Revista de Logopedia, Foniatria y Audiologia最新文献

英文中文

Speech-in-noise recognition using a hearing test in Spanish: Data from a normal-hearing population 使用西班牙语听力测试识别噪音中的语音：来自听力正常人群的数据

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-17 DOI: 10.1016/j.rlfa.2025.100515

Marlene Rodríguez-Ferreiro , Victoria Marrero-Aguiar , Montserrat Durán-Bouza

Background and objective

The Speech in Noise Test in Spanish (Prueba Auditiva de Habla en Ruido en Español, PAHRE) is a recently developed test not only measures speech reception thresholds in noise but also assesses the decline in intelligibility across various signal-to-noise ratio values.

The primary objective of this study was to evaluate the speech-in-noise recognition ability of normal-hearing subjects using this speech-in-noise test in Spanish. The relationship between age and speech recognition in environments with background is assessed, as well as the possible benefits of the Lombard effect for rehabilitation.

Material and methods

A total of 143 normal-hearing participants were categorized into five age groups (18–39, 40–49, 50–59, 60–69, >70 years). The participants underwent a comprehensive 30-min hearing assessment, which included a battery of audiological tests, with a particular focus on the Speech in Noise Test in Spanish.

Results

The results enabled the establishment of psychometric functions illustrating decreases in intelligibility across various signal-to-noise ratio values. Furthermore, reference values for speech-in-noise recognition thresholds were delineated for each age group.

Conclusion

The findings underscored the efficacy of test in assessing signal-to-noise ratio loss within the Spanish-speaking population, facilitating the comparison of age-related declines in speech-in-noise recognition. The results also highlight the potential advantages of incorporating the Lombard effect into speech-in-noise tests.

背景和目的西班牙语噪声中的语音测试（Prueba Auditiva de Habla en Ruido en Español， PAHRE）是最近开发的一项测试，不仅测量噪声中的语音接收阈值，还评估各种信噪比值的可理解性下降。本研究的主要目的是利用西班牙语语音噪声测试来评估听力正常受试者的语音噪声识别能力。评估了年龄与背景环境下语音识别之间的关系，以及伦巴第效应对康复的可能益处。材料与方法143例听力正常者分为18-39岁、40-49岁、50-59岁、60-69岁和70岁5组。参与者接受了30分钟的全面听力评估，其中包括一系列听力学测试，特别关注西班牙语的噪音语音测试。结果建立了不同信噪比值下的可理解性下降的心理测量函数。此外，还为每个年龄组划分了噪声中语音识别阈值的参考值。结论本研究结果强调了该测试在评估西班牙语人群的信噪比损失方面的有效性，有助于比较年龄相关的噪音语音识别下降。研究结果还强调了将伦巴第效应纳入噪声语音测试的潜在优势。

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引用次数: 0

Encuesta sobre salud vocal en cantantes. Síntomas, hábitos y conocimiento de higiene vocal 歌手嗓音健康调查。语音卫生症状、习惯和知识

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-13 DOI: 10.1016/j.rlfa.2025.100514

Mercedes Llorente Santiago, Irene Sánchez Gómez

Backgrounds and objective

Singers depend greatly on their voice and any impairment of the phonatory system can harm their vocal health, well-being and professional performance. The main objective of this study is to analyze differences between singers with and without vocal pathology in terms of vocal symptoms, vocal hygiene-related behaviors, and knowledge of factors involved in vocal health.

Materials and method

To carry out this research, a sample of 43 singers has been collected and different aspects have been analyzed through an ad-hoc survey.

Results

The results show that vocal symptoms such as “difficulty reaching high notes” (62.8%), “loss of vocal flexibility” (58.1%) and “dryness in the throat” (55.8%) were those most frequently experienced by singers. Respondents with vocal pathology (VP) presented the symptoms “dryness in the throat”, “loss of flexibility” and “vocal fatigue” with a significantly higher frequency than singers without vocal pathology (NVP). A high percentage of participants with VP identified aspects such as emotional stress (83.3%) and speaking during laryngitis (87.5%) as harmful to their voice, but more than half were unaware of the negative effect of throat clearing, whispering and reflux.

Conclusions

It can be concluded that the vocal health of singers is characterized by a high prevalence of vocal symptoms and limited knowledge about vocal hygiene.

