ORIGINAL RESEARCH
Determination of the Voice Parameters in Patients with Ankylosing Spondylitis
Ankilozan Spondilitli Hastalarda Ses Parametrelerinin Belirlenmesi
Received Date : 13 Nov 2020
Accepted Date : 10 Feb 2021
Available Online : 23 Mar 2021
Elif TUNÇ SONGURa, Çiğdem ÖNENb, Hazan KARADENİZc, Metin YILMAZd
aGazi University Health Sciences Institute, Ankara, TURKEY
bDepartment of Speech and Language Therapy, Yıldırım Beyazıt University Faculty of Health Sciences, Ankara, TURKEY
cDepartment of Internal Medicine, Division of Rheumatology, Gazi University Faculty of Medicine, Ankara, TURKEY
dDepartment of Otolaryngology, Gazi University Faculty of Medicine, Ankara, TURKEY
Doi: 10.24179/kbbbbc.2020-79991 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(2):113-8
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: To determine voice parameters in patients
with ankylosing spondylitis (AS) by objective and subjective methods
and to compare them with the healthy group. Material and Methods:
Forty two (21 AS and 21 healthy volunteers, aged 18-65 years old) were
included in the study. Participants were evaluated using the Voice
Handicap Index-10 (VHI-10) to assess voice complaints. Laryngeal
findings of participants with AS were performed by videolaryngoscopy.
Maximum phonation time measurements and acoustic voice analysis
Praat softwar (version 6.0.36, University of Amsterdam, The Netherlands)
were performed to evaluate the presence of objective dysphonia.
Results: According to the cut-off score of VHI-10, 19% of the
participants in the study group had voice complaints. The prevalence of
laryngeal symptoms of participants with AS was %38.1, but there was
no cricoarytenoid joint involvement. Fundamental frequency and perturbation
parameters of participants in study group were not statistically
significant. Conclusion: In present study subjective voice
complaints rate of individuals with AS were found to be higher than
individuals without AS. There was no significant difference of objective
values of the between groups
Keywords: Ankylosing spondylitis; voice; dysphonia; voice quality
ÖZET
Amaç: Ankilozan spondilitli (AS) erişkin hastalarda, ses parametrelerini
objektif ve subjektif yöntemlerle belirlemek ve sağlıklı grup
ile karşılaştırmaktır. Gereç ve Yöntemler: Çalışmaya, 42 (21 AS, 21
sağlıklı gönüllü, 18-65 yaş arası) katılımcı dâhil edildi. Katılımcıların,
subjektif ses şikâyetini değerlendirmek amacıyla Ses Handikap Endeksi-
10 (SHE-10) kullanıldı. AS’li katılımcıların laringeal bulguları
videolaringoskopi kullanılarak belirlendi. Objektif disfoni varlığını değerlendirmek
amacıyla maksimum fonasyon süresi ve akustik ses analizi
(Praat yazılımı) değerleri kullanıldı. Bulgular: SHE-10’un kesme
puanına göre çalışma grubundaki katılımcıların %19’unda subjektif ses
şikâyeti belirlendi. AS’li katılımcıların %38,1’inde çeşitli laringeal
semptomlar belirlendi, ancak krikoaritenoid eklem tutulumu yoktu. Çalışma
grubundaki katılımcıların temel frekans ve pertürbasyon parametreleri
istatistiksel olarak anlamlı değildi. Sonuç: Çalışmamızda,
AS’li katılımcıların subjektif ses şikâyeti oranı daha yüksek olmasına
rağmen objektif değerlendirmelerde fark bulunamamıştır. Çalışma, AS
ile disfoni arasında ilişki olabileceğini göstermiş olsa da daha geniş katılımlı
çalışmalara ihtiyaç duyulmaktadır.
Anahtar Kelimeler: Ankilozan spondilit; ses; disfoni; ses özelliği
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