在面部神经麻患者感知语音可理解性的性别差异
Raymond Hayler1,2,3, Emma Charters1,4, Susan Coulson1,5
1Sydney Facial Nerve Service, Chris O'Brien Lifehouse, Sydney, Australia.
International journal of speech-language pathology
|October 31, 2023
概括
面部神经麻 (FNP) 患者认为他们的言语理解能力低于观察者,尤其是女性. 这种对FNP语音差异的主观感知与身体功能无关.
科学领域:
- 神经学 神经学
- 语言病理学 语音病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 面部神经麻 (FNP) 显著影响身体和社会功能,包括语言.
- 在FNP后,专业人士和患者对外观的看法之间存在显著的差异,但语音可理解性差异不太了解.
研究的目的:
- 为了比较使用FNP的个体的语音可理解性的听众评分.
- 调查患者,公众和语音语言病理学家之间语音感知的潜在差异.
主要方法:
- 40名患有FNP的患者使用经过验证的FNP评分系统 (桑尼布鲁克面部分级系统,悉尼面部分级得分,面部残疾指数,语音障碍指数) 进行评估.
- 语音可理解性由语音语言病理学家,公众成员和患者使用标准化通道进行评估.
- 使用跨类系数 (ICC) 来比较FNP分数和可理解性等级.
主要成果:
- 观察者对可理解性的评分显示出高度一致 (ICC = 0.807).
- 患者对理解能力的自我评分与公众 (ICC = 0.266) 和语音语言病理学家的评分 (ICC = 0.344) 的一致性很低.
- 虽然观察者发现男性和女性的理解能力相似,但女性认为自己的理解能力明显低于男性.
结论:
- 患有FNP的个体,特别是女性,认为他们的语音可理解性低于观察者的评分.
- 在FNP中,这种对语音可理解性降低的主观感知与客观的身体面部功能无关.
- 在FNP管理过程中,临床医生应该承认并解决在语音可理解性感知中的患者观察者差异.
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