背景和目的歌手在很大程度上依赖于他们的声音，任何语音系统的损伤都会损害他们的声音健康、幸福和专业表现。本研究的主要目的是分析患有和未患有声乐病理的歌手在声乐症状、声乐卫生相关行为以及对声乐健康因素的了解方面的差异。材料与方法为开展本研究，选取了43名歌手作为样本，并通过特别调查对其进行了不同方面的分析。结果结果显示，歌手最常出现的发声症状为“难以达到高音”（62.8%）、“声音失去弹性”（58.1%）和“喉咙干燥”（55.8%）。有声带病理（VP）的受访者出现“喉咙干燥”、“失去柔韧性”和“声带疲劳”症状的频率明显高于无声带病理（NVP）的歌手。高比例的VP参与者认为情绪压力（83.3%）和喉炎期间说话（87.5%）等方面对他们的声音有害，但超过一半的人不知道清喉咙、低语和反流的负面影响。结论歌手的声乐健康表现为声乐症状的高发和对声乐卫生知识的缺乏。

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引用次数: 0

Análisis comparativo de los modos y funciones comunicativas en personas con enfermedades minoritarias: los casos de Syngap1 y de X frágil 少数群体疾病患者的交际模式和功能比较分析：Syngap1和脆性X

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-13 DOI: 10.1016/j.rlfa.2024.100512

Marina Calleja Reina , Antonio Javier Zurita Díaz , María Sotillo Méndez

Background and aim

Rare or minority diseases, with a prevalence of 1 per 2,000 inhabitants, can often cause complex communication needs and intellectual disabilities. The aim of this study is to compare the expressive communicative profiles in 2 groups of people with 2 rare disease diagnoses: Syngap1 syndrome and Fragile X syndrome.

Participants and method

Information was collected from 13 participants (7 with Syngap1: 2 boys and 5 girls, mean age 10.27 years; 6 with fragile minority.

Results

No significant differences were found in communicative modes or functions, except in non-verbal communication, where people with a Syngap1 diagnosis made greater use of vocalizations and gestures. The only difference in communicative functions was affirmation or denial, which was more frequent in the fragile X group.

Conclusion

Both groups have complex communication needs, although the fragile X group shows greater ability in the use of language.

背景和目的发病率为每2 000名居民中有1人患有少数族裔疾病，这些疾病往往会导致复杂的沟通需求和智力残疾。本研究的目的是比较两组患有两种罕见疾病的人的表达交际特征：Syngap1综合征和脆性X综合征。参与者和方法收集13名参与者的信息(7名使用Syngap1: 2名男孩，5名女孩，平均年龄10.27岁；6 .弱势群体。结果在交际方式或功能上没有发现显著差异，除了在非语言交际中，诊断为Syngap1的人更多地使用发声和手势。交流功能的唯一区别是肯定或否认，这在脆性X组中更常见。结论虽然脆弱的X组表现出更强的语言使用能力，但两组都有复杂的沟通需求。

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引用次数: 0

La voz en la atrofia muscular espinal. Una revisión no sistemática 声音在脊髓肌肉萎缩。不系统的审查

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100513

Celia Alba de la Torre

Spinal muscular atrophy is a recessive autosomal neuromuscular disease that causes degeneration of alpha motor neurons in the spinal cord and dysfunction of the neuromuscular junction, which causes a progressive muscular weakness and hypotonia affecting the limbs, axial musculature, and respiratory musculature. It can also concur with bulbar dysfunction, which affects the glossopharyngeal, vagus, accessory and hypoglossal nerves. In such cases, it can cause dysphagia, dysarthria, flaccid paralysis, atrophy and fasciculation of the muscles innervated by said cranial nerves. Regarding vocal function, there are few works that describe it thoroughly. The goal of this work is to put forward a state of the art about what is known about voice in SMA. A non-systematic review of works mentioning voice in SMA has been carried out against the databases of PubMed, ScienceDirect and Google Scholar. The features of voice in SMA found in the articles are: vocal weakness, low intensity, velar and pharyngeal hypotonia, nasality, wet voice, and bilateral cordal palsy. It is necessary to carry over a more detailed assessment of vocal conditions in SMA patients in order to complete current knowledge about the natural history of the disease, and in order to objectify the progress of said patients in clinical trials.

脊髓性肌萎缩症是一种隐性常染色体神经肌肉疾病，引起脊髓α运动神经元变性和神经肌肉连接处功能障碍，导致进行性肌肉无力和张力低下，影响四肢、轴向肌肉组织和呼吸肌肉组织。它也可合并球功能障碍，影响舌咽神经、迷走神经、副神经和舌下神经。在这种情况下，它会导致吞咽困难，构音障碍，弛缓性麻痹，萎缩和由颅神经支配的肌肉的束状。关于声乐功能，很少有著作对其进行深入的描述。这项工作的目标是提出关于SMA中语音的已知技术的最新状态。针对PubMed、ScienceDirect和b谷歌Scholar的数据库，对提到SMA语音的作品进行了非系统综述。文章中发现的SMA的语音特征为：声音无力、低强度、膈肌和咽部张力低下、鼻音、湿音、双侧声带麻痹。有必要对SMA患者的声带状况进行更详细的评估，以完成目前对该疾病自然史的了解，并使所述患者在临床试验中的进展客观化。

