The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report

This paper describes the swallowing difficulty and abnormal voicing characteristics of a subject with pharyngeal dystonia. This rare form of dystonia, considered to be a neurological condition resulting in involuntary spasm of the muscles of the pharynx, has not been documented in terms of its effec...

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Main Authors: Loren Kahn, Heila Jordaan
Format: Article
Language:English
Published: AOSIS 2001-12-01
Series:South African Journal of Communication Disorders
Subjects:
Online Access:https://sajcd.org.za/index.php/sajcd/article/view/734
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author Loren Kahn
Heila Jordaan
author_facet Loren Kahn
Heila Jordaan
author_sort Loren Kahn
collection DOAJ
description This paper describes the swallowing difficulty and abnormal voicing characteristics of a subject with pharyngeal dystonia. This rare form of dystonia, considered to be a neurological condition resulting in involuntary spasm of the muscles of the pharynx, has not been documented in terms of its effects on the acoustic properties of the voice. This study revealed that during pharyngeal spasm, there are significant delays in voice onset time, a reduction in fundamental frequency, an increased percentage of sub-harmonics and variability in the amplitude perturbation quotient as well as shimmer. There was also evidence of these characteristics during periods of 'spasm-free' voice production, suggesting that the condition might be more consistent than what the subject described. Resonance disturbances were observed in spasm, which might explain the 'hollow' and affected voice quality. The subject also reported severe swallowing difficulties during the periods of spasm, characterised by a tight constriction at the level of the subject's throat. It is clear that an abnormality at the level of the cricopharyngeal muscle has a dual effect on the acoustic properties of the voice and on swallowing.
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spelling doaj.art-51afa6ef0c9242429a35fa5f04e736d32022-12-22T03:01:53ZengAOSISSouth African Journal of Communication Disorders0379-80462225-47652001-12-01481213110.4102/sajcd.v48i1.734563The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case ReportLoren Kahn0Heila Jordaan1Department of Speech Pathology and Audiology, University of the Witwatersrand, JohannesburgDepartment of Speech Pathology and Audiology, University of the Witwatersrand, JohannesburgThis paper describes the swallowing difficulty and abnormal voicing characteristics of a subject with pharyngeal dystonia. This rare form of dystonia, considered to be a neurological condition resulting in involuntary spasm of the muscles of the pharynx, has not been documented in terms of its effects on the acoustic properties of the voice. This study revealed that during pharyngeal spasm, there are significant delays in voice onset time, a reduction in fundamental frequency, an increased percentage of sub-harmonics and variability in the amplitude perturbation quotient as well as shimmer. There was also evidence of these characteristics during periods of 'spasm-free' voice production, suggesting that the condition might be more consistent than what the subject described. Resonance disturbances were observed in spasm, which might explain the 'hollow' and affected voice quality. The subject also reported severe swallowing difficulties during the periods of spasm, characterised by a tight constriction at the level of the subject's throat. It is clear that an abnormality at the level of the cricopharyngeal muscle has a dual effect on the acoustic properties of the voice and on swallowing.https://sajcd.org.za/index.php/sajcd/article/view/734pharyngeal dystoniadysphagiaresonanceacoustic propertiesvoice onset time
spellingShingle Loren Kahn
Heila Jordaan
The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
South African Journal of Communication Disorders
pharyngeal dystonia
dysphagia
resonance
acoustic properties
voice onset time
title The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
title_full The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
title_fullStr The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
title_full_unstemmed The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
title_short The Swallowing and Voicing Characteristics of Pharyngeal Dystonia: A Single Case Report
title_sort swallowing and voicing characteristics of pharyngeal dystonia a single case report
topic pharyngeal dystonia
dysphagia
resonance
acoustic properties
voice onset time
url https://sajcd.org.za/index.php/sajcd/article/view/734
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