Effects of vocal nodules on acoustic characteristics of voice in children : an acoustic analysis of voice

書誌事項

タイトル
Effects of vocal nodules on acoustic characteristics of voice in children : an acoustic analysis of voice
タイトル別名
  • 声帯結節が小児の音声の音響的特徴に与える影響 : 音声の音響分析
  • Acoustic characteristics of vocal nodules
著者
青木, 俊仁
著者別名
  • アオキ, トシヒト
  • Aoki, Toshihito
著者
タケヤマ, タカアキ
著者別名
  • Takeyama, Takaaki
著者
サカモト, ユキ
著者別名
  • Sakamoto, Yuki
著者
島田, 亜紀
著者別名
  • シマダ, アキ
  • Shimada, Aki
著者
近藤, 英司
著者別名
  • コンドウ, エイジ
  • Kondou, Eiji
著者
中野, 誠一
著者別名
  • ナカノ, セイイチ
  • Nakano, Seiichi
著者
福田, 潤弥
著者別名
  • フクダ, ジュンヤ
  • Fukuda, Junya
著者
東, 貴弘
著者別名
  • アズマ, タカヒロ
  • Azuma, Takahiro
著者
佐藤, 豪
著者別名
  • サトウ, ゴウ
  • Satou, Gou
著者
北村, 嘉章
著者別名
  • キタムラ, ヨシアキ
  • Kitamura, Yoshiaki
著者
ホソカワ, キヨヒト
著者別名
  • Hosokawa, Kiyohito
著者
ウダカ, ジロウ
著者別名
  • Udaka, Jiro
著者
武田, 憲昭
著者別名
  • タケダ, ノリアキ
  • Takeda, Noriaki
学位授与大学
徳島大学
取得学位
博士(医学)
学位授与番号
甲医第1518号
学位授与年月日
2022-03-23

説明

Objective : In the present study, an attempt was made to evaluate the acoustic characteristics of voice in pediatric patients with vocal nodules using acoustic analysis of voice. Methods : Thirty-five pediatric patients with vocal nodules and 32 control children without dysphonia were enrolled in this study. Their voice samples were analyzed using the Multi-Dimensional Voice Program. Acoustic parameters of voice, such as pitch period perturbation quotient (PPQ), amplitude perturbation quotient (APQ), and noise-to-harmonic ratio (NHR), were measured. Results : In phonation at a loudness of over 80 dBA, the PPQ, APQ, and NHR values of the voice significantly increased in children with vocal nodules than in the control children without dysphonia. The sensitivities and specificities of PPQ, APQ, and NHR for prediction of vocal nodules in children were 62.86% and 84.38%, 74.29% and 75.00%, and 31.43% and 93.75%, respectively. Discussion : The present findings suggest that vocal nodules affect vocal fold vibration, resulting in impaired control of pitch and loudness leading to increased noise components. NHR could be used to evaluate the efficacy of treatment, such as voice rehabilitation, in pediatric patients with vocal nodules because of its high specificity for prediction of vocal nodules in children.

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