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Comparison of Vocal Vibration-Dose Measures for Potential-Damage Risk Criteria
Journal article   Open access   Peer reviewed

Comparison of Vocal Vibration-Dose Measures for Potential-Damage Risk Criteria

Ingo R. Titze and Eric J. Hunter
Journal of speech, language, and hearing research, Vol.58(5), pp.1425-1439
10/01/2015
DOI: 10.1044/2015_JSLHR-S-13-0128
PMCID: PMC4686305
PMID: 26172434
url
https://europepmc.org/articles/pmc4686305View
Published (Version of record) Open Access

Abstract

Purpose: Schoolteachers have become a benchmark population for the study of occupational voice use. A decade of vibration-dose studies on the teacher population allows a comparison to be made between specific dose measures for eventual assessment of damage risk. Method: Vibration dosimetry is reformulated with the inclusion of collision stress. Two methods of estimating amplitude of vocal-fold vibration are compared to capture variations in vocal intensity. Energy loss from collision is added to the energy-dissipation dose. An equal-energydissipation criterion is defined and used on the teacher corpus as a potential-damage risk criterion. Results: Comparison of time-, cycle-, distance-, and energydose calculations for 57 teachers reveals a progression in information content in the ability to capture variations in duration, speaking pitch, and vocal intensity. The energy-dissipation dose carries the greatest promise in capturing excessive tissue stress and collision but also the greatest liability, due to uncertainty in parameters. Cycle dose is least correlated with the other doses. Conclusion: As a first guide to damage risk in excessive voice use, the equal-energy-dissipation dose criterion can be used to structure trade-off relations between loudness, adduction, and duration of speech.
Audiology & Speech-Language Pathology Life Sciences & Biomedicine Linguistics Rehabilitation Science & Technology Social Sciences

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