An investigation of the Voice Handicap Index with Speakers of Portuguese: Preliminary data

Guimarães, Isabel; Abberton, Evelyn

doi:10.1016/j.jvoice.2003.07.002

Cited by 100 publications

(76 citation statements)

References 19 publications

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“…Internal consistency proved to be good, as was test-retest stability. Regarding identiWcation of voice-impaired patients, several authors used controls (subjects from the normal population without voice problems) in their randomised controlled studies on VHI change and reported mean "normal" values varying from 2.3 to 10.5 points but neither of them made a reliable eVort to deWne a cut-oV point [4,5,11,12,13]. The present study revealed a cut-oV point of 15 to identify patients with voice problems in daily life.…”

Section: Discussionmentioning

confidence: 58%

“…These studies, all about benign organic and/or functional voice disorders reported mean VHI scores varying from 11 to 47 which were found to diVer signiWcantly from controls with normal voices [4,5,[11][12][13]. Nawka [11] was the Wrst to report a signiWcant diVerence between 9 patients with voice problems due to a malignant tumour (mean VHI score 34 points) and 16 normal control subjects (mean VHI score 7 points); moreover they also did not Wnd a diVerence in VHI score between various diagnosis groups (benign organic or functional voice disorders (n = 159), neurogenic voice disorders (n = 32) or malignant voice disorders (n = 9)).…”

Section: Discussionmentioning

confidence: 99%

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Voice in early glottic cancer compared to benign voice pathology

Gogh

Mahieu

Kuik

et al. 2007

Eur Arch Otorhinolaryngol

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The purpose of this study is to compare (Dutch) Voice Handicap Index (VHIvumc) scores from a selected group of patients with voice problems after treatment for early glottic cancer with patients with benign voice disorders and subjects from the normal population. The study included a group of 35 patients with voice problems after treatment for early glottic cancer and a group of 197 patients with benign voice disorders. Furthermore, VHI scores were collected from 123 subjects randomly chosen from the normal population. VHI reliability was high with high internal consistency and test-retest stability. VHI scores of glottic cancer patients were similar to those of patients with voice problems due to benign lesions. Both groups of patients were clearly deviant from the normal population. Within the normal population, 16% appeared to have not-normal voices. Based on ROC curves a cut-oV score of 15 points was deWned to identify patients with voice problems in daily life. A clinical relevant diVerence score of 10 points was deWned to be used for individual patients and of 15 points to be used in study designs with groups. Patients with voice problems after treatment for early glottic cancer encounter the same amount of problems in daily life as the other voiceimpaired patients. The VHI proved to be an adequate tool for baseline and eVectiveness measurement of voice.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Voice in early glottic cancer compared to benign voice pathology

Gogh

Mahieu

Kuik

et al. 2007

Eur Arch Otorhinolaryngol

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“…literature 12,13,40 , enabling a comparative analysis between this study and the ones previously revised.…”

Section: Graph 10mentioning

confidence: 99%

Avaliação do Voice Handicap Index em pacientes com perda auditiva neurossensorial bilateral a partir de grau moderado

Madeira¹,

Tomita²

2010

Braz. j. otorhinolaryngol. (Impr.)

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Voi ce and speech are regulated by hearing. Vocal disorders in patients with hearing loss have not been evaluated yet as to the subjective degree of disability they cause in this group. Aim: to compare the results of the Voice Handicap Index (VHI) obtained for patients with normal hearing and moderate to profound bilateral sensorineural hearing loss. Study design: Controlled, cross-sectional. Materials and Methods: A total of 76 adult patients being treated on a University Otolaryngology center were enrolled (38 with and 38 without hearing loss), ages ranging between 19 and 59 years, were asked to complete the Portuguese version of the VHI. Results: Total VHI score median values obtained were 23.5 and 4.0 for the study and control groups, respectively (p = 0.000). Significant differences between the two groups were found for all three VHI subscales (functional, physical and emotional) (p = 0.000). Conclusion: Our results lead us to infer a greater social and economical disadvantage as per assessed in the VHI of patients with moderate and higher bilateral sensorineural hearing loss.

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“…20 dB in the poorer ear. Twenty-three Nasality Severity Index: A Multiparameter Approach Folia Phoniatr Logop 2007;59: [31][32][33][34][35][36][37][38] 33 children fulfilled the criteria to participate in this study, and informed consent was obtained. All subjects received a two-stage Furlow palatoplasty.…”

Section: Methodsmentioning

confidence: 99%

“…The MDT can be defined as the greatest length over Van Lierde /Wuyts /Bonte / Van Cauwenberge Folia Phoniatr Logop 2007;59: [31][32][33][34][35][36][37][38] 34 which production can be sustained for a voiceless sound. The MDT was measured on the basis of 2 test trials with the voiceless sound /s/, sustained at habitual loudness in a free field (without any mouthpiece) and in a sitting position.…”

Section: Aerodynamic Measurementmentioning

confidence: 99%

The Nasality Severity Index: An Objective Measure of Hypernasality Based on a Multiparameter Approach

Lierde

Wuyts

Bonte

et al. 2006

Folia Phoniatr Logop

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There is a need for an objective measure that describes normal resonance and resonance disorders. The current standard of practice has not led to mismanagement but a refined objective assessment protocol will benefit a more precise objective assessment of velopharyngeal disorders. The purpose of the present study is to construct a nasality severity index (NSI) that reflects the multidimensional nature of resonance. Objective and subjective assessment techniques were used to determine the nasalance, the nasality and aerodynamic capacities in 21 children with cleft palate and a control group of 25 children without cleft palate. Stepwise logistic regression was used to determine the optimal index. The NSI consists of a linear combination of 4 variables, where each variable has a different weight. The equation is: NSI = –60.69 – (3.24 × percent oral text) – (13.39 × Glätzel value /a/) + [0.244 × maximum duration time (seconds)] – (0.558 × % /a/) + (3.38 × percent oronasal text). NSI sensitivity is 88% and specificity is 95%. Daily clinical use of the NSI has shown it to be an efficient and practical tool to describe the presence of hypernasality. Three distinct follow-up cases are presented to illustrate the impact of a surgical technique, the use of a speech bulb and velopharyngeal biofeedback training on NSI. The implementation of the NSI may help clinicians to quantitatively assess the severity of nasality disorders beside the perceptual judgments.

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An investigation of the Voice Handicap Index with Speakers of Portuguese: Preliminary data

Cited by 100 publications

References 19 publications

Voice in early glottic cancer compared to benign voice pathology

Voice in early glottic cancer compared to benign voice pathology

Avaliação do Voice Handicap Index em pacientes com perda auditiva neurossensorial bilateral a partir de grau moderado

The Nasality Severity Index: An Objective Measure of Hypernasality Based on a Multiparameter Approach

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