Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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The Effect of Voice Therapy Applying Self-Regulation Concepts on Dysphonia Patients

자기 조절 개념을 적용한 음성치료 기법이 발성장애 환자에게 미치는 효과

  • Lee, Chang-Yoon (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences) ;
  • An, Soo-Youn (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences) ;
  • Son, Hee Young (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences)
  • 이창윤 (동남권원자력의학원 이비인후과학교실) ;
  • 안수연 (동남권원자력의학원 이비인후과학교실) ;
  • 손희영 (동남권원자력의학원 이비인후과학교실)
  • Received : 2018.10.29
  • Accepted : 2018.12.18
  • Published : 2019.06.30
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Abstract

Background and Objectives : The goal of this study is to present a strategy for improving the self-regulation (SR) ability and facilitating the change of vocal behavior by applying voice therapy using the SR concept to the patients with vocal cord nodule and muscle tension dysphonia. Materials and Method : The subjects were 80 patients and 80 patients who were diagnosed with muscle tension dysphonia and vocal nodules. As a control group, the results were compared among patients with the same dysphonia without using SR strategies. The concept of SR before voice therapy was explained to the patients, and the treatment was divided into three stages according to the goal of voice therapy. The treatment stages consist of 1) skill acquisition, 2) habit formation, and 3) habit changes. voice therapy was performed by applying SR strategies such as goal implementation intentions and a less routine behavior. Patient's dropout rates were measured to compare the adherence of voice therapy. Results : Significant improvement was seen in all groups receiving voice therapy. However, in the group using the SR strategy, the voice analysis results showed a relatively low dropout rate of voice therapy. In the generalization confirmation stage, patients who applied SR concept showed better results. SR strategy did no longer be necessary to maintain newly adopted vocal behavior. Conclusion : The results of this study show that SR is one of the cognitive factors that can have a significant impact on the outcome of voice therapy, and also has a positive impact on the acquisition and generalization of new skills. A better understanding of SR and the development of therapeutic strategies using it will play an important role in solving voice problems in clinical settings.

Keywords

References

  1. Stemple JC, Glaze L, Klaben B. Clinical Voice Pathology: Theory and Management. 4th ed. San Diego, CA: Plural Publishing Inc.; 2010.
  2. Boone DR, McFarlane SC, Von Berg SL, Zraick RI. The Voice and Voice Therapy. 8th ed. Boston, MA: Pearson Education Inc.;2010.
  3. Vinney LA, Turkstra LS. The rolf-of self-regulation in Voice Therapy. J Voice 2013;27(3):390.e1-390.e11. https://doi.org/10.1016/j.jvoice.2013.01.003
  4. Colton R, Casper JK. Understanding Voice Problems: A Physiological Perspective for Diagnosis and Treatment. 2nd ed. Baltimore, MD: Williams & Wilkins;1996.
  5. Giannini SP, Latorre Mdo R, Fischer FM, Ghirardi AC, Ferreira LP. Teachers voice disorders and loss of work ability: a case-control study. J Voice 2015;29:209-17. https://doi.org/10.1016/j.jvoice.2014.06.004
  6. Roy N, Bless DM. Personality traits and psychological factors in voice pathology: a foundation for future research. J Speech Lang Hear Res 2000;43:737-48. https://doi.org/10.1044/jslhr.4303.737
  7. Roy N, Bless DM, Heisey D. Personality and voice disorders: a multitraitmultidisorder analysis. J Voice 2000;14:521-48. https://doi.org/10.1016/S0892-1997(00)80009-0
  8. Almeida AA, Behlau M. Relations Between Self-Regulation Behavior and Vocal Symptoms. J Voice 2017;31(4):455-61. https://doi.org/10.1016/j.jvoice.2016.10.010
  9. Vohs KD, Baumeister RF. Ego depletion, self-control, and choice. In: Pyszczynski T, ed. Handbook of Experimental Existential Psychology. New York, NY: Guilford Press;2004. p.398-410.
  10. Baddeley AD. Is working memory still working? Eur Psychol 2002;7:85-97. https://doi.org/10.1027//1016-9040.7.2.85
  11. Lee MJ. The problems and challenges for self-regulation studies. The Journal of Research in Education 2111;3(39):161-93.
  12. Tangney JP, Baumeister RF, Boone AL. "High self-control predicts good adjustment, less pathology, better grades, and interpersonal success". Journal of Personality 2004;72:271-322. https://doi.org/10.1111/j.0022-3506.2004.00263.x
  13. Brook JS, Zhang C, Brook DW, Finch SJ. Voluntary smoking bans at home and in the car and smoking cessation, obesity, and selfcontrol. Psychol Rep 2014;114:20-31. https://doi.org/10.2466/18.13.PR0.114k16w4
  14. Rock D. Your Brain at Work. NewYork, NY: Harper;2009.
  15. Ludlow CL. Central nervous system control of the laryngeal muscles in humans. Respir Physiol Neurobiol 2005;147:205-22. https://doi.org/10.1016/j.resp.2005.04.015
  16. van Leer E, Connor NP. Connor. Patient Perceptions of Voice Therapy Adherence. J Voice 2008;24(4):458-69. https://doi.org/10.1016/j.jvoice.2008.12.009
  17. Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press;2002.
  18. Muraven M, Baumeister RF. Self-regulation and depletion of limited resources: does self-control resemble a muscle? Psychol Bull 2000;126:247-59. https://doi.org/10.1037/0033-2909.126.2.247