面罩对功能性语音障碍患者和正常说话者声学测量的影响

Q4 Health Professions
Seong Hee Choi, Deok Ae Kim
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引用次数: 0

摘要

目的:在新冠肺炎大流行期间,佩戴口罩已成为阻断或预防呼吸道飞沫和感染的重要卫生措施。本研究旨在探讨戴口罩对功能性语音障碍患者语音和言语声学测量的影响,并提出戴口罩评估语音和言语时的指导原则。方法:共纳入20例诊断为声带小结、肌张力性发声障碍、内收肌痉挛性发声障碍的功能性发声障碍患者(女性14例,男性6例,年龄30.55±8.24)和20例年龄和性别匹配的健康成人(女性15例,男性5例,年龄27.31±7.52)。所有参与者都完成了三个语音任务(持续/a/元音,CAPEV-3全发音句子,“Kaeul”标准段落-第二句),在不同的面具条件下(无面具,外科手术和KF94),他们的习惯音高和响度。用MDVP和ADSV进行了包括扰动、倒谱和频谱参数在内的声学分析。结果:健康说话者在无面罩条件下的抖动(%)、闪烁(%)和噪声谐波比(NHR)显著低于面罩条件,而患者在摄动测量(F0)、抖动(%)、闪烁(%)和NHR方面无显著差异。除了持续的/a/元音发声外,在所有语音任务中,佩戴外科口罩或KF94口罩的患者的声音强度都显着降低。不同掩模条件下各组在持续/a/元音发声和第3 CAPEV句(全浊音句)上的倒谱峰突出(CPP)无显著差异。在无口罩条件下,健康说话者和患者的L/H比值均显著降低。结论:总体而言,在本研究中,戴口罩或口罩类型不会改变基于时间和倒谱的声学参数,而在戴口罩的情况下,高功能语音障碍患者的频谱测量如L/H比显著增加。这些发现表明,在功能性发声障碍患者中,佩戴外科口罩或kf94口罩可能是一种安全且相关的声学干扰和/a/元音背侧措施的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Face Masks on Acoustic Measures in Patients with Hyperfunctional Voice Disorders and Normal Speakers
Purpose: Wearing face masks during the COVID-19 pandemic has become a very important hygiene measure to block or prevent respiratory droplets and infections. The purpose of this study is to explore the effect of wearing face masks on the acoustical measurement of voice and speech in patients with hyperfunctional voice disorders, and to present guidelines for wearing a mask when evaluating voice and speech.Methods: A total of 20 patients with hyperfunctional voice disorders who diagnosed with vocal nodules, muscle tension dysphonia, and adductor spasmodic dysphonia (14 females, 6 males, age=30.55±8.24) and age-and gender-matched 20 healthy adults (15 females, 5 males, age=27.31±7.52) were enrolled. All participants completed three speech tasks (sustained /a/vowel, CAPEV-3 all voiced sentence, and the ‘Kaeul’ standard passage- 2nd sentence) with their habitual pitch and loudness among the different mask conditions (No mask, surgical, and KF94). Acoustic analysis including perturbation and cepstral & spectral parameters was conducted with MDVP and ADSV.Results: For the healthy speakers, there were significantly lower in jitter (%), shimmer (%), and noise-to-harmonic (NHR) in no mask condition than in mask conditions, while there was no significantly different in perturbation measures (F0, jitter (%), shimmer (%), and NHR for patients. Vocal intensity was significantly reduced in mask-wearing conditions either surgical or KF94 mask with all speech tasks except sustained /a/ vowel phonation for patients. Cepstral peak prominence (CPP) was not significantly different among the different mask conditions in sustained /a/ vowel phonation and 3rd CAPEV sentence (all voiced sentence) in all groups. Both healthy speakers and patients showed significantly lower L/H ratio values in the no mask condition.Conclusions: Overall, in current study, wearing a mask or the type of face mask did not change time-based and cepstral acoustic parameters, while a spectral measure such as L/H ratio was significantly increased in mask-wearing conditions in patients with hyperfunctional voice disorders. These findings suggest that wearing either surgical or KF 94 masks could be a safe and relevant choice for acoustic perturbation and cepstral measures with /a/ vowel in hyperfunctional dysphonia.
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来源期刊
Clinical Archives of Communication Disorders
Clinical Archives of Communication Disorders Health Professions-Speech and Hearing
CiteScore
0.50
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9
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