Depatment of Otolaryngology, Antalya Training and Research Hospital, Antalya, Turkey.
Depatment of Speech and Language Therapy, Antalya Training and Research Hospital, Antalya, Turkey.
Ann Otol Rhinol Laryngol. 2021 Nov;130(11):1263-1267. doi: 10.1177/00034894211002430. Epub 2021 Mar 18.
Vocal fold nodules (VFN) are a bilateral epithelial thickening of the membranous vocal folds. In this study, children with VFN and their mothers took part in voice therapy. We then compared acoustic analyzes and subjective evaluations to those in previous literature to determine whether voice therapy is more effective for children with VFN when their mothers also take part in therapy.
Children aged eight to 12 years who were diagnosed with bilateral VFN between January 2018 and January 2020 were included in this study. Participating children diagnosed with bilateral VFN were divided into two groups based on the wishes and cooperation of their families. Group 1 consisted of 16 patients; Group 2 included 17 patients. The children in Group 1 received voice therapy alone; children in Group 2 took part in therapy with their mothers. For all participants, the average fundemental frequency (F0), jitter percentages, shimmer percentages, maximum phonation time (MPT) and s/z ratios were measured. Pediatric voice handicap index (p-VHI) values were calculated as well.
The two groups' measures pre-treatment and post-treatment were compared. Except for p-VHI, no significant difference was observed between the two groups. However, p-VHI post-treatment was significantly lower in Group 2 than in Group 1.
Involving the families and even teachers of children with VFN in voice therapy can increase the effectiveness of therapy. The family's involvement increases the child's motivation in therapy. The mother's presence during therapy, supporting the child or even doing the work with the child, can be a very important source of motivation for the child, who may already be tired from school and other activities. Thus, the mother's involvement increases the child's compliance with and interest in therapy.
声带小结（VFN）是膜性声带的双侧上皮增厚。在这项研究中，患有 VFN 的儿童及其母亲参加了语音治疗。然后，我们将声学分析和主观评估结果与之前的文献进行了比较，以确定当母亲也参加治疗时，语音治疗对患有 VFN 的儿童是否更有效。
本研究纳入了 2018 年 1 月至 2020 年 1 月期间被诊断为双侧 VFN 的 8 至 12 岁儿童。根据家庭的意愿和合作情况，将患有双侧 VFN 的患儿分为两组。组 1 包括 16 例患儿，组 2 包括 17 例患儿。组 1 的患儿仅接受语音治疗，组 2 的患儿与母亲一起接受治疗。所有参与者均测量平均基频（F0）、抖动百分比、颤抖百分比、最大发音时间（MPT）和 s/z 比值，并计算小儿嗓音障碍指数（p-VHI）值。
比较两组治疗前后的各项指标。除了 p-VHI 外，两组之间没有显著差异。然而，组 2 的 p-VHI 治疗后明显低于组 1。
让患有 VFN 的儿童的家庭甚至老师参与语音治疗可以提高治疗效果。家庭的参与可以增加孩子对治疗的积极性。母亲在治疗期间的存在，支持孩子，甚至与孩子一起完成治疗工作，对孩子来说可能是一个非常重要的动力来源，因为孩子可能已经厌倦了学校和其他活动。因此，母亲的参与增加了孩子对治疗的依从性和兴趣。
