• Title/Summary/Keyword: Voice therapy

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Comparison of Functional Voice Outcomes in Patients Treated with Laser Surgery and Radiation Therapy for Early Glottic Cancer (조기 성문암에서 레이저 수술과 방사선 치료 후 음성기능 비교)

  • Lee, Jong-Cheol;Lee, Yoon-Se;Nam, Soon-Yuhl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.7-10
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    • 2008
  • The early glottic cancers are traditionally treated by radiotherapy or endoscopic surgery. The excellent effectiveness of both treatment modalities for local control, larynx preservation, and disease specific death is similar. Therefore, functional voice outcome after treatment is one of the most important factors in the choice of treatment for early glottic cancer. To assess the functional outcomes and compare the voice quality in patients with early glottic cancer treated with curative intent with radiotherapy or laser cordectomy, we performed literature review. Most studies showed that the voice quality after radiation therapy is slightly better than that after laser cordectomy. Subanalysis according to types of laser cordectomy, however, indicates that voice quality depends on type of laser cordectomy. Especially, type I or type II laser cordectomy might be superior to other types of laser cordectomy and radiation therapy. We conclude that the laser cordectomy is a good surgical alternative for properly selected early glottic cancer including professional voice users.

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Effects of SKLCT® for Voice Improvement in Patients with Presbyphonia (후두보정기법이 노인성 음성장애 환자의 음성개선에 미치는 효과)

  • Kim, Seong-Tae
    • Phonetics and Speech Sciences
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    • v.7 no.3
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    • pp.183-191
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    • 2015
  • 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.

A Case of Voice Therapy for Long Standing Functional Aphonia (장시간 지속된 기능적 실성증에 대한 음성치료 1예)

  • Kim, Bo Ram;Woo, Joo Hyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.119-122
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    • 2022
  • Functional aphonia is a disease in which normal vocal ability is suddenly lost. When voice therapy is started at an early stage, the prognosis is good. However, if the functional aphonia persists for a long time, there is a possibility that the voice disorder may become fixed, though reports of these characteristics are rare. The authors experienced a patient with functional aphonia that occurred in adolescence and lasted for 7 months and reported the result of treatment.

Voice Therapy in the Professional Voice Users

  • Jeong Ok Ran
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.222-222
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    • 1998
  • Ⅰ. Palliation vs. Correction, Ⅱ. Voice Care for the Professional, 1. laryngeal lubrication, 2. voice rest, 3. voice training, 1) reinstatement of voice, 2) vocal conditioning, Ⅲ. Don't-Guidelines for the Professional, Ⅳ. Do-Guidelines for the Professional, Ⅴ. Voice Conservation in Winter, Ⅵ. Audible Clues for Potential Voice Problems, Ⅶ. Things Which can Cause Problems, Ⅷ. Conclusion. (omitted)

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The Efficiency of Voice Therapy for the Patients with Vocal Nodules (성대 결절 환자를 대상으로 한 음성치료의 효과)

  • 표화영;김명상;최홍식
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.2
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    • pp.178-184
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    • 1997
  • Vocal nodule due to vocal hyperfunction is one of the representative chronic diseases of vocal folds, and it can be cured by surgical movement, and/or voice therapy. The present study is, focusing on the latter, to compare the acoustic and aerodynamic results of the pretreatment with those of posttreatment, and then to investigate the objective date on the efficiency of the voice therapy for the patients with vocal nodules. 11 females(age : 7-49) and 5 males(age : 8-40), total 16 patients wi vocal nodules treated by voice therapy were participated as subjects. Six measurements and comparisons of pretreatment and posttreatment of the results were performed : litter, shimmer, and noise-to-harmonic ratio as acoustic analyses ; maximum phonation time, mean flow rate, and the subtraction of mean flow rate from maximum flow rate as aerodynamic analyses. As a result, 14 of 16 subjects showed improvement at more than 4 of 6 measurements, and in group data, every measurements of posttreatment was improved significantly than the pretreatment. On the whole, the improvement of aerodynamic aspects was more statistically significant than that of acoustic ones.

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The Effects of Non-verbal Voice Components of Occupational Therapist on the Respondents's Attitude of Acceptance (작업치료사의 비언어적인 목소리 구성요소가 대상자의 수용적 태도에 미치는 효과)

  • Hong, Yong-Hyun;Kang, Sae-Mi;Park, Su-Bin;Lim, Da-In;Han, Ji-Yun;Park, Ji-Yeon;Kim, Eun-Joo
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.235-241
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    • 2019
  • The purpose of this study is to investigate the effect of the nonverbal voice component of the occupational therapist on the respondent's attitude of acceptance The study method was to randomly selected and provided 4 voice samples which were from the current female occupational therapist and adjusted its pause and tempo to participants who visited the local health center. After providing voices, the participants were asked to complete the survey including the questions about the acceptance attitude according to voice components. The study results showed that there were statistically significant differences in attitudes of "likeability", "credibility," "concentration", "expertise", "comprehension" (p<.05). Findings suggested that client's attitude of acceptance may change according to non-verbal voice components of the therapist.

