Relaxing Biofeedback as a Psychological Correction Technique in the Treatment and Rehabilitation of the Vocal Apparatus Diseases

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Abstract

The article deals with the psychological treatment of patients with voice disorders using the latest computer technology psychotherapy. The paper describes a method of psychological treatment based on biofeedback relaxation. The data on the dynamics of changes in physiological parameters, psycho-emotional background, as well as the state of the voice functions, taking into account the treatment. It describes the techniques and methods of work on the unit. On the basis of the data evaluated the effectiveness of this method in rehabilitation of voice function in patients with voice disorders. Substantiates the proposition that biofeedback relaxation is highly effective and non-invasive method of treatment and health effects in the treatment and rehabilitation of diseases of the vocal apparatus, helping to reduce the level of anxiety, psychosocial stress, as well as increase the level of vitality. Using biorelaxation technology can increase stress levels and ensures the production of constructive behavior strategies in stress situations. Relaxing biofeedback helps to reduce muscle tension and raising the level of skin temperature as autonomic response of the patients at the beginning and end of the training differed significantly, and the vegetative balance towards the end of the course was shifted toward parasympathetic reactions.

General Information

Keywords: voice; voice disorders; dysphonia; emotionally-personal sphere; psycho-emotional background; biofeedback; psychological correction; self-regulation; BOSLAB; relaxation therapy

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2017060302

For citation: Barabanov R.E., Fantalova E. Relaxing Biofeedback as a Psychological Correction Technique in the Treatment and Rehabilitation of the Vocal Apparatus Diseases [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2017. Vol. 6, no. 3, pp. 23–46. DOI: 10.17759/cpse.2017060302. (In Russ., аbstr. in Engl.)

