Throat Clearing, Coughing, and Alternative Behaviors

清喉咙、咳嗽和其他行为

• 批准号: 7751909
• 负责人: Heather Shaw Bonilha
• 金额: $ 14.6万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-01-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7751909
• 关键词: Accounting; Address; Advocate; Anterior; Area; Automation; Behavior; Biomechanics; Bolus Infusion; Characteristics; Chronic; Clinical; Coughing; Data; Deglutition; Diffuse; Edema; Education; Educational process of instructing; Effectiveness; Esthesia; Excision; Future; Glucose; Goals; Hydration status; Hygiene; Image Analysis; Judgment; Knowledge; Laryngeal Diseases; Larynx; Lesion; Link; Liquid substance; Literature; Location; Logistic Regressions; Logistics; Logit Models; Measurement; Measures; Mechanics; Medial; Methods; Modeling; Movement; Mucous body substance; National Institute on Deafness and Other Communication Disorders; Nature; Outcome; Outcomes Research; Participant; Pathology; Patient Care; Patients; Pattern; Persons; Pharyngeal structure; Phonation; Physiological; Pilot Projects; Population; Prevalence; Principal Investigator; Procedures; Production; Proteins; Public Health; Publishing; Reporting; Research; Research Design; Research Technics; Risk; Sampling; Screening procedure; Specific Gravity; Speed; Stroboscopy; Study Subject; Swelling; Symptoms; Techniques; Testing; Thick; Time; Tissues; Treatment Efficacy; United States; Urine; Visual; Voice; Voice Disorders; Voice Quality; base; clinically significant; digital; image processing; in vivo; instrumentation; kinematics; novel; programs; statistics; trend; vibration; vocal cord; voice therapy

Summary Chronic clearing behaviors are prevalent throughout the population of persons with voice disorders. Throat clearing and coughing have been deemed vocally abusive and are typically targeted to be reduced during voice therapy. The abusive behaviors are commonly replaced with less abuse clearing maneuvers inclusive of: soft throat clear, silent cough, hard swallow, and hard swallow with a fluid bolus. Although the prevalence of clearing behaviors and methods to diminish the use of the behaviors are well-known, there is a lack of scientific evidence as to the 'harmfulness' of these behaviors and their relationship with hydration. Likewise, no research has been accomplished investigating the alternative techniques taught to patients as compensatory strategies. Additionally, the effectiveness of both harmful and alternative clearing behaviors to displace mucus and to provide the patient with relief from the sensation remains unknown. The long-term aim of this research is to determine the efficacy of specific components in vocal hygiene therapy for patients with voice disorders which will increase treatment efficiency. There are two specific aims proposed to begin to reach the long-term goal. The first aim is to compare biomechanical, physiological components of phonation, phonation onset, soft throat clear, hard throat clear, silent cough, and hard cough within and between normophonic participants. This aim will focus on within participant differences of average velocity during these behaviors. The second aim is to compare pre- and post-clearing ratings of mucus aggregation and sensation removal among six clearing behaviors, soft throat clear, hard throat clear, silent cough, hard cough, hard swallow, and hard swallow with a fluid bolus. The result of both aims will be related to hydration measures. The aims will be accomplished through a research plan utilizing stroboscopy, high-speed videoendoscopy, and novel image processing techniques. Normophonic speakers and persons with voice disorders will participate in this research to allow for comparisons. It is expected that the outcome of this research will be relevant to public health by increasing our knowledge of behaviors commonly associated with voice pathology. The results of this study should provide increased knowledge to relate directly to methods of patient care. Narrative Four million and eighty thousand persons with voice disorders use habitual abusive clearing behaviors, which are considered one of the most prevalent forms of vocal abuse and linked to causing vocal fold lesions. By utilizing digital high-speed videoendoscopy, stroboscopy, hydration analysis and image analysis techniques, this research will provide objective data on the dynamics and kinematics of vocal fold movement and vibration associated with these behaviors, as well as data on alternative behaviors often advocated for in vocal hygiene education and voice therapy, and the relationship of both deleterious and ameliorative clearing behaviors with level of hydration. It is expected that the outcome of this research will be relevant to public health by increasing our knowledge of behaviors commonly associated with voice pathology and relating directly to methods of patient care.

总结 慢性清理行为在整个人群中普遍存在， 有声音障碍清嗓子和咳嗽被认为是口头辱骂 并且通常在语音治疗期间被作为降低的目标。虐待行为是 通常用较少滥用的清除动作代替，包括：柔软的喉咙清晰， 无症状咳嗽、吞咽困难和吞咽困难伴液体推注。虽然流行 清除行为和减少行为使用的方法是众所周知的， 缺乏科学证据来证明这些行为的“危害性”及其 与水化的关系。同样，也没有研究完成调查 作为补偿策略教给患者的替代技术。此外，本发明还 有害的和替代的清除行为来取代粘液的有效性 并且为患者提供减轻感觉的方法仍然是未知的。 这项研究的长期目标是确定特定的 组成部分的声乐卫生治疗的病人与声音障碍， 提高处理效率。有两个具体的目标建议开始达到 长期目标。第一个目的是比较生物力学，生理成分 发声、发声起始、软喉清、硬喉清、无声咳嗽、硬 在正常音受试者内和受试者之间咳嗽。这一目标将集中在 参与者在这些行为中的平均速度差异。第二个目标是 比较粘液聚集和感觉消除的清理前后评级 清咽行为中的软咽清、硬咽清、无声咳嗽、硬咽清、 咳嗽、吞咽困难、吞咽困难伴液体推注。这两个目标的结果将是 与水化措施有关。这些目标将通过研究计划来实现 利用频闪检查、高速视频内窥镜检查和新颖的图像处理 技术.发音正常的人和有声音障碍的人将参加 这项研究是为了进行比较。预计这项研究的结果 将通过增加我们对行为的了解来与公共卫生相关， 与嗓音病理学有关这项研究的结果将提供更多的 与病人护理方法直接相关的知识。叙事 480000名有嗓音障碍的人习惯性地使用 滥用清理行为，这被认为是最普遍的形式之一， 滥用声音并导致声带病变。利用数字高速 视频内窥镜、频闪内窥镜、水合分析和图像分析技术， 研究将为声带的动力学和运动学提供客观的数据 与这些行为相关的运动和振动，以及关于替代方案的数据。 在声乐卫生教育和声音治疗中经常提倡的行为， 有害的和改善的清除行为与 水合作用预计这项研究的结果将与公众有关。 通过增加我们对与声音相关的行为的了解， 病理学，并直接涉及病人护理方法。