Introduction: This study examined the immediate acoustic, auditory-perceptual, and self-perceptual effects of two semi-occluded vocal tract exercises (SOVTs): straw phonation and straw phonation into a cup of water, delivered in a remote setting. Method: Thirty-six participants (19 females and 17 males) completed a baseline battery of acoustic recordings, followed by one of two SOVTs, and an identical post-task battery. The procedure repeated itself to include the other SOVT. Participants were also asked to rate their self-perceived vocal effort and quality following each condition. Recordings were presented to three expert listeners for completion of auditory-perceptual analysis. Results: Acoustically, a significant decrease in shimmer was noted following straw phonation. Auditory-perceptual analysis revealed a significant increase in the perception of strain following straw phonation into a cup of water. While no significant differences were found between SOVT tasks in self-perception of vocal effort, a significant increase in self-perception of vocal loudness was reported following straw phonation into a cup of water. Conclusion: SOVTs have a varied, yet significant short-term impact across acoustic, auditory-perceptual, and self-perceptual measures of voice production. Straw phonation provided consistently significant acoustic results, with nearly every variable improving to some degree. Results also support the notion that shimmer is an acoustic measure that is particularly susceptible to change following modest manipulation. These results, in addition to the auditory-perceptual and self-perceptual findings, have a direct impact on how SOVTs are being used clinically and may generalize to inform the way voice metrics are collected and analyzed.

1.
Laukkanen
AM
,
Titze
IR
,
Hoffman
H
,
Finnegan
E
.
Effects of a semioccluded vocal tract on laryngeal muscle activity and glottal adduction in a single female subject
.
Folia Phoniatr Logop
.
2008
;
60
(
6
):
298
311
.
2.
Titze
IR
.
Bi-stable vocal fold adduction: a mechanism of modal-falsetto register shifts and mixed registration
.
J Acoust Soc Am
.
2014
;
135
(
4
):
2091
101
.
3.
Titze
I
.
Major benefits of semi-occluded vocal tract exercises
.
J Sing
.
2018
;
74
(
3
):
311
2
.
4.
Yumoto
E
,
Kadota
Y
,
Kurokawa
H
,
Sasaki
Y
,
Fujimura
O
,
Hirano
M
.
Effects of vocal fold tension and thyroarytenoid activity on the infraglottic aspect of vocal fold vibration and glottal source sound quality
. In:
Vocal fold physiology
: voice quality control.
San Diego, CA
Singular
.
1995
. pp.
127
45
.
5.
Rothenberg
M
.
Acoustic interaction between the glottal source and the vocal tract
. In:
Stevens
KN
,
Hirano
M
, editors.
Vocal Fold physiology
Tokyo, Japan
University of Tokyo Press
.
1981
. p.
305
28
.
6.
Titze
IR
,
Laukkanen
AM
.
Can vocal economy in phonation be increased with an artificially lengthened vocal tract? A computer modeling study
.
Logoped Phoniatr Vocol
.
2007
;
32
(
4
):
147
56
.
7.
Kang
J
,
Xue
C
,
Piotrowski
D
,
Gong
T
,
Zhang
Y
,
Jiang
JJ
.
Lingering effects of straw phonation exercises on aerodynamic, electroglottographic, and acoustic parameters
.
J Voice
.
2019
33
5
810.e5
11
.
8.
Titze
IR
.
A framework for the study of vocal registers
.
J Voice
.
1988
;
2
(
3
):
183
94
.
9.
Titze
IR
.
Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings
.
J Speech Lang Hear Res
.
2006
;
49
(
2
):
448
59
.
10.
Story
BH
,
Laukkanen
AM
,
Titze
IR
.
Acoustic impedance of an artificially lengthened and constricted vocal tract
.
J Voice
.
2000
;
14
(
4
):
455
69
.
11.
Titze
IR
,
Story
BH
.
Acoustic interactions of the voice source with the lower vocal tract
.
J Acoust Soc Am
.
1997
;
101
(
4
):
2234
43
.
12.
Horacek
J
,
Radolf
V
,
Laukkanen
AM
.
Experimental and computational modeling of the effects of voice therapy using tubes
.
J Speech Lang Hear Res
.
2019
;
62
(
7
):
2227
44
.
13.
Story
B
,
Titze
IR
.
Voice simulation with a body-cover model of the vocal folds
.
J Acoust Soc Am
.
1995
;
97
(
2
):
1249
60
.
14.
Titze
IR
.
Theoretical analysis of maximum flow declination rate versus maximum area declination rate in phonation
.
J Speech Lang Hear Res
.
2006b
49
2
439
47
.
15.
Bickley
C
,
Stevens
KN
,
Carlson
R
.
Synthesis of manner and voicing continua based on speech production models
.
J Acoust Soc Am
.
1991
89
4B_Supplement
1892
.
16.
Guzman
M
,
Higueras
D
,
Fincheira
C
,
Muñoz
D
,
Guajardo
C
,
Dowdall
J
.
