• Speech Sciences
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• v.11 no.4
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• pp.129-141
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• 2004

An auditory-perceptual evaluation has long been utilized in assessing dysarthric speech. The process involves subjective judgement and the results might vary depending on clinical experiences or training of listeners. This study aimed to investigate reliability of the auditory-perceptual evaluation of 22 multi -dimensional variables on 6 patients with Parkinsonian speech disorders. Listeners were divided into two groups: one consisted of 6 speech therapists with clinical experiences for three years or more, and the other 6 graduate students without any previous clinical background. The results showed that the former evaluated dysarthric speech with higher inter-rater and intra-rater reliabilities than the latter. Furthermore, such speech variables as 'precise consonant: 'speech intelligibility: and 'SMR regularity' were more influenced than others by clinical experiences. We, therefore, postulated that a reliable auditory-perceptual evaluation of dysarthric speech may require adequate amount of clinical training of listeners.

• Phonetics and Speech Sciences
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• v.10 no.1
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• pp.75-81
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• 2018

Diplophonia is generally defined as the perception of more than one fundamental frequency component in a voice. Its perceptual aspect has traditionally been used to evaluate diplophonia because the perceptions can be easily evaluated, but there are limitations in the validity of the reliability of the intra- and inter-raters, examination situation, and variation of voice sample. Therefore, the purpose of this study is to confirm the reliability and accuracy of auditory perceptual evaluation by comparing non-invasive indirect assessment methods (sound waveform and EGG analysis), and to identify their usefulness with diplophonia. A total of 28 diplophonic voices and 39 non-periodic voices were assessed. Three raters assessed the diplophonia by performing an auditory perception evaluation and identifying the quasi-periodic perturbations of the acoustic waveform and EGG. Among the three discrimination methods, intra- and inter-rater reliability, sensitivity, specificity, accuracy, positive likelihood ratio, and negative likelihood ratio were examined, and the McNemar test was performed to compare the discriminant agreement. The accuracy of the auditory perceptual evaluation (86.57%) was not significantly different from that of sound waveform acoustic (88.06%), but it was significantly different from that of EGG (83.33%). The reading time (6.02 s) for the auditory perceptual evaluation was significantly different from that for sound waveform analysis (30.15 s) and EGG analysis (16.41 s). In the discrimination of diplophonia, auditory perceptual evaluation has sufficient reliability and accuracy as compared to sound waveform and EGG. Since immediate feedback is possible, auditory perceptual evaluation is more convenient. Therefore, it can continue to be used as a tool to discriminate diplophonia in clinical practice.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.3
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• pp.109-117
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• 2021

The auditory-perceptual evaluation of speech-language pathologists (SLP) in patients with voice disorders is often regarded as a touchstone in the multi-dimensional voice evaluation procedures and provides important information not available in other assessment modalities. Therefore, it is necessary for the SLPs to conduct a comprehensive and in-depth evaluation of not only voice but also the overall speech production mechanism, and they often encounter various difficulties in the evaluation process. In addition, SLPs should strive to avoid bias during the evaluation process and to maintain a wide and constant spectrum of severity for each parameter of voice quality. Lastly, it is very important for the SLPs to perform a team approach by documenting and delivering important information pertaining to auditory-perceptual characteristics in an appropriate and efficient way through close communication with the laryngologists.

• Speech Sciences
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• v.13 no.3
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• pp.197-206
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• 2006

Perceptual judgement method is frequently used in evaluating dysarthric speech. Although most of speech pathologists and researchers focus on the 38 perceptual features provided by Darley, Aronson & Brown(1969) during evaluation, there are additional characteristics that may be useful to describe dysarthria in literature. We reviewed previous dysarthria literature and selected 46 perceptual characteristics that could be examined at various subsystems of speech production. We also provided explanations and rationale for the rating method for each of the perceptual characteristics. This attempt might aid to offer a basic ground for developing a diagnostic tool of dysarthria.

• Phonetics and Speech Sciences
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• v.1 no.4
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• pp.165-170
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• 2009

This study was to investigate for comparison between single rating and average ratings from multiple presentations of the same stimulus for measuring the voice quality of dysphonia using 7-point equal-appearing interval (EAI) rating scale. Overall severity of voice quality for 46 /a/ vowel stimuli (23 stimuli from dysphonia, 23 stimuli from control) was rated by 3 experienced speech-language pathologists (averaged 19 years; range = 7 to 40 years). For average ratings, each stimulus was rated five times in random order and averaged from two to five times. Although higher inter-rater reliability was found in average ratings than in single rating, there were no significant differences in rating scores between single and multiple average ratings judged by experienced listeners, suggesting that auditory perceptual ratings judged by well-trained listeners have relatively good agreement with the same stimulus across the judgment. Larger variations in perceptual ratings were observed for moderate voices than for mild or severe voices, even in the average ratings.

