Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals

Crawley, Brianna K.; Dehom, Salem; Thiel, Cedric; Yang, Jin Mo; Cragoe, Andrea; Mousselli, Iman; Krishna, Priya; Murry, Thomas

doi:10.1001/jamaoto.2018.0409

Cited by 47 publications

(31 citation statements)

References 31 publications

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“…showed a correlation between voice-related quality of life and Voice Handicap Index-10 scores in elderly patients with dysphonia, but they failed to show any association with any respiratory measurement. 19 We did not assess this in our study. Finally, the perception of dysphonia may also be influenced by social status, educational level, work environment and occupational voice demands, vocal needs, and general health status, which we again did not account for.…”

Section: Discussionmentioning

confidence: 91%

How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

et al. 2021

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Objective To assess the influence of presbylarynx and presbycusis on Voice Handicap Index and emotional status. Methods A case–control, prospective, observational, cross-sectional study was conducted of patients aged 65 years or older referred to an otorhinolaryngology department from January to September 2020. Presbycusis was assessed by pure tone and vocal audiometry. Each subject underwent fibre-optic videolaryngoscopy with stroboscopy, and presbylarynx was considered when two or more of the following endoscopic findings were identified: vocal fold bowing, prominence of vocal processes in abduction, and a spindle-shaped glottal gap. Each subject completed two questionnaires: Voice Handicap Index and Geriatric Depression Scale (short-form). Results The studied population included 174 White European subjects, with a mean age of 73.99 years, of whom 22.8 per cent presented both presbylarynx and presbycusis. Multivariate linear regression revealed that only presence and severity of presbylarynx had an influence on Voice Handicap Index-30 scores. However, both spindle-shaped glottal gap and presbycusis influenced Geriatric Depression Scale scores. Conclusion Presbylarynx has a strong association with the impact of voice on quality of life. Presbylarynx and presbycusis seem to have a cumulative effect on emotional status.

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Section: Discussionmentioning

confidence: 91%

How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

et al. 2021

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“…Foi encontrada uma correlação positiva, embora fraca, entre o questionário de hábitos vocais e condições de saúde e o protocolo IDV-C, sugerindo que quanto mais hábitos nocivos e condições de saúde adversas à produção vocal o indivíduo possui, maior será a sua desvantagem vocal para o canto. Os hábitos vocais e de saúde dos coristas são fatores essenciais para o adequado funcionamento do sistema fonatório e para a performance no canto, sendo itens importantes na avaliação e intervenção fonoaudiológica destes indivíduos (6,27) . Os achados sugerem que o hábito de tomar água esteve correlacionado à menor desvantagem vocal para o canto, confirmando o benefício da hidratação para a função vocal observado também em outros estudos (28,29) , especialmente para a voz do idoso que canta (29) .…”

Section: Discussionunclassified

Análise do índice de desvantagem vocal para o canto de coristas idosos

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Gadenz

Lemos

et al. 2022

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RESUMO Objetivo Analisar o índice de desvantagem vocal para o canto de coristas idosos e verificar a sua relação com perfil, hábitos e condições de saúde dos participantes. Método Foram incluídos 110 indivíduos com 60 anos ou mais, participantes de coros amadores. Os coristas foram entrevistados a fim de verificar dados como idade, tempo de canto coral, classificação vocal e a presença de hábitos e condições de saúde adversas à produção vocal. Posteriormente, responderam o questionário “Índice de Desvantagem Vocal para o Canto (IDV-C)” que avalia a autopercepção do indivíduo em relação às experiências no uso da voz cantada. Resultados O escore do IDV-C teve uma mediana de 25, sendo a pontuação mínima 0 e a máxima 86. Os itens mais pontuados estavam relacionados aos aspectos físicos no uso da voz cantada: “Não consigo cantar agudo” (Q10) e “Minha garganta fica seca quando canto” (Q13). Verificou-se que os idosos com mais de 75 anos apresentaram maior desvantagem vocal para o canto ao comparar com os mais jovens (p=0,020). As coristas classificadas como contralto também apresentaram maior escore do IDV-C (p=0,023), assim como os indivíduos que relataram beber pouca água (p=0,007). Conclusão Os coristas deste estudo apresentaram um índice de desvantagem vocal para o canto compatível com vozes saudáveis para o canto. Ao verificar a relação do escore do IDV-C com as características dos participantes e a respeito dos hábitos e condições de saúde, constatou-se que os coristas idosos com mais de 75 anos, as coristas contralto e aqueles que afirmaram beber pouca água apresentaram escores maiores de desvantagem vocal para o canto.

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“…In the future, however, other outcomes such as perceptual and acoustic analysis should be assessed because the atrophy of the body muscle mass can also affects phonation not only due to vocal atrophy but also due to degenerative musculoskeletal changes that can impact lung function and the diaphragm, which is the most important inspiratory muscle. 29 The anatomical areas of the upper vocal tract are also prone to the musculoskeletal changes that occur with ageing, for example, atrophy of the pharyngeal muscles. 30 Nevertheless, this is the first case control study to assess body muscle mass and endoscopic signs of presbylarynx with several advantages.…”

Section: Discussionmentioning

confidence: 99%

Presbylarynx: Does Body Muscle Mass Correlate With Vocal Atrophy? A Prospective Case Control Study

et al. 2020

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Objective To analyze the potential association between body muscle mass and presbylarynx. Methods Study performed on subjects referred to the otorhinolaryngology department in a tertiary center between January and September 2019 . Based on endoscopic findings of the larynx, the patients were subdivided into two main groups: presbylarynx versus no presbylarynx. Data regarding gender, body composition, self‐assessment of vocal complaints, and functional assessment were collected. Study Design Case control, prospective, observational and cross‐sectional. Results The study population included a total of 115 Caucasian subjects (43 males; 72 females). Presbylarynx was identified in 43 patients (37, 39%) with no statistically predilection by gender (P = .668). The mean age of the patients with presbylarynx was slightly higher, but differences between groups were not statistically significant (P = .072). Results showed an association between functional impairment (score 4 of Katz Index and score 5 of Functional Ambulation Classification) and presence of presbylarynx (P < .001). Additionally, a positive association between the absence of presbylarynx and sport activity was also observed (P < .001). The mean value of muscle mass between presbylarynx and no presbylarynx groups was statistically different (P < .01), with a lower mean for subjects with presbylarynx. Conclusion This case control prospective study confirms that the general age‐related degeneration of body muscle mass might play an important role in the course of presbylarynx. In the future, preventing strategies based on regular sport activities and improvements on functional status can play an important role in the management of aging voice. Level of Evidence 2b Laryngoscope, 131:E226–E230, 2021

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Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals

Cited by 47 publications

References 31 publications

How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

Análise do índice de desvantagem vocal para o canto de coristas idosos

Presbylarynx: Does Body Muscle Mass Correlate With Vocal Atrophy? A Prospective Case Control Study

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