Immediate acoustic effects of straw phonation exercises in subjects with dysphonic voices
.
Logoped Phoniatr Vocol
.
2013
;
38
(
1
):
35
45
.
17.
Laukkanen
AM
,
Horáček
J
,
Havlík
R
.
Case-study magnetic resonance imaging and acoustic investigation of the effects of vocal warm-up on two voice professionals
.
Logoped Phoniatr Vocol
.
2012
;
37
(
2
):
75
82
.
18.
Bartholomew
WT
.
A physical definition of “good voice-quality” in the male voice
.
J Acoust Soc Am
.
1934
;
6
(
1
):
25
33
.
19.
Titze
IR
,
Hunter
EJ
.
Feasibility of measurement of a voice range profile with a semi-occluded vocal tract
.
Logoped Phoniatr Vocol
.
2011
;
36
(
1
):
32
9
.
20.
Sampaio
M
,
Oliveira
G
,
Behlau
M
.
Investigation of the immediate effects of two semi-ocluded vocal tract exercises
.
Pro Fono
.
2008
;
20
(
4
):
261
6
.
21.
Costa
CB
,
Costa
LHC
,
Oliveira
G
,
Behlau
M
.
Immediate effects of the phonation into a straw exercise
.
Braz J Otorhinolaryngol
.
2011
;
77
(
4
):
461
5
.
22.
Wu
CH
,
Chan
RW
.
Effects of a 6-week straw phonation in water exercise program on the aging voice
.
J Speech Lang Hear Res
.
2020
;
63
(
4
):
1018
32
.
23.
Fantini
M
,
Succo
G
,
Crosetti
E
,
Borragán Torre
A
,
Demo
R
,
Fussi
F
.
Voice quality after a semi-occluded vocal tract exercise with a ventilation mask in contemporary commercial singers: acoustic analysis and self-assessments
.
J Voice
.
2017
;
31
(
3
):
336
41
.
24.
Guzman
M
,
Acuña
G
,
Pacheco
F
,
Peralta
F
,
Romero
C
,
Vergara
C
et al
.
The impact of double source of vibration semioccluded voice exercises on objective and subjective outcomes in subjects with voice complaints
.
J Voice
.
2018
32
6
770.e1
9
.
25.
Meerschman
I
,
Van Lierde
K
,
Ketels
J
,
Coppieters
C
,
Claeys
S
,
D’haeseleer
E
.
Effect of three semi-occluded vocal tract therapy programmes on the phonation of patients with dysphonia: lip trill, water-resistance therapy and straw phonation
.
Int J Lang Commun Disord
.
2019
;
54
(
1
):
50
61
.
26.
Schwarz
K
,
Cielo
CA
.
Vocal and laryngeal modifications produced by the sonorous tongue vibration technique
.
Pro Fono
.
2009
;
21
(
2
):
161
6
.
27.
Jacobson
BH
,
Johnson
A
,
Grywalski
C
,
Silbergleit
A
,
Jacobson
G
,
Benninger
MS
et al
.
The voice handicap index (VHI): development and validation
.
Am J Speech Lang Pathol
.
1997
;
6
(
3
):
66
70
.
28.
Arffa
RE
,
Krishna
P
,
Gartner-Schmidt
J
,
Rosen
CA
.
Normative values for the voice handicap index-10
.
J Voice
.
2012
;
26
(
4
):
462
5
.
29.
Denizoglu
II
,
Sahin
M
,
Bayrak
S
,
Uygun
MN
.
Efficacy of Doctorvox voice therapy technique for mutational falsetto
.
J Voice
.
2019
33
6
950.e1
8
.
30.
Kapsner-Smith
MR
,
Hunter
EJ
,
Kirkham
K
,
Cox
K
,
Titze
IR
.
A randomized controlled trial of two semi-occluded vocal tract voice therapy protocols
.
J Speech Lang Hear Res
.
2015
;
58
(
3
):
535
49
.
31.
Enflo
L
,
Sundberg
J
,
Romedahl
C
,
McAllister
A
.
Effects on vocal fold collision and phonation threshold pressure of resonance tube phonation with tube end in water
.
J Speech Lang Hear Res
.
2013
;
56
(
5
):
1530
8
.
32.
Kempster
GB
,
Gerratt
BR
,
Verdolini Abbott
K
,
Barkmeier-Kraemer
J
,
Hillman
RE
.
Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol
.
Am J Speech Lang Pathol
.
2009
;
18
(
2
):
124
32
.
33.
De Bodt
MS
,
Wuyts
FL
,
Van de Heyning
PH
,
Croux
C
.
Test-retest study of the GRBAS scale: influence of experience and professional background on perceptual rating of voice quality
.
J Voice
.
1997
;
11
(
1
):
74
80
.
34.
Fadel
CBX
,
Dassie-Leite
AP
,
Santos
RS
,
Santos
CGD
Jr
,
Dias
CAS
,
Sartori
DJ
.
Immediate effects of the semi-occluded vocal tract exercise with LaxVox® tube in singers
.
