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Volume 45 (2004)
- Issue 4 Pages 269-
- Issue 3 Pages 181-
- Issue 2 Pages 99-
- Issue 1 Pages 1-
Volume 45, Issue 1
Displaying 1-6 of 6 articles from this issue
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Misao Yoshida, Makoto Ogawa, Ken Watanabe, Tadashi Yoshii, Yoshio Sugi ...2004 Volume 45 Issue 1 Pages 1-7
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSIn order to investigate voice disorders among school teachers, we studied public school teachers who underwent thorough medical examinations during the last three years at hospitals managed directly by the Japan Mutual Aid Association of Public School Teachers. The total number of subjects was 11, 413. A questionnaire presented to the subjects showed that 8.5 percent of all teachers complained of hoarseness. Among these, 180 cases were examined at our ENT clinic and subsequently diagnosed as true voice disorders. Diagnoses consisted of vocal cord nodules (46%), muscle tension dysphonia (20%), chronic laryngitis (11%), vocal polyps (4.4%) and other vocal cord abnormalities. Analysis of the first two categories revealed apparent gender dominance.Most cases of vocal cord nodules were female, while muscle tension dysphonia showed male domination. As with the subject group as a whole, both case categories reached peak at the age of 50-59. Male teachers with vocal cord nodules were mostly habitual smokers, suggesting a relation between smoking and formation of lesions in male teachers. These results provide data beneficial not only for treatment but also for prevention of voice disorders in school teachers.View full abstractDownload PDF (1025K) -
Hisanori Sasai, Yusuke Watanabe, Hiroshi Muta, Takeshi Kubo2004 Volume 45 Issue 1 Pages 8-12
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSSpasmodic dysphonia has unique voice characteristics, but a long time is required to achieve adequate diagnosis of SD in most patients. Various treatments exist for SD—for example, botullinum toxin injections to the thyroarytenoid muscles as a preservative treatment and other surgical treatments— and the choice is left to the patient. In this study, we investigated the actual conditions in SD patients through questionnaires presented to 17 SD patients (12 treated with botullinum toxin injection or voice therapy, 5 treated with thyroarytenoid myectomy as a surgical treatment) concerning period to achieve adequate diagnosis, present treatment, level of satisfaction, etc. Results showed that the level of satisfaction in the 5 patients with thyroarytenoid myectomy was high, while that of patients receiving botullinum toxin injections or voice therapy was below 50%. Under the presented conditions, however each treatment has both advantages and disadvantages, and therefore it is difficult to choose one as being most suitable.View full abstractDownload PDF (832K) -
Shoko Miyamoto, Kikuko Hayasaka2004 Volume 45 Issue 1 Pages 13-22
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSWe herein propose the existence of children in Japan who present characteristics of cluttering. To clarify their speech symptoms, we measured 18 schoolchildren's speaking rates, frequencies of disfluency (3 types), and MLUs. The results revealed 6 groups whose speech symptoms tended toward similarity. Three groups differed from the remaining three in that they demonstrated high frequency of disfluency in the form of “interjection, revision, filler”. Also, tendencies toward LD and ADHD were seen in all members of the three groups, based on medical diagnosis, intelligence tests, and PRS. These characteristics correspond to symptoms of cluttering under investigation in the West. We hypothesize that children showing the following three symptoms in this research constitute Clutterers: (1) speaking is fast and difficult for the listener to understand acoustically; (2) the type of disfluency is distinct; (3) cluttering coexists with LD & ADHD.View full abstractDownload PDF (1239K) -
—Voice Treatment Applying Lombard Effect for Voice Disorders Associated with Cerebrovascular Disease—Nobuo Takahashi, Yuka Sasaki, Hirotatsu Takahashi, Masaaki Nagafuchi2004 Volume 45 Issue 1 Pages 23-29
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSThe purpose of this study was to document the effectiveness of Weighted Noise Voice Treatment (WNVT) applying the Lombard effect, which was described in our previous report (Takahashi, Sasaki, Takahashi et al., 2002), in a 48-year-old male aphonic patient with motor and cognitive disorders after subarachnoid hemorrhage (SAH) . MRI revealed a lesion involving the right frontal lobe and the medial aspect of the left frontal lobe. The patient exhibited aphonia after SAH, with no changes in vocal conditions during the 3.5 months before treatment. Motor and cognitive disorders made it impossible for the patient to undergo pushing exercises. Vocal anomaly did not vary even when he was encouraged to speak louder. However, with weighted noise the patient exhibited improved vocal intensity and quality. The treatment started with reading short sentences aloud applying weighted noise at a level of 55 dB. The intensity of noise was gradually decreased in tandem with recovery from the voice disorder. After 4 months of treatment the patient exhibited improved vocal condition, but mild breathiness remained.
This study suggests that WNVT is effective for improving vocal intensity and quality in patients with hypofunctional voice disorders associated with cerebrovascular disease, as even patients with motor and cognitive disorders are able to receive this treatment. Here, a case study is reported and the effectiveness of WNVT is evaluated.View full abstractDownload PDF (7247K) -
Masato Kaneko, Akira Uno, Noriko Haruhara2004 Volume 45 Issue 1 Pages 30-34
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSIt is known that in English-speaking regions, phonological awareness and rapid automatized naming (RAN) tasks are useful to detect developmental dyslexia. We carried out a RAN task involving two stimuli, digits and line drawings, in 1, 001 preschool children. We analyzed the cognitive function of children who turned in low scores on the RAN task. We found a significant correlation between the results of the RAN task and a kana reading task (p<.01) . We also found that within the reading-delayed group who showed increased reading duration in the RAN task, some children scored full marks in the kana reading task. These findings suggest that one group makes errors in digit reading and the other errors in naming with line drawings, as two nearly independent groups. We suspect that the digit stimuli in the RAN task are related to the results of the kana reading task. The relationship between digit stimuli and kana reading probably derives from some similarity in information processing.View full abstractDownload PDF (682K) -
2004 Volume 45 Issue 1 Pages 38-80
Published: January 20, 2004
Released on J-STAGE: June 22, 2010
JOURNAL FREE ACCESSDownload PDF (7681K)
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