>Cirugía y Cirujanos
>Year 2012, Issue 1
Verduzco-Mendoza A, Arch-Tirado E, Reyes-García CA, Leybon-Ibarra J, Licona-Bonilla J
Spectrographic cry analysis in high-risk and profoundly deaf newborns
Cir Cir 2012; 80 (1)
PDF: 544.69 Kb.
Background: Crying is the first neurophysiological demonstration of the newborn. The acoustic analysis of crying episodes can provide useful information in the early diagnosis of several pathologies.
Methods: We carried out a spectrographic cry analysis of 40 infants with several diseases such as neonatal asphyxia, breathing disorders, deafness and neurological disorders. Statistical t-test was used in order to compare means of fundamental frequencies (F0) of cries among pathologies, as well as contingency tables for qualitative variables and melodic form.
Results: No significant differences of F0 were found by applying the t-test among pathologies. Time of inspiration in breathing disorders is higher compared with other groups. Infants with deafness and neurological disorders present poor melodic forms. Qualitative analysis revealed more often glottal roll and vibrato.
Conclusions: Cry analysis is clinically useful for early detection of diseases in newborns as a result of alterations in the central nervous system that are reflected in phonoarticulatory and respiratory functions for sound emission.
||Newborn, spectrographic analysis, infant cry.
Wasz-Höckert O, Vuorenkoski V, Valanne E, Michelsson K. Sound spectrographic studies of the cry of newborn infants. Experientia 1962;18:583-584.
Wasz-Höckert O, Valanne E, Vuorenkoski V, Michelsson K, Sovijarvi A. Analysis of some types of vocalization in the newborn and in early infancy. Ann Paediatr Fenn 1963;9:1-10.
Wasz-Höckert O, Partanen TJ, Vuorenkoski V, Michelsson K, Valanne E. The identification of some specific meanings in infant vocalization. Experientia 1964;20:154.
Wasz-Höckert O, Partanen T, Vuorenkoski V, Valanne E, Michelsson K. Effect of training on ability to identify preverbal vocalizations. Dev Med Child Neurol 1964;89:393-396.
Michelsson K. Cry analyses of symptomless low birth weight neonates and of asphyxiated newborn infants. Acta Paediatr Scand Suppl 1971;216:1-45.
Michelsson K, Sirviö P, Wasz-Höckert O. Pain cry in full-term asphyxiated newborn infants correlated with late findings. Acta Paediatr Scand 1977;66:611-616.
Michelsson K, Sirviö P, Koivisto M, Sovijarvi A, Wasz-Höckert O. Spectrographic analysis of pain cry in neonates with cleft palate. Biol Neonate 1975;26:353-358.
Michelsson K, Sirviö P, Wasz-Höckert O. Sound spectrographic cry analysis of infants with bacterial meningitis. Dev Med Child Neurol 1977;19:309-315.
Lester BM. Spectrum analysis of the cry sounds of well-nourished and malnourished infants. Child Dev 1976;47:237-241.
Lester BM, Dreher M. Effects of marijuana use during pregnancy on newborn cry. Child Dev 1989;60:765-771.
Lester BM, Corwin MJ, Sepkoski C, Seifer R, Peucker M, McLaughlin S, et al. Neurobehavioral syndromes in cocaine-exposed newborn infants. Child Dev 1991;62:694-705.
Corwin MJ, Lester BM, Sepkoski C, McLaughlin S, Kayne H, Golub HL. Effects of in utero cocaine exposure on newborn acoustical cry characteristics. Pediatrics 1992;89(6 Pt2):1199-1203.
Corwin MJ, Lester BM, Sepkoski C, Peucker M, Kayne H, Golub HL. Newborn acoustic cry characteristics of infants subsequently dying of sudden infant death syndrome. Pediatrics 1995;96(1 Pt1):73-77.
Michelsson K, Eklund K, Leppanen P, Lyytinen H. Cry characteristics of 172 healthy 1-to 7-day-old infants. Folia Phoniatr Logop 2002;5:190-200.
Lind K, Wermke K. Development of the vocal fundamental frequency of spontaneous cries during the first 3 months. Int J Pediatr Otorhinolaryngol 2002;64:97-104.
