Physiological measures:
- Phonation threshold pressure:
the minimum amount of sub-glottal pressure needed to set the vocal
folds into vibration.
- Conversational speech: 3cm H20 at low fundamental
frequencies to 6cm H20 a high fundamental frequencies.
- Maximum phonation time: the
longest period of time that an individual can sustain a vowel in one
breath. An adult speaker should be able to
sustain comfortable phonation for about 15 to 25 seconds.
Children for a least 10 s. A lack of ability to sustain
phonation for the expected amount of time indicates a problem in
adequately valving the air stream for speech
Lung Volumes
(single lung
volumes)
- Tidal volume (TV): volume of air
inhaled and exhaled during a cycle of respiration; Males: 600-750cc;
Females 400cc
- Inspiratory reserve volume (IRV):
Volume of air that can be inhaled above tidal volume (1500-2500cc)
- Expiratory reserve volume (ERV):
Volume of air that can be exhaled below tidal volume (1000-2000cc)
- Residual volume(RV): Volume of air
remaining in the lungs after a maximum expiration and that cannot be
voluntarily expelled (1000-1500cc)
Lung Capacities
(include two or
more volumes)
- Vital capacity (VC):
Volume of air that can be exhaled after maximum inhalation
(IRV + TV + ERV) Adults: 5000cc
- Functional residual capacity (FRC):
Volume of air remaining in the lungs and airways at the end-expiratory
level (ERV +RV) Adults: 2500-3500cc
- Total lung capacity (TLC): Total
amount of air the lungs can hold
(TV
+ IRV + ERV + RV) Males: 6000cc; Females 5000cc.
- If a person can generate a steady
stream of air to displace 5cm H20 for 5 seconds, the
respiratory system may be sufficient to support speech
Airflow: Normal airflow may range
between 50 and 200ml/sec.
Clinical
implications:Steady
airflow measures are greater for people with pathology.
Air
pressure: The magnitude of
air
pressure beneath the vocal folds is important in producing vibration
and
determining the intensity of the sound. Typical pressures beneath the
vocal
forlsd (subglottal air pressure, lung pressure, or alveolar pressure)
range
from about 0.3 to 2.0 kPa (one kPa is approximately equal to 10 cm H20)
depending on the loudness of the sound.
Pressures between 0.2 and 0.9 kPa would be expected for
conversational
speech levels.
Clinical
implications:
Excessive variability in pressures could be associated with poor motor
control
of the vocal folds or of the respiratory system.
Vibratory
Behaviors:
Vibratory
behaviors are important in determining the final acoustic output of the
vocal
folds. Information about the vibratory characteristics can be obtained
from
stroboscopic examinations, electroglottography, inverse filtering or
the oral
airflow waveform (flowglottogram), and photoglottography.
Clinical
implication: With pathology, the pattern of glottal opening becomes
irregular
and distorted as does the airflow pulse.