SLPOtherJournal of speech, language, and hearing research : JSLHR2026

Glottal Area Waveform Measurements for Healthy Female and Male Speakers in Typical, High-Frequency, and Soft Phonation.

Rita R Patel, Zhaoyan Zhang, Michael Döllinger and 2 others

PMID 41989262

WHAT IT FOUND

To raise pitch, healthy adults mainly stretched the vocal folds with the cricothyroid muscle.

Soft voice needed that plus less firm closure of the folds. Men and women started from different baselines, so normal values differ by sex.

Key findings

01Raising pitch and dropping to a soft voice both changed the shape of the vocal fold opening and closing, but not in the same measures for women and men: in the women the speed quotient, rate quotient, time periodicity, maximum area declination rate and amplitude-to-length ratio changed significantly, while in the men the open quotient and glottal gap index changed as well.

02Most people raised pitch by stretching the vocal folds rather than by pressing them together, while for soft voice they did both at once.

03Women and men sat in different parts of the measurement space, with the women tending to have lower amplitude-to-length ratios and higher vocal frequency, open quotient and glottal gap index values.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only healthy young adults were studied, so these data say nothing about older adults, children, or people with voice disorders. The sample was not balanced or sized to test differences between men and women; the authors state the study was not designed to examine sex effects. Participants chose their own pitch and loudness rather than matching a target, which the authors say may add variability between speakers. High-speed video is two-dimensional, so it cannot measure how far the vocal folds move vertically, how the mucosal wave travels sideways, or the true amplitude of vibration. The muscle explanations, such as cricothyroid activity and subglottal pressure, are inferred from the shape of the waveform rather than measured, because no electromyography or pressure recording was done. 22 of the 92 recruited participants could not complete all three tasks because of a strong gag reflex, and no sample size calculation was performed in advance.

Declared interests

The work was funded by the National Institute on Deafness and Other Communication Disorders and the Deutsche Forschungsgemeinschaft (German Research Foundation). No other funding source or competing interest is declared in the paper.

The easy way to misread this

Do not read these values as normal ranges for your patients. They come from 66 healthy young adults who chose their own pitch and loudness, and no sample size calculation was done, so a single patient's numbers should not be called abnormal by comparison with them.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →