Cited by 9Voice and Speech DisordersPhonetics and Phonology ResearchLanguage Development and Disorders

The DOI matches its Crossref record, with a small difference in title or year.

Longitudinal Evaluation of Cepstral Peak Prominence in Children

Open access
Heller Murray, Elizabeth, Yucel, Recai·2026·Journal of Voice

Abstract

Objectives To evaluate whether the acoustic measure of cepstral peak prominence changes during typical development in children 2-7. Methods Data were retrospectively analyzed from the Arizona Child Acoustic Database Repository in this longitudinal cohort study. The Repository contains longitudinal data recordings from 63 total children between 2 and 7 years of age. Thirty-one children met the inclusion criteria for the current analysis (at least five time points of usable speech data, no history of speech or language difficulties, no significant dysphonia, and were monolingual speakers of American English). Cepstral peak prominence measures were calculated in Praat for each child, at each timepoint. Additional acoustic measures of vocal fundamental frequency, vocal intensity, and stimuli length were also calculated. These measures were chosen as previous work has shown they may impact cepstral peak prominence values. Results Linear mixed-effects regression models examined the relationship between cepstral peak prominence and age, after controlling for vocal fundamental frequency, vocal intensity, and stimuli length. Within-participant effects of age were found, indicating a trajectory change in which cepstral peak prominence increases with age in this population. This positive relationship between a cepstral peak prominence and age was nonlinear, with a steeper slope between age and cepstral peak prominence after 5 years of age. Conclusions This is the first study to examine the typical developmental trajectory of cepstral peak prominence children between 2 and 7 years, a critical period of vocal development. Cepstral peak prominence increased with age, suggesting an increase in periodicity of vocal fold vibration that coincides with the significant vocal fold structural changes occurring during this time. Outcomes present important normative information on vocal development, essential for effectively understanding the difference between what vocal changes are part of normative development and what changes indicate a voice disorder.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.jvoice.2024.04.019

Cites

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

No references could be resolved yet.

