Timmermans Bernadette, De Bodt Marc, Wuyts Floris, Van de Heyning Paul
Department Rits, Erasmus Institute Brussels, Brussels, Belgium.
Eur Arch Otorhinolaryngol. 2004 Jan;261(1):1-5. doi: 10.1007/s00405-003-0652-5. Epub 2003 Jul 23.
Sixty-eight students of a school for audiovisual communication participated in this study. A part of them, 49 students, received voice training for 9 months (the trained group); 19 subjects received no specific voice training (the untrained group). A multidimensional test battery containing the GRBAS scale, videolaryngostroboscopy, Maximum Phonation Time (MPT), jitter, lowest intensity (IL), highest frequency (FoH), Dysphonia Severity Index (DSI) and Voice Handicap Index (VHI) was applied before and after training to evaluate training outcome. The voice training is made up of technical workshops in small groups (five to eight subjects) and vocal coaching in the ateliers. In the technical workshops, basic skills are trained (posture, breathing technique, articulation and diction), and in the ateliers, the speech and language pathologist assists the subjects in the practice of their voice work. This study revealed a significant amelioration over time for the objective measurements [Dysphonia Severity Index: from 2.3 to 4.5 ( P<0.001)] and the self-evaluation [Voice Handicap Index, from 23 to 18.4 ( P=0.016)] for the trained group only. This outcome favors the systematic introduction of voice training during the schooling of professional voice users.
一所视听通信学校的68名学生参与了本研究。其中一部分,49名学生接受了为期9个月的嗓音训练(训练组);19名受试者未接受特定的嗓音训练(未训练组)。在训练前后应用了包含GRBAS量表、视频喉镜频闪检查、最长发声时间(MPT)、抖动、最低强度(IL)、最高频率(FoH)、嗓音障碍严重程度指数(DSI)和嗓音障碍指数(VHI)的多维测试组来评估训练效果。嗓音训练由小组(五至八名受试者)技术工作坊和工作室的发声指导组成。在技术工作坊中,训练基本技能(姿势、呼吸技巧、发音和措辞),在工作室中,言语病理学家协助受试者进行嗓音练习。本研究仅显示训练组在客观测量方面[嗓音障碍严重程度指数:从2.3至4.5(P<0.001)]和自我评价方面[嗓音障碍指数,从23至18.4(P=0.016)]随时间有显著改善。这一结果有利于在专业嗓音使用者的学校教育期间系统引入嗓音训练。