References

  1. Alimetov Kh.A. Nevrologicheskie i morfofunktsional'nye aspekty diskinezii gortani: Avtoref. dis. d-ra. med. nauk [Neurological and morphofunctional aspects of dyskinesia of the larynx: Dr. Sci. (Medical) thesis]. Kazan', 1995, 42 p.
  2. Barabanov R.E. Trevozhnost' u lits s gipotonusnym narusheniem golosa [Anxiety at patients with voice disorders hypotonic]. Vestnik sovremennoi nauki [Bulletin of modern science], 2015, vol. 7, no. 2, pp. 79–82.
  3. Barabanov R.E. Ispol'zovanie programmno-apparatnogo kompleksa «BOSLAB» v reabilitatsii lits s gipotonusnoi disfoniei [Use of the BOSLAB software and hardware complex in the rehabilitation of persons with hypotonic dysphonia]. Pedagogy & Psychology. Theory and practice, 2015, vol. 2, no. 2, pp. 21–25.
  4. Barabanov R.E. Relaksatsionnoe bioupravlenie pri lechenii uzelkov golosovykh skladok [Relaxation biocontrol in the treatment of vocal fold nodules]. In Sovremennye problemy psikhologii i obrazovaniya v kontekste raboty s razlichnymi kategoriyami detei i molodezhi materialy nauchno-prakticheskoi konferentsii [Materials of the All-Russian International Scientific and Practical Conference «Contemporary Problems of Psychology and Education in the Context of Working with Various Categories of Children and Youth» (Moscow, February 18, 2016)]. Moscow: publ. of MFLU, 2016, pp. 311–314.
  5. Barabanov R.E. Igrovoe bioupravlenie kak metod psikhologicheskoi korrektsii v kompleksnoi reabilitatsii zabolevanii golosovogo apparata [Game biocontrol as a method of psychological correction in complex rehabilitation of diseases of the vocal apparatus]. Vestnik po pedagogike i psikhologii Yuzhnoi Sibiri [Bulletin on pedagogy and psychology of Southern Siberia], 2016, no. 1, pp. 120–133.
  6. Bogomil'skii M.R., Chistyakova V.R. Detskaya otorinolaringologiya [Children's otorhinolaryngology]. Moscow: Sfera, 1999. 328 p.
  7. Vasserman L.I. Psikhologicheskaya diagnostika otnosheniya k bolezni: metodicheskoe posobie [Psychological diagnosis of attitude towards the disease: a methodical manual]. Saint-Petersburg: Media Sfera, 2005. 258 p.
  8. Vasilenko Yu.S. Golos. Foniatricheskie aspekty [Voice. Phoniatric aspects]. Moscow, Energoizdat, 2002. 144 p.
  9. Vasilenko Yu.S. Disfonii i ikh ustranenie [Dysphonia and their elimination]. In Problemy reabilitatsii v otorinolaringologii: Tr. Vserossiiskoi konf. s mezhdunar. uchastiem i seminara «Aktual'nye voprosy foniatrii» [Problems of rehabilitation in otorhinolaryngology: III All-Russian Conf. With intern. Participation and seminar «Actual questions of phoniatrics»]. Samara, 2003, pp. 414–416.
  10. Vovk O.N. Adaptivnaya samoregulyatsiya rechevogo dykhaniya po pokazatelyu respiratornoi sinusovoi aritmii: avtoref. dis. kand. med. nauk [Adaptive self-regulation of speech breathing in terms of respiratory sinus arrhythmia: PhD (Medical) thesis]. Saint-Petersburg, 2005. 24 p.
  11. Gabdullin N.T. Nekotorye podkhody k problemam etiologii, patogeneza zabolevanii gortani [Some approaches to the problems of etiology, pathogenesis of larynx diseases]. In Voprosy prakticheskoi foniatrii: Materialy mezhdunar. Simpoziuma [Questions of practical phoniatrics: Materials of the international symposium]. Moscow, 1997, pp. 49–51.
  12. Goncharuk L.E. Klinika i lechenie stoikikh funktsional'nykh narushenii golosa: Avtoref. dis. kand. med. nauk [Clinic and treatment of persistent functional disorders of the voice: PhD (Medical) thesis]. Moscow, 1985. 22 p.
  13. Dzhafarova O.A., Donskaya O.G., Zubkov A.A. Igrovoe komp'yuternoe bioupravlenie (razvitie i sovremennost') [Game computer biocontrol (development and modernity)]. Medicinskaya tekhnika [Medical equipment], 2007, iss. 4, pp. 41–46.
  14. Eliseev Yu.Yu. Psikhosomaticheskie zabolevaniya [Psychosomatic diseases]. Moscow: Eksmo, 2003. 592 p.
