title: Articulatory changes in muscle tension dysphonia: evidence of vowel space expansion following manual circumlaryngeal therapy.
abstract: In a preliminary study, we documented significant changes in formant transitions associated with successful manual circumlaryngeal treatment (MCT) of muscle tension dysphonia (MTD), suggesting improvement in speech articulation. The present study explores further the effects of MTD on vowel articulation by means of additional vowel acoustic measures. Pre- and post-treatment audio recordings of 111 women with MTD were analyzed acoustically using two measures: vowel space area (VSA) and vowel articulation index (VAI), constructed using the first (F1) and second (F2) formants of 4 point vowels/ a, i, ae, u/, extracted from eight words within a standard reading passage. Pairwise t-tests revealed significant increases in both VSA and VAI, confirming that successful treatment of MTD is associated with vowel space expansion. Although MTD is considered a voice disorder, its treatment with MCT appears to positively affect vocal tract dynamics. While the precise mechanism underlying vowel space expansion remains unknown, improvements may be related to lowering of the larynx, expanding oropharyngeal space, and improving articulatory movements.
  
  
  OBJECTIVE
  The reader will be able to: (1) describe possible articulatory changes associated with successful treatment of muscle tension dysphonia; (2) describe two acoustic methods to assess vowel centralization and decentralization, and; (3) understand the basis for viewing muscle tension dysphonia as a disorder not solely confined to the larynx.
authors.affiliation: Department of Communication Sciences & Disorders, The University of Utah, Salt Lake City, UT 84112-0252, USA. nelson.roy@health.utah.edu
authors.forename: Nelson
authors.initials: N
authors.lastname: Roy
authors.forename: Shawn L
authors.initials: SL
authors.lastname: Nissen
authors.forename: Christopher
authors.initials: C
authors.lastname: Dromey
authors.forename: Shimon
authors.initials: S
authors.lastname: Sapir
mesh_terms: D001676:Biofeedback, Psychology; D055154:Dysphonia / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D007830:Larynx; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D010700:Phonetics; D013060:Speech; D013062:Speech Articulation Tests; D013070:Speech Therapy; D016896:Treatment Outcome