著者

田口 亜紀 竹下 小百合 長谷川 琴音 城本 修 土師 知行

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.32, no.02, pp.117-124, 2020-12-01 (Released:2021-05-11)

参考文献数

6

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The high-pitched blowing exercise is a technique for conducting water resistance with high-pitch voice. This exercise is one of semi-occluded vocal tracts (SOVTE). When we performed high-pitched blowing through a laryngoscope in cases where high-pitched vocalization was difficult, the interval of posterior glottis disappeared, and the voice function also improved.We conducted a detailed examination of the voice pitch for water resistance. The subjects were 40 healthy young women currently attending our school (age: 19-22 years old), randomly divided into 4 groups: Silent Group, Speaking Voice Group, Chest Voice Group, and Head Voice Group. The examination items were the duration of water resistance before/after training, maximum phonation time (MPT), phonatory function test, physiological voice range, acoustic analysis, and subjective evaluation. As an additional study, we also measured the open quotient (OQ) by a photoglottogram (PGG). We observed no marked changes in the Silent Group before/after training. Regarding the phonatory function test findings,were recognized improvement in the MPT, amplitude perturbation quotient, harmonics-to-noise ratio, and voice handicap index. For the PGG, 25% OQ indicated a favorable level in the Head Voice Group. These findings suggested that the high-pitched blowing exercise was more effective than ordinary water resistance for voice disorder.

著者

田口 亜紀 兵頭 政光 三瀬 和代 城本 修

出版者

The Japan Society of Logopedics and Phoniatrics

雑誌

音声言語医学 (ISSN:00302813)

巻号頁・発行日

vol.47, no.4, pp.372-378, 2006-10-20 (Released:2010-06-22)

参考文献数

12

被引用文献数

17 13

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近年, 音声障害の自覚的評価方法として, アメリカで提唱されたVoice Handicap Index (VHI) が注目されている.われわれは, VHIの日本語版を作成して音声障害患者に対して使用し, その有用性について検討を行った.対象とした音声障害症例は163例で男性79例, 女性84例であった.VHIスコアの平均は男性34.5, 女性41.6で女性のほうが高い傾向を示した.男性では40歳代以下のスコアが50歳代, 60歳代のスコアより低い傾向を示したが, 女性では年齢による差があまりなかった.疾患別では機能性発声障害, 反回神経麻痺, 声帯萎縮・声帯溝症の症例でスコアが高い傾向を示した.大部分の疾患では, 機能的側面および身体的側面のスコアが感情的側面のスコアより高かった.音声障害の治療後には, 多くの例でスコアが減少し, VHIは患者自身の音声障害に対する自覚度の把握, 適切な治療法の選択, および治療効果の評価を行ううえで有用と考えられた.

著者

田口 亜紀 有友 宏

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.32, no.01, pp.37-42, 2020-06-01 (Released:2020-09-04)

参考文献数

9

被引用文献数

1 1

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We successfully developed the Taguchi method as the short version of Vocal Function Exercise (VFE). The Taguchi method involves only the following training contents included in VFE: Extension of phonation time, and phonation exercise with a certain voice pitch. We applied this method to a series of voice disorder cases. Patients treated with the short version of VFE were typically in their 60s and 70s, often with vocal cord atrophy and sulcus. The number of training sessions and the training period duration were ≤6 times and ≤3 months, respectively, so treatment was completed in a shorter period of time than with the original VFE method. We also noted an improvement in the auditory impression, maximum phonation time, and Voice Handicap Index (VHI) in most cases with the short version of VFE compared to before therapy. The short version of VFE can be accomplished with a simple procedure and is expected to shorten the treatment period.

著者

田口 亜紀 三瀬 和代

出版者

The Japan Society of Logopedics and Phoniatrics

雑誌

音声言語医学 (ISSN:00302813)

巻号頁・発行日

vol.54, no.3, pp.163-166, 2013-07-20

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当科では1999年より音声治療を本格的に開始し,現在は医師1名,言語聴覚士3名で週に1回行っている.診断,治療方法の選択,終了のタイミングも医師とSTが同席し,相談のうえ決定している.初診時には,ST立ち会いの下,声帯や発声時の状態を詳細に観察した後,音声機能検査,Voice Handicap Index等の検査を追加する.症例の病態,患者の音声に対する不満や要求を確認したうえで,その症例にあった音声治療法を医師とSTが話し合って決定する.今回のパネルディスカッションでは音声治療の適応や,疾患について紹介した.さらに当科での音声治療の終了基準について話し,音声治療の長期化を避ける必要があることを述べた.最後に,音声治療終了にあたり,医師・STの役割について述べた.

著者

田口 亜紀 兵頭 政光 城本 修

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.20, no.2, pp.99-103, 2008-12-01 (Released:2012-09-24)

参考文献数

4

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It has become recently well known that voice therapy is an effective method to treat voice disorders conservatively. We introduced voice therapy for various kinds of voice disorders. 224 cases (73 males and 151 females) with voice disorders were treated at Ehime University Hospital 1998 and 2008. The wide range of maladies consisted of vocal nodules, laryngeal granulomas, sulcus vocalis and atrophies, vocal fold paralyses, and functional voice disorders. Methods of treatment included vocal hygiene education, laryngeal relaxation maneuvering, abdominal breathing, pitch adjustment, resonant voice therapy and the accent method. In performing a structured therapeutic program, the needs of each patient should be considered. Close cooperation between otolaryngologists and speech therapists is mandatory. Surgical management should be considered in cases where insufficient improvement has resulted from voice therapy.

著者

田口 亜紀 Aki Taguchi

雑誌

共立女子大学・共立女子短期大学総合文化研究所紀要 = Bulletin of Center for Interdisciplinary Studies of Science and Culture, Kyoritsu Women's University & Junior College

巻号頁・発行日

vol.24, pp.41-51, 2018-02