在初级肌肉张力失声症中突出的声音症状
Avery Moore1, Adrianna C Shembel2
1School of Behavioral and Brain Sciences, Department of Speech, Language, and Hearing, Callier Center for Communication Disorders, University of Texas at Dallas, Richardson, TX.
Journal of voice : official journal of the Voice Foundation
|January 4, 2025
概括
声声上的努力,疲劳和不适是原发性肌肉张力障碍症 (pMTD) 的关键症状. 像声声疲劳指数 (VFI) 和声道不适度表 (VTDS) 这样的标准指数有效地捕捉了pMTD患者的这些急性和慢性症状.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 声音科学 声音科学
背景情况:
- 主要肌肉张力失声症 (pMTD) 呈现出各种症状,包括声力,疲劳和不适.
- 最突出的pMTD症状及其与标准评估工具的关系仍然不清楚.
- 了解急性症状和慢性措施之间的联系对于有效的诊断和管理至关重要.
研究的目的:
- 确定pMTD患者经历的最突出的症状.
- 将声声疲劳和不适 (VFI,VTDS) 的验证指数与急性症状严重程度相关联.
- 研究主观语音症状与客观声学语音质量测量之间的关系.
主要方法:
- 30名参与者 (15 pMTD,15对照组) 完成了声乐症状的视觉模拟尺度 (VAS) 和VFI-Part1和VTDS.
- 声学分析包括从持续的 /i/母音和CAPE-V句子中获得的塞普斯特拉峰突出 (CPP).
- 统计分析比较了群体之间的症状严重程度和声学指标,并检查了相关性.
主要成果:
- 与对照人群相比,pMTD患者报告说,与对照人群相比,声音的努力,疲劳和不适显著增加.
- 在两组中,VFI和VTDS显示了与急性症状严重程度的中高相关性.
- 在pMTD患者和对照人群之间,在奥迪诺福尼亚,自我感知或声学声质方面没有发现显著差异.
结论:
- 身体感官症状 (努力,疲劳,不适) 是pMTD最重要的指标.
- 标准化指数 (VFI,VTDS) 有效地评估pMTD的症状,反映了急性和慢性经历.
- 虽然不是中心的,但声和声音声学变化可能同时发生;建议在pMTD评估中关注体感症状.
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