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Trajectory of Voice Rehabilitation in Ortner’s Syndrome: A Case Report 奥特纳氏综合征的语音康复轨迹:1例报告
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2021.00584
Vijay Kumar, Akriti Kumar, Anjali Sharma
Ortner’s syndrome is characterized with hoarseness of voice due to left recurrent laryngeal nerve palsy and is primarily caused by cardiovascular disease. Based on the concurrent impairment of both the heart and voice, it is also described as Cardio-Vocal syndrome. Hoarseness and breathiness, are the core voice features of Ortner’s syndrome, occurring in children and adults alike. Formal and customized vocal rehabilitation using symptomatic voice therapy approach can elicit remarkable voice improvement in such cases. In this case study, a 28 years old female with such cardiac pathology and voice symptoms is documented. Vocal rehabilitation was initiated, after medical intervention. Normal voice characteristic was achieved within nine sessions of voice therapy as evident in pre and post therapy comparison of acoustic and perceptual parameters. This finding is imperative to the narratives of such rare cases, as it emphasizes on the early intervention. The results suggest that management plays a vital role in restoration of vocal characteristics in cases where otherwise there could have been a permanent damage. There are a few literatures on the voice profile of persons with Ortner’s syndrome however, no study, to the best of our exhaustive search, has been reported on vocal rehabilitation profile on Ortner’s syndrome. The present study explores the trajectory of voice recovery in Ortner’s syndrome.
Ortner综合征以左喉返神经麻痹引起的声音嘶哑为特征,主要由心血管疾病引起。基于心脏和声音同时受损,它也被称为心声综合征。声音嘶哑和呼吸急促是奥特纳综合症的核心声音特征,儿童和成人都有可能出现。在这些病例中,使用对症语音治疗方法进行正式和定制的语音康复可以引起显着的语音改善。在这个案例研究中,记录了一名28岁的女性,患有这种心脏病理和声音症状。在医疗干预后,开始了声带康复。正常的声音特征在九个疗程的声音治疗中达到,这在治疗前后声学和感知参数的比较中很明显。这一发现对这种罕见病例的叙述是必要的,因为它强调了早期干预。结果表明,在可能造成永久性损伤的情况下,管理在恢复声带特征方面起着至关重要的作用。关于Ortner 's综合征患者的声音特征的文献很少,但是,据我们详尽的搜索,尚未有关于Ortner 's综合征患者的声音康复特征的研究报道。本研究探讨了奥特纳综合征的语音恢复轨迹。
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引用次数: 0
Current Perceptions and Unmet Needs of People with Parkinson Disease and their Families 帕金森病患者及其家庭的当前认知和未满足的需求
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2022.00759
Sabiha Parveen, Jaelan Moore
Purpose: A new diagnosis of Parkinson disease (PD) occurs every nine minutes in the United States. It is a multimodality neurogenic disorder whose prevalence is expected to only increase worldwide in the coming decades. Therefore, a systematic examination of the current perception of PD symptoms and the different unmet needs of people with PD and their families can allow healthcare professionals to design more effective education, awareness, and management programs. The current study examined perceptions of different PD-related symptoms among individuals with PD and care partners (including spouses and family members) living in different communities of the United States (including Oklahoma and surrounding regions).Methods: The study included 39 participants with PD and 11 care partners based in four states (including Arkansas, Kansas, Oklahoma, and Texas).Results: Findings indicated that participants with PD and care partners more frequently reported motor symptoms associated with PD than nonmotor and communication symptoms. In addition, specific to unmet needs, both groups reported the need for specialized services and educational resources related to PD symptoms in their respective communities.Conclusions: Overall, there is a need for more widespread education and access to specialized services specific to PD. Overall, findings from the study will help create more effective service delivery programs for individuals with PD and their families in different communities.
