title: Test-retest nasalance score variability in hypernasal speakers.
abstract: OBJECTIVE
  The objective of this study was to evaluate test-retest nasalance score variability in subjects with hypernasal resonance.
  
  
  METHODS
  Two groups of subjects with hypernasal speech recited both the Turtle Passage and the Mouse Passage two times each. For one group, the Nasometer headgear was not changed between repetitions of each stimulus (NCHG; n = 17); and for the other group, the headgear was changed between repetitions (CHG; n = 18). Three subjects in the CHG group would not recite the Mouse Passage two times.
  
  
  METHODS
  The subjects were 35 patients with hypernasal speech followed by a cleft palate team.
  
  
  METHODS
  The outcome measures were the four nasalance scores obtained for each subject.
  
  
  RESULTS
  There was no significant difference between first and second repetitions for either stimulus in either the NCHG group or in the CHG group. Cumulative frequency tables showed that for the Turtle Passage-NCHG condition, 15 of the 17 (88%) repeated nasalance scores were within 5 nasalance points of each other. For the CHG condition, however, only 9 of 18 (50%) repeated nasalance scores were within 5 points. For the Mouse Passage-NCHG condition, 15 of the 17 (88%) repeated nasalance scores were within 5 points. For the CHG condition, however, only 11 of 15 (73%) repeated scores were within 5 points.
  
  
  CONCLUSIONS
  Test-retest variability was greater in a population of hypernasal patients than that reported in other studies for normal speakers, and headgear change increased test-retest variability.
authors.affiliation: University of Nevada School of Medicine, Reno, Nevada 89557, USA. tw@unr.edu
authors.forename: Thomas
authors.initials: T
authors.lastname: Watterson
authors.forename: Kerry E
authors.initials: KE
authors.lastname: Lewis
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000704:Analysis of Variance; D002648:Child; D002675:Child, Preschool; D006801:Humans; D015203:Reproducibility of Results; D013068:Speech Production Measurement / Q000295:instrumentation; D014832:Voice Disorders / Q000175:diagnosis*; D014833:Voice Quality