Cognitive Mechanisms in Pediatric Voice Therapy - An Initial Examination.
Cognitive Mechanisms in Pediatric Voice Therapy - An Initial Examination.
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DOI：
10.1016/j.jvoice.2021.09.014
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发表时间：
2024-03
期刊：
影响因子：
2.2
通讯作者：
Abbott, Katherine Verdolini
中科院分区：
文献类型：
--
作者：
Feinstein, Hagar;Dasdogen, Umit;Libertus, Melissa E.;Awan, Shaheen N.;Galera, Rhona, I;Dohar, Joseph E.;Abbott, Katherine Verdolini
关键词：
语音障碍是一种常见的儿童沟通障碍。行为发声疗法被耳鼻喉科医生和言语语言病理学家推荐作为治疗大量影响儿童的良性声带病变的一线方法。然而，对语音治疗至关重要的认知机制的作用尚未被探索。这项概念验证研究旨在为良性声带创伤性声带病变儿童的语音治疗的认知能力和行为结果之间的潜在关系提供初步数据。6名被诊断为声带小结的儿童(4岁；05-9岁；02岁)完成了一系列神经心理学(NEPSY-II)评估的认知测试，并接受了标准的“声音中的冒险”治疗。干预前后的录音分别使用发音障碍倒谱指数(CSID)和视觉模拟评分(VAS)进行声学分析和共鸣分析。然后检查了来自NEPSY-II的原始和年龄校正的标度分数，以确定它们与语音结果的可能关系。多种认知功能与语音结果相关。设计流畅性、抑制、指尖敲击和叙述性记忆的原始分数测量与所有语音结果测量都具有良好的相关性。年龄与所有的NEPSY-II原始分数和知觉嗓音结果相关。听觉注意力、设计流畅性、指尖敲击(优势手)和叙述性记忆的评分与所有语音结果测量相关。结果表明，在良性语音损伤的儿童中，认知技能与其发展和语音治疗结果之间的关系值得进一步研究。未来对更大样本的研究将建立在目前的发现基础上。
Voice disorders are a common communication disorder in children. Behavioral voice therapy is recommended by both Otolaryngologists and Speech-Language Pathologists as a first-line approach for treatment of benign vocal fold lesions that affect children in large numbers. However, the role of cognitive mechanisms critical to voice therapy have not yet been explored. This proof-of-concept study aims to provide preliminary data on the potential relation between cognitive abilities and behavioral results of voice therapy for children with benign phonotraumatic vocal fold lesions. Six children (4;05–9;02 years) diagnosed with vocal fold nodules completed a battery of cognitive tests from the NEuroPSYchological (NEPSY-II) Assessment and a standard course of “Adventures in Voice” therapy. Recordings pre and post intervention were analyzed acoustically using the Cepstral Spectral Index of Dysphonia (CSID) and perceptually using a visual analog scale (VAS) for severity and resonance separately. Raw and age-corrected scaled scores from the NEPSY-II were then examined for their possible relation to voice outcomes. Multiple cognitive functions correlated with voice outcomes. Raw score measures for Design Fluency, Inhibition, Fingertip Tapping, and Narrative Memory correlated favorably with all voice outcome measures. Age correlated with all NEPSY-II raw scores and perceptual voice outcome measures. Scaled scores for Auditory Attention, Design Fluency, Fingertip Tapping (Dominant hand), and Narrative Memory correlated with all voice outcome measures. Results suggest that there is merit to further investigation of the relation between cognitive skills and their development and voice treatment outcomes in children with benign phonotraumatic lesions. Future studies with larger samples will build on present findings.
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