PDF(Sci-hub)
Abstract：
Objective: In this case report, we aimed to examine the effects of an intensive voice treatment (the Lee Silverman Voice Treatment [LSVT®LOUD]) for Wilson\'s disease (WD), and adult cerebral palsy (CP), and dysarthria.Method: The participants received LSVT®LOUD four times a week for 4 weeks. Acoustic, perceptual (GRBAS) analyses were performed and data from the Voice Handicap Index (VHI) were obtained before and after treatment.Results: Besides the Harmonics-to Noise Ratio (HNR) value (dB) of the participant with WD, for both participants\' fundamental frequencies (Hz), jitter (%), and shimmer (%) values showed significant differences (p < .05) after therapy. Both participants showed significant improvements (p < .05) in the duration (s) and the sound pressure level (dB, SPL) of sustained vowel phonation (/a/), in SPL (dB) of pitch range (high and low /a/) and reading and conversation (p < .01). There was a positive improvement in the high-frequency values (Hz) of both participants but not in the low-frequency values (Hz) in the participant with WD. Perceptual analysis with GRBAS judgements of sustained vowel (/a/) and paragraph reading of two participants also showed improvement. After therapy, perceived loudness of the participants\' voice increased.Conclusions: The findings provide some preliminary observations that the individuals with WD and the adult individuals with CP can respond positively to intensive speech treatment such as LSVT®LOUD. Further studies are needed to investigate speech treatments specific to WD and adult CP.
摘要：
目标：在此案例报告中，我们旨在研究强化语音治疗（LeeSilverman语音治疗[LSVT®LOUD]）对威尔逊病（WD）的影响，和成人脑瘫（CP），和构音障碍.方法：参与者每周四次接受LSVT®LOUD，共4周。声学,在治疗前后进行感知(GRBAS)分析,并获得语音障碍指数(VHI)数据.结果：除了WD参与者的谐波噪声比（HNR）值（dB）外，对于两个参与者的基频(Hz)，抖动(%),治疗后，微光（%）值显示显着差异（p<.05）。两名参与者在持续时间（s）和声压级（dB，持续元音发声的SPL)(/a/)，在SPL（dB）的基音范围（高和低/a/）和读取和对话（p<0.01）。两个参与者的高频值（Hz）都有积极的改善，但WD参与者的低频值（Hz）没有改善。GRBAS对持续元音（/a/）的判断和两名参与者的段落阅读的感知分析也显示出改善。治疗后,参与者的声音响度增加。结论：研究结果提供了一些初步观察结果，即WD患者和CP成人患者可以对LSVT®LOUD等强化言语治疗做出积极反应。需要进一步的研究来研究特定于WD和成人CP的言语治疗。
