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特发性帕金森病:嗓音与生活质量分析

Idiopathic Parkinson's disease: vocal and quality of life analysis.

作者信息

Silva Luiza Furtado e, Gama Ana Cristina Côrtes, Cardoso Francisco Eduardo Costa, Reis César Augusto da Conceição, Bassi Iara Barreto

机构信息

UFMG, Belo Horizonte MG, Brazil.

出版信息

Arq Neuropsiquiatr. 2012 Sep;70(9):674-9. doi: 10.1590/s0004-282x2012000900005.

Abstract

OBJECTIVE

To compare voice and life quality of male patients with idiopathic Parkinson's disease, with individuals without disease (Control Group).

METHODS

A cross-sectional study that evaluated the voice of individuals with Parkinson's disease, the group was composed of 27 subjects, aged from 39 to 79 years-old (average 59.96). The Control Group was matched on sex and age. Participants underwent voice recording. Perceptual evaluation was made using GRBASI scale, which considers G as the overall degree of dysphonia, R as roughness, B as breathiness, A as asthenia, S as strain and I as instability. The acoustic parameters analyzed were: fundamental frequency, jitter, shimmer, and harmonic to noise ratio (NHR). For vocal self-perception analysis, we used the Voice Related Quality of Life protocol.

RESULTS

Fundamental frequency and jitter presented higher values in the Parkinson's group. NHR values were higher in the Control Group. Perceptual analysis showed a deviation ranging. The vocal disorder self-perception demonstrated a worse impact on quality of life.

CONCLUSIONS

Individuals with Parkinson's disease have an altered voice quality and a negative impact on quality of life.

摘要

目的

比较特发性帕金森病男性患者与无病个体(对照组)的嗓音和生活质量。

方法

一项横断面研究,评估帕金森病患者的嗓音,该组由27名年龄在39至79岁(平均59.96岁)的受试者组成。对照组在性别和年龄上进行匹配。参与者进行嗓音录音。使用GRBASI量表进行感知评估,该量表将G视为发音障碍的总体程度,R视为粗糙程度,B视为气息声,A视为无力,S视为紧张,I视为不稳定。分析的声学参数包括:基频、抖动、闪烁和谐波噪声比(NHR)。对于嗓音自我感知分析,我们使用了与嗓音相关的生活质量方案。

结果

帕金森病组的基频和抖动值较高。对照组的NHR值较高。感知分析显示存在一定偏差。嗓音障碍自我感知对生活质量产生了更严重的影响。

结论

帕金森病患者的嗓音质量发生改变,对生活质量产生负面影响。

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