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身体姿势对未经训练但嗓音健康个体的嗓音音域轮廓表现的影响。

Effects of Body Posture on Voice Range Profile Performance in Untrained Vocally Healthy Individuals.

作者信息

Barsties V Latoszek Ben, Droßard Pia, Binkofski Ferdinand, V Latoszek Ewa

机构信息

School of Health, Education and Social Sciences, SRH University of Applied Sciences Heidelberg, Düsseldorf, Germany.

Division of Clinical Cognitive Sciences, Medical Faculty of the RWTH Aachen University, Aachen, Germany.

出版信息

Int J Lang Commun Disord. 2025 Sep-Oct;60(5):e70130. doi: 10.1111/1460-6984.70130.

Abstract

BACKGROUND

The voice range profile (VRP) is an acoustic measurement in vocal function voice assessment. While several factors influencing VRP outcomes are known, the impact of body posture during VRP recordings remains unexplored.

AIMS

To investigate the effects of standing and sitting posture on VRP performance in vocally healthy individuals.

METHODS AND PROCEDURES

Thirty vocally healthy and untrained participants were randomised into two groups. Group 1 performed VRP measurements first in a sitting position, followed by standing. Group 2 completed the tasks in reverse order. VRP parameters were compared between sitting and standing positions, and training effects between the first and second measurements were analysed.

OUTCOMES AND RESULTS

No significant differences were found in any VRP parameter between sitting and standing positions (all p values > 0.05), with nearly all effect sizes being very small or small. Furthermore, no training effect was observed among the two trials in each group (all p values > 0.05, ICC > 0.75, very small or small effect sizes).

CONCLUSIONS AND IMPLICATIONS

Posture (sitting vs. standing) did not significantly influence VRP performance in the first instance when considering people without voice disorders. This might suggest flexibility in patient positioning during VRP assessments, potentially simplifying clinical protocols without compromising data integrity.

WHAT THIS PAPER ADDS

What is already known on this subject Voice Range Profile (VRP) is a standard acoustic tool for assessing vocal function influenced by several factors such as recording methods, software, and patient characteristics. Though practical guidelines often recommend performing VRP assessments in a standing position, no empirical evidence has previously evaluated the effect of body posture on VRP outcomes. Thus, the clinical necessity of specific postural instructions during VRP remains unclear. What this paper adds to the existing knowledge This study is the first to investigate how body posture (sitting vs. standing) affects VRP performance in vocally healthy and untrained individuals. Using a randomised crossover design, it found no significant differences in any VRP parameter between sitting and standing conditions. Additionally, there was no observed training effect between repeated measurements, suggesting high test-retest reliability. These findings challenge the assumption that standing is superior for VRP assessments. What are the potential or actual clinical implications for this work? The results suggest that body posture may not substantially influence VRP outcomes in vocally healthy and untrained individuals. Therefore, conducting VRP assessments in either sitting or standing positions could be considered in certain clinical contexts, especially when accommodating patient needs. However, given the study's focus on healthy participants, these findings should be interpreted with caution. Further research involving diverse populations, including individuals with voice disorders or specific postural conditions, is needed before recommending broader changes to clinical protocols.

摘要

背景

嗓音音域剖面图(VRP)是嗓音功能评估中的一种声学测量方法。虽然已知有几个因素会影响VRP结果,但VRP记录过程中身体姿势的影响仍未得到探索。

目的

研究站立和坐姿对嗓音健康个体VRP表现的影响。

方法和步骤

30名嗓音健康且未经训练的参与者被随机分为两组。第1组先在坐姿下进行VRP测量,然后是站姿。第2组按相反顺序完成任务。比较坐姿和站姿之间的VRP参数,并分析第一次和第二次测量之间的训练效果。

结果

坐姿和站姿之间的任何VRP参数均未发现显著差异(所有p值>0.05),几乎所有效应量都非常小或较小。此外,每组的两次试验之间均未观察到训练效果(所有p值>0.05,组内相关系数>0.75,效应量非常小或较小)。

结论及意义

在考虑无嗓音障碍的人群时,姿势(坐姿与站姿)在最初并未显著影响VRP表现。这可能表明在VRP评估期间患者体位具有灵活性,有可能在不影响数据完整性的情况下简化临床方案。

本文补充内容

关于该主题的已知信息 嗓音音域剖面图(VRP)是一种用于评估嗓音功能的标准声学工具,受多种因素影响,如记录方法、软件和患者特征。尽管实用指南通常建议在站立位进行VRP评估,但此前尚无实证证据评估身体姿势对VRP结果的影响。因此,VRP期间特定姿势指导的临床必要性仍不明确。本文对现有知识的补充 本研究首次调查了身体姿势(坐姿与站姿)如何影响嗓音健康且未经训练的个体的VRP表现。采用随机交叉设计,发现坐姿和站姿条件下的任何VRP参数均无显著差异。此外,重复测量之间未观察到训练效果,表明重测信度高。这些发现挑战了认为站立位对VRP评估更优的假设。这项工作的潜在或实际临床意义是什么?结果表明,身体姿势可能不会对嗓音健康且未经训练的个体的VRP结果产生实质性影响。因此,在某些临床情况下,可以考虑在坐姿或站姿下进行VRP评估,特别是在满足患者需求时。然而,鉴于该研究关注的是健康参与者,这些发现应谨慎解读。在建议对临床方案进行更广泛的改变之前,需要对包括嗓音障碍个体或特定姿势状况个体在内的不同人群进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a85d/12456106/97e37fafe930/JLCD-60-0-g001.jpg

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