音声評価�E�音声障害�E�STカコモン ST国試ノ�EチE/title> <meta name="description" content="ST国家試験対策、ERBAS評価・VHI・MPT・MFR・音響刁E��・喉頭ストロボスコピ�Eの特徴と違いを整琁E��E> <link rel="icon" href="../../favicon.png"> <link rel="preconnect" href="https://fonts.googleapis.com"> <link rel="stylesheet" href="../study-tools.css?v=20260421"> <link href="https://fonts.googleapis.com/css2?family=BIZ+UDPGothic:wght@400;700&family=Zen+Kaku+Gothic+New:wght@400;700&display=swap" rel="stylesheet"> <style> * { box-sizing: border-box; margin: 0; padding: 0; } :root { --bg:#e8e0d5; --paper:#faf8f4; --rule:#ddd8ce; --ink:#2c2416; --ink-sub:#7a6e60; --accent:#4a7c6f; --red:#c0392b; --blue:#2a5298; --border:#d8d0c4; } body { font-family:"Zen Kaku Gothic New","BIZ UDPGothic",sans-serif; font-size:13px; line-height:1.7; color:var(--ink); background:var(--bg); } .site-header { background:#2c2416; padding:10px 20px; display:flex; align-items:center; gap:10px; position:sticky; top:0; z-index:100; height:40px; } .site-header a { text-decoration:none; 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color:#fff; } .nav-btn.next:hover { background:#3a6a5e; } @media print { body{background:#fff;} .site-header,.study-toolbar,.nav-row{display:none;} .notebook{box-shadow:none;background:#fff;} .page{margin:0;padding:0;max-width:100%;} } @media (max-width:600px) { .cols{grid-template-columns:1fr;} .full{grid-column:1;} } </style>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-XF6KPW4C2J"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-XF6KPW4C2J'); </script> </head> <body> <header class="site-header"> <a href="https://st-toolbox.com/kakomon/">STカコモン</a> <span class="sep">›</span> <a href="../">ST国試ノ�EチE/a> <span class="sep">›</span> <a href="./">音声障害</a> <span class="sep">›</span> <span class="header-current">第3章</span> </header> <div class="page"> <div class="notebook"> <div class="nb-inner"> <div class="page-title-row"> <h1>第3章�E�音声評価</h1> <span class="meta">過去問頻出�E�難易度 ☁E�E☁E�E☁E/span> </div> <div class="cols"> <div class="col"> <h2>3-1 GRBAS評価</h2> <div class="table-wrap"> <table> <tr><th>記号</th><th>冁E��</th></tr> <tr><td><span class="red">G</span> (Grade)</td><td>総合皁E��声度</td></tr> <tr><td><span class="blue">R</span> (Rough)</td><td>粗糙性</td></tr> <tr><td><span class="blue">B</span> (Breathy)</td><td>気�E性</td></tr> <tr><td><span class="blue">A</span> (Asthenic)</td><td>無力性</td></tr> <tr><td><span class="blue">S</span> (Strained)</td><td>努力性</td></tr> </table> </div> <div class="box"> <ul> <li><span class="red">4段階評価</span>�E�E、E�E�E/li> <li><span class="red">他覚的評価</span>�E��E覚忁E��皁E��価�E�E/li> <li>マイクロホン不要E/li> <li>「痙攣性」�EGRBASの頁E��に<span class="red">含まれなぁE/span></li> <li>評価値ぁEspan class="red">大きいほど障害が重ぁE/span></li> <li>通常の声で発声させる（高音は不要E��E/li> </ul> </div> <div class="warn"> 「G=努力性」�E <span class="red">誤めE/span>�E�E=Grade�E�総合嗁E��度�E�（第17回）、Ebr> 「GRBAS=5段階」�E <span class="red">誤めE/span>�E�E段階！