DOI QR코드

DOI QR Code

Effects of SKLCT® for Voice Improvement in Patients with Presbyphonia

후두보정기법이 노인성 음성장애 환자의 음성개선에 미치는 효과

  • Received : 2015.08.16
  • Accepted : 2015.09.20
  • Published : 2015.09.30

Abstract

This study evaluated the effect of the therapeutic methods between vocal function exercise(VFE), which has been used for the patients with presbyphonia in the precedent studies and laryngeal calibration technique($SKLCT^{(R)}$), which is designed by the author. We identified 58 patients who was been diagnosed as presbylaryngis by laryngoscopic examinations. 21 patients were underwent voice therapy using $SKLCT^{(R)}$, 20 patients were taken VFE, and the control group of 17 patients were not taken any voice therapy. All subjects received the therapy, ranging from seven to nine sessions, and were evaluated the voice change on pretherapy and posttherapy. The grade of hoarseness, roughness, and breathiness voice were reduced on perceptual judgments after $SKLCT^{(R)}$, but only grade of hoarseness was reduced after the VFE. Jitter, Shimmer, NHR were reduced and MPT were increased after the $SKLCT^{(R)}$(p<.05), while Jitter and SFF were reduced after the VFE. Frequency and intensity range were increased significantly on the posttest performance after taking voice therapy by the $SKLCT^{(R)}$, on the other hand only intensity range was increased after VFE. Especially, we can find the significant change that glottic gap and supraglottic compressions was reduced in most of patients after the $SKLCT^{(R)}$, but there's no changes in the group of VFE and control group. In the study, we can suggest that the $SKLCT^{(R)}$ may be useful in improving the voice qualities and laryngeal function of presbyphonia.