Baeck HE, de Souza MN. Longitudinal study of the fundamental frequency of hunger cries along the first 6 months of healthy babies. J Voice 2007;5:551-559.
Harding CG, Golinkoff RM. The origins of intentional vocalizations in prelinguistic infants. Child Dev 1979;50:33-40.
Rothganger H. Analysis of the sounds of the child in the first year of age and a comparison to the language. Early Hum Dev 2003;75:55-69.
Pinyerd BJ. Infant cries: physiology and assessment. Neonatal Netw 1994;13:15-20.
Ludington-Hoe SM, Cong X, Hashemi F. Infant crying: nature, physiologic consequences, and select interventions. Neonatal Netw 2002;21:29-36.
Ohgi S, Gima H, Akiyama T. Neonatal behavioural profile and crying in premature infants at term age. Acta Paediatr 2006;95:1375-1380.
Maunu J, Kirjavainen J, Korja R, Parkkola R, Rikalainen H, Lapinleimu H, et al. Relation of prematurity and brain injury to crying behavior in infancy. Pediatrics 2006;118:57-65.
Vohr BR, Lester B, Rapisardi G, O’Dea C, Brown L, Peucker M, et al. Abnormal brain-stem function (brain-stem auditory evoked response) correlates with acoustic cry features in term infants with hyperbilirubinemia. J Pediatr 1989;115:303-308.
Rapisardi G, Vohr B, Cashore W, Peucker M, Lester B. Assessment of infant cry variability in high-risk infants. Int J Pediatr Otorhinolaryngol 1989;17:19-29.
Koivisto M. Cry analysis in infants with Rh haemolytic disease. Acta Paediatr Scand Suppl 1987;335:1-73.
Várallyay G, Benyó Z, Illényi A, Farkas Z, Kovács L. Acoustic analysis of the infant cry: classical and new methods. Conf Proc IEEE Eng Med Biol Soc 2004;1:313-316.
Arch-Tirado E, Mandujano M, García-Torices L, Martínez-Cruz CF, Reyes-García CA. Cry analysis of hypoacoustic children and normal hearing children. Cir Cir 2004;72:271-276.
Barr RG, Paterson JA, MacMartin LM, Lehtonen L, Young SN. Prolonged and unsoothable crying bouts in infants with and without colic. J Dev Behav Pediatr 2005;26:14-23.
Zwart P, Vellema-Goud MG, Brand PL. Characteristics of infants admitted to hospital for persistent colic, and comparison with healthy infants. Acta Paediatr 2007;96:401-405.
Zeskind PS, Barr RG. Acoustic characteristics of naturally occurring cries of infants with "colic". Child Dev 1997;68:394-403.
Douglas PS. Excessive crying and gastro-oesophageal reflux disease in infants: misalignment of biology and culture. Med Hypotheses 2005;64:887-898.
Hirschberg J. Dysphonia in infants. Int J Pediatr Otorhinolaryngol 1999;49(suppl 1):S293-S296.
Michelsson K, Michelsson O. Phonation in the newborn, infant cry. Int J Pediatr Otorhinolaryngol 1999;49(suppl 1):S297-S301.
Gilbert HR, Robb MP. Vocal fundamental frequency characteristics of infant hunger cries: birth to 12 months. Int J Pediatr Otorhinolaryngol 1996;34:237-243.
Wermke K, Mende W, Manfredi C, Bruscaglioni P. Developmental aspects of infant's cry melody and formants. Med Eng Phys 2002;24:501-514.
Sirviö P, Michelsson K. Sound-spectrographic cry analysis of normal and abnormal newborn infants. A review and a recommendation for standardization of the cry characteristics. Folia Phoniatra 1976;28:161-173.
Boero DL, Weber G, Vigone MC, Lenti C. Crying abnormalities in congenital hypothyroidism: preliminary spectrographic study. J Child Neurol 2000;15:603-608.
Robb MP, Crowell DH, Dunn-Rankin P. Cry analysis in infants resuscitated for apnea of infancy. Int J Pediatr Otorhinolaryngol 2007;71:1117-1123.
>Cirugía y Cirujanos
>Year 2012, Issue 1