  15. Ivanchenko G.F. Primenenie biologicheskoi obratnoi svyazi v foniatricheskoi praktike [The use of biological feedback in phoniatric practice]. Vestnik otorinolaringologii [Herald of otorhinolaryngology], 1991, no. 3, pp. 38–41.
  16. Il'in E.P. Emotsii i chuvstva [Emotions and feelings]. Saint-Petersburg: Piter, 2001. 752 p.
  17. Kinduris V.Yu., Goshtautas A.A., Uloza V.D. Issledovanie psikhologicheskikh osobennostei bol'nykh s funktsional'nymi narusheniyami golosa [Investigation of the psychological characteristics of patients with functional disorders of the voice]. Zhurnal ushnykh, nosovykh i gorlovykh boleznei [Journal of Ear, Nasal, and Throat Diseases], 1980, no. 4, pp. 48–52.
  18. Kulikov L.V. Psikhologiya nastroeniya [Psychology of mood]. Saint-Petersburg: Publ. of SPbGU, 1997. 430 p.
  19. Kurshev V.A. Zaikanie [Stuttering]. Moscow: Meditsina, 1973. 160 p.
  20. Lavrova E.V. Logopediya. Osnovy fonopedii [Speech therapy. Fundamentals of phonopedia]. Moscow: Akademiya, 2007. 144 p.
  21. Lavrova E.V., Taptapova S.L., Ermakova I.I. Znachenie BOS-metoda v reabilitatsii bol'nykh s funktsional'nymi narusheniyami golosa [The value of the B-method in the rehabilitation of patients with functional disorders of the voice]. Vestnik otorinolaringologii [Herald of otorhinolaryngology], 1995, no. 4, pp. 55–59.
  22. Mazhirina K.G., Pervushina O.N., Dzhafarova O.A. Individual'nye mekhanizmy samoregulyatsii: ikh mobilizatsiya i prognozirovanie v usloviyakh, kharakterizuyushchikhsya vysokoi stepen'yu neopredelennosti [Individual mechanisms of self-regulation: their mobilization and forecasting in conditions characterized by a high degree of uncertainty]. Vestnik Tomskogo gosudarstvennogo universiteta [Bulletin of Tomsk State University], 2008, no. 310, pp. 169–173.
  23. Mazhirina K.G., Pervushina O.N., Dzhafarova O.A. Issledovanie vzaimosvyazi lichnostnykh osobennostei cheloveka i vybora strategii povedeniya v situatsii neopredelennosti [Investigation of the relationship between personal characteristics of a person and the choice of a strategy of behavior in a situation of uncertainty]. Vestnik NGU. Ceriya: «Psikhologiya» [Newsletter NSU. Series: «Psychology»], 2007, vol. 1, no. 2, pp. 48–53.
  24. Nalchadzhyan A.A. Psikhologicheskaya adaptatsiya: mekhanizmy i strategii [Psychological adaptation: mechanisms and strategies]. Moscow: Eksmo, 2010. 368 p.
  25. Orlova O.S. Sistema logopedicheskoi raboty po korrektsii i preduprezhdeniyu narushenii golosa u pedagogov: Avtoref. dis. d-ra ped. nauk [The system of logopedic work on the correction and prevention of voice disorders in teachers: Dr. Sci. (Pedagogical) diss.]. Moscow, 1998. 250 p.
  26. Orlova O.S. Biologicheskaya obratnaya svyaz' v kompleksnom lechenii professional'nykh narushenii golosa [Biological feedback in the complex treatment of professional voice disorders]. In XVII Kongress Soyuza Evropeiskikh Foniatorov: tezisy dokladov [XVII Congress of the Union of European Phoniatricians: abstracts]. Moscow: UЕР, 1991, pp. 73–74.
  27. Pleshkov I.V., Anikeeva Z.I. Zabolevaniya golosovogo apparata u vokalistov i predstavitelei rechevykh professii: Diagnostika, lechenie, reabilitatsiya [Diseases of the vocal apparatus of vocalists and representatives of speech professions: Diagnosis, treatment, rehabilitation]. Moscow: GEOTAR-MED, 2003. 166 p.
  28. Radtsig E.Yu., Bogomil'skii M.R.. Vozmozhnosti terapii narushenii golosa u detei [The possibilities of therapy of voice disorders in children]. Vestnik otorinolaringologii [Herald of otorhinolaryngology], 2007, no. 5, pp. 35–37.
  29. 29. Red'ko N.G.,   Dzhafarova O.A., Bakhtina I.A. Effektivnost' igrovogo bioupravleniya pri lechenii i reabilitatsii psikhosomaticheskikh zabolevanii [Efficiency gaming biocontrol in the treatment and rehabilitation of psychosomatic diseases]. Vestnik NGU. Seriya: Biologiya, klinicheskaya meditsina [Newsletter NSU. Series: ‘Biology, Clinical Medicine’], 2007, vol. 5, no. 2, pp. 33–36.
