Voice Improvement after Voice Therapy in Female Patients with Unilateral Vocal Fold Paralysis after Thyroid Surgery.

IF 1.1 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Folia Phoniatrica et Logopaedica Pub Date : 2023-01-01 DOI:10.1159/000529573

Mila Veselinović, Renata Škrbić, Gordana Mumović, Danijela Dragičević, Dajana Despić, Vesela Milankov

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Abstract

Introduction: Dysphonic voice is present in patients with unilateral vocal fold paralysis (UVFP). The aim of this study was to present outcomes following rehabilitation of patients with UVFP, performed according to a voice therapy protocol.

Methods: This prospective study comprised 27 women with UVFP who underwent pre- and post-voice therapy assessment. The mean age of patients was 53.19 ± 10.06 years. The protocol included the following: (1) multidimensional assessment of voice quality before treatment; (2) digital laryngeal manipulation voice therapy; (3) voice therapy evaluation which implied repeated multidimensional assessment of voice.

Results: The results showed improvement in voice quality following voice therapy with regard to the parameters of the objective voice analysis (maximum fundamental frequency of voice, minimum intensity of voice, jitter, shimmer, harmonics-to-noise ratio, and signal-to-noise ratio, p ˂ 0.05), maximum phonation time, subjective analysis of voice, as well as self-assessment of voice quality on all the subscales and overall score (p ˂ 0.001).

Conclusion: Implementing a protocol provides clear guidelines at each stage of the treatment. Voice therapy performed using digital laryngeal manipulation improves the majority of the acoustic and perceptual characteristics of the voice.

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女性甲状腺手术后单侧声带麻痹患者嗓音治疗后的嗓音改善。

单侧声带麻痹(UVFP)患者存在发音障碍。本研究的目的是根据语音治疗方案，介绍UVFP患者康复后的结果。方法:这项前瞻性研究包括27名患有UVFP的妇女，她们接受了语音治疗前后的评估。患者平均年龄53.19±10.06岁。该方案包括以下内容:(1)治疗前语音质量的多维评估;(2)数字喉手法语音治疗;(3)语音治疗评价，即语音的重复多维评价。结果:在客观声音分析参数(声音的最大基频、声音的最小强度、抖动、闪烁、谐波噪声比和信噪比，p小于0.05)、最大发声时间、声音的主观分析、以及声音质量在所有分量表和总分上的自我评估(p小于0.001)方面，语音治疗后的语音质量有所改善。结论:实施方案在治疗的每个阶段提供了明确的指导方针。使用数字喉操作进行的语音治疗改善了声音的大部分声学和感知特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.