성대에어로빅치료법이 음성장애환자의 음성개선에 미치는 효과
Effects of vocal aerobic treatment on voice improvement in patients with voice disorders
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
This study aimed to investigate the effects of vocal aerobic treatment (VAT) on the improvement of voice in patients with voice disorders. Twenty patients (13 males, 7 females) were diagnosed with voice disorders on the basis of videostroboscopy and voice evaluations. Acoustic evaluation was performed with the Multidimensional voice program (MDVP) and Voice Range Profile (VRP) of Computerized Speech Lab (CSL), and aerodynamic evaluation with PAS (Phonatory Aerodynamic System). The changes in F0, Jitter, Shimmer, and NHR before and after treatment were measured by MDVP. F0 range and Energy range were measured with VRP before and after treatment, and the changes in Expiratory Volume (FVC), Phonation Time (PHOT), Mean Expiratory Airflow (MEAF), Mean Peak Air Pressure (MPAP), and Aerodynamic Efficiency (AEFF) with PAS. Videostroboscopy was performed to evaluate the regularity, symmetry, mucosal wave, and amplitude changes of both vocal cords before and after treatment. Voice therapy was performed once a week for each patient using the VAT program in a holistic voice therapy approach. The average number of treatments per patient was 6.5. In the MDVP, Jitter, Shimmer, and NHR showed statistically significant decreases (p < .001, p < .01, p < .05). VRP results showed that Hz and semitones in the frequency range improved significantly after treatment (p < .01, p < .05), as did PAS, FVC, and PHOT (p < .01, p < .001). The results for videostroboscopy, functional voice disorder, laryngopharyngeal reflux, and benign vocal fold lesions were normal. Thus, the VAT program was found to be effective in improving the acoustic and aerodynamic aspects of the voice of patients with voice disorders. In future studies, the effect of VAT on the same group of voice disorders should be studied. It is also necessary to investigate subjective voice improvement and objective voice improvement. Furthermore, it is necessary to examine the effects of VAT in professional voice users.
Abstract
This study aimed to investigate the effects of vocal aerobic treatment (VAT) on the improvement of voice in patients with voice disorders. Twenty patients (13 males, 7 females) were diagnosed with voice disorders on the basis of videostroboscopy and voice evaluations. Acoustic evaluation was performed with the Multidimensional voice program (MDVP) and Voice Range Profile (VRP) of Computerized Speech Lab (CSL), and aerodynamic evaluation with PAS (Phonatory Aerodynamic System). The changes in F0, Jitter, Shimmer, and NHR before and after treatment were measured by MDVP. F0 range and Energy range were measured with VRP before and after treatment, and the changes in Expiratory Volume (FVC), Phonation Time (PHOT), Mean Expiratory Airflow (MEAF), Mean Peak Air Pressure (MPAP), and Aerodynamic Efficiency (AEFF) with PAS. Videostroboscopy was performed to evaluate the regularity, symmetry, mucosal wave, and amplitude changes of both vocal cords before and after treatment. Voice therapy was performed once a week for each patient using the VAT program in a holistic voice therapy approach. The average number of treatments per patient was 6.5. In the MDVP, Jitter, Shimmer, and NHR showed statistically significant decreases (p < .001, p < .01, p < .05). VRP results showed that Hz and semitones in the frequency range improved significantly after treatment (p < .01, p < .05), as did PAS, FVC, and PHOT (p < .01, p < .001). The results for videostroboscopy, functional voice disorder, laryngopharyngeal reflux, and benign vocal fold lesions were normal. Thus, the VAT program was found to be effective in improving the acoustic and aerodynamic aspects of the voice of patients with voice disorders. In future studies, the effect of VAT on the same group of voice disorders should be studied. It is also necessary to investigate subjective voice improvement and objective voice improvement. Furthermore, it is necessary to examine the effects of VAT in professional voice users.
참고문헌 (16)
- Boone, D. R., "The voice and voice therapy" (2014), Pearon
- 강하늘, "호흡훈련기를 활용한 성대에어로빅치료 프로그램의 음성개선 효과 사례연구", Communication Sciences and Disorders, 24(1), pp.244~260 (2019), 한국언어청각임상학회[DOI]
- Kapsner-Smith, M. R., "A randomized controlled trial of two semioccluded vocal tract voice therapy protocols", Journal of Speech, Language, and Hearing Research, 58(3), pp.535~549 (2015)
- 김지성, "후두마사지와 반폐쇄성도훈련이 과기능적 음성장애 환자의 음성개선에 미치는 효과", Communication Sciences and Disorders, 22(4), pp.806~817 (2017), 한국언어청각임상학회[DOI]
- 김성태, "후두보정기법이 노인성 음성장애 환자의 음성개선에 미치는 효과", 말소리와 음성과학, 7(3), pp.183~191 (2015), 한국음성학회[DOI]
- Kwon, S. B., "The effect of accent method in treating vocal nodule patients", Speech Sciences, 8(4), pp.87~98 (2001)
- 권순복, "복식호흡 훈련과 Self Voice Feedback 프로그램이성대결절 환자의 음성개선에 미치는 효과", 음성과학, 13(3), pp.133~153 (2006), 한국음성과학회
- Lee, C. Y., "The effect of voice therapy in unilateral vocal fold paralysis", Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics, 27(1), pp.45~50 (2016)
- 임혜진, "연축성 발성장애 환자의 Lax Vox 음성치료 효과", 말소리와 음성과학, 8(2), pp.57~63 (2016), 한국음성학회[DOI]
- 임혜진, "성대 기능 훈련이 성대결절 환자의 음성개선에 미치는 효과", 말소리와 음성과학, 1(2), pp.37~42 (2009), 한국음성학회
- Lu, D., "Changes after voice therapy in acoustic voice analysis of Chinese patients with voice disorders", Journal of Voice, 32(3), pp.386.e1~386.e9 (2018)
- Nasser Kotby, M., "The accent method of voice therapy(Vol. 1)" (1995), Singular
- Ramig, L. O., "Comparison of two forms of intensive speech treatment for Parkinson disease", Journal of Speech, Language, and Hearing Research, 38(6), pp.1232~1251 (1995)
- Stemple, J. C., "Efficacy of vocal function exercises as a method of improving voice production", Journal of Voice, 8(3), pp.271~278 (1994)
- Verdolini Abbott, K., "Voice therapy: Clinical studies" (2014), Singular
- 유재연, "성악가를 위한 VAT 음성치료 개발 및 적용 사례연구", 재활복지, 22(1), pp.157~168 (2018), 한국장애인재활협회 부설 재활연구소[DOI]