Training effects on speech production using a hands-free electromyographically controlled electrolarynx
Training effects on speech production using a hands-free electromyographically controlled electrolarynx
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DOI:
10.1044/1092-4388(2007/024
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发表时间:
2007-04-01
影响因子:
2.6
通讯作者:
Hillman, Robert E.
中科院分区:
文献类型:
--
作者:
Goldstein, Ehab A.;Heaton, James T.;Hillman, Robert E.
Purpose: The electrolarynx (EL) is a widely used device for alaryngeal speech, but it requires manual operation and produces voice that typically has a constant fundamental frequency. An electromyographically controlled EL (EMG-EL).was designed and implemented to provide hands-free control with dynamic pitch modulation.Method: Three participants who underwent total laryngectomy surgery and 4 participants with normal voice were trained to produce EMG-EL speech through a multiple-baseline, successive-stage protocol. Baseline performance was established through 3 testing probes, followed by multiple hour-long training sessions.Results: At the end of the training, all participants learned to initiate, sustain, and terminate EMG-EL activation in correspondence with articulation, and most were able to modulate the pitch to produce intonational contrasts. After completing the testing/training protocol, 1 of the 3 participants, who underwent total laryngectomy was encouraged to independently use the EMG-ELat his residence. This participant sustained his performance for an additional 6 weeks and also used the EMG-EL successfully to communicate over the phone.Conclusions: Our findings suggest that some participants with laryngectomies and vocally normal individuals can learn to produce hands-free speech using the EMG-EL device within a few hours and that significant additional gains in device control (particularly pitch modulation) are attainable through subsequent training sessions.