Análise da fala na acromegalia
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/13680 |
Resumo: | Acromegaly is an insidious disease with clinical features resulting from abnormal exposure of tissues and systems to excess growth hormone (GH). Physiognomic changes typically occur such as the enlargement of the nose and the lips, prognathism, malocclusion, macroglossia, in addition to increased extremities. Two major structural changes in the vocal tract are particularly relevant for speech therapists and linguists working on speech disorders: enlargement of laryngeal structures and hypertrophy of the tongue, which tend to cause changes to speech and voice. Objective: perform perceptual and acoustic analyses of the speech of acromegalic patients. After the study was approved by the Human Research Ethics Committee of the Santa Casa Hospital in São Paulo (REC Code number 324/11), analyses were made of the speech samples of acromegalic patients that had been given clinical and laboratory diagnosis and treatment provided by the Endocrinology department of the abovementioned hospital. Corpus for the study: three randomized repetitions of carrier sentences containing keywords with the seven oral vowels found in Brazilian Portuguese: [a][e][ε][i] ][o],[ɔ] and [u]. Anthropometric orofacial measures (middle facial third, lower facial third, and face height) were also taken. The audio samples were subsequently analyzed using the add-on Akustik available on the software Praat for measurements of formant frequencies (F1,F2,F3,F4). The audio samples were also analyzed with the VPAS-PB (Vocal Profile Analysis Scheme VPAS) script by three experienced raters. The data underwent multivariate statistical analysis and were discussed for correlations between perceptual and acoustic data based on the phonetic description of voice quality model. The statistical analysis showed significant voice quality adjustments for acromegalic speakers: protruded jaw, laryngeal hypofunction, retracted tongue body. Acoustically, measures of F1 and F2 showed differences between men and women. For both sexes, significant correlations were detected between tongue movement and position for the acromegalic speakers. The values of F3 and F4, in turn, were correlated with adjustments of pharynx size and larynx height, thus reinforcing the findings of voice quality for the group of acromegalic speakers. The integrated perceptual and acoustic data contribute to the understanding of vocal quality, aided by the phonetic approach and the analysis of formant frequencies. The findings of this study went beyond the issue of pitch lowering as they brought up specific and fundamental information for an approach to speech aimed at people with acromegaly |
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Camargo, Zuleica Antoniahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4138994E1Cury, Roberta Werlang Isolan2016-04-28T18:22:52Z2014-08-012014-06-24Cury, Roberta Werlang Isolan. Speech analysis and acromegaly. 2014. 133 f. Tese (Doutorado em Lingüística) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014.https://tede2.pucsp.br/handle/handle/13680Acromegaly is an insidious disease with clinical features resulting from abnormal exposure of tissues and systems to excess growth hormone (GH). Physiognomic changes typically occur such as the enlargement of the nose and the lips, prognathism, malocclusion, macroglossia, in addition to increased extremities. Two major structural changes in the vocal tract are particularly relevant for speech therapists and linguists working on speech disorders: enlargement of laryngeal structures and hypertrophy of the tongue, which tend to cause changes to speech and voice. Objective: perform perceptual and acoustic analyses of the speech of acromegalic patients. After the study was approved by the Human Research Ethics Committee of the Santa Casa Hospital in São Paulo (REC Code number 324/11), analyses were made of the speech samples of acromegalic patients that had been given clinical and laboratory diagnosis and treatment provided by the Endocrinology department of the abovementioned hospital. Corpus for the study: three randomized repetitions of carrier sentences containing keywords with the seven oral vowels found in Brazilian Portuguese: [a][e][ε][i] ][o],[ɔ] and [u]. Anthropometric orofacial measures (middle facial third, lower facial third, and face height) were also taken. The audio samples were subsequently analyzed using the add-on Akustik available on the software Praat for measurements of formant frequencies (F1,F2,F3,F4). The audio samples were also analyzed with the VPAS-PB (Vocal Profile Analysis Scheme VPAS) script by three experienced raters. The data underwent multivariate statistical analysis and were discussed for correlations between perceptual and acoustic data based on the phonetic description of voice quality model. The statistical analysis showed significant voice quality adjustments for acromegalic speakers: