Perceived dysphonia by the clinician's and patient's viewpoint

Ugulino, Ana Celiane da Nóbrega e; Oliveira, Gisele; Behlau, Mara

doi:10.1590/s2179-64912012000200004

Cited by 43 publications

(24 citation statements)

References 21 publications

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“…The impact the individuals with voice issues suffer in several areas of their lives is evident. Therefore, it is key that protocols to measure these impacts be widely used scientifically and clinically to more specifically approach emotional and functional aspects (28)(29)(30) .…”

Section: Discussionmentioning

confidence: 99%

Índice de Desvantagem Vocal pré e pós-intervenção vocal em pacientes disfônicos

Lemos

Marchand

Cassol

2015

Audiol., Commun. Res.

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Purpose: Characterize and measure the voice self-perception of patients pre and post speech therapy treatment using the Índice de Desvantagem Vocal (IDV) protocol, adapted from the Voice Handicap Index (VHI) protocol. Methods: This is a cross-sectional study using a database of patients seen in a speech therapy service. Results: The sample comprised 23 patients, 16 (69.6%) of whom female and seven (30.4%) male. The mean age was 58 years and the mean therapy duration was three months with 11 sessions. Among the types of dysphonia found,

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Section: Discussionmentioning

confidence: 99%

Índice de Desvantagem Vocal pré e pós-intervenção vocal em pacientes disfônicos

Lemos

Marchand

Cassol

2015

Audiol., Commun. Res.

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“…The second theory is that impaired central auditory processing of complex communication sounds associated with chronic voice impairment in UVFP inactivates feedback error computation altogether or creates a fixed feedback error signal that no longer drives motoric programs of compensatory vocal output. Both theories may partially explain why the correlation between clinician‐rated and patient‐reported voice quality is modest . Surgical intervention for UVFP often restores voice quality to a satisfactory rating based on clinician‐centric instruments and objective acoustical measures, yet certain treated patients are somewhat dissatisfied despite “successful” surgical intervention …”

Section: Discussionmentioning

confidence: 99%

“…Both theories may partially explain why the correlation between clinician-rated and patient-reported voice quality is modest. [35][36][37][38] Surgical intervention for UVFP often restores voice quality to a satisfactory rating based on clinician-centric instruments and objective acoustical measures, [39][40][41] yet certain treated patients are somewhat dissatisfied despite "successful" surgical intervention. 6,8,[42][43][44][45][46] Discovery of central auditory processing impairment in UVFP has immediate diagnostic and treatment implications.…”

Section: Discussionmentioning

confidence: 99%

Vocal motor control and central auditory impairments in unilateral vocal fold paralysis

et al. 2018

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Objectives To evaluate differences in vocal motor control and central auditory processing between treated unilateral vocal fold paralysis (UVFP) and healthy control cohorts. Study Design Cross‐sectional. Methods Ten UVFP study patients treated by type I thyroplasty with stable voices were compared to 12 control subjects for vocal motor control using a pitch perturbation response task and central auditory processing performance using a battery of complex sound intelligibility assays that included adverse temporal and noise conditions. Standard clinical evaluations of voice production and peripheral audiometric sensitivity were performed. Results Vocal motor control was impaired in treated UVFP. The UVFP cohort exhibited a 32.5% reduction in the instantaneous, subconscious compensatory response to pitch feedback perturbation in the interval between 150 ms and 550 ms following onset (P < 0.0001, linear mixed effects model). This impairment cannot simply be ascribed to vocal motor capacity insufficiency in the UVFP cohort because both cohorts demonstrated comparable functional capacity to perform the vocal motor task. The UVFP cohort also showed greater propensity for central auditory processing impairment (P < 0.05), notably for temporal compression and added noise challenges. Conclusion Combined central vocal motor control and auditory processing impairments in treated UVFP highlight reciprocal interdependency of sensory and motor systems. This pilot study suggests that peripheral motor impairment of the larynx can degrade central auditory processing, which in turn may contribute to vocal motor control impairment. A more complete restoration communicative function in UVFP will require deeper understanding of sensory, motor, and sensorimotor aspects of the human communication loop. Level of Evidence 3b Laryngoscope, 129:2112–2117, 2019

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“…A previous study found the relationship between the evaluation of the speech-language pathologist and the vocal self-assessment and the impact of dysphonia on a quality of life among 48 individuals complaining voice-altering, aged of 51 years old, and 48 without vocal complaints and healthy voice, age of 46 years. They concluded that the perception of the subject on his own voice and the impact of dysphonia on their quality of life complement the perception of clinicians in relation to the general degree of this change (28) . The limitations of this study, highlighted by the reduced adhesion of Prosecutors taking part on the research and, consequently size of the sample, plus the lack of research on the subject area for data comparison.…”

Section: Discussionmentioning

confidence: 99%

Autoavaliação da comunicação em promotores de justiça em um estado do nordeste, Brasil

Sales

Castaneda

Barreto

et al. 2016

CoDAS

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RESUMO Objetivo Descrever a autoavaliação do promotor de justiça quanto à sua comunicação e reação do ouvinte e analisar a relação com o gênero, idade e anos de trabalho. Método Desenho descritivo, transversal. Foi elaborado um questionário e enviado aos 126 promotores, sendo devolvidos 33 questionários preenchidos. As variáveis independentes foram o gênero, idade e anos do exercício profissional. As variáveis dependentes foram a autoavaliação da comunicação ao longo dos anos de trabalho, os parâmetros de comunicação utilizados e a reação do ouvinte. Foi realizada análise descritiva e o Teste Exato de Fisher. Resultados A amostra foi constituída por ambos os gêneros, mediana de 43 anos de idade e 20 anos de trabalho. A maioria dos respondentes referiu que ao falar em público sente desmotivação, insegurança, tensão e dificuldade de persuadir o ouvinte. Houve maior proporção em mulheres de piora da comunicação ao longo dos anos de trabalho que em homens. Todas as mulheres relataram insegurança ao falar em público. Um terço dos promotores referiu alteração de voz. Os respondentes com mais de 43 anos de idade tiveram maior proporção de voz alterada que aqueles com idade menor. A maioria dos promotores com mais de 20 anos de trabalho revelou insegurança ao falar em público comparado com aqueles com idade menor. Conclusão Os promotores identificam seus parâmetros fortes e fracos da comunicação. O gênero, idade e tempo de profissão influenciam o desempenho comunicativo.

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Perceived dysphonia by the clinician's and patient's viewpoint

Cited by 43 publications

References 21 publications

Índice de Desvantagem Vocal pré e pós-intervenção vocal em pacientes disfônicos

Índice de Desvantagem Vocal pré e pós-intervenção vocal em pacientes disfônicos

Vocal motor control and central auditory impairments in unilateral vocal fold paralysis

Autoavaliação da comunicação em promotores de justiça em um estado do nordeste, Brasil

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