目的:在美国,每9分钟就有1例帕金森病(PD)的新诊断。它是一种多模态神经源性疾病,其患病率预计在未来几十年内只会在全球范围内增加。因此,系统地检查目前对PD症状的认识,以及PD患者及其家庭的不同未满足需求,可以使医疗保健专业人员设计更有效的教育、认识和管理方案。目前的研究调查了生活在美国不同社区(包括俄克拉何马州及周边地区)的PD患者及其护理伙伴(包括配偶和家庭成员)对PD相关症状的不同看法。方法:该研究包括来自四个州(包括阿肯色州、堪萨斯州、俄克拉荷马州和德克萨斯州)的39名PD患者和11名护理伙伴。结果:研究结果表明,PD患者和护理伙伴更频繁地报告与PD相关的运动症状,而不是非运动和交流症状。此外,针对未满足的需求,两组报告了各自社区对PD症状相关的专门服务和教育资源的需求。结论:总体而言,需要更广泛的教育和获得针对PD的专门服务。总的来说,研究结果将有助于为不同社区的PD患者及其家庭创建更有效的服务提供方案。
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引用次数: 0
A Pilot Study to Evaluate the Effectiveness of Parent mediated Group Intervention Program for Developmental Language Disorders 发展性语言障碍的家长团体干预效果评估的初步研究
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2021.00486
R Vrinda, Suja Kurian Kunnath
Purpose: This paper attempts to explore the significance of parent-mediated group intervention for children with developmental language disorder. The implementation of group intervention programs with the active involvement of parents creates opportunities for peer interaction in realistic settings and parents becoming more invested in the intervention process through direct observation and active participation.Methods: Eight parent child dyads participated in the group intervention. The participants were native Malayalam speakers in the age range of 3-4 years. 25 sessions were provided with intervention focused on language as well as emergent literacy skills. Vignettes are provided to demonstrate the program’s structure. Pre and post receptive expressive language scores and emergent literacy scores were assessed using Assessment of Language Disorders and Get Ready to Read.Results: The results indicated that parent mediated group intervention was effective for children with developmental language disorder. All children, with the exception of one, achieved age-appropriate language scores and improvement in emergent literacy skills. Despite the fact that all of the children’s emergent literac scores improved after intervention, none of the children’s scores exceeded the average, implying that much more focused and rigorous attention is required for training of emergent literacy skills.Conclusions: This paper calls attention to the practicality of parent mediated group intervention for children with developmental language disorders through which more children can be served in a cost and time efficient way. It emphasizes the importance of involving parents in sessions to improve speech and language skills as well as emergent literacy.
目的:探讨父母介导的群体干预对发展性语言障碍儿童的影响。在父母的积极参与下,团体干预计划的实施为现实环境中的同伴互动创造了机会,父母通过直接观察和积极参与,在干预过程中投入更多。方法:8对亲子对参与小组干预。参与者的母语是马来亚拉姆语,年龄在3-4岁之间。提供了25次会议的干预,重点是语言和新兴的识字技能。提供小插图来演示程序的结构。接受前和接受后表达性语言得分和突发读写能力得分采用语言障碍评估和阅读准备评估进行评估。结果:父母介导的团体干预对发育性语言障碍儿童有较好的干预效果。除了一个孩子之外,所有的孩子都达到了与年龄相适应的语言分数,并提高了读写能力。尽管在干预后,所有儿童的紧急读写能力得分都有所提高,但没有一个孩子的得分超过平均水平,这意味着对紧急读写能力的训练需要更加集中和严格的关注。结论:本研究呼吁关注父母介导的发展性语言障碍儿童群体干预的可行性,通过这种方式可以以成本和时间效益的方式为更多的儿童提供服务。它强调了让父母参与提高演讲和语言技能以及新兴读写能力的课程的重要性。
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引用次数: 0
The Effect of Dysphagia on Quality of Life in Stroke Patients 吞咽困难对脑卒中患者生活质量的影响
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2023.00955
Mohammad Al Rjoob, Nik Fariza Husna Nik Hassan, Mohd Azmarul A Aziz, Faiz Mustafar, Mohd Normani Zakaria
Purpose: Dysphagia is a prevalent condition following a stroke. Dysphagia and its implications negatively affect quality of life (QOL) aspects. The purpose of this study was to measure the effect of dysphagia on QOL aspects, and to explore its association with sociodemographic factors.Methods: This cross-sectional study included 31 stroke patients with dysphagia. The effect of dysphagia on QOL aspects was measured using the Dysphagia Handicap Index (DHI). Demographic variables included gender, age, educational level, annual family income and the time of onset of dysphagia.Results: The majority of the participants (61.3%) were male, and 67.7% were between 60-70 years old. The onset of dysphagia was less than three months for most of the patients (61.3%). The mean±SD of the DHI total score was 53.5±9.6. Furthermore, the study’s findings revealed significant mean differences in the physical subscale (p=0.003), emotional subscale (p=0.020), and the DHI total score (p=0.005) between groups with different onsets of dysphagia. This means that the effect of dysphagia on physical and emotional aspects, as well as overall quality of life, diminishes over time following a stroke.Conclusions: This study’s results underscore the adverse effect of dysphagia on QOL aspects in stroke patients, with a gradual reduction in this impact over the post-stroke period.
