EFFICACY OF SPEECH REHABILITATION IN PATIENTS WITH VOCAL CHORD DISFUNCTION

UVOD: Ljudska se komunikacija zasniva na kvaliteti glasa. Poremećaj i oštećenje glasa mogu utjecati na samopouzdanje, psihičko zdravlje i kvalitetu života. Cilj istraživanja je da se dokaže uspješnost glasovne rehabilitacije kao metode terapije kod promuklosti i poboljšanju kvalitete života. METODE I ISPITANICI: Sudjelovalo je 36 ispitanika. Sa svim ispitanicima proveden je otorinolaringološki (ORL) pregled, ocijenilo se objektivno stanje glasnica i glasa kroz GRBAS skalu od strane fonijatra. Ispitanici su ispunjavali anketne upitnike koliko im promuklost utječe na kvalitetu života; VHI, GHSI i V-RQOL. Nakon ispunjavanja upitnika pacijenti su obrađeni kod logopeda/rehabilitatora (Spektralna akustička analiza glasa), glasovna rehabilitacija provodila se 2-3 tjedna. Uslijedio je kontrolni ORL pregled, pregled glasnica HRES endokamerom, analiza glasnica i glasa kroz GRBAS skalu i ispunjavanje spomenutih upitnika. REZULTATI: Kroz istraživanje utvrđeno je da više žena ima problema s glasom (63,9%) i da najveći broj ispitanika (41,7%) starosne dobi između 60-79 godina. Utjecaj promuklosti na kvalitetu života podjednak je po spolu i po dobi prije i poslije glasovne rehabilitacije. Ukupan zbroj bodova nakon glasovne rehabilitacije značajno je niži u odnosu na zbroj bodova prije glasovne rehabilitacije kroz sve anketne upitnike i GRBAS skalu. ZAKLJUČAK: Glasovna rehabilitacija uspješna je metoda terapije kod promuklosti, te utječe i na poboljšanje kvalitete života.INTRODUCTION: Human communication is based on voice quality. Disorder and damage of the voice can affect the self-confidence, psychological health and life quality. The main goal of the research is to prove the efficiency of voice rehabilitation as a therapy method in presence of hoarseness to improve life quality. METHODS AND RESPONDENTS: 36 respondents took part in the research. All respondents were submitted to otorhinolaryngological examination, and the phonology specialist graded objective condition of the vocal cords and the voice using GRBAS scale.The respondents filled the questionnaire to collect information on how the hoarseness affects the life quality: VHI, GHSI I V-RQOL. After the questionnaire, the respondents were examined by speech therapist(Spectral acoustic voice analyses), and voice rehabilitation took place 2-3 weeks. The ORL examination, vocal cords examination by HRES endo camera, vocal cords and voice analysesby GRBAS scaleand the completion of the questionnaire followed. RESULTS: Research has found that more women have voice problems (63.9%) and that the largest number of respondents (41.7%) are between the ages of 60-79. The impact of hoarseness on life quality is similar by gender and age before and after voice rehabilitation. The total sum of points after voice rehabilitation is significantly lower than the sum of points before voice rehabilitation through all questionnaires and GRBAS scale. CONCLUSION: Voice rehabilitation is a successful method of prosthetic therapy, and it also affects the quality of life