Vocal Function Exercises for Presbylaryngis: A Multidimensional Assessment of Treatment Outcomes
Vocal Function Exercises for Presbylaryngis: A Multidimensional Assessment of Treatment Outcomes
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DOI：
10.1177/000348941011900706
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发表时间：
2010-07-01
影响因子：
1.4
通讯作者：
Smith, Marshall E.
中科院分区：
文献类型：
--
作者：
Sauder, Cara;Roy, Nelson;Smith, Marshall E.
目的：老年性喉功能障碍或喉的老化会对老年人的发声功能和生活质量产生不利影响。本初步调查研究的影响，发声功能练习，生理语音治疗方法，作为一个主要的治疗presbylaryngis.Methods：9个连续的老年患者presbylaryngis（2名女性，7名男性）进行了为期6周的课程，采用发声功能练习的语音治疗。治疗前与治疗后的自我评价的声音障碍和发音努力水平的比较，以及语音感知的声音评估，声学分析，和视觉感知评价喉images.Results：治疗后，患者报告的语音障碍指数评分，发音努力水平，语音障碍的严重程度显着降低。盲听者认为治疗后的声音呼吸明显减少，紧张。然而，比较治疗前和治疗后的最大发声时间，声学措施，和喉部图像没有发现显着的changes.Conclusions：这些初步数据表明，发声功能练习产生显着的功能和知觉改善的声音，值得进一步关注作为老年患者的治疗presbylargis。
Objectives: Presbylaryngis, or aging of the larynx, can adversely affect vocal function and quality of life in the elderly. This preliminary investigation examined the effects of vocal function exercises, a physiologic voice therapy approach, as a primary treatment for presbylaryngis.Methods: Nine consecutive elderly patients with presbylaryngis (2 female, 7 male) underwent a 6-week course of voice therapy employing vocal function exercises. Pretherapy-versus-posttherapy comparisons were made of self-ratings of voice handicap and phonatory effort level, as well as auditory-perceptual voice assessments, acoustic analyses, and visual-perceptual evaluations of laryngeal images.Results: After treatment, patients reported significant reductions on Voice Handicap Index scores, phonatory effort levels, and voice disorder severity. Blinded listeners rated the posttreatment voices as significantly less breathy and strained. However, comparison of pretreatment and posttreatment maximum phonation times, acoustic measures, and laryngeal images did not reveal significant changes.Conclusions: These preliminary data suggest that vocal function exercises produce significant functional and perceptual improvements in voice, and deserve further attention as a treatment for elderly patients with presbylaryngis.