Rubow R, Swift E
J Speech Hear Disord. 1985 May;50(2):178-85. doi: 10.1044/jshd.5002.178.
Achieving transfer of treatment outside the clinic is a problem for almost all individuals with speech disorders but has been particularly difficult in the treatment of patients with Parkinsonism. Given this situation and the frequency of vocal intensity problems in this population, we developed a wearable biofeedback device that could provide a patient with information about speech intensity outside the clinic. Auditory-perceptual and acoustic analyses were performed on audiotaped samples of reading and spontaneous speech recorded in the clinic pre- and posttreatment and at 10- and 20-week follow-ups. Visual feedback of intensity was integrated with auditory cues from a microcomputer that was then worn outside the clinic. The results indicated that the subject did transfer a substantial portion of clinic improvement to the outside environment while wearing the feedback device and suggest the utility of a microcomputer-based wearable device for assessing treatment effects as well as for improving transfer.
对于几乎所有有言语障碍的个体来说，实现诊所外的治疗转移都是一个问题，但在帕金森病患者的治疗中尤其困难。鉴于这种情况以及该人群中声音强度问题的频繁出现，我们开发了一种可穿戴生物反馈设备，该设备可以在诊所外为患者提供有关言语强度的信息。对在诊所治疗前、治疗后以及10周和20周随访时录制的阅读和自发言语的录音样本进行了听觉感知和声学分析。强度的视觉反馈与来自微型计算机的听觉线索相结合，然后在诊所外佩戴该微型计算机。结果表明，受试者在佩戴反馈设备时确实将很大一部分诊所内的改善转移到了外部环境中，这表明基于微型计算机的可穿戴设备在评估治疗效果以及改善转移方面具有实用性。
