Codi 504 Voice Disorders
Lecture 2: Normal Processes of Voice Production
Three Processes
Respiration
Phonation
Resonation
The Pulmonary System
Upper airway
Laryngeal structures
Lower airway (trachea, bronchial tubes, bronchioles & alveolar
sacs)
Thoracic cavity - thoracic vertebrae, ribcage, connecting muscles
Diaphragm muscle
Respiratory Components of Voicing
Airflow is essential for voice since:
Air is the medium for propagation of sounds
Air forced through constrictions along the respiratory tract generate
sounds
Two aspects of air important for generation of voice
Flow - volume of air passing through tube or duct per second
Pressure- force distributed over a surface
Generation of Pressures/Flows
Two ways of measuring pressure
-
Absolute pressure
-
Relative pressure
Lung pressure
-
equivalent to alveolar pressure which is the pressure of air within
the lung tissue
-
At resting level lung pressure equals atmospheric pressure
Generation of Pressure & Flows
-
Flow begins when pressure within lungs is either above or below atmospheric
pressure
-
Air flows from region of higher relative pressure (positive) to region
of lower relative pressure (negative)
-
Inspiration - lung volume increases, lung pressure drops, air rushes
in
-
Expiration - lung volume decreases, lung pressure increases, air
flows out
Muscles of Respiration
-
Inspiratory muscles - diaphragm, external intercostals & if necessary
the shoulder and neck muscles
-
Expiratory muscles - 4 abdominal muscles and internal intercostals
-
Passive breathing - active contraction of inspiratory muscles followed
by passive forces (elastic recoil of lung tissue, gravity, untorquing of
ribs) that reduce lung volumes
-
To extend expiration - active contraction of muscles of expiration
after passive forces dissipate
Function of Larynx during Respiration
-
Larynx - specifically vocal folds function as a valve to regulate
airflow
-
Vocal folds offer slight resitance to airflow
-
Glottis closes slightly for high lung pressures and opens wider for low
lung pressures which helps keep pulmonary airflow more constant
-
This regulation autonomically controlled by nervous system
Lung Volume
Total Lung volume
Vital capacity - total amount of air that can beexpired after a maximum
inhalation
Residual volume - air that remains in lungs after maximum exhalation
Vital capcity
-
Tidal volume - amount of air breathed in and out during normal respiratory
cycle -typically 10 - 15% of vital capacity
-
Inspiratory reserve - maximum air inhaled after tidal volume
-
Expiratory reserve - maximum air exhaled after tidal volume
Variations in Respiration for Speech
-
Adducted vocal folds provide increased resistance to airflow
-
May need to activate abdominal muscles to get greater lung pressure
-
Also need to extend the expiratory phase
-
For longer phrases, will use more of active forces after passive
forces are depleted
Voice Disorders & Respiration
-
Goal is for respiratory patterns to be facilatory for vocalization
-
Best vocal quality associated with mid air-pressure and mid lung-volume
levels
-
Teach shorter phrasing patterns to avoid low pressure and flow situations
-
Use increased abdominal contraction to increase power rather than
tightening the laryngeal valve
Process of Phonation
-
Production of voice is dependent on the interplay between muscular forces
and aerodynamic events
-
Myoelastic-aerodynamic theory of vocal fold vibration
-
Contraction of intrinsic muscles determine the compliance, length, elasticity
and mass of the vocal folds; also approximate vocal folds to phonatory
position
-
Aerodynamic forces from build up of air pressure below the vocal folds
force the adducted vocal folds open; Bernoulli effect aids muscular forces
in closing vocal folds
Mucosal Wave
-
Also important component of vocal fold vibration/voice production
-
Explained by Body-Cover model of vocal fold vibration
-
Different vibratory properties of vocal fold layers
-
Vertical phase difference
-
Loss of mucosal wave results in changes in voice quality, increases
in PTP
-
Conditions that change density relationships between cover and body
result in decreases in mucosal wave
Modification of Fundamental Frequency
-
Determined by the vibratory rate (number of open/close cycles per
second)
-
Perceived as the pitch of the voice
-
Rate of vibration related to thickness, length and elasticity of
vocal folds
-
Increases in f0 also associated with increases in subglottal pressures,
medial compression and glottal airflow rates
Vocal Registers
-
Defined by Hollien as range of consecutive f0s that can be produced
with a perceptually distinct voice quality
-
Differ also with regard to laryngeal events such as vocal fold status,
vibratory pattern, driving pressure and mean phonatory airflow
-
Three distinct speaking voice registers (singers identify more)
-
Pulse - lowest range of frequencies; glottal fry
-
Modal - most used register; more continuous tone than pulse
-
Loft - falsetto - upper frequencies; thin, maximally elongated folds
Modification of Vocal Intensity
-
Related to changes in subglottal and transglottal air pressure
-
Perceived as loudness changes
-
Average intensity during speech - 75 - 80 dB; dynamic range - 40
- 65dB
-
Modified by
-
Subglottal adjustments
-
Laryngeal adjustments
-
Supralaryngeal adjustments
Variations of Voice Quality
-
Way in which the laryngeal tone is initiated affects perceived voice
quality
-
3 basic vocal or phonatory attacks
-
Simultaneous - exhalation and vocal fold approximation occur at same
time
-
Hard glottal attack - vocal folds adducted tightly as exhalation
begins
-
Breathy or aspirate attack - initiation of exhalation before adduction
-
Asynchronous movement of vocal folds affects quality
-
Supraglottal resonance variations - constriction, vertical &
horizontal tone focus
Resonance Components of Voice
-
Vibrating sound source excites air-filled chambers and walls of the
chambers
-
Serves to selectively amplify vibrations
-
Most quality and loudness characteristics of human voice are a product
of the resonating cavities
-
Resonance cavities can be altered in size, configuration & tightness
Structures of Resonance
-
Pharynx - 2 layers of muscles
-
Pharyngeal constrictors - outer layer
-
Stylopharyngeus, salpingopharyngeus & palatopharyngeus
-
Oral Cavity
-
Nasal Cavity
-
Velum
-
Levator palatini
-
Tensor palatini
-
Uvulus
-
Palatoglossus
-
Palatopharyngeus
Modifications of Resonance
-
Coupling/uncoupling of nasal cavity
-
Velum elevates
-
Lateral walls of pharynx move medially
-
Tongue position changes size/shape of oral cavity
-
Ratio of oral to pharyngeal cavity
-
Membranes of pharynx and tightness of pharyngeal constrictors
Effects of Aging on the Respiratory Mechanism
-
Decreases in vital capacity
-
Loss of elasticity in thoracic skeleton
-
Muscular weakness
-
Anecdotal reports of reduction in loudness in the elderly - not demonstrated
objectively
Effects of Aging on Laryngeal Mechanism
-
Cartilages calcify and ossify
-
Changes in cricoarytenoid joints limiting approximation of vocal
folds
-
Changes/breakdowns in layers of the lamina propria
-
Laryngeal bowing - presbylaryngeus
Functional Effects of Aging on the Voice
-
In 5th decade male fundamental increases, while female f0 decreases
-
Decline in pitch control
-
Reduction in pitch range
-
Perception of vocal roughness, aperiodicity and breathiness