青春期嗓音異常之音聲復健：個案報告

Voice Therapy for Puberphonia: Case Report

10.6143/JSLHAT.2017.06.03

林峯全(Feng-Chuan Lin)；王棨德(Chi-Te Wang)；簡欣瑜(Hsin-Yu Chien)

青春期嗓音異常 ； 變聲性假聲 ； 嗓音治療 ； Puberphonia ； Mutational falsetto ； Voice therapy

台灣聽力語言學會雜誌

36期（2017 / 06 / 01）

25 - 34

繁體中文

本研究在探討結合徒手喉部技術與視聽生物回饋法對一位青春期嗓音異常（變聲性假聲）個案之治療成效。研究者提供嗓音治療給一位診斷為青春期嗓音異常之16歲男性，主要應用MCT和AB二種治療技術，治療頻率為一週兩次，為期兩個月。個案於治療前後均接受聽知覺評估、氣動學評估、聲學分析與自我評估等評估向度，以比較治療介入前後之差異。個案在接受2個月的嗓音治療後，聽知覺評估GRBAS量表（Grade, Roughness, Breathiness, Asthenia and Strain scale）總分從4分減至1分，最長發聲時長（MPT）從4.51秒增加到11.33秒，說話基礎頻率（SFF）從212.49Hz降低為129.67Hz，VHI-10從17分降低到3分，顯示無論是主觀的聽知覺評估和自我評估，或是客觀的氣動學測量和聲學分析，均有改善；且於治療後3個月的追蹤評估發現，嗓音治療仍有其成效。

This case report aimed to describe the voice therapy which combined Manual Circumlaryngeal Techniques and Audiovisual Biofeedback to improve voice quality of a patient who was diagnosed with puberphonia. After 2-month voice therapy, four measures, auditory perceptual evaluation, acoustic analysis, aerodynamic measurement, and self-report were used to determine the effects of the treatment. The auditory-perceptual assessment (GRBAS decreased from4 to 1), acoustic analysis (SFF reduced from 212.49Hz to 129.49Hz), aerodynamic measurement (MPT improved from 4.51 to 11.33), and the patient reported his life quality improved (VHI-10 decreased from 17 to 3).

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