目的:吞咽困难是中风后常见的症状。吞咽困难及其影响生活质量(QOL)方面。本研究的目的是测量吞咽困难对生活质量的影响,并探讨其与社会人口因素的关系。方法:本横断面研究纳入31例脑卒中吞咽困难患者。使用吞咽困难障碍指数(DHI)测量吞咽困难对生活质量的影响。人口统计学变量包括性别、年龄、教育水平、家庭年收入和吞咽困难的发病时间。结果:参与者以男性居多(61.3%),67.7%年龄在60-70岁之间。大多数患者(61.3%)出现吞咽困难的时间少于3个月。DHI总分的平均值±SD为53.5±9.6。此外,本研究结果显示,不同吞咽困难发作组在身体分量表(<i>p</i>=0.003)、情绪分量表(<i>p</i>=0.020)和DHI总分(<i>p</i>=0.005)上的平均差异具有统计学意义。这意味着吞咽困难对身体和情感方面以及整体生活质量的影响会随着中风后的时间而减弱。结论:本研究的结果强调了吞咽困难对脑卒中患者生活质量方面的不良影响,这种影响在脑卒中后逐渐减少。
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引用次数: 0
Research on the methodology of LSA with preschool children: a scoping review 学龄前儿童LSA的方法论研究:范围综述
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2022.00738
Ulrike Lüdtke, Hanna Ehlert, Dana Gaigulo, Juan Bornman
Purpose: Language Sample Analysis (LSA) is a prominent method in researching language development and is also used in clinical practice in the speech-language pathology (SLP) discipline. This scoping review aims to describe current contributions of research on LSA methodology, identify research gaps and explore areas of future advancement of LSA methodology related to its five components: determining the sample length/size, collecting, transcribing, coding and analyzing the sample.Methods: A scoping review was conducted of studies on LSA methodology published between 2010–2020 that focused on preschool children. Relevant electronic databases and research platforms were searched using the PRISMA method for data identification, screening, selection and extraction.Results: Of the 213 identified studies, 61 met the inclusion criteria, covering all aspects of the LSA process. Overall, a wide variability in study designs and research foci were found, reflecting the broad applicability of LSA. The two LSA aspects addressed most frequently are the first and last of the five LSA components: determining the length (or size) of the language sample and analyzing the sample. The methodological variability hinders the comparison of evidence and drawing implications which negatively impacts on research and clinical SLP practice.Conclusions: Besides expanding research on LSA for multilingual children and establishing LSA guidelines for specific contexts, age groups and language backgrounds, it appears as if technological development, particularly in the (semi)automatic transcription, codin
目的:语言样本分析(Language Sample Analysis, LSA)是研究语言发展的一种重要方法,在言语语言病理学(speech-language pathology, SLP)学科的临床实践中也有应用。本综述旨在描述LSA方法研究的当前贡献,确定研究空白,并探讨LSA方法未来发展的五个组成部分:确定样本长度/大小,收集,转录,编码和分析样本。方法:对2010-2020年间发表的以学龄前儿童为研究对象的LSA方法进行范围综述。采用PRISMA方法检索相关电子数据库和研究平台,进行数据识别、筛选、选择和提取。结果:在213项研究中,61项符合纳入标准,涵盖了LSA过程的所有方面。总体而言,研究设计和研究重点存在很大差异,反映了LSA的广泛适用性。最常涉及的两个LSA方面是五个LSA组件中的第一个和最后一个:确定语言样本的长度(或大小)和分析样本。方法的可变性阻碍了证据的比较和得出的结论,这对研究和临床SLP实践产生了负面影响。结论:除了扩大对多语言儿童的LSA研究,并为特定的语境、年龄组和语言背景建立LSA指南外,似乎技术的发展,特别是在(半)自动转录,编码方面
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引用次数: 0
The Impact of High-Contact Sports on Memory and Auditory Comprehension in Young Athletes following Sports-Related Concussions 高接触运动对年轻运动员运动相关脑震荡后记忆和听觉理解的影响
Q4 Health Professions Pub Date : 2023-08-31 DOI: 10.21849/cacd.2022.00640
Hyunsoo Yoo, Bess-Sirmon Taylor
