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September 17, 2026Journal of Speech Language and Hearing ResearchOpen Access

Characterizing the Speech Breathing Kinematics of Older Adults With Presbyphonia

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Authors

BSBrian Saccente‐KennedyJHJessica E. HuberMDMaude Desjardins

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Overview

Comparative study reveals altered speech breathing kinematics in older adults with presbyphonia, indicating respiratory mechanics contribute to age-related voice decline.

Key Points

  • Characterize speech breathing kinematics across reading and monologue tasks in older adults with presbyphonia compared to normative peer data.
  • Assessed 35 older adults with presbyphonia (20 men, 15 women; mean age = 79.8 years) performing monologue and reading tasks in comfortable and background noise conditions.
  • Measured lung volume initiation (LVI) as the primary outcome, alongside secondary respiratory kinematics and acoustics, using inductive plethysmography and calibrated recordings.
  • Compared outcomes to normative historical cohorts using two-sample t tests and evaluated utterance length effects with mixed-effects models.
  • Participants with presbyphonia initiated speech at significantly lower lung volumes than controls across monologue (mean difference: -8.8 %VC, p = .004 and -15.4 %VC, p < .001), loud monologue (mean difference: -11.5 %VC, p = .008), and reading (mean difference: -7.8 %VC, p < .001).
  • Speakers with presbyphonia demonstrated reduced lung volume excursion, shorter utterance lengths, faster speech rates, higher expiratory flows, and lower inspiratory flows, which partially normalized in background noise.

Cite This Study

Saccente‐Kennedy et al. (2026) studied this question.

synapsesocial.com/papers/6aabb68c5f706d05830e505fhttps://doi.org/10.1044/2026_jslhr-26-00117
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thinking outside the (voice) box: considering respiratory function in presbyphonia2026
  2. 2Presbylarynx and Laryngeal Asymmetry as Predictors of Dysphonia in Patients 65 and Over2026
  3. 3Dysphonia in the aging: Physiology versus disease1992 · 143 citations
  4. 4Breathing and verbal fluency performance: An approach across the adult lifespan2026
  5. 5Influence of Sensory Monitoring on Speech Breathing Planning Processes: An Exploratory Study in Aging Speakers Reporting Dyspnea2024 · 1 citations