常规模式与远程实践模式实施折衷嗓音治疗对功能过强性嗓音障碍的疗效研究
Conventional Versus Telepractice Delivery of Eclectic Voice Therapy in Hyperfunctional Voice Disorders: An Efficacy Study.
文献信息
| PMID | 42864243 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Ranjitha Kashyap Bannur Nanjundaswamy |
| 作者单位 | Department of Speech-Language Sciences, All India Institute of Speech and Hearing, Mysuru, Karnataka India. |
| 期刊 | Journal of voice : official journal of the Voice Foundation |
| SCI 分区 | Q1 |
| IF | 2.4 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 文献支持使用折衷嗓音治疗来治疗功能过强性嗓音障碍（HFVD）。然而，评估和比较常规方法与远程实践方法在HFVD管理中的疗效的研究有限。因此，本研究旨在通过常规模式与远程实践模式检查和比较折衷嗓音治疗方案在HFVD中的疗效。
方法： 共有40名年龄在18-60岁之间的HFVD患者参加了15次折衷嗓音治疗项目，每次持续40分钟。第1组约20名参与者通过常规模式接受折衷嗓音治疗，第2组20名通过远程实践接受。治疗前后进行了频闪喉镜检查。在治疗前、治疗后和2次随访时获得了卡纳达语共识听觉感知嗓音评估（CAPE-V）、声学嗓音质量指数（AVQI）、卡纳达语嗓音障碍指数（VHI-K）和卡纳达语嗓音疲劳指数（VFI-K）。
结果： 频闪喉镜检查显示明显改善，并且两组的CAPE-V、AVQI、VHI和VFI从治疗前到治疗后和随访评估均下降。Mann-Whitney U检验显示两组之间无显著差异（P > 0.05）。Friedman检验表明第1组和第2组在所有四个时间点上总体存在显著差异（P < 0.01）。
结论： 本研究提供了证据支持折衷嗓音治疗对HFVD的疗效。常规和远程实践模式的嗓音治疗在治疗HFVD方面同样有效。然而，未来采用随机分配和更大样本量的研究是必要的，以加强研究结果的普遍性。
英文摘要
OBJECTIVES: Literature supports the use of eclectic voice therapy in the treatment of Hyperfunctional Voice Disorders (HFVD). Nevertheless, limited studies have assessed and compared outcomes of conventional and telepractice approaches in the management of HFVD. Therefore, the current study aimed to examine and compare the efficacy of an eclectic voice therapy program through conventional versus telepractice mode in HFVD.
METHOD: In total, 40 individuals with HFVD aged 18-60 years attended 15 sessions of the eclectic voice therapy program, with each session lasting 40 minutes. About 20 participants in Group 1 received eclectic voice therapy via conventional mode, and 20 in Group 2 received it via telepractice. Stroboscopy examination was performed at pre and post therapy. Consensus Auditory Perceptual Evaluation of Voice (CAPE-V) Kannada, Acoustic Voice Quality Index (AVQI), Voice Handicap Index in Kannada (VHI-K), and Vocal Fatigue Index in Kannada (VFI-K) were obtained at pre therapy, post therapy, and 2 follow-ups.
RESULTS: Stroboscopy revealed notable improvement, and CAPE-V, AVQI, VHI, and VFI decreased from pre therapy to post therapy and follow-up evaluations in both the groups. The Mann-Whitney U test revealed no significant differences between the 2 groups (P > 0.05). Friedman's test indicated an overall significant difference (P < 0.01) across all four time points within Groups 1 and 2.
CONCLUSION: The current study provided evidence to support the efficacy of eclectic voice therapy in HFVD. Both the conventional and telepractice modes of voice therapy were equally effective in treating HFVD. However, future studies employing random assignment and a larger sample size are warranted to strengthen the generalizability of the findings.