{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:36:49Z","timestamp":1786984609069,"version":"build-2736575974"},"reference-count":32,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["archives-pmr.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Archives of Physical Medicine and Rehabilitation"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.apmr.2025.08.015","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T07:34:19Z","timestamp":1757057659000},"page":"251-260","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acoustic Measures of Voice Perturbation Offer Limited Value as Standalone Indicators of Laryngeal Penetration or Aspiration"],"prefix":"10.1016","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6450-3606","authenticated-orcid":false,"given":"Lindsay","family":"Griffin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna Silver","family":"Luque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah H.","family":"Szynkiewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Kamarunas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.apmr.2025.08.015_bib0001","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1007\/s00455-022-10412-w","article-title":"Mortality from aspiration pneumonia: incidence, trends, and risk factors","volume":"37","author":"Gupte","year":"2022","journal-title":"Dysphagia"},{"key":"10.1016\/j.apmr.2025.08.015_bib0002","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1044\/2021_AJSLP-20-00375","article-title":"Risk of an adverse event in individuals who aspirate: a review of current literature on host defenses and individual differences","volume":"31","author":"Palmer","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0003","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.otc.2024.03.006","article-title":"Dysphagia in the aging population","volume":"57","author":"Hunter","year":"2024","journal-title":"Otolaryngol Clin North Am"},{"key":"10.1016\/j.apmr.2025.08.015_bib0004","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1097\/WNP.0000000000000186","article-title":"Central nervous system control of voice and swallowing","volume":"32","author":"Ludlow","year":"2015","journal-title":"J Clin Neurophysiol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0005","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1044\/1058-0360(2011\/10-0097)","article-title":"The utility of pitch elevation in the evaluation of oropharyngeal dysphagia: preliminary findings","volume":"20","author":"Malandraki","year":"2011","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0006","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/587945","article-title":"The occurrence of laryngeal penetration and aspiration in patients with glottal closure insufficiency","volume":"2014","author":"Rajaei","year":"2014","journal-title":"ISRN Otolaryngol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0007","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1001\/archotol.129.7.733","article-title":"Voice and swallowing in patients enrolled in a larynx preservation trial","volume":"129","author":"Carrara-de Angelis","year":"2003","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.apmr.2025.08.015_bib0008","doi-asserted-by":"crossref","first-page":"436","DOI":"10.3389\/fneur.2017.00436","article-title":"Reduced maximum pitch elevation predicts silent aspiration of small liquid volumes in stroke patients","volume":"8","author":"Rajappa","year":"2017","journal-title":"Front Neurol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0009","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1044\/jshr.2901.50","article-title":"Speech waveform perturbation analysis: a perceptual-acoustical comparison of seven measures","volume":"29","author":"Askenfelt","year":"1986","journal-title":"J Speech Hear Res"},{"key":"10.1016\/j.apmr.2025.08.015_bib0010","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.anl.2017.10.007","article-title":"Detection of voice changes due to aspiration via acoustic voice analysis","volume":"45","author":"Kang","year":"2018","journal-title":"Auris Nasus Larynx"},{"key":"10.1016\/j.apmr.2025.08.015_bib0011","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1097\/01.PHM.0000140798.97706.A5","article-title":"Prediction of laryngeal aspiration using voice analysis","volume":"83","author":"Ryu","year":"2004","journal-title":"Am J Phys Med Rehabil"},{"key":"10.1016\/j.apmr.2025.08.015_bib0012","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1016\/j.apmr.2012.05.028","article-title":"Acoustic voice analysis does not identify presence of penetration\/aspiration as confirmed by videofluoroscopic swallowing study","volume":"93","author":"Chang","year":"2012","journal-title":"Am J Phys Med Rehabil"},{"key":"10.1016\/j.apmr.2025.08.015_bib0013","series-title":"Vocal dynamic visual patterns (VDVP) for swallowing dysfunctions analysis in patients with neurological diseases [dissertation]","author":"Marrara","year":"2010"},{"key":"10.1016\/j.apmr.2025.08.015_bib0014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.mito.2017.06.002","article-title":"Speech and swallowing abnormalities in adults with POLG associated ataxia (POLG-A)","volume":"37","author":"Vogel","year":"2017","journal-title":"Mitochondrion"},{"key":"10.1016\/j.apmr.2025.08.015_bib0015","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s00455-010-9282-4","article-title":"Voice-quality abnormalities as a sign of dysphagia: validation against acoustic and videofluoroscopic data","volume":"26","author":"Waito","year":"2011","journal-title":"Dysphagia"},{"key":"10.1016\/j.apmr.2025.08.015_bib0016","doi-asserted-by":"crossref","first-page":"2676","DOI":"10.1044\/2023_AJSLP-23-00018","article-title":"Dysphonia