Serkan BENGİSU, Seyhun TOPBAŞ, İsmail KOÇAK

Kas gerilimi disfonisi tip 1 hastalığı ile yumuşak fonasyon indeksi arasındaki ilişki ve ses terapisinin etkinliği

Amaç: Kas gerilimi disfonisi KGD tip 1 ile yumuşak fonasyon indeksi YFİ parametresi arasındaki ilişki araştırıldı ve bu hastalara uygulanan ses terapisinin etkinliği değerlendirildi. Hastalar ve Yöntemler: Çalışmaya videolarengostroboskopik inceleme ile KGD tip 1 tanısı konan 20 hasta tümü kadın; ort. yaş 27±6 alındı. Olgulara ses terapisi öncesinde ve sonrasında Çokboyutlu Ses Programı Multi-Dimensional Voice Program ile akustik analiz yapıldı. Akustik parametreler herhangi bir ses sorunu bulunmayan 20 kişilik kontrol grubu tümü kadın; ort. yaş 28±4 ile karşılaştırıldı. Bulgular: Hasta grubunda 20 hastanın 19’unda YFİ parametresinde bozulma saptanırken, kontrol grubunda bu durum yalnızca iki olguda gözlendi p

Anahtar Kelimeler:

Fonasyon, ses spektrografisi, konuşma akustiği, konuşma terapisi, ses hastalıkları/tanı, ses kalitesi, ses eğitimi

The relationship between muscle tension dysphonia type 1 and soft phonation index and the effectiveness of voice therapy

Objectives: We investigated the relationship between muscle tension dysphonia MTD type 1 and soft phonation index SPI and evaluated the effect of voice therapy on MTD type 1. Patients and Methods: The study included 20 patients all females; mean age 27±6 years whose diagnosis was made as MTD type 1 on videolaryngostroboscopic examination. Acoustic analysis was performed before and after voice therapy using the Multi-Dimensional Voice Program. Acoustic parameters were compared with those of a control group comprising 20 females mean age 28±4 years without any voice problem. Results: In the patient group, 19 patients exhibited significantly increased SPI compared to two subjects in the control group p<0.05 . The most significant improvements were seen in SPI, jitter, and PPQ following voice therapy, which was found to be effective in 19 patients. Conclusion: Our findings showed a close relationship between MTD type 1 and SPI. Voice therapy improves parameters of amplitude and frequency perturbations, in particular SPI.

Keywords:

Phonation, sound spectrography/methods, speech acoustics, speech therapy, voice disorders/diagnosis, voice quality, voice training,

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