背景:过去的研究表明,表演者更容易受到语音损伤,有较高的伤害发生率,并且经历比非表演者更大的声音障碍。尽管文献证明了这一点,仍然有恐惧和耻辱,语音伤害是一种结束职业生涯的情况。这在很大程度上是由于缺乏有关治疗后声音功能的信息。
方法:通过电子邮件分发匿名在线调查,传单,和社交媒体面向有语音损伤史的表演者的目标受众。它询问了职业,声带症状,专业人士咨询,和治疗依从性。结果衡量指标包括执行能力,症状的解决,以及他们在语音受伤后对声音的态度。研究结果用统计分析进行描述性分析,以确定可能与有利结果相关的因素。
结果:调查由151名表演者完成,这些表演者代表了一系列流派,包括音乐剧,古典,和流行的流派。最多报道的声带症状是范围缩小,歌唱声音质量的变化,加大歌唱力度,和声乐疲劳。大多数人最初寻求耳鼻喉科医生的治疗,喉科医生,或语音老师。诊断和建议各不相同,但坚持治疗的患者更有可能报告语音症状缓解(P=0.025).症状持续2-4周的患者报告的声音信心高于症状持续时间较长的患者(P=0.0251)。与语音老师一起工作的表演者更有可能发现治疗有帮助(P=0.0174)。与其他病理参与者相比,具有神经源性声音状况的参与者报告的声音可靠性较低(P=0.0155)。
结论:大多数参与者继续表演,治疗后声音症状缓解或改善,并报告对他们的声音持积极态度,无论他们的伤害或目前是否有病理检查。这项研究的结果强调了继续拓展语音教师的必要性,教育计划,和制作团队关于语音损伤后的声音功能。
方法:
BACKGROUND: Past studies show that performers are more susceptible to voice injury, have higher incidence of injury, and experience greater vocal impairment than non-performers. Despite literature demonstrating otherwise, there remains fear and stigma that voice injury is a career-ending circumstance. Much of this is due to a lack of information about post-treatment vocal function.
METHODS: An anonymous online survey was distributed via email, flyer, and social media to a target audience of performers with a history of voice injury. It inquired about occupation, vocal symptoms, professionals consulted, and treatment adherence. Outcome measures included ability to perform, resolution of symptoms, and attitudes about their voices after voice injury. Findings were analyzed descriptively with statistical analysis to determine factors that may be related to favorable outcomes.
RESULTS: The survey was completed by 151 performers representing a range of genres, including musical theatre, classical, and popular genres. The most reported vocal symptoms were decreased range, singing voice quality changes, increased singing effort, and vocal fatigue. Most initially sought care from an otolaryngologist, laryngologist, or voice teacher. Diagnoses and recommendations varied, but those who adhered to treatment were more likely to report resolution of voice symptoms (P = 0.025). Those with symptoms for 2-4 weeks reported greater vocal confidence than those with a longer symptom duration (P = 0.0251). Performers working with a voice teacher were more likely to find treatment helpful (P = 0.0174). Those with neurogenic voice conditions reported less vocal reliability than participants with other pathologies (P = 0.0155).
CONCLUSIONS: The majority of participants continued to perform, reported resolved or improved voice symptoms after treatment, and reported positive attitudes about their voices, regardless of their injury or current presence or absence of pathology on exam. Findings of this
study highlight a need for continued outreach to voice teachers, education programs, and production teams about vocal function after voice injury.
METHODS: