Neuro-Psychiatric Aspects of Spastic Dysphonia

Bloch, Philippe

doi:10.1159/000263051

Cited by 66 publications

(12 citation statements)

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“…These symptoms are caused by the hyperadduction or hyperabduction of the vocal folds [1][2][3][4][5][6][7]. Symptoms of SD are found at three different levels [8]: (1) the voice quality level (including, e.g., strainedness and voice breaking); (2) the phonological level (including, e.g., devoicing and omission), and (3) the fluency level (including, e.g., blocking and prolongation).…”

Section: Introductionmentioning

confidence: 99%

The Syllable Method: Proportion of Impaired Syllables as an Indicator of Spasmodic Dysphonia Severity

Kumada

Bell‐Berti

Kobayashi

et al. 2000

Folia Phoniatr Logop

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We have previously proposed the ‘mora method’ to evaluate the degree of impairment in spasmodic dysphonia (SD) in Japanese-speaking patients. With this method, impairment is judged as the proportion of impaired morae in a 25-mora sentence in a longer passage read aloud. As the mora is the phonologically isochronic unit in Japanese, the proportion of impaired morae in speech can be used to represent the temporal proportion of impaired Japanese speech. This proportional measure of impairment reflects the perceived severity of the impairment, and is a more reliable measure than a 4-point perceptual rating scale completed either by patients or by voice professionals. In this paper, we propose a ‘syllable method’ to characterize the severity of impairment in English-speaking SD patients. Instead of morae, the severity of SD was represented by the proportion of impaired syllables. It should be possible to characterize SD impairments more reliably and precisely with this method than using a 4-point rating scale completed by voice professionals. Ultimately, the syllable method should become a simple and effective method for evaluating the severity of SD. Furthermore, such methods can be applied to other languages, using the appropriate phonological unit (either mora or syllable).

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Section: Introductionmentioning

confidence: 99%

The Syllable Method: Proportion of Impaired Syllables as an Indicator of Spasmodic Dysphonia Severity

Kumada

Bell‐Berti

Kobayashi

et al. 2000

Folia Phoniatr Logop

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“…Daneben gibt es eine neurologische Ver ursachungshypothese und eine infektiöse [Dedo, 1978, zieht [Berendes, 1938;Bloch, 1965;Aronson et al, 1968;Aronson, 1980;Pascher, 1982] [Berendes, 1938;Moses, 1956;Heaver, 1960;Bloch, 1965;Aronson et al, 1968], Aronson [1968] Im Rahmen ganzheitlicher und stationär durchgeführter Therapie, der «komplexen Stimmheilkur» [Gundermann, 1964[Gundermann, , 1984 …”

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Wie psychogen ist die spastische Dysphonie?

Krumbach¹

1987

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“…Die seltene Stimmstörung wird denn auch heute noch zu den Stimmneurosen gezählt (Perellö, 1962). Stimmüberanstrengung und berufliche Schäden gelten nicht als Ursachen der spastischen Dysphonie (Berendes, 1938;Bloch, 1965). Mehrere Autoren wie Aronson et al (1968), Bloch (1965), Robe etal.…”

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“…Stimmüberanstrengung und berufliche Schäden gelten nicht als Ursachen der spastischen Dysphonie (Berendes, 1938;Bloch, 1965). Mehrere Autoren wie Aronson et al (1968), Bloch (1965), Robe etal. (1960 Die spastische, stockende Stimmbildung kommt bei der sonographischen Klanganalyse "visible speech" zum Vorschein (Abb.…”

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“…1). Der Zerfall der Sprech atmung bei der spastischen Dysphonie (Frint, 1974;Sram et ai, 1965\Supdcek, 1965 Da der spastischen Dysphonie oft die Rolle einer "protective dysphonia" (Bloch, 1965) oder "dysphonie de refuge" (Vallancien, 1963) dass unter den drei vollständig Geheilten die beiden weitaus jüngsten Patienten unserer Gruppe figurierten. Anderseits waren unter den drei Geheilten zwei der vier Patienten mit einem diffusen Himschaden, was die überwiegende Rolle der funktionellen psychogenen Einflüsse unterstreichen würde.…”

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