Activity of Intrinsic Laryngeal Muscles in Fluent and Disfluent Speech

1996 ◽  
Vol 39 (2) ◽  
pp. 329-348 ◽  
Author(s):  
Anne Smith ◽  
Margaret Denny ◽  
Lauren A. Shaffer ◽  
Ellen M. Kelly ◽  
Minoru Hirano
Keyword(s):  
Valsalva Maneuver ◽  
Vocal Folds ◽  
Conversational Speech ◽  
High Activation ◽  
Laryngeal Muscles ◽  
History Of ◽  
Quantitative Analyses ◽  
Intrinsic Laryngeal Muscle ◽  
Botulinum Toxin Injections ◽  
Intrinsic Laryngeal Muscles

The goal of the present experiment was to determine if stuttering is associated with unusually high levels of activity in laryngeal muscles. Qualitative and quantitative analyses of thyroarytenoid and cricothyroid recordings from 4 stuttering and 3 nonstuttering adults revealed the following: Compared to periods of fluent speech, intervals of disfluent speech are not typically characterized by higher levels of activity in these muscles; and when EMG levels during conversational speech are compared to maximal activation levels for these muscles (e.g., those observed during singing and the Valsalva maneuver), normally fluent adults show robust and sometimes near maximal recruitment during conversational speech. The adults who stutter had a lower operating range for these muscles during conversational speech, and their disfluencies did not produce relatively high activation levels. In summary, the present data require us to reject the claim that adults with a history of chronic stuttering routinely produce excessive levels of intrinsic laryngeal muscle activity. These results suggest that the use of botulinum toxin injections into the vocal folds to treat stuttering should be questioned.

scholarly journals Triangular body-cover model of the vocal folds with coordinated activation of the five intrinsic laryngeal muscles

2022 ◽  
Vol 151 (1) ◽  
pp. 17-30
Author(s):  
Gabriel A. Alzamendi ◽  
Sean D. Peterson ◽  
Byron D. Erath ◽  
Robert E. Hillman ◽  
Matías Zañartu
Keyword(s):  
Vocal Folds ◽  
Laryngeal Muscles ◽  
Intrinsic Laryngeal Muscles

Intrinsic Laryngeal Muscle Activity in a Spastic Dysphonia Patient

1985 ◽  
Vol 50 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Thomas Shipp ◽  
Krzysztof Izdebski ◽  
Charles Reed ◽  
Philip Morrissey
Keyword(s):  
Muscle Activity ◽  
Emg Activity ◽  
Muscle Paralysis ◽  
Normal Morphology ◽  
Laryngeal Muscles ◽  
Laryngeal Muscle ◽  
Intrinsic Laryngeal Muscle ◽  
Posterior Cricoarytenoid ◽  
Recurrent Laryngeal Nerves ◽  
Intrinsic Laryngeal Muscles

EMG activity from four intrinsic laryngeal muscles (thyroarytenoid, posterior cricoarytenoid, interarytenoid, and cricothyroid) was obtained from one female spastic dysphonia patient while she performed a variety of speech and nonspeech tasks. These tasks were performed before and during a period of temporary unilateral laryngeal muscle paralysis. In the nonparalyzed condition, adductory muscle activity showed intermittent sudden increases that coincided with momentary voice arrests. These muscle patterns and accompanying voice interruptions were not present either when speech was produced in falsetto register or at anytime during the paralysis condition. The data suggest that individuals with this type of spastic dysphonia have normal morphology of recurrent laryngeal nerves and intrinsic laryngeal muscles, which means that the triggering mechanism(s) for spastic dysphonia symptoms must be located at some point neurologically upstream from the larynx.

scholarly journals Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Bitton ◽  
J.-L. Bacquet ◽  
F. Amoroso ◽  
S. Mrejen ◽  
M. Paques ◽  
...  
Keyword(s):  
Valsalva Maneuver ◽  
Post Partum ◽  
Pathologic Myopia ◽  
Pathological Myopia ◽  
Case Presentation ◽  
Sudden Loss ◽  
Corrected Visual Acuity ◽  
First Case ◽  
History Of ◽  
Macular Hemorrhage

Abstract Background Pathologic myopia is a major cause of visual impairment and blindness. Case presentation We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage. Conclusions This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum. Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

scholarly journals Motor Innervation of the Intrinsic Laryngeal Muscles: A Histochemical Study with the Glycogen Depletion Technique.