Purpose: we investigated whether memory and language abilities differ by sports played (football, basketball, and ice hockey) following Sport-Related Concussions (SRCs).Methods: A total of 74 young athletes with mild TBI were enrolled in this study and all participants specifically from Sports-Related Concussions. The group of 74 participants with mTBI from SRCs was divided into three groups by the sports played: football (N=35), basketball (N=19), and ice hockey (N=20).Results: The Multivariate Analysis of Variance (MANOVA) was conducted on the two selected variables, verbal memory composite scores and CRTT-Efficiency Scores. The results of the MANOVA demonstrated that there were no significant differences across three sports group.Conclusions: The primary goal of the current study was to investigate whether measurement of cognitivelinguistic function across three different high-contact sports showed significant differences on young athletes’ memory and language performance following sport-related concussions (SRCs). The results revealed that verbal memory and auditory comprehension at a sentence level were not statistically significantly different across three main high-contact sports following SRCs.
目的:我们调查运动相关脑震荡(src)后的记忆和语言能力是否因运动(足球、篮球和冰球)而不同。方法:共有74名患有轻度TBI的年轻运动员参加了这项研究,所有参与者都来自运动相关脑震荡。74名来自西南偏南地区的mTBI参与者按运动项目分为三组:足球(N=35)、篮球(N=19)和冰球(N=20)。结果:对言语记忆综合得分和crtt效率得分两个选择变量进行了多变量方差分析(MANOVA)。方差分析的结果表明,三个运动组之间没有显著差异。结论:本研究的主要目的是调查在三种不同的高接触运动中,认知语言功能的测量是否对运动相关脑震荡(src)后的年轻运动员的记忆和语言表现有显著差异。结果显示,三种主要高接触运动在句子水平上的言语记忆和听觉理解差异无统计学意义。
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引用次数: 0
Provision of Maintenance Therapy for People Who Stutter Via Telepractice 通过远程诊疗为口吃者提供维持治疗
Q4 Health Professions Pub Date : 2023-04-30 DOI: 10.21849/cacd.2021.00332
P. Briley, Claire Brownlow, Charles Ellis
Purpose: People who stutter (PWS) who have completed intensive programs commonly face issues with relapse. A confounding factor to relapse is the availability of speech-language pathologists who specialize in the treatment of stuttering. A possible solution to these issues is a telepractice approach to treatment maintenance following an intensive program. Therefore, the current project examined whether a tele-delivered maintenance program could be utilized to maintain and improve upon speech related outcomes obtained in an intensive treatment program.Methods: Participants included 6 children who stutter and 4 adults who stutter. Each participant completed a university intensive treatment program and also agreed to take part in 12 tele-delivered maintenance sessions following the intensive program. The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) was utilized for outcome measures.Results: Significant improvement was found on the OASES’ overall impact score when comparing pre- and post-telepractice maintenance, (Z=-2.81, p=0.005). Additionally, participants experienced significant improvement in participants’ perceptions of their speaking abilities (Z=-2.45, p=0.014) and in overall quality of life (Z=-2.07, p=0.038).Conclusions: While PWS are faced with challenges when seeking to improve upon communication skills, the current study offers additional evidence that telepractice is a viable delivery option for the maintenance of therapeutic gains.
