Multidimensional effects of voice therapy in patients affected by unilateral vocal fold paralysis due to cancer

Barcelos, Camila Barbosa; Silveira, Paula Angélica Lorenzon; Guedes, Renata Lígia Vieira; Gonçalves, Aline Nogueira; Slobodticov, Luciana Dall'Agnol Siqueira; Angelis, Elisabete Carrara-de

doi:10.1016/j.bjorl.2017.07.012

Cited by 9 publications

(5 citation statements)

References 45 publications

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“…Following voice therapy, the shimmer parameter decreased, but there were no statistically significant differences. Barcelos et al [12] reported similar results as our study. They emphasized the importance of jitter parameter as a predictive factor for the success of voice therapy, providing guidelines to clinicians as a foundation for further research.…”

Section: Discussionsupporting

confidence: 92%

“…There was no recovery of the vocal folds in terms of mobility and no clear evidence that there was an improvement in the muscle tone of the paralyzed vocal fold, but the compensatory movement of the healthy vocal fold en- [12,[30][31][32]. These findings are in accordance with the results of other authors who discuss the recovery of innervation in 9-12 months [19].…”

Section: Discussionsupporting

confidence: 88%

“…With regard to the treatment of these conditions, there are three options available: observation (possible spontaneous recovery of function or compensation), voice therapy [12][13][14][15], and/or surgery [3,4,[16][17][18]. Voice therapy is often the method of choice in the initial stage.…”

Section: Introductionmentioning

confidence: 99%

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Voice Improvement after Voice Therapy in Female Patients with Unilateral Vocal Fold Paralysis after Thyroid Surgery

Veselinović

Škrbić

Mumović

et al. 2023

Folia Phoniatr Logop

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Introduction: Dysphonic voice is present in patients with unilateral vocal fold paralysis (UVFP). The aim of this study is to present outcomes following rehabilitation of patients with UVFP, performed according to a voice therapy protocol. Methods: Prospective study comprised 27 women with UVFP who underwent pre and post voice therapy assessment. The mean age of patients was 53.19 ± 10.06 years. The protocol included: 1. multidimensional assessment of voice quality before treatment; 2. digital laryngeal manipulation voice therapy; 3. voice therapy evaluation which implied repeated multidimensional assessment of voice. Results: The results showed improvement in voice quality following voice therapy with regard to the parameters of the objective voice analysis (maximum fundamental frequency of voice, minimum intensity of voice, jitter, shimmer, harmonics-to-noise ratio and signal-to-noise ratio, p ˂ 0.05), maximum phonation time, subjective analysis of voice, as well as self-assessment of voice quality on all the subscales and overall score (p ˂ 0.001). Conclusion: Implementing a protocol provides clear guidelines at each stage of the treatment. Voice therapy performed using digital laryngeal manipulation improves the majority of the acoustic and perceptual characteristics of the voice.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

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Voice Improvement after Voice Therapy in Female Patients with Unilateral Vocal Fold Paralysis after Thyroid Surgery

Veselinović

Škrbić

Mumović

et al. 2023

Folia Phoniatr Logop

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“…Our results showed significant improvement in the VHI-30 through time that persisted after cessation of VT (Figure 1 ), irrespective of vocal fold position and glottal competence. These findings may translate the effect of time and personal adaptation on functional recovery after VT [ 12 , 23 ]. Other studies that included a UVFP group not submitted to VT or any other intervention also showed improvement in phonation and videoendoscopic reductions in glottal gap size with time [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life

Sousa¹,

Santos²,

Azevedo³

et al. 2023

Cureus

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To date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with UVFP who followed a VT program between 2013 and 2019 were reviewed. Video laryngoscopy (VL) records were obtained at the beginning and at the end of VT. To assess QoL, Voice Handicap Index 30 (VHI-30) score was assessed in three temporal frames: before voice therapy (pre-VT), at the last VT session (post-VT), and in the present (cur-VHI). A longitudinal analysis was performed regarding the evolution of QoL and the factors influencing QoL through time were analyzed. Seventy-eight percent of patients had iatrogenic UVFP. The mean time of follow-up after VT was 3.942 years (range 6 months-7 years). There was a significant improvement in QoL through all time points (F (2,88)=72.179, p<0.001), with VHI-30 decrease from the baseline pre-VT to post-VT (p<0.001) and from post-VT to cur-VT (p=0.0013). In the iatrogenic UVFP population, patients starting VT earlier showed better long-term QoL (p=0.023). UVFP patients with dysphagia at presentation showed significantly worse QoL in the late follow-up (p=0.016). Hence, iatrogenic UVFP patients beginning VT rapidly may show better QoL in the future. Also, our results suggest that dysphagia at UVFP onset may predict higher morbidity later in life.

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“…Estudos (10)(11)(12) relatam a importância da análise multidimensional da voz, compreendida por um conjunto de métodos que se complementam. As análises podem ser de cunho subjetivo e/ou objetivo, dependendo da necessidade do avaliador.…”

Section: Introductionunclassified

Perfil vocal de indivíduos 46,XX com hiperplasia adrenal congênita

Neves

Toralles

Scarpel

2021

CoDAS

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RESUMO Objetivo Descrever o perfil vocal de indivíduos 46,XX com hiperplasia adrenal congênita, acompanhados no Ambulatório de Genética da Universidade Federal da Bahia (UFBA). Método Trata-se de um estudo descritivo e exploratório, com corte transversal. A amostra foi de conveniência e participaram do estudo 28 voluntários, 14 diagnosticados com hiperplasia adrenal congênita, acompanhados pela equipe multiprofissional do Ambulatório de Genética da UFBA, e 14 indivíduos 46,XX sem alterações vocais e ausência de patologia de cunho endócrino e/ou genético. A coleta das vozes foi realizada individualmente, em um ambiente silencioso, com as participantes devidamente sentadas. Realizaram-se análises perceptivo-auditiva (CAPE-V) e acústica. Resultados Em relação ao julgamento qualitativo do pitch, verificou-se que oito (61,54%) pacientes do grupo com hiperplasia adrenal congênita apresentaram um padrão vocal agravado e 8 (61,54%) do grupo sem a doença apresentaram um padrão vocal agudizado. Houve diferença estatisticamente significante entre os grupos apenas para as medidas da análise perceptivo-auditiva (CAPE-V) grau geral (p = 0,01), rugosidade (p = 0,00) e pitch (p = 0,01). Os demais parâmetros investigados na análise acústica não diferiram significativamente (p > 0,05). Conclusão O presente estudo demonstrou que indivíduos 46,XX com hiperplasia adrenal congênita, mesmo submetidos à terapêutica hormonal, apresentam qualidade vocal rugosa, pitch agravado e voz desviada.

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Multidimensional effects of voice therapy in patients affected by unilateral vocal fold paralysis due to cancer

Cited by 9 publications

References 45 publications

Voice Improvement after Voice Therapy in Female Patients with Unilateral Vocal Fold Paralysis after Thyroid Surgery

Voice Improvement after Voice Therapy in Female Patients with Unilateral Vocal Fold Paralysis after Thyroid Surgery

Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life

Perfil vocal de indivíduos 46,XX com hiperplasia adrenal congênita

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