Division of Speech Pathology, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
J Voice. 2013 Nov;27(6):786.e1-9. doi: 10.1016/j.jvoice.2013.03.012. Epub 2013 Jul 19.
To determine the anatomical and physiological nature of voice problems and their treatment in those group fitness instructors (GFIs) who have sought a medical diagnosis; the impact of voice disorders on quality of life and their contribution to activity limitations and participation restrictions; and the perceived attitudes and level of support from the industry at large in response to instructor's voice disorders and need for treatment.
Prospective self-completion questionnaire design.
Thirty-eight individuals (3 males and 35 females) currently active in the Australian fitness industry who had been diagnosed with a voice disorder completed an online self-completion questionnaire administered via SurveyMonkey.
Laryngeal pathology included vocal fold nodules (N = 24), vocal fold cysts (N = 2), vocal fold hemorrhage (N = 1), and recurrent chronic laryngitis (N = 3). Eight individuals reported vocal strain and muscle tension dysphonia without concurrent vocal fold pathology. Treatment methods were variable, with 73.68% (N = 28) receiving voice therapy alone, 7.89% (N = 3) having voice therapy in combination with surgery, and 10.53% (N = 4) having voice therapy in conjunction with medication. Three individuals (7.89%) received no treatment for their voice disorder. During treatment, 82% of the cohort altered their teaching practices. Half of the cohort reported that their voice problems led to social withdrawal, decreased job satisfaction, and emotional distress. Greater than 65% also reported being dissatisfied with the level of industry and coworker support during the period of voice recovery.
This study identifies that GFIs are susceptible to a number of voice disorders that impact their social and professional lives, and there is a need for more proactive training and advice on voice care for instructors, as well as those in management positions within the industry to address mixed approaches and opinions regarding the importance of voice care.
确定寻求医学诊断的群体健身指导员（GFI）中出现的声音问题的解剖学和生理学性质及其治疗方法；声音障碍对生活质量的影响及其对活动受限和参与受限的影响；以及整个行业对指导员声音障碍和治疗需求的态度和支持程度。
前瞻性自我完成的问卷调查设计。
38 名（3 名男性和 35 名女性）目前活跃在澳大利亚健身行业且被诊断出患有声音障碍的个体通过 SurveyMonkey 在线完成了自我完成的问卷调查。
喉部病理学包括声带小结（N=24）、声带囊肿（N=2）、声带出血（N=1）和复发性慢性喉炎（N=3）。8 名个体报告有声音紧张和肌肉紧张性发音障碍，但无声带病变。治疗方法各不相同，73.68%（N=28）仅接受语音治疗，7.89%（N=3）语音治疗与手术相结合，10.53%（N=4）语音治疗与药物治疗相结合。有 3 名个体（7.89%）未对其声音障碍进行治疗。在治疗过程中，82%的队列改变了他们的教学实践。一半的队列报告他们的声音问题导致社交退缩、工作满意度降低和情绪困扰。超过 65%的人还报告说，在声音恢复期间，他们对行业和同事的支持水平感到不满。
本研究表明，GFI 易患多种声音障碍，这些障碍会影响他们的社交和职业生活，需要对指导员进行更积极的声音护理培训和建议，以及对行业内处于管理职位的人员进行声音护理重要性的培训和建议，以解决对声音护理的重视程度的方法和意见不一的问题。
