失声症优于语音变化作为失声症的临床预测因素
Lindsay Griffin1,2,3, Erin Kamarunas2,3, Julian Bergen Smith2,4
1Department of Communication Sciences & Disorders, School of Communication, Emerson College, Boston, MA.
American journal of speech-language pathology
|September 5, 2023
概括
吞前的失声测试可能表明吞障碍 (吞困难),但吞后的声音变化不能可靠地预测吸收或残留物. 语音语言病理学家应在临床吞评估中考虑测试前的语音质量.
科学领域:
- 语音语言病理学 语言病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床诊断 临床诊断 临床诊断
背景情况:
- 吞后的声音变化是临床吞评估 (CSE) 期间缺食症的建议指标.
- 关于声音质量变化作为失声预测器的有效性的现有证据是相互矛盾的.
- 这项研究旨在验证语音障碍和吞后的声音变化作为透,吸入和喉残留的预测因素.
研究的目的:
- 调查吞前的听力障碍和吞后的语音变化是否预测了透,吸入或喉残留.
- 通过在视频光学吞研究 (VFSS) 中收集语音样本,并使用训练有素的评分员和连续秤来提高方法.
- 提高基于语音的失调评估的可靠性和分析能力.
主要方法:
- 对30名接受VFSS的成年人进行前性研究.
- 在VFSS过程中,持续的/i/元音发音在吞前和吞后的音频录音.
- 在听者培训后,使用共识听觉感知声音评估 (CAPE-V) 的感知声音评分.
- 吞功能通过透吸收量表和正常化残留比率量表进行评估.
- 顺序和逻辑回归分析,以将语音测量与缺食症结果相关联.
主要成果:
- 吞前的听力障碍预测了气道入侵 (透/吸入).
- 吞前的听力障碍并没有预测喉残留物.
- 吞后的声音变化没有预测气道入侵或喉残留.
结论:
- 在吞评估之前检测到的失声症可能会在没有喉病理的情况下表明伴随性失声症.
- 吞后立即发生的声音变化不是气道入侵或喉残留的可靠指标.
- 语音语言病理学家应该考虑基线语音质量作为进一步调查失调的潜在指标.
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