Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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Prevalence of Voice Disorders and Characteristics of Korean Voice Handicap Index in the Elderly

노인 음성장애 출현율 및 음성장애지수 특성

  • Received : 2012.08.21
  • Accepted : 2012.09.03
  • Published : 2012.09.30
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Abstract

The purpose of this study is to evaluate the prevalence of voice disorders and the Korean voice handicap index in the elderly. For this study, 169 elderly performed two types of questionnaires and vowel /a/ prolongation. Self-reported voice symptoms and the Korean voice handicap index were analyzed and acoustic voice evaluation was performed by MDVP. The results showed that the prevalence of voice disorders in the elderly are significantly higher than that of adults in self-reports. In acoustic evaluation, 32.2% of the male elderly and 40.9% of the female elderly exceeded the thresholds of Jitter (%), Shimmer (%) and NHR. In addition, Korean voice handicap index scores of the female elderly are significantly higher than those of female adults. These findings indicate the high frequency of voice disorders in the elderly and the need to focus on this group. Additional studies on the voice related quality of life for the elderly are needed.

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References

  1. Rim, C. S. (2003). A study on a policy to utilize senior manpower in aging society, Journal of Welfare for the Aged, Vol. 22, 55-77. (임춘식 (2003). 고령화 사회의 노인인력 활용 정책에 관한 연구, 노인복지연구, 22권, 55-77.)
  2. The Korean Gerontological Society (2002). Understanding of gerontology. Seoul: Daeyoung. (한국노년학회 (2002). 노년학의 이해. 서울: 대영문화사.)
  3. Sataloff, R. T., Rogen, D. C., Hawkshaw, M. & Spiegel, J. R. (1997). The three ages of voice. The aging adult voice, Journal of Voice, Vol. 11, No. 2, 156-160. https://doi.org/10.1016/S0892-1997(97)80072-0
  4. Hagen, P., Lyons, G. D. & Nuss, D. W. (1996). Dysphonia in the elderly: diagnosis and management of age-related voice changes, Southern Medical Journal, Vol. 89, 204-207. https://doi.org/10.1097/00007611-199602000-00009
  5. Pontes, P., Brasolotto, A. & Behlau, M. (2005). Glottic characteristics and voice complaint in the elderly, Journal of Voice, Vol. 19, 84-94. https://doi.org/10.1016/j.jvoice.2004.09.002
  6. Takano, S., Kimura, M., Nito, T., Imagawa, H., Sakakibara, K. & Tayama, N. (2010). Clinical analysis of presbylarynx - Vocal fold atrophy in elderly individuals, Auris Nasus Larynx, Vol. 37, 461-464. https://doi.org/10.1016/j.anl.2009.11.013
  7. Baken, R. J.(2005). The aged voice: A new hypothesis, Journal of Voice, Vol. 19, No. 3, 317-325. https://doi.org/10.1016/j.jvoice.2004.07.005
  8. Bloch, I. & Behrman, A. (2001). Quantitative analysis of videostroboscopic images in presbylarynges, Journal of Voice, Vol. 111, 2022-2027.
  9. Teles-Magalhaes, L. C., Pegoraro-Krook, M. I. & Pegoraro, R. (2000). Study of the elderly females' voice by phonetography, Journal of Voice, Vol. 14, No. 3, 310-321. https://doi.org/10.1016/S0892-1997(00)80077-6
  10. Verdonck-de Leeuw, I. M. & Mahieu, H. F. (2004). Vocal aging and the impact on daily life: A longitudinal study, Journal of Voice, Vol. 18, No. 2, 193-202. https://doi.org/10.1016/j.jvoice.2003.10.002
  11. Jin, S. M., Kwon, K. H. & Kang, H. G. (1997). Acoustic and stroboscopic characteristics of normal person's voice with advancing age, The Journal of the Korean Society of Logopedics and Pediatrics, Vol. 8, No. 1, 44-48. (진성민, 권기환, 강형국 (1997). 연령증가에 따른 정상 노인의 음향학적 특징, 대한음성언어의학회지, 8권 1호, 44-48.)
