Correspondence between Laryngeal Vocal Fold Movement and Muscle Activity during Speech and Non-Speech Gestures

摘要

To better understand the role of each of the laryngeal muscles in producing vocal fold movement, activation of these muscles was correlated with laryngeal movement during different tasks such as sniff, cough or throat clear, and speech syllable production. Four muscles (the posterior cricoarytenoid-PCA, lateral cricoarytenoid-LCA, cricothyroid-CT and thyroarytenoid-TA) were recorded with bipolar hooked wire electrodes placed bilaterally in four normal subjects. A nasoendoscope was used to record vocal fold movement while simultaneously recording muscle activity. Muscle activation level was correlated with ipsilateral vocal fold angle for vocal fold opening and closing. Pearson correlation coefficients and their statistical significance were computed for each trial. Significant effects of muscle (p≤0.0005) and task (p=0.034) were found on the r (transformed to Fisher’s Z’) values. All the PCA recordings related significantly with vocal opening while CT activity was significantly correlated with opening only during sniff. The TA and LCA activities were significantly correlated with vocal fold closing during cough. During speech, the CT and TA activity correlated with both opening and closing. Laryngeal muscle patterning to produce vocal fold movement differed across tasks; reciprocal muscle activity only occurred on cough while speech and sniff often involved simultaneous contraction of muscle antagonists. In conclusion, different combinations of muscle activation are used for biomechanical control of vocal fold opening and closing movements during respiratory, airway protection and speech tasks.