目的:结巴(PWS)的人谁完成了强化课程通常面临复发的问题。复发的一个混杂因素是专门治疗口吃的语言病理学家的可用性。这些问题的一个可能的解决方案是在密集的治疗方案之后采用远程实践方法来维持治疗。因此,目前的项目研究了是否可以利用远程交付的维护程序来维持和改善在强化治疗程序中获得的与语言相关的结果。方法:研究对象包括6名口吃儿童和4名口吃成人。每位参与者完成了一项大学强化治疗计划,并同意在强化计划之后参加12次远程交付的维护课程。结果测量采用说话人口吃体验综合评估(OASES)。结果:在远程医疗维持前后比较,OASES的总体影响评分有显著改善(Z=-2.81, p=0.005)。此外,参与者对自己的口语能力(Z=-2.45, p=0.014)和整体生活质量(Z=-2.07, p=0.038)的感知也有了显著改善。结论:虽然PWS在寻求提高沟通技巧时面临挑战,但目前的研究提供了额外的证据,证明远程医疗是维持治疗效果的可行选择。
{"title":"Provision of Maintenance Therapy for People Who Stutter Via Telepractice","authors":"P. Briley, Claire Brownlow, Charles Ellis","doi":"10.21849/cacd.2021.00332","DOIUrl":"https://doi.org/10.21849/cacd.2021.00332","url":null,"abstract":"Purpose: People who stutter (PWS) who have completed intensive programs commonly face issues with relapse. A confounding factor to relapse is the availability of speech-language pathologists who specialize in the treatment of stuttering. A possible solution to these issues is a telepractice approach to treatment maintenance following an intensive program. Therefore, the current project examined whether a tele-delivered maintenance program could be utilized to maintain and improve upon speech related outcomes obtained in an intensive treatment program.Methods: Participants included 6 children who stutter and 4 adults who stutter. Each participant completed a university intensive treatment program and also agreed to take part in 12 tele-delivered maintenance sessions following the intensive program. The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) was utilized for outcome measures.Results: Significant improvement was found on the OASES’ overall impact score when comparing pre- and post-telepractice maintenance, (Z=-2.81, p=0.005). Additionally, participants experienced significant improvement in participants’ perceptions of their speaking abilities (Z=-2.45, p=0.014) and in overall quality of life (Z=-2.07, p=0.038).Conclusions: While PWS are faced with challenges when seeking to improve upon communication skills, the current study offers additional evidence that telepractice is a viable delivery option for the maintenance of therapeutic gains.","PeriodicalId":10238,"journal":{"name":"Clinical Archives of Communication Disorders","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41843034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of Metaphor Reasoning Comprehension in Infants 婴儿隐喻推理理解能力的发展
Q4 Health Professions Pub Date : 2023-04-30 DOI: 10.21849/cacd.2023.00997
Eun Kyoung Lee, Seong-Hee Choi
Purpose: This study investigated the development of early metaphor comprehension based on gender and age in preschool children and measured its correlation with vocabulary acquisition.Methods: A total of forty-nine Korean preschoolers aged 4 to 6 years old (17 boys, 32 girls) with normal receptive and expressive vocabulary development were included in this study. Children were divided into three groups depending on age, their mean ages being 4;8, 5;4, 6;3, respectively. Metaphor reasoning comprehension was measured using MRAC(Metaphor and Reasoning Comprehension Test), and children were asked to listen to a sentence and point to one of the three pictures.Results: There was no significant difference among the groups in the metaphor reasoning score by age and gender of preschool children (p>0.05). In addition, the Pearson correlation showed a positive relationship between metaphor and reasoning comprehension scores, as well as receptive vocabulary scores (r=0.302, p=0.035) and a positive relationship between metaphor and reasoning comprehension scores and expressive vocabulary scores (r=0.314, p=0.028). In addition, most errors occur in understanding the literal meaning rather than the implied meaning or metaphor of the sentence.Conclusion: In early young children, vocabulary plays an essential role in the metaphor interpretation process. However, to better understand the development of metaphor language comprehension in preschool children, exploring other factors affecting their ability to understand metaphor language and investigating their relationships is necessary.
