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Impact of COVID-19 on hearing aid users COVID-19对助听器使用者的影响
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00430
Gish Chacko, Udit Saxena, S. Kumar, Suresh Medisala
Purpose: An unexpected pandemic ‘COVID-19’ has arisen in the world which affected many lives either directly and/or indirectly. Coronavirus disease 2019 (COVID-19) is an acute respiratory illness caused by the newly identified β-coronavirus SARS-CoV-2 virus.Methods: COVID-19 has proven challenging to the public health system. Taking into account thehearing healthcare, an internet based survey was conducted to understand the effect COVID-19 has on the usage of hearing aid among its users during the pandemic and conditions such as lockdowns arise due to it. This study was carried out by the Department of Audiology, MAA Institute of Speech and Hearing, India, during the period of June-August 2020. The questionnaire consisted of 13 questions, developed and presented via “Google forms”. The questions in the questionnaire was based on the presumptive but common problems faced by the hearing aid users. The nature of the questions was specifically focused on the effect that pandemic and the resultant lockdowns have on the hearing aid usage. The survey was self-administered and the time taken would be 5-10 minutes. The respondents were asked to answer the survey with the best of their experience.Results: Overall, survey results showed that respondents faced variety of problems with their hearing aid usage during the pandemic and conditions arose due to it.Conclusions: COVID-19 has negatively affected the lives of many people with hearing loss in variety of ways. Further research is needed to provide effective solutions and make global strategies to tackle hearing aid usage related problems in these.
目的:世界上出现了一种意想不到的流行病“新冠肺炎”,直接和/或间接影响了许多人的生活。2019冠状病毒病(新冠肺炎)是一种由新发现的β冠状病毒SARS-CoV-2病毒引起的急性呼吸道疾病。方法:新冠肺炎已被证明对公共卫生系统具有挑战性。考虑到听力健康,进行了一项基于互联网的调查,以了解新冠肺炎在疫情期间对助听器用户使用的影响以及由此导致的封锁等情况。这项研究由印度MAA言语和听力研究所听力学系于2020年6月至8月期间进行。问卷由13个问题组成,通过“谷歌表格”编制和呈现。问卷中的问题是基于助听器使用者所面临的假定但常见的问题。问题的性质特别集中在疫情及其导致的封锁对助听器使用的影响上。调查是自行进行的,所需时间为5-10分钟。受访者被要求以他们最好的经验回答调查。结果:总体而言,调查结果显示,受访者在疫情期间使用助听器时面临各种问题,并因此出现了各种情况。结论:新冠肺炎以各种方式对许多听力损失者的生活产生了负面影响。需要进一步的研究来提供有效的解决方案,并制定全球战略来解决这些领域中与助听器使用相关的问题。
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引用次数: 1
Spectral/cepstral analyses of connected speech in parkinson’s disease as compared with sustained phonation before and after voice treatment 帕金森病患者连接语音的频谱/倒谱分析与语音治疗前后持续发声的比较
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00416
Ghadah G. Alharbi, M. Cannito, E. Buder, S. Awan
Purpose: The primary purpose of this study was to assess the effect of Lee Silverman Voice Treatment (LSVT®LOUD) on selected spectral/cepstral measures of voice in connected speech. Spectral/cepstral analyses also were used to descriptively compare changes in connected speech to those previously reported in sustained vowels. An additional goal was to examine individual differences in responses to LSVT across the spectral/cepstral measures.Methods: Nine adult participants with PD were examined in a pre/post treatment design. Speech recordings were obtained on three different days within one week before and one week after LSVT. Speech recordings were analyzed for cepstral peak prominence (CPP), CPP Standard Deviation (CPP-SD), Low/High Spectral Ratio (L/H SR), and Cepstral/Spectral Index of Dysphonia (CSID) using the Analysis of Dysphonia in Speech and Voice (ADSV) program.Results: CPP and CSID were the only measures that detect treatment-related changes in connected speech. Investigating individual differences demonstrated more participants exhibiting an improvement in sustained phonation than in connected speech.Conclusions: Cepstral/spectral measures have been shown to be valid measures for estimating dysphonia severity in both continuous speech and sustained vowels. In addition, it extends the use of the cepstral/spectral measures for characterizing speech and voice aspects prior to treatment and for quantifying treatment outcomes. Moreover, it supports the use of LSVT as a treatment approach for improving voice quality in addition to intensity in PD.
