POREĐENJE AKUSTIČKIH PARAMETARA GLASA KOD OSOBA SA ORGANSKIM POREMEĆAJIMA GLASA
Uvod
Sažetak
Glas je akustički fenomen koji se mora višedimenzionalno sagledati. U kvantitativnoj proceni karakteristika glasa, upotreba akustičkih parametara postaje neophodan metod analize. Cilj našeg rada je da ispitamo da li postoje razlike u akustičkim parametrima glasa (prosečna vrednost osnovne frekvencije (Fo), varijacije u visini osnovne frekvencije (Jita) i varijacije u intenzitetu osnovnog tona larinksa (ShdB) kod osoba sa organskim poremećajima glasa u odnosu na pol i starost. Istraživanjem je obuhvaćeno 30 ispitanika, oba pola (žena N=13, muškarac N=17), starosti od 13 do 85 godina. Prvu starosnu grupu činili su ispitanici od 13-40 godina, a drugu starosnu grupu ispitanici od 41-85 godina. Istraživanje, analiza i obrada podataka obavljeni su na Klinici za uho, grlo i nos u KBC „Zvezdara” u Beogradu. Akustički parametri glasa obrađeni su kompjuterskim programom za višedimenzionalnu analizu vokala model 4300 glasovne laboratorije „Kay Elemetrics”. Rezultati analiziranih parametara (Fo, Jita, ShdB) pokazuju da navedeni parametri odstupaju od referentnih vrednosti kod žena. Analizirajući akustičke parametre glasa kod starijih i mlađih ispitanika sa organskim poremećajima glasa uviđamo da postoje značajne razlike imeđu dve grupe ispitanika u akustičkim parametrima glasa kod starijih ispitanika.Uzimajući u obzir važnost glasa i govora za društveni razvoj, ovi istraživački nalazi impliciraju potrebu za opisom kvantitativnih i mikrostrukturnih karakteristika glasa kod osoba sa organskim poremećajima glasa, čime se vokalnim patolozima pruža bolje razumevanje odnosa istraženih nezavisnih faktora pola, godina starosti, pušačkog statusa i glasa, poboljšavajući njihovu sposobnost u procesu dijagnostikovanja, terapije i rehabilitacije organskih poremećaja glasa.
Reference
2. Boominathan P, Samuel J, Arunachalam R, Nagarajan R, Mahalingam S. Multi parametric voice assessment: sri ramachandra university protocol. Indian J Otolaryngol Head Neck Surg. 2014; 66(Suppl 1):246-51. https://doi.org/10.1007/s12070-011-0460-y
3. Fröhlich M, Michaelis D, Strube HW, Kruse E. Acoustic voice analysis by means of the hoarseness diagram. J Speech Lang Hear Res. 2000; 43(3):706-20. https://doi.org/10.1044/jslhr.4303.706
4. Lee MH, Lee SR, Moon SJ, Lim SH, Cho JO, Hong KH. Acoustic characteristics of the smoking patient in the voice disorders. Journal of the Korean Society of Laringology Phoniatrics and Logotedics 2008; 19(2):123-127.
5. Carding PN, Wilson JA, MacKenzie K, Deary IJ. Measuring voice outcomes: state of the science review. J Laryngol Otol. 2009; 123(8):823-9. https://doi.org/10.1017/S0022215109005398
6. Behrman A. Speech and Voice Science. 3rd ed San Diego, CA: Plural Publishing; 2018.
7. Ouyoung LM, Villegas BC, Liu C, Talmor G, Sinha UK. Effects of Resonance Voice Therapy on Hormone-Related Vocal Disorders in Professional Singers: A Pilot Study. Clin Med Insights Ear Nose Throat. 2018; 11:1179550618786934. https://doi.org/10.1177/1179550618786934
8. Seikel JA, Drumright DG, Seikel P. Essentials of Anatomy & Physiology for Communication Disorders. 2rd ed. Delmar Cengage Learning; 2013.
