Exploring Biomechanical Correlates in Voice Analysis of Multiple Sclerosis Patients.

IF 1.1 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Folia Phoniatrica et Logopaedica Pub Date : 2024-07-19 DOI:10.1159/000540457

Tatiana Romero-Arias, Rocío Hernández-Velasco, Moisés Betancort, Patricio Mena-Chamorro, Lucía Sabater Gálvez, Adrián Pérez Del Olmo

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Abstract

Introduction: The predominant alterations in voice of patients with multiple sclerosis (MS) are phonatory instability, vocal asthenia and roughness, shortness of breath, hypophonia, and hypernasality. However, research on alterations of acoustic parameters has few studies and disparate results. The objective of this study was to investigate voice disturbances in patients with MS, both with objective measures (analysis of biomechanical) and subjective measures (scales and questionnaires).

Methods: This is an experimental study with a total of 20 participants with MS. Voice samples were collected, and biomechanical correlates were analyzed through the Clinical Voice Systems program, Online Lab App. The VHI-30 (Voice Handicap Index) questionnaire, the GRBAS (grade, roughness, breathiness, asthenia, strain) scale, and the Hospital Anxiety and Depression Scale were used as subjective measures.

Results: Ninety-five percentages of participants feel and describe dysphonic difficulties. Self-perception of vocal disability correlated with auditory vocal perceptual analysis in the sample of women.

Conclusion: The biomechanical parameters showed alterations in the strength of the glottic closure, the efficiency index, and the structural imbalance index.

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探索多发性硬化症患者嗓音分析中的生物力学相关性

导言：多发性硬化症（MS）患者嗓音的主要改变是发音不稳、声带发涩和粗糙、气短、低音量和低鼻音。然而，有关声学参数改变的研究很少，结果也不尽相同。本研究旨在通过客观测量（生物力学分析）和主观测量（量表和问卷调查）调查多发性硬化症患者的嗓音障碍：方法：对 20 名多发性硬化症患者进行实验研究。收集嗓音样本，并通过临床嗓音系统程序在线实验室 APP 分析生物力学相关性。VHI-30（嗓音障碍指数）问卷、GRBAS（等级、粗糙度、呼吸感、气喘、应变）量表和医院焦虑抑郁量表作为主观测量指标：95%的参与者感受到并描述了发音困难。结果：95%的参与者感觉并描述了发音困难，女性样本中嗓音残疾的自我感觉与听觉嗓音知觉分析相关：生物力学参数显示，声门闭合强度、效率指数和结构失衡指数都发生了变化。

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来源期刊

Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

2.30

自引率

10.00%

发文量

审稿时长

>12 weeks

期刊介绍： Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.