Research works printed but not linked: 60

  1. Carroll, 2013, Severity of voice handicap in children diagnosed with elevated lesions, Otolaryngol Head Neck Surg, 149, 628, 10.1177/0194599813500641 · DOI
  2. Connor, 2008, Attitudes of children with dysphonia, J Voice, 22, 197, 10.1016/j.jvoice.2006.09.005 · DOI
  3. Verduyckt, 2011, Voice-related complaints in the pediatric population, J Voice, 25, 373, 10.1016/j.jvoice.2009.11.008 · DOI
  4. Ma, 2013, Listeners’ attitudes toward children with voice problems, J Speech Lang Hear Res, 56, 1409, 10.1044/1092-4388(2013/11-0242) · DOI
  5. Zacharias, 2013, Teachers’ perceptions of adolescent females with voice disorders, Lang Speech Hear Serv Sch, 44, 174, 10.1044/0161-1461(2012/11-0097) · DOI
  6. Patel, 2018, Recommended protocols for instrumental assessment of voice: American speech-language-hearing association expert panel to develop a protocol for instrumental assessment of vocal function, Am J Speech Lang Pathol, 27, 887, 10.1044/2018_AJSLP-17-0009 · DOI · Paper page
  7. Murton, 2020, Cepstral peak prominence values for clinical voice evaluation, Am J Speech Lang Pathol, 29, 1596, 10.1044/2020_AJSLP-20-00001 · DOI
  8. Esen Aydinli, 2019, Use of cepstral analysis for differentiating dysphonic from normal voices in children, Int J Pediatr Otorhinolaryngol, 116, 107, 10.1016/j.ijporl.2018.10.029 · DOI
  9. Awan, 2010, Quantifying dysphonia severity using a spectral/cepstral-based acoustic index: comparisons with auditory-perceptual judgements from the CAPE-V, Clin Linguist Phon, 24, 742, 10.3109/02699206.2010.492446 · DOI
  10. Colletti, 2023, Voice onset time in children with and without vocal fold nodules, J Speech Lang Hear Res, 66, 1467, 10.1044/2023_JSLHR-22-00463 · DOI
  11. Infusino, 2015, Establishment of a normative cepstral pediatric acoustic database, JAMA Otolaryngol Head Neck Surg, 141, 358, 10.1001/jamaoto.2014.3545 · DOI
  12. Diercks, 2013, Consistency of voice frequency and perturbation measures in children using cepstral analyses: a movement toward increased recording stability, JAMA Otolaryngol Head Neck Surg, 139, 811, 10.1001/jamaoto.2013.3926 · DOI
  13. Manjunatha, 2017, Cepstral analysis of voice in young children and adults, Glob J Otolaryngol, 11, 10
  14. Kent, 2021, Acoustic parameters of voice in typically developing children ages 4–19 years, Int J Pediatr Otorhinolaryngol, 142, 10.1016/j.ijporl.2021.110614 · DOI
  15. Spazzapan, 2022, Smoothed cepstral peak analysis of Brazilian children and adolescents speakers, J Voice
  16. Demirci, 2021, Investigating the cepstral acoustic characteristics of voice in healthy children, Int J Pediatr Otorhinolaryngol, 148, 10.1016/j.ijporl.2021.110815 · DOI
  17. Sato, 2001, Fine structure of the human newborn and infant vocal fold mucosae, Ann Otol Rhinol Laryngol, 110, 417, 10.1177/000348940111000505 · DOI
  18. Schweinfurth, 2008, Does hyaluronic acid distribution in the larynx relate to the newbornʼs capacity for crying?, Laryngoscope, 118, 1692, 10.1097/MLG.0b013e3181782754 · DOI
  19. Hammond, 1998, A study of age and gender related elastin distribution changes in human vocal folds, Otolaryngol Head Neck Surg, 119, 314, 10.1016/S0194-5998(98)70071-3 · DOI
  20. Hammond, 2000, Age- and gender-related collagen distribution in human vocal folds, Ann Otol Rhinol Laryngol, 109, 913, 10.1177/000348940010901004 · DOI
  21. Hartnick, 2005, Development and maturation of the pediatric human vocal fold lamina propria, Laryngoscope, 115, 4, 10.1097/01.mlg.0000150685.54893.e9 · DOI
  22. Ishii, 2000, Age-related development of the arrangement of connective tissue fibers in the lamina propria of the human vocal fold, Ann Otol Rhinol Laryngol, 109, 1055, 10.1177/000348940010901112 · DOI
  23. Sato, 2010, Functional histology of the macula flava in the human vocal fold – part 2: its role in the growth and development of the vocal fold, Folia Phoniatr Logop, 62, 263, 10.1159/000316962 · DOI
  24. Bunton, 2016, Arizona child acoustic database repository, Folia Phoniatr Logop, 68, 107, 10.1159/000452128 · DOI
  25. Kempster, 2009, Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol, Am J Speech Lang Pathol, 18, 124, 10.1044/1058-0360(2008/08-0017) · DOI
  26. Heller Murray, 2022, A practical guide to calculating cepstral peak prominence in Praat, J Voice
  27. Parsa, 2001, Acoustic discrimination of pathological voice, J Speech Lang Hear Res, 44, 327, 10.1044/1092-4388(2001/027) · DOI
  28. Watts, 2017, A comparison of cepstral peak prominence measures from two acoustic analysis programs, J Voice, 31, 387.e1, 10.1016/j.jvoice.2016.09.012 · DOI
  29. Heman-Ackah, 2003, Cepstral peak prominence: a more reliable measure of dysphonia, Ann Otol Rhinol Laryngol, 112, 324, 10.1177/000348940311200406 · DOI
  30. Noll, 1967, Cepstrum pitch determination, J Acoust Soc Am, 41, 293, 10.1121/1.1910339 · DOI
  31. Hillenbrand, 1996, Acoustic correlates of breathy vocal quality: dysphonic voices and continuous speech, J Speech Lang Hear Res, 39, 311, 10.1044/jshr.3902.311 · DOI · Paper page
  32. Brockmann-Bauser, 2021, Effects of vocal intensity and fundamental frequency on cepstral peak prominence in patients with voice disorders and vocally healthy controls, J Voice, 35, 411, 10.1016/j.jvoice.2019.11.015 · DOI
  33. Awan, 2012, Effects of vocal intensity and vowel type on cepstral analysis of voice, J Voice, 26, 670.e15, 10.1016/j.jvoice.2011.12.001 · DOI
  34. P S, 2022, Cepstral analysis of voice in young adults, J Voice, 36, 43, 10.1016/j.jvoice.2020.03.010 · DOI
  35. Diercks, 2013, Consistency of voice frequency and perturbation measures in children using cepstral analyses: a movement toward increased recording stability, JAMA Otolaryngol Head Neck Surg, 139, 811, 10.1001/jamaoto.2013.3926 · DOI
