Victoria S McKenna1,2, Courtney L Kendall1, Tulsi H Patel1, Rebecca J Howell3, Renee L Gustin3. 1. Department of Communication Sciences and Disorders, University of Cincinnati, Cincinnati, Ohio, U.S.A. 2. Department of Biomedical Engineering, University of Cincinnati, Cincinnati, Ohio, U.S.A. 3. Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, U.S.A.
Abstract
OBJECTIVES/HYPOTHESIS: We investigated speech acoustics and self-reported vocal symptoms in mask-wearing healthcare professionals. We hypothesized that there would be an attenuation of spectral energies and increase in vocal effort during masked speech compared to unmasked speech. STUDY DESIGN: Within and between subject quasi-experimental design. METHODS: We prospectively enrolled 21 healthcare providers (13 cisgender female, 8 cisgender male; M = 32.9 years; SD = 7.9 years) and assessed acoustics and perceptual measures with and without a face mask in place. Measurements included: 1) acoustic Vowel Articulation Index (VAI); 2) cepstral and spectral acoustic measures; 3) traditional vocal measures (e.g., fundamental frequency, intensity); 4) relative fundamental frequency (RFF); and 5) self-reported ratings of vocal effort and dyspnea. RESULTS: During masked speech, there was a significant reduction in VAI, high-frequency information (>4 kHz), and RFF offset 10, as well as a significant increase in cepstral peak prominence and perceived vocal effort. Further analysis showed that high-frequency attenuation was more pronounced when wearing an N95 mask compared to a simple mask. CONCLUSIONS: Face masks pose an additional barrier to effective communication that primarily impacts spectral characteristics, vowel space measures, and vocal effort. Future work should evaluate how long-term mask use impacts vocal health and may contribute to vocal problems. LEVEL OF EVIDENCE: 3 Laryngoscope, 132:391-397, 2022.
OBJECTIVES/HYPOTHESIS: We investigated speech acoustics and self-reported vocal symptoms in mask-wearing healthcare professionals. We hypothesized that there would be an attenuation of spectral energies and increase in vocal effort during masked speech compared to unmasked speech. STUDY DESIGN: Within and between subject quasi-experimental design. METHODS: We prospectively enrolled 21 healthcare providers (13 cisgender female, 8 cisgender male; M = 32.9 years; SD = 7.9 years) and assessed acoustics and perceptual measures with and without a face mask in place. Measurements included: 1) acoustic Vowel Articulation Index (VAI); 2) cepstral and spectral acoustic measures; 3) traditional vocal measures (e.g., fundamental frequency, intensity); 4) relative fundamental frequency (RFF); and 5) self-reported ratings of vocal effort and dyspnea. RESULTS: During masked speech, there was a significant reduction in VAI, high-frequency information (>4 kHz), and RFF offset 10, as well as a significant increase in cepstral peak prominence and perceived vocal effort. Further analysis showed that high-frequency attenuation was more pronounced when wearing an N95 mask compared to a simple mask. CONCLUSIONS: Face masks pose an additional barrier to effective communication that primarily impacts spectral characteristics, vowel space measures, and vocal effort. Future work should evaluate how long-term mask use impacts vocal health and may contribute to vocal problems. LEVEL OF EVIDENCE: 3 Laryngoscope, 132:391-397, 2022.
Authors: Nelson Roy; Ray M Merrill; Susan Thibeault; Rahul A Parsa; Steven D Gray; Elaine M Smith Journal: J Speech Lang Hear Res Date: 2004-04 Impact factor: 2.297
Authors: Victoria S McKenna; Renee L Gustin; Rebecca J Howell; Tulsi H Patel; Mariah B Emery; Courtney L Kendall; Nicholas J Kelliher Journal: J Voice Date: 2021-12-27 Impact factor: 2.300