Voice therapy strategies for spasmodic voice disorder

痉挛性声音障碍的声音治疗策略

• 批准号: 10671611
• 负责人: KOBAYASHI Noriko
• 金额: $ 0.45万
• 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: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10671611/
• 关键词: voice disorder; spasmodic voice disorder; voice therapy; auditory impression; larynx; effectiveness of therapy; 喉頭調節; 聴覚印象的評価; 空気力学的検査

Treatment of sposmodic voice disorder (SPD) has been known as most difficult among various kinds of voice disorders. Voice therapy is not very popular in Japan and no speech therapist has worked with SPD patients even if it has been well known in the US that voice therapy is effective for mild to moderate SPD patients. Since 1994 we have tried various kinds of voice therapy techniques for some SPD patients and we obtained good results for most cases. In this study, based on the past results, several voice therapy techniques were selected and applied to 10 SPD patients to find out the effectiveness of voice therapy and the most effective voice therapy strategy. Voice evaluation using auditory impression and visual inspection of the larynges revealed remarkable voice improvement after voice therapy in all patients. Breathy phonation was used for all patients and was found to be very effective. For moderate to severe cases, some therapy techniques had to be used in combination with others to improve vocal syndromes. Slow speech rate seemed very effective for reducing excessive laryngeal tension and was used for many cases in combination with other relaxation techniques. Acoustic analyses also revealed disappearance of vocal spasmodicity (inconsistent voice quality and intensity). Effectiveness of voice therapy was proven in this study bad on qualitative data. Future study is desperately needed to confirm the results with quantitative data.

在各种嗓音疾病中，嗓音蠕动障碍（SPD）的治疗一直被认为是最困难的。语音治疗在日本并不流行，也没有语言治疗师与SPD患者一起工作，即使在美国众所周知，语音治疗对轻度至中度SPD患者有效。自1994年以来，我们对部分SPD患者进行了多种语音治疗技术的尝试，大多数病例取得了良好的效果。本研究在以往研究结果的基础上，选择了几种语音治疗技术，并应用于10名SPD患者，以了解语音治疗的有效性和最有效的语音治疗策略。所有患者的声音治疗后，使用听觉印象和视觉检查喉的声音评估显示显着的声音改善。呼吸发声用于所有患者，并发现是非常有效的。对于中度至重度病例，某些治疗技术必须与其他治疗技术结合使用，以改善发声综合征。缓慢的语速似乎对减少过度的喉部紧张非常有效，并且在许多情况下与其他放松技术结合使用。声学分析还显示声音痉挛消失（声音质量和强度不一致）。在本研究中，声音治疗的有效性被证明是不好的定性数据。未来的研究迫切需要用定量数据来证实这一结果。

项目成果

Noriko Kobayashi: "Rehabilitation for speech and language disorders"J. Acoust. Soc. Japan. 54(5). 381-386 (1998)

小林法子：“言语和语言障碍的康复”J.

小林範子: "無喉頭音声とは"無喉頭音声セミナー報告書. 13-18 (2000)

小林纪子：“什么是喉部言语？” 13-18 (2000)

小林範子: "音声障害のリハビリテーション"CLIENT21、21世紀耳鼻咽喉科領域の臨床(廣瀬肇編)中山書店(印刷中). (2000)

小林法子：“声音障碍的康复”CLIENT21，21世纪耳鼻喉科领域的临床实践（广濑肇编辑），中山书店（2000年出版）。

Noriko Kobayashi: "Rehabilitation for voice disorders. CLIENT21, 21Century Otolaryngology, H.Hirose (ed.)"Nakayama-Shoten, Co. Ltd(in press). (2000)

小林纪子：“嗓音障碍的康复。CLIENT21，21世纪耳鼻喉科，H.Hirose（编）”中山书店（印刷中）。

廣瀬肇: "音声障害の臨床"インテルナ出版. 160 (1998)

Hajime Hirose：“声音障碍的临床实践”Interna Publishing 160（1998）。