Cross-cultural Adaptation and Validation of the Italian Version of the Vocal Tract Discomfort Scale (I-VTD)

Robotti, Carlo; Mozzanica, Francesco; Pozzali, Ilaria; D’Amore, Laura; Maruzzi, Patrizia; Ginocchio, Daniela; Barozzi, S.; Lorusso, Rosaria; Ottaviani, F.; Schindler, Antonio

doi:10.1016/j.jvoice.2017.09.001

Cited by 13 publications

(5 citation statements)

References 28 publications

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“…The most prevalent disorder noted in the current study was organic lesions (67.9%), followed by functional disorders (22.6%), while psychogenic and neurological disorders were the least common. Similar results have been reported earlier 20 , while contrasting numbers have also been reported 21 18 . Another study stated that most lesions were malignant, including glottis carcinoma, while among the benign lesions polyps were common 19 .…”

Section: Discussionsupporting

confidence: 89%

Prevalence of vocal tract discomfort in patients with voice disorders

et al. 2022

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Objective: To analyse the prevalence of vocal tract discomfort in patients with voice disorders. Method: The analytical cross-sectional study was conducted at Riphah International University, Lahore, Pakistan, from September 2020 to January 2021, and comprised voice disorder patients of either gender aged 18-65 years enrolled from Mayo Hospital, Sheikh Zayed Hospital and Jinnah Hospital, Lahore. The Vocal Tract Discomfort Scale was used for data-collection. Data was analysed using SPSS 21. Results: Of the 137 patients, 68(49.6%) were males and 69(50.4%) were females. The overall mean age was 36.36±12.47 years. The most affected age group was 18-33 years 70(51.1%) while those aged 50-65 years were the least affected 28(20.4%). The most common VTD symptom was dryness with mean frequency 3.48±1.97 and mean severity 3.36±1.99, followed by irritation 2.88±2.08 and 2.88±2.12, and lump in the throat 2.42±2.27 and 2.31±2.23, respectively. Conclusion: Dryness, irritation and a lump in the throat were the most common symptoms of vocal tract discomfort. Keywords: Dysphonia, Vocal tract discomfort, Voice disorders.

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Section: Discussionsupporting

confidence: 89%

Prevalence of vocal tract discomfort in patients with voice disorders

et al. 2022

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“…Given the absence of universally agreed-upon normative values for the VTD scale, our investigation drew comparisons between the outcomes we obtained and those reported in prior studies available in the literature ( 66–68 ). In a study conducted on a general population, Robotti et al ( 66 ) reported mean VTDS scores of 15.3 ± 8.7 for the Frequency subscale and 15.5 for the Severity subscale in a group of dysphonic individuals. Darawsheh et al ( 67 ) applied the VTDS scale in the diagnosis of voice disorders in singers.…”

Section: Discussionmentioning

confidence: 99%

Population characteristics and self-assessment of speaking and singing voice in Polish contemporary commercial music singers—an exploratory, cross-sectional study

