Stepp(28)2012, USA
|
Review/tutorial
|
To establish a consensus on the methodology of surface electromyography (SEMG) use
for speech and swallowing
|
86 references
|
Not listed
|
-Electrode allocation in the orofacial, cervical, and infrahyoid (IH) regions
- Normalization by maximal voluntary activation (MVA)of the cervical and mandible
muscles in particular for 5 sec, 3 times
|
When proper care is taken for its use, SMEG has the potential for clinical use and
research on speech and swallowing
|
Dietrich, Verdolini, Abbott(2)2011, USA
|
Non-experimental
|
To evaluate the influence of introversion in the vocal and extra-laryngeal behavior
of vocally normal individuals as compared with extroverted subjects
|
2 groups: 27 introverted normal subjects and 2 extroverted normal subjects
|
Vowel emission, reading, public speaking, and rest
|
-Allocation of 2 electrodes in the submental (n = 1) and IH (n = 1) regions, unilaterally
- Normalization by submaximal contraction (SMC) against resistive isometric depression
(manual) of the mandible for 5 sec, 3 times
|
Introverted subjects had higher electrical activity (EA) of the IH muscles in different
speaking situations
|
Van Houtte, Claeys, D'haeseleer, Wuyts, Van Lierde(26)2011, Belgium
|
Non-experimental
|
To evaluate SEMG as a diagnostic tool for muscle tension dysphonia (MTD)
|
2 groups: 18 subjects with MTD and 44 normal subjects
|
Vowel emission, reading, and spontaneous speech
|
-Allocation of 3 electrodes in the submental (n = 1), IH (n = 1), and cervical sternocleidomastoid(SCM)
(n= 1) regions, bilaterally
- Normalization by MVA with chin resistance against a chin platform and neck flexion
for 10 sec, 3 times
|
There were no differences among the groups in muscle tension evaluated by SEMG, contraindicating
this method for MTD diagnosis
|
Tamplinet al.(3)2011, Australia
|
Non-experimental
|
To evaluate the impairment of vocal function by respiratory failure caused by spinal
injury
|
2 groups: 6 subjects with quadriplegia and 6 normal subjects
|
Vowel emission (high and soft loudness), reading (with and without masking), singing,
and talking
|
-Electrode allocation in the cervical regions of the SCM and trapezius (TR), as well
as the diaphragm
- No normalization due to the physical limitations of the subjects
|
Respiratory deficiencies in quadriplegic subjects impaired vocal function, requiring
recruitment of accessory muscles
|
Steppet al.(4)2011, USA
|
Non-experimental
|
To evaluate differences in the morphology of vocal nodules and impact on vocal function
between singers and non-singers
|
3 groups: 10 singers with nodules, 8 non-singers with vocal nodules, and 10 normal
subjects
|
Vowel emission, reading, and spontaneous speech
|
-Allocation of 3 electrodes in the cervical SCM region (n = 1) and IH region (n = 2;
divided between thethyrohyoid (TH), omohyoid (OH),sternohyoid (SH),cricothyroid (CT),
and sternothyroid (STH) muscles), unilaterally
-Normalization by MVA (not specific for muscle)
|
SEMG did not differentiate between singers and non-singers with nodules, showing no
specificity for the presence of nodules
|
Stepp, Hillman, Heaton(12)2011, USA
|
Non-experimental
|
To evaluate the inter-muscular beta coherence of the neck regarding modulation by
means of SEMG
|
1 group: 10 normal subjects
|
Spontaneous speech, intelligible speech, speech with divided attention, singing, and
hyperfunctionalspeech
|
- Allocation of 2 electrodes in the anterior neck region, 1 in the upper region of
the neck (TH and OH) and another below (CT, SH, and STH), unilaterally- Normalization
by MVA of the neck against manual counter-resistance and use of a dynamometer to maintain
the strength of tongue retraction
|
The measurement of inter-muscular beta coherence differed between the speech tasks
and hyperfunctional speech, resembling results found in patients with vocal nodules
|
Stepp et al.(13)2011, USA
|
Non-experimental
|
To compare the current classification systems of neck palpation
|
1 group: 16 subjects with hyperfunctional dysphonia
|
Vowel emission, reading, spontaneous speech, and rest
|
- Allocation of 3 electrodes in the IH region (n = 2; divided between the TH, OH,
and SH muscles and the SH and CT muscles) and the cervical SCM region (n = 1), unilaterally-
Normalization by MVA of the neck against manual counter-resistance
|
The inter-rater reliability was low for capture of tension in the neck
|
Stepp, Hillman, Heaton(5)2010, USA
|
Non-experimental
|
To evaluate the inter-muscular beta coherence of the neck muscles as an indicator
of hyperfunctional dysphonia
|
2 groups: 18 subjects with vocal nodules and 18 normal subjects
|
Spontaneous speech andreading
|
- Allocation of 2 electrodes in the anterior IH region (right and left), divided between
the TH, OH, and STH muscles and the CT and SH muscles, unilaterally- Normalization
not referred to
|
