Immediate effects of water resistance therapy on patients with vocal fold mass lesions

Abstract

Introduction Semi-occluded vocal tract exercises, such as water resistance therapy (WRT), are widely used in voice therapy. However, the potential positive effects of such a therapy on vocal fold oscillation patterns in patients indicating a need for phonomicrosurgery have not yet been explored. The presented study aims to analyze the effect of WRT in patients suffering from vocal fold mass lesions. Materials and methods Eight participants with vocal fold mass lesions were asked to sustain a phonation on the vowel /i/ at a comfortable loudness and a fundamental frequency of 250 Hz (females) or 125 Hz (males). During phonation the subjects were simultaneously recorded with transnasal high-speed videoendoscopy (HSV, 20.000 fps), electroglottography, and audio signals. These subjects then performed a WRT (phonation in a silicone tube of 30 cm length, 5 cm below the water surface) for 10 min. Repeated measurements of sustained phonation were performed 0, 10, and 30 min after exercising. From the HSV data the glottal area waveform (GAW) was segmented and GAW parameters were computed. Results During WRT there was an increase of the GAW related open quotient and closing quotient. Immediately after WRT, there was a drop of both values followed by a rise of these parameters up to 30 min after the intervention. Furthermore, there was no correlation between GAW and electroglottographical open quotients. Conclusions The effects observed after a single session of WRT on participants with vocal fold mass lesions showed a similar pattern to vocal fatigue.

Treatment Efficacy of Dysarthria in Patients with Multiple System Atrophy using Water Resistance Therapy

“…® 과 LSVT 후 최대발성지속시간(Maximum Phonation Time, MPT) 과 음성강도가 증가하였으며, 조음 정확도 및 단음도가 개선되어 말명료도가 개선되었다 (Countryman et al, 1994;Park, 2018). 일 반적으로 마비말장애는 신경학적 손상으로 인하여 호흡, 발성, 공 명, 조음체계의 구조나 기능에 문제를 보이는데, LSVT와 같은 총체 적 음성치료 기법들은 말산출과 관련된 호흡, 발성, 공명, 조음 모두 를 종합하여 음성산출 전반에 걸친 치료기법을 의미한다 (Stemple, 1993 (Choi, 2017;Echternach et al, 2020;Saldías et al, 2020 .000 (.000, 3.031) .000 (.000, .000) .…”

A Deep Learning Enhanced Novel Software Tool for Laryngeal Dynamics Analysis

“…data, and data analysis for both video and audio data of various sources. Among others, GAT was already successfully applied for in vivo recordings of humans and animals, ex vivo recordings of humans and animals, and recordings of artificial vocal folds Döllinger et al, 2018;Echternach et al, 2017Echternach et al, , 2019Echternach, Raschka, et al, 2020;Gómez et al, 2018;Maryn et al, 2019;Semmler et al, 2017Semmler et al, , 2018. In the following, we expand on GAT's functionality.…”

“…In a clinical setting, we recommend GAT for pre-post comparisons. GAT has been already used for comparing voice quality pre-post surgery (Sebova et al, 2019), pre-post voice treatment (Echternach, Raschka, et al, 2020), and pre-post vocal task (Dippold et al, 2015;Echternach et al, 2017) and how quantitative parameters vary in patient populations (Arbeiter et al, 2018;Ziethe et al, 2019). With our fully automatic glottis segmentation procedure, a straightforward workflow and an easy-to-use graphical user interface, a patient's data set can be segmented and analyzed in minutes even from untrained personnel.…”

Rehabilitación vocal fisiológica con ejercicios de tracto vocal semiocluido

“…Además, proporciona una transición de la terapia de voz con consonantes o vocales a la producción diaria del habla, conectada y calidad de la voz resonante autopercibida. Por último, promueve una producción de voz fácil y una fonación más eficiente [17][18][19][20][21][22][23][24].…”