寻找一个客观的参数来识别健康感知歌手的早期声乐功能障碍
Lucia Longo1, Diletta Angeletti1, Silvia Parrinello1
1Dipartimento Organi di Senso, Università Sapienza Roma, Rome, Italy.
概括
在歌手中检测最小的喉功能障碍至关重要. 最低的声音发射强度 (I-min) 是确定这些问题的可靠客观参数,有助于声学评估.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和语言病理学 语言病理学
- 声乐教学的教育学
背景情况:
- 在专业语音用户中早期发现最小的喉功能障碍对于预防有机声学病理至关重要.
- 需要客观参数来支持声学评估,以确定歌手中微妙的喉问题.
研究的目的:
- 确定一个客观的参数,以帮助声学评估检测歌手中最小的喉功能障碍.
- 评估各种语音参数和唱歌声障碍指数 (SVHI) 在区分健康与功能障碍歌手中的实用性.
主要方法:
- 评估了54名歌手 (专业人士和非专业人士),使用喉透视镜,多维语音程序 (MDVP),失声严重程度指数 (DSI),最大发音时间 (TMF),最小声音发射强度 (I-min),最大频率 (F-max),语音障碍指数 (VHI),唱歌语音障碍指数 (SVHI),手动声谱和听力测量检查.
- 在健康和功能失调的歌手群体之间比较客观的声音参数和主观的障碍分数.
主要成果:
- 对于SVHI分数 (p=0.6) 的健康和功能障碍歌手之间没有发现统计学上显著的差异.
- 大多数分析的参数 (DSI,TMF,F-max,Jitter,Shimmer,NHR,SPI) 在两组之间没有显著差异.
- 声音发射的最小强度 (I-min) 是唯一具有统计意义的参数 (p<0.05),表明其作为诊断标记物的潜力.
结论:
- 唱歌声障碍指数 (SVHI) 对于治疗后的评估是有用的,但不是用来区分健康和功能障碍的歌手.
- 用音量计测量的最小声发射强度 (I-min) 是确定歌手喉功能障碍最小的可靠参数.
- I-min作为一个有价值的工具来支持歌手的声学诊断治疗过程.
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