Division of Communication Sciences and Disorders, Department of Rehabilitation Sciences, University of Kentucky, Lexington, Kentucky 40536-0200, USA.
J Voice. 2011 Sep;25(5):562-9. doi: 10.1016/j.jvoice.2010.01.010. Epub 2010 May 31.
It is well known in the disciplines of neurobiology, exercise physiology, motor learning, and psychotherapy that desirable learning and behavior changes occur primarily from practice that involves high-intensity overload, variability, and specificity of training. We propose a novel treatment approach called intensive short-term voice therapy that uses these practice parameters for recalcitrant dysphonia. Intensive short-term voice therapy involves multiple sessions with a variety of clinicians, incorporating multiple simultaneous therapeutic approaches. The intensive short-term voice therapy approach is characterized by voice therapy for 1-4 successive days each with an average of 5 hours of therapy and five clinicians. This form of intensive voice therapy provides rigorous practice, involving not only overload but also opportunities for specificity and individuality thereby facilitating better transfer of learned skills. This article discusses the conceptual, theoretical, and practical foundations of this novel therapy approach.
在神经生物学、运动生理学、运动学习和心理治疗等学科中,人们早已认识到,高强度的超负荷、训练的变异性和针对性是产生理想的学习和行为改变的主要因素。我们提出了一种新的治疗方法,称为强化短期语音治疗,它将这些练习参数应用于难治性发音障碍。强化短期语音治疗涉及与各种临床医生进行多次治疗,同时采用多种治疗方法。强化短期语音治疗方法的特点是每天进行 1-4 次连续治疗,每次平均 5 小时,由 5 名临床医生共同参与。这种形式的强化语音治疗提供了严格的练习,不仅涉及超负荷,还为针对性和个体性提供了机会,从而更有利于学习技能的转移。本文讨论了这种新型治疗方法的概念、理论和实践基础。