Dil ve Konuşma Terapisi ile Odyoloji Bölümü Kız Öğrencilerinin Ses Özelliklerinin Akustik Ses Analizi ile Karşılaştırılması

Yıl 2018, Cilt: 1 Sayı: 1, 9 - 18, 01.04.2018

Gamze Yeşilli M. Kürşat Yelken Seymanur Ok Bedirye Kaygısız Edanur Keskin Cansu Alpay

Öz

Giriş: Üniversite öğrencileri, en fazla ses suistimali davranışı sergileyen gruplar arasında gösterilmektedir. Dil ve konuşma terapisi (DKT) bölümü öğrencileri, eğitim süreçlerinde dil, konuşma, ses üretimi anatomisi ve fizyolojisi, ses bozuklukları ve ses terapisine yönelik dersler almaktadırlar. Bu çalışmada, DKT öğrencilerinin aldıkları eğitim nedeniyle ses suistimali davranışlarına ilişkin farkındalık düzeylerinin ses kullanımlarına yansıdığı düşüncesinden yola çıkılarak, DKT öğrencileri ve diğer bölümlerdeki öğrenciler arasında akustik ses analiz sonuçları bakımından bir farklılık olup olmadığı araştırılmıştır. Yöntem: Bu çalışmanın amacı, DKT 1. 2. ve 3.sınıf kız öğrencilerinin ses özelliklerini odyoloji 3.sınıf kız öğrencilerinin ses özellikleriyle Multi-Dimentional Voice Program (MDVP) (KayPENTAX, 2008) kullanarak karşılaştırmaktır. Sonuç ve tartışma: Elde edilen bulgularda, DKT 3.sınıf ve odyoloji 3.sınıf öğrencileri arasında F0; DKT 2.sınıf ve odyoloji 3. sınıf öğrencileri arasında F0, jitter (%), Pitch Perturbation Quotient (PPQ), Amplitude Perturbation Quotient (APQ); DKT 1.sınıf ve odyoloji 3.sınıf öğrencileri arasında F0, jitter (%), PPQ parametreleri bakımından anlamlı düzeyde fark bulunmuştur. Sonuç olarak, DKT öğrencileri bazı akustik ses özellikleri bakımından odyoloji öğrencilerine göre olumlu yönde farklılık göstermiştir. Bu durumun DKT öğrencilerinin ses suistimali davranışlarına ilişkin farkındalıklarından kaynaklandığı düşünülmektedir.

Anahtar Kelimeler

Multi-Dimentional Voice Program, dil ve konuşma terapisi öğrencileri, odyoloji öğrencileri, akustik ses analizi, ses suistimali

Comparision of the Voice Characteristics of Speech and Language Therapy and Audiology Department Female Students with Acoustic Voice Analysis

Öz

Introduction: University students are shown among one of the foremost groups from the aspect of vocal abuse. Speech and language therapy (SLT) students, during their studies, are required to have courses on speech, language, and voice production, anatomy and physiology, voice disorders and treatment. In this study, acoustic voice analysis result of SLT, and audiology department students is compared with the assumption that the awareness of SLT students on vocal abuse could be higher than that of audiology students as a result of the education SLT students have. Method: The aim of this study was to compare the acoustic analysis results of first, second, and third year female students in speech and language therapy undergraduate program (SLTUP), 1 Sorumlu Yazar, Arş. Gör., Üsküdar Üniversitesi, [e-mail] Prof. Dr., Voicest Kliniği, [e-mail]3 Stajyer DKT, Üsküdar Üniversitesi, [e-mail]4 Stajyer DKT, Üsküdar Üniversitesi, [e-mail]5 Stajyer DKT, Üsküdar Üniversitesi, [e-mail]6 Stajyer DKT, Üsküdar Üniversitesi, [e-mail] third year female students in audiology undergraduate program (AUP) using Multi-Dimentional Voice Program (MDVP) (KayPENTAX, 2008). The participants of this study include 21 first year, 23 second year, and 22 third year SLTUP students, and 16 AUP students (see Table 1). Voice records were taken in Üsküdar University Speech and Language Therapy Phonetic Lab using MDVP (KayPENTAX, 2008). The participants were asked to produce /a/ phonation for 5 seconds, and 3 middle seconds of each record were analyzed. Results and discussion: The results showed that there was a significant difference between F0 results of third year SLTUP and third year AUP students (Table 2); significant difference on F0, jitter (%), Pitch Perturbation Quotient (PPQ), Amplitude Perturbation Quotient (APQ) results of second year SLTUP and third year AUP students (see Table 3); significant difference on F0, jitter (%) and, PPQ results of first year SLTUP and third year AUP students (see Table 4). The results of the study revealed that SLTUP students have better jitter (%), PPQ, APQ results in comparison with AUP students. These results seem to confirm the idea that as a result of the education on voice disorders, vocal misuse, appropriate voice use, and vocal health that SLTUP students have been given, first and second year SLT students have better better jitter (%), PPQ, APQ values compared to third year AUP students. However, the fact that there was no significant difference between third year SLP and third year audiology students on voice quality parameters is thought to be a consequence of the vocal burden of third year SLP students resulting from their clinical practice period

