Many common voice disorders are chronic or recurring conditions that are likely to result from inefficient and/or abusive patterns of vocal behavior, referred to as vocal hyperfunction. The clinical management of hyperfunctional disorders would be greatly enhanced by the ability to monitor and quantify detrimental vocal behaviors during an individual’s activities of daily life. This presentation will provide an update about ongoing work that is using a miniature accelerometer on the subglottal neck surface to collect a large set of ambulatory data on patients with hyperfunctional voice disorders (before and after treatment) and matched control subjects. Three types of analysis approaches are being employed in an effort to identify the best set of measures for differentiating among hyperfunctional and normal patterns of vocal behavior: (1) previously developed ambulatory measures of vocal function that include vocal dosages; (2) measures based on estimates of glottal airflow that are extracted from the accelerometer signal using a vocal system model, and (3) classification based on machine learning approaches that have been used successfully in analyzing long-term recordings of other physiologic signals (e.g., electrocardiograms).
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