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年轻和年长者发声负荷时的呼吸及喉部变化

Respiratory and Laryngeal Changes With Vocal Loading in Younger and Older Individuals.

作者信息

Sundarrajan Anusha, Huber Jessica E, Sivasankar M Preeti

机构信息

Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN.

出版信息

J Speech Lang Hear Res. 2017 Sep 18;60(9):2551-2556. doi: 10.1044/2017_JSLHR-S-17-0106.

Abstract

PURPOSE

The objective of the current study was to investigate the effects of age and vocal loading on the respiratory and laryngeal systems.

METHOD

Fourteen younger (M = 20 years) and 13 older (M = 75 years) healthy individuals participated in a 40-min vocal loading challenge in the presence of 70-dB background noise. Respiratory kinematic and laryngeal measurements were obtained before and after the challenge.

RESULTS

Following the loading challenge, participants in both groups reported greater speaking effort. Sound pressure level increased in the older group and decreased in the younger group after loading. Younger adults, but not older adults, used lower lung volume initiations and higher lung volume terminations after loading. Cepstral peak prominence increased with loading in both groups, but this change was of small magnitude and not clinically significant.

CONCLUSIONS

The negative effects of loading were observed in respiratory and laryngeal measures, although the pattern of changes differed across the groups. These data increase our knowledge of underlying respiratory and laryngeal physiological changes following a loading challenge and may reflect some of the physiologic mechanisms underlying vocal fatigue.

摘要

目的

本研究的目的是调查年龄和发声负荷对呼吸和喉部系统的影响。

方法

14名较年轻(平均年龄 = 20岁)和13名较年长(平均年龄 = 75岁)的健康个体在70分贝背景噪声下参与了一项40分钟的发声负荷挑战。在挑战前后获取呼吸运动学和喉部测量数据。

结果

负荷挑战后,两组参与者均报告说话时更费力。负荷后,老年组的声压级增加,而年轻组的声压级降低。负荷后,较年轻成年人(而非较年长成年人)开始发声时的肺容积较低,结束发声时的肺容积较高。两组的谐波峰值突出度随负荷增加,但这种变化幅度较小且无临床意义。

结论

在呼吸和喉部测量中观察到了负荷的负面影响,尽管两组的变化模式有所不同。这些数据增加了我们对负荷挑战后潜在的呼吸和喉部生理变化的认识,并可能反映了发声疲劳背后的一些生理机制。

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