PERCEPTUAL EVALUATION OF DYSPHONIA - RELIABILITY AND RELEVANCE

PERCEPTUAL EVALUATION OF DYSPHONIA - RELIABILITY AND RELEVANCE
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DOI:
10.1159/000266220
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发表时间:
1993-03-01
期刊:
FOLIA PHONIATRICA
影响因子:
--
通讯作者:
WIENEKE, GH
WIENEKE, GH
中科院分区:
其他
文献类型:
--
作者:
DEJONCKERE, PH;OBBENS, C;WIENEKE, GH

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一个标准化的,基于感知的描述嘶哑是重要的临床目的(如治疗评估),以及在语音障碍的研究。研究了感知参数的可靠性和相关性。GRBAS量表参数非常符合标准:判断内和判断间方差较低,但声音间方差较高。对于严重程度的总体等级,发现法官之间的最佳相关性(0.7)。衰弱性紧张性嗓音质量的一致性较差,但仍表现出显著的判断间相关性。严重程度的总体等级似乎主要由呼吸成分决定。粗糙度和呼吸性彼此呈负相关。紧张与粗糙和呼吸都不相关。GRBAS谱在不同病理组之间显著不同。
A standardized, perceptually based description of hoarseness is of importance for clinical purposes (e.g. therapy evaluation) as well as in research on voice disorders. The reliability and relevance of perceptual parameters are investigated. The GRBAS scale parameters quite well fit the criteria: low intrajudge and interjudge variance but high intervoice variance. The best correlation between judges (0.7) is found for the overall grade of severity. Impressions of the asthenic strained voice quality are less consistent, but still show a significant interjudge correlation. The overall grade of severity seems to be mainly determined by the component breathiness. Roughness and breathiness are negatively correlated with each other. Tonus is correlated neither with roughness nor breathiness. The GRBAS profiles significantly differ between the different pathological groups.