ABSTRACT
OBJECTIVE@#To explore the mental health of the patients who suffered from pharyngeal paraesthesia, and investigate the effect of mental factors during the happening, development, therapy and turnover of the disease.@*METHOD@#The Symptom Checklist 90 (SCL-90) was used to collect information,and all the data was dealed with SPSS 12.0.@*RESULT@#(1) The total score of SCL-90 of pharyngeal paraesthesia was higher than the norm, and the score of positive items and average score of positive symptom were both significantly higher than the norm; (2) There was no differences between pharyngeal paraesthesia and the norm in terror factor while significant differences in the others; (3) There was no difference between male and female patients who suffered from pharyngeal paraesthesia.@*CONCLUSION@#Compared with the normal, patients who suffered from pharyngeal paraesthesia had obvious mental symptoms, such as somatization, anxiety, depression et al.
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Case-Control Studies , Hyperesthesia , Psychology , Mental Disorders , Psychology , Personality Inventory , Pharyngeal Diseases , Psychology , Surveys and QuestionnairesABSTRACT
BACKGROUND: The mechanism of spasmodic dysphonia(SD) is still unclear and lacks of confirmed diagnostic standards. Limited reports on the treatment mainly focused on botulinum toxin infiltration; recurrent laryngeal nerve section, and voice training, amongst which voice training has been considered as one of the ideal complementary therapeutic means for SD because of less side effects and complications.OBJECTIVE: To investigate the significance of voice training in the treatment of SD and provide a method for the clinical treatment.DESIGN: Clinical case analysis and retrospective study based on patients.SETTING: Department of otolaryngology and cerebral surgery in a university hospital.PARTICIPANTS: Thirty-six confirmed SD patients in Wuhan College affiliated Renmin Hospital from February 1985 to December 2002.METHODS: Psychological consultation combined with breathing and voice training was adopted to make patients breathe freely and coordinately, with breath pattern changed from deep chest breathing and reversal breathing to normal chest-abdominal combined breathing, which helped decreasing larynx muscle straining. All patients were followed up for one to two years and their therapeutic effects were assessed by normal phonation, improvement, and ineffectiveness.MAIN OUTCOME MEASURES: Assessment of therapeutic effects.RESULTS: All 36 SD patients achieved satisfactory outcomes after voice training, with SD completely recovered in 30 cases and obviously improved in 6 cases.CONCLUSION: Psychological consultation combined with voice training is an ideal approach for the rehabilitation of SD.
ABSTRACT
Objective To explore the effect of vocal rehabilitation training on patients with spasmodic dys-phonia. Methods Thirty-six patients with spasmodic dysphonia were recruited, and psychotherapy, acupuncture,respiratory and vocal training were performed according to the patients condition to improve the coordination of the vo-cal organs. Interventions were also employed to convert the patients reverse or high locational pattern of respiration in-to the normal associated chest and abdomen respiration, so as to reduce the tone of the laryngeal muscle. ResultsSatisfactory effects were achieved by the rehabilitation training. 30 out of 36 cases recovered and the other 6 cases im-proved. Conclusion It indicated that the comprehensive vocal rehabilitation should be adopted for the treatment ofpatients with spasmodic dysphonia.