Systematization of the voice therapy program for children with vocal nodules

声带小结儿童声音治疗方案的系统化

• 批准号: 14571632
• 负责人: KOBAYASHI Noriko
• 金额: $ 0.64万
• 依托单位: KITASATO UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14571632/
• 关键词: voice disorders; child vocal nodules; voice therapy; voice training; vocal hygiene; 声帯結節; 小児嗄声

For the treatment of vocal nodules, educational programs for vocal hygiene and voice training for acquisition of correct phonation aide essential. In the case of children, special considerations are necessary as some of their vocal behaviors and reaction to voice disorders are different from those of adults. In this study, we developed a voice therapy program for child vocal nodules and good results were obtained for 6 children. They were 4 boys and 2 girls (Age; 4y -11y) and bilateral nodules were found for all of them. In addition to a conventional vocal hygiene program for children, correct production of loud voice (so-called "Belting") was the major focus of the voice therapy as the visual inspection of the larynges and perceptual evaluations of the voice revealed inappropriate loud voice production with laryngeal constriction in all children. After 5 to 24 voice therapy sessions, disappearance of the nodules was found in 5 children and the reduction of the nodule sizes was found in 1 child. Improvement of the GRBAS scores, longer maximum phonation time, extension of vocal ranges were found after the completion of the therapy programs. It was implicated that our voice therapy program was effective for the 6 children with vocal nodules.

对于声带小结的治疗，声带卫生的教育计划和获得正确发音的声音训练是必不可少的。对于儿童，需要特别注意，因为他们的一些发声行为和对发声障碍的反应与成人不同。在本研究中，我们开发了儿童声带小结的语音治疗方案，对6名儿童取得了良好的效果。男童4例，女童2例（年龄4 -11岁），均有双侧结节。除了传统的儿童发声卫生项目外，正确发出响亮的声音（所谓的“带音”）是声音治疗的主要重点，因为喉部的视觉检查和声音的感知评估显示，所有儿童的喉部收缩都不适当发出响亮的声音。5 ~ 24次语音治疗后，5例患儿结节消失，1例患儿结节缩小。治疗结束后，患者的GRBAS评分改善，最大发声时间延长，音域扩大。提示我们的语音治疗方案对6例声带小结患儿是有效的。

项目成果

Kobayashi, N.: "Manual of the Voice aid "Viva voice" for esophageal speech"Ginreikai Publ.. 20 (2002)

小林 N.：“食道语音语音辅助“Viva voice”手册”Ginreikai Publ.. 20 (2002)

小林 範子: "小寺富子監修「言語治療マニュアル」の分担執筆「吃音:成人の訓練」"協同医書出版社. 533(4) (2004)

Noriko Kobayashi：“由 Tomiko Kodera 监督的《言语治疗手册》的合著者《口吃：成人训练》”Kyodo Isho Publishing。533(4) (2004)

Kobayashi, N.: "Speech therapy for adult stutterers"Speech Therapy Manual (Kodera, T.(Ed.)) (Kyodoisho Publ.). 533(4) (2004)

小林，N.：“成人口吃者的言语治疗”言语治疗手册（Kodera，T.（编辑））（Kyodoisho Publ.）。

小林 範子: "食道発声のための「補助装置」使用マニュアル"社団法人 銀鈴会. 20 (2002)

小林纪子：“食管发声‘辅助装置’使用手册”Ginsuikai Incorporated Association 20 (2002)。

Matsui, K., Hara, N., Kobayashi, N., Hirose, H.: "Enhancement of esophageal speech using formant synthesis."Accost.Sci & Tech.. 23. 1-8 (2002)

Matsui, K.、Hara, N.、Kobayashi, N.、Hirose, H.：“使用共振峰合成增强食管语音。”Accost.Sci