9. Dehqan A, Scherer RC. Acoustic analysis of voice: Iranian teachers. J Voice. 2013; 27(5):655.e17–655.e21. https://doi.org/10.1016/j.jvoice.2013.03.003
10. Petrović-Lazić M, Babac S, Vuković M, Kosanović R, Ivanković Z. Acoustic voice analysis of patients with vocal fold polyp. J Voice. 2011; 25(1):94-7. https://doi.org/10.1016/j.jvoice.2009.04.002
11. Byeon H. Relationships Among Smoking, Organic, and Functional Voice Disorders in Korean General Population. J Voice. 2015a; 29(3):312-316. https://doi.org/10.1016/j.jvoice.2014.07.015
12. Awan SN. The effect of smoking on the dysphonia severity index in females. Folia Phoniatr Logop. 2011; 63(2):65-71. https://doi.org/10.1159/000316142
13. Byeon H. The association between lifetime cigarette smoking and dysphonia in the Korean general population: findings from a national survey. PeerJ. 2015; Apr 28;3:e912. https://doi.org/10.7717/peerj.912
14. Tuhanioğlu B, Erkan SO, Özdaş T, Derici Ç, Tüzün K, Şenkal ÖA. The Effect of Electronic Cigarettes on Voice Quality. J Voice. 2019; 33(5):811.e13-811.e17. https://doi.org/10.1016/j.jvoice.2018.03.015
15. Vincent I, Gilbert HR. The effects of cigarette smoking on the female voice. Logoped Phoniatr Vocol. 2012;37(1):22-32. https://doi.org/10.3109/14015439.2011.638673
16. Byeon H, Cha S. Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach. Sci Rep. 2020; 10:4720. https://doi.org/10.1038/s41598-020-61565-3
17. Madruga de Melo EC, Lemos M, Aragão Ximenes Filho J, Sennes LU, Nascimento Saldiva PH, Tsuji DH. Distribution of collagen in the lamina propria of the human vocal fold. Laryngoscope. 2003; 113(12):2187-91. https://doi.org/10.1097/00005537-200312000-00027
18. Pontes P, Yamasaki R, Behlau M. Morphological and functional aspects of the senile larynx. Folia Phoniatr Logop. 2006; 58(3):151-8. https://doi.org/10.1159/000091729
19. Chen X, Thibeault SL. Characteristics of age-related changes in cultured human vocal fold fibroblasts. Laryngoscope. 2008; 118(9):1700-4. https://doi.org/10.1097/MLG.0b013e31817aec6c
20. Etter NM, Stemple JC, Howell DM. Defining the lived experience of older adults with voice disorders. J Voice. 2013;27(1):61-7. https://doi.org/10.1016/j.jvoice.2012.07.002
21. Bertelsen C, Zhou S, Hapner ER, Johns MM 3rd. Sociodemographic Characteristics and Treatment Response Among Aging Adults With Voice Disorders in the United States. JAMA Otolaryngol Head Neck Surg. 2018; 144(8):719-726. https://doi.org/10.1001/jamaoto.2018.0980
22. Bainbridge KE, Roy N, Losonczy KG, Hoffman HJ, Cohen SM. Voice disorders and associated risk markers among young adults in the United States. Laryngoscope 2017; 127(9):2093-2099. https://doi.org/10.1002/lary.26465
23. Brower A, Cavalli L, Gorb N. A profile of the psychosocial impact of chronic, organic voice disorders in the adolescent population and the factors that affect this. BMJ Journals, 2020; 105(2):A1-A7. https://doi.org/10.1136/archdischild-2020-gosh.19
24. Bertelsen C, Zhou S, Hapner ER, Johns MM 3rd. Sociodemographic Characteristics and Treatment Response Among Aging Adults With Voice Disorders in the United States. JAMA Otolaryngol Head Neck Surg. 2018;144(8):719-726. https://doi.org/10.1001/jamaoto.2018.0980
25. Hunter EJ, Tanner K, Smith ME. Gender differences affecting vocal health of women in vocally demanding careers. Logoped Phoniatr Vocol. 2011; 36(3):128-36. https://doi.org/10.3109/14015439.2011.587447
26. Martins RH, do Amaral HA, Tavares EL, Martins MG, Gonçalves TM, Dias NH. Voice Disorders: Etiology and Diagnosis. J Voice. 2016; 30(6):761.e1-761.e9. https://doi.org/10.1016/j.jvoice.2015.09.017
27. Lyberg-Åhlander V, Rydell R, Fredlund P, Magnusson C, Wilén S. Prevalence of Voice Disorders in the General Population, Based on the Stockholm Public Health Cohort. J Voice. 2019; 33(6):900-905. https://doi.org/10.1016/j.jvoice.2018.07.007
28. Cohen SM, Turley R. Coprevalence and impact of dysphonia and hearing loss in the elderly. Laryngoscope. 2009; 119(9):1870-3. https://doi.org/10.1002/lary.20590