目的:本研究的主要目的是评估Lee Silverman语音治疗(LSVT®LOUD)对连接语音中语音的选定频谱/倒频谱测量的影响。频谱/倒谱分析也被用来描述性地比较连接语音的变化与先前报道的持续元音的变化。另一个目标是通过频谱/倒频谱测量来检查对LSVT反应的个体差异。方法:在治疗前/治疗后设计中对9名PD成年参与者进行检查。在LSVT前一周和后一周内的三个不同的日子获得语音记录。使用语音和语音中的发音障碍分析(ADSV)程序分析语音记录的倒谱峰突出度(CPP)、CPP标准差(CPP-SD)、低/高频谱比(L/H SR)和倒谱/发音障碍频谱指数(CSID)。结果:CPP和CSID是检测连接语音中与治疗相关变化的唯一指标。对个体差异的调查表明,更多的参与者在持续发声方面比在连接语音方面表现出改善。结论:倒谱/频谱测量已被证明是评估连续语音和持续元音发音困难严重程度的有效测量方法。此外,它扩展了倒谱/频谱测量的使用,用于在治疗前表征语音和语音方面,并用于量化治疗结果。此外,它支持使用LSVT作为一种治疗方法,除了改善PD的强度外,还可以改善语音质量。
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引用次数: 1
Development and usability of biofeedback system for water resistance therapy using sensor 基于传感器的水阻生物反馈系统的开发与应用
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00542
Seong Hee Choi, Geum Byeol Lim, H. Chae, J. Youn
Purpose: The purpose of this study was to develop a water cup device for voice therapy as a biofeedback device for water resistance therapy (WRT), one of the semi-occluded vocal tract exercises (SOVTEs) using sensors. In addition, we explore the usefulness of the system for training in voice therapy by implementing water resistance phonation through newly developed devices.Methods: Using Arduino, the water resistance value was measured using a water level sensor, and a system was developed to visually implement the water resistance value and duration of exhalation and vocalization according to the change in water level caused by bubbles. Visual feedback was provided using LED sensors that represent colors according to the height of the water level. The WRT step was performed on six normal adults (male 3 and female 3) to implement changes in water level change amplification rate according to tube diameter and depth, and quantitatively analyzed.Results: The experiment showed that different LED colors were displayed depending on the resistance value of the water level. The LED’s brightness decreased as the width of the silicone tube diameter became larger in the bubble according to the tube diameter. Moreover, compared to 5 mm or 7 mm, a tube diameter of 10 mm showed the lowest amplification rate, regardless of with or without phonation. A depth of 2 cm, with the tube tip submerged in water, demonstrated the lowest amplification rate with or without phonation, compared to 4, 7, and 10 cm.Conclusions: The newly developed cup device for water resistance therapy was easy to give visual feedback according to changes in water level and helped to identify objectively by quantifying the performance of the target. This system may help clinicians and patients not only in clinical situations but also in practice at home during voice training.
