病理性嗓音感知评估的可靠性及临床相关性

Reliability and clinical relevance of perceptual evaluation of pathological voices.

作者信息

Dejonckere P H, Remacle M, Fresnel-Elbaz E, Woisard V, Crevier L, Millet B

机构信息

Institute of Phoniatrics, Universiteit Utrecht, The Netherlands.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1998;119(4):247-8.

PMID:9865100

Abstract

The perceptual GIRBAS scale for deviant voice quality was tested in 5 different institutes on 943 voice patients. Each voice was evaluated separately by 2 professionals. The interrater and intrarater correlation is satisfactory for G, R and B. Experience with the scale significantly improves the interrater agreement. Further, GIRBAS/acoustical correlations were investigated by using the multidimensional voice program (MDVP) of Kay. Principal component analysis allows reduction of 21 MDVP parameters to 5 clinically relevant clusters, with a typical acoustical measurement for each of them. The GIRBAS scale seems to be a valuable instrument for clinical practice.

摘要

针对异常嗓音质量的感知性GIRBAS量表在5个不同机构对943例嗓音患者进行了测试。每位嗓音由2名专业人员分别评估。G、R和B的评分者间及评分者内相关性令人满意。使用该量表的经验显著提高了评分者间的一致性。此外，通过使用凯公司的多维嗓音程序（MDVP）研究了GIRBAS与声学指标的相关性。主成分分析可将21个MDVP参数减少为5个临床相关聚类，每个聚类都有一个典型的声学测量指标。GIRBAS量表似乎是临床实践中的一种有价值的工具。