protruded jaw, laryngeal hypofunction, retracted tongue body. Acoustically, measures of F1 and F2 showed differences between men and women. For both sexes, significant correlations were detected between tongue movement and position for the acromegalic speakers. The values of F3 and F4, in turn, were correlated with adjustments of pharynx size and larynx height, thus reinforcing the findings of voice quality for the group of acromegalic speakers. The integrated perceptual and acoustic data contribute to the understanding of vocal quality, aided by the phonetic approach and the analysis of formant frequencies. The findings of this study went beyond the issue of pitch lowering as they brought up specific and fundamental information for an approach to speech aimed at people with acromegalyA acromegalia é uma doença insidiosa com características clínicas resultantes da exposição anormal dos tecidos e sistemas ao excesso de hormônio do crescimento (growth hormone/GH). Ocorrem tipicamente modificações fisionômicas como o alargamento do nariz, aumento dos lábios, prognatismo, má-oclusão dentária, macroglossia, além do aumento das extremidades. Em particular interesse para fonoaudiólogos, e na área de linguística aplicada à fala, há citações das duas maiores alterações estruturais do trato vocal, as quais tendem a promover alterações de fala e voz: o alargamento das estruturas laríngeas e a hipertrofia lingual. Objetivo: analisar a fala de pacientes com acromegalia dos pontos de vista perceptivo e acústico. Após a aprovação do Comitê de Ética e Pesquisa em Seres Humanos da Santa Casa de São Paulo (CEP número 324/11), foram analisadas as amostras de fala de pacientes com o diagnóstico clínico e laboratorial da doença e em tratamento no serviço de Endocrinologia da Irmandade da Santa Casa de São Paulo. Corpus para o estudo: três repetições aleatorizadas de sentença veículo, contendo palavras chaves com as sete vogais orais do português brasileiro[a][e][ε][i] ][o],[ɔ] e [u]. Também foram extraídas as medidas antropométricas orofaciais (terço médio da face, terço inferior da face e altura da face). As amostras de áudio foram posteriormente analisadas por meio do Plug in Akustik disponível no software Praat para a extração de medidas de frequência dos formantes (F1,F2,F3,F4). As amostras de áudio foram também analisadas por meio do roteiro VPAS-PB (Vocal Profile Analises Scheme VPAS) por três juízes experientes. Os dados foram submetidos à análise estatística multivariada e discutidos quanto às correlações entre os dados perceptivos e acústicos com base no modelo fonético da qualidade vocal. A análise estatística evidenciou os ajustes de qualidade vocal relevantes para os falantes com acromegalia: mandíbula extensão diminuída e protraída, hipofunção laríngea, corpo de língua recuado. No âmbito acústico, as medidas de F1 e F2 revelaram diferenças diferentes entre as mulheres e os homens. Para ambos os sexos foram detectadas correlações significativas com o movimento e postura lingual entre os falantes acromegálicos. Os valores de F3 e F4, por sua vez, mostraram correlação com ajustes de dimensão faríngea e altura da laringe, reforçando os achados de qualidade vocal para o grupo de falantes acromegálicos. Os dados integrados, perceptivos e acústicos, contribuem para a compreensão da qualidade vocal, propiciada pela abordagem fonética e pela análise das frequências formânticas. Os achados deste estudo foram além da questão do rebaixamento do pitch, e trouxeram informações específicas e fundamentais para uma abordagem de fala direcionada para a população com acromegaliaConselho Nacional de Desenvolvimento Científico e Tecnológicoapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/30376/Roberta%20Werlang%20Isolan%20Cury.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em Linguística Aplicada e Estudos da LinguagemPUC-SPBRLingüísticaAcromegaliaAcústica da falaFonéticaVozAcromegalySpeech acousticsPhoneticsVoiceCNPQ::LINGUISTICA, LETRAS E ARTES::LINGUISTICA::LINGUISTICA APLICADAAnálise da fala na acromegaliaSpeech analysis and acromegalyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTRoberta Werlang Isolan Cury.pdf.txtRoberta Werlang Isolan Cury.pdf.txtExtracted texttext/plain164492https://repositorio.pucsp.br/xmlui/bitstream/handle/13680/3/Roberta%20Werlang%20Isolan%20Cury.pdf.txtc725607c51f9e955fb61d93ecd22589fMD53ORIGINALRoberta Werlang Isolan Cury.pdfapplication/pdf1986393https://repositorio.pucsp.br/xmlui/bitstream/handle/13680/1/Roberta%20Werlang%20Isolan%20Cury.pdf83fd8333740030de880e8caebc69b3a2MD51THUMBNAILRoberta Werlang Isolan Cury.pdf.jpgRoberta Werlang Isolan Cury.pdf.jpgGenerated Thumbnailimage/jpeg1943https://repositorio.pucsp.br/xmlui/bitstream/handle/13680/2/Roberta%20Werlang%20Isolan%20Cury.pdf.jpgcc73c4c239a4c332d642ba1e7c7a9fb2MD52handle/136802023-06-26 11:28:27.815oai:repositorio.pucsp.br:handle/13680Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-06-26T14:28:27Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Análise da fala na acromegalia |