outperforms voice change as a clinical predictor of dysphagia","volume":"32","author":"Griffin","year":"2023","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0017","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1044\/2018_AJSLP-17-0009","article-title":"Recommended protocols for instrumental assessment of voice: American Speech-Language-Hearing Association expert panel to develop a protocol for instrumental assessment of vocal function","volume":"27","author":"Patel","year":"2018","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0018","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1044\/1058-0360(2008\/08-0017)","article-title":"Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol","volume":"18","author":"Kempster","year":"2009","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0019","series-title":"Praat: doing phonetics by computer","author":"Boersma","year":"2010"},{"key":"10.1016\/j.apmr.2025.08.015_bib0020","doi-asserted-by":"crossref","first-page":"3239","DOI":"10.1044\/2022_JSLHR-21-00647","article-title":"A tutorial review on clinical acoustic markers in speech science","volume":"65","author":"Schultz","year":"2022","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.apmr.2025.08.015_bib0021","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1044\/2023_AJSLP-22-00264","article-title":"Normative values of cepstral peak prominence measures in typical speakers by sex, speech stimuli, and software type across the life span","volume":"32","author":"Buckley","year":"2023","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0022","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1044\/2020_AJSLP-20-00001","article-title":"Cepstral peak prominence values for clinical voice evaluation","volume":"29","author":"Murton","year":"2020","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0023","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/BF00417897","article-title":"A penetration-aspiration scale","volume":"11","author":"Rosenbek","year":"1996","journal-title":"Dysphagia"},{"key":"10.1016\/j.apmr.2025.08.015_bib0024","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav Res Methods"},{"key":"10.1016\/j.apmr.2025.08.015_bib0025","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav Res Methods"},{"key":"10.1016\/j.apmr.2025.08.015_bib0026","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A guideline of selecting and reporting intraclass correlation coefficients for reliability research","volume":"15","author":"Koo","year":"2016","journal-title":"J Chiropr Med"},{"key":"10.1016\/j.apmr.2025.08.015_bib0027","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1121\/1.3308478","article-title":"Acoustic characteristics of phonation in \u201cwet voice\u201d conditions","volume":"127","author":"Murugappan","year":"2010","journal-title":"J Acoust Soc Am"},{"key":"10.1016\/j.apmr.2025.08.015_bib0028","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1044\/1092-4388(2009\/08-0246)","article-title":"Perception of wet vocal quality in identifying penetration\/aspiration during swallowing","volume":"53","author":"Groves-Wright","year":"2010","journal-title":"J Speech Lang Hear Res"},{"key":"10.1016\/j.apmr.2025.08.015_bib0029","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/s004550010005","article-title":"Wet voice\u201d as a predictor of penetration and aspiration in oropharyngeal dysphagia","volume":"15","author":"Warms","year":"2000","journal-title":"Dysphagia"},{"key":"10.1016\/j.apmr.2025.08.015_bib0030","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1044\/2021_AJSLP-21-00156","article-title":"The effect of microphone frequency response on spectral and cepstral measures of voice: An examination of low-cost electret headset microphones","volume":"31","author":"Awan","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.apmr.2025.08.015_bib0031","doi-asserted-by":"crossref","first-page":"e0420","DOI":"10.1590\/1982-0216\/20202240420","article-title":"Relation between acoustic analysis of swallowing and the presence of pharyngeal residue and penetration\/aspiration in resistant hypertensive patients with obstructive sleep apnea","volume":"22","author":"Brendim","year":"2020","journal-title":"Revista CEFAC"},{"key":"10.1016\/j.apmr.2025.08.015_bib0032","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.apmr.2018.05.038","article-title":"Detection of swallow kinematic events from acoustic high resolution cervical auscultation signals in patients with stroke","volume":"100","author":"Kurosu","year":"2019","journal-title":"Arch Phys Med Rehabil"}],"container-title":["Archives of Physical Medicine and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003999325008779?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003999325008779?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T04:26:18Z","timestamp":1778646378000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003999325008779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S0003999325008779"],"URL":"https:\/\/doi.org\/10.1016\/j.apmr.2025.08.015","relation":{},"ISSN":["0003-9993"],"issn-type":[{"value":"0003-9993","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Acoustic Measures of Voice Perturbation Offer Limited Value as Standalone Indicators of Laryngeal Penetration or Aspiration","name":"articletitle","label":"Article Title"},{"value":"Archives of Physical Medicine and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.apmr.2025.08.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American Congress of Rehabilitation Medicine.","name":"copyright","label":"Copyright"}]}}