Current knowledge, controversies and future directions in hyperfunctional voice disorders
Current knowledge, controversies and future directions in hyperfunctional voice disorders
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DOI：
10.1080/17549500802140153
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发表时间：
2008-08-01
影响因子：
1.8
通讯作者：
Winkworth, Alison
中科院分区：
文献类型：
--
作者：
Oates, Jennifer;Winkworth, Alison
以国际言语语言病理学杂志特刊上的前五篇论文为出发点，本文综合了功能亢进性嗓音障碍（HFVD）的关键方面。病因学和成因，定义特征，预防，评估和干预进行了讨论，而有争议的问题和未来的研究和临床实践的方向进行了讨论。尽管围绕HFVD的术语存在分歧和不一致，但人们普遍认为肌肉骨骼紧张是这些嗓音障碍的标志。也有合理的共识，HFVD的发病机制和持续性与多种和重叠的因素有关，其中一些可能以未知的方式相互作用。除了调节失调的喉肌功能，在社会心理和感觉领域的关键过程被认为是HFVD的可能贡献者。发声疲劳被认为是HFVD的一个有趣的相对，喉咽反流的作用是有争议的，并讨论了特定个体在心理和/或生理上易患HFVD的命题。评估的新方向强调使用以客户为中心的措施，考虑心理因素，发声努力和发声疲劳的内部观点。新兴的心理和物理操纵干预措施的强调和未来的教育需求的声音护理专业人士被认为是。
Taking the preceding five papers in this special issue of the International journal of Speech-Language Pathology as a starting point, this paper synthesizes key aspects of hyperfunctional voice disorders (HFVD). Aetiological and contributing factors, defining features, prevention, assessment and intervention are canvassed, while controversial issues and future directions in research and clinical practice are discussed. Despite disagreements and inconsistencies in terminology surrounding HFVD, there is broad agreement that musculoskeletal tension is the hallmark of these voice disorders. There is also reasonable consensus that the pathogenesis and persistence of HFVD are associated with multiple and overlapping factors, some of which are likely to interact in as yet unknown ways. In addition to dysregulated laryngeal muscle functioning, key processes in the psychosocial and sensory domains are canvassed as likely contributors to HFVD. Vocal fatigue is considered as an intriguing relative of HFVD, the role of laryngopharyngeal reflux is debated and the proposition that particular individuals are psychologically and/or physiologically predisposed to HFVD is discussed. New directions in assessment highlight the use of client-centred measures to consider insider perspectives of psychological factors, vocal effort and vocal fatigue. Emerging psychosocial and physical-manipulative interventions are emphasized and the future educational needs of voice care professionals are considered.