Keywords

References

  1. Berg, E. E., Hapner, E., Klein, A., & Johns, M. M. (2008). Voice therapy improves quality of life in age-related dysphonia: a case-control study. Journal of Voice, 22(1), 70-74. https://doi.org/10.1016/j.jvoice.2006.09.002
  2. Roy, N., Stemple, J., Merrill, R. M., & Thomas, L. (2007). Epidemiology of voice disorders in the elderly: preliminary findings. The Laryngoscope, 117, 628-633. https://doi.org/10.1097/MLG.0b013e3180306da1
  3. Turley, R., & Cohen, S. (2009). Impact of voice and swallowing problems in the elderly. Otolaryngology Head and Neck Surgery, 140, 33-36. https://doi.org/10.1016/j.otohns.2008.10.010
  4. Verdonck-de Leeuw, I. M., & Mahieu H. F. (2004). Vocal aging and the impact on daily life: A longitudinal study. Journal of Voice, 18(2), 193-202. https://doi.org/10.1016/j.jvoice.2003.10.002
  5. Baken, R. J. (2005). The aged voice: A new hypothesis. Journal of Voice, 19(3), 317-325. https://doi.org/10.1016/j.jvoice.2004.07.005
  6. Pontes, P., Brasolotto, A., & Behlau, M. (2005). Glottic characteristics and voice complaint in the elderly. Journal of Voice, 19(1), 84-94. https://doi.org/10.1016/j.jvoice.2004.09.002
  7. Sato, K., Hirano, M., & Nakashima, T. (2002). Age-related changes of collagenous fibers in the human vocal fold mucosa. Annal of Otology Rhinology and Laryngology, 111, 15-20. https://doi.org/10.1177/000348940211100103
  8. Sauder, C., Roy, N., Tanner, K., Houtz, D. R., & Smith, M. E. (2010). Vocal function exercises for presbylaryngis: A multidimensional assessment of treatment outcomes. Anals of Otology, Rhinology & Laryngology. 119(7), 460-467. https://doi.org/10.1177/000348941011900706
  9. Gorman, S., Weinrich, B., Lee, L., & Stemple, J. C. (2008). Aerodynamic changes as a result of vocal function exercises in elderly men. The Laryngoscope, 118(10),1900-1903. https://doi.org/10.1097/MLG.0b013e31817f9822
  10. Mau, T., Jacobson, B.H., & Garrett, C. G. (2010). Factors associated with voice therapy outcomes in the treatment of presbyphonia. The Laryngoscope, 120(6), 1181-1187. https://doi.org/10.1002/lary.20890
  11. Bovo, R., Galceran, M., Petruccelli, J., & Hatzopoulos, S. (2007). Vocal problems among teachers: Evaluation of a preventive voice program. Journal of Voice, 21(6), 705-722. https://doi.org/10.1016/j.jvoice.2006.07.002
  12. Duffy, O. M., & Hazlett, D. E. (2004). The impact of preventive voice care programs for training teacher: A longitudinal study. Journal of Voice, 18(1), 63-70. https://doi.org/10.1016/S0892-1997(03)00088-2
  13. Ilomaki, I., Laukkanen, A. M., Leppanen, K., & Vilkman, E. (2008). Effects of voice training and voice hygiene education on acoustic and perceptual speech parameters and self-reported vocal well-being in female teachers. Logopedics Phoniatrics Vocology, 33(2), 83-92. https://doi.org/10.1080/14015430701864822
  14. Pasa, G., Oates, J., & Dacakis, G. (2007). The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers. Logopedics Phoniatrics Vocology, 32(3), 128-140. https://doi.org/10.1080/14015430701207774
  15. Hazlett, D. E., Duffy, O. M., & Moorhead, S. A. (2009). Review of the impact of voice training on the vocal quality of professional voice users: Implications for vocal health and recommendations for further research. Journal of Voice, 1-11.
  16. Titze, I. R., Finnegan, E. M., Laukkanen, A. M., Fuja, M., & Hoffman, H. (2008). Laryneal muscle activity in giggle: A damped oscillation model. Journal of Voice, 22(6), 644-648. https://doi.org/10.1016/j.jvoice.2007.01.008
  17. Kim, S. T., & Jeong, O. R. (2004). The Effects of SK-MVTT on voice improvement in vocal nodules patients; comparison with accent method. Speech Sciences, 11(4), 101-120. (김성태 & 정옥란. (2004). 다중음성치료기법이 성대결절 환자의 음성개선에 미치는 효과: 엑센트 기법과의 비교 연구. 음성과학, 11(4), 101-120)
  18. Kim, S. T., Jeong, G. E., Kim, S.Y., Choi, S. H., Lim, K. C., & Nam, S. Y. (2009). The Effect of Voice Therapy in Vocal Polyp Patients. Journal of Korean Society of Speech Sciences, 1(2),43-49. (김성태, 정고은, 김상윤, 최승호, 임길채, 한주희, & 남순열. (2009). 성대용종 환자의 음성치료 효과. 말소리와 음성과학, 1(2), 43-49)
  19. Kim, S. T. (2010). The Effects of Voice Therapy in Age-related Dysphonia. Journal of Korean Society of Speech Sciences, 2(2), 43-49. (김성태. (2010). 노인성 음성장애의 음성치료 효과. 말소리와 음성과학, 2(2), 117-121)
  20. Awan, S. N., & Morrow, D. L. (2007). Videostroboscopic characteristic of toung adult female smokers vs. nonsmokers. Journal of Voice, 21(2), 211-223. https://doi.org/10.1016/j.jvoice.2005.10.009
  21. Szameitat, D. P., Alter, K., Szameitat, A. J., Wildgruber, D., Sterr, A., & Darwin, C. J. (2009). Acoustic profiles of distinct emotional expression in laughter. Journal of the Acoustical Society of America, 126(1), 354-366. https://doi.org/10.1121/1.3139899
  22. Mendes, A. P., Brown, W. S., Rothman, H. B., & Sapienza, C. (2004). Effects of singing training on the speaking voice of voice majors. Journal of Voice, 18(1), 83-89. https://doi.org/10.1016/j.jvoice.2003.07.006
  23. Christopher, R., McCrea, & Morris, R. J. (2007). Effects of vocal training and phonatory task on voice onset time. Journal of Voice, 21(1), 54-63. https://doi.org/10.1016/j.jvoice.2005.05.002
  24. LeBorgne, W. D., & Weinrich, B. D. (2002). Phonetogram changes for trained singers over a nine-month period of vocal training. Journal of Voice, 16(1), 37-43. https://doi.org/10.1016/S0892-1997(02)00070-X

Cited by

  1. Efficacy of Two-dimensional Scanning Digital Kymography in Evaluation of Atrophic Vocal Folds 2018, https://doi.org/10.1016/j.jvoice.2017.12.011