励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较

阳杨; 庞子建; 刘恒鑫; 魏鹏绪; 刘云鹤; 王颖

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励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较

嗓音康复治疗专题 | 更新时间：2026-10-28

- 励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较
- Comparison of the Effects of Lee Silverman Voice Treatment on the Voice of Two Patients with Different Dysarthria
- 中国听力语言康复科学杂志 2022年20卷第1期页码：12-15
- 作者机构：
  
  1. 成都中医药大学
  2. 北京语言大学,北京,100083
  3. 中央民族大学,北京,100081
  4. 国家康复辅具研究中心附属康复医院
- 作者简介：
- 基金信息：
  
  成都中医药大学“杏林学者”学科人才科研提升计划（ZRQN2020023）
- DOI：
  中图分类号： R767.92
- 纸质出版：2022
- 稿件说明：
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阳杨, 庞子建, 刘恒鑫, 等. 励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较[J]. 中国听力语言康复科学杂志, 2022,20(1):12-15.

阳杨, 庞子建, 刘恒鑫, et al. Comparison of the Effects of Lee Silverman Voice Treatment on the Voice of Two Patients with Different Dysarthria[J]. 2022, 20(1): 12-15.
阳杨, 庞子建, 刘恒鑫, 等. 励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较[J]. 中国听力语言康复科学杂志, 2022,20(1):12-15. DOI：

阳杨, 庞子建, 刘恒鑫, et al. Comparison of the Effects of Lee Silverman Voice Treatment on the Voice of Two Patients with Different Dysarthria[J]. 2022, 20(1): 12-15. DOI：

摘要

目的比较不同类型构音障碍患者的言语声学特征，探索励-协夫曼言语治疗（Lee Silverman voice treatment

LSVT）的临床效果。方法采用LSVT对2例不同类型构音障碍患者进行一个标准疗程的干预，测量治疗前后的声强、语速、元音声学指标、听感知可懂度、嗓音障碍指数等参数。结果痉挛型构音障碍（脑卒中）的个案治疗后，元音构音空间显著增大，语速提高，言语听感知可懂度明显提高；运动过少型构音障碍（帕金森病）个案治疗后，声音响度增强，语速减慢，患者自觉对声音的控制感更好。结论 LSVT以提高音量为治疗靶点，针对不同原因所致的构音障碍，其改善作用体现在不同的声学维度。

Abstract

Objective To compare the difference of vowel acoustic characteristics between patients with different types of dysarthria and normal subjects

and to explore the difference of effects of Lee Silverman voice treatment（LSVT）. Methods Two patients with different types of dysarthria were treated with LSVT for a standard course of intervention. The acoustic intensity

speed

vowel acoustic index

auditory perception intelligibility and voice handicap index were measured before and after treatment. Results Spasmodic dysarthria was characterized by significantly increased vowel construction space

increased speech speed and intelligibility.Hypokinetic dysarthria case was mainly manifested as increased loudness of voice

slower speech speed

and patient felt better control of voice. Conclusion Volume enhancement is the main therapeutic target of LSVT

but the improvement of LSVT may be reflected in different acoustic dimensions for different causes of dysarthria.

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references

张有文,杨凌,白岫丹,张陇平,成连春,肖文铃,潘春柳,陈杰,罗雨田,李星宇,李宝珍,姚晚侠.励-协夫曼言语训练对脑梗死病人吞咽功能、嗓音质量和日常生活能力的影响[J].护理研究,2021(16).

夏家怡,陈柱,陈韵佳,张倩,陈宜懿,裴松,单春雷,王健.六字诀功法训练治疗脑卒中后痉挛型构音障碍[J].听力学及言语疾病杂志,2021(03).

李进阳,申鹏飞.聚泉穴配合舌面分区点刺治疗脑卒中后构音障碍的临床研究[J].中西医结合心脑血管病杂志,2020(22).

刘晓蔓,王军,李诗梦,李春妍.针刺配合语言训练治疗脑卒中后构音障碍患者的临床效果[J].世界中医药,2020(15).

李咏雪,谭茗丹,范豪,李婧婷,徐智勤,卞瑞豪,陈曦.励-协夫曼言语治疗对中国帕金森病患者言语功能的影响[J].中华物理医学与康复杂志,2020(03).

高海燕,朱洁,黄国航,黎景波,林勉.舌三针结合口肌训练治疗脑卒中后痉挛型构音障碍临床研究[J].针灸临床杂志,2019(06).

陈祺.伸舌能力对脑卒中后嗓音响度的影响[J].临床合理用药杂志,2019(04).

周静,方灿,张晓晓.口部运动训练对脑卒中后痉挛性构音障碍患者声学/电声门图评价参数的作用[J].现代实用医学,2017(04).