目的:本研究的目的是开发一种用于声音治疗的水杯装置,作为水阻疗法(WRT)的生物反馈装置,水阻疗法是一种使用传感器的半封闭声道练习(SOVTE)。此外,我们通过新开发的设备实现防水发声,探索了该系统在语音治疗训练中的有用性。方法:使用Arduino,使用水位传感器测量水阻力值,并开发了一个系统,根据气泡引起的水位变化,直观地实现水阻力值以及呼气和发声的持续时间。使用LED传感器提供视觉反馈,LED传感器表示根据水位高度的颜色。对6名正常成年人(男性3名和女性3名)进行WRT步骤,以根据管径和深度实现水位变化放大率的变化,并进行定量分析。结果:实验表明,根据水位的电阻值,可以显示不同的LED颜色。LED的亮度随着硅胶管直径在气泡中的宽度根据管径变大而降低。此外,与5毫米或7毫米相比,10毫米的管径显示出最低的扩增率,无论是否有发声。与4、7和10cm相比,管端浸入水中的深度为2cm时,无论是否发声,扩增率都最低。结论:新开发的用于耐水治疗的杯状装置易于根据水位变化提供视觉反馈,并有助于通过量化靶标的性能来客观识别。该系统不仅可以在临床情况下帮助临床医生和患者,而且可以在语音训练期间在家中练习。
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引用次数: 1
The effects of therapeutic group singing on voice, cough and quality of life in parkinson’s disease 治疗组唱歌对帕金森病患者嗓音、咳嗽及生活质量的影响
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00395
Cecilia Brooks, Daniel B. Porter, D. Furnas, J. Wingate
Purpose: To examine the effect of a group therapeutic singing intervention on voice, cough, and quality of life in persons with Parkinson Disease (PD) in a community-based outpatient setting using a repeated measures design.Methods: 19 volunteer participants with PD completed the study. Ten participants participated in the intervention and nine served voluntarily as controls. Participants completed one hour group singing sessions over 12 weeks led by a music therapist. Sessions consisted of 30 min of high intensity vocal exercise and 15 to 20 minutes of group singing. Data on phonation, speech, cough, and quality of life were collected pre-intervention and one week post intervention with final data collection 12 weeks post-intervention.Results: No significant change in voice measures although 50% of participants showed improvement. A main effect was found for breathiness (p=0.023), appropriate pitch level (p=0.037) and speaking rate (p=0.009). No main effect for cough but pairwise comparisons were nearly significant pre to post intervention (p=0.053) and pre-intervention to final follow up (p=0.023). No main effect found for QOL but singing participants demonstrated better QOL scores than controls.Conclusions: Results from this small sample suggest that there are some speech benefits from singing intervention as well as potential improvement in cough for airway clearance. Additional study is needed to confirm these results.
目的:采用重复测量设计,研究以社区为基础的门诊环境中,团体治疗性歌唱干预对帕金森病(PD)患者的声音、咳嗽和生活质量的影响。方法:19名PD患者志愿者完成了研究。10名参与者参加了干预,9名自愿作为对照组。参与者在音乐治疗师的带领下完成了为期12周的一小时集体歌唱课程。每节课包括30分钟的高强度声乐练习和15到20分钟的集体演唱。在干预前和干预后一周收集语音、言语、咳嗽和生活质量的数据,并在干预后12周收集最终数据。结果:尽管50%的参与者表现出改善,但语音测量没有显著变化。呼吸(p=0.023)、适当的音调水平(p=0.037)和说话速度(p=0.009)是主要影响因素。对咳嗽无主要影响,但两两比较干预前与干预后(p=0.053)和干预前与最终随访(p=0.023)接近显著。没有发现主要影响,但唱歌的参与者表现出比对照组更好的生活质量得分。结论:从这个小样本的结果表明,唱歌干预有一些语言方面的好处,以及潜在的改善咳嗽呼吸道清除。需要进一步的研究来证实这些结果。
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引用次数: 0
Speech sound production accuracy produced by North Korean defectors’ adolescent children born in China 在中国出生的脱北者青少年子女的语音制作精度
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00507
Eun Kyoung Lee, Hyun Jung Lee
Purpose:Children from North Korean defector families possess different characteristics from children with other multicultural and multilingual backgrounds in Korea, partially due to the fact that the number of children born in third countries is higher than those of children born in North Korea. The purpose of the study is to analyze the word-level speech sound productions of adolescent children of North Korean refugee mothers, primarily through a calculation of speech sound accuracy.Methods: The participants consisted of 11 adolescent children whose mothers were North Korean defectors, and whose fathers were Chinese. Participants’ speech sound production skills were assessed using 103 words from the KS-PAPT and U-TAP.Results: Korean defectors’ adolescent children have lower consonant accuracy (PCC= 79.14%) compared to vowel accuracy (PVC=94.71%). The consonant accuracy of liquid/ㄹ/ was significantly lower than those of other manners of articulation. The consonant accuracy of word-final codas was significantly lower than those of other positions in word.Conclusions: This current research has clinical implications for the assessment and analysis of the speech production abilities of the adolescent children of North Korean refugees.
