Perceptions of Vocal Performance Impairment in Singers with and without Hearing Loss.
Perceptions of Vocal Performance Impairment in Singers with and without Hearing Loss.
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DOI：
10.1016/j.jvoice.2021.06.021
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发表时间：
2023-11
期刊：
影响因子：
2.2
通讯作者：
Johns III, Michael M.
中科院分区：
文献类型：
--
作者：
Brar, Gurmehr;Silverstein, Einav;Zheng, Melissa;Castro, Eugenia;Goldsworthy, Raymond;Helding, Lynn;Johns III, Michael M.
众所周知，听力在准确发声中起着重要作用。歌手尤其依赖听觉线索和听觉反馈来重现特定的音高轮廓。因此，即使是轻微的听力损失也可能对歌手的表演能力产生不利影响。本研究探讨了听力损失对歌手自我报告发声的影响，特别是在音高匹配、音高维持、元音产生和动态控制等领域，以及听力损失对发声障碍的影响。向全国歌唱教师协会和声乐基金会的成员分发了一份包含18个项目的电子自我报告调查。收集的数据包括人口统计数据、歌唱嗓音障碍指数-10 （SVHI-10）以及一系列封闭式和开放式问题。人口统计变量、与SVHI-10相关的变量以及与新引入的调查相关的变量被纳入分层回归分析以确定显著关系。在206名符合条件的参与者中，37人报告有声音问题，58人报告有听力损失，19人报告同时有听力损失和声音问题。在男性中，当排除和纳入有声音问题的歌手时，听力障碍歌手和正常听力歌手在报告的音高匹配、音高维持、动态控制和元音匹配方面没有显著差异。然而，在女性中，当排除有声音问题的歌手时，听力受损的歌手与正常听力的歌手在音高匹配上有显著差异（P = 0.38）。此外，当将有声音问题的歌手纳入女性群体时，听力受损的歌手与听力正常的歌手在音高匹配（P = 0.01）和元音匹配（P = 0.02）方面存在显著差异。此外，在控制性别的情况下，当排除声音问题时，正常听力参与者的SVHI-10评分（平均= 9.03）与听力受损参与者（平均= 11.30,P = 0.02）之间存在显著差异。当包括有声音问题的患者时，这一差异仍然显著（正常听力平均= 9.97，听力受损平均=14.1,P <0.0001）。此外，与听力正常的应答者相比，听力受损的个体更有可能报告更高的SVHI-10所反映的感知声带障碍得分（P = 0.002）。与SVHI-10评分较高的可能性相关的其他因素包括年龄较大（P = 0.008），有声音问题（P <0.0001），以及在过去6个月内获得唱歌报酬（P = 0.001）。当控制声音问题时，有听力障碍的歌手主观上没有意识到他们在音高匹配、音高维持、动态控制和元音匹配方面的表现不准确，但他们在SVHI-10上的得分更高，这表明他们有声音障碍。需要进一步的研究来描述听力损失的歌手感知和测量的声音准确性之间的关系。
It is well understood that hearing plays an important role in accurate vocal production. Singers in particular rely on auditory cues and auditory feedback to reproduce specific pitch contours. Therefore, even mild hearing loss may have a detrimental effect on a singer’s ability to perform. This study investigates the effect of hearing loss on self-reported vocal production in singers, specifically in the domains of pitch matching, pitch maintenance, vowel production, and dynamic control as well as the effect of hearing loss on vocal handicap. An 18-item electronic self-report survey was distributed to the members of the National Association of Teachers of Singing and to the Voice Foundation. Data collected included demographics, the Singing Voice Handicap Index-10 (SVHI-10), and a series of closed and open-ended questions. Demographic variables, variables related to the SVHI-10, and variables related to the newly introduced survey were included in a hierarchical regression analysis to determine significant relationships. Among 206 eligible participants, 37 individuals reported a voice problem, 58 reported hearing loss, and 19 reported concurrent hearing loss and a voice problem. Among males, there were no significant differences between hearing impaired and normal hearing singers in reported pitch matching, pitch maintenance, dynamic control, and vowel matching when those with voice problems were excluded and included. However, in females, when singers with voice problems were excluded, there was a significant difference between hearing impaired and normal hearing singers in pitch matching (P = 0.38). Additionally, when singers with voice problems were included in the female subset, significant differences emerged between the hearing impaired and normal hearing singers in areas of pitch matching (P = 0.01) and vowel matching (P = 0.02). Further, controlling for gender, when excluding voice problems, there was a significant difference between the SVHI-10 scores of normal hearing (mean = 9.03) and hearing impaired participants (mean = 11.30, P = 0.02). This difference continued to be significant when including those with voice problems (normal hearing mean = 9.97, hearing impaired mean=14.1, P <0.0001). Additionally, individuals with hearing impairments were more likely to report higher perceived vocal handicap scores as refiected on the SVHI-10 than normal hearing respondents (P = 0.002). Other factors associated with higher likelihood of SVHI-10 score include older age (P = 0.008), having a voice problem (P <0.0001), and being paid to sing within the past six months (P = 0.001). When controlling for voice problems, singers with hearing impairments subjectively did not perceive that they performed less accurately on pitch matching, pitch maintenance, dynamic control, and vowel matching, yet they scored higher on the SVHI-10 indicating vocal handicap. Further study is needed to characterize the relationship between perceived and measured vocal accuracy in singers with hearing loss.
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