阻力性失消症康复后的气管食道发声:一个探索性的多维评估
Marise Neijman1,2, Klaske E van Sluis1, Rob J J H van Son1,2
1Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Head & neck
|March 25, 2025
概括
使用SEA2.0进行基于抵抗的食障碍的康复,平均而言,并没有显著改变气管食道声音. 然而,有些人在语音质量和生活质量方面经历了临床相关的改善.
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
- 康复医学 康复医学 康复医学
背景情况:
- 研究吞康复对喉切除术患者语音的影响.
- 使用SEA2.0设备进行基于阻力的食治疗.
- 采用多维评估方法进行综合评估.
研究的目的:
- 探索一个为期6周的基于抵抗的消化障碍康复计划对气管食道发声的影响.
- 评估声音声学,感知品质,患者报告的结果和生理措施的变化.
- 为了确定吞肌肉训练是否会影响喉切除术后的语音产生.
主要方法:
- 20名喉切除术的参与者在基线,训练后和休息后进行了评估.
- 干预包括下巴伸缩,大打开,以及对抗阻力而进行艰苦的吞运动.
- 多维评估包括声学分析 (AVQI),感知评估,PROM (VHI-10,V-RQOL,CPIB-10) 和表达过程中的高分辨率阻抗计.
主要成果:
- 在声学测量 (AVQI,强度,动态范围),感知评级 (音调,可理解性),PROM或计量结果方面没有观察到统计学意义上的平均变化.
- 然而,14名参与者表现出临床相关的改善,特别是在AVQI和PROM中,这表明反应的个体变化.
结论:
- 基于抵抗的肌肉训练用于吞康复,平均而言,不会显著影响气管食道的语音产生.
- 对于接受这种类型治疗的某些喉腔切除患者来说,在语音质量和生活质量方面可能有个性化的积极结果.
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