Paraliza glasnica i uloga logopeda u terapiji

master's thesis

• Title (english): Vocal cords paralysis and the speech and language pathologist`s role in the therapy
• Author: Matea Tadić
• Mentor: Ana Bonetti (mentor)
• Committee member: Ana Bonetti (predsjednik povjerenstva)
• Committee member: Ana Leko Krhen (član povjerenstva)
• Committee member: Iva Hrastinski (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2024-09-18, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Poremećaji glasa mogu imati velik negativan utjecaj na čovjekovu svakodnevicu i kvalitetu života. Paraliza glasnice, kao jedan od mnogobrojnih poremećaja, nastaje oštećenjem rekurentnog laringealnog živca (RLŽ) koji posljedično ne inervira glasnicu i rezultira njezinom paralizom. Ona može biti jednostrana ili obostrana, jednostrana je puno češća i ona je područje djelovanja logopeda. Paraliza uzrokuje disfoniju i u nekim slučajevima disfagiju. Simptomi disfonije su vrlo istaknuti, mogu se manifestirati kao šumnost, hrapavost, generalna promuklost, a osoba često razvije i hiperfunkcionalne kompenzacijske mehanizme. S obzirom na dugačak put RLŽ-a razne su ozljede koje mu se mogu nanijeti te je time etiologija jako raznovrsna, a nekad se uzrok niti ne zna. Nakon procjene i dijagnostike u kojoj sudjeluju i fonijatar i logoped, slijedi odabir terapije. Osim medicinskog dijela, potiče se i uključivanje logopeda za glasovnu terapiju kako bi se optimizirali ishodi rehabilitacije glasa. Glasovna se terapija ne mora nužno odrađivati samo poslije operacije, u ovom je području česta preoperativna terapija koja u nekim slučajevima može otkloniti potrebu za invazivnim postupcima. U većini slučajeva logopedska terapija kombinira bihevioralne tehnike usmjerene na različite dijelove glasovne proizvodnje u kombinaciji s neizravnim tehnikama poput davanja uputa o vokalnoj higijeni. Kroz literaturu se mogu uočiti većinom pozitivni ishodi glasovne terapije, međutim postoje problemi heterogenosti među studijama.

Abstract (english)

Voice disorders can have a significant negative impact on a person's daily life and quality of life. Vocal cord paralysis, as one of many disorders, occurs due to damage to the recurrent laryngeal nerve (RLN), which consequently fails to innervate the vocal cord, resulting in its paralysis. It can be unilateral or bilateral, with unilateral being much more common and it falls within the scope of a speech therapist's work. Paralysis causes dysphonia and, in some cases, dysphagia. The symptoms of dysphonia are very prominent and may manifest as breathiness, roughness, general hoarseness, and the person often develops hyperfunctional compensatory mechanisms. Given the long course of the RLN, it can be injured in various ways, making the etiology very diverse, and sometimes the cause is unknown. After assessment and diagnosis, involving both an otorhinolaryngologist and a speech and language pathologist, the appropriate therapy is selected. In addition to medical treatment, the involvement of an SLP for voice therapy is encouraged to optimize voice rehabilitation outcomes. Voice therapy does not necessarily have to be conducted only postoperatively; preoperative therapy is common in this area and can sometimes eliminate the need for invasive procedures. In most cases, speech therapy combines behavioral techniques focused on different aspects of voice production and indirect techniques such as providing vocal hygiene instructions. The literature mostly shows positive outcomes of voice therapy, however there are issues with heterogeneity between studies.

• Keywords: poremećaj glasa; paraliza glasnice; glasovna terapija
• Keywords (english): voice disorder; vocal cord paralysis; voice therapy
• Language: croatian
• URN:NBN: urn:nbn:hr:158:116987
• Study programme: Title: University graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: sveučilišni magistar/magistra logopedije (sveučilišni magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-10-18 09:37:03