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Diagnosis and Therapy of Respiratory and Phonatory Disorders in Dysartrhia. Case Studies

100%
Szewczyk B.
Logopedia Silesiana
|
2019
|
issue 8
400-434
PL
This article presents the exemplary types of dysarthria with its characteristic respiration, phonation, and prosody disorders. The author examined the voice capabilities of three patients, aged 52, 74 and 81, respectively, described them, and composed short session programmes in voice therapy (comprised of three meetings) adapted to their individual needs. The author carried out the part of the therapy and then listed tendencies resurfacing during the exercises performed by the patients. Finally, the expected effects of further exercises (following previously applied methods) were presented.
2
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Diagnosis and Therapy of Respiratory and Phonatory Disorders in Dysartrhia. Case Studies

100%
Szewczyk B.
Logopedia Silesiana
|
2019
|
issue 8
400-434
PL
This article presents the exemplary types of dysarthria with its characteristic respiration, phonation, and prosody disorders. The author examined the voice capabilities of three patients, aged 52, 74 and 81, respectively, described them, and composed short session programmes in voice therapy (comprised of three meetings) adapted to their individual needs. The author carried out the part of the therapy and then listed tendencies resurfacing during the exercises performed by the patients. Finally, the expected effects of further exercises (following previously applied methods) were presented.
3
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Glottal stop – a type of phonation or articulation?

86%
Osowicka-Kondratowicz M.
Rocznik Slawistyczny
|
2018
|
issue LXVII
4
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Analysis of the relationship between emotion intensity and electrophysiology parameters during a voice examination of opera singers

86%
Krasnodębska P., Szkiełkowska A., Pollak A., Romaniszyn-Kania P., Bugdol M. N., Bugdol M., Mitas A. W.
International Journal of Occupational Medicine and Environmental Health
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2024
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vol. 37
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issue 1
84-97
EN
Objectives Emotions and stress affect voice production. There are only a few reports in the literature on how changes in the autonomic nervous system affect voice production. The aim of this study was to examine emotions and measure stress reactions during a voice examination procedure, particularly changes in the muscles surrounding the larynx. Material and Methods The study material included 50 healthy volunteers (26 voice workers – opera singers, 24 control subjects), all without vocal complaints. All subjects had good voice quality in a perceptual assessment. The research procedure consisted of 4 parts: an ear, nose, and throat (ENT)‑phoniatric examination, surface electromyography, recording physiological indicators (heart rate and skin resistance) using a wearable wristband, and a psychological profile based on questionnaires. Results The results of the study demonstrated that there was a relationship between positive and negative emotions and stress reactions related to the voice examination procedure, as well as to the tone of the vocal tract muscles. There were significant correlations between measures describing the intensity of experienced emotions and vocal tract muscle maximum amplitude of the cricothyroid (CT) and sternocleidomastoid (SCM) muscles during phonation and non-phonation tasks. Subjects experiencing eustress (favorable stress response) had increased amplitude of submandibular and CT at rest and phonation. Subjects with high levels of negative emotions, revealed positive correlations with SCMmax during the glissando. The perception of positive and negative emotions caused different responses not only in the vocal tract but also in the vegetative system. Correlations were found between emotions and physiological parameters, most markedly in heart rate variability. A higher incidence of extreme emotions was observed in the professional group. Conclusions The activity of the vocal tract muscles depends on the type and intensity of the emotions and stress reactions. The perception of positive and negative emotions causes different responses in the vegetative system and the vocal tract.
5
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Zwarcie krtaniowe – rodzaj fonacji czy artykulacji?

72%
Osowicka-Kondratowicz M.
Rocznik Slawistyczny
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2018
|
issue 67
39-53
EN
This paper discusses the definitions of the glottal stop encountered in the literature. The term glottal stop appears in many works in the field of linguistics (or, more precisely, phonetics and phonology), phoniatrics, voice emission and speech therapy. However, this term may be understood in various ways. Generally speaking, in speech therapy, a glottal stop is defined, for example, as: 1. a form of phonation; 2. a type of pseudo articulation. In phonetics the term is referred to as: 1. a form of voicing initiation; 2. a type of articulation; 3. both the type of articulation and the type of phonation. In the light of the definitions quoted in this work, the answer to the question posed in the title of this paper is neither simple nor clear.
6
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Co dokáže náš hlas? Fonetický pohled na variabilitu řečové produkce

