Correlación entre espacios de características acústicas del habla y trastornos clínicos de la voz en pacientes con disfagia
Resumen
La disfagia se define como la dificultad para transportar un bolo alimenticio de forma segura y efectiva desde la cavidad oral hasta el estómago. En la actualidad, los métodos para el diagnóstico de la disfagia son invasivos y altamente dependientes de la experiencia del personal asistencial cualificado. El estudio de las bioseñales, como lo son los registros de voz y habla, ha sido propuesto con el fin de desarrollar herramientas complementarias al diagnóstico. De esta manera, el presente trabajo tuvo como objetivo explorar, en características extraídas en señales de voz y habla, la capacidad de discriminación entre personas sanas y pacientes con trastornos deglutorios. Para ello se registraron señales en un grupo de 30 personas sanas y 45 pacientes diagnosticados con disfagia. Los participantes realizaron diferentes tareas de voz (vocales sostenidas) y de habla (texto leído, monólogo y ejercicios diadococinéticos). Los registros de los pacientes fueron etiquetados en tres condiciones clínicas: voz húmeda, voz disfónica y voz con alteración no determinada. Se evaluaron espacios de características clásicas asociadas al análisis de voz y habla a través de pruebas estadísticas hallándose que las características relacionadas a la fonación, prosodia y diadococinesia tienen potencial como biomarcadores para la discriminación de diferentes alteraciones en pacientes con disfagia. Este trabajo constituye una aproximación preliminar basada en el estudio de señales de voz y habla para un diagnóstico no invasivo y objetivo de la disfagia.
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