Comparison of neck tension palpation rating systems with surface electromyographic and acoustic measures in vocal hyperfunction.

Comparison of neck tension palpation rating systems with surface electromyographic and acoustic measures in vocal hyperfunction.
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DOI:
10.1016/j.jvoice.2009.08.001
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发表时间:
2011-01
期刊:
Journal of voice : official journal of the Voice Foundation
影响因子:
--
通讯作者:
Hillman RE
Hillman RE
中科院分区:
其他
文献类型:
--
作者:
Stepp CE;Heaton JT;Braden MN;Jetté ME;Stadelman-Cohen TK;Hillman RE

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本研究的目的是评估目前的颈部紧张触诊评级系统,以确定评级者之间的可靠性和可能的相关性与颈部表面肌电图(sEMG,从三个电极记录位置收集)和措施的第三共振峰/a/在各种声乐行为。这项前瞻性研究检查了16名参与者在一次语音治疗前后的颈部肌肉张力。使用Pearson相关系数(r)评估评估者间可靠性以及触诊评级与sEMG(颈前)和/a/第三共振峰的客观测量之间的关系。评分者间的可靠性是相对较低的皮尔森相关性测量,虽然Wilcoxon符号秩检验的结果是类似的,在以前的研究。触诊评级和表面肌电图之间的相关性,喉高度和第三共振峰/a/之间的评级普遍较低。当在一组具有较高评分者间可靠性的个体中进行检查时,前颈部表面肌电图和舌骨上肌张力评分之间的相关性增加。触诊评定量表不能可靠地捕捉典型的语音治疗患者在一个会话中颈部肌肉张力可能发生的变化。因此,很少可以从表面肌电图和触诊评级之间的相关性得出结论。
The purpose of this study was to evaluate current neck tension palpation rating systems to determine inter-rater reliability and possible correlation with neck surface electromyography (sEMG, collected from three electrode recording locations) and measures of the third formant for /a/ during various vocal behaviors. This prospective study examined the neck muscle tension of 16 participants before and after a single session of voice therapy. Inter-rater reliability and relationships between palpation ratings and objective measures of sEMG (anterior neck) and the third formant for /a/ were assessed using Pearson’s correlations (r). Inter-rater reliability was relatively low as measured by Pearson’s correlations, although Wilcoxon Signed Rank Test results were similar as those in a previous study. Correlations between palpation ratings and sEMG, and between ratings of laryngeal height and the third formant for /a/ were generally low. Correlations increased between anterior neck sEMG and ratings of suprahyoid muscle tension when examined in a reduced set of individuals with higher inter-rater reliability. Palpation rating scales do not reliably capture changes that may occur in neck muscle tension of typical voice therapy patients over one session. Consequently, little can be concluded from correlations between sEMG and palpation ratings.
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