대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)

  • 제30권2호
  • /
  • Pages.112-117
  • /
  • 2019
  • /
  • 2508-268X(pISSN)
  • /
  • 2508-5603(eISSN)
대한후두음성언어의학회 (The Korean Society of Laryngology, Phoniatrics and Logopedics. )
권호 표지
DOI QR코드

DOI QR Code

내전형 연축성 발성장애 감별진단 문항 개발과 임상적 유용성 평가

Development of Differential Diagnosis Scale Items for Adductor Spasmodic Dysphonia and Evaluation of Clinical Availability

  • 조재경 (성균관대학교 의과대학 강북삼성병원 이비인후과학교실) ;
  • 최성희 (대구가톨릭대학교 언어청각치료학과) ;
  • 이상혁 (성균관대학교 의과대학 강북삼성병원 이비인후과학교실) ;
  • 진성민 (성균관대학교 의과대학 강북삼성병원 이비인후과학교실)
  • Cho, Jae Kyung (Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Seong Hee (Department of Audiology and Speech-Language Pathology, Daegu Catholic University) ;
  • Lee, Sang Hyuk (Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jin, Sung Min (Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2019.11.15
  • 심사 : 2019.12.07
  • 발행 : 2019.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background and Objectives The purpose of this study was to develop the differential diagnosis scale containing items from adductor spasmodic dysphonia (ADSD) to muscle tension dysphonia (MTD) and the determine clinical utility of newly developed items. Materials and Method The four parts of pitch, redirected phonation, automatic speech and voiced sound were selected for analyzing the characteristics of ADSD in the literature. One part of tense voiceless sound was developed according to the Korean manner of articulation. The content validity was evaluated based on 5 scales (1-5 point) analysis from 30 experts. One hundred patients (50 ADSD and 50 MTD) were recorded in reading a sentence and sustained phonation. The two speech language pathologist evaluated recorded voices through a blind test using 4 scales (0-3 point) for newly developed items. Results As a result of verifying the content validity of items with experts, it was identified that the differentiated items were valid with 4.2 out of 5. Through the differential diagnosis between two groups according to the items, the correlation between sub-domains and total scores was shown as higher than 0.710. The result of analyzing the reliability on each diagnosis domain was 0.840-0.893, which showed the internal consistency of items was great. Newly developed five parts of ADSD were significantly higher than those of MTD with strong correlation (p<0.01). The reliability among the evaluators was analyzed as high with 0.892. Conclusion In this study, the differential diagnosis scale of ADSD was revealed as having validity and reliability. It is considered that it will be useful for differentiating ADSD and MTD in the clinical field.

키워드

참고문헌

  1. Aronson AE, Brown JR, Litin EM, Pearson JS. Spastic dysphonia. II. Comparison with essential (voice) tremor and other neurologic and psychogenic dysphonias. J Speech Hear Disord 1968;33(3):219-31. https://doi.org/10.1044/jshd.3303.219
  2. Schaefer SD. Neuropathology of spasmodic dysphonia. Laryngoscope 1983;93(9):1183-204.
  3. Blitzer A, Brin MF, Stewart CF. Botulinum toxin management of spasmodic dysphonia (laryngeal dystonia): a 12-year experience in more than 900 patients. Laryngoscope 2015;125(8):1751-7. https://doi.org/10.1002/lary.25273
  4. Roy N, Ford CN, Bless DM. Muscle tension dysphonia and spasmodic dysphonia: the role of manual laryngeal tension reduction in diagnosis and management. Ann Otol Rhinol Laryngol 1996;105(11):851-6. https://doi.org/10.1177/000348949610501102
  5. Morrison MD, Rammage LA, Belisle GM, Pullan CB, Nichol H. Muscular tension dysphonia. J Otolaryngol 1983;12(5):302-6.
  6. Yun YS, Kim HH, Son YI. Useful speech task in the perceptual evaluation of adductor spasmodic dysphonia. Commun Sci Disord 2003;8(2):146-62.
  7. Ludlow CL, Adler CH, Berke GS, Bielamowicz SA, Blitzer A, Bressman SB, et al. Research priorities in spasmodic dysphonia. Otolaryngol Head Neck Surg 2008;139(4):495-505. https://doi.org/10.1016/j.otohns.2008.05.624
  8. Choi SH, Choi CH. The comparison of aerodynamic measures in korean stop consonants based on phonation types. Phonetics and Speech Sciences 2014;6(4):195-203. https://doi.org/10.13064/KSSS.2014.6.4.195
  9. Hong KH, Kim HK, Niimi S. Laryngeal gestures during stop production using high-speed digital images. J Voice 2002;16(2):207-14. https://doi.org/10.1016/S0892-1997(02)00090-5
  10. Rubin JS, Sataloff RT, Korovin GS. Diagnosis and treatment of voice disorders. 4th ed. San Diego, CA: Plural Publishing;2014.
  11. Cannito MP, Woodson GE. The spasmodic dysphonias. In: Kent RD, Ball MJ, editors. Voice Quality Measurement. San Diego, CA: Singular Publishing Group;2000. p.411-30.
  12. Choi SH. Development of Korean standardized sentences on voice quality evaluation for dysphonia. Audiol Speech Res 2018;14(2):128-42. https://doi.org/10.21848/asr.2018.14.2.128
  13. Erickson ML. Effects of voicing and syntactic complexity on sign expression in adductor spasmodic dysphonia. Am J Speech Lang Pathol 2003;12(4):416-24. https://doi.org/10.1044/1058-0360(2003/087)
  14. Rees CJ, Blalock PD, Kemp SE, Halum SL, Koufman JA. Differentiation of adductor-type spasmodic dysphonia from muscle tension dysphonia by spectral analysis. Otolaryngol Head Neck Surg 2007;137(4):576-81. https://doi.org/10.1016/j.otohns.2007.03.040