康康.针刺结合言语康复训练治疗脑卒中后构音障碍的临床效果观察[J].中国基层医药,2017(04).

杨美芳,赵健,且亚玲,王剑雄,鞠梅.励-协夫曼言语治疗对帕金森病患者言语功能及生活质量的影响[J].中华物理医学与康复杂志,2017(01).

付玉婷.针灸配合言语训练治疗脑卒中后运动性构音障碍[J].当代医学,2016(04).

赵逸,王伟,张秋韵,吕琨,李孟,陈世彩,郑宏良.嗓音障碍听感知评估汉语普通话朗读文本的设计[J].听力学及言语疾病杂志,2014(02).

XU Wen,LI Hong-yan,HU Rong,HU Hui-ying,HOU Li-zhen,ZHANG Li,ZHUANG Pei-yun,HAN De-min.嗓音障碍指数量表中文版信度和效度评价[J].中华耳鼻咽喉头颈外科杂志,2008(09).

De Cock Elien,Oostra Kristine,Bliki Lisa,Volkaerts AnneSophie,Hemelsoet Dimitri,De Herdt Veerle,Batens Katja.Dysarthria following acute ischemic stroke: Prospective evaluation of characteristics, type and severity.[J].International journal of language & communication disorders,2021.

Ge Shengnan,Wan Qin,Yin Minmin,Wang Yongli,Huang Zhaoming.Quantitative acoustic metrics of vowel production in mandarin-speakers with post-stroke spastic dysarthria.[J].Clinical linguistics & phonetics,2020.

Colette Langlois,Benjamin V. Tucker,Ashley N. Sawatzky,Alesha Reed,Carol A. Boliek.Effects of an intensive voice treatment on articulatory function and speech intelligibility in children with motor speech disorders: A phase one study[J].Journal of Communication Disorders,2020.

Erika S. Levy,Gemma Moya-Galé,Young Hwa M. Chang,Katherine Freeman,Karen Forrest,Mitchell F. Brin,Lorraine A. Ramig.The effects of intensive speech treatment on intelligibility in Parkinson's disease: A randomised controlled trial[J].EClinicalMedicine,2020.

1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.,2 Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.,1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.,3 Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.,1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK..A feasibility randomized controlled trial of ReaDySpeech for people with dysarthria after stroke[J].Clinical Rehabilitation,2018.

Hsu Sih-Chiao,Jiao Yishan,McAuliffe Megan J,Berisha Visar,Wu Ruey-Meei,Levy Erika S.Acoustic and perceptual speech characteristics of native Mandarin speakers with Parkinson's disease.[J].The Journal of the Acoustical Society of America,2017(3).

Fletcher Annalise R,McAuliffe Megan J,Lansford Kaitlin L,Liss Julie M.Assessing Vowel Centralization in Dysarthria: A Comparison of Methods.[J].Journal of speech, language, and hearing research : JSLHR,2017.

Mahler Leslie A,Ramig Lorraine O.Intensive treatment of dysarthria secondary to stroke.[J].Clinical linguistics & phonetics,2012.

Sabine Skodda,Wenke Visser,Uwe Schlegel.Vowel Articulation in Parkinson's Disease[J].Journal of Voice,2010.

Sapir Shimon,Ramig Lorraine O,Spielman Jennifer L,Fox Cynthia.Formant centralization ratio: a proposal for a new acoustic measure of dysarthric speech.[J].Journal of speech, language, and hearing research : JSLHR,2010.

Wenke Rachel J,Theodoros Deborah,Cornwell Petrea.The short- and long-term effectiveness of the LSVT for dysarthria following TBI and stroke.[J].Brain injury,2008.

Serge Pinto,Canan Ozsancak,Elina Tripoliti,Stéphane Thobois,Patricia Limousin-Dowsey,Pascal Auzou.Treatments for dysarthria in Parkinson's disease[J].Lancet Neurology,2004.

Ramig L O,Sapir S,Countryman S,Pawlas A A,O'Brien C,Hoehn M,Thompson L L.Intensive voice treatment (LSVT) for patients with Parkinson's disease: a 2 year follow up.[J].Journal of neurology, neurosurgery, and psychiatry,2001.

Jörg Müller,Gregor K. Wenning,Marc Verny,Ann McKee,K. Ray Chaudhuri,Kurt Jellinger,Werner Poewe,Irene Litvan.Progression of Dysarthria and Dysphagia in Postmortem-Confirmed Parkinsonian Disorders[J].Archives of Neurology,2001.

Jacobson Barbara H.,Johnson Alex,Grywalski Cynthia,Silbergleit Alice,Jacobson Gary,Benninger Michael S.,Newman Craig W..The Voice Handicap Index (VHI):Development and Validation[J].American Journal of Speech-Language Pathology,1997(3).

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