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논문KCI 등재

비대면 음성언어치료의 현황과 전망

Current Status and Perspectives of Telepractice in Voice and Speech Therapy

이승진
대한후두음성언어의학회 (Korean Society of Laryngology, Phoniatrics and Logopedics)|2022.12|대한후두음성언어의학회지 (Journal of Korean Society of Laryngology, Phoniatrics and Logopedics)|제33권 제3호|pp. 130-141|DOI 10.22469/jkslp.2022.33.3.130

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음성장애언어재활사언어치료Speech therapy음성치료Voice therapyVoice disorders비대면 언어치료TelepracticeSpeech-language pathologist

초록

Voice and speech therapy can be performed in various ways depending on the situation, although it is generally performed in a face-to-face manner. Telepractice refers to the provision of specialized voice and speech therapy by speech-language pathologists for assessment, therapy, and counseling by applying telecommunication technology from a remote location. Recently, due to the pandemic situation and the active use of non-face-to-face platforms, interest in telepractice of voice and speech therapy has increased. Moreover, a growing body of literature has been advocating its clinical usefulness and non-inferiority to traditional face-to-face intervention. In this review, the existing discussions, guidelines, and preliminary studies on non-face-toface voice and speech therapy were summarized, and recommendations on the tools for telepractice were provided.

Abstract

Voice and speech therapy can be performed in various ways depending on the situation, although it is generally performed in a face-to-face manner. Telepractice refers to the provision of specialized voice and speech therapy by speech-language pathologists for assessment, therapy, and counseling by applying telecommunication technology from a remote location. Recently, due to the pandemic situation and the active use of non-face-to-face platforms, interest in telepractice of voice and speech therapy has increased. Moreover, a growing body of literature has been advocating its clinical usefulness and non-inferiority to traditional face-to-face intervention. In this review, the existing discussions, guidelines, and preliminary studies on non-face-toface voice and speech therapy were summarized, and recommendations on the tools for telepractice were provided.

참고문헌 (91)