72%
Skarnitzl R.
Slovo a smysl - Word & Sense
|
2016
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vol. 13
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issue 26
97-115
EN
The paper surveys the plasticity of the speech production mechanism. At the level of phonatory behaviour, a distinction is made between the frequency of vocal fold vibration, which is reflected in the pitch of the voice, and the manner in which the vocal folds vibrate, which lends our voice different qualities. The main types of phonatory modifications are described and some of their uses in everyday communication, as well as their perceptual effects, are documented from literature. Modifications of the primary makeup of speech sounds in the supraglottal vocal tract, such as rounding or spreading of the lips, hyper- or hyponasality, and palatalization, are discussed in the following section. The two levels of description — phonatory and articulatory — are formally anchored in Nolan’s model of the sources of variability in speech. The final part of the paper examines speech variability from the perspective of the listener, regarding one’s speech as their auditory face which signals biologically, psychologically, and socially conditioned information about the speaker.
7
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Ocena efektów fizjoterapii zawodowych zaburzeń głosu – badania pilotażowe

72%
Filipowicz-Ciepły J., Przybytek M.
Państwo i Społeczeństwo
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2019
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issue 4
79-95
EN
Introduction: A frequently observed health problem among people working with the voice is vocational failure “phonasthenia”. Determining the level of functional voice activity is important for the quality and effectiveness of interpersonal communication in everyday situations and verbal interaction of people working in occupations in which voice and speech are the basic tools of work. The aim of the study was to evaluate the results of the rehabilitation of voice disorders in selected professional groups. Material and methods: The study participants comprised 14 women between the ages of 31 and 48 (mean age: 39.43) professionally working with voice. All participants were subjected to an examination of the hyoid bone, the mobility of the larynx in relation to the mandible and in relation to the cervical spine were performed, the body posture was assessed, the phonation time was recorded and the breathing track was evaluated. A standardized Voice Handicap Index (VHI) scale was used. Respiratory and phonatory rehabilitation was performed and manual methods were used to lower the tension of the larynxmuscles. The patients were examined twice before physiotherapy and after 2 weeks of individuals exercise. Results: In the first study, all women included in the study had an increased tonus of the neck muscles during phonation and an abnormal airway was observed. After the applied physiotherapy, the muscle tone of the neck during the phonation significantly improved in 6 (42%) patients, in 12 (85%) the change of the rib-diaphragmatic breathing track was registered. The MPT result in the first study was on average 17.4 s, while in the second 21.6 s. The results obtained with the VHI questionnaire before therapy were on average 14.14 points, and in the second study they decreased to 10.78 points on average. Conclusions: 1. The tension of the neck muscles significantly influences the time of phonation. 2. The correction of the respiratory tract in people working with the voice positively affects its functional, emotional and physical aspects in the evaluation of the Voice Handicap Index scale.
PL
Wprowadzenie: Często obserwowanym problemem zdrowotnym wśród osób pracujących głosem jest zawodowa niewydolność głosu (fonastenia). Określenie poziomu jego aktywności funkcjonalnej ma istotne znaczenie dla jakości i skuteczności komunikacji interpersonalnej w sytuacjach codziennych oraz dla interakcji werbalnej osób pracujących w zawodach, w których głos i mowa są podstawowymi narzędziami pracy. Celem badań była ocena wyników rehabilitacji zaburzeń głosu w wybranych grupach zawodowych. Materiał i metody: Materiał badany stanowiło 14 kobiet w wieku 31-48 lat (średnia: 39,43 lat), zawodowo pracujących głosem. U wszystkich wykonano badanie kości gny- kowej, ruchomości krtani względem żuchwy i względem kręgosłupa szyjnego, dokonano oceny postawy ciała, zarejestrowano czas fonacji oraz przeprowadzono ocenę toru oddychania. Wykorzystano standaryzowany kwestionariusz Voice Handicap Indeks (VHI). Przeprowadzono rehabilitację oddechową, fonacyjną oraz zastosowano metody manualne obniżające napięcie mięśni krtani. Pacjentki zostały dwukrotnie zbadane - przed fizjoterapią oraz po 2 tygodniach samodzielnych ćwiczeń.Wyniki: W pierwszym badaniu u wszystkich kobiet odnotowano zwiększony tonus mięśni szyi podczas fonacji oraz zaobserwowano nieprawidłowy tor oddechowy. Po zastosowanej fizjoterapii napięcie mięśni szyi podczas fonacji znacząco uległo poprawie u 6 (42%) pacjentek, u 12 (85%) zarejestrowano zmianę toru oddychania z piersiowo-żebrowego na żebrowo-przeponowy. Wynik MPT w badaniu pierwszym wynosił średnio 17,4 s, natomiast w drugim 21,6 s. Uzyskane wyniki za pomocą kwestionariusza VHI przed terapią wynosiły średnio 14,14 pkt., a w drugim badaniu zmniejszyły się średnio do 10,78 pkt. Wnioski: 1. Napięcie mięśni szyi znacząco wpływa na czas fonacji. 2. Korekcja toru oddechowego u osób pracujących głosem pozytywnie wpływa na jego aspekt funkcjonalny, emocjonalny oraz fizyczny w ocenie kwestionariuszem VHI.
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