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引用次数: 0

User profiles and auditory-perceptual evaluations upon the launch of the All-Voiced app for voice evaluation: Initial insights and training potential 全语音评估应用上线后的用户档案和听觉感知评估：初步见解和培训潜力

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2024.100511

Neus Calaf

Introduction

Auditory-perceptual evaluation is key for diagnosing voice disorders, but variability in judgments underscores the need for improved training materials. The All-Voiced app was developed to enhance consistency in evaluations through real-time feedback and data-driven training.

Objective

To present preliminary findings from the first 75 days following the launch of the latest version of the app (September 2024), focusing on user profiles and voice evaluations, exploring the app's potential for deeper insights as more data is gathered.

Method

The latest version of the All-Voiced app, launched in September 2024, includes a fully integrated backend for data collection from users who provide consent. The app enables users to practice voice evaluations, receive feedback, and contribute to research. Descriptive statistics were used to analyze user profiles and evaluations from the first 75 days post-launch of this latest version. Box plots and scatter plots were used to compare the evaluations of All-Voiced users with PVQD ratings (Walden, 2022) across different competence levels.

Results

A total of 264 participants registered in the app, with daily registration patterns showing consistent activity. Most participants were aged 21–30 (49%), identified with “she/her” pronouns (88%), and were from the United States (51%). The majority were speech-language pathologists (78%), and 40% were beginners in terms of competence level. A total of 557 evaluations were collected across 112 voice samples. Analysis of the three most frequently evaluated voice samples revealed distinct patterns of consensus among evaluators with varying levels of expertise, hinting at trends that could have significant implications as more data is collected.

Conclusion

The All-Voiced app has been well received, particularly by speech-language pathologists, highlighting its promise as a tool for auditory-perceptual training. By collecting and analyzing large-scale data, the app holds potential to address limitations in the subjective nature of evaluations, enhance reliability, and support evidence-based practices in voice disorders management.

听力-知觉评估是诊断声音障碍的关键，但判断的可变性强调了改进训练材料的必要性。开发all - voice应用程序是为了通过实时反馈和数据驱动的培训来提高评估的一致性。目的介绍最新版本app（2024年9月）发布后75天的初步调查结果，重点关注用户资料和语音评估，随着收集到的数据越来越多，探索app的潜力，以获得更深入的见解。最新版本的all - voice应用于2024年9月推出，包括一个完全集成的后端，用于从提供同意的用户那里收集数据。该应用程序允许用户练习语音评估，接收反馈，并为研究做出贡献。我们使用描述性统计来分析这个最新版本发布后75天内的用户概况和评价。使用箱形图和散点图比较了不同能力水平的全语音用户与PVQD评分（Walden, 2022）的评价。结果共有264名参与者在应用程序中注册，每日注册模式显示一致的活动。大多数参与者年龄在21-30岁之间（49%），人称“她/她”（88%），来自美国（51%）。以语言病理学家居多（78%），能力水平为初学者的占40%。总共收集了112个语音样本的557个评价。对三个最常被评估的声音样本的分析揭示了不同专业水平的评估者之间的不同共识模式，暗示了随着收集更多数据可能产生重大影响的趋势。all -浊音应用程序受到了广泛的欢迎，尤其是在语言病理学家中，这凸显了它作为听觉感知训练工具的前景。通过收集和分析大规模数据，该应用程序有可能解决评估主观性质的局限性，提高可靠性，并支持声音障碍管理的循证实践。

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引用次数: 0

1. Recopilatorio de estrategias tempranas comunicativas realizadas por los padres para niños con diagnóstico de Autismo 1. 为诊断为孤独症的儿童开展的家长早期沟通策略汇编

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100521

María Teresa Rodríguez Fernández, Tutora: María Consuelo Martín Huguet

引用次数: 0

Validación y precisión diagnóstica del Índice Acústico Calidad Vocal v03.01 en las lenguas catalana y española para su uso clínico en población bilingüe 在双语人群中临床使用的加泰罗尼亚语和西班牙语声音质量指数v03.01的验证和诊断准确性

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2024.100510

Josep Vila-Rovira

Objective

To determine the validity and diagnostic accuracy of the AVQI in Catalan and Spanish, to define a cut-off point and to assess the equivalence of the Catalan and Spanish versions in a bilingual population.

