was explored by using a verbal content analysis system. Unstructured speech samples from 20 institutionalized and 20 noninstitutionalized retarded children were employed using the computerized General Inquirer System and the Harvard III Psychosociological Dictionary. Differences were found between the groups but all except two were negated or attenuated by additional extended manual analysis treatments. The findings of this study do not support a psychological or sociological deficit hypothesis for institutionalized educable retardates as measured by this content analysis system.

Adaptation, Psychological↗