E、E�E�（第15回）、Ebr> 「痙攣性はGRBASの頁E��」�E <span class="red">誤めE/span>�E�第19回）、Ebr> 「GRBAS=自覚的評価」�E <span class="red">誤めE/span>�E�他覚的評価�E�（第17回）、Ebr> 「評価値が大きいほど正常に近い」�E <span class="red">誤めE/span>�E�第28回）、E </div> <h2>3-2 他覚的評価 vs 自覚的評価</h2> <div class="table-wrap"> <table> <tr><th>評価況E/th><th>種別</th></tr> <tr><td>GRBAS評価</td><td>他覚的�E��E覚忁E��皁E��E/td></tr> <tr><td><span class="red">VHI</span>�E�Eoice Handicap Index�E�E/td><td><span class="red">自覚的</span>�E�患老E�E身が記�E�E�E/td></tr> <tr><td>V-RQOL</td><td>自覚的�E�EOL�E�E/td></tr> <tr><td>CAPE-V</td><td>他覚的�E��E覚忁E��皁E��E/td></tr> <tr><td>MPT�E�最長発声持続時間！E/td><td>他覚的</td></tr> <tr><td>MFR�E�平坁E��気流率�E�E/td><td>他覚的�E�機器が忁E��E��E/td></tr> <tr><td>PPQ�E�周期変動持E��E�E/td><td>他覚的�E�音響刁E��E�E/td></tr> <tr><td>APQ�E�振幁E��動持E��E�E/td><td>他覚的�E�音響刁E��E�E/td></tr> </table> </div> <div class="warn"> <span class="red">VHIは自覚的評価</span>�E�第20・27回）、Ebr> VOT�E�Eoice onset time�E��Eマイクロホンが忁E��E��第19回）、E </div> </div> <div class="col"> <h2>3-3 発声機�E検査</h2> <h3>最長発声持続時間！EPT�E�E/h3> <ul> <li>、Espan class="red">ア</span>」�E発声で測定！Em/ではなぁE��E/li> <li><span class="red">10秒未満は痁E��</span>�E�異常�E�E/li> <li>マイクロホン不要E/li> </ul> <h3>平坁E��気流率�E�EFR�E�E/h3> <ul> <li>正常値�E�Espan class="red">100、E00 ml/私E/span>�E�E00ml/秒�E異常�E�E/li> <li>声門閉鎖不�Eでは<span class="red">増加</span></li> </ul> <h2>3-4 音響刁E��</h2> <div class="table-wrap"> <table> <tr><th>持E��E/th><th>冁E��</th></tr> <tr><td>PPQ�E�周期変動持E��E�E/td><td>基本周波数の変動�E�ピチE��のめE��ぎ！E/td></tr> <tr><td>APQ�E�振幁E��動持E��E�E/td><td>振幁E�E変動</td></tr> <tr><td>HNR�E�調波雑音比！E/td><td>声の質</td></tr> <tr><td>VOT</td><td>声帯振動開始時閁E/td></tr> <tr><td><span class="red">MFR</span></td><td><span class="red">音響刁E��では測定できなぁE/span>�E�流E��計が忁E��E��E/td></tr> </table> </div> <div class="warn"> <span class="red">MFRは音響刁E��では測定できなぁE/span>�E�第28回）、E </div> <h2>3-5 喉頭ストロボスコピ�E</h2> <ul> <li><span class="red">実際の声帯振動�E観察できなぁE/span>�E�ストロボ効果で見かけ上スローに見せる！E/li> <li>声帯粘�Eの<span class="blue">可動性・粘�E波勁E/span>の評価に有用</li> <li>診断に有用�E�Espan class="red">声帯瘢痕�E声帯溝症</span>�E�粘�E波動が低下！E/li> </ul> <div class="warn"> 「実際の声帯振動が観察できる」�E<span class="red">誤めE/span>�E�第15回）、Ebr> ストロボスコピ�Eは<span class="red">鼻咽腔閉鎖機�Eの評価ではなぁE/span>�E�第25回）、E </div> <h3>粘�E可動性低下が観察される疾患</h3> <ul> <li>声帯嚢胞�E声門癌�E声帯ポリープ�E瘢痕性声帯</li> </ul> <h2>3-6 裏声�E�仮声�E�発声の特徴</h2> <ul> <li>甲状披裂筋�E<span class="red">弛緩</span>�E�収縮は誤り！E/li> <li>粘�E波動が<span class="red">小さぁE/span></li> <li>声門開放玁E��<span class="red">大きい</span></li> <li>声帯縁�E接触時間ぁEspan class="red">短ぁE/span></li> <li><span class="red">高調波成�Eに乏しぁE/span>�E�第21回！E/li> </ul> </div> <div class="full sec"> <div class="quiz"> <h2>確認問顁E/h2> <div class="q-item">Q1. GRBASのGは何を表すか�E�また評価値が大きいほど障害は重いか軽ぁE��E�E/div> <div class="q-item">Q2. GRBASは他覚的評価か�E覚的評価か？VHIは�E�E/div> <div class="q-item">Q3. MPTの測定音は何か�E�病皁E��判断される秒数は�E�E/div> <div class="q-item">Q4. 平坁E��気流率�E�EFR�E��E正常値は�E�音響刁E��で測定できるか！E/div> <div class="q-item">Q5. 喉頭ストロボスコピ�Eで実際の声帯振動�E観察できるか！E/div> <a href="https://st-toolbox.com/kakomon/?subject=音声障害" class="quiz-btn">音声障害の過去問を解ぁEↁE/a> </div> </div> </div> <div class="nav-row"> <a href="chapter2.html" class="nav-btn">ↁE第2章声帯麻痺・神経系</a> <a href="chapter4.html" class="nav-btn next">第4章音声治療況EↁE/a> </div> </div> </div> </div> <script src="../study-tools.js?v=20260421"></script> <script> StudyTools.init({ noteId: 'onseishogai-ch3', currentPath: '/study/onseishogai/chapter3' }); </script> </body> </html>