1992 ◽  
Vol 43 (3) ◽  
pp. 227-235
Author(s):  
Ryuichi Aibara ◽  
Hiroshi Okamura ◽  
Toshihiro Mori ◽  
Yuji Kawamura ◽  
Seiji Kawakita
Keyword(s):  
Histochemical Study ◽  
Motor Innervation ◽  
Glycogen Depletion ◽  
Laryngeal Muscles ◽  
Intrinsic Laryngeal Muscles

Abstract 16831: Provoked PFO Shunt And Posterior Circulation Stroke: An Underrecognized Association

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Muhammad Hamza Saad Shaukat ◽  
Mamoon Ahmed ◽  
Terezia Petraskova ◽  
Alex Georgiev ◽  
Orvar Jonsson
Keyword(s):  
Atrial Fibrillation ◽  
Valsalva Maneuver ◽  
Sympathetic Innervation ◽  
Paradoxical Embolism ◽  
Posterior Circulation ◽  
Saline Injection ◽  
Atrial Size ◽  
Acute Infarct ◽  
History Of ◽  
The Right

Case Presentation: A 50 year old man presented with nausea and weakness. MRI brain showed a small acute infarct in the right pons. CT angiography of the head and neck was unremarkable. No thrombus, vegetation, or inter-atrial communication was seen on transthoracic echocardiogram: LVEF was 55-60% with normal left atrial size. No history of atrial fibrillation, hypertension, diabetes or drug abuse was reported; lower extremity duplex was negative for deep venous thrombosis. TSH was normal. Transesophageal echocardiography showed an aneurysmal atrial septum: agitated saline injection did not demonstrate an inter-atrial communication (figure 1). Repeat saline injection during the same procedure with Valsalva maneuver demonstrated a moderate-sized, provoked right-to-left, patent foramen ovale (PFO) shunt (figure 2). Discussion: Physiologically decreased sympathetic innervation spares posterior cerebral circulation from Valsalva-induced vasoconstriction. The disproportionate increase in posterior cerebral blood flow when venous return/cardiac output increases in the immediate post-strain period explains the association of provoked PFO shunt and paradoxical embolism to posterior circulation. Although the association has been described in literature, it remains underappreciated. Recognition of the association expedited secondary prevention of stroke in this non-elderly patient by circumventing the need to exclude atrial fibrillation on ambulatory rhythm monitoring (3-6 months) before referral for PFO closure.

scholarly journals Altered baroreflex sensitivity in young women with a family history of hypertension

2019 ◽  
Vol 121 (3) ◽  
pp. 1011-1017 ◽  
Author(s):  
Evan L. Matthews ◽  
Kelly N. Sebzda ◽  
Megan M. Wenner
Keyword(s):  
Family History ◽  
Young Women ◽  
Baroreflex Sensitivity ◽  
Valsalva Maneuver ◽  
Muscle Sympathetic Nerve Activity ◽  
Positive Family History ◽  
The Future ◽  
History Of ◽  
Family History Of Hypertension ◽  
Important Marker

A positive family history of hypertension (+FH) is a risk factor for the future development of hypertension. Hypertension is associated with reductions in baroreflex sensitivity (BRS). Therefore, we hypothesized that young women with a +FH [ n = 12, 22 ± 1 yr, body mass index (BMI) 21 ± 1 kg/m2, mean arterial pressure (MAP) 79 ± 1 mmHg] would have lower BRS compared with young women without a family history of hypertension (−FH) ( n = 13, 22 ± 1 yr, BMI 21 ± 1 kg/m2, MAP 77 ± 2 mmHg, all P > 0.05 between groups). Continuous measurements of muscle sympathetic nerve activity, blood pressure, and electrocardiogram derived R-R interval were recorded at rest and during a Valsalva maneuver. Both cardiovagal BRS and vascular sympathetic BRS were assessed. Resting cardiovagal BRS was reduced in the +FH women (all sequences: −FH 32.3 ± 3.7 vs. +FH 20.2 ± 2.9 ms/mmHg, P = 0.02). Cardiovagal BRS during phase IV (−FH 16.5 ± 2.7 vs. +FH 7.6 ± 1.3 ms/mmHg, P < 0.01) but not phase II (−FH 5.5 ± 0.9 vs. +FH 5.0 ± 0.8 ms/mmHg, P = 0.67) of the Valsalva maneuver was also lower in the +FH women. Vascular sympathetic BRS at rest (−FH −2.38 ± 0.7 vs. +FH −2.33 ± 0.3 bursts· min−1·mmHg−1, P = 0.58) and during the Valsalva (−FH −0.74 ± 0.23 vs. +FH −0.66 ± 0.18 bursts·15 s−1·mmHg−1, P = 0.79) were not different between groups. These data suggest that healthy young women with a positive family history of hypertension have reduced cardiovagal BRS. This may be one mechanism contributing to the increased incidence of hypertension in this population later in life. NEW & NOTEWORTHY Having a family history of hypertension increases the risk of developing future hypertension. Reductions in baroreflex function have been demonstrated in hypertension and are an important marker for future cardiovascular disease. We show that young women with a family history of hypertension have lower cardiovagal baroreflex sensitivity. This alteration in autonomic function may be one mechanism contributing to the future incidence of hypertension in this patient population.

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