  1. Grillo EU, "Building a successful voice telepractice program", Perspect ASHA Spec Interest Groups, 4(1), pp.100~110 (2019)
  2. Cason J, "Telepractice : An overview and best practices", Perspect Augment Altern Commun, 23(1), pp.4~17 (2014)
  3. Desai AN, "Medical masks", JAMA, 323(15), pp.1517~1518 (2020)
  4. Benito DA, "Local spikes in COVID-19 cases : Recommendations for maintaining otolaryngology clinic operations", Am J Otolaryngol, 41(6), pp.102688~ (2020)
  5. Vaughn GR, "Tel-communicology : Health-care delivery system for persons with communicative disorders", ASHA, 18(1), pp.13~17 (1976)
  6. Duffy JR, "Telemedicine and the diagnosis of speech and language disorders", Mayo Clin Proc, 72(12), pp.1116~1122 (1997)
  7. Constantinescu G, "Treating disordered speech and voice in Parkinson’s disease online : A randomized controlled non-inferiority trial", Int J Lang Commun Disord, 46(1), pp.1~16 (2011)
  8. Grillo EU, "An online telepractice model for the prevention of voice disorders in vocally healthy student teachers evaluated by a smartphone application", Perspect ASHA Spec Interest Groups, 2(3), pp.63~78 (2017)
  9. Lowe R, "Review of telehealth stuttering management", Folia Phoniatr Logop, 65(5), pp.223~238 (2013)
  10. McGill M, "Telepractice treatment of stuttering : A systematic review", Telemed J E Health, 25(5), pp.359~368 (2019)
  11. Mashima PA, "Remote management of voice and swallowing disorders", Otolaryngol Clin North Am, 44(6), pp.1305~1316 (2011)
  12. Pullins V, "A clinical decision making example : Implementing intensive speech sound intervention for school-age students through telepractice", Perspect ASHA Special Interest Groups, 2(18), pp.15~26 (2017)
  13. 김지연, "말소리장애 아동의 원격치료에 대한 문헌 연구", 언어치료연구, 29(4), pp.71~78 (2020), 한국언어치료학회[DOI]
  14. Chan MY, "Voice therapy for Parkinson’s disease via smartphone videoconference in Malaysia : A preliminary study", J Telemed Telecare, 27(3), pp.174~182 (2021)
  15. Becker DR, "In the zoom where it happened : Telepractice and the voice clinic in 2020", Semin Speech Lang, 42(1), pp.64~72 (2021)
  16. Fong R, "The implementation of telepractice in speech language pathology in Hong Kong during the COVID-19 pandemic", Telemed J E Health, 27(1), pp.30~38 (2021)
  17. Susheel Joginder Singh, "The Implementation of Telepractice by Malaysian Speech-Language Pathologists During the COVID-19 Pandemic", Communication Sciences and Disorders, 27(1), pp.239~250 (2022), 한국언어청각임상학회
  18. Aggarwal K, "Uptake of telepractice among speechlanguage therapists following COVID-19 pandemic in India", Speech Lang Hear, 24(4), pp.228~234 (2020)
  19. Cantarella G, "The challenge of virtual voice therapy during the COVID-19 pandemic", J Voice, 35(3), pp.336~337 (2021)
  20. Mattei A, "Guidelines of clinical practice for the management of swallowing disorders and recent dysphonia in the context of the COVID-19 pandemic", Eur Ann Otorhinolaryngol Head Neck Dis, 137(3), pp.173~175 (2020)
  21. Castillo-Allendes A, "Voice therapy in the context of the COVID-19 pandemic : Guidelines for clinical practice", J Voice, 35(5), pp.717~727 (2021)
  22. Pearlman AN, "Establishing an office-based framework for resuming otolaryngology care in academic practice during the COVID-19 pandemic", Otolaryngol Head Neck Surg, 164(3), pp.528~541 (2021)
  23. Gray R, "Patient satisfaction with virtual vs in-person voice therapy", J Voice (2022)
  24. Little CC, "Applications of telemedicine in speech-language pathology: Evaluation of patient satisfaction", Laryngoscope (2022)
  25. Zughni LA, "Telemedicine and the interdisciplinary clinic model : During the COVID-19 pandemic and beyond", Otolaryngol Head Neck Surg, 163(4), pp.673~675 (2020)
  26. Guzman M, "Efficacy of voice therapy with acapella choice® device in subjects with vocal fatigue delivered via telepractice", J Voice (2022)
  27. Fu S, "Delivery of intensive voice therapy for vocal fold nodules via telepractice : A pilot feasibility and efficacy study", J Voice, 29(6), pp.696~706 (2015)
  28. Grillo EU, "A nonrandomized trial for student teachers of an in-person and telepractice global voice prevention and therapy model with estill voice training assessed by the VoiceEvalU8 app", Am J Speech Lang Pathol, 30(2), pp.566~583 (2021)
  29. Liu H, "Effectiveness and feasibility of telepractice on voice therapy for female teachers in elementary schools with self-reported voice disorders", J Voice (2021)
