Evaluation of Vocal Fold Motion During Blocks in Adults Who Stutter
Evaluation of Vocal Fold Motion During Blocks in Adults Who Stutter
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DOI：
10.23937/iacod-2017/1710006
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发表时间：
2018-12
期刊：
影响因子：
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通讯作者：
Kikuchi Yoshikazu;Umezaki Toshiro;Adachi Kazuo;Sawatsubashi Motohiro;Yamaguchi-Kabata Yumi;Murakami Daisuke;N. Takashi
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文献类型：
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作者：
Kikuchi Yoshikazu;Umezaki Toshiro;Adachi Kazuo;Sawatsubashi Motohiro;Yamaguchi-Kabata Yumi;Murakami Daisuke;N. Takashi
随着年龄的增长[1，2]。阻塞会意外发生，甚至对AWS本身也是如此，还会阻止正常的灵感和呼气。这种症状类似于肌肉紧张性发音困难(MTD)和屈肌痉挛发音困难(ADSD)患者的主要主诉(发音不出来和发声堵塞)。一项对MTD患者进行发声治疗的系统回顾显示，经过一段时间的治疗后，结果指标立即有了积极的变化[3]，MTD的治疗在治疗结束后6个月内继续有效[4]。然而，成人口吃(AWS)的语言治疗是有限的。口吃在临床治疗过程中很容易得到改善，但这种进步很难转移到外部。摘要背景：口吃是一种言语障碍；成年人口吃(AWS)的主要症状是阻塞，它使说话和呼吸停止。为了更好地了解AWS患者的声带运动情况，本研究旨在评估AWS患者的声带运动情况。方法：采用纤维内窥镜检查获得的数据，对12个AWS的58个区块进行气流和语音测量，并要求他们阅读一组文本进行测量。我们比较了在口吃时声门关闭和声门打开的阻塞数目。结果：在大多数AWS中，阻塞同时伴有声门关闭和声门开放。声门闭塞占46.6%，声门开放占53.4%。因此，口吃时的声带位置因个体而异。结论：我们的研究表明，声带打开和关闭时都可能发生口吃并停止发声。
with age [1,2]. Blocks occur unexpectedly, even for AWS themselves, and can also halt normal inspiration and ex -piration. This symptom resembles the chief complaints (“voice not coming out” and “clogged voice”) made by patients with muscle tension dysphonia (MTD) and ad ductor spasmodic dysphonia (AdSD). A systematic re view of voice therapy in MTD showed that there were positive changes to outcome measures immediately following a period of therapy [3], and that therapy for MTD continued to be effective for 6 months after the completion of therapy [ 4]. However, speech therapy for adults who stutter (AWS) is limited [ 5 ]. Stuttering is readily modified during treatment in the clinic, but this gain is difficult to transfer outside mo-Abstract Background: Stuttering is a speech disorder; the primary symptom in adults who stutter (AWS) is blocks, which halt both speech and breathing. This study aimed to evaluate vocal fold motion during blocks in AWS, in order to better understand this condition. Methods: We used data obtained through flexible fiberop tic endoscopy and measurements of airflow and voice ob tained from speech phonogram waveforms for 58 blocks in 12 AWS who were asked to read a set text for measure -ments. We compared the number of blocks with glottal closure and glottal opening during stuttering. Results: In most AWS, blocks were accompanied by both glottal closure and glottal opening. The proportions of blocks with glottal closure and glottal opening were 46.6% and 53.4%, respectively. Thus, vocal fold positions during stuttering blocks varied among individuals. Conclusion: Our study shows that stuttering with cessation of voice can occur both when vocal fold is open and when it is closed.