  36. Watts, 2015, The effect of CAPE-V sentences on cepstral/spectral acoustic measures in dysphonic speakers, Folia Phoniatr Logop, 67, 15, 10.1159/000371656 · DOI
  37. Demirci, 2021, Investigating the cepstral acoustic characteristics of voice in healthy children, Int J Pediatr Otorhinolaryngol, 148, 10.1016/j.ijporl.2021.110815 · DOI
  38. Kitayama, 2020, Intertext variability of smoothed cepstral peak prominence, methods to control it, and its diagnostic properties, J Voice, 34, 305, 10.1016/j.jvoice.2018.09.021 · DOI
  39. Lowell, 2011, Spectral- and cepstral-based measures during continuous speech: capacity to distinguish dysphonia and consistency within a speaker, J Voice, 25, e223, 10.1016/j.jvoice.2010.06.007 · DOI
  40. Buckley, 2023, Normative values of cepstral peak prominence measures in typical speakers by sex, speech stimuli, and software type across the life span, Am J Speech Lang Pathol, 32, 1565, 10.1044/2023_AJSLP-22-00264 · DOI
  41. Sampaio, 2020, Effects of fundamental frequency, vocal intensity, sample duration, and vowel context in cepstral and spectral measures of dysphonic voices, J Speech Lang Hear Res, 63, 1326, 10.1044/2020_JSLHR-19-00049 · DOI
  42. Knowles, 2024, Effects of speech rate modifications on phonatory acoustic outcomes in Parkinson’s disease, Front Hum Neurosci, 18, 10.3389/fnhum.2024.1331816 · DOI
  43. Skowronski, 2015, Cepstral peak sensitivity: a theoretic analysis and comparison of several implementations, J Voice, 29, 670, 10.1016/j.jvoice.2014.11.005 · DOI
  44. Berger, 2019, Speaking voice in children and adolescents: normative data and associations with BMI, tanner stage, and singing activity, J Voice, 33, 580.e21, 10.1016/j.jvoice.2018.01.006 · DOI
  45. Brockmann-Bauser, 2015, Reliable acoustic measurements in children between 5;0 and 9;11 years: Gender, age, height and weight effects on fundamental frequency, jitter and shimmer in phonations without and with controlled voice SPL, Int J Pediatr Otorhinolaryngol, 79, 2035, 10.1016/j.ijporl.2015.09.005 · DOI
  46. Bates, 2015, Fitting linear mixed-effects models using lme4, J Stat Softw, 67, 1, 10.18637/jss.v067.i01 · DOI · Paper page
  47. Ferrand, 2000, Harmonics-to-noise ratios in normally speaking prepubescent girls and boys, J Voice, 14, 17, 10.1016/S0892-1997(00)80091-0 · DOI
  48. Cappellari, 2008, Vocal acoustic characteristics in pre-school aged children, Braz J Otorhinolaryngol, 74, 265, 10.1016/S1808-8694(15)31099-5 · DOI
  49. Lopes, 2013, Vocal characteristics during child development: perceptual-auditory and acoustic data, Folia Phoniatr Logop, 65, 143, 10.1159/000355913 · DOI
  50. Koenig, 2000, Laryngeal factors in voiceless consonant production in men, women, and 5-year-olds, J Speech Lang Hear Res, 43, 1211, 10.1044/jslhr.4305.1211 · DOI
  51. Hitchcock, 2013, The effects of data reduction in determining the schedule of voicing acquisition in young children, J Speech Lang Hear Res, 56, 441, 10.1044/1092-4388(2012/11-0175) · DOI
  52. Macken, 1980, The acquisition of the voicing contrast in English: a study of voice onset time in word-initial stop consonants, J Child Lang, 7, 41, 10.1017/S0305000900007029 · DOI
  53. Kitayama, 2020, Intertext variability of smoothed cepstral peak prominence, methods to control it, and its diagnostic properties, J Voice, 34, 305, 10.1016/j.jvoice.2018.09.021 · DOI
  54. Lowell, 2016, The effect of speaking context on spectral- and cepstral-based acoustic features of normal voice, Clin Linguist Phon, 30, 1, 10.3109/02699206.2015.1087049 · DOI
  55. Awan, 2012, Effects of vocal intensity and vowel type on cepstral analysis of voice, J Voice, 26, 670.e15, 10.1016/j.jvoice.2011.12.001 · DOI
  56. Stathopoulos, 2011, Changes in acoustic characteristics of the voice across the life span: measures from individuals 4-93 years of age, J Speech Lang Hear Res, 54, 1011, 10.1044/1092-4388(2010/10-0036) · DOI
  57. Maturo, 2012, Establishment of a normative pediatric acoustic database, Arch Otolaryngol Head Neck Surg, 138, 956, 10.1001/2013.jamaoto.104 · DOI
  58. Baker, 2022, CPPS and voice-source parameters: objective analysis of the singing voice, J Voice, 38, 549, 10.1016/j.jvoice.2021.12.010 · DOI
  59. Yang, 2014, Cepstral analysis of voice in children with velopharyngeal insufficiency after cleft palate surgery, J Voice Off J Voice Found, 28, 789, 10.1016/j.jvoice.2014.03.015 · DOI
  60. Nip, 2021, Voice quality of children with cerebral palsy, J Speech Lang Hear Res, 64, 3051, 10.1044/2021_JSLHR-20-00633 · DOI

Cited by

Sorted by citations

Metadata

Authors
Heller Murray, E., & Yucel, R.
Affiliations
Temple University (US)
Venue
Journal of Voice
Publisher
Elsevier BV
Published
2026-09
Volume
40
Issue
5
Pages
1279-1287
ISSN
0892-1997 (ISSN-L)
OpenAlex
W4397005845
Cited by
9
References
0
Citations by year
2026: 2
FWCI
2.56
Type
journal article
Language
en
Open access
Locations
  • Journal of Voice (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Deafness and Other Communication Disorders
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Phonetics and Phonology Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
Keywords
cepstral peak prominence, vocal development, children, fundamental frequency, vocal intensity, vocal fold vibration, longitudinal development, voice disorders
MeSH terms
Acoustics, Age Factors, Arizona, Child, Child, Preschool, Female, Humans, Longitudinal Studies, Male, Retrospective Studies, Sound Spectrography, Speech Acoustics, Speech Production Measurement, Time Factors, Voice Quality, Linear Models, Databases, Factual

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review