Tesis

Korelasi Analisis Akustik terhadap Penilaian Perseptual dan Gangguan Psikososial Disfonia pada Pasien Penyakit Parkinson di RSUPN Dr. Cipto Mangunkusumo = Correlation of Acoustic Analysis to Perceptual Assessment and Psychosocial Disorders of Dysphonia in Parkinson's Disease Patients at Dr. Cipto Mangunkusumo National General Hospital.

Latar Belakang: Disfonia merupakan salah satu manifestasi non-motorik yang sering ditemukan pada pasien penyakit Parkinson dan dapat menurunkan kualitas hidup. Pemeriksaan disfonia dapat dilakukan secara subjektif, perseptual, dan objektif, antara lain melalui analisis akustik menggunakan Multi-Dimensional Voice Program (MDVP), penilaian perseptual menggunakan GRBAS-I, dan gangguan psikososial menggunakan VHI-30. Tujuan: Mengetahui hubungan antara analisis akustik terhadap penilaian perseptual dan gangguan psikososial disfonia pada pasien Parkinson. Metode: Penelitian observasional analitik dengan pendekatan potong lintang ini melibatkan 25 pasien Parkinson di RSUPN Dr. Cipto Mangunkusumo. Dilakukan pemeriksaan suara menggunakan MDVP, GRBAS-I dan kuesioner VHI-30. Analisis korelasi dilakukan menggunakan uji Spearman. Hasil: Ditemukan korelasi signifikan antara beberapa parameter akustik seperti jitter, shimmer, dan NHR terhadap skor GRBAS-I dan VHI-30 (p < 0,05). Terdapat pula hubungan bermakna antara penilaian GRBAS-I dengan VHI- 30. Kesimpulan: Terdapat korelasi antara analisis akustik terhadap penilaian perseptual dan gangguan psikososial disfonia pada pasien Parkinson. Pemeriksaan MDVP, GRBASI, dan VHI-30 dapat menjadi alat penting dalam menilai derajat disfonia secara holistik dan berpotensi untuk digunakan dalam deteksi dini dan pemantauan terapi pada pasien Parkinson.
Kata kunci: Analisis akustik, disfonia, GRBAS-I, Parkinson, VHI-30


Background: Dysphonia is a common non-motor symptom of Parkinson’s disease that negatively impacts quality of life. Dysphonia assessment includes subjective, perceptual, and objective evaluations, such as acoustic analysis using the Multi-Dimensional Voice Program (MDVP), perceptual grading via GRBAS-I, and psychosocial impairment via VHI-30. Objective: To evaluate the correlation between acoustic analysis and both perceptual and psychosocial dysphonia assessments in patients with Parkinson’s disease. Methods: This was a cross-sectional analytic observational study involving 25 Parkinson’s patients at Cipto Mangunkusumo National Hospital. Voice parameters were analyzed using MDVP, perceptual scoring was using GRBAS-I, and psychosocial impact was measured using the VHI-30 questionnaire. Correlation analyses were performed using Spearman’s test. Results: Significant correlations were found between certain acoustic parameters (such as jitter, shimmer, and NHR) and GRBAS-I and VHI-30 scores (p < 0.05). Additionally, GRBAS-I scores showed a significant association with VHI-30 results. Conclusion: Acoustic analysis correlates with both perceptual and psychosocial assessments of dysphonia in Parkinson’s patients. MDVP, GRBAS-I, and VHI-30 are valuable tools for comprehensive dysphonia evaluation and may aid in early detection and treatment monitoring in Parkinson’s disease.
Keywords: Acoustic analysis, dysphonia, GRBAS-I, Parkinson’s disease, VHI-30