College of Visual and Performing Arts, Kutztown University of PA, Drexel University College of Medicine, Philadelphia, Pennsylvania; Department of Otolaryngology, Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Department of Otolaryngology, Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
J Voice. 2024 May;38(3):768-773. doi: 10.1016/j.jvoice.2021.10.018. Epub 2021 Dec 6.
In a musical wind instrument, sound is produced by vibration of air, typically created by the player blowing into the instrument. Many researchers believe that wind instrumentalists have vocal and laryngeal problems related to playing their instruments. In this study, wind instrumentalists were defined as those who had a history (1 year or more) of studying a wind instrument (flute, clarinet, saxophone, oboe, bassoon, trumpet, trombone, tuba, or French horn) at any time in their lives. Laryngeal electromyography (L EMG) had been obtained because vocal fold paresis was suspected clinically. Data analysis indicated that wind instrument players appear to experience greater levels of decreased nerve recruitment than non-instrumentalist singers do who present with paresis.
Voice patients who underwent laryngeal EMG for clinically suspected vocal fold paresis between 2019 and 2021 were included in the study. Subjects were divided into two groups depending on history of playing wind instruments. Only patients with insufficient information in their medical records were excluded. All data were reviewed retrospectively. Percentage of nerve recruitment, the recruitment rating scale used in previous studies, wind instrument played, gender, age, and laryngeal Myasthenia Gravis diagnosis were variables included in the descriptive statistics, correlational, and regression analyses used for statistical analysis.
Data analysis indicated that in the 103 subjects included (47 wind instrumentalists and 56 non-wind instrumentalists) that wind instrument players, past and present, experience levels of greater decreased nerve recruitment that non-instrumentalist singers do when presenting with paresis. Kind of wind instrument played was statistically significant but moderately correlated to the RRS (Recruitment Rating Scale) of the left PCA. Sex was correlated moderately and statistically significantly with right CT recruitment.
Playing wind instruments in voice patients diagnosed with paresis might be associated with increased severity of laryngeal nerve damage. Further research is needed to confirm or refute these findings.
在吹奏乐器中，声音通过空气振动产生，通常由演奏者向乐器吹气产生。许多研究人员认为，吹奏乐器演奏者存在与演奏乐器相关的发声和喉部问题。在这项研究中，吹奏乐器演奏者被定义为那些在其一生中的任何时候都有吹奏乐器（长笛、单簧管、萨克斯管、双簧管、巴松管、小号、长号、大号或法国号）学习史（1 年或以上）的人。由于临床怀疑声带麻痹，进行了喉肌电图（LEMG）检查。数据分析表明，与患有麻痹的非乐器演奏歌手相比，吹奏乐器演奏者似乎经历了更大程度的神经募集减少。
本研究纳入了 2019 年至 2021 年间因临床疑似声带麻痹而行喉肌电图检查的嗓音患者。根据吹奏乐器的使用史将患者分为两组。仅排除病历信息不足的患者。所有数据均进行回顾性分析。包括神经募集百分比、既往研究中使用的募集评分量表、吹奏乐器类型、性别、年龄和喉肌重症肌无力诊断等变量，用于描述性统计、相关性和回归分析等统计分析。
数据分析表明，在纳入的 103 例患者（47 名吹奏乐器演奏者和 56 名非吹奏乐器演奏者）中，过去和现在的吹奏乐器演奏者在出现麻痹时经历的神经募集减少程度大于非乐器演奏歌手。吹奏乐器的种类与左侧 PCA 的 RRS（募集评分量表）呈统计学显著但中度相关。性别与右侧 CT 募集呈中度相关且具有统计学意义。
在诊断为麻痹的嗓音患者中吹奏乐器可能与更严重的喉神经损伤相关。需要进一步的研究来证实或反驳这些发现。
