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LaxVox技术对有嗓音问题的成年人数字视频动态喉镜参数的即时影响分析

Analysis of the Immediate Effects of the LaxVox Technique on Digital Videokymography Parameters in Adults With Voice Complaints.

作者信息

Nogueira do Nascimento Ualisson, Santos Marco Aurélio Rocha, Gama Ana Cristina Côrtes

机构信息

Federal University of Minas Gerais (UFMG), School of Medicine, Graduate Program in Speech Therapy Sciences, Belo Horizonte, MG, Brazil.

Federal University of Minas Gerais (UFMG), Clínicas Hospital, Belo Horizonte, MG, Brazil.

出版信息

J Voice. 2025 May;39(3):736-743. doi: 10.1016/j.jvoice.2022.01.026. Epub 2022 Mar 4.

Abstract

OBJECTIVES

Digital videokymography based on high-speed videoendoscopy enables the evaluation of therapeutic techniques and voice training, such as the LaxVox technique, on vocal fold vibrations. This study investigated the immediate effects of the LaxVox technique on digital videokymographic parameters obtained through high-speed videolaryngoscopy in adults with voice complaints.

STUDY DESIGN

An experimental intrasubject comparative study of adults with voice complaints was conducted.

METHODS

Image processing software was used to analyze the videos and obtain digital videokymography parameters. The intraclass correlation coefficient was used to determine the intra-rater reliability of the analyzed parameters. The paired t test and Wilcoxon signed-rank test were used to compare digital videokymography parameters before and after the LaxVox technique, in sex-specific analyses. The significance level was set at 5%.

RESULTS

In total, 25 laryngeal images from 15 women and 10 men were analyzed. On digital videokymography analysis, the mean vocal fold opening in the posterior glottal region was decreased immediately after using the LaxVox technique in women. In contrast, no significant changes were found in other parameters compared to pre LaxVox technique values in both men and women with voice complaints.

CONCLUSION

Digital videokymography analysis revealed that the LaxVox technique reduces the mean vocal fold opening in the posterior glottal region of women with voice complaints.

摘要

目的

基于高速视频内镜的数字视频动态喉镜检查可用于评估治疗技术和嗓音训练,如LaxVox技术对声带振动的影响。本研究调查了LaxVox技术对有嗓音问题的成年人通过高速视频喉镜检查获得的数字视频动态喉镜参数的即时影响。

研究设计

对有嗓音问题的成年人进行了一项实验性自身对照比较研究。

方法

使用图像处理软件分析视频并获取数字视频动态喉镜参数。组内相关系数用于确定分析参数的评分者内信度。在性别特异性分析中,采用配对t检验和Wilcoxon符号秩检验比较LaxVox技术前后的数字视频动态喉镜参数。显著性水平设定为5%。

结果

共分析了15名女性和10名男性的25张喉部图像。在数字视频动态喉镜分析中,使用LaxVox技术后,女性声门后区的平均声带开口立即减小。相比之下,有嗓音问题的男性和女性在其他参数上与LaxVox技术前的值相比均未发现显著变化。

结论

数字视频动态喉镜分析显示,LaxVox技术可减小有嗓音问题女性声门后区的平均声带开口。

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