  12. Lee, H. J. & Kim, S. J. (2006). Age and sex difference in acoustic parameter of middle age and elderly adult voice, Malsori, Vol. 60, 13-28. (이효진, 김수진 (2006). 장 노년기 성인 음성의 성별과 연령에 따른 음향음성학적 특성 비교. 말소리, 60, 13-28.)
  13. Kim, J. O. (2009). Acoustic characteristics of the voices of Korean normal adults by gender on MDVP, Journal of the Korean Society of Speech Sciences, Vol. 1, No. 4, 147-157. (김재옥 (2009). 성별에 따른 정상 성인 음성의 음향학적 평가 기준치, 말소리와 음성과학, 1(4), 147-157.)
  14. Woo, M. R., Choi, H. S., Baek, S. J., Nam, C. M. & Choi, Y. L. (2010). Characteristics of respiration and phonation in normal health elderly, Journal of the Korean Society of Speech Sciences, Vol. 2, No. 4, 245-252. (우미령, 최홍식, 백승재, 남정모, 최예린 (2010). 정상 노년층의 호흡 및 발성 특성, 말소리와 음성과학, 2(4), 245-252.)
  15. Kim, S. W., Kim, H. H., Park, E. S. & Choi, H. S. (2010). Acoustic characteristics of normal healthy Koreans with advancing age, Journal of the Korean Society of Speech Sciences, Vol. 2, No. 4, 19-28. (김선우, 김향희, 박은숙, 최홍식 (2010). 노령화에 따른 건강한 정상 성인의 음향음성학적 특성 비교, 말소리와 음성과학, 2(4), 19-28.)
  16. Yun, Y. S., Kim, H. H., Son, Y. I. & Choi, H. S. (2008). Validation of the Korean voice handicap index (K-VHI) and the clinical usefulness of Korean VHI-10, Korean Journal of Communication Disorders, Vol. 13, No. 2, 216-241. (윤영선, 김향희, 손영익, 최홍식 (2008). 한국어판 음성장애 지수의 타당도 및 VHI-10의 임상적 유용성. 언어청각장애연구, 13(2), 216-241.)
  17. Jacobson, B. H., Johnson, A., Grywalski, C., Silbergleit, A., Jacobson, G., Benninger, M. S. & Newman, C.W. (1997). The voice handicap index (VHI): Development and validation, American Journal of Speech Language Pathology, Vol. 6, No. 3, 66-70.
  18. Song, Y. K. & Pyo, H. Y. (2010). A preliminary study on voice symptoms and Korean Voice Handicap Index of speech language pathologists, Journal of the Korean Society of Speech Sciences, Vol. 2, No. 2, 123-133. (송윤경, 표화영 (2010). 언어치료사의 음성증상 및 한국어판 음성장애지수에 대한 예비연구, 말소리와 음성과학 2(2), 123-133.)
  19. Boone, D. R., McFarlane, S. C. & Von Berg, S. L. (2005). The Voice and Voice Therapy, Pearson Education, 51-92.
  20. Ferrand, C. T. 2002). Harmonics-to-noise ratio: An index of vocal aging, Journal of Voice, Vol. 16, No. 4, 480-487. https://doi.org/10.1016/S0892-1997(02)00123-6
  21. Campisi, P., Tewfik, T. L., Manoukian, J. J., Schloss, M. D., Pelland-Blais, E. & Sadeghi, N. 2002). Computer-assisted voice analysis: Establishing a pediatric database, Archives of Otolaryngology and Head & Neck Surgery, Vol. 128, 156-160. https://doi.org/10.1001/archotol.128.2.156
  22. Turley, R. & Cohen, S. (2009). Impact of voice and swallowing problems in the elderly, Otolaryngology-Head and Neck Surgery, Vol. 140, 33-36. https://doi.org/10.1016/j.otohns.2008.10.010
  23. Hoit, J. D. & Hixon, T. J. (1987). Age and speech breathing, Journal of Speech and Hearing Research, Vol. 30, 351-366. https://doi.org/10.1044/jshr.3003.351
  24. Makiyama, K., Yoshihashi, H., Hirai, R., Kodama, H. & Asano, Y. (2007). Phonatory function of the elderly determined by intensity-loading test: A comparison with the young, Otolaryngology-Head and Neck Surgery, Vol. 136, 888-893. https://doi.org/10.1016/j.otohns.2007.01.013
  25. Nishio, M. & Niimi, S. (2008). Changes in speaking fundamental frequency characteristics with aging, Folia phoniatrica et Logopedica, Vol. 60, 120-127. https://doi.org/10.1159/000118510
  26. Ahmad, K., Yan, Y. & Bless, D. (2012). Vocal fold vibratory characteristics of healthy geriatric females - Analysis of high-speed digital images, Journal of Voice, In press.
  27. Gregory, N. D., Chandran, S., Lurie, D. & Sataloff, R. T. (2012). Voice disorders in the elderly, Journal of Voice, Vol. 26, No. 2, 254-258. https://doi.org/10.1016/j.jvoice.2010.10.024

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