School teachers have become a benchmark population for the study of occupational voice use. A decade of vibration dose studies on the teacher population allows a comparison to be made between specific dose measures for eventual assessment of damage risk.
Vibration dosimetry is re-formulated with the inclusion of collision stress. Two methods of estimating amplitude of vocal fold vibration are compared to capture variations in vocal intensity. Energy loss from collision is added to the energy dissipation dose. An Equal Energy Dissipation (EED) criterion is defined and used on the teacher corpus as a potential damage risk criterion.
Comparison of time, cycle, distance, and energy dose calculations for 57 teachers reveal a progression in information content in the ability to capture variations in duration, speaking pitch, and vocal intensity. The energy dissipation dose carries the greatest promise in capturing excessive tissue stress and collision, but also the greatest liability due to uncertainty in parameters. Cycle dose is least correlated with the other doses.
As a first guide to damage risk in excessive voice use, the equal energy dissipation dose criterion can be used to structure trade-off relations between loudness, adduction, and duration of speech.