目的:逃北者家庭的孩子与国内其他多文化、多语言背景的孩子有着不同的特点,部分原因是在第三国出生的孩子比在朝鲜出生的孩子多。本研究的目的是分析朝鲜难民母亲的青少年子女的词级语音产生,主要是通过语音准确性的计算。方法:研究对象为11名母亲为脱北者,父亲为中国人的青少年儿童。研究人员使用KS-PAPT和U-TAP中的103个单词来评估参与者的发声能力。结果:脱北青少年儿童的辅音正确率(PCC= 79.14%)低于元音正确率(PVC=94.71%)。液态/元音/的辅音准确性明显低于其他发音方式。词尾尾辅音的正确率显著低于词内其他位置。结论:本研究对北韩难民青少年儿童言语产生能力的评估与分析具有临床意义。
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引用次数: 0
Word association analysis of children with disabilities 残疾儿童的词联想分析
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00521
Sunhee Park
Purpose: This study aimed to compare the types of response words for stimuli in children with language impairment and normal children through the word association task.Methods: For this study, 60 children with language impairment aged 9-11 years old and 60 normal children of the same language age as them were selected. The list of stimulus words for the word association task consisted of 25 nouns, 6 verbs and 6 adjectives.Results: The research results were as follows. First, it was found that the appearance rate of association words in the form and syntax among the intra-linguistic association was higher in the children with language impairment than in the normal children, and the appearance rate of association words in the meaning and pragmatics was lower than that of the normal children. Second, in children with language impairment, the appearance rate of verb response words was high in the noun stimulus words, and the noun response words appeared high in the verb and adjective stimulus words.Conclusions: In conclusion, compared to the normal children, the form and syntax-oriented syntagmatic associative responses were higher than the semantic-oriented paradigmatic associative responses, indicating that the stimulus and response words were used side by side in sentences.
目的:本研究旨在通过单词联想任务比较语言障碍儿童和正常儿童对刺激的反应词类型。方法:本研究选取60名9-11岁的语言障碍儿童和60名与他们同龄的正常儿童。单词联想任务的刺激词列表由25个名词、6个动词和6个形容词组成。结果:研究结果如下。首先,研究发现,语言障碍儿童在语言内联想中,联想词在形式和句法方面的出现率高于正常儿童,而联想词在意义和语用方面的出现比率低于正常儿童。第二,在语言障碍儿童中,名词刺激词中动词反应词的出现率较高,动词和形容词刺激词中名词反应词出现率较高。结论:总之,与正常儿童相比,以形式和句法为导向的组合联想反应高于以语义为导向的范式联想反应,表明刺激词和反应词在句子中并列使用。
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引用次数: 0
Impact of deep brain stimulation surgery on speech and swallowing in patients with essential tremor 脑深部电刺激手术对特发性震颤患者言语及吞咽的影响
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00318
J. Kim, J. Hicks, L. Almeida, A. Wagle‐Shukla, Pamela Zeilman, K. Hegland
Purpose: The ventral intermediate nucleus (VIM) of the thalamus is the typical target of deep brain stimulation (DBS) for controlling tremor in essential tremor (ET). It remains unclear whether the outcomes are significantly different on speech and/or swallowing functions. This study was to compare speech and swallowing outcomes in patients with ET without VIM DBS, and those with unilateral/bilateral VIM DBS.Methods: We conducted a retrospective review of 133 patients with the diagnosis of ET. We analyzed the clinical speech and swallowing evaluations, and compared outcomes across four ‘DBS disposition’ groupings: no DBS, left, right, or bilateral VIM DBS.Results: Speech function was worse in bilateral group versus no DBS and unilateral groups. Orofacial (p=0.000), rate (p=0.001), and prosody (p=0.003) were significantly different between groups. No DBS and unilateral groups demonstrated either no dysarthria or mild hyperkinetic dysarthria versus exhibiting higher rates of dysarthria including an ataxic component in bilateral group. Bilateral group showed more impaired swallowing severity versus no DBS and unilateral groups, however, these differences were not statistically significant.Conclusions: The results demonstrated speech and swallowing changes in the ET patient population after VIM DBS. This data provides support for further study in order to better understand the speech and/or swallowing changes that may occur with VIM DBS.
