Alessandra Thais Beraldo, Julia Batistella, Perla do Nascimento Martins, Ana Paula Dassie-Leite, Eliane Cristina Pereira
{"title":"在无声带不适的妇女中使用锻炼器和呼吸鼓励器进行吸气锻炼的立竿见影效果。","authors":"Alessandra Thais Beraldo, Julia Batistella, Perla do Nascimento Martins, Ana Paula Dassie-Leite, Eliane Cristina Pereira","doi":"10.1590/2317-1782/20242023148pt","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the immediate effect of the inspiratory exercise with a booster and a respiratory exerciser on the voice of women without vocal complaints.</p><p><strong>Methods: </strong>25 women with no vocal complaints, between 18 and 34 years old, with a score of 1 on the Vocal Disorder Screening Index (ITDV) participated. Data collection was performed before and after performing the inspiratory exercise and consisted of recording the sustained vowel /a/, connected speech and maximum phonatory times (MPT) of vowels, fricative phonemes and counting numbers. In the auditory-perceptual judgment, the Vocal Deviation Scale (VSD) was used to verify the general degree of vocal deviation. Acoustic evaluation was performed using the PRAAT software and the parameters fundamental frequency (f0), jitter, shimmer, harmonium-to-noise ratio (HNR), Cepstral Peak Prominence Smoothed (CPPS), Acoustic Voice Quality Index (AVQI) and Acoustic Breathiness Index (ABI). To measure the aerodynamic measurements, the time of each emission was extracted in the Audacity program. Data were statistically analyzed using the Statistica for Windows software and normality was tested using the Shapiro-Wilk test. To compare the results, Student's and Wilcoxon's t tests were applied, adopting a significance level of 5%.</p><p><strong>Results: </strong>There were no significant differences between the results of the JPA and the acoustic measures, in the pre and post inspiratory exercise moments. As for the aerodynamic measures, it was possible to observe a significant increase in the value of the TMF /s/ (p=0.008).</p><p><strong>Conclusion: </strong>There was no change in vocal quality after the inspiratory exercise with stimulator and respiratory exerciser, but an increase in the MPT of the phoneme /s/ was observed after the exercise.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129852/pdf/","citationCount":"0","resultStr":"{\"title\":\"Immediate effect of inspiratory exercise with exerciser and respiratory encourager in women without vocal complaints.\",\"authors\":\"Alessandra Thais Beraldo, Julia Batistella, Perla do Nascimento Martins, Ana Paula Dassie-Leite, Eliane Cristina Pereira\",\"doi\":\"10.1590/2317-1782/20242023148pt\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To evaluate the immediate effect of the inspiratory exercise with a booster and a respiratory exerciser on the voice of women without vocal complaints.</p><p><strong>Methods: </strong>25 women with no vocal complaints, between 18 and 34 years old, with a score of 1 on the Vocal Disorder Screening Index (ITDV) participated. Data collection was performed before and after performing the inspiratory exercise and consisted of recording the sustained vowel /a/, connected speech and maximum phonatory times (MPT) of vowels, fricative phonemes and counting numbers. In the auditory-perceptual judgment, the Vocal Deviation Scale (VSD) was used to verify the general degree of vocal deviation. Acoustic evaluation was performed using the PRAAT software and the parameters fundamental frequency (f0), jitter, shimmer, harmonium-to-noise ratio (HNR), Cepstral Peak Prominence Smoothed (CPPS), Acoustic Voice Quality Index (AVQI) and Acoustic Breathiness Index (ABI). To measure the aerodynamic measurements, the time of each emission was extracted in the Audacity program. Data were statistically analyzed using the Statistica for Windows software and normality was tested using the Shapiro-Wilk test. 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引用次数: 0
摘要
目的:评估使用助推器和呼吸练习器进行吸气练习对无嗓音问题女性嗓音的直接影响。方法:25 名无嗓音问题、年龄在 18 至 34 岁之间、嗓音障碍筛查指数(ITDV)为 1 分的女性参加。数据收集在进行吸气练习前后进行,包括记录持续元音/a/、连读语音和元音最大发音时间(MPT)、摩擦音音素和计数数字。在听觉-知觉判断中,声带偏离量表(VSD)用于验证声带偏离的总体程度。声学评估采用 PRAAT 软件,参数包括基频(f0)、抖动、闪烁、谐波噪声比(HNR)、倒频峰突出平滑(CPPS)、声学嗓音质量指数(AVQI)和声学呼吸感指数(ABI)。为了测量空气动力学测量值,每次发射的时间都会在 Audacity 程序中提取出来。使用 Statistica for Windows 软件对数据进行统计分析,并使用 Shapiro-Wilk 检验法对正态性进行检验。为了比较结果,采用了学生和 Wilcoxon's t 检验,显著性水平为 5%:结果:在吸气前和吸气后的运动时刻,JPA 和声学测量结果之间没有明显差异。至于空气动力学测量,可以观察到 TMF /s/ 的值显著增加(p=0.008):结论:使用刺激器和呼吸训练器进行吸气训练后,发声质量没有变化,但训练后观察到音素 /s/ 的 MPT 值增加了。
Immediate effect of inspiratory exercise with exerciser and respiratory encourager in women without vocal complaints.
Purpose: To evaluate the immediate effect of the inspiratory exercise with a booster and a respiratory exerciser on the voice of women without vocal complaints.
Methods: 25 women with no vocal complaints, between 18 and 34 years old, with a score of 1 on the Vocal Disorder Screening Index (ITDV) participated. Data collection was performed before and after performing the inspiratory exercise and consisted of recording the sustained vowel /a/, connected speech and maximum phonatory times (MPT) of vowels, fricative phonemes and counting numbers. In the auditory-perceptual judgment, the Vocal Deviation Scale (VSD) was used to verify the general degree of vocal deviation. Acoustic evaluation was performed using the PRAAT software and the parameters fundamental frequency (f0), jitter, shimmer, harmonium-to-noise ratio (HNR), Cepstral Peak Prominence Smoothed (CPPS), Acoustic Voice Quality Index (AVQI) and Acoustic Breathiness Index (ABI). To measure the aerodynamic measurements, the time of each emission was extracted in the Audacity program. Data were statistically analyzed using the Statistica for Windows software and normality was tested using the Shapiro-Wilk test. To compare the results, Student's and Wilcoxon's t tests were applied, adopting a significance level of 5%.
Results: There were no significant differences between the results of the JPA and the acoustic measures, in the pre and post inspiratory exercise moments. As for the aerodynamic measures, it was possible to observe a significant increase in the value of the TMF /s/ (p=0.008).
Conclusion: There was no change in vocal quality after the inspiratory exercise with stimulator and respiratory exerciser, but an increase in the MPT of the phoneme /s/ was observed after the exercise.