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健康人和帕金森病患者的口咽几何形状和嗓音声学参数。

Oropharyngeal geometry and acoustic parameters of voice in healthy and Parkinson's disease subjects.

机构信息

Programa de Pós-graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.

Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.

出版信息

Codas. 2023 Apr 17;35(2):e20210304. doi: 10.1590/2317-1782/20232021304pt. eCollection 2023.

Abstract

PURPOSE

to verify whether there are differences in acoustic measures and oropharyngeal geometry between healthy individuals and people with Parkinson's disease, according to age and sex, and to investigate whether there are correlations between oropharyngeal geometry measures in this population.

METHODS

40 individuals participated, 20 with a diagnosis of Parkinson's disease and 20 healthy individuals, matched by age, sex, and body mass index. Acoustic variables included fundamental frequency, jitter, shimmer, glottal-to-noise excitation ratio, noise, and mean intensity. Oropharyngeal geometry variables were measured with acoustic pharyngometry.

RESULTS

geometry variables were smaller in the group with Parkinson's disease, and older adults with Parkinson's disease had a smaller oropharyngeal junction area than healthy older adults. Regarding acoustic parameters of voice, fundamental frequency values were lower in males with Parkinson's disease, and jitter values ​​were higher in the non-elderly subjects with Parkinson's disease. There was a moderate positive correlation between oral cavity length and volume, pharyngeal cavity length and vocal tract length, and pharyngeal cavity volume and vocal tract volume.

CONCLUSION

individuals with Parkinson's disease had smaller glottal areas and oropharyngeal junction areas than healthy individuals. When distributed into sex and age groups, the fundamental frequency was lower in males with Parkinson's disease. There was a moderate positive correlation between oropharyngeal length and volume measures in the study sample.

摘要

目的

根据年龄和性别,验证健康个体与帕金森病患者之间的声学测量和口咽几何形状是否存在差异,并研究该人群的口咽几何形状测量值之间是否存在相关性。

方法

40 名参与者,20 名帕金森病患者和 20 名健康个体,按年龄、性别和体重指数匹配。声学变量包括基频、抖动、颤抖、声门噪声激励比、噪声和平均强度。口咽几何变量通过声学咽测法进行测量。

结果

帕金森病组的几何变量较小,帕金森病老年患者的口咽交界处面积小于健康老年患者。关于嗓音的声学参数,帕金森病男性的基频值较低,非老年帕金森病患者的抖动值较高。口腔长度和容积、咽腔长度和声道长度以及咽腔容积和声道容积之间存在中度正相关。

结论

帕金森病患者的声门区域和口咽交界处面积小于健康个体。当按性别和年龄组分布时,帕金森病男性的基频较低。研究样本中口咽长度和容积测量值之间存在中度正相关。

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