Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2018; 29(1):63-71

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2018.29.1.63

원저

노인성 음성장애의 중증도 지표로 Acoustic Voice Quality Index(AVQI)의 유용성

김근효¹, 이연우¹, 배인호², 박희준³, 왕수건¹, 권순복⁴^,^*

Efficacy of the Acoustic Voice Quality Index As a Measure of Dysphonia Severity in Age-Related Dysphonia

Geun-Hyo Kim¹, Yeon-Yoo Lee¹, In-Ho Bae², Hee-June Park³, Soo-Geun Wang¹, Soon-Bok Kwon⁴^,^*

¹부산대학교병원 이비인후과

²양산부산대학교병원 이비인후과

³춘해보건대학교 언어치료과

⁴부산대학교 인문대학 언어정보학과

¹Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea

²Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea

³Department of Speech-Language Therapy, Choonhae College of Health Sciences, Ulsan, Korea

⁴Humanities, Language and Information, Pusan National University, Busan, Korea

^*교신저자: 권순복, 46241 부산광역시 금정구 부산대학로63번길 2 부산대학교 인문대학 언어정보학과 전화: (051) 510-2003·전송: (051) 582-0572· E-mail: sbkwon@pusan.ac.kr

© Copyright 2018 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 27, 2018; Revised: Apr 03, 2018; Accepted: May 10, 2018

Published Online: May 31, 2020

ABSTRACT

Background and Objectives： The purpose of this study was to explore the criterion-related concurrent validity of two standardized auditory-perceptual assessments and the Acoustic Voice Quality Index (AVQI) for measuring dysphonia severity in aging voice population. Materials and Methods： 292 subjects with aging voice and 121 normal voice subjects were asked to sustain the vowel [a:] and to read aloud the Korean text “Walk”. A 2second mid-vowel portion of the sustained vowel and two sentences (with 26 syllables) were edited, concatenated, and analyzed according to Praat script. And then auditory-perceptual assessment was performed by three raters. Results： The aging voice group showed higher AVQI, G and OS values than normal voice group. And the correlation among AVQI, G, and OS ranged from 0.827 to 0.902. In ROC curve analysis, cutoff values of AVQI, G, and OS were <4.22, <0.00, and <30.00, respectively, and the AUC of each analysis was over .90. Conclusions： AVQI and auditory evaluation can improve the early screening ability of aging voice and help to establish effective diagnosis and treatment plan for age-related dysphonia. (J Clinical Otolaryngol 2018;29:63-71)

Keywords: 노인성 음성장애; 음향학적 음성질 지수; 청지각적 평가

Keywords: Aging voice; AVQI; Auditory-perceptual assessment