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Comparison of subjective voice symptoms in elite vocal performers and professional voice users

전문 음성사용자와 직업적 음성사용자의 주관적 음성증상 비교

  • Ji-sung Kim (Department of Speech-Language Pathology, Graduate School of Public Health & Welfare, Konyang University)
  • 김지성 (건양대학교 보건복지대학원 언어치료학과)
  • Received : 2023.10.03
  • Accepted : 2023.10.28
  • Published : 2023.12.31

Abstract

This study aimed to provide knowledge helpful for understanding voice problems related to occupations in the clinical field through an investigation and comparison of subjective vocal symptoms of 12 professional actors and 12 speech-language pathologists Among the 11 symptoms, "Difficulty with high pitch when singing," "Hypertension in the neck when speaking," and "Feel voice fatigue" were the most frequent symptoms in both groups. Additionally, the professional voice users reported a higher frequency of "Difficulty with high pitch when singing" (p=.049), "Hoarse voice" (p=.021), "Difficulty (requiring effort) when speaking" (p=.032), "Pain in the neck when speaking" (p=.009), and "Feel vocal fatigue" (p=.018) than the elite vocal performer group. This may be due to the different voice-related environments and differences in voice demands during occupational activities between the two groups.

본 연구는 임상현장에서 직업에 따라 요구되는 음성문제를 이해하는데 도움이 되는 자료를 제공하기 위해 전문 음성 사용자인 직업배우와 직업적 음성사용자인 언어재활사의 주관적 음성증상을 조사하여 그 빈도를 알아보고, 두 집단 간의 주관적 음성증상에 차이가 있는지 비교하였다. 그 결과, 두 집단은 동일하게 11개의 증상 중 '노래 시 고음발성 곤란', '말할 때 목에 힘이 들어감', '음성피로감'이 고빈도 증상으로 나타났다. 두 집단의 주관적 음성증상을 비교한 결과 직업적 음성사용자 집단은 전문 음성사용자 집단에 비해 '노래 시 저음발성 곤란(p=.049)', '쉰 목소리(p=.021)', '말할 때 힘이 듦(p=.032)', '말할 때 목에 통증이 있음(p=.009)', '음성피로감(p=.018)'의 빈도가 더 빈번한 것으로 나타났다. 이러한 차이는 두 집단의 음성사용 환경이 다르고, 직업활동 시 요구되는 발성의 차이로 인한 것으로 사료된다.

Keywords

References

  1. Buekers, R. (1998). Are voice endurance tests able to assess vocal fatigue? Clinical Otolaryngology & Allied Sciences, 23(6), 533-538. https://doi.org/10.1046/j.1365-2273.1998.2360533.x
  2. Byeon, H. W. (2011). A study on the relationship between the self-reported voice problems and voice disorders in the adult populations. Phonetics and Speech Sciences, 3(1), 111-116.
  3. Byeon, H., & Lee, Y. (2010). Prevalence and risk factors of benign laryngeal lesions in the adult population. Communication Sciences & Disorders, 15(4), 648-656.
  4. Chang, A., & Karnell, M. P. (2004). Perceived phonatory effort and phonation threshold pressure across a prolonged voice loading task: A study of vocal fatigue. Journal of Voice, 18(4), 454-466. https://doi.org/10.1016/j.jvoice.2004.01.004
  5. Goulart, B. N. G., & Vilanova, J. R. (2011). Professional theatre actors: Environmental and socio-occupational use of voice. Jornal da Sociedade Brasileira de Fonoaudiologia, 23(3), 271-276. https://doi.org/10.1590/S2179-64912011000300014
  6. Hunter, E. J., & Titze, I. R. (2009). Quantifying vocal fatigue recovery: Dynamic vocal recovery trajectories after a vocal loading exercise. Annals of Otology, Rhinology & Laryngology, 118(6), 449-460. https://doi.org/10.1177/000348940911800608
  7. Kim, J. S., & Choi, S. H. (2018). Voice problems and self-care practice for vocal health: Current status of Korean speech-language pathologists. Communication Sciences & Disorders, 23(2), 414-424. https://doi.org/10.12963/csd.18498
  8. Kim, J. S., & Choi, S. H. (2021). Effect of non-face-to-face voice therapy using the self-voice health care program for vocal fatigue. Communication Sciences & Disorders, 26(2), 501-509. https://doi.org/10.12963/csd.21783
  9. Koufman, J. A., & David Blalock, P. D. (1988). Vocal fatigue and dysphonia in the professional voice user: Bogart-bacall syndrome. The Laryngoscope, 98(5), 493-498. https://doi.org/10.1288/00005537-198805000-00003
  10. Laukkanen, A. M., Ilomaki, I., Leppanen, K., & Vilkman, E. (2008). Acoustic measures and self-reports of vocal fatigue by female teachers. Journal of Voice, 22(3), 283-289. https://doi.org/10.1016/j.jvoice.2006.10.001
  11. Lee, S. J., Lim, S. E., & Choi, H. S. (2017). Responsiveness of the Korean version of the voice activity and participation profile (K-VAPP) after surgical intervention. Communication Sciences & Disorders, 22(2), 379-390.
  12. McCabe, D. J., & Titze, I. R. (2002). Chant therapy for treating vocal fatigue among public school teachers. American Journal of Speech-Language Pathology, 11(4), 356-369. https://doi.org/10.1044/1058-0360(2002/040)
  13. Pyo, H. Y. (2011). A qualitative study on voice use and evaluation of professional voice user patients. Communication Sciences & Disorders, 16(3), 346-359.
  14. Solomon, N. P. (2008). Vocal fatigue and its relation to vocal hyperfunction. International Journal of Speech-language Pathology, 10(4), 254-266. https://doi.org/10.1080/14417040701730990
  15. Solomon, N. P., & DiMattia, M. S. (2000). Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure. Journal of Voice, 14(3), 341-362. https://doi.org/10.1016/S0892-1997(00)80080-6
  16. Song, Y. K., & Pyo, H. Y. (2010) A preliminary study on voice symptoms and Korean Voice Handicap Index of speech language pathologists. Phonetics and Speech Sciences, 2(2), 123-133.
  17. Vilkman, E. (2004). Occupational safety and health aspects of voice and speech ons. Folia Phoniatrica et Logopaedica, 56(4), 220-253. https://doi.org/10.1159/000078344
  18. Welham, N. V., & Maclagan, M. A. (2003). Vocal fatigue: Current knowledge and future directions. Journal of Voice, 17(1), 21-30. https://doi.org/10.1016/S0892-1997(03)00033-X
  19. Weekly, E. M., Carroll, L. M., Korovin, G. S., & Fleming, R. (2018). A vocal health survey among amateur and professional voice users. Journal of Voice, 32(4), 474-478. https://doi.org/10.1016/j.jvoice.2017.07.012
  20. Yiu, E. M. L., & Chan, R. M. M. (2003). Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. Journal of Voice, 17(2), 216-227. https://doi.org/10.1016/S0892-1997(03)00038-9