신경학적 손상이 없는 갑상선 술 후 음도문제의 음성치료
Voice therapy for pitch problems following thyroidectomy without laryngeal nerve injury
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After thyroidectomy, some patients who show normal vocal cord movement still complain of subjective voice problems, which could lead to a decrease in quality of life related to communication. This study aims to investigate the effectiveness of a newly designed voice therapy applying neck exercise and semi-occluded vocal tract exercise (SOVTE) to improve voice problems after thyroidectomy without neurological injury. For this purpose, voice therapy was randomly assigned to 10 women who received thyroidectomy. Acoustic analysis [fundamental frequency, jitter, shimmer, noise-to-harmonics ratio, min Voice Range Profile (VRP), max VRP, VRP] was performed before and after surgery and immediately after voice therapy to compare voice changes. The study showed a statistically significant increase in max VRP and VRP after voice therapy compared to before surgery. These results suggest that the voice therapy methods in this study effectively improve a major symptom of voice problems after thyroidectomy, specifically the reduction in the high-frequency range. However, this study was limited in the number of s participants and did not control for the type of surgery. Therefore, further research utilizing larger sample sizes and controlled variables is needed to investigate the long-term effects of voice therapy.
Abstract
After thyroidectomy, some patients who show normal vocal cord movement still complain of subjective voice problems, which could lead to a decrease in quality of life related to communication. This study aims to investigate the effectiveness of a newly designed voice therapy applying neck exercise and semi-occluded vocal tract exercise (SOVTE) to improve voice problems after thyroidectomy without neurological injury. For this purpose, voice therapy was randomly assigned to 10 women who received thyroidectomy. Acoustic analysis [fundamental frequency, jitter, shimmer, noise-to-harmonics ratio, min Voice Range Profile (VRP), max VRP, VRP] was performed before and after surgery and immediately after voice therapy to compare voice changes. The study showed a statistically significant increase in max VRP and VRP after voice therapy compared to before surgery. These results suggest that the voice therapy methods in this study effectively improve a major symptom of voice problems after thyroidectomy, specifically the reduction in the high-frequency range. However, this study was limited in the number of s participants and did not control for the type of surgery. Therefore, further research utilizing larger sample sizes and controlled variables is needed to investigate the long-term effects of voice therapy.
참고문헌 (19)
- Andrade, P. A., "Electroglottographic study of seven semi-occluded exercises : LaxVox, straw, lip-trill, tongue-trill, humming, hand-over-mouth, and tongue-trill combined with hand-over-mouth", Journal of Voice, 28(5), pp.589~595 (2014)
- Bonette, M. C., "Immediate effect of semioccluded vocal tract exercises using resonance tube phonation in water on women without vocal complaints", Journal of Voice, 34(6), pp.962.E19~962.E25 (2020)
- de Pedro Netto, I., "Voice and vocal self-assessment after thyroidectomy", Head & Neck, 28(12), pp.1106~1114 (2006)
- Kim, H., "Analysis of voice and swallowing symptoms after thyroidectomy in patients without recurrent laryngeal nerve injury in early postoperative period", Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics, 27(2), pp.108~113 (2016)
- 김지성, "자가음성건강관리 프로그램을 이용한 비대면 음성치료의 효과", Communication Sciences and Disorders, 26(2), pp.501~509 (2021), 한국언어청각임상학회
- 김지성, "후두미세수술 이후 지속되는 발성장애의 음성치료 효과", Communication Sciences and Disorders, 24(2), pp.525~534 (2019), 한국언어청각임상학회[DOI]
- 김지성, "진동시뮬레이터와 디지털 카이모그래피를 이용한 반폐쇄성도운동 시 성대진동의 특성", Communication Sciences and Disorders, 26(4), pp.921~932 (2021), 한국언어청각임상학회
- 김지성, "후두마사지와 반폐쇄성도훈련이 과기능적 음성장애 환자의 음성개선에 미치는 효과", Communication Sciences and Disorders, 22(4), pp.806~817 (2017), 한국언어청각임상학회[DOI]
- 김재원, "Voice Range Profile 검사의 간편 측정법 개발 연구", 언어치료연구, 32(1), pp.1~8 (2023), 한국언어치료학회[DOI]
- Lang, B. H. H., "A systematic review and meta-analysis on acoustic voice parameters after uncomplicated thyroidectomy", The Laryngoscope, 126(2), pp.528~537 (2016)
- Lee, C. Y., "Aerodynamic features and voice therapy interventions of functional voice disorder after thyroidectomy", Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics, 26(1), pp.25~33 (2015)
- 이승원, "갑상선 수술과 관련된 음성장애의 치료-수술적 관점", 대한이비인후-두경부외과학회지, 59(1), pp.1~8 (2016), 대한이비인후과학회[DOI]
- Meerschman, I., "Immediate effects of a semi-occluded water resistance ventilation mask on objective and subjective vocal outcomes in musical theater students", Journal of Speech, Language, and Hearing Research, 63(3), pp.661~673 (2020)
- "Cancer as a statistic" (2023)[URL]
- Ilaria Pozzali, "Effectiveness of Semi-Occluded Vocal Tract Exercises (SOVTEs) in Patients with Dysphonia: A Systematic Review and Meta-Analysis", Journal of Voice, 38(1), pp.245.e17~245.e35 (2024), Elsevier BV[DOI]
- 류형선, "원격으로 실시한 반폐쇄성도훈련이 영유아 교사의 주관적 음성평가에 미치는 효과", 말소리와 음성과학, 13(4), pp.67~74 (2021), 한국음성학회[DOI]
- Ryu, J., "Extent of thyroidectomy affects vocal and throat functions : a prospective observational study of lobectomy versus total thyroidectomy", Surgery, 154(3), pp.611~620 (2013)
- Takamura, Y., "Stretching exercises to reduce symptoms of postoperative neck discomfort after thyroid surgery : prospective randomized study", World Journal of Surgery, 29(6), pp.775~779 (2005)
- Titze, I. R., "Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings", Journal of Speech, Language, and Hearing Research, 49(2), pp.448~459 (2006)
