학술논문
Effects of Laryngeal Massage and Semi-occluded Vocal Tract Exercises for Patients with Hyperfunctional Dysphonia
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- 영문명
- 발행기관
- 한국언어청각임상학회
- 저자명
- 김지성(Ji Sung Kim) 이동욱(Dong Wook Lee) 최철희(Chul Hee Choi) 최성희(Seong Hee Choi)
- 간행물 정보
- 『Communication Sciences & Disorders』Communication Sciences & Disorders vol22. no.4, 806~817쪽, 전체 12쪽
- 주제분류
- 사회과학 > 교육학
- 파일형태
- 발행일자
- 2017.12.30
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국문 초록
배경 및 목적: 높은 후두 위치, 인두 협착, 후두와 목 주변의 근긴장, 상후두의 과도한 수축이나 성대내전은 과기능 음성장애의 일반적인 특징이다. 본 연구는 후두마시지와 반폐쇄성도법으로 구성한 음성치료프로그램 시행 후 즉각적인 음성 개선 변화를 살펴보고 이후 음성치료 참여에 미치는 영향을 살펴보고자 한다.
방법: 근긴장성발성장애나 성대결절, 성대용종으로 진단 받은 성인 28명을 대상으로 후두마사지와 반폐쇄성도운동(입술 트릴, 허밍, 양순마찰음 [ㅂ:] 발성, 빨대 발성)으로 구성된 음성치료를 실시하였다. 음성치료의 즉각적인 효과를 살펴보기 위해 1회 음성치료 전후 음향학적 검사와 청지각적 평가를 실시하였으며, 이후 음성치료 참여도를 측정하였다.
결과: 음성치료 후 음향학적 검사에서 STD, Jitter, Shimmer, NHR, vAm, vF0, ATRI, FTRI, PPQ, APQ, DSH, VTI, DUV가, 청지각적 평가에서는 ‘G’, ‘R’, ‘B’에서 유의한 개선이 있었으며, 환자 대부분이 음성치료에 지속적으로 참여하였다.
논의 및 결론: 후두마사지와 반폐쇄성도기법으로 구성한 음성치료프로그램은 과기능적 음성장애를 보이는 환자의 음성 개선에 즉각적인 효과가 있었으며, 이후 음성치료에 긍정적인 영향을 미칠 수 있었다.
영문 초록
Objectives: High laryngeal position, pharyngeal constriction, laryngeal and neck tension, excessive supraglottic compression, and vocal fold closure are common characteristics associated with hyperfunctional dysphonia. The purpose of this study was to investigate the effects of voice therapy consisting of laryngeal massage and semi-occluded vocal tract exercises (SOVTE) in patients with hyperfunctional dysphonia and following voice therapy adherence.
Methods: Twenty-eight patients with hyperfunctional voice disorders diagnosed with muscle tension dysphonia, vocal nodules, and vocal polyp were treated with voice therapy once using laryngeal massage and SOVTE: lip trills, humming, bilabial fricative [b:], straw phonation. They completed acoustic and auditory-perceptual assessment before and after voice therapy.
Results: Significant immediate effects were observed in STD (standard deviation of F0), Jitter, Shimmer, NHR (noise to harmonic ratio), vAm (peak to peak amplitude variation), vF0 (fundamental frequency variation), ATRI (Amplitude Tremor Intensity Index), FTRI (F0 Tremor Intensity Index), PPQ (pitch perturbation quotient), APQ (amplitude perturbation quotient), DSH (degree of sub-harmonic), VTI (Voice Turbulence Index), DUV (degree of voiceless) and ‘G’, ’R’, ‘B’ in the GRBAS scale and most of the patients continued with voice therapy.
Conclusion: Laryngeal massage and SOVTE may provide immediate advantages in hyperfunctional dysphonia and have a positive effect on voice therapy adherence.
목차
Abstract
연구방법
연구결과
논의 및 결론
REFERENCES
국문초록
참고문헌
키워드
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