运动性构音障碍的发声空气动力学检查及疗效

doi:10.3969/j.issn.1006-9771.2018.10.013

Abstract

Abstract: Objective To explore the aerodynamic features and rehabilitation of patients with dysarthria who speak mandarin.Methods From July, 2013 to December, 2016, 45 patients with dysarthria were rehabilitated with physiologic approach (especially the pushing method) for four weeks. The vital capacity, maximum sustained phonation and voicing efficiency were tested before and after intervention.Results After intervention, the peak expiratory airflow, mean sound pressure level during voicing, subglottal pressure and glottal resistance improved (t>2.474, P<0.05), and no significant improvement was found in the expiratory airflow duration, expiratory volume, pitch, maximum phonation time, mean flow rate and vocal efficiency (P>0.05). There was no significant difference in all the indexes among different types of dysarthria (P>0.05).Conclusion The aerodynamic assessment could be a good tool to evaluate the effects on dysarthria, however, it cannot help to define the various type of dysarthria.

Key words: dysarthria, aerodynamic, assessment, effect

CLC Number:

R493

HE Yi, PANG Zi-jian, LI Sheng-li. Aerodynamic Evaluation and Intervention Effect on Dysarthria[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(10): 1187-1194.

References

[1] 李胜利. 言语治疗学[M]. 北京:华夏出版社, 2014: 77-97.
[2] Urban PP, Rolke R, Wicht S, et al.Left-hemispheric dominance for articulation:a prospective study on acute ischaemic dysarthria at different localization[J]. Brain, 2006, 129(Pt3): 767-777.
[3] 杨和钧,张道行. 我国嗓音医学研究现状[J]. 中国医学文摘耳鼻咽喉科学, 2006, 21(5): 280-281.
[4] Thoppil MG, Kumar CS, Kumar A, et al.Speech signal analysis and pattern recognition in diagnosis of dysarthria[J]. Ann Indian Acad Neurol, 2017, 20(4): 352-357.
[5] Gonzalez-Moreira E, Torres D, Ferrer CA, et al.Improving dysarthria classification by pattern recognition techniques based on a bionic model[M]// Progress in Pattern Recognition, Image Analysis, Computer Vision, and Applications. Berlin Heidelberg: Springer, 2013: 246-253.
[6] Pawlukowska W, Szyli;#x00144;ska A, Kotl;#x00119;ga D, et al. Differences between subjective and objective assessment of speech deficiency in Parkinson disease [J]. J Voice, 2017, S0892-1997(17)30295-3.
[7] Moustapha SM, Alain G, Robert E, et al.Pneumophonic coordination impairments in parkinsonian dysarthria: importance of aerodynamic parameters measurements[J]. West Afr J Med, 2012, 31(2): 129-134.
[8] Alfwaress FS, Bibars AR, Hamasha A, et al.Outcomes of palatal lift prosthesis on dysarthric speech[J]. J Craniofac Surg, 2016, 28(1): 30-35.
[9] Roubeau B, Bruel M, de Crouy Chanel O, et al. Reduction of Parkinson's-related dysphonia by thyroplasty[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2016, 133(6): 437439.
[10] Bressmann T.Comparison of nasalance scores obtained with the Nasometer, the NasalView, and the OroNasal System[J]. Cleft Palate Craniofac, 2005, 42(4): 423-433.
[11] 李胜利,张庆苏. 运动性构音障碍言语、声学及疗效的研究[J]. 中国康复理论与实践, 2006, 12(7): 591-592.
[12] 徐文. 痉挛性发声障碍的治疗[J]. 听力学及言语疾病杂志, 2012, 20(6): 518-520.
[13] Gartnerschmidt JL, Hirai R, Dastolfo C, et al.Phonatory aerodynamics in connected speec(8)[J]. Laryngoscope, 2016, 125(12): 2764-2771.
[14] Liu X, Zheng Y, Tian P, et al.The impact of tonsillectomy with or without adenoidectomy on voice: acoustic and aerodynamic assessments[J]. J Voice, 2015, 29(3): 346-348.
[15] Samad I, Akst L, Karatayli-Özgü rsoy S, et al. Evaluation of dyspnea outcomes after endoscopic airway surgery for laryngotracheal stenosis[J]. JAMA Otolaryngol Head Neck Surg, 2016, 142(11): 1075-1081.
[16] Schaeffer N.Pre- and poststimulation study on the phonatory aerodynamic system on participants with dysphoni[J]. J Voice, 2016, 31(2): 254-263.
[17] Joshi A, Watts CR.Phonation quotient in women: a measure of vocal efficiency using three aerodynamic instruments[J]. J Voice, 2017, 31(2): 161-167.
[18] Jiang JJ, Maytag AL.Aerodynamic measures of glottal function: what extra can they tell us and how do they guide management?[J]. Curr Opin Otolaryngol Head Neck Surg, 2014, 22(6): 450-454.
[19] Freed D.运动性言语障碍诊断与治疗[M]. 陈雅资,黄婷群,译. 台北:汤姆生, 2007: 99-243.
[20] Delebecque L, Pelorson X, Beautemps D.Modeling of aerodynamic interaction between vocal folds and vocal tract during production of a vowel-voiceless plosive-vowel sequence[J]. J Acoust Soc Am, 2016, 139(1): 350-360.
[21] Zraick RI, Smith-Olinde L, Shotts LL.Adult normative data for the KayPENTAX Phonatory Aerodynamic System Model 6600[J]. J Voice, 2012, 26(2): 164-176.
[22] Lewandowski A, Gillespie AI, Kridgen S, et al.Adult normative data for phonatory aerodynamics in connected speech[J]. Laryngoscope, 2018, 128(4): 909-914.
[23] 林生智. 无创性空气动力学检查在嗓音功能评估中的应用研究[D]. 福州:福建医科大学, 2012: 11-31.
[24] Thiel C, Jin Y, Crawley B, et al. Aerodynamic characteristics of syllable and sentence productions in normal speakers [J]. J Voice, 2018, pii: S0892-1997(17)30417-4.
[25] 郭永清,林生智,徐新林,等. 空气动力学参数在嗓音功能评估中的意义[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(10): 858-861.
[26] 梁发雅,杨金珊,蔡谦,等. 嗓音训练前后对女性肌紧张性发声障碍患者发声空气动力学结果分析[J]. 听力学及言语疾病杂志, 2014, 22(4): 371-374.
[27] Fu S, Theodoros DG, Ward E. Intensive versus traditional voice therapy for vocal nodules: perceptual, physiological, acoustic and aerodynamic changes [J]. J Voice, 2015, 29(2): 260.e31-44.
[28] Sarr MM, Pinto S, Jankowski L, et al.Measurement of intraoral pressure as a contributor for the understanding of pneumophonic coordination impairment in Parkinsonian dysarthria[J]. Rev Neurol, 2009, 165(12): 1055-1061.
[29] Awan SN, Novaleski CK, Yingling JR.Test-retest reliability for aerodynamic measures of voice[J]. J Voice, 2013, 27(6): 674-684.
[30] Rong P, Yunusova Y, Wang J, et al.Predicting early bulbar decline in amyotrophic lateral sclerosis: a speech subsystem approach[J]. Behav Neurol, 2015, 2015(5): 1-11.
[31] Yunusova Y, Green JR, Wang J, et al.A protocol for comprehensive assessment of bulbar dysfunction in amyotrophic lateral sclerosis (ALS)[J]. J Vis Exp, 2011, 48(48): 2422-2427.
[32] Master S, Guzman M, Azcar MJ, et al.How do laryngeal and respiratory functions contribute to differentiate actors/actresses and untrained voices?[J]. J Voice, 2015, 29(3): 333-345.

