생리적 발성 기법의 변성발성장애 치료 적용 효과
The Therapeutic Effects of SKTCLPⓇ in Patients with Mutational Dysphonia
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초록
The treatment for patients with mutational dysphonia typically is useful with vegetative phonation, but has not yet been studied. This study attempts to identify the effect of SKTCLPⓇ using throat clearing and laughing in patients with mutational dysphonia. The study, which was designed by the author, included 26 patients aged from 14 to 32 years (mean: 18.7 years) who had been diagnosed with mutational dysphonia between January 2007 and June 2010. Voice therapy for these patients included SKTCLPⓇ, ranging from two to seven sessions (mean: 3.8 sessions). Results were evaluated by videostroboscopy, perceptual evaluation of GRBAS scale, aerodynamic test, and acoustic analysis before and after therapy. Most patients could phonate with low pitch from the beginning and sustain with normal pitch sound in the last session. We had found that glottic gap reduced after therapy and anterior-posterior compression of superior laryngeal part at the first time, and these patients had complete closure of the glottis after treatment. The results of acoustic and aerodynamic measures after treatment indicated significant decreases in Fo, Jitter, Shimmer, SFF, and SPI, and increases in MPT, Psub, and vocal efficiency (p<.05). SKTCLPⓇ may be a useful treatment method in managing mutational dysphonia. We can suggest this technique may be useful in improving the voice quality of other functional dysphonia having glottal chink or functional aphonia.
Abstract
The treatment for patients with mutational dysphonia typically is useful with vegetative phonation, but has not yet been studied. This study attempts to identify the effect of SKTCLPⓇ using throat clearing and laughing in patients with mutational dysphonia. The study, which was designed by the author, included 26 patients aged from 14 to 32 years (mean: 18.7 years) who had been diagnosed with mutational dysphonia between January 2007 and June 2010. Voice therapy for these patients included SKTCLPⓇ, ranging from two to seven sessions (mean: 3.8 sessions). Results were evaluated by videostroboscopy, perceptual evaluation of GRBAS scale, aerodynamic test, and acoustic analysis before and after therapy. Most patients could phonate with low pitch from the beginning and sustain with normal pitch sound in the last session. We had found that glottic gap reduced after therapy and anterior-posterior compression of superior laryngeal part at the first time, and these patients had complete closure of the glottis after treatment. The results of acoustic and aerodynamic measures after treatment indicated significant decreases in Fo, Jitter, Shimmer, SFF, and SPI, and increases in MPT, Psub, and vocal efficiency (p<.05). SKTCLPⓇ may be a useful treatment method in managing mutational dysphonia. We can suggest this technique may be useful in improving the voice quality of other functional dysphonia having glottal chink or functional aphonia.
참고문헌 (14)
- 최홍식, "설골상근의 과도수축을 동반한 변성발성장애환자에 대한 보툴리눔 독소주입 치료 1례", 대한음성언어의학회지, 8(1), pp.65~68 (1997)
- Dagli, M, "Mutational falsetto: intervention outcomes in 45 patients", The Journal of Laryngology & Otology, 121, pp.1~5 (2007)
- Hammarberg, B, "Pitch and quality characteristics of mutational voice disorders before and after therapy", Polia Phoniat, 39, pp.204~216 (1987)
- Kaplan, S. L, "Mutational falsetto", Journal of the American Academy of Psychiatry, 21, pp.82~85 (1982)
- 김성태, "노인성 음성장애의 음성치료 효과", 말소리와 음성과학, 2(2), pp.117~121 (2010), 한국음성학회
- 김성태, "다중음성치료기법(SK-MVTT)이 성대결절 환자의 음성개선에 미치는 효과: 엑센트 기법과의 비교 연구", 음성과학, 11(4), pp.101~120 (2004), 한국음성과학회
- 김성태, "성대용종 환자의 음성치료 효과", 말소리와 음성과학, 1(2), pp.43~49 (2009), 한국음성학회
- 권순복, "생체피드백 음성치료가 변성발성장애 환자의 음성개선에 미치는 효과", 특수교육재활과학연구, 45(3), pp.1~19 (2006), 특수교육재활과학연구소
- Li, G. D, "Acoustic evaluation of Isshiki type III thyroplasty for treatment of mutational voice disorders", The Journal of Laryngology & Otology, 113, pp.31~34 (1999)
- Lim, J. Y, "Clinical characteristics and voice analysis of patients with mutational dysphonia: Clinical significance of diplophonia and closed quotients", JOURNAL OF VOICE, 21(1), pp.12~19
- Lundy, D. S, "Compensatory falsetto: effects on voice quality", Journal of Voice, 9, pp.439~442 (1995)
- 표화영, "변성발성장애 환자에 대한 음성치료 효과", 대한음성언어의학회지, 9(2), pp.134~141 (1998)
- Spiegel, J. R, "The young adult voice", Journal of Voice, 11, pp.138~143 (1997)
- Woodson, G. E, "Botulinum toxin in the treatment of recalcitrant mutational dysphonia", Journal of Voice, 8, pp.347~351 (1994)