Name: File Number:



Name: File Number:

Address: Evaluation Date:

Referring Physician:

Phone:

Date of Birth:

Age:

VOICE DIAGNOSTIC EVALUATION REPORT

SOURCES OF INFORMATION

• Case History, Interview: UMASS-Amherst Voice Questionnaire Intake Form

• Voice Related Quality of Life Measure Questionnaire (V-RQOL Hogikyan, 1998)

• Audiological Screening

• Oral Peripheral-Neurological Motor Speech Examination (Mayo Clinic Procedures)

• Subjective Vocal Function and Quality Assessment

• Objective Vocal Quality Analysis: CSL/MDVP (Kay Pentax)

Statement of Problem:

BACKGROUND INFORMATION

History of Speech, Language and Hearing:

Pertinent Medical History:

Occupational History:

Family Constellation:

Social-Emotional History:

RESULTS OF EVALUATION

Audiological Screening:

Oral Peripheral-Neuromotor Speech Examination: Procedures outlined in the Mayo Clinic Oral Peripheral-Neurological Motor Speech Exam by Darley, Aronson and Brown (1970) were followed to assess the structural and functional integrity of the patient’s speech mechanism during speech and non-speech tasks. Oral, lingual, velar, and pharyngeal structures were assessed at rest, during movement, and sustained movement for symmetry, strength, coordination, accuracy, and precision.

Sample report for oral peripheral and neuromotor exam on a hypothetical client:

The patient’s hard palate was high and arched. Dental occlusion was an Angle’s Class I on the right side with a tendency towards a Class III occlusion on the left side. Posterior occlusion indicated a crossbite occlusion bilaterally with a small openbite on left side posteriorly. Maxillary and mandibular anterior incisors occluded in an edge-to edge fashion. The anterior incisors were also torsoverted.

The face at rest, smiling, lip rounding, and cheek inflation were symmetric and unremarkable (Cranial VII). A sucking reflex was not elicited. The tongue at rest and on anterior protrusion was symmetric and within normal limits (Cranial XII). However, at rest and during phonation, the posterior tongue was habitually held high and arched backwards, thus occluding the velopharyngeal region and suggestive of tension at the base and posterior tongue regions. Rapid lateral tongue movements to the right and left corners of the mouth were performed moderately slow in rate. While moving her tongue from "side to side", the patient’s mandible moved in identical fashion. Anterior tongue strength on protrusion was normal (Cranial XII). Lateral tongue strength to the right was normal. However, lateral tongue strength to the left side was moderately weak compared to tongue strength lateralized to the right side. The velum was symmetric at rest and during phonation (Cranial X). Some scarring on the right and left faucial pillars was noted. A gag reflex was elicited (Cranial IX and X). Cough and glottal attack (Cranial X) were within normal limits following demonstration. Nasal emission was not elicited during closed vowel [i] prolongation. Shoulder shrugs up and down and head tilting to the right and left were normal (Cranial XI). Manual digital palpation of the laryngeal region revealed tightness and absence of a thyrohyoid space suggestive of possible musculoskeletal tension of the larynx. The patient did not complain of pain during palpation.

Speech Alternate Motion Rates (AMRs) and Sequential Motor Rates (SMRs)

|AMRs, Norm: 5-7 cycles per second (cps) |SMRs, Norm: 4-7 cycles per second (cps) |

|(Kent et al., 1987) |(Kent et al., 1987) |

|/p(/: cps |/p(-t(-k(/: cps |

|/t(/: cps | |

|/k(/: cps | |

Respiratory Efficiency:

Maximum Phonation Time (MPT):

MPT /a/: mean = seconds

Norm: mean=17.02, S.D.=7.10, range: 7.60-31.10 seconds (Awan et al., 1996)

S:Z Ratio:

(Norm: 1:1; Ratio, Boone, 1983)

Loudness:

Voice-Related Quality of Life (V-RQOL, Hogikyan, 1998):

Acoustic Voice Analysis:

• CAPE-V Acoustic-Perceptual Measurements:

• CSL/MDVP Acoustic Measurements:

Clinical Impressions

Based on subjective and objective exam findings,

Recommendations

1. It is recommended that

2. ----

3. ----

4. ----

Please do not hesitate to contact us if there are any questions regarding this report at the Center for Language, Speech and Hearing at the University of Massachusetts in Amherst (413-545-2565).