CoDAS
.
2016
;
28
(
5
):
618
24
.
35.
Fairbanks
G
The rainbow passage
Voice and articulation drillbook
.
1960
Vol. 2
. p.
127
.
36.
Maryn
Y
,
Weenink
D
.
Objective dysphonia measures in the program Praat: smoothed cepstral peak prominence and acoustic voice quality index
.
J Voice
.
2015
;
29
(
1
):
35
43
.
37.
Eadie
TL
,
Baylor
CR
.
The effect of perceptual training on inexperienced listeners’ judgments of dysphonic voice
.
J Voice
.
2006
;
20
(
4
):
527
44
.
38.
Heman-Ackah
YD
,
Michael
DD
,
Goding
GS
.
The relationship between cepstral peak prominence and selected parameters of dysphonia
.
J Voice
.
2002
;
16
(
1
):
20
7
.
39.
Maryn
Y
,
Corthals
P
,
Van Cauwenberge
P
,
Roy
N
,
De Bodt
M
.
Toward improved ecological validity in the acoustic measurement of overall voice quality: combining continuous speech and sustained vowels
.
J Voice
.
2010
;
24
(
5
):
540
55
.
40.
Hillenbrand
J
,
Getty
LA
,
Clark
MJ
,
Wheeler
K
.
Acoustic characteristics of American English vowels
.
J Acoust Soc Am
.
1995
97
5 Pt 1
3099
111
.
41.
Guzmán
M
,
Castro
C
,
Madrid
S
,
Olavarria
C
,
Leiva
M
,
Muñoz
D
et al
.
Air pressure and contact quotient measures during different semioccluded postures in subjects with different voice conditions
.
J Voice
.
2016
30
6
759.e1
10
.
42.
Guzman
M
,
Laukkanen
AM
,
Krupa
P
,
Horáček
J
,
Švec
JG
,
Geneid
A
.
Vocal tract and glottal function during and after vocal exercising with resonance tube and straw
.
J Voice
.
2013
27
4
523.e19
23
.
43.
Laukkanen
AM
,
Horáček
J
,
Krupa
P
,
Švec
JG
.
The effect of phonation into a straw on the vocal tract adjustments and formant frequencies. A preliminary MRI study on a single subject completed with acoustic results
.
Biomed Signal Process Control
.
2012
;
7
(
1
):
50
7
.
44.
Omori
K
,
Kacker
A
,
Carroll
LM
,
Riley
WD
,
Blaugrund
SM
.
Singing power ratio: quantitative evaluation of singing voice quality
.
J Voice
.
1996
;
10
(
3
):
228
35
.
45.
Zraick
RI
,
Kempster
GB
,
Connor
NP
,
Thibeault
S
,
Klaben
BK
,
Bursac
Z
et al
.
Establishing validity of the Consensus auditory-perceptual evaluation of voice (CAPE-V)
.
Am J Speech Lang Pathol
.
2011
;
20
(
1
):
14
22
.
46.
Borg
G
.
Psychophysical scaling with applications in physical work and the perception of exertion
.
Scand J Work Environ Health
.
1990
16
Suppl 1
55
8
.
47.
Ford Baldner
E
,
Doll
E
,
van Mersbergen
MR
.
A review of measures of vocal effort with a preliminary study on the establishment of a vocal effort measure
.
J Voice
.
2015
;
29
(
5
):
530
41
.
48.
van Leer
E
,
van Mersbergen
M
.
Using the Borg CR10 physical exertion scale to measure patient-perceived vocal effort pre and post treatment
.
J Voice
.
2017
31
3
389.e19
25
.
49.
Berardi
ML
Validation and application of experimental framework for the study of vocal fatigue
.
Michigan State University
.
2020
.
50.
van As
CJ
,
Koopmans-van Beinum
FJ
,
Pols
LC
,
Hilgers
FJ
.
Perceptual evaluation of tracheoesophageal speech by naïve and experienced judges through the use of semantic differential scales
.
J Speech Lang Hear Res
.
2003
;
46
(
4
):
947
59
.
51.
Nieboer
GL
,
de Graaf
T
,
Schutte
HK
.
Esophageal voice quality judgements by means of the semantic differential
.
J Phonetics
.
1988
;
16
(
4
):
417
36
.
52.
Andrews
ML
,
Schmidt
CP
.
Gender presentation: perceptual and acoustical analyses of voice
.
J Voice
.
1997
;
11
(
3
):
307
13
.
53.
McGee
VE
.
Semantic components of the quality of processed speech
.
J Speech Hear Res
.
1964
;
7
(
4
):
310
23
.
54.
Aronson
AE
,
Bless
DM
Clinical voice disorders
New York, NY
Thieme
.
2009
.
55.
Anand
S
,
Kopf
LM
,
Shrivastav
R
,
Eddins
DA
.
Objective indices of perceived vocal strain
.
J Voice
.
2019
;
33
(
6
):
838
45
.
You do not currently have access to this content.