  30. Hseu AF, "Telehealth for treatment of pediatric dysphonia", J Voice (2021)
  31. Myers B, "Telepractice considerations for evaluation and treatment of voice disorders : Tailoring to specific populations", Am J Speech Lang Pathol, 31(2), pp.678~688 (2022)
  32. Mari G, "Voice telerehabilitation in iatrogenic unilateral vocal fold paralysis: From necessity to opportunity in the COVID-19 time", J Voice (2022)
  33. Lin FC, "Voice therapy for benign voice disorders in the elderly : A randomized controlled trial comparing telepractice and conventional face-to-face therapy", J Speech Lang Hear Res, 63(7), pp.2132~2140 (2020)
  34. Schneider SL, "Observations and considerations for implementing remote acoustic voice recording and analysis in clinical practice", J Voice (2021)
  35. Payten CL, "Telehealth voice assessment by speech language pathologists during a global pandemic using principles of a primary contact model : An observational cohort study protocol", BMJ Open, 12(1), pp.e052518~ (2022)
  36. 이은선, "언어치료 분야의 원격치료 연구 동향 분석", 문화와융합, 43(1), pp.785~807 (2021), 한국문화융합학회
  37. 이하나, "온·오프라인 음성치료 프로그램이 과기능적 음성장애 환자의 음성개선에 미치는 효과: 사례연구", Communication Sciences and Disorders, 24(3), pp.814~826 (2019), 한국언어청각임상학회
  38. 이길준, "갑상선 수술 후 음성 변화에 대한 비대면 음성언어치료 증례", 대한후두음성언어의학회지, 32(1), pp.43~47 (2021), 대한후두음성언어의학회[DOI]
  39. 조남빈, "모바일 헬스케어 애플리케이션을 이용한 구강 및 인후두 근력 강화 훈련이 노년 여성의 음성에 미치는 장단기 효능", Communication Sciences and Disorders, 26(1), pp.219~230 (2021), 한국언어청각임상학회
  40. 김지성, "자가음성건강관리 프로그램을 이용한 비대면 음성치료의 효과", Communication Sciences and Disorders, 26(2), pp.501~509 (2021), 한국언어청각임상학회
  41. 류형선, "원격으로 실시한 반폐쇄성도훈련이 영유아 교사의 주관적 음성평가에 미치는 효과", 말소리와 음성과학, 13(4), pp.67~74 (2021), 한국음성학회[DOI]
  42. 박수나, "비대면치료를 통한 조음중재가 말소리장애 아동의", ㅅ, 언어치료연구, pp.2021, 30(1)[DOI]
  43. Kim GH, "Effect of mobile-based voice therapy on the voice quality of patients with dysphonia", Clin Arch Commun Disord, 6(1), pp.48~54 (2021)
  44. Halpern AE, "Innovative technology for the assisted delivery of intensive voice treatment(LSVT®LOUD)for Parkinson disease", Am J Speech Lang Pathol, 21(4), pp.354~367 (2012)
  45. Van Eerdenbrugh S, "Delivery of speech-language therapy and audiology services across the world at the start of the COVID-19 pandemic : A survey", Perspect ASHA Special Interest Groups, 7(2), pp.635~646 (2022)
  46. 성철재, "음성 및 음향분석 프로그램 Praat의 임상적 활용법", 대한후두음성언어의학회지, 33(2), pp.64~76 (2022), 대한후두음성언어의학회[DOI]
  47. Kim GH, "Validation of the acoustic voice quality index in the Korean language", J Voice, 33, pp.948~ (2019)
  48. Lester-Smith RA, "The effects of remote signal transmission and recording on acoustical measures of simulated essential vocal tremor: Considerations for remote treatment research and telepractice", J Voice (2021)
  49. 이승진, "음성장애 선별검사 도구로서 스마트폰을 이용한 음성 녹음의 임상적 유용성", Communication Sciences and Disorders, 23(4), pp.1065~1077 (2018), 한국언어청각임상학회[DOI]
  50. Grillo EU, "Normative values of client-reported outcome measures and self-ratings of six voice parameters via the VoiceEvalU8 app", J Voice (2021)
  51. 이승진, "음성 활동 및 참여 프로파일-한국판(K-VAPP): 타당성 검증 연구", Communication Sciences and Disorders, 21(4), pp.695~708 (2016), 한국언어청각임상학회
  52. 이아람, "The Korean Version of the Singing Voice Handicap Index", Communication Sciences and Disorders, 18(2), pp.194~202 (2013), 한국언어청각임상학회[DOI]
  53. Park SS, "Reliability and validity of the Korean version of pediatric voice handicap index : In school age children", Int J Pediatr Otorhinolaryngol, 77(1), pp.107~112 (2013)
  54. 이정민, "한국판 목소리 자기조절 척도의 신뢰도 및 타당도 예비연구", 대한후두음성언어의학회지, 33(2), pp.103~109 (2022), 대한후두음성언어의학회[DOI]
  55. Weerathunge HR, "Accuracy of acoustic measures of voice via telepractice videoconferencing platforms", J Speech Lang Hear Res, 64(7), pp.2586~2599 (2021)
  56. Knickerbocker K, "Phonogenic voice problems among speech-language pathologists in synchronous telepractice : An overview and recommendations", Semin Speech Lang, 42(1), pp.73~84 (2021)
  57. Ribeiro VV, "Effect of wearing a face mask on vocal self-perception during a pandemic", J Voice, 36(6), pp.878~ (2022)
  58. "Managing vocal fatigue during the COVID-19 pandemic" (2020)[URL]
  59. Lee SJ, "Reliability of acoustic measures in dysphonic patients with glottic insufficiency and healthy population:A COVID-19 perspective", J Voice (2022)