目的:丘脑腹侧中间核(VIM)是脑深部刺激(DBS)控制原发性震颤(ET)的典型靶点。目前尚不清楚在言语和/或吞咽功能方面的结果是否有显著差异。本研究旨在比较无VIM-DBS的ET患者和单侧/双侧VIM-DBS患者的言语和吞咽结果。方法:我们对133名诊断为ET的患者进行了回顾性审查。我们分析了临床言语和吞咽评估,并比较了四个“DBS处置”组的结果:无DBS、左侧、右侧或双侧VIM-DBS。结果:双侧组的言语功能较无DBS组和单侧组差。两组之间的口齿(p=0.000)、比率(p=0.001)和韵律(p=0.003)有显著差异。没有DBS和单侧组表现出没有构音障碍或轻度高运动性构音障碍,而双侧组表现出更高的构音障碍发生率,包括共济失调成分。与无DBS组和单侧组相比,双侧组的吞咽受损程度更严重,但这些差异无统计学意义。结论:研究结果表明,VIM-DBS后ET患者群体的言语和吞咽发生了变化。这些数据为进一步研究提供了支持,以便更好地了解VIM-DBS可能发生的言语和/或吞咽变化。
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引用次数: 0
Effects of exercise on tests measuring attention and executive function in younger and older adults 运动对年轻人和老年人注意力和执行功能测试的影响
Q4 Health Professions Pub Date : 2021-04-30 DOI: 10.21849/CACD.2021.00360
Angela Burda, J. Baldwin, Johanna Cravatta, Jody Heetland, Kayla Jacobs, Hannah Merfeld, Jaden Rausch, Mallory Rinnels, Regan Zollman
Researchers have studied the effects of physical activity and measures of attention and executive function (EF) in adults across the lifespan. EF is a broad term that encompasses various complex cognitive processes used to analyze and assign meaning to incoming information, and these processes are often responsible for behaviors such as initiating, planning, organizing, sequencing, switching, inhibiting, and problem solving [1-7]. Having adequate EF allows individuals to competently function in daily life by assessing new incoming information, use prior knowledge from past experiences to anaPurpose: This study investigated whether or not performance differed between Young and Older Exercisers and between Young and Older Non-exercisers on the Attention Processing Training-Test (APT-Test), Behavioral Assessment of Dysexecutive Syndrome (BADS), and Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES).
