Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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Comparison of Maximum Phonation Time Associated with the Changes in Vocal Intensity in Patients with Unilateral Vocal Fold Palsy and Sulcus Vocalis

성대마비와 성대구증의 강도 변화에 따른 최대발성지속시간 비교

  • Received : 2012.02.06
  • Accepted : 2012.03.23
  • Published : 2012.03.31
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Abstract

The patients with incomplete glottic closure have an important feature decreasing the maximum phonation time (MPT) because airflow rate or air leakage is greater than people without voice disorders. Also they can appear a problem in the intensity regulation. This study analyzed MPT difference based on the comfortable intensity and louder intensity and the correlation between MPT and respiration volume of unilateral vocal fold palsy (UVFP) and sulcus vocalis (SV) group. The twenty with UVFP, the 21 with SV, the 21 normal subjects measured MPT in /a/ vowel prolongation task with comfortable intensity and louder intensity and compared analysis by measuring FVC, $FEV_1$, $FEV_1/FVC$ to analyze the correlation between MPT and respiration volume. First, a comparison of MPT according to the intensity between groups is that MPT of the normal group was statistically significant long compared to the patient group in comfortable intensity, but MPT between groups was not statistically significant difference in the louder intensity. Second, an analysis of the correlation between MPT and respiration volume is that this was statistically significant correlation between MPT in comfortable intensity and MPT in louder intensity. But this did not show statistically significant correlation between intensity and respiration volume. This study can be supported the preceding study results deduced that shorting MPT of the patient group compared to the normal group was originated in the problem of laryngeal valving mechanism at the level of vocal folds rather than a problem of respiratory function. Also at the phonation by varying the intensity, the result can deduce that in the case of patient group, the length of MPT had been improved by increasing the glottal closure ratio in the louder intensity. These results can support the theoretical basis that should be applied to the clinicians by varying the intensity at the voice evaluation and voice therapy for the patients with the glottis incompetence.

