Toward Acoustic-Based Normalization of Laryngeal EMG for Improved Interspeaker Consistency in Muscle-to-Acoustic Mapping.
Josué D Martínez, Emiro J Ibarra, Jesús A Parra and 6 others
PMID 40945982WHAT IT FOUND
In a single healthy voice user, acoustic-based EMG normalization made laryngeal muscle-to-pitch maps more consistent across four sessions than peak-based normalization.
The method is not yet ready for clinical use.
Key findings
01In this single participant, the proposed acoustic-based normalization made CT-TA muscle-to-pitch maps more repeatable across sessions than the traditional peak-based method.
02In this single participant, the proposed method also made CT-TA loudness maps more repeatable, but the loudness patterns were less sharply defined than the pitch patterns.
03The LCA muscle did not show a clear consistent relationship between activation and loudness, and its pitch-map consistency was lower than for CT-TA.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only a single healthy 71-year-old man was studied, so the results describe his recordings, not patients with voice disorders. The participant had no dysphonia or laryngeal abnormality, so it says nothing about people with reduced vocal capacity or altered laryngeal function. Electrode placement was guided by anatomy and signal checks, but precise localization of each electrode pair could not always be confirmed unequivocally. LCA signal acquisition failed during specific tasks in Session 1, so a complete LCA-CT pitch map was not generated for that session. The fixed acoustic targets of 350 Hz and 90 dB SPL were chosen because this participant reached them, and they may not be attainable in other populations. The protocol is technically demanding and the authors state it is not yet intended for routine clinical use. Some activation combinations were never achieved, so white regions appeared in the maps. Pitch glides were done only at comfortable loudness, so pressure modulation was limited.
Declared interests
Two authors, Drs. Robert Hillman and Daryush Mehta, have a financial interest in InnoVoyce LLC, a company focused on developing and commercializing technologies for voice-related disorders. The supplied text does not say that this company funded, designed, or wrote the study.
The easy way to misread this
Do not read this as evidence that acoustic-based laryngeal EMG normalization will improve voice assessment or therapy. It was tested in a single healthy 71-year-old man across four research sessions, and the authors say the protocol is not yet intended for routine clinical use.
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