用倒谱分析帕金森病患者发声前后语音质量的疗效研究

IF 1.1 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Frank R Boutsen, Eunsun Park, Justin D Dvorak
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引用次数: 1

摘要

作品简介:说出来!®是一种治疗帕金森病(PD)患者构音障碍的行为疗法,近年来已成为金标准Lee Silverman Voice treatment (LSVT)的替代疗法。“说出来”效果的声学评价!®疗法专注于韵律。这项研究的目的是调查“说出来!”®在声音质量方面的功效及其对生活质量的影响。使用倒谱峰突出(CPP)分析和声学语音质量指数(AVQI)声学测量语音质量,并使用临床语音表现评分感知测量语音质量。用语音障碍指数(VHI)和语音相关生活质量(V-RQOL)来衡量对生活质量的影响。本研究的另一个目的是调查构音障碍的严重程度和疾病持续时间是否可预测因SPEAK-OUT®引起的语音质量变化。方法:治疗前和治疗后的数据包括PD参与者对录音的声学和感知评分。人口统计数据包括年龄、性别、诊断、PD病程和构音障碍严重程度。结果:参与者在元音和句子CPP平滑(CPPS)平均得分以及他们的AVQI得分上取得了显着改善。®治疗。AVQI的改善与病程负相关,与构音障碍严重程度正相关。讨论/结论:说出来!®可有效改善特发性PD引起的构音障碍患者的语音质量。构音障碍较严重且病程较短的患者可能受益最大,支持早期干预。至于测量类型,AVQI结合了元音和句子上下文的声学,因此可以选择CPPS(元音)或CPPS(句子)测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Efficacy Study of Voice Quality Using Cepstral Analyses of Phonation in Parkinson's Disease before and after SPEAK-OUT!®.

Introduction: SPEAK-OUT!® is a behavioral treatment for hypokinetic dysarthria in persons with Parkinson's disease (PD) that has become an alternative to the gold-standard Lee Silverman Voice Treatment (LSVT) in recent years. Acoustic evaluation of the efficacy of SPEAK-OUT!® therapy has focused on prosody. The purpose of this study was to investigate SPEAK-OUT!® efficacy in terms of vocal quality and its impact on quality of life. Vocal quality was measured acoustically using cepstral peak prominence (CPP) analysis and the Acoustic Voice Quality Index (AVQI) and perceptually using clinical ratings of speech performance. Impact on quality of life was measured with the Voice Handicap Index (VHI) and Voice-Related Quality of Life (V-RQOL). An additional goal of this study was to investigate whether dysarthria severity and disease duration were predictive of changes in voice quality due to SPEAK-OUT!®.

Methods: Pre- and post-therapy data included PD participants' acoustic and perceptual ratings of audio recordings. Demographic data included age, sex, diagnosis, duration of PD, and severity of dysarthria.

Results: Participants achieved significant improvement in the vowel and sentence CPP smoothed (CPPS) mean score as well as in their AVQI score post SPEAK-OUT!® treatment. Improvements in AVQI correlated negatively with disease duration and positively with dysarthria severity.

Discussion/conclusion: SPEAK-OUT!® is effective in improving voice quality in patients with hypokinetic dysarthria due to idiopathic PD. Patients with more severe dysarthria and with a shorter disease duration may benefit the most, supporting earlier intervention. As for the type of measurement, AVQI combines acoustics from both vowel and sentence contexts and may therefore be the measure of choice over CPPS (vowel) or CPPS (sentence).

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来源期刊
Folia Phoniatrica et Logopaedica
Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
2.30
自引率
10.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.
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