励-协夫曼言语治疗对中国帕金森病患者言语功能的影响  

Lee Silverman voice therapy can improve the speech of Chinese-speakers with Parkinson′s disease

作　　者：李咏雪[1] 谭茗丹 范豪 李婧婷 徐智勤[1] 卞瑞豪[1] 陈曦[1] Li Yongxue;Tan Mingdan;Fan Hao;Li Jingting;Xu Zhiqin;Bian Ruihao;Chen Xi(Department of Rehabilitation Medicine,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Rehabilitation Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]中山大学附属第一医院康复医学科,广州510080 [2]郑州大学第一附属医院康复医学科,450052

出　　处：《中华物理医学与康复杂志》2020年第3期245-248,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家重点研发计划(2017YFC1310200);国家自然科学基金(81972147,81301675,81472154,81772439);广东省科技计划项目(2017A050501014);广州市科技计划项目(201604020115)。

摘　　要：目的探讨标准化的励-协夫曼言语治疗(LSVT)训练改善中国帕金森病(PD)患者言语障碍和生活质量的有效性。方法本研究纳入16例中国PD患者,采用标准化的LSVT对其进行为期4周的训练。训练前、后,采用PRAAT软件分析PD患者的声学数据,采用日本GRBAS嗓音量表评定患者的嗓音质量,采用嗓音障碍指数(VHI)量表对患者言语障碍对生活质量的影响进行评估。结果经过4周LSVT训练,PD患者的发声、嗓音及生活质量均明显改善。声学分析显示,训练后元音最长发音时间由(11.93±6.81)s增加到(17.50±6.25)s;元音发声音量从(69.91±7.61)dB增加到(76.12±6.07)dB,阅读音量从(64.82±3.77)dB增加到(70.40±5.41)dB,独白音量从(61.44±4.58)dB增加到(64.29±4.70)dB。GRBAS评定显示,总嘶哑度评分从(1.93±0.77)分减少到(1.25±0.93)分。VHI量表评分显示,总嗓音障碍指数由(66.87±18.61)分降低到(49.87±21.21)分,患者生活质量显著提高。结论LSVT训练能够显著增加PD患者最长发音时间、提高音量、改善嗓音质量、降低嗓音障碍指数、提高患者生活质量,适宜在临床应用并推广。Objective To investigate the effect of Lee Silverman voice therapy(LSVT)on the speech and life quality of Chinese persons with Parkinson′s disease(PD).Methods A total of 16 Chinese PD patients were enrolled and given standard LSVT for 4 weeks.Their acoustic data were analyzed using PRAAT software before and after the treatment.Their voice quality was evaluated using the Japanese GRBAS voice scale and their quality of life was quantified using the Voice Handicap Index(VHI)scale.Results After 4 weeks of LSVT the patients′average voice and life quality had improved significantly.The average maximum duration of sustained vowel phonation had increased significantly,as had the vowels′mean loudness,reading and monologue delivery.The GRBAS grading indicated that hoarseness had decreased significantly.The average total voice handicap index had also decreased significantly.Conclusion Lee Silverman therapy can significantly improve maximum phonation time and loudness of Chinese-speakers,which enhances sensory feedback.The quality of their speech and of their life also improve significantly.This technique is recommended for clinical application.

关 键 词：励-协夫曼言语治疗 帕金森病 言语障碍 嗓音质量 生活质量 

分 类 号：R742[医药卫生—神经病学与精神病学]