Effect of Akson Therapy on Acoustic Parameters in Patients with Functional Dysphonia.

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Noise & Health Pub Date : 2024-01-01 Epub Date: 2024-03-23 DOI:10.4103/nah.nah_99_23

Honglei Xu, Ben Ye

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Abstract

Objective: Functional dysphonia can impair the language expression ability and adversely affect the career development of some patients. Therefore, an active exploration of effective treatment options is imperative. This study investigated the effect of Akson therapy on acoustic parameters in patients with functional dysphonia.

Materials and methods: In this retrospective analysis, 79 patients with functional dysphonia who received conventional voice correction training from June 2020 to June 2021 were included in the reference group (RG). Our hospital has implemented Akson therapy since July 2021. Correspondingly, 72 patients with functional dysphonia who underwent Akson therapy from July 2021 to July 2022 were enrolled in the observation group (OG). The acoustic parameters such as fundamental frequency (F0), jitter, shimmer, and normalized noise energy (NNE); the aerodynamic parameters including maximum phonation time (MPT), mean airflow rate (MFR), and Voice Handicap Index-10 (VHI-10) score; and the Grade, Roughness, Breathiness, Asthenia, and Strain scale (GRBAS) score were measured before and after treatment and compared between the two groups.

Results: The F0, jitter, shimmer, NNE, MPT, and MFR values as well as the VHI-10 score and the grade (G), roughness (R), and breathiness (B) scores on the GRBAS did not significantly differ between the two groups before treatment (P > 0.05). However, significantly lower F0, jitter, shimmer, NNE, and MFR values and higher MPT levels were found in the OG compared to the RG after treatment (P < 0.001). Furthermore, the VHI-10 score and the G, R, and B scores were significantly lower in the OG than in the RG after treatment (P < 0.001), whereas the asthenia (A) and strain (S) scores remained at 0 before and after treatment.

Conclusion: Akson therapy can improve the acoustic parameters of patients with functional dysphonia to a certain extent, indicating its potential application value.

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阿克森疗法对功能性发音障碍患者声学参数的影响

目的：功能性发音障碍会损害语言表达能力，对部分患者的职业发展造成不利影响。因此，积极探索有效的治疗方案势在必行。本研究探讨了阿克森疗法对功能性发音障碍患者声学参数的影响：在这项回顾性分析中，参考组（RG）包括了在 2020 年 6 月至 2021 年 6 月期间接受过常规语音矫正训练的 79 名功能性发音障碍患者。我院自 2021 年 7 月起开始实施阿克森疗法。相应地，在 2021 年 7 月至 2022 年 7 月期间接受 Akson 治疗的 72 名功能性发音障碍患者被纳入观察组（OG）。测量两组患者治疗前后的声学参数，如基频（F0）、抖动、闪烁和归一化噪声能量（NNE）；空气动力学参数，包括最大发音时间（MPT）、平均气流率（MFR）和嗓音障碍指数-10（VHI-10）评分；以及等级、粗糙度、呼吸感、气喘和应变量表（GRBAS）评分：结果：治疗前，两组的 F0、抖动、颤动、NNE、MPT 和 MFR 值以及 VHI-10 评分和 GRBAS 的等级 (G)、粗糙度 (R) 和呼吸困难 (B) 评分没有显著差异（P > 0.05）。然而，与治疗后的 RG 相比，OG 的 F0、抖动、闪烁、NNE 和 MFR 值明显降低，MPT 水平明显升高（P < 0.001）。此外，治疗后，OG 的 VHI-10 评分以及 G、R 和 B 评分均显著低于 RG（P < 0.001），而气喘（A）和应变（S）评分在治疗前后均保持为 0：结论：Akson疗法可在一定程度上改善功能性发音障碍患者的声学参数，具有潜在的应用价值。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.