------------------------------------------

Graduate Clinician

------------------------------------------------------

Mary V. Andrianopoulos, Ph.D., CCC-SLP

Associate Professor/Clinical Consultant

CSL/MDVP Analysis Results

Vowel /a/ Prolongation

Fundamental Frequency Information Measurements:

|Parameters |Mean Obtained Scores |Norm Threshold |

|Average Fundamental Frequency (Fo) | | |

|Average Pitch Period (To) | |N/A |

|Highest Fundamental Frequency (Fhi) | |N/A |

|Lowest Fundamental Frequency (Flo) | |N/A |

|Standard Deviation of Fo (STD) | |N/A |

|Phonatory Fo-Range in semitones (PFR) | |N/A |

|Length of Analyzed Sample(Tsam) | |N/A |

|Total Pitch Periods (PER) | |N/A |

|Number of Segments Computed (SEG) | |N/A |

Short and Long Term Frequency Perturbation Measurements:

|Absolute Jitter (Jita) | |83.2 |

|Jitter Percentages (Jitt) | |1.04 |

|Pitch Perturbation Quotient (PPQ) | |0.84 |

|Relative Average Perturbation (RAP) | |0.68 |

|Smoothed Pitch Perception Quotient (sPPQ) | |1.02 |

|Fundamental Frequency Variation (vFo) | |1.10 |

Short and Long Term Amplitude Perturbation Measurements:

|Shimmer in dB (ShdB) | |0.35 |

|Shimmer Percent (Shim) | |3.81 |

|Amplitude Perturbation Quotient (APQ) | |3.07 |

|Smoothed Amplitude Perturbation Quotient | |4.23 |

|(sAPQ) | | |

|Peak-Amplitude Variation (vAm) | |8.20 |

Voice Break Related Measurements:

|Degree of Voice Breaks (DVB) | |1.00 |

|Number of Voice Breaks (NVB) | |0.90 |

Sub-Harmonic Components Related Measurements:

|Degree of Voice Sub-Harmonics (DSH) | |1.00 |

|Number of Sub-Harmonics (NSH) | |0.90 |

Voice Irregularity Related Measurements:

|Degree of Voiceless (DUV) | |1.00 |

|Number of Unvoiced Segments (NUV) | |0.90 |

Noise Related Measurements:

|Noise to Harmonic Ratio (NHR) | |0.190 |

|Voice Turbulence Index (VIT) | |0.061 |

|Soft Phonation Index (SPI) | |14.12 |

Tremor Related Measurements:

|Amplitude Tremor Intensity(ATRI) | |4.37 |

|Amplitude Tremor Frequency (Fatr) | |N/A |

|Fo Tremor Frequency (Fftr) | |N/A |

|Fo Tremor Intensity Index (FTRI) | |0.95 |

Oral Reading: Rainbow Passage

Fundamental Frequency Information Measurements:

|Parameters |Obtained Scores |Norm Threshold |

|Average Fundamental Frequency(Fo) | | |

|Average Pitch Period (To) | |N/A |

|Highest Fundamental Frequency (FHi) | |N/A |

|Lowest Fundamental Frequency (Flo) | |N/A |

|Standard Deviation of Fo (STD) | |N/A |

|Phonatory Fo-Range in semitones (PFR) | |N/A |

|Length of Analyzed Sample (Tsam) | |N/A |

|Total Pitch Periods (PER) | |N/A |

|Number of Segments Computed (SEG) | |N/A |

Short and Long Term Frequency Perturbation Measurements:

|Absolute Jitter (Jita) | |N/A |

|Jitter Percentage (Jitt) | |1.04 |

|Pitch Perturbation Quotient (PPQ) | |N/A |

|Relative Average Perturbation (RAP) | |N/A |

|Smoothed Pitch Perception Quotient (sPPQ) | |N/A |

|Fundamental Frequency Variation (vFO) | |N/A |

Short and Long Term Amplitude Perturbation Measurements:

|Shimmer in dB (ShdB) | | |

|Shimmer Percent (Shim) | |3.81 (Dworkin, 2000) |

|Amplitude Perturbation Quotient (APQ) | |N/A |

|Smoothed Amplitude Perturbation Quotient | |N/A |

|(sAPQ) | | |

|Peak-Amplitude Variation (vAm) | |N/A |

Voice Break Related Measurements:

|Degree of Voice Breaks (DVB) | |N/A |

|Number of Voice Breaks (NVB) | |N/A |

Sub-Harmonic Components Related Measurements:

|Degree of Voice Sub-Harmonics (DSH) | |N/A |

|Number of Sub-Harmonics (NSH) | |N/A |

Voice Irregularity Related Measurements:

|Degree of Voiceless (DUV) | |N/A |

|Number of Unvoiced Segments (NUV) | |N/A |

Noise Related Measurements:

|Noise to Harmonic Ratio (NHR) | |N/A |

|Voice Turbulence Index (VIT) | |N/A |

|Soft Phonation Index (SPI) | |N/A |

Tremor Related Measurements:

|Amplitude Tremor Intensity(ATRI) | |N/A |

|Amplitude Tremor Frequency (Fatr) | |N/A |

|Fo Tremor Frequency (Fftr) | |N/A |

|Fo Tremor Intensity Index (FTRI) | |N/A |

Spontaneous Speech

Fundamental Frequency Information Measurements:

|Parameters |Obtained Scores |Norm Threshold |

|Average Fundamental Frequency (Fo) | | |

|Average Pitch Period (To) | |N/A |

|Highest Fundamental Frequency (FHi) | |N/A |

|Lowest Fundamental Frequency (Flo) | |N/A |

|Standard Deviation of Fo (STD) | |N/A |

|Phonatory Fo-Range in semitones (PFR) | |N/A |

|Length of Analyzed Sample(Tsam) | |N/A |

|Total Pitch Periods (PER) | |N/A |

|Number of Segments Computed (SEG) | |N/A |

Short and Long Term Frequency Perturbation Measurements:

|Absolute Jitter (Jita) | |N/A |

|Jitter Percentage (Jitt) | |1.04 |

|Pitch Perturbation Quotient (PPQ) | |N/A |

|Relative Average Perturbation (RAP) | |N/A |

|Smoothed Pitch Perception Quotient (sPPQ) | |N/A |

|Fundamental Frequency Variation (vFO) | |N/A |

Short and Long Term Amplitude Perturbation Measurements:

|Shimmer in dB (ShdB) | |N/A |

|Shimmer Percent (Shim) | |3.81 (Dworkin, 2000) |

|Amplitude Perturbation Quotient (APQ) | |N/A |

|Smoothed Amplitude Perturbation Quotient | |N/A |

|(sAPQ) | | |

|Peak-Amplitude Variation (vAm) | |N/A |

Voice Break Related Measurements:

|Degree of Voice Breaks (DVB) | |N/A |

|Number of Voice Breaks (NVB) | |N/A |

Sub-Harmonic Components Related Measurements:

|Degree of Voice Sub-Harmonics (DSH) | |N/A |

|Number of Sub-Harmonics (NSH) | |N/A |

Voice Irregularity Related Measurements:

|Degree of Voiceless (DUV) | |N/A |

|Number of Unvoiced Segments (NUV) | |N/A |

Noise Related Measurements:

|Noise to Harmonic Ratio (NHR) | |N/A |

|Voice Turbulence Index (VIT) | |N/A |

|Soft Phonation Index (SPI) | |N/A |

Tremor Related Measurements:

|Amplitude Tremor Intensity (ATRI) | |N/A |

|Amplitude Tremor Frequency (Fatr) | |N/A |

|Fo Tremor Frequency (Fftr) | |N/A |

|Fo Tremor Intensity Index (FTRI) | |N/A |

Vowel /i/ Prolongation

Fundamental Frequency Information Measurements:

|Parameters |Mean Obtained Scores |Norm Threshold |

|Average Fundamental Frequency (Fo) | | |

|Average Pitch Period (To) | |N/A |

|Highest Fundamental Frequency (Fhi) | |N/A |

|Lowest Fundamental Frequency (Flo) | |N/A |

|Standard Deviation of Fo (STD) | |N/A |

|Phonatory Fo-Range in semitones (PFR) | |N/A |

|Length of Analyzed Sample(Tsam) | |N/A |

|Total Pitch Periods (PER) | |N/A |

|Number of Segments Computed (SEG) | |N/A |

Short and Long Term Frequency Perturbation Measurements:

|Absolute Jitter (Jita) | |N/A |

|Jitter Percentages (Jitt) | |1.04 |

|Pitch Perturbation Quotient (PPQ) | |N/A |

|Relative Average Perturbation (RAP) | |N/A |

|Smoothed Pitch Perception Quotient (sPPQ) | |N/A |

|Fundamental Frequency Variation (vFo) | |N/A |

Short and Long Term Amplitude Perturbation Measurements:

|Shimmer in dB (ShdB) | |N/A |

|Shimmer Percent (Shim) | |3.81 |

|Amplitude Perturbation Quotient (APQ) | |N/A |

|Smoothed Amplitude Perturbation Quotient | |N/A |

|(sAPQ) | | |

|Peak-Amplitude Variation (vAm) | |N/A |

Voice Break Related Measurements:

|Degree of Voice Breaks (DVB) | |N/A |

|Number of Voice Breaks (NVB) | |N/A |

Sub-Harmonic Components Related Measurements:

|Degree of Voice Sub-Harmonics (DSH) | |N/A |

|Number of Sub-Harmonics (NSH) | |N/A |

Voice Irregularity Related Measurements:

|Degree of Voiceless (DUV) | |N/A |

|Number of Unvoiced Segments (NUV) | |N/A |

Noise Related Measurements:

|Noise to Harmonic Ratio (NHR) | |N/A |

|Voice Turbulence Index (VIT) | |N/A |

|Soft Phonation Index (SPI) | |N/A |

Tremor Related Measurements:

|Amplitude Tremor Intensity(ATRI) | |N/A |

|Amplitude Tremor Frequency (Fatr) | |N/A |

|Fo Tremor Frequency (Fftr) | |N/A |

|Fo Tremor Intensity Index (FTRI) | |N/A |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download