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References

  1. Kong, I. S., Cho, Y. J., Lee, M. H., Kim, J. S., Yang, Y. S. & Hong, K. H. (2007). Comparative Study on Acoustic Characteristics of Vocal Fold Paralysis and Benign Mucosal Disorders of Vocal Fold. Journal of the Korean Society of Logopedics and Phoniatrics, Vol. 18, No. 2, 122-128. (공일승, 조영주, 이명희, 김종승, 양윤수, 홍기환 (2007). 성대마비와 양성 성대점막질환의 음향학적 특성비교. 대한음성언어의학회지 18권, 2호, 122-128.)
  2. Case, J. L. (2002). Clinical Management of Voice Disorders (4th ed.). Austin, TX; Pro-Ed.
  3. Hirano, M. & Bless, D. M. (1993). Videostroboscopic examination of the Larynx. San Diego, CA: Singular.
  4. McFarlane, S. C., Watterson, T. L. & Von Berg, S. (1999). Behavioral intervention in the presence of unilateral vocal fold paralysis: indications, diagnosis, techniques, and interpretation. Phonoscope, Vol. 2, No. 4, 203-215.
  5. Jeong, G. E., Kim, S. T., Kim, S. Y., Roh, J. L., Nam, S. Y. & Choi, S. H. (2010). Factors Predictive of Voice Therapy Outcome in Patients with Unilateral Vocal Fold Paralysis. Journal of the Korean Society of Logopedics and Phoniatrics, Vol. 21, No. 2, 121-127. (정고은, 김성태, 김상윤, 노종렬, 남순열, 최승호 (2010). 일측성 성대마비 환자에서 음성치료 효과를 예측할 수 있는 인자. 대한음성언어의학회지 21권, 2호, 121-127.)
  6. Han, J. H., Han, M. W. & Nam, S. Y. (2009). Management Principle of Unilateral Vocal Fold Paralysis. Journal of the Korean Society of Logopedics and Phoniatrics, Vol. 20, No. 2, 110-117. (한주희, 한명월, 남순열 (2009). 일측성 성대 마비의 치료 원칙. 대한음성언어의학회지 20권, 2호, 110-117.)
  7. Nam, D. H., Choi, S. H, Choi, J. N. & Choi, H. S. (2005). Treatment Effect of Voice Therapy for Sulcus Vocalis and Vocal Bowing -4 Case Reports-. Journal of the Korean Society of Logopedics and Phoniatrics, Vol. 16, No. 1, 68-75. (남도현, 최성희, 최재남, 최홍식 (2005). 성대구증과 궁형성대의 발성치료의 효과 -증례보고-. 대한음성언어의학회지 16 권, 1호, 68-75.)
  8. Daniel, R., Boone, R. B., Stephen, C., McFarlane, S. C., Shelley, L. & Von Berg, S. (2005). The voice and voice therapy (7th ed.). Boston: Allyn & Bacon.
  9. Kang, Y. A. (2007). Effects of the Lee Silverman Voice Treatment(LSVT) on voice quality of patients with Parkinson's disease. M.A. thesis, Chungnam National University. (강영애 (2007). LSVT에 의한 파킨슨병 환자의 음성장애치료에 관한 연구. 충남대학교 대학원 석사학위 논문.)
  10. Chu, I. S. (1998). The effect of revised LSVT program on voice and speech intelligibility in patients with idiopathic Parkinson disease. M.A. thesis, Taegu University. (추인숙 (1998). LSVT 수정프로그램의 적용이 특발성 파킨슨 병의 환자들의 음성 및 어음명료도에 미치는 효과. 대구대학교 재활과학대학원 석사학위 논문.)
  11. Ford, C. N., Inagi, K., Bless, D. M., Khidr, A. & Gilchrist, K. W. (1996). Sulcus vocalis: a rational analytical approach to diagnosis and management. The Annals of Otology, Rhinology and Laryngology, Vol. 105, No. 3, 189-200. https://doi.org/10.1177/000348949610500304
  12. Choi, Y. L. (2009). Breathing Characteristics of Adults with Unilateral Vocal Fold Palsy. Korean Journal of Communication Disorders, Vol. 14, No. 2, 212-222. (최예린 (2009). 정상인과 일측성 성대마비환자의 읽기 시 호흡특성 비교. 언어청각장애연구 14권, 2호, 212-222.)
  13. De Santis, M. & Fussi, F. (1993). La Parola e il Canto Padova. Italia: Piccin.
  14. Bielamowicz, S. & Stager, S. (2006). Diagnosis of unilateral recurrent laryngeal nerve paralysis: Laryngeal electroglottography, subjective rating scales, acoustic and aerodynamic measures. The Laryngoscope, Vol. 116, No. 3, 359-364. https://doi.org/10.1097/01.MLG.0000199743.99527.9F
  15. Omori, K., Slavit, D. H., Kacker, A. & Blaugrund, S. (1998). Influence of size and etiology of glottal gap in glottic incompetence dysphonia. The Laryngoscope, Vol. 108, No. 4 Pt 1, 514-518. https://doi.org/10.1097/00005537-199804000-00010
  16. Kim, H. S., Jeon, Y. S., Chung, S. M., Cho, K. K. & Park, E. H. (2005). The changes in the closed quotient of trained singers and untrained controls under varying intensity at a constant vocal pitch. Journal of the Korean Society of Logopedics and Phoniatrics, Vol. 16, No. 1, 28-32. (김한수, 전용선, 정성민, 조근경, 박은희 (2005). 음도 고정 시 강도 변화에 따른 일반인과 성악인 발성의 성대접촉률 변화 특성의 비교. 대한음성언어의학회지 16권, 1호, 28-32.)
  17. Glaze, L., Bless, D. & Susser, R. (1990). Acoustic analysis of vowel and loudness differences in children's voice. Journal of Voice, Vol. 4, No. 1, 37-44. https://doi.org/10.1016/S0892-1997(05)80080-3
  18. Orlikoff, R. F. & Kahane, J. C. (1991). Influence of mean sound pressure level of jitter and shimmer measures. Journal of Voice, Vol. 5, No. 2, 113-119. https://doi.org/10.1016/S0892-1997(05)80175-4
  19. Honjo, I. & Isshiki, N. (1980). Laryngoscopic and voice characteristics of aged persons. Archieves of Otolaryngology, Vol. 106, No. 3, 149-150. https://doi.org/10.1001/archotol.1980.00790270013003
  20. Tanaka, S., Hirano, M. & Umeno, H. (1994). Laryngeal behavior in unilateral superior laryngeal nerve paralysis. The Annals of otology, rhinology, and laryngology, Vol. 103, No. 2, 93-97. https://doi.org/10.1177/000348949410300202
  21. Chung, K. C., Ahn, C. M. & Hong, Y. P. (1991). Prediction of and FEV1 from childhood through early adulthood. Chung-Ang Journal of Medicine, Vol. 16, No. 3, 325-340. (정규철, 안철민, 홍연표 (1991). 학동기에서 청소년기까지의 노력성 폐활량 및 1초량의 예측. 중앙의대지 16권, 3호, 325-340.)
  22. Woo, M. R. (2010). Characteristics of respiration and phonation in normal health elderly. M.A. thesis, Myongji University. (우미령 (2010). 한국 정상 노년층의 호흡 및 발성 특성. 명지 대학교 사회교육대학원 언어치료전공 석사 학위논문.)
  23. Sim, H. S. (2001). Speech motor control approaches to speech disorders: A critique of the literature. Korean Journal of Special Education, Vol. 33, No. 4, 121-141. (심현섭 (2001). 말장애 연구의 동향에 관한 고찰: 말 운동 통제 모델을 중심으로. 특수교육학 연구 33권, 4호, 121-141.)
  24. Kent, R. D. & Ball, M. J. (2000). Voice quality measurement. San Diego(CA): Singular publishing Group.
  25. Lewis, K., Casteel, R. & McMahon, J. (1982). Duration of sustained /a/ related to the number of trials. Folia Phoniatrics, Vol. 34, No. 1, 41-48. https://doi.org/10.1159/000265626
  26. Ptacek, P. H. & Sander, E. K. (1963). Maximum duration of phonation. Journal of Speech Hearing Disorder, Vol. 28, 171-182. https://doi.org/10.1044/jshd.2802.171
  27. Ramig, O. L., Sapir, S., Countryman, S., Pawlas, A. A., O'Brien, C., Hoehn, M. & Thompson, L. L. (2001). Intensive voice treatment(LSVT) for patients with Parkinson's disease: A 2 year follow up. Journal of Neurology Neurosurgery and Psychiatry, Vol. 71, No. 4, 493-498. https://doi.org/10.1136/jnnp.71.4.493