A Phenomenological Study of Music Therapist's Experiences of Using Voice (음악치료사의 목소리 사용 경험에 대한 현상학적 연구)

  • Shin, JinHee;So, HyeJin
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.2
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    • pp.155-167
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    • 2019
  • The aim of this study was to examine the experiences of music therapists in using their voice clinically. The researcher conducted in-depth interviews with seven music therapists who were able to explain their experiences in using voice. Each interview was analyzed using the phenomenological method of Amedeo Giorgi. The data analysis yielded 9 sub-categories and 6 components: "promotion of various feelings due to clinical use of voice", "voice use depending on the therapist's personality", "voice use for therapy", "positive musical experiences with clients in using voice", "difficulty in using voice as a tool for music therapy", and "attempt to change unsatisfactory voice". The result showed that the music therapists had both positive and difficult experiences with their clients in using their voice. Their instances of perceived unsatisfactory voice prompted them to develop themselves personally and professionally. This study is intended to provide a general understanding of voice use by music therapists and offer a solid basis for music therapists to study voice in the future.

Comparison of Vocal Cord Motion and Voice Characteristics of Applied Music Singing Students before and after Singing Voice Therapy (실용음악 전공 학생들의 발성치료 전후 성대 및 음성 특성 비교)

  • Hwang, Yeon Shin;Shim, Mi Ran;Kim, Chul Jun;Choi, Yong Suk;Kim, Sang Yeon;Choi, Chan Ho;Sun, Dong Il
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.114-121
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    • 2016
  • Background and Objectives : Many students major in applied music singing have various difficulties in phonation when they sing or perform. But the studies about this cause are lack. The purpose of this study is whether singing voice therapy based on vocal music is effective or not to applied music singing students that have difficulties in phonation. Materials and Methods : Singing voice therapy program had been done to 8 students major in applied music singing during 7 weeks. We did laryngeal stroboscope, perceptual, acoustic and aerodynamic examination before and after singing voice therapy to this students. And we studied post examination results have differences or improvements compared to pre examination results. Results : Four male students don't have effective improvement after singing voice therapy but they shows slight improvement in aerodynamic examination values compared to pre examination values. Four female students shows improvement in aerodynamic examination values and pitch range increasing. Above all, one student's vocal nodules disappeared after singing voice therapy. Conclusion : Singing voice therapy based on music singing is very effective to the students major in applied music singing. Above all, their curriculum in applied music singing should include phonation training based on music singing before training perform and technic practices.

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Clinical Analysis of Persistent and Recurrent Postoperative Dysphonia (후두미세수술후 지속적인 음성장애환자에 대한 임상적 고찰)

  • 김명상;표화영;최홍식;김영호;김광문
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.2
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    • pp.225-231
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    • 1997
  • The persistent and recurrent dysphonia after microlaryngeal surgery was noted in tweleve patients. We reviewed the results of laryngostroboscopy, psychoacoustic evaluation, aerodynamic study and acoustic analysis according to the treatment modality. The causes of persistent dysphonia were attributed to vocal cord scarring, recurrent mass lesion, residual mass lesion, persistent inflammation, and hyperfunctional voice disorder. We noticed the better vocal function in the group treated with voice therapy or surgical therapy than the group treated with voice rest and medication. Therefore, we concluded that vocal function can be improved with the use of active, multidisciplinary approach which includes voice therapy, medical treatment and selected surgical resection according to the laryngeal lesions.

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Controversies in Management of Functional Dysphonia (기능성 음성 장애 치료의 고려사항)

  • Kim, Han Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.2
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    • pp.86-89
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    • 2014
  • Functional dysphonia (FD) is a voice disorder in the absence of structural or neurologic laryngeal pathology. FD is not a single disease but a disease entity. Therefore several voice disorders, which have completely different pathogenesis, are included in this category. The first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. Several different treatment modalities are included in the managements of FD. Voice therapy is in charge of the main role in treatment of FD. Medical treatment is also necessary when patient has general problems which would affect voice production. Vocal folds mucosal lesions can cause FD even the lesion is minor. In this case proper surgical intervention helps to improve the symptom of FD. Psychiatric consultation should be considered when the patient has psychological problems.

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