Departamento de Fonoaudiologia, Universidade Estadual do Centro-Oeste - UNICENTRO - Irati (PR), Brasil.
Codas. 2023 Sep 1;35(6):e20220136. doi: 10.1590/2317-1782/20232022136pt. eCollection 2023.
To compare the acoustic measurements of Cepstral Peak Prominence-Smoothed (CPPS) and Acoustic Voice Quality Index (AVQI) at pre- and post-voice therapy times.
This is a before and after intervention study, with retrospective data collection. Twenty-two subjects with a mean age of 49.9 years participated in the study. The vocal therapy occurred between the years 2016 to 2019 in a teaching clinic, and the subjects had vocal samples collected before and after the therapeutic processes. CPPS and AVQI data extractions were performed during pre- and post-therapy. In order to characterize the sample, auditory-perceptual evaluation (APE) regarding the overall degree of vocal deviation at pre- and post-therapy moments was performed. The data were analyzed statistically.
The APE data indicated a decrease in the median values of overall vocal deviation degree at the post-therapy stage for both the vowel (p=0.00) and number (p=0.00) samples. The average CPPS for the vowel was 14.53 pre-therapy and 16.37 post-therapy (p=0.01); for the number emission, it was 8.22 pre-therapy and 9.06 post-therapy (p=0.02), there was a difference in the CPPS of the vowel and numbers indicating vocal improvement at post-therapy. The average AVQI was 2.27 pre-therapy and 1.54 post-therapy (p=0.05). There was an improvement in the AVQI results, with borderline p-value.
Vocal therapy produced changes in the general degree of vocal deviation, as well as in CPPS and AVQI measurements, and the results at the post-therapy moment are similar to those of vocally healthy individuals.
比较 Cepstral Peak Prominence-Smoothed(CPPS)和 Acoustic Voice Quality Index(AVQI)在语音治疗前后的声学测量值。
这是一项干预前后的研究,采用回顾性数据收集。22 名受试者的平均年龄为 49.9 岁。语音治疗于 2016 年至 2019 年在一所教学诊所进行,受试者在治疗前后采集了嗓音样本。在治疗前后分别进行 CPPS 和 AVQI 数据提取。为了对样本进行特征描述,在治疗前后的时刻对整体嗓音偏离程度进行了听觉感知评估(APE)。对数据进行了统计学分析。
APE 数据表明,在治疗后阶段,元音(p=0.00)和数字(p=0.00)样本的整体嗓音偏离程度中位数均下降。元音的平均 CPPS 治疗前为 14.53,治疗后为 16.37(p=0.01);对于数字发音,治疗前为 8.22,治疗后为 9.06(p=0.02),元音和数字的 CPPS 存在差异,表明治疗后嗓音有所改善。平均 AVQI 治疗前为 2.27,治疗后为 1.54(p=0.05)。AVQI 结果有所改善,具有边缘显著的 p 值。
语音治疗改变了整体嗓音偏离程度,以及 CPPS 和 AVQI 的测量值,治疗后的结果与嗓音健康个体相似。