연축성 발성장애와 음성 진전 환자의 감별
Differences in Patient Characteristics between Spasmodic Dysphonia and Vocal Tremor
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Spasmodic dysphonia, essential tremor, and vocal tremor related with Parkinson’s disease are different disorders showing fairly similar symptoms such as difficulty in the speech onset, and tremble in the voice. However, the cause and the resulting treatment of these diseases are different. Spasmodic dysphonia is a vocal disorder characterized by spasms of the laryngeal muscles during a speech, invoking broken, tense, forced, and strangled voice patterns. Such difficult- to-treat dysphonia disease is classified as central-origin-focal dystonia, of a yet unknown etiology. Its symptoms arise because of intermittent and involuntary muscle contractions during speech. Essential tremor, on the other hand, is characterized by a rhythmic laryngeal movement, resulting in alterations of rhythmic pitch and loudness during speech or even at rest. Severe cases of tremor may cause speech breaks like those of adductor spasmodic dysphonia. In the case of hyper-functional tension of vocal folds and accompanying tremors, it is necessary to distinguish these disorders from muscular dysfunction. A diversified assessment through the performance of specific speech tasks and a thorough understanding for the identification of the disorder is necessary for accurate diagnosis and effective treatment of patients with vocal tremors.
Abstract
Spasmodic dysphonia, essential tremor, and vocal tremor related with Parkinson’s disease are different disorders showing fairly similar symptoms such as difficulty in the speech onset, and tremble in the voice. However, the cause and the resulting treatment of these diseases are different. Spasmodic dysphonia is a vocal disorder characterized by spasms of the laryngeal muscles during a speech, invoking broken, tense, forced, and strangled voice patterns. Such difficult- to-treat dysphonia disease is classified as central-origin-focal dystonia, of a yet unknown etiology. Its symptoms arise because of intermittent and involuntary muscle contractions during speech. Essential tremor, on the other hand, is characterized by a rhythmic laryngeal movement, resulting in alterations of rhythmic pitch and loudness during speech or even at rest. Severe cases of tremor may cause speech breaks like those of adductor spasmodic dysphonia. In the case of hyper-functional tension of vocal folds and accompanying tremors, it is necessary to distinguish these disorders from muscular dysfunction. A diversified assessment through the performance of specific speech tasks and a thorough understanding for the identification of the disorder is necessary for accurate diagnosis and effective treatment of patients with vocal tremors.
참고문헌 (23)
- Kirke DN, "Neural correlates of dystonic tremor : a multimodal study of voice tremor in spasmodic dysphonia", Brain Imaging Behav, 11(1), pp.166~175 (2017)
- Ludlow CL, "Research priorities in spasmodic dysphonia", Otolar-yngol Head Neck Surg, 139(4), pp.495~505 (2008)
- Ludlow CL, "Consensus-based attributes for identifying patients with spasmodic dysphonia and other voice disorders", JAMA Otolaryngol Head Neck Surg, 144(8), pp.657~665 (2018)
- Patel PN, "Defining differences in patient characteristics be-tween spasmodic dysphonia and laryngeal tremor", Laryngoscope, 129(1), pp.170~176 (2019)
- Kwon TK, "Movement disorders affecting the larynx", J Ko-rean Soc Laryngol Phoniatr Logop, 21(1), pp.22~26 (2010)
- Kwon MS, "A case of spasmodic dysphonia after a right hemispheric lesion", Dementia and Neurocognitive Dis-orders, 2(1), pp.84~87 (2003)
- 김영호, "후두의 신경생리", 대한이비인후-두경부외과학회지, 46(10), pp.799~807 (2003), 대한이비인후과학회
- 양윤수, "연축성 발성장애", 대한이비인후-두경부외과학회지, 53(9), pp.519~526 (2010), 대한이비인후과학회
- 김선우, "휴식상태 뇌기능자기공명영상을 활용한 파킨슨병 환자의 발성 관련 배쪽시상핵 기능연결성 분석", Communication Sciences and Disorders, 25(2), pp.470~479 (2020), 한국언어청각임상학회
- 김소연, "신경성 발성장애와 기능성 발성장애의 감별 진단", 대한후두음성언어의학회지, 28(2), pp.71~78 (2017), 대한후두음성언어의학회[DOI]
- Rees CJ, "Differentia-tion of adductor-type spasmodic dysphonia from muscle tension dys-phonia by spectral analysis", Otolaryngol Head Neck Surg, 137(4), pp.576~581 (2007)
- 고혜주, "음성진전 유무에 따른 내전형 연축성 발성장애의 보툴리눔 독소-A 주입 후 음성 특성 변화 양상", 말소리와 음성과학, 4(4), pp.95~107 (2012), 한국음성학회
- Gillivan-Murphy P, "Voice tremor : what we know and what we do not know", Curr Opin Otolaryngol Head Neck Surg, 19(3), pp.155~159 (2011)
- Pearson EJ, "Historical approaches to the treatment of adductor-type spasmodic dysphonia(ADSD) : review and tutorial", NeuroRehabilitation, 18(4), pp.325~338 (2003)
- Barkmeier JM, "Identification of symptoms for spasmodic dysphonia and vocal tremor : a comparison of expert and nonexpert judges", J Commun Disord, 34(1-2), pp.21~37 (2001)
- Roy N, "Differential diagnosis of adductor spasmodic dysphonia and muscle tension dys-phonia using phonatory break analysis", Laryngoscope, 118(12), pp.2245~2253 (2008)
- Imamura R, "Adduction spasmodic dysphonia, vocal trem-or and muscular tension dysphonia : is it possible to reach a differen-tial diagnosis", Braz J Otorhinolaryngol, 72(4), pp.434~ (2006)
- 조재경, "내전형 연축성 발성장애 감별진단 문항 개발과 임상적 유용성 평가", 대한후두음성언어의학회지, 30(2), pp.112~117 (2019), 대한후두음성언어의학회[DOI]
- Choi HS, "The acoustic and aerodynamic aspects of patients with spasmodic dys-phonia", J Korean Soc Laryngol Phoniatr Logop, 11(1), pp.98~103 (2000)
- Tsuji DH, "Endo-scopic laser thyroarytenoid myoneurectomy in patients with adduc-tor spasmodic dysphonia : a pilot study on long-term outcome on voice quality", J Voice, 26(5), pp.666.e7~666.e12 (2012)[DOI]
- Schuering JHC, "Adductor spasmodic dysphonia : botulinum toxin a injections or laser thyroar-ytenoid myoneurectomy? A comparison from the patient perspective", Laryngoscope, 130(3), pp.741~746 (2020)
- Kim HS, "Radiofrequency thyro-arytenoid myothermy for treatment of adductor spasmodic dyspho-nia : how we do it", Clin Otolaryngol, 33(6), pp.621~625 (2008)
- Sanabria J, "The effect of levodopa on vocal function in Parkinson’s disease", Clin Neuropharmacol, 24(2), pp.99~102 (2001)