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肌内效贴用于嗓音障碍患者

Kinesio Taping in Dysphonic Patients.

作者信息

Mezzedimi Chiara, Livi Walter, Spinosi Maria Carla

机构信息

ENT Department, Policlinico S.M. alle Scotte, Siena, Italy.

ENT Department, Policlinico S.M. alle Scotte, Siena, Italy.

出版信息

J Voice. 2017 Sep;31(5):589-593. doi: 10.1016/j.jvoice.2017.01.012. Epub 2017 Feb 23.

Abstract

OBJECTIVE

Kinesio taping (KT) is a method of elastic bandaging that produces a biomechanical effect on the organism. This study aims to evaluate its use in dysphonic patients tratment, as integrated part of speech therapy.

STUDY DESIGN

Randomized controlled MATERIALS AND METHODS: Fifteen dysphonic patients were given the option to complement the speech therapy treatment with KT (DG1). 15 dysphonic patients suffering from similar conditions (DG2) who underwent traditional speech therapy were the control group.

RESULTS

After treatment, both DG1 and DG2 obtained a statistically significant improvement for jitter and noise-to-harmonic ratio (P >0.05) and showed an improvement in Voice Handicap Index (VHI) total (VHIt), VHI functional (VHIf), VHI emotional (VHIe), and VHI physical (VHIp). However, the improvement was statistically significant for VHIt (P =0.0102), VHIe (P =0.0349), and VHIp (P =0.0366) in DG1, and only in VHIt (P =0.0466) in DG2. In DG1, P had a lower value than in DG2 for VHIt, VHIe, and VHIp. In DG2, there were a few patients who after therapy had a VHIt higher than before therapy, whereas this did not occur in DG1.

CONCLUSIONS

As expected, this study confirms the benefits of speech therapy. Although KT is not a substitute for speech therapy, our preliminary results and patients' favorable response to KT encouraged us to continue with our studies on a larger scale. Further studies are required to better define the role of KT in speech therapy and evaluate its real effect over its placebo effect.

摘要

目的

肌内效贴扎(KT)是一种对机体产生生物力学效应的弹性绷带包扎方法。本研究旨在评估其作为言语治疗的一部分在嗓音障碍患者治疗中的应用。

研究设计

随机对照

材料与方法

15名嗓音障碍患者可选择用KT辅助言语治疗(DG1组)。15名患有相似病症且接受传统言语治疗的嗓音障碍患者作为对照组(DG2组)。

结果

治疗后,DG1组和DG2组的抖动和噪声谐波比均有统计学意义上的显著改善(P>0.05),且嗓音障碍指数(VHI)总分(VHIt)、功能维度(VHIf)、情感维度(VHIe)和生理维度(VHIp)均有所改善。然而,DG1组的VHIt(P = 0.0102)、VHIe(P = 0.0349)和VHIp(P = 0.0366)改善具有统计学意义,而DG2组仅VHIt(P = 0.0466)有统计学意义。在DG1组中,VHIt、VHIe和VHIp的P值低于DG2组。在DG2组中,有少数患者治疗后的VHIt高于治疗前,而DG1组未出现这种情况。

结论

正如预期的那样,本研究证实了言语治疗的益处。虽然KT不能替代言语治疗,但我们的初步结果和患者对KT的良好反应鼓励我们继续进行更大规模的研究。需要进一步研究以更好地界定KT在言语治疗中的作用,并评估其相对于安慰剂效应的实际效果。

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