Mailänder Eva, Mühre Lea, Barsties Ben
Logopädie Harburg, Hamburg, Germany.
Praxis für Logopädie Stefan Witt, Hamburg, Germany.
J Voice. 2017 Mar;31(2):262.e13-262.e22. doi: 10.1016/j.jvoice.2016.04.011. Epub 2016 Aug 16.
The objective of this study was to explore the effectiveness of a 3-week training program with the voice therapy "Lax Vox" for teachers.
Four healthy female teachers participated as volunteers for the study. Several voice measurements of perception, acoustics, aerodynamics, and self-evaluation were investigated. Furthermore, a survey to rate the applicability of Lax Vox was also part of the study. To assess the treatment effects of the Lax Vox training, an effect size analysis (d) was conducted.
After 3 weeks of training, medium and large improvements were found in some parameters of perceptual and acoustic voice quality assessments (d >0.50 and d >0.80, respectively). Furthermore, medium improvements were revealed in some parameters of self-evaluation (ie, physical and total scale of the Voice Handicap Index) and aerodynamic (ie, maximum phonation time) assessments (all d >0.50). Additionally, acoustic measures of vocal function showed an expansion in the upper contour of voice range profiles after training. Particularly, the main improvements in the voice range profile was found in the modal and the beginning of the falsetto voice registers. There was an increase of the intensity levels of about 4.6 dB. No changes were revealed in some acoustic measures of the voice range profile, self-evaluation measurements, and the perception of breathy voice quality (all d <0.20). Finally, the applicability of Lax Vox perceptually showed clear support in training success, learning process, and transfer to the daily routine.
Lax Vox training for teachers appears to improve select measures of voice quality, maximum phonation time, vocal function, self-evaluation, and perceived applicability.
本研究的目的是探讨为期3周的“松弛嗓音”语音治疗训练计划对教师的有效性。
四名健康的女教师作为志愿者参与了本研究。对感知、声学、空气动力学和自我评估等多项嗓音指标进行了调查。此外,一项评估“松弛嗓音”适用性的调查也是本研究的一部分。为了评估“松弛嗓音”训练的治疗效果,进行了效应量分析(d)。
经过3周的训练,在感知和声学嗓音质量评估的一些参数上发现了中等和较大程度的改善(分别为d>0.50和d>0.80)。此外,在自我评估(即嗓音障碍指数的身体和总分量表)和空气动力学(即最大发声时间)评估的一些参数上也发现了中等程度的改善(所有d>0.50)。此外,嗓音功能的声学测量显示训练后嗓音范围轮廓的上轮廓有所扩展。特别是,在嗓音范围轮廓上的主要改善出现在模态和假声区的起始部分。强度水平增加了约4.6 dB。在嗓音范围轮廓的一些声学测量、自我评估测量以及呼吸性嗓音质量的感知方面未发现变化(所有d<0.20)。最后,“松弛嗓音”在训练成功率、学习过程以及向日常工作的转化方面在感知上显示出明显的支持。
针对教师的“松弛嗓音”训练似乎可以改善嗓音质量、最大发声时间、嗓音功能、自我评估以及感知适用性等特定指标。