Otolaryngology, Ca' Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy.
J Rehabil Med. 2010 May;42(5):442-6. doi: 10.2340/16501977-0540.
Laryngeal hemiplegia, also known as vocal fold paralysis, causes severe communicative disability. Although voice therapy is commonly considered to be beneficial for improving the voice quality in several voice disorders, there are only a few papers that present scientific evidence of the effectiveness of voice therapy in treating the disabilities of laryngeal hemiplegia. The aim of this study was to evaluate the outcomes of voice therapy in patients with laryngeal hemiplegia and to evaluate the role of the time gap between onset of laryngeal hemiplegia and initiation of therapy.
A prospective study comparing subjects treated either within or more than 3 months after the onset of laryngeal hemiplegia.
The study involved 30 laryngeal patients with hemiplegia (16 males, 14 females, age range 15-80 years).
All patients underwent videolaryngostroboscopy, maximum phonation time measurement, GIRBAS perceptual evaluation, Voice Handicap Index self-assessment and Multi-Dimensional Voice Program voice analysis before and after therapy.
In all tests, there were significant improvements in voice quality, both in the group treated within 3 months after the onset of laryngeal hemiplegia and in the group treated after this time.
Voice therapy is effective in treating laryn-geal hemiplegia even if treatment is delayed by more than 3 months from onset of laryngeal hemiplegia.
喉麻痹，又称声带麻痹，会导致严重的交流障碍。尽管语音治疗通常被认为对改善多种语音障碍的语音质量有益，但仅有少数几篇论文提出了语音治疗治疗喉麻痹障碍的有效性的科学证据。本研究旨在评估语音治疗对喉麻痹患者的治疗效果，并评估喉麻痹发病与开始治疗之间的时间间隔的作用。
一项比较发病后 3 个月内或 3 个月后开始治疗的受试者的前瞻性研究。
该研究涉及 30 名喉麻痹患者（16 名男性，14 名女性，年龄 15-80 岁）。
所有患者均在治疗前和治疗后进行视频喉镜检查、最大发声时间测量、GIRBAS 感知评估、嗓音障碍指数自我评估和多维嗓音计划嗓音分析。
在所有测试中，无论是在喉麻痹发病后 3 个月内开始治疗的组还是在此时间后开始治疗的组，语音质量都有显著改善。
即使喉麻痹发病后超过 3 个月才开始治疗，语音治疗对治疗喉麻痹也是有效的。