目的:本研究调查了学龄前儿童基于性别和年龄的早期隐喻理解的发展,并测量了其与词汇习得的相关性。方法:本研究共纳入49名4-6岁的韩国学龄前儿童(17名男孩,32名女孩),他们的接受和表达词汇发展正常。根据年龄将儿童分为三组,平均年龄为4岁;8、5;4、6;3。使用MRAC(隐喻和推理理解测试)来测量隐喻推理理解,并要求儿童听一个句子并指着三张图片中的一张。结果:各组学龄前儿童隐喻推理得分按年龄和性别差异无统计学意义(p>0.05)。此外,Pearson相关分析显示,隐喻与推理理解得分呈正相关,接受性词汇得分(r=0.302,p=0.035),隐喻和推理理解得分与表达性词汇得分呈正相关(r=0.314,p=0.028)。结论:在幼儿中,词汇在隐喻解释过程中起着至关重要的作用。然而,为了更好地理解学龄前儿童隐喻语言理解的发展,探索影响他们理解隐喻语言能力的其他因素并调查它们之间的关系是必要的。
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引用次数: 0
Impact of Face Masks on Acoustic Measures in Patients with Hyperfunctional Voice Disorders and Normal Speakers 面罩对功能性语音障碍患者和正常说话者声学测量的影响
Q4 Health Professions Pub Date : 2023-04-30 DOI: 10.21849/cacd.2022.00906
Seong Hee Choi, Deok Ae Kim
Purpose: Wearing face masks during the COVID-19 pandemic has become a very important hygiene measure to block or prevent respiratory droplets and infections. The purpose of this study is to explore the effect of wearing face masks on the acoustical measurement of voice and speech in patients with hyperfunctional voice disorders, and to present guidelines for wearing a mask when evaluating voice and speech.Methods: A total of 20 patients with hyperfunctional voice disorders who diagnosed with vocal nodules, muscle tension dysphonia, and adductor spasmodic dysphonia (14 females, 6 males, age=30.55±8.24) and age-and gender-matched 20 healthy adults (15 females, 5 males, age=27.31±7.52) were enrolled. All participants completed three speech tasks (sustained /a/vowel, CAPEV-3 all voiced sentence, and the ‘Kaeul’ standard passage- 2nd sentence) with their habitual pitch and loudness among the different mask conditions (No mask, surgical, and KF94). Acoustic analysis including perturbation and cepstral & spectral parameters was conducted with MDVP and ADSV.Results: For the healthy speakers, there were significantly lower in jitter (%), shimmer (%), and noise-to-harmonic (NHR) in no mask condition than in mask conditions, while there was no significantly different in perturbation measures (F0, jitter (%), shimmer (%), and NHR for patients. Vocal intensity was significantly reduced in mask-wearing conditions either surgical or KF94 mask with all speech tasks except sustained /a/ vowel phonation for patients. Cepstral peak prominence (CPP) was not significantly different among the different mask conditions in sustained /a/ vowel phonation and 3rd CAPEV sentence (all voiced sentence) in all groups. Both healthy speakers and patients showed significantly lower L/H ratio values in the no mask condition.Conclusions: Overall, in current study, wearing a mask or the type of face mask did not change time-based and cepstral acoustic parameters, while a spectral measure such as L/H ratio was significantly increased in mask-wearing conditions in patients with hyperfunctional voice disorders. These findings suggest that wearing either surgical or KF 94 masks could be a safe and relevant choice for acoustic perturbation and cepstral measures with /a/ vowel in hyperfunctional dysphonia.
