一种用于静态和动态检查的新喉触摸工具的可靠性和有效性
Isabelle Bargar1, Melina Maria Ippers1, Katrin Neumann2
1School of Health, Education and Social Sciences, SRH University of Applied Sciences Heidelberg, 40210 Düsseldorf, Germany.
Journal of clinical medicine
|September 13, 2025
概括
一种新的喉触摸工具显示出高可靠性和诊断准确性,用于评估由喉高血压引起的语音障碍. 静态评估与患者报告的语音症状有效相关,支持其临床使用.
科学领域:
- 耳鼻喉科,语音语言病理学
- 语音科学与障碍 语音科学与障碍
背景情况:
- 喉高血压会导致声音障碍,影响声音质量和耐力.
- 喉触摸是对外部和喉组织的手动评估,以评估喉高血压.
- 一种新的定量喉触摸工具需要验证可靠性和诊断准确性.
研究的目的:
- 通过定量顺序分数验证一种新的喉触摸工具.
- 评估工具的可靠性和诊断准确性.
- 建立初步的临床切线值,并检查与自我报告的语音症状的相关性.
主要方法:
- 一项前性,受控的验证研究,共33名参与者 (19名有语音障碍,14名健康对照).
- 两个独立的检查员使用了新的喉触摸工具进行静态和动态评估.
- 参与者完成了语音障碍指数 (VHI-30),声声疲劳指数 (VFI) 和声道不适度表 (VTD).
主要成果:
- 静态喉触摸显示出出色的区分能力 (AROC = 0.979) 和高可靠性 (内部评分ICC = 0.966,内部评分ICC = 0.866).
- 静态触摸结果与VHI (r = 0.496) 和VFI (r = 0.514) 分数显著相关.
- 动态触摸证明了良好的有效性 (AROC = 0.840) 和可靠性 (间评分ICC = 0.800,内评分ICC = 0.840),但与问卷没有显著的相关性.
结论:
- 新型喉触摸工具,特别是静态评估,显示了对语音障碍的可靠性和诊断准确性.
- 初步证据支持该工具用于评估喉高血压的临床实用性.
- 为了更广泛的验证和临床实施,需要进一步的研究.
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