Aerodynamic Evaluation and Intervention Effect on Dysarthria

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[2]	ZHANG Yuan, YANG Jian. School health services and effectiveness based on World Health Organization health-promoting school framework: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 791-799.
[3]	WANG Yongli, YU Xinchun, JIN Xinyue, BI Siyu, WANG Xi, NI Tianhao, WAN Qin, HUANG Zhaoming. Effect of speech imagery therapy on dysarthria in children with cerebral palsy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 601-607.
[4]	YAN Mei, JIANG Hua, DONG Liquan, LIU Bofei, HE Weijie, WU Xiaogao, GUO Zhiyang. Demand, supply and satisfaction of assistive technology in China based on rapid Assistive Technology Assessment data [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 373-380.
[5]	YANG Yaru, YANG Jian. Content comparison of assessment tools of activity and participation, and quality of life: based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1454-1464.
[6]	YI Wenchao, GAO Qiuye, FAN Yabei, DING Wei, CHEN Xin, ZHAO Xiaolong, CAO Rong. Application of Canadian Occupational Performance Measure combined with activity analysis in clients with hand injuries [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 88-92.
[7]	REN Kaixin,LI Lingcong,WANG Xiujing,MA Liying,WANG Zhenyu. Proportion of contextual effect of non-surgical treatments for rotator cuff injuries: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1039-1048.
[8]	ZHU Lijie,YUN Guojun,ZHANG Weiyun,LIU Qing,CAO Jianguo. Application of ultrasonography in quantitative evaluation of gastrocnemius muscles in children with spastic cerebral palsy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1079-1083.
[9]	YIN Minmin,LING Xing,YANG Yaru,DAI Hengyu,GE Shengnan,HUANG Zhaoming. Development of diagnosis, assessment and intervention solution for speech fluency disorder using WHO-FICs [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 630-636.
[10]	GE Shengnan,WANG Yongli,YIN Minmin,WAN Qin,YANG Yaru,Lancy Lantin HUANG,HUANG Zhaoming. Diagnosis, assessment and rehabilitation of speech disorders after cerebral palsy using WHO-FICs [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 637-645.
[11]	TAN Mingdan,FENG Dingyao,CHEN Xi,LIU Hanjun,LI Yongxue. Reliability and validity of Chinese version of Dysarthria Impact Profile for Parkinson's disease [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 696-703.
[12]	SHAN Jie-ling,ZHU Yu-lan,RUAN Ting-ting,GU Sheng-chen,HUANG Kai-wen,LI Yun,ZHU Yu-lian. Effect of Instrument-assisted Soft Tissue Mobilization on Achilles Tendon Using Shear Wave Elastography [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1098-1103.
[13]	HE Lei,CHAI Shuang-shuang,CHEN Ya-ping. Effect of Balance Training with Balance Assessment Training System on Balance after Stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 760-764.
[14]	CHEN Ming-zhen,JIANG Fan,SHAN Yong,HONG Yong-feng,LIU Xue,XIAO Hong-bo,CHEN Rui-quan. Measurement of Structure and Stiffness of Gastrocnemius Muscle for Stroke Patients with Multimodal Ultrasound Imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 791-796.
[15]	LI Jian-fei,LI Qian,LI Jia-lu,WANG Jian,LIU Li,LI Li. Long-term Effect of Sling-massage Exercise on Cervical Spondylopathy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 834-839.