Morawska,

Pietruszewska,

Politański

et al. 2024

Front. Public Health

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BackgroundThe domination of the Contemporary Commercial Music (CCM) industry in music markets has led to a significant increase in the number of CCM performers. Performing in a wide variety of singing styles involves exposing CCM singers to specific risk factors potentially leading to voice problems. This, in turn, necessitates the consideration of this particular group of voice users in the Occupational Health framework. The aim of the present research was threefold. First, it sought to profile the group of Polish CCM singers. Second, it was designed to explore the prevalence of self-reported voice problems and voice quality in this population, in both speech and singing. Third, it aimed to explore the relationships between voice problems and lifetime singing involvement, occupational voice use, smoking, alcohol consumption, vocal training, and microphone use, as potential voice risk factors.Materials and methodsThe study was conducted in Poland from January 2020 to April 2023. An online survey included socio-demographic information, singing involvement characteristics, and singers’ voice self-assessment. The prevalence of voice problems was assessed by the Polish versions of the Vocal Tract Discomfort Scale (VTDS) and the Singing Voice Handicap Index (SVHI). Also, a self-reported dysphonia symptoms protocol was applied. The perceived overall voice quality was assessed by a Visual Analogue Scale (VAS) of 100 mm.Results412 singers, 310 women and 102 men, completed the survey. Nearly half of the studied population declared lifetime singing experience over 10 years with an average daily singing time of 1 or 2 h. 283 participants received vocal training. For 11.4% of respondents, singing was the primary income source, and 42% defined their career goals as voice-related. The median scores of the VTDS were 11.00 (0–44) and 12.00 (0–40) for the Frequency and Severity subscales, respectively. The median SVHI score of 33 (0–139) was significantly higher than the normative values determined in a systematic review and meta-analysis (2018). Strong positive correlations were observed between SVHI and both VTD subscales: Frequency (r = 0.632, p < 0.001) and Severity (r = 0.611, p < 0.001). The relationships between most of the other variables studied were weak or negligible.ConclusionThe examined CCM singers exhibited substantial diversity with regard to musical genre preferences, aspirations pertaining to singing endeavors, career affiliations, and source of income. Singing voice assessment revealed a greater degree of voice problems in the examined cohort than so far reported in the literature, based on the SVH and VTDS.

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“…Each teacher underwent a brief anamnesis (gender, age, kind of school, years of service) and completed the vocal self-assessment protocols (VoiSS and VTDS), both cross-culturally adapted into Italian. 8,15 The VTDS [15][16][17] assesses the frequency and intensity of symptoms of discomfort of the vocal tract. It comprises eight qualitative patient-derived symptoms or sensations commonly referred to the vocal tract (burning, tight, dry, aching, tickling, sore, irritable, and lump in the throat).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Vocal Tract Discomfort Scale (VTDS) and Voice Symptom Scale (VoiSS) in the Early Identification of Italian Teachers with Voice Disorders

Galletti

Sireci

Mollica

et al. 2019

Int Arch Otorhinolaryngol

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Introduction The current Italian law does not include any guidance regarding voice education, prevention of voice disorders and screening in subjects with high vocal loading such as teachers. Objectives We aimed to check the correlation between the Vocal Tract Discomfort Scale (VTDS) with the Voice Symptom Scale (VoiSS) for the evaluation of Italian teachers. In addition, we aimed to investigate whether there are differences in the frequency and intensity of discomfort symptoms in teachers with disabilities comparing vocal tract discomfort symptoms in teachers with high risk (HRVD) and low risk (LRVD) of vocal disorders according to the VoiSS cutoff (> 15.5). Methods We analyzed 160 Italian teachers (111 women and 49 men) that completed the VTDS and VoiSS at vocal evaluation. The Spearman correlation test was applied to all variables. The Mann-Whitney U test was used to compare the average number of discomfort symptoms among HRVD and LRVD teachers. Results A moderate positive correlation was observed between the average number, frequency, and intensity of discomfort symptom and the total score, physical domain score, and limitation domain score of the VoiSS. Only the emotional domain score of the VoiSS showed a weak positive correlation (p < 0.001). Teachers considered in the HRVD group according to the VoiSS score had a higher number, frequency, and intensity of vocal tract discomfort symptoms. Conclusion There is correlation between the VTDS and VoiSS scales. Like the VoiSS, the VTDS is a questionnaire that detects HRVD teachers. Therefore, the results suggest that both questionnaires could be useful for a preventive voice program for Italian teachers

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Cross-cultural Adaptation and Validation of the Italian Version of the Vocal Tract Discomfort Scale (I-VTD)

Cited by 13 publications

References 28 publications

Prevalence of vocal tract discomfort in patients with voice disorders

Prevalence of vocal tract discomfort in patients with voice disorders

Population characteristics and self-assessment of speaking and singing voice in Polish contemporary commercial music singers—an exploratory, cross-sectional study

Vocal Tract Discomfort Scale (VTDS) and Voice Symptom Scale (VoiSS) in the Early Identification of Italian Teachers with Voice Disorders

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