研究人员研究了成年人一生中体育活动的影响以及注意力和执行功能的测量。EF是一个广义的术语,包括各种复杂的认知过程,用于分析和分配传入信息的含义,这些过程通常负责发起、计划、组织、排序、切换、抑制和解决问题等行为[1-7]。拥有足够的EF使个人能够通过评估新的输入信息、利用过去经验中的先验知识来胜任日常生活。目的:本研究调查了年轻和老年锻炼者以及年轻和老年非锻炼者在注意力处理训练测试(APT测试)中的表现是否存在差异,执行障碍综合征的行为评估(BADS)和言语推理和执行策略的功能评估(FAVRES)。
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引用次数: 0
A study on the present status of freelancers in speech-language rehabilitation 自由职业者言语语言康复现状研究
Q4 Health Professions Pub Date : 2020-12-31 DOI: 10.21849/CACD.2020.00297
M. Lee, Eun Kyoung Lee, HyunWook Park
Job hunting and job instability are reported through various media. In this reality, the standard employment type such as full-time employment due to employment instability gradually decreased and various irregular labor forms such as freelance or independent contractors and non-wage workers appeared. The number has increased in recent years, with the proportion of irregular labor forms in Korea as of 2018 the fifth highest in the OECD 35 countries [1,2]. Among the non-regular forms of labor, freelancers include non-wage workers, special workers, and one person business workers without employees, including all individuals who are not registered as business operators [3]. In the past, ‘freelancer’ was recognized as not a legal concept, nor a form of occupational group normally applied. However, the recent ‘freelancer’ is defined as a legal concept: Purpose: Corona-19 Infectious Diseases temporarily closed the workplace of speech therapists or temporarily suspended the work. Therefore, we investigated the current status of speech therapists in order to enact freelancer support ordinances of each local government and to urge language rehabilitation workers to support them.
求职和工作不稳定是通过各种媒体报道的。在这种现实中,由于就业不稳定,全职等标准就业类型逐渐减少,出现了自由职业者或独立承包人、无工资劳动者等各种非正规劳动形式。近年来,这一数字有所增加,截至2018年,韩国非正规劳动形式的比例在经合组织35个国家中排名第五[1,2]。在非正规劳动中,自由职业者包括无工资劳动者、特殊劳动者和没有雇员的一人经营劳动者,包括所有未登记为经营者的个人。在过去,“自由职业者”被认为不是一个法律概念,也不是一个通常适用的职业群体形式。然而,最近的“自由职业者”被定义为一个法律概念:目的:covid -19传染病暂时关闭语言治疗师的工作场所或暂时停止工作。因此,我们调查了语言治疗师的现状,以制定地方政府的自由职业者支持条例,并敦促语言康复工作者支持他们。
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引用次数: 1
Development and preliminary psychometric analysis of a quick screening form for referrals of individuals with neurogenic communication disorders to speechlanguage pathologists by laypersons 一种由非专业人员将神经源性沟通障碍患者转诊给语言病理学家的快速筛查表的开发和初步心理测量分析
Q4 Health Professions Pub Date : 2020-04-30 DOI: 10.21849/cacd.2019.00164
D. Ho, A. Kong, O. Yeung, S. W. Yeung
Neurogenic communication disorders, including aphasia (receptive and/or expressive language disorders), dysarthria and apraxia of speech (AOS) (motor speech disorders), are consequences of damages to the nervous system [1]. Kong [2] estimated that about 80,000 individuals were diagnosed with aphasia after stroke at a given time in Hong Kong. There was no information on the incidence of motor speech disorders. As cerebrovascular diseases have close associations with motor speech disorders [3,4], the prevalence of motor speech disorders should not be underestimated given the number of new cases with stroke every year in Hong Kong, i.e., 25,000 [5]. It is important to provide speech and language pathology services for individuals Purpose: The study aimed at developing and determining the preliminary reliability and validity of a new screening form for use by laypersons to refer individuals with neurogenic communication disorders to speech-language pathologists.
神经源性沟通障碍,包括失语症(接受性和/或表达性语言障碍)、构音障碍和言语失用症(AOS)(运动性言语障碍),是神经系统损伤的后果[1]。Kong[2]估计,在香港,约有80000人在特定时间被诊断为中风后失语症。没有关于运动言语障碍发生率的信息。由于脑血管疾病与运动言语障碍密切相关[3,4],鉴于香港每年新增脑卒中病例数为25000例,不应低估运动言语障碍的患病率[5]。为个人提供言语和语言病理学服务很重要目的:该研究旨在开发和确定一种新的筛查形式的初步可靠性和有效性,供非专业人员将神经源性沟通障碍患者转诊给言语病理学家。
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引用次数: 1
期刊
Clinical Archives of Communication Disorders
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