Anahtar Kelimeler

Multi-Dimentional Voice Program, speech and language therapy students, audiology students, acoustic voice analysis, vocal abuse

Kaynakça

• Demirhan, E., Unsal, E. M., Yilmaz, C., Ertan, E. (2016). Acoustic voice analysis of young turkish speakers. Journal of Voice, 30(3), 378.e21-378.e25.
• Fritzell, B. (1996). Voice disorders and occupations. Logopedics Phoniatrics Vocology, 21(1), 7–12.
• Gottliebson, R. O., Lee, L., Weinrich, B., Sanders, J. (2007). Voice problems of future speech-language pathologists. Journal of Voice, 21(6), 699–704.
• Helidoni, M. E., Murry, T., Moschandreas, J., Lionis, C., Printza, A., Velegrakis, G. A. (2010). Cross-cultural adaptation and validation of the Voice Handicap Index into Greek. Journal of Voice, 24(2), 221–227.
• Herrington-hall, B. L., Stemple, J. C., Elizabeth, S., Niemi, K. I. M. R. (2016). Description of laryngeal pathologies by age, sex, and occupation in treatment seeking sample, 53 (February 1988).
• KayPENTAX. (2008). The software instruction manual of the multi-dimensional voice program (MDVP) model 5105. Lincoln Park, NJ: KayPENTAX.
• Ramig, L. O., Sapir, S., Countryman, S., Pawlas, A, Brien, C. O., Hoehn, M., … Gould, W. J. (2001). Intensive voice treatment ( LSVT ® ) for patients with Parkinson ’ s disease : a 2 year follow up, 493–498.
• Simberg, S., Sala, E., Rönnemaa, A. M. (2004). A comparison of the prevalence of vocal symptoms among teacher students and other university students. Journal of Voice, 18(3), 363–368.
• Tafiadis, D., Chronopoulos, S. K., Siafaka, V., Drosos, K., Kosma, E. I., Toki, E. I., Ziavra, N. (2017). Comparison of Voice Handicap Index scores between female students of speech therapy and other health professions. Journal of Voice, 31(5), 583–588.
• Titze, I. R., Lemke, J., Montequin, D. (1997). Populations in the U.S. workforce who rely on voice as a primary tool of trade: A preliminary report. Journal of Voice, 11(3), 254–259.
• Van Lierde, K. M., D’Haeseleer, E., Wuyts, F. L., De Ley, S., Geldof, R., De Vuyst, J., Sofie, C. (2010). The objective vocal quality, vocal risk factors, vocal complaints, and corporal pain in Dutch female students training to be speech-language pathologists during the 4 years of study. Journal of Voice, 24(5), 592–598.
• Warhurst, S., Madill, C., McCabe, P., Heard, R., Yiu, E. (2012). The vocal clarity of female speech-language pathology students: An exploratory study. Journal of Voice, 26(1), 63–68.
• Wuyts, F. L., De Bodt, M. S., Molenberghs, G., Remacle, M., Heylen, L., Brussels, B. M., … Van De Heyning, P. H. (2000). The Dysphonia Severity Index: An objective measure of vocal quality based on a multiparameter approach. Journal of Speech, Language, and Hearing Research, 4300(43), 796–809.
• Yiu, E. M. L., Lo, M. C. M., ve Barrett, E. A. (2017). A systematic review of resonant voice therapy. International Journal of Speech-Language Pathology, 19(1), 17–29.