Measurement of beta coherencein the neck muscles with SEMG can be an indicator of
vocal hyperfunction
|
Stepp et al.(6)2010, USA
|
Non-experimental
|
To determine the sensitivity of SEMG for identifying changes in the degree of vocal
hyperfunction
|
1 group: 13 subjects with hyperfunctional dysphonia
|
Vowel emission, speaking, reading, and sniff maneuver
|
- Allocation of 3 electrodes in the IH region (n = 2; divided between the TH, OH,
and SH muscles and the SH and CT muscles) and the cervical SCM region (n =1), unilaterally-
Normalization by MVA with manual counter-resistance
|
The significance of SEMG data was not sufficient to enable the use of this tool in
assessing vocal hyperfunction
|
Santos, Caria,Tosello,Bérzin(14)2010,Brazil
|
Non-experimental
|
To evaluate the effects of type of esophageal voice and use of an electronic larynx
on the cervical muscles
|
3 groups: 5 subjects with an electronic larynx, 5 subjects with esophageal speech,and
7 normal subjects
|
Spontaneous speech andreading
|
- Electrode allocation in the SCM and cervical paraspinal muscles, bilaterally-Standardization
by the EA peak of the SCM and paraspinal muscles
|
Type of voice did not affect the pattern of muscle activity
|
Stepp, Heaton, Rolland, Hillman(15)2009, USA
|
Non-experimental
|
To check for electronic larynx control with SEMG
|
1 group: 8 laryngectomizedsubjects
|
Spontaneous speech and sequence of phrases
|
- Allocation of 7 electrodes in the submental region (n = 1),the upper portion of
the neck (n = 1), above the stoma (n = 2),the oral rima (n = 1),the masseter muscle
(n = 1), and the SCM muscle (n = 1), unilaterally- Normalization not referred to
|
Electrodes placed in the submental and upper neck regions provided the best signals
for electronic hands-free larynx control
|
Guirro et al.(16)2008, Brazil
|
Non-experimental
|
To evaluate the EA of the suprahyoid (SH), SCM, and TR muscles as well as pain and
voice after transcutaneous electrical nerve stimulation (TENS) in dysphonic subjects
|
1 group: 10 dysphonic subjects
|
Vowel emission, spontaneous speech, and rest
|
-Allocation of electrodes in the SH, SCM, and TR regions, bilaterally
-Number of electrodes not referred to
- Normalization not referred to
|
There was reduction of EA in the muscles investigated, as well as pain reduction and
improvement in vocal quality
|
Nelli(27)2006, Brazil
|
Non-experimental
|
To analyze body posture in patients with dysphonia
|
2 groups: 23 dysphonic subjects and 20 normal subjects
|
Vowel emission, sentence repetition, counting, and rest
|
-Allocation of electrodes in the SH, IH, and SCM regions, unilaterally
- Normalization not referred to
|
There was a positive correlation between dysphonia and postural change
|
Mendes, Brown, Sapienza, Rothman(17)2006, Portugal
|
Non-experimental
|
To determine if vocal training improves respiratory kinematics and muscle activity
during singing
|
1 group: 4 singingstudents
|
Singing
|
-Allocation of electrodes in the respiratory region of the pectoralis major (PM),
rectus abdominis (RA), and external oblique (EO) muscles
-Number of electrodes not referred to
- Normalization not referred to
|
Vocal training improved the force generated in the muscles evaluated
|
Pettersen, Bjørkøy, Torp, Westgaard(18)2005, Norway
|
Non-experimental
|
To investigate the intra-subject pattern activity of the SCM, scalene (SC), and upper
TR muscles during the variation of loudness and pitch
|
1 group: 8 singing students
|
Vowel emission during gliding in a comfortable or high tone, speech in a loud or comfortable
tone, and singing
|
-Allocation of electrodes in the respiratory region of the TR muscle and the cervical
region (SCM, SC), unilaterally
- Normalization by MVA with lateral flexion of the neck
|
The SCM and SC musclesdisplayedopposing forces in the chest at high pitch and during
speech rather than upon inspiration
|
Pettersen, Westgaard(19)2005, Norway
|
Non-experimental
|
To characterize the activity patterns of the neck muscles during classical singing
|
1 group: 5 singers
|
Singing voice emission in different intensities
|
-Allocation of electrodes in the cervical region of the SCM and SC muscles, the posterior
neck region, and the thoracic region (TX), unilaterally
- Normalization by MVA with lateral flexion of the neck and head extension
|
Activity of the SCM, SC, and posterior region of the neck was correlated during inspiration
and phonation in singers
|
Loucks et al.(20)2005, USA
|
|
To evaluate whether vocal changes resulting from mechanical disturbance are due to
quick responses of the intrinsic muscles of the larynx
|
1 group: 10 normal subjects
|
Vowel emission with pitch variation, spontaneous speech, rest, whisper, and phonation
with effort
|
-Allocation of electrodes in the thyroid region (STH) and the medial region of the
cricoid to the SCM, bilaterally
- Normalization by MVA with effort on the chin
|