• Phonetics and Speech Sciences
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• v.11 no.3
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• pp.9-21
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• 2019

This study aimed to compare the prosodic characteristics of North Korean defectors and South Koreans in three types of sentences (declarative, interrogative, and negative) in two reading tasks (short and dialogue) through acoustic analysis and auditory-perceptual evaluation. In addition, this study examined the relationship between the auditory-perceptual evaluation scores and self-assessment questionnaires on intonation for North Korean defectors. The participants were 15 North Korean defectors and 15 Korean speakers with standard Seoul accents. For statistical analysis, three-way mixed ANOVA and multivariate analysis were performed within the three types of sentences in the reading tasks through acoustic analysis and the Mann-Whitney U Test for auditory-perceptual evaluation. Pearson's product-moment correlation coefficients were also used to identify the correlations between the results of the self-assessment questionnaire on intonation and the auditory-perceptual evaluation. The North Korean defectors were found to have a significantly lower pitch range and auditory-perceptual evaluation score than South Koreans in reading tasks. Moreover, there was a significant correlation between their auditory-perceptual evaluations and self-assessment questionnaires on intonation. The study findings suggest that North Korean defectors, who face many challenges with intonation, showed a tendency to think that their intonation differed from the standard Korean intonation and showed better auditory evaluation results for interrogative sentences.

• Speech Sciences
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• v.11 no.2
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• pp.39-49
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• 2004

An auditory-perceptual rating scale has long been utilized in an evaluation procedure of Parkinsonian speech. This study attempted to investigate various variables and appropriate equal-interval rating scale for each variable. We collected speech samples from 27 patients with Parkinsonian speech disorders. A total of 25 variables and descriptions for each variable across phonatory, resonatory, and articulatory dimensions were included in the rating scale. The descriptive parts of each variable could increase the objectivity of the rating scale.

• The Journal of the Korea Contents Association
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• v.18 no.1
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• pp.108-116
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• 2018

The purpose of this study was to investigate the relationship between the differences in the acoustic measurements (AVQI) and the auditory-perceptual assessments (GRBAS, CAPE-V) of the normal and vocal fold nodules. For this purpose, Total 335 voice samples were analyzed acoustically and three raters performed auditory-perceptual assessments. in the results, AVQI, G, and OS scores of the normal group were lower than those of the vocal fold nodules group. The correlations between the G scale and the OS scale were highly correlated, and the correlation between the AVQI, and auditory-perceptual results (G and OS) was also high value. The threshold values for discriminating AVQI, G, and OS between the two groups were ${\leq}4.06$, ${\leq}1$, and ${\leq}26$, respectively, and the predictive diagnostic power was 0.840, 0.860, and 0.848. In conclusion, AVQI and auditory-perceptual evaluation can improve potentiality the screening of vocal fold nodules and help to determine the diagnosis and treatment plan of voice disorders.

• Phonetics and Speech Sciences
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• v.10 no.2
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• pp.77-84
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• 2018

The purpose of this study is to examine the acoustic characteristics of Parkinsonian speech, with respect to different utterance conditions, by employing acoustic/auditory-perceptual analysis. The subjects of the study were 15 patients (M=7, F=8) with Parkinson's disease who were asked to read out sentences under different utterance conditions (clear/casual). The sentences read out by each subject were recorded, and the recorded speech was subjected to cepstrum and spectrum analysis using Analysis of Dysphonia in Speech and Voice (ADSV). Additionally, auditory-perceptual evaluation of the recorded speech was conducted with respect to breathiness and loudness. Results indicate that in the case of clear speech, there was a statistically significant increase in the cepstral peak prominence (CPP), and a decrease in the L/H ratio SD (ratio of low to high frequency spectral energy SD) and CPP F0 SD values. In the auditory-perceptual evaluation, a decrease in breathiness and an increase in loudness were noted. Furthermore, CPP was found to be highly correlated to breathiness and loudness. This provides objective evidence of the immediate usefulness of clear speech intervention in improving the voice quality of Parkinsonian speech.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.33 no.3
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• pp.183-187
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• 2022

Dysphonia is well known as one of the otolaryngological symptoms of coronavirus disease 2019 (COVID-19) infection. The vocal changes of the COVID-19 condition have been reported in terms of parameters of multi-dimensional voice assessment, including acoustic analysis, auditory-perceptual evaluation, and psychometric assessment. However, there has not been a daily followup study in patients with acute COVID-19 infection. In this study, a 41-year-old male performed daily voice recordings of vowel phonation and passage-reading tasks during the self-quarantine period of one week. Compared to the normal voice status of the prepandemic period, voice abnormalities peaked on day two after the diagnosis of COVID-19 infection and recovered after one week.