  60. "Keeping adult clients motivated at home during physical distancing" (2020)[URL]
  61. Hseu AF, "Barriers to voice therapy in dysphonic children", J Voice (2021)
  62. Kim ME, "Provider and patient satisfaction with telemedicine voice therapy during the COVID-19 pandemic", J Voice (2022)
  63. 최성희, "음성언어재활사의 음성평가와 음성치료의 임상실제: 표준 임상지침과 증거기반중재를 위한 설문조사", Communication Sciences and Disorders, 18(4), pp.473~485 (2013), 한국언어청각임상학회[DOI]
  64. Hapner E, "A study of voice therapy dropout", J Voice, 23(3), pp.337~340 (2009)
  65. 정상임, "아동 및 청소년을 대상으로 한 원격 언어치료 효과에 관한 메타분석", Communication Sciences and Disorders, 25(4), pp.976~986 (2020), 한국언어청각임상학회
  66. 김나연, "비대면 원격 언어재활서비스에 대한 언어재활사들의 인식", Communication Sciences and Disorders, 25(4), pp.987~997 (2020), 한국언어청각임상학회
  67. Jacobson BH, "The voice handicap index(VHI)development and validation", Am J Speech Lang Pathol, 6(3), pp.66~70 (1997)
  68. Kim JO, "Validity and reliability of Korean-version of voice handicap index and voice-related quality of life", Speech Sciences, 14(3), pp.111~125 (2007)
  69. 윤영선, "한국어판 음성장애지수(Voice Handicap Index, VHI)의 타당도 및 VHI-10의 임상적 유용성", Communication Sciences and Disorders, 13(2), pp.216~241 (2008), 한국언어청각임상학회
  70. Rosen CA, "Development and validation of the voice handicap index-10", Laryngoscope, 114(9), pp.1549~1556 (2004)
  71. Hogikyan ND, "Validation of an instrument to measure voice-related quality of life(V-RQOL)", J Voice, 13(4), pp.557~569 (1999)
  72. Zur KB, "Pediatric voice handicap index(pVHI) : A new tool for evaluating pediatric dysphonia", Int J Pediatr Otorhinolaryngol, 71(1), pp.77~82 (2007)
  73. Ricci-Maccarini A, "Development and validation of the children’s voice handicap index-10(CVHI-10)", J Voice, 27(2), pp.258~ (2013)
  74. 라상학, "학령기 아동의 한국어판 아동음성장애지수-10 (CVHI-10)의 타당도 및 신뢰도: 진단 검사를 위한 ROC곡선과 절단점 분석", Communication Sciences and Disorders, 27(1), pp.202~211 (2022), 한국언어청각임상학회
  75. Cohen SM, "Creation and validation of the singing voice handicap index", Ann Otol Rhinol Laryngol, 116(6), pp.402~406 (2007)
  76. Ma EP, "Voice activity and participation profile : Assessing the impact of voice disorders on daily activities", J Speech Lang Hear Res, 44(3), pp.511~524 (2001)
  77. Nanjundeswaran C, "Vocal fatigue index(VFI) : Development and validation", J Voice, 29(4), pp.433~440 (2015)
  78. 강영애, "음성장애환자 대상 음성피로와 음성평가 간 상관 및 음성피로도 설문(Voice Fatigue Index)의 임상적용", 대한이비인후-두경부외과학회지, 60(5), pp.232~242 (2017), 대한이비인후과학회[DOI]
  79. Kim M, "Relationship between vocal fatigue index and voice handicap index for professional voice users", pp.2017
  80. Deary IJ, "VoiSS : A patient-derived voice symptom scale", J Psychosom Res, 54(5), pp.483~489 (2003)
  81. Son HY, "The Korean version of the voice symptom scale for patients with thyroid operation, and its use in a validation and reliability study", J Voice, 32(3), pp.367~373 (2018)
  82. Etter NM, "Aging voice index(AVI) : Reliability and validity of a voice quality of life scale for older adults", J Voice, 33(5), pp.807~ (2019)
  83. 배인호, "한국어판 노인음성지수의 신뢰도와 타당도", 대한후두음성언어의학회지, 30(1), pp.21~27 (2019), 대한후두음성언어의학회[DOI]
  84. 표화영, "성별에 따른 정상 및 음성장애 노인 화자의 음성관련 삶의질 비교: 노인성 음성지수-한국어판(Aging Voice Index Korean version, AVI-KR)을 이용하여", Communication Sciences and Disorders, 26(4), pp.933~943 (2021), 한국언어청각임상학회
  85. Shoffel-Havakuk H, "Development and validation of the voice catastrophization index", J Voice, 33(2), pp.232~238 (2019)
  86. Lee YW, "Korean voice catastrophization index(K-VCI) : Validation of the voice catastrophization index for Koreans", J Voice, 35(1), pp.160~ (2021)
  87. Lopes LW, "Vocal tract discomfort scale(VTDS)and voice symptom scale(VoiSS)in the evaluation of patients with voice disorders", J Voice, 33(3), pp.381~ (2019)
  88. Lee HN, "Transcultural adaptation and validation of the Korean version of the vocal tract discomfort scale", J Voice, 36(1), pp.143~ (2022)
  89. Misono S, "New perspective on psychosocial distress in patients with dysphonia : The moderating role of perceived control", J Voice, 30(2), pp.172~176 (2016)
  90. Epstein R, "How do individuals cope with voice disorders? Introducing the voice disability coping questionnaire", J Voice, 23(2), pp.209~217 (2009)
  91. 장미현, "한국어판 음성장애 대처 설문지(VDCQ)의타당도 및 임상적 유용성", 언어치료연구, 31(2), pp.1~9 (2022), 한국언어치료학회[DOI]

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