The Mathematical Institute, University of Oxford, Eprints Archive

Objective automatic assessment of rehabilitative speech treatment in Parkinson's disease

Tsanas, A and Little, M A and Fox, C and Ramig, L O (2014) Objective automatic assessment of rehabilitative speech treatment in Parkinson's disease. IEE Transactions on Neural Systems and Rehabilitation Engineering, 22 (1). pp. 181-190.



Vocal performance degradation is a common symptom for the vast majority of Parkinson's disease (PD) subjects, who typically follow personalized one-to-one periodic rehabilitation meetings with speech experts over a long-term period. Recently, a novel computer program called Lee Silverman voice treatment (LSVT) Companion was developed to allow PD subjects to independently progress through a rehabilitative treatment session. This study is part of the assessment of the LSVT Companion, aiming to investigate the potential of using sustained vowel phonations towards objectively and automatically replicating the speech experts' assessments of PD subjects' voices as “acceptable” (a clinician would allow persisting during in-person rehabilitation treatment) or “unacceptable” (a clinician would not allow persisting during in-person rehabilitation treatment). We characterize each of the 156 sustained vowel /a/ phonations with 309 dysphonia measures, select a parsimonious subset using a robust feature selection algorithm, and automatically distinguish the two cohorts (acceptable versus unacceptable) with about 90% overall accuracy. Moreover, we illustrate the potential of the proposed methodology as a probabilistic decision support tool to speech experts to assess a phonation as “acceptable” or “unacceptable.” We envisage the findings of this study being a first step towards improving the effectiveness of an automated rehabilitative speech assessment tool.

Item Type:Article
Subjects:A - C > Biology and other natural sciences
Research Groups:Centre for Mathematical Biology
ID Code:1816
Deposited By: Sara Jolliffe
Deposited On:28 Feb 2014 10:08
Last Modified:29 May 2015 19:30

Repository Staff Only: item control page