  30. Rudin L.B. Znachenie semeinogo anamneza dlya foniatricheskoi diagnostiki golosa [Significance of family history for phoniatric voice diagnostics]. In Kommunikativnye narusheniya golosa: Materialy nauch.-prakt. konf., slukha i rechi [Communicative disorders of voice, hearing and speech: materials of scientific-practical conference]. Moscow, 2003, pp. 185–186.
  31. Ryabchenko A.T. K voprosu o lechenii bol'nykh s funktsional'nymi narusheniyami golosa: Avtoref. dis. kand. med. nauk [On the treatment of patients with functional impairment of the voice: PhD (Medical) thesis]. Moscow, 1957. 12 p.
  32. Samolyubover E.G. Psikhonevrologicheskie osobennosti funktsional'nykh narushenii golosa [Psychoneurological features of functional disorders of the voice]. Voprosy prakticheskoi foniatrii: Materialy mezhdunarodnogo simpoziuma [Questions of practical phoniatrics: Materials of the international symposium]. Moscow, 1997,
    pp. 133–134.
  33. Sel'chenok K.V. Psikhosomatika: vzaimosvyaz' psikhiki i zdorov'ya: khrestomatiya [Psychosomatics: the relationship of the psyche and health: reader]. Minsk: Kharvest, 2003. 640 p.
  34. Sokhadze E.M., Shtark M.B. Biologicheskaya (biotekhnicheskaya) obratnaya svyaz' biofeedback-monitoring i proizvol'nyi kontrol' fizicheskikh parametrov fiziologicheskikh sistem s mini-EVM: Preprint №239 [Biological (biotechnical) feedback biofeedback-monitoring and arbitrary control of physical parameters of physiological systems with a mini-computer: Preprint No. 239]. Novosibirsk, 1984. 44 p.
  35. Stepanova Yu.E., Stepanova G.M. Biologicheskaya obratnaya svyaz' v reabilitatsii patsientov s narusheniyami golosovoi funktsii: posobie dlya vrachei [Biological feedback in the rehabilitation of patients with impaired voice function: a manual for doctors]. Saint-Petersburg, Publ. of State Medical Academy of I.I. Mechnikov, 2004. 28 p.
  36. Chireshkin D.G. Khronicheskaya obstruktsiya gortannoi chasti glotki, gortani i trakhei u detei. Etiologiya, klinika i metody ustraneniya [Chronic obstruction of the throat part of the pharynx, larynx and trachea in children. Etiology, clinic and methods of elimination]. Moscow: Rapid-Print, 1994. 144 p.
  37. Shtark M.B., Dzhafarova O.A. Komp'yuternye sistemy bioupravleniya: tendentsii razvitiya [Computer biomedical systems: development trends]. Meditsinskaya tekhnika [Medical equipment]. Moscow: Meditsina, 2002, pp. 34–35.
  38. Shcheblanov V.Yu., Bobrov A.F., Dzhafarova O.A., Nadorov S.A. Svyaz' individual'nykh mekhanizmov samoregulyatsii so svoistvom stressoustoichivosti [Relationship of individual mechanisms of self-regulation with the property of stress-resistance]. Byulleten' sibirskoi meditsiny [Bulletin of Siberian Medicine], 2010, vol. 9, no. 2, pp. 134–139.
  39. Andersson K., Schalen L. Etiology and treatment of psychogenic voice disorder: results of a follow-up study of thirty patients. Journal of Voice, 1998, vol. 12, no. 1,
    pp. 96–106.
  40. Schwartz M.S. Biofeedback: A practitioner’s guide. 2nd ed., NY: Guilford Press, 1995. 522 p.

Information About the Authors

Rodion E. Barabanov, Ph.D. Student, Department of Developmental Psychology, Faculty of Education Psychology, Moscow State University of Psychology and Education, Clinical Psychologist, Officer of Research and Clinical Center of Otorhinolaryngology of the Federal Medical-Biological Agency of Russia; Lecturer Faculty of Additional Professional Education of the Moscow Psychological and Social University, Moscow, Russia, e-mail: pacmich@rambler.ru

Elena Fantalova, PhD in Psychology, lecturer, Moscow state university of psychology and education, Moscow, Russia, e-mail: elenafantal@yandex.ru

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