dc.title.alternative.eng.fl_str_mv |
Speech analysis and acromegaly |
title |
Análise da fala na acromegalia |
spellingShingle |
Análise da fala na acromegalia Cury, Roberta Werlang Isolan Acromegalia Acústica da fala Fonética Voz Acromegaly Speech acoustics Phonetics Voice CNPQ::LINGUISTICA, LETRAS E ARTES::LINGUISTICA::LINGUISTICA APLICADA |
title_short |
Análise da fala na acromegalia |
title_full |
Análise da fala na acromegalia |
title_fullStr |
Análise da fala na acromegalia |
title_full_unstemmed |
Análise da fala na acromegalia |
title_sort |
Análise da fala na acromegalia |
author |
Cury, Roberta Werlang Isolan |
author_facet |
Cury, Roberta Werlang Isolan |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Camargo, Zuleica Antonia |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4138994E1 |
dc.contributor.author.fl_str_mv |
Cury, Roberta Werlang Isolan |
contributor_str_mv |
Camargo, Zuleica Antonia |
dc.subject.por.fl_str_mv |
Acromegalia Acústica da fala Fonética Voz |
topic |
Acromegalia Acústica da fala Fonética Voz Acromegaly Speech acoustics Phonetics Voice CNPQ::LINGUISTICA, LETRAS E ARTES::LINGUISTICA::LINGUISTICA APLICADA |
dc.subject.eng.fl_str_mv |
Acromegaly Speech acoustics Phonetics Voice |
dc.subject.cnpq.fl_str_mv |
CNPQ::LINGUISTICA, LETRAS E ARTES::LINGUISTICA::LINGUISTICA APLICADA |
description |
Acromegaly is an insidious disease with clinical features resulting from abnormal exposure of tissues and systems to excess growth hormone (GH). Physiognomic changes typically occur such as the enlargement of the nose and the lips, prognathism, malocclusion, macroglossia, in addition to increased extremities. Two major structural changes in the vocal tract are particularly relevant for speech therapists and linguists working on speech disorders: enlargement of laryngeal structures and hypertrophy of the tongue, which tend to cause changes to speech and voice. Objective: perform perceptual and acoustic analyses of the speech of acromegalic patients. After the study was approved by the Human Research Ethics Committee of the Santa Casa Hospital in São Paulo (REC Code number 324/11), analyses were made of the speech samples of acromegalic patients that had been given clinical and laboratory diagnosis and treatment provided by the Endocrinology department of the abovementioned hospital. Corpus for the study: three randomized repetitions of carrier sentences containing keywords with the seven oral vowels found in Brazilian Portuguese: [a][e][ε][i] ][o],[ɔ] and [u]. Anthropometric orofacial measures (middle facial third, lower facial third, and face height) were also taken. The audio samples were subsequently analyzed using the add-on Akustik available on the software Praat for measurements of formant frequencies (F1,F2,F3,F4). The audio samples were also analyzed with the VPAS-PB (Vocal Profile Analysis Scheme VPAS) script by three experienced raters. The data underwent multivariate statistical analysis and were discussed for correlations between perceptual and acoustic data based on the phonetic description of voice quality model. The statistical analysis showed significant voice quality adjustments for acromegalic speakers: protruded jaw, laryngeal hypofunction, retracted tongue body. Acoustically, measures of F1 and F2 showed differences between men and women. For both sexes, significant correlations were detected between tongue movement and position for the acromegalic speakers. The values of F3 and F4, in turn, were correlated with adjustments of pharynx size and larynx height, thus reinforcing the findings of voice quality for the group of acromegalic speakers. The integrated perceptual and acoustic data contribute to the understanding of vocal quality, aided by the phonetic approach and the analysis of formant frequencies. The findings of this study went beyond the issue of pitch lowering as they brought up specific and fundamental information for an approach to speech aimed at people with acromegaly |
publishDate |
2014 |
dc.date.available.fl_str_mv |
2014-08-01 |
dc.date.issued.fl_str_mv |
2014-06-24 |
dc.date.accessioned.fl_str_mv |
2016-04-28T18:22:52Z |
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info:eu-repo/semantics/publishedVersion |
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publishedVersion |
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Cury, Roberta Werlang Isolan. Speech analysis and acromegaly. 2014. 133 f. Tese (Doutorado em Lingüística) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/13680 |
identifier_str_mv |
Cury, Roberta Werlang Isolan. Speech analysis and acromegaly. 2014. 133 f. Tese (Doutorado em Lingüística) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2014. |
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https://tede2.pucsp.br/handle/handle/13680 |
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Pontifícia Universidade Católica de São Paulo |
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