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Validating moment analysis in disharmony patients (Jhingree et al., 2022)

posted on 2022-05-05, 20:42 authored by Samantha Jhingree, Yushan Xie, Clare Bocklage, Natalie Giduz, Kevin Moss, David Zajac, Laura Anne Jacox

Purpose: This study examined the relationship between judged speech sound distortions and spectral moment metrics in speakers with Class III malocclusion.

Method: A quantitative online survey was distributed to 30 speech specialists (clinicians and/or students) and 100 lay listeners to judge the clarity of the sounds /s/, /ʃ/, /t/, and /k/ using a visual analog scale (VAS) from recordings of 11 Class III (underbite) dentofacial disharmony (DFD) patients and eight Class I controls. Patients and controls were grouped according to high, moderate, and low /s/−/ʃ/ first spectral moment differences. A linear mixed model was used to analyze the data.

Results: VAS scale ratings increased as a function of decreasing spectral contrast for both groups of listeners. VAS ratings of speech specialists were more homogenous than lay listeners, and speech specialists rated distortions as less severe than lay listeners.

Conclusions: Recordings of Class III DFD patients with low /s/−/ʃ/ first spectral moment differences were scored by listeners as having increased VAS scale ratings, indicative of more significant perceived speech-sound distortions. Spectral moment analysis appears to be a promising approach for characterizing speech of DFD patients and other craniofacial disorders.

Supplemental Material S1. Visual analog scale for recording scales. (A) Question and scale for a /s/ word. (B) Question and scale for a /ʃ/ word.

Supplemental Material S2. Word list for speech evaluations.

Supplemental Material S3. Class III DFD patient and recording demographics for /t/ and /k/.

Supplemental Material S4. Correlation between mean word sounds between lay people and speech professionals.

Supplemental Material S5. Correlation between log10 mean word sounds between lay people and speech professionals.

Jhingree, S., Xie, Y., Bocklage, C., Giduz, B., Moss, K., Zajac, D., & Jacox, L. A. (2022). Validating spectral moment analysis as a quantitative measure of speech distortions in speakers with Class III malocclusions. Perspectives of the ASHA Special Interest Groups. Advance online publication.


This research was supported by the American Association of Orthodontists Martin “Bud” Schulman Postdoctoral Fellowship Award (to Laura Anne Jacox). Additionally, this work was supported by the Oral and Maxillofacial Surgery Foundation Research Support Grant (to Laura Anne Jacox). Finally, the project described was supported by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH), through Grant UL1TR002489 (to Laura Anne Jacox), by National Institutes of Dental and Craniofacial Research (NIDCR), NIH through a K08 award (to Laura Anne Jacox), with a Grant 1K08DE030235, and by NIDCR, NIH through an R01 award (to David Zajac), with Grant R01DE022566.