Ramos Janine Santos, Feniman Mariza Ribeiro, Gielow Ingrid, Silverio Kelly Cristina Alves
Department of the Bauru School of Dentistry/University of São Paulo-FOB/USP, Bauru, São Paulo, Brazil.
Speech-Language Pathology and Audiology Department of the Bauru School of Dentistry/University of São Paulo-FOB/USP, Bauru, São Paulo, Brazil.
J Voice. 2018 Nov;32(6):771.e25-771.e36. doi: 10.1016/j.jvoice.2017.08.011. Epub 2017 Sep 28.
To compare and to correlate the performance of women with behavioral dysphonia and without voice disorders in auditory processing tests and in the Voice Tone Reproduction Test (VTRT).
Forty women aged from 18 to 44 years participated and were divided in two groups: dysphonic (DG) and non-dysphonic (NDG). The participants underwent interview, hearing, otorhinolaryngology and voice assessments (voice record, VTRT through phonetography), and auditory processing assessment-using the Pitch Pattern Sequence (PPS) test and the Duration Pattern Sequence (DPS) test. The statistical analysis compared both groups, and there was a correlation test (P < 0.05).
The NDG had a better performance in the PPS test (P = 0.000), in the VTRT test in the first attempt (P = 0.025), and in the total of correct answers (P = 0.017). There was a positive correlation between the PPS and both the first attempt of the VTRT and the total number of attempts. Regarding the DPS, there was a positive correlation for the left ear with the total number of VTRT attempts.
Dysphonic women presented disorders in temporal auditory processing skills, revealing an important relation between vocal production and impairment of some central auditory functions. There was a positive correlation between the performance in the auditory processing assessment and the performance in voice tone reproduction in both groups. The VTRT may assist speech therapists and voice trainers in verifying difficulties of auditory perception of dysphonic women when the cause is due to behavioral tdysphonia.
比较有行为性发声障碍的女性与无嗓音障碍的女性在听觉处理测试和嗓音音调再现测试(VTRT)中的表现,并进行相关性分析。
40名年龄在18至44岁之间的女性参与研究,分为两组:发声障碍组(DG)和非发声障碍组(NDG)。参与者接受了访谈、听力、耳鼻喉科和嗓音评估(嗓音记录,通过语音描记法进行VTRT),以及听觉处理评估——使用音高模式序列(PPS)测试和时长模式序列(DPS)测试。统计分析对两组进行了比较,并进行了相关性检验(P < 0.05)。
NDG在PPS测试(P = 0.000)、VTRT测试的首次尝试(P = 0.025)以及正确答案总数(P = 0.017)方面表现更好。PPS与VTRT的首次尝试以及总尝试次数之间存在正相关。关于DPS,左耳与VTRT总尝试次数之间存在正相关。
发声障碍的女性在颞叶听觉处理技能方面存在障碍,揭示了发声与某些中枢听觉功能受损之间的重要关系。两组在听觉处理评估中的表现与嗓音音调再现的表现之间均存在正相关。当病因是行为性发声障碍时,VTRT可帮助言语治疗师和嗓音训练师核实发声障碍女性的听觉感知困难。