Munjal Sanjay, Alam Md Noorain, Panda Naresh K
ENT Department, PGIMER, Chandigarh, India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):465-468. doi: 10.1007/s12070-018-1354-z. Epub 2018 Apr 13.
Voice disorders have been estimated to be present in between 3 and 9% of general population. Sports children have vocal abusive behavior i.e. the extra effort which they put on their voice while playing, leading to voice disorders. It is imperative to find out the voice characteristics of children involved in sports activity. To assess voice characteristics of school aged children, who are active participants in a basket ball team. A group of twenty children (13 males and 7 females) were included in the study. He or she was member of school basket ball team and had participated in many events. The perceptual voice assessment was conducted using GRBAS scale, Buffalo III Voice Profile and Voice Handicap Index (VHI). Findings on GRBAS voice rating scale-In the first parameter i.e. grade 46.7% of the subjects reported slight hoarse component. In the second parameter i.e. Roughness 46.7% of the subjects showed slight roughness component. In another parameter i.e. the asthenia 20% % of the subjects reported slight asthenia component in their voice. In the next parameter i.e. strain in the voice, 26.7% of the subjects showed slight strain component in their voice. Finding on BUFFALO III voice screening profile-In the laryngeal tone, 46.7% of the subjects showed mild hoarse component. Findings on voice handicap index (VHI)-28% of the subjects had functional symptoms of voice problems. 43% of the subjects had some physical symptoms while 28% had affected emotional component. Present study is first of its kind to focus on voice disorders among school going children who are members of a basket ball team. During sport events players tend to scream in order to communicate among their team mates, to show their aggressiveness to their opponents and to show excitement of win or frustration of the lost match leading to various voice problems. There is a high probability of occurrence of voice disorders among children who are active participants of basket ball. Proper counselling of these children is required for preventive measures and to seek voice therapy when required.
据估计，嗓音障碍在普通人群中的发生率为3%至9%。从事体育运动的儿童存在嗓音滥用行为，即在运动时过度用力发声，从而导致嗓音障碍。找出参与体育活动儿童的嗓音特征至关重要。为评估积极参加篮球队的学龄儿童的嗓音特征。本研究纳入了一组20名儿童（13名男性和7名女性）。他或她是学校篮球队的成员，参加过许多赛事。使用GRBAS量表、布法罗III嗓音剖析图和嗓音障碍指数（VHI）进行嗓音感知评估。GRBAS嗓音评定量表的结果——在第一个参数即等级方面，46.7%的受试者报告有轻微嘶哑成分。在第二个参数即粗糙度方面，46.7%的受试者有轻微粗糙成分。在另一个参数即无力方面，20%的受试者报告其嗓音有轻微无力成分。在下一个参数即嗓音紧张方面，26.7%的受试者有轻微紧张成分。布法罗III嗓音筛查剖析图的结果——在喉音方面，46.7%的受试者有轻度嘶哑成分。嗓音障碍指数（VHI）的结果——28%的受试者有嗓音问题的功能症状。43%的受试者有一些身体症状，而28%的受试者情感成分受到影响。本研究是首次关注作为篮球队成员的在校儿童中的嗓音障碍。在体育赛事中，运动员为了与队友交流、向对手展示攻击性以及表达胜利的兴奋或比赛失利的沮丧而尖叫，从而导致各种嗓音问题。积极参加篮球运动的儿童出现嗓音障碍的可能性很高。需要对这些儿童进行适当的咨询，以采取预防措施，并在需要时寻求嗓音治疗。