There were changes in fundamental frequencies due to STH muscle response but not intrinsic
muscles
|
Heaton et al.(21)2004, USA
|
Experimental
|
To systematically evaluate the use of SEMG for control of hands-free electronic larynxes
|
1 group: 8 laryngectomized subjects
|
Vowel emission, connected speech, and reading
|
-Allocation of electrodes in the neck, unilaterally
- Normalization not referred to, but laryngeal contraction tasks through the retracted
tongue were performed
|
SEMG can be an effective source for electronic larynx activation and control of voice
modulation
|
Silvério(7)2002, Brazil
|
Non-experimental
|
To evaluate voice and the EA of the SCM and SH muscles in subjects with temporomandibular
disorders (TMD)
|
2 groups: 10 dysphonic subjects and 10 normal subjects
|
Vowel emission, connected speech, spontaneous speech, and rest
|
-Allocation of electrodes in the submandibular region of the SH muscles and the SCM
region, bilaterally
- Normalizationofmean envelope
|
The EA of the SCM was higher in subjects with MTD
|
Sapir, Baker, Larson, Ramig(22)2000, USA
|
Non- experimental
|
To evaluate variations in fundamental frequency (F0) and EA induced by mechanical
disturbance of the larynx
|
1 group: 19 normal subjects
|
Vowel emission
|
-Allocation of electrodes in the laryngeal region (CT), SH-digastric anterior and
geniohyoid region, and IH-posterior region of the cricoid, unilaterally
- Normalization not referred to
|
Sudden and mechanical disruption varied F0 according to the direction of the stimulus
and increased the EA latency
|
Hocevar-Boltezar, Janko, Zargi(8)1998,Slovenia
|
Non-experimental
|
To determine the electromyographic characteristics of the muscles of the perioral
and anterior neck regions during phonation
|
2 groups: 11 subjects with hyperfunctional dysphonia and 5 normal subjects
|
Vowel emission and rest
|
-Allocation of 9 electrodes in the perioral (upper and lower lips, chin), laryngeal
(TH and CT), and cervical (SCM) regions, bilaterally
- Normalization not referred to
|
There was increased EA of the muscles investigated during phonation and silence in
dysphonic subjects
|
Silvério(9)1998, Brazil
|
Non-experimental
|
To evaluate the EA of the SCM and TR muscles in dysphonic subjects
|
2 groups: 10 dysphonic subjects and 10 normal subjects
|
Vowel emission, fricatives, connected speech, spontaneous speech, and rest
|
-Allocation of electrodes in the cervical region (SCM and TR), bilaterally
- Normalization by MVA with neck flexion for the SCM and elevated shoulders for the
TR
|
There was increased EA of the muscles investigated in dysphonic subjects
|
Laukkanen, Lindholm, Vilkman, Haataja, Alku(23)1996, Finland
|
Non-experimental
|
To evaluate the larynx and glottal source before and during the exercise of voiced
bilabial fricative
|
1 group: 6 normal subjects
|
Vowel emission
|
-Allocation of 2 pairs of electrodes in the thyroid region, bilaterally
- Normalization not referred to
|
The SEMG signal of laryngeal muscles proved to be reduced after exercise, indicating
a lower EA and greater vocal economy
|
Larson, Sapir(24)1995, USA
|
Non-experimental
|
To evaluate the response of laryngeal and perioral reflexes to changes in affective
state
|
1 group: 24 soprano singers
|
Continuous emission
|
-Allocation of electrodes in the orbicularis region, bilaterally
- Normalization not referred to
|
There were no significant changes in orolaryngeal reflexes in response to changes
in affective states
|
Sapir, Larson(25)1993, USA
|
Non-experimental
|
To evaluate the role of the SH muscles in vibrato control
|
1 group: 4 soprano singers
|
|
- Allocation of electrodes in the SH, thyroid cartilage, mandibular branch, and upper
lip regions, unilaterally
|
There was involvement of the SH and extra-laryngeal muscles in vibrato control
|
Redenbaugh, Reich(10)1989, USA
|
Non-experimental
|
To evaluate absolute and relative SEMG signals in the anterior neck muscles of normal
subjects and subjects with hyperfunctional dysphonia
|
2 groups: 7 normal subjects and 7 subjects with hyperfunctional dysphonia
|
Vowel emission and reading
|
-Allocation of electrodes in the laryngeal region (TH), unilaterally
- Standardization of MVC and SMC with chin resistance against a platform
|
There were significant differences in the absolute values of the tasks, with values
being higher in dysphonic subjects
|
Milutinoviæ, Lastovka, Vohradník, Janoseviæ(11) 1988, Czechoslovakia
|
Non-experimental
|
To evaluate the EA of the laryngeal, thoracic, and abdominal muscles during hyperkinetic
phonation
|
2 groups: 5 normal subjects and 6 subjects with hyperfunctional dysphonia
|
Vowel emission, reading, and spontaneous speech in a comfortable/relaxing or loud
pitch
|
-Allocation of electrodes in the thyroid lamina, chest, and abdomen
- Normalization by rest
|
SEMG showed increased EA of the muscles of the larynx, thorax, and abdomen in subjects
with hyperkinetic dysphonia
|