Roy N, Leeper H A
Department of Speech/Language Pathology, General Hospital, Sault Ste. Marie, Ontario, Canada.
J Voice. 1993 Sep;7(3):242-9. doi: 10.1016/s0892-1997(05)80333-9.
During a 2-year period, 17 patients with "functional dysphonia" were assessed and managed in a hospital setting. A single treatment approach, known as manual laryngeal musculoskeletal tension reduction, was employed. The effects of the therapy regimen were analyzed using perceptual and acoustical measures of vocal function. The results indicated a significant change in the direction of "normal" vocal function in the majority of patients within one treatment session. Perceptual measures of severity were consistently more likely to be rated as normal following treatment. Acoustic measures of voice confirmed significant improvements in jitter, shimmer, and signal-to-noise ratio (SNR). Results are discussed in terms of the clinical utility and effectiveness of this treatment approach for functional dysphonia.
在为期两年的时间里，17名患有“功能性发声障碍”的患者在医院环境中接受了评估和治疗。采用了一种名为手动喉部肌肉骨骼张力降低的单一治疗方法。使用嗓音功能的感知和声学测量方法分析了治疗方案的效果。结果表明，大多数患者在一次治疗过程中，其嗓音功能朝着“正常”方向有显著变化。治疗后，严重程度的感知测量结果更有可能被评为正常。嗓音的声学测量结果证实，在抖动、闪烁和信噪比（SNR）方面有显著改善。本文从这种治疗功能性发声障碍的方法的临床实用性和有效性方面对结果进行了讨论。
