抗水疗计划对行为失声症的影响:基于感官运动学习原则的生理治疗建议
Angelica Emygdio Antonetti-Carvalho1, Jhonatan da Silva Vitor1, Eduardo Carvalho Andrade1
1Speech-Language Pathology and Audiology Department at Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brazil.
Journal of voice : official journal of the Voice Foundation
|December 18, 2024
概括
抗水疗法 (WRT) 改善了声音经济,并减少了行为失声症患者的声和疼痛等症状. 这种语音治疗方法增强了声乐舒适度和生理平衡.
科学领域:
- 语音和听力科学 语言和听力科学
- 康复医学 康复医学 康复医学
- 声音科学 声音科学
背景情况:
- 语音治疗旨在使用肌弹性和空气动力学原理恢复声系统平衡.
- 治疗方法应解决声的生理学,并容易被患者内化.
- 防水疗法 (WRT) 和感觉运动学习 (SML) 原则为语音康复提供了一个有希望的方法.
研究的目的:
- 提出一个语音治疗方案,将生理学方法与SML原则相结合.
- 评估WRT程序对被诊断患有行为失声症的个体的影响.
主要方法:
- 一项实验性,前性研究涉及11名志愿者 (18-50岁) 患有行为失声症.
- 八个30分钟的WRT使用一个沉浸在水中的管.
- 应用SML原则,包括前练习,练习量,分布,可变性,时间表,注意力集中和目标复杂性.
- 在干预前后评估声学经济,声学测量 (CPPs,α比,L1-L0),声声疲劳指数 (VFI) 和语音症状量表 (VoiSS).
主要成果:
- 语音经济的显著改善 (P=0.004) 和喉接触率的减少 (P>0.001).
- 语音投诉的统计显著减少,包括"声音断裂"",声"",说话时疼痛"和"说话疲劳".
- 在VoiSS (P=0.001) 和VFI (P=0.001) 显著下降,表明声乐舒适度提高,疲劳减少.
结论:
- 拟议的WRT计划显示了对语音经济的积极影响.
- 该疗法有效地提高了声乐舒适度,并减少了主观的声乐和喉喉症状.
- 这种基于生理原理和SML的WRT程序,有利于管理行为失声症.
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