Speech-Language Pathology and Audiology Department, Bauru School of Dentistry, São Paulo College, Bauru, São Paulo, Brazil.
Speech-Language Pathology and Audiology Department, Bauru School of Dentistry, São Paulo College, Bauru, São Paulo, Brazil.
J Voice. 2019 Sep;33(5):808.e7-808.e14. doi: 10.1016/j.jvoice.2018.02.022. Epub 2018 May 31.
The aim of this study was to analyze the immediate effects of voiced high-frequency oscillation (VHFO) and LaxVox exercises in vocally healthy subjects.
Thirty adult subjects (15 women, 15 men) with no history of dysphonia or vocal complaints participated in the study. The subjects performed VHFO and LaxVox techniques for 3 minutes in a random order, with a washout period of 7 days. They answered a questionnaire for vocal/laryngeal intensity symptoms, and had maximum phonation time (MPT) /a/, /s/, /z/, and number counting measured. The vowel /a/ was also recorded before and after both techniques for acoustic analysis. After both techniques, the subjects answered a questionnaire about vocal, laryngeal, respiratory, and articulatory sensations. Data were analyzed using the Wilcoxon, and paired t and chi-square tests were used (P < 0.05), as required.
There was an increase in high loudness symptom after LaxVox in women, whereas there was a decrease in painful throat, irritated throat, and low loudness symptoms after VHFO in men. After LaxVox, the MPT of /z/ increased in women and after VHFO, the MPT of /s/, /z/, and number counting increased in men. The fundamental frequency variability increased in women after VHFO. The sensations remained unchanged in both groups following the two exercises in women and men.
VHFO and LaxVox techniques had similar effects on vocal and laryngeal symptoms, as a matter of fact, in terms of phonatory and acoustic measures. With regard to vocal symptoms, VHFO showed better immediate effects in men than in women. As a result, the hypothesis H0 is partially refuted.
本研究旨在分析发声高频振荡(VHFO)和 LaxVox 练习对嗓音健康受试者的即时影响。
30 名成年受试者(15 名女性,15 名男性)无发声障碍或嗓音投诉史参加了这项研究。受试者以随机顺序分别进行 VHFO 和 LaxVox 技术 3 分钟,洗脱期为 7 天。他们回答了一个关于声带/喉强度症状的问卷,并测量了最大发音时间(MPT)/a/、/s/、/z/和数字计数。在两种技术之前和之后,还记录了元音/a/的声学分析。在两种技术之后,受试者回答了一个关于声音、喉咙、呼吸和发音感觉的问卷。使用 Wilcoxon 分析数据,需要时使用配对 t 和卡方检验(P < 0.05)。
女性在 LaxVox 后高音强度症状增加,而男性在 VHFO 后喉咙疼痛、喉咙刺激和低音强度症状减少。女性在 LaxVox 后/z/的 MPT 增加,男性在 VHFO 后/s/、/z/和数字计数的 MPT 增加。女性在 VHFO 后基频变异性增加。在两种练习后,两组女性和男性的感觉均无变化。
VHFO 和 LaxVox 技术对发声和喉症状有相似的影响,实际上在发声和声学测量方面也是如此。就发声症状而言,VHFO 对男性的即时效果优于女性。因此,假设 H0 部分被反驳。