Author:
Bunijevac Mila,Maksimović Zlatko,Mikić Andrijana
Abstract
<p><strong><span id="page741R_mcid4" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 364.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.07883);" role="presentation">Introduction</span></span></strong><span id="page741R_mcid5" class="markedContent"><span dir="ltr" style="left: 486.074px; top: 364.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.97919);" role="presentation"><strong>.</strong> The human voice is an important characteristic that </span></span><span id="page741R_mcid6" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 384.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.03314);" role="presentation">enables the distinction of human from other living beings. Oth</span></span><span id="page741R_mcid8" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 404.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.967918);" role="presentation">erwise, it represents a picture of a person ́s personality, his health, </span></span><span id="page741R_mcid9" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 424.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.942107);" role="presentation">mental and emotional state. The research aims are to determine the </span></span><span id="page741R_mcid10" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 444.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.923554);" role="presentation">voice characteristics of vocal professionals with diagnosed vocal cord </span></span><span id="page741R_mcid11" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 464.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.973387);" role="presentation">nodules by subjective voice assessment and objective voice mea</span></span><span id="page741R_mcid13" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 484.425px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.948518);" role="presentation">surement before and after vocal rehabilitation.</span></span></p>
<p><span id="page741R_mcid14" class="markedContent"><strong><span dir="ltr" style="left: 392.126px; top: 513.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.02738);" role="presentation">Methods</span></strong></span><span id="page741R_mcid15" class="markedContent"><span dir="ltr" style="left: 457.792px; top: 513.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.923759);" role="presentation"><strong>.</strong> This study has involved 25 examinees, aged 23 to 56. The </span></span><span id="page741R_mcid16" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 533.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.926838);" role="presentation">subjective voice assessment was conducted with the Voice Handicap </span></span><span id="page741R_mcid17" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 553.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.935141);" role="presentation">Index - VHI questionnaire and the objective voice measurement by a </span></span><span id="page741R_mcid18" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 573.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.928752);" role="presentation">computerized laboratory for voice analysis &lsquo;&rsquo;Kay Elemetrics&rsquo;&rsquo;. The ob</span></span><span id="page741R_mcid20" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 593.874px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.920087);" role="presentation">tained data were processed using descriptive and analytical statistics.</span></span></p>
<p><span id="page741R_mcid21" class="markedContent"><strong><span dir="ltr" style="left: 392.126px; top: 623.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.964007);" role="presentation">Results</span></strong></span><span id="page741R_mcid22" class="markedContent"><span dir="ltr" style="left: 445.692px; top: 623.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.976156);" role="presentation"><strong>.</strong> Before the vocal rehabilitation and the subjective and ob</span></span><span id="page741R_mcid24" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 643.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.920169);" role="presentation">jective voice measurements, the examinees had greater psychosocial </span></span><span id="page741R_mcid25" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 663.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.991146);" role="presentation">difficulties associated with their voice quality. After two months of </span></span><span id="page741R_mcid26" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 683.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.949167);" role="presentation">vocal rehabilitation, there has been a significant improvement in the </span></span><span id="page741R_mcid27" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 703.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.967344);" role="presentation">voice of all subjects on the VHI scale. A statistically significant and </span></span><span id="page741R_mcid28" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 723.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.959876);" role="presentation">highly statistically significant improvement have been noticed in six </span></span><span id="page741R_mcid29" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 743.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.951387);" role="presentation">out of seven analyzed parameters of vocal A, by the objective mea</span></span><span id="page741R_mcid31" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 763.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.955025);" role="presentation">surement of voice. Namely, the obtained values - the percentage of </span></span><span id="page741R_mcid32" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 783.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.969856);" role="presentation">jitter Jitt (%), the percentage of shimmer Shim (%), the relative av</span></span><span id="page741R_mcid34" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 803.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.959068);" role="presentation">erage perturbation value RAP (%) and the coefficient of fundamen</span></span><span id="page741R_mcid36" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 823.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.959144);" role="presentation">tal frequency variation - vFo were highly statistically significant (p &lt; </span></span><span id="page741R_mcid37" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 843.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.947273);" role="presentation">0.01). The VTI - voice turbulence index and the SPI - soft phonation </span></span><span id="page741R_mcid38" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 863.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.944808);" role="presentation">index also improved, the observed difference was statistically signif</span></span><span id="page741R_mcid40" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 883.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.935085);" role="presentation">icant (p &lt; 0.05), while the observed difference in the FTRI parameter </span></span><span id="page741R_mcid41" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 903.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.932095);" role="presentation">was not statistically significant (p &gt; 0.05). </span></span></p>
<p><span id="page741R_mcid41" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 903.323px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.932095);" role="presentation"><strong><span id="page741R_mcid42" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 932.772px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.994541);" role="presentation">Conclusion</span></span></strong><span id="page741R_mcid43" class="markedContent"><span dir="ltr" style="left: 474.108px; top: 932.772px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.95514);" role="presentation"><strong>.</strong> Vocal rehabilitation has influenced the improvement of </span></span><span id="page741R_mcid44" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 952.772px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.944559);" role="presentation">the voice quality, which means that the results obtained by objective </span></span><span id="page741R_mcid45" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 972.772px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.93026);" role="presentation">voice measurements were more in accordance with the results of the </span></span><span id="page741R_mcid46" class="markedContent"><span dir="ltr" style="left: 392.126px; top: 992.772px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.916426);" role="presentation">subjective voice assessment.</span></span><br /></span></span></p>
<p>&nbsp;</p>
Publisher
Univerzitet u Istočnom Sarajevu, Medicinski fakultet Foča
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