성대 기능 훈련이 성대결절 환자의 음성개선에 미치는 효과
The Effect of Vocal Function Exercise on Voice Improvement in Patients with Vocal Nodules
0
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
The purpose of the present study was to determine the effect of the management program known as vocal function exercise (VFE) on voice quality. Typical VFE was modified and applied to patients with vocal nodules by controlling intensity of voice and relieving the vocal fold to solve hyperfunctional problems in VFE. Eight female subjects aged between 28 and 54 who had been diagnosed with vocal nodules took part in the study. The patients performed VFEs once a week for eight weeks. Vocal function exercises consist of voice hygiene, respiratory training, phonation training, and glide training. The subjects' voices were analyzed pre and post therapy on the aspects of acoustics, maximum phonation time (MPT), GRBAS, and voice handicap index (VHI). As a result, it was found that fundamental frequency (F0) was significant increased, shimmer decreased remarkably and that noise to harmonic ratio (NHR) lowered obviously in the acoustic parameter. In addition, MPT was increased significantly. The scale of GRBAS indicated significant improvement in grade, roughness, and strained voice. VHI indicated significant improvement in an emotional part. In conclusion, VFE was effective in improving voice quality for patients with vocal nodules.
Abstract
The purpose of the present study was to determine the effect of the management program known as vocal function exercise (VFE) on voice quality. Typical VFE was modified and applied to patients with vocal nodules by controlling intensity of voice and relieving the vocal fold to solve hyperfunctional problems in VFE. Eight female subjects aged between 28 and 54 who had been diagnosed with vocal nodules took part in the study. The patients performed VFEs once a week for eight weeks. Vocal function exercises consist of voice hygiene, respiratory training, phonation training, and glide training. The subjects' voices were analyzed pre and post therapy on the aspects of acoustics, maximum phonation time (MPT), GRBAS, and voice handicap index (VHI). As a result, it was found that fundamental frequency (F0) was significant increased, shimmer decreased remarkably and that noise to harmonic ratio (NHR) lowered obviously in the acoustic parameter. In addition, MPT was increased significantly. The scale of GRBAS indicated significant improvement in grade, roughness, and strained voice. VHI indicated significant improvement in an emotional part. In conclusion, VFE was effective in improving voice quality for patients with vocal nodules.
참고문헌 (18)
- 권영경, "성악인의 발성능력 향상에 Vocal Function Exercise가 미치는 영향", 음성과학, 10(2), pp.169~190 (2003), 한국음성과학회
- 안철민, "성대결절 환자의 발성 패턴에 따른 음성치료 접근의 효과 in: 학술대회논문집", 대한음성언어의학회, 14(2), pp.139~140 (2003)
- 정옥란, "직업적 음성사용자", 한국언어치료학회, pp.122~123 (2002)
- Bless, D, "Phonosurgery" (1991), Raven Press
- Behrman, A, "Instrumentation in voice assessment and treatment: What's the use?", American Journal of Speech Language Pathology, 6, pp.9~16 (1997)
- Barnes, J, "Briess exercises", Proceedings of Workshop of the Southwestern Ohio Speech and Hearing Association (1977)
- Boone, D. R, "The Voice and Voice Therapy" (2005), Allyn & Bacon
- Briess, B, "Voice therapy-par I: Identification of specific laryngeal muscle dysfunction by voice testing", Arch Otolaryngology, 66, pp.61~69 (1957)
- Briess, B, "Voice therapy-partⅡ: Essential treatment phases of laryngeal muscle dysfunction", Arch Otolaryngology, 69, pp.61~69 (1959)
- Ferrand, C. T, "Speech Science" (2007), Allyn and Bacon
- Leith, W, "Handbook of Voice Therapy for the School Clinician" (1986), College-Hill Press
- Roy, M, "An evaluation of the effects of two treatments for teachers with voice disorder: a randomized clinical trial", Journal of Speech Hearing & Research, 44, pp.286~296 (2001)
- Sabol, J, "The value of vocal function exercises in the practice regimen of singers", Journal of Voice, 9(1), pp.27~36 (1995)
- Sayles, C. L, "The effects of vocal function exercises on aerodynamic parameters for children receiving voice lessons" (2003), University Oxford
- Stemple, J. C, "Voice therapy: clinical studies", Mosby Yearbook, ~ (1993)
- Stemple, J. C, "Efficacy of vocal function exercise as a method of improving voice production", Journal of Voice, 8(3), pp.271~279 (1994)
- Thomas, K. H, "The impact of vocal function exercises on normal voice production" (2007), Bringham Young University
- Verdolini, K, "Laryngeal adduction in resonant voice", Journal of Voice, 12(3), pp.315~327 (1998)