目的:在新冠肺炎大流行期间,佩戴口罩已成为阻断或预防呼吸道飞沫和感染的重要卫生措施。本研究旨在探讨戴口罩对功能性语音障碍患者语音和言语声学测量的影响,并提出戴口罩评估语音和言语时的指导原则。方法:共纳入20例诊断为声带小结、肌张力性发声障碍、内收肌痉挛性发声障碍的功能性发声障碍患者(女性14例,男性6例,年龄30.55±8.24)和20例年龄和性别匹配的健康成人(女性15例,男性5例,年龄27.31±7.52)。所有参与者都完成了三个语音任务(持续/a/元音,CAPEV-3全发音句子,“Kaeul”标准段落-第二句),在不同的面具条件下(无面具,外科手术和KF94),他们的习惯音高和响度。用MDVP和ADSV进行了包括扰动、倒谱和频谱参数在内的声学分析。结果:健康说话者在无面罩条件下的抖动(%)、闪烁(%)和噪声谐波比(NHR)显著低于面罩条件,而患者在摄动测量(F0)、抖动(%)、闪烁(%)和NHR方面无显著差异。除了持续的/a/元音发声外,在所有语音任务中,佩戴外科口罩或KF94口罩的患者的声音强度都显着降低。不同掩模条件下各组在持续/a/元音发声和第3 CAPEV句(全浊音句)上的倒谱峰突出(CPP)无显著差异。在无口罩条件下,健康说话者和患者的L/H比值均显著降低。结论:总体而言,在本研究中,戴口罩或口罩类型不会改变基于时间和倒谱的声学参数,而在戴口罩的情况下,高功能语音障碍患者的频谱测量如L/H比显著增加。这些发现表明,在功能性发声障碍患者中,佩戴外科口罩或kf94口罩可能是一种安全且相关的声学干扰和/a/元音背侧措施的选择。
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引用次数: 0
Prevalence of tongue-tie and evaluation of speech sound disorder in young children 幼儿结舌的流行及言语语音障碍的评价
Q4 Health Professions Pub Date : 2022-12-31 DOI: 10.21849/cacd.2022.00787
Zahra Ghayoumi-Anaraki, Fatemeh Majami, Fatemeh Farahnakimoghadam, Seyede Mohadeseh Zohour Karbaf Barbari, Neda Tahmasebifard, J. Sarabadani
Purpose: Tongue-tie is a common congenital abnormality whose effect on speech sound disorders is controversial. The first purpose of this study was to determine the prevalence of tongue-tie in Persian speaking children aged 3–6 years. Second, compare the speech sound errors of children with tongue-tie with those of children without tongue-tie.Methods: 487 (206 female, 281 male) children aged 3–6 years were recruited for this study. Descriptive statistics were used to determine the prevalence of tongue-tie. Fisher’s exact test was performed to compare the speech sound errors of children with and without tongue-tie.Results: The prevalence of tongue-tie in children was 14.9%. These children showed a statistically significant difference in the production of the /s/, /z/, and /l/ sounds in both the initial and final positions of the word and the /t/ sound in the initial position of the word.Conclusions: While it is theoretically expected that the tongue-tie affects the production of anterior sounds, our clinical study shows speech sound disorder in only a limited number of cases. Therefore, it seems that surgical intervention on tongue-tie for sole purpose of speech improvement should be performed cautiously.
目的:舌结是一种常见的先天性畸形,其对语音障碍的影响存在争议。本研究的第一个目的是确定3-6岁说波斯语的儿童打结的流行程度。第二,比较结舌带儿童和非结舌带儿童的语音错误。方法:招募3-6岁儿童487例(女性206例,男性281例)。使用描述性统计来确定打结的流行程度。Fisher的精确测试是为了比较有和没有打结舌头的孩子的语音错误。结果:儿童结扎舌患病率为14.9%。这些孩子在单词的开头和结尾发出/s/、/z/和/l/音,以及在单词的开头发出/t/音方面表现出统计学上的显著差异。结论:虽然理论上认为舌结会影响前音的产生,但我们的临床研究表明,只有少数病例存在语音障碍。因此,单纯以改善言语能力为目的的结扎舌的手术治疗应谨慎进行。
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引用次数: 1
期刊
Clinical Archives of Communication Disorders
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