INTENSIVE VOICE TREATMENT IN PARKINSON DISEASE - LARYNGOSTROBOSCOPIC FINDINGS
INTENSIVE VOICE TREATMENT IN PARKINSON DISEASE - LARYNGOSTROBOSCOPIC FINDINGS
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DOI：
10.1016/s0892-1997(05)80210-3
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发表时间：
1995-12-01
期刊：
影响因子：
2.2
通讯作者：
SAMANDARI, R
中科院分区：
文献类型：
--
作者：
SMITH, ME;RAMIG, LO;SAMANDARI, R
作为正在进行的调查和记录强化语音治疗改善特发性帕金森病患者功能性沟通效果的研究的一部分，45名患者参加了一项对照、随机、前瞻性研究。在22例接受喉部影像学检查的患者中，13例患者接受了旨在增加声带和呼吸力（VR）的强化治疗，而9例患者只接受了旨在增加呼吸力(R)的强化治疗。所有患者都进行了预处理评估，包括两次（但有时只有一次）录音和喉频闪镜耳鼻喉检查。治疗4周（16次）后，进行2次录音，再次进行频闪喉镜检查。然后随机抽取治疗前和治疗后的视频流喉镜检查磁带，并由四位评委进行评分。然后将评分者的结果与治疗前后测量的声音强度进行比较。VR治疗组在喉频闪检查变量上有所改善：治疗后声门功能不全减少，声门上功能亢进无明显变化。在R-only组中没有观察到差异。VR治疗组的平均强度增加12.5 dB，而R-only组的平均强度减少1.9 dB。这些研究结果表明，在帕金森病患者中，通过频频喉镜评估，集中于发声力的强化治疗可以改善声带内收，并讨论了这些患者在纤维喉镜和刚性伸缩喉镜下观察到的喉功能差异。
As part of ongoing research to investigate and document the efficacy of intensive voice therapy to improve functional communication in patients with idiopathic Parkinson disease, 45 patients were enrolled in a controlled, randomized, prospective study. Pre- to posttreatment comparisons are presented here on 22 of those patients who underwent laryngeal imaging examination, Of the 22 patients, 13 patients received intensive therapy aimed at increasing vocal and respiratory effort (VR), whereas nine received intensive therapy aimed at increasing respiratory effort (R) only. All patients had a pretreatment evaluation that included two (but sometimes only one) voice recordings and an otolaryngologic examination with laryngostroboscopy. At the completion of 4 weeks of therapy (16 sessions), two voice recordings were made, and laryngostroboscopy was again performed. The pre- and posttherapy videolaryngostroboscopy tapes were then randomized and rated by four judges. Raters' findings were then compared with vocal intensity measured before and after therapy. The VR therapy group showed improvements on laryngostroboscopic variables: less glottal incompetence and no significant change in supraglottal hyperfunction after therapy. No differences were observed in the R-only group. The mean intensity increase in the VR therapy group was 12.5 dB, compared with a decrease of 1.9 dB in the R-only group. These findings suggest that in patients with Parkinson disease, intensive therapy focusing on phonatory effort improves adduction of the vocal folds as assessed by laryngostroboscopy, Differences in laryngeal function in these patients observed with fiberoptic laryngoscopy and rigid telescopic laryngoscopy are discussed.