후두보정기법이 노인성 음성장애 환자의 음성개선에 미치는 효과 = Effects of SKLCT<SUP>®</SUP> for Voice Improvement in Patients with Presbyphonia

다국어 초록 (Multilingual Abstract)

This study evaluated the effect of the therapeutic methods between vocal function exercise(VFE), which has been used for the patients with presbyphonia in the precedent studies and laryngeal calibration technique(SKLCT<SUP>®</SUP>), which is designed by the author. We identified 58 patients who was been diagnosed as presbylaryngis by laryngoscopic examinations. 21 patients were underwent voice therapy using SKLCT<SUP>®</SUP>, 20 patients were taken VFE, and the control group of 17 patients were not taken any voice therapy. All subjects received the therapy, ranging from seven to nine sessions, and were evaluated the voice change on pretherapy and posttherapy. The grade of hoarseness, roughness, and breathiness voice were reduced on perceptual judgments after SKLCT<SUP>®</SUP>, but only grade of hoarseness was reduced after the VFE. Jitter, Shimmer, NHR were reduced and MPT were increased after the SKLCT<SUP>®</SUP>(p＜.05), while Jitter and SFF were reduced after the VFE. Frequency and intensity range were increased significantly on the posttest performance after taking voice therapy by the SKLCT<SUP>®</SUP>, on the other hand only intensity range was increased after VFE. Especially, we can find the significant change that glottic gap and supraglottic compressions was reduced in most of patients after the SKLCT<SUP>®</SUP>, but there’s no changes in the group of VFE and control group. In the study, we can suggest that the SKLCT<SUP>®</SUP> may be useful in improving the voice qualities and laryngeal function of presbyphonia.

목차 (Table of Contents)

• ABSTRACT
• 1. 서론
• 2. 대상 및 연구 방법
• 3. 결과
• 4. 결론 및 논의
• 참고문헌

참고문헌 (Reference)

1 김성태, "성대용종 환자의 음성치료 효과" 한국음성학회 1 (1): 43-49, 2009

2 김성태, "다중음성치료기법(SK-MVTT)이 성대결절 환자의 음성개선에 미치는 효과:" 한국음성과학회 11 (11): 101-120, 2004

3 김성태, "노인성 음성장애의 음성치료 효과" 한국음성학회 2 (2): 117-121, 2010

4 Berg, E. E., "Voice therapy improves quality of life in age-related dysphonia : a case-control study" 22 (22): 70-74, 2008

5 Bovo, R., "Vocal problems among teachers : Evaluation of a preventive voice program" 21 (21): 705-722, 2007

6 Sauder, C., "Vocal function exercises for presbylaryngis : A multidimensional assessment of treatment outcomes" 119 (119): 460-467, 2010

7 Verdonck-de Leeuw, I. M., "Vocal aging and the impact on daily life : A longitudinal study" 18 (18): 193-202, 2004

8 Awan, S. N., "Videostroboscopic characteristic of toung adult female smokers vs. nonsmokers" 21 (21): 211-223, 2007

9 Pasa, G., "The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers" 32 (32): 128-140, 2007

10 Duffy, O. M., "The impact of preventive voice care programs for training teacher : A longitudinal study" 18 (18): 63-70, 2004

11 Baken, R. J., "The aged voice : A new hypothesis" 19 (19): 317-325, 2005

12 Hazlett, D. E., "Review of the impact of voice training on the vocal quality of professional voice users : Implications for vocal health and recommendations for further research" 1-11, 2009

13 LeBorgne, W. D., "Phonetogram changes for trained singers over a nine-month period of vocal training" 16 (16): 37-43, 2002

14 Titze, I. R., "Laryneal muscle activity in giggle : A damped oscillation model" 22 (22): 644-648, 2008

15 Turley, R., "Impact of voice and swallowing problems in the elderly" 140 : 33-36, 2009

16 Pontes, P., "Glottic characteristics and voice complaint in the elderly" 19 (19): 84-94, 2005

17 Mau, T., "Factors associated with voice therapy outcomes in the treatment of presbyphonia" 120 (120): 1181-1187, 2010

18 Roy, N., "Epidemiology of voice disorders in the elderly : preliminary findings" 117 : 628-633, 2007

19 Ilomäki, I., "Effects of voice training and voice hygiene education on acoustic and perceptual speech parameters and self-reported vocal well-being in female teachers" 33 (33): 83-92, 2008

20 Christopher, R., "Effects of vocal training and phonatory task on voice onset time" 21 (21): 54-63, 2007

21 Mendes, A. P., "Effects of singing training on the speaking voice of voice majors" 18 (18): 83-89, 2004

22 Sato, K., "Age-related changes of collagenous fibers in the human vocal fold mucosa" 111 : 15-20, 2002

23 Gorman, S., "Aerodynamic changes as a result of vocal function exercises in elderly men" 118 (118): 1900-1903, 2008

24 Szameitat, D. P., "Acoustic profiles of distinct emotional expression in laughter" 126 (126): 354-366, 2009