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Impact Stress in Water Resistance Voice Therapy: A Physical Modeling Study

Identifikátory výsledku

  • Kód výsledku v IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61388998%3A_____%2F19%3A00490318" target="_blank" >RIV/61388998:_____/19:00490318 - isvavai.cz</a>

  • Výsledek na webu

    <a href="https://www.sciencedirect.com/science/article/pii/S0892199717304630?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0892199717304630?via%3Dihub</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.jvoice.2018.01.025" target="_blank" >10.1016/j.jvoice.2018.01.025</a>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    Impact Stress in Water Resistance Voice Therapy: A Physical Modeling Study

  • Popis výsledku v původním jazyce

    Objectives: Phonation through a tube in water is used in voice therapy. This study investigates whether this exercise may increase mechanical loading on the vocal folds. Study design: This is an experimental modeling study. Methods: A model with three-layer silicone vocal fold replica and a plexiglass, MK Plexi, Prague vocal tract set for the articulation of vowel [u:] was used. Impact stress (IS) was measured in three conditions: for [u:] (1) without a tube, (2) with a silicon Lax Vox tube (35 cm in length, 1 cm in inner diameter) immersed 2 cm in water, and (3) with the tube immersed 10 cm in water. Subglottic pressure and airflow ranges were selected to correspond to those reported in normal human phonation. Results: Phonation threshold pressure was lower for phonation into water compared with [u:] without a tube. IS increased with the airflow rate. IS measured in the range of subglottic pressure, which corresponds to measurements in humans, was highest for vowel [u:] without a tube and lower with the tube in water. Conclusions: Even though the model and humans cannot be directly compared, for instance due to differences in vocal tract wall properties, the results suggest that IS is not likely to increase harmfully in water resistance therapy. However, there may be other effects related to it, possibly causing symptoms of vocal fatigue (eg, increased activity in the adductors or high amplitudes of oral pressure variation probably capable of increasing stress in the vocal fold). These need to be studied further, especially for cases where the water bubbling frequency is close to the acoustical-mechanical resonance and at the same time the fundamental phonation frequency is near the first formant frequency of the system.

  • Název v anglickém jazyce

    Impact Stress in Water Resistance Voice Therapy: A Physical Modeling Study

  • Popis výsledku anglicky

    Objectives: Phonation through a tube in water is used in voice therapy. This study investigates whether this exercise may increase mechanical loading on the vocal folds. Study design: This is an experimental modeling study. Methods: A model with three-layer silicone vocal fold replica and a plexiglass, MK Plexi, Prague vocal tract set for the articulation of vowel [u:] was used. Impact stress (IS) was measured in three conditions: for [u:] (1) without a tube, (2) with a silicon Lax Vox tube (35 cm in length, 1 cm in inner diameter) immersed 2 cm in water, and (3) with the tube immersed 10 cm in water. Subglottic pressure and airflow ranges were selected to correspond to those reported in normal human phonation. Results: Phonation threshold pressure was lower for phonation into water compared with [u:] without a tube. IS increased with the airflow rate. IS measured in the range of subglottic pressure, which corresponds to measurements in humans, was highest for vowel [u:] without a tube and lower with the tube in water. Conclusions: Even though the model and humans cannot be directly compared, for instance due to differences in vocal tract wall properties, the results suggest that IS is not likely to increase harmfully in water resistance therapy. However, there may be other effects related to it, possibly causing symptoms of vocal fatigue (eg, increased activity in the adductors or high amplitudes of oral pressure variation probably capable of increasing stress in the vocal fold). These need to be studied further, especially for cases where the water bubbling frequency is close to the acoustical-mechanical resonance and at the same time the fundamental phonation frequency is near the first formant frequency of the system.

Klasifikace

  • Druh

    J<sub>imp</sub> - Článek v periodiku v databázi Web of Science

  • CEP obor

  • OECD FORD obor

    10307 - Acoustics

Návaznosti výsledku

  • Projekt

    <a href="/cs/project/GA16-01246S" target="_blank" >GA16-01246S: Počítačové a experimentální modelování samobuzených kmitů hlasivek a vliv jejich poškození na lidský hlas</a><br>

  • Návaznosti

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Ostatní

  • Rok uplatnění

    2019

  • Kód důvěrnosti údajů

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Údaje specifické pro druh výsledku

  • Název periodika

    Journal of Voice

  • ISSN

    0892-1997

  • e-ISSN

  • Svazek periodika

    33

  • Číslo periodika v rámci svazku

    4

  • Stát vydavatele periodika

    US - Spojené státy americké

  • Počet stran výsledku

    7

  • Strana od-do

    490-496

  • Kód UT WoS článku

    000476489700013

  • EID výsledku v databázi Scopus

    2-s2.0-85047919458