Methodology

The study was carried out with a sample of 214 participants with normal and dysphonic voices. All of them were native speakers of Catalan and Spanish and residents of Catalonia. AVQI scores were calculated. Four speech-language pathologists, native speakers of Catalan and Spanish, were in charge of scoring the voice samples based on the CAPE-V index. Inter-rater reliability, concurrent validity, diagnostic accuracy and cut-off points were assessed.

Results

AVQI and CAPE-V scores showed significant correlations (r = 0.724 and r = 0.737, in Catalan and Spanish, respectively). Areas under the curve (AUC) for the AVQI-C were 0.829 (95% CI: 0.775-0.882) and an AUC of 0.856 (95% CI: 0.807-0.905) for the AVQI-E. Mean AVQI scores in Catalan and Spanish were significantly different.

Conclusions

The Catalan and Spanish adaptations of the AVQI are valid for clinical use for the acoustic assessment of general voice quality in a bilingual context.

目的确定加泰罗尼亚语和西班牙语AVQI的有效性和诊断准确性，确定分界点，并评估加泰罗尼亚语和西班牙语版本在双语人群中的等效性。该研究是在214名正常和不正常声音的参与者中进行的。他们的母语都是加泰罗尼亚语和西班牙语，都是加泰罗尼亚的居民。计算AVQI评分。四名以加泰罗尼亚语和西班牙语为母语的语言病理学家负责根据CAPE-V指数对语音样本进行评分。评估了量表间信度、并发效度、诊断准确性和分界点。结果savqi和CAPE-V评分在加泰罗尼亚语和西班牙语中分别呈显著相关（r = 0.724和r = 0.737）。AVQI-C的曲线下面积（AUC）为0.829 (95% CI: 0.775-0.882)， AVQI-E的AUC为0.856 （95% CI: 0.807-0.905）。加泰罗尼亚语和西班牙语的AVQI平均分有显著差异。结论：AVQI的加泰罗尼亚语和西班牙语版本可用于临床双语环境下一般语音质量的声学评估。

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引用次数: 0

2. Diferencias de Género en Comunicación en Personas con Trastorno del Espectro Autista en la Etapa Adulta: Una Revisión Sistemática 2. 成年期自闭症谱系障碍患者沟通方面的性别差异：系统审查

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100522

María Teresa Rodríguez Fernández, Tutoras: Rocío García-Retamero, Dunia Garrido

引用次数: 0

De las tendencias emergentes a los pilares del futuro: armonización, bases de datos globales e inteligencia artificial en la investigación de la voz 从新兴趋势到未来的支柱：统一、全球数据库和语音研究中的人工智能

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100517

Neus Calaf

引用次数: 0

Estilos de afrontamiento de padres de niños con fisura labio-alveolo-palatina en los Andes Centrales del Ecuador (Cuenca-Ambato) 厄瓜多尔中安第斯山脉（昆卡-安巴托）唇腭裂儿童父母的应对方式。

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2024-10-30 DOI: 10.1016/j.rlfa.2024.100506

Marcelo Enrique Cazar Almache , María Paz Pinos Gavilanes , Ruth Fabiola Palacio Coello , Miriam Alexandra Lucio Bravo , Franginett Joselin Quintana Parra , Elena Maribel Cevallo Barzallo , Maria Paz Quito

Background and objective

Coping are the cognitive and behavioral efforts that are developed to manage specific demands that are valued as situations that exceed or overflow the resources of a person, so the objective of this study is to identify coping styles in parents and caregivers of children with FLAP in the cities of Cuenca and Ambato, Ecuador.

Participants and materials

35 families with children diagnosed with different types of cleft lip and palate (CLP) from the cities of Cuenca and Ambato, Ecuador, participated. Ad hoc sociodemographic data and as a technique for the psychological measurement of coping styles: COPE-28 (according to the original by Carver, 1997).

Method

The participants completed questionnaires with the necessary help of a member of the research team.

Results

The study showed that children had more problems with language and in addition, parents, and caregivers of children with FLAP developed positive strategies such as acceptance, active coping, and religion in the face of their children's condition.

Conclusions

The involvement of a multidisciplinary team is considered important for the evaluation, early intervention, and a long-term follow-up of patients with FLAP, being essential to obtain promising results.

背景和目的应对是指为处理特定需求而做出的认知和行为努力，这些需求被视为超出或溢出个人资源的情况，因此本研究的目的是确定厄瓜多尔昆卡市和安巴托市唇腭裂患儿的父母和照顾者的应对方式。研究人员特别收集了社会人口学数据，并将其作为应对方式的心理测量技术：研究结果表明，唇腭裂患儿在语言方面存在更多问题，此外，唇腭裂患儿的父母和照顾者在面对孩子的状况时采取了积极的应对策略，如接受、积极应对和宗教信仰。

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引用次数: 0

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