Do Standard Instrumental Acoustic, Perceptual, and Subjective Voice Outcomes Indicate Therapy Success in Patients With Functional Dysphonia?

Reetz, Stephanie; Bohlender, Jürgen; Brockmann-Bauser, Meike

doi:10.1016/j.jvoice.2017.11.014

Cited by 19 publications

(15 citation statements)

References 52 publications

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“…Effective treatment options for functional dysphonia in singers comprise indirect therapy (i.e., vocal hygiene, patient education), direct therapy (e.g., voice therapy, circumlaryngeal manual therapy), medical treatment in case of associated laryngopharyngeal reflux or upper airway infections, and phonosurgery for secondary organic lesions [3,59]. Comparable to our results, significantly improved objective, subjective and perceptual findings verify positive combined voice therapy effects in patients with functional dysphonia [60]. Further benefits may result when applying physical therapy or yoga as adjunct treatments [61,62].…”

Section: Discussionsupporting

confidence: 81%

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Rendon

Ermakova²,

Freymann

et al. 2018

Adv Ther

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Depending on individual medical indication, phonosurgery, logopedic treatment and voice teaching are all effective, objectively and subjectively satisfactory therapies to improve the impaired singing voice. The use of VEM in singers with functional and organic dysphonia objectifies and quantifies their vocal capacity as documented in the VRP. Complementing the established DSI, VEM introduction into practical objective voice diagnostics is appropriate and desirable especially for the treatment of singers.

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Section: Discussionsupporting

confidence: 81%

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Rendon

Ermakova²,

Freymann

et al. 2018

Adv Ther

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“…In the evaluation of the age and sex in the current study, the results were consistent with previous studies 3,49 and also MTD was observed more in female than male participants. The GRBAS scores in MTD patients in the current study were also consistent with findings of a study by Stephanie Reetz et al 50 …”

Section: Discussionsupporting

confidence: 92%

Voice Component Relationships with High Reflux Symptom Index Scores in Muscle Tension Dysphonia

et al. 2020

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Objective To analyze the Reflux Symptom Index (RSI) and the Voice‐Related Quality of Life (V‐RQOL) scores based on the perceptual and analytical parameters in primary MTD patients with no reflux. Study Design Cross‐sectional study. Methods One hundred and eighteen participants, that is, sixty patients with normal voices and fifty‐eight patients with primary MTD were recruited in this study. The diagnosis of primary MTD was made by perceptual voice analysis, neck palpation, video‐laryngoscopic examination, and exclusion of other etiologies. Acoustic analysis and the GRBAS (Grade, Roughness, Breathiness, Asthenia, and Strain) scale were evaluated for all participants. The V‐RQOL and RSI questionnaires were then given to all participants. Results This study included 118 participants of 29 males (48.3%) and 31 females (51.7%) in the normal group. MTD group also included 27 males (46.6%) and 31 (53.4%) female patients. Mean (SD) RSI and V‐RQOL scores were 12.35 (3.84) and 11.09 (2.20) for the normal group, and 22.87 (6.97) and 22.89 (7.94) for the MTD group (P = .000). In the MTD group, V‐RQOL had a positive correlation with jitter for /i/ and /u/, Noise to Harmonic Ratio (NHR) for /i/, /a/, and /u/, and Grade, Roughness, and Strain of GRBAS scale (P < .05). In addition, RSI had a positive correlation with Strain in the MTD group (P < .05). Conclusion MTD patients in the absence of laryngopharyngeal reflux findings may have high RSI scores. Hence, patients with high RSI scores and disproportionate acoustic and perceptual analysis would require a thorough evaluation of MTD. Level of Evidence 4 Laryngoscope, 131:E1573–E1579, 2021

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“…The VHI-9i responses from the present series indicate a better vocal QoL than those reported in the literature do for patients with voice-affecting pathologies (Table VI) [45,46,48,56]. It is interesting-and logical-to note that the adolescents assessed by the speech therapist as having no phonation impairment had a mean total VHI-9i score less than six (5.8 ± 4.7), indicating a normal voice, whereas those assessed with low or moderate impairment were above that threshold (7.9 ± 5.1) indicating a mild phonation disorder.…”

Section: Vocal-specific Quality Of Lifesupporting

confidence: 50%

“…Responses to the nine questions are noted on a scale from 0 (never) to 4 (always) and the total score ranges from 0 to 36 [44]. Scores from 0 to 5, from 6 to 10, from 11 to 16 and from 17 to 36, indicate respectively no, mild, moderate and severe vocal disorders [45,46]. Those thresholds were used to interpret the VHI-9i results of the present cohort and compare them to results reported in four other series on adult patients with voice disorders [45,[47][48][49].…”

Section: The Voice Handicap Index: Vocal Qolmentioning

confidence: 99%

“…Scores from 0 to 5, from 6 to 10, from 11 to 16 and from 17 to 36, indicate respectively no, mild, moderate and severe vocal disorders [45,46]. Those thresholds were used to interpret the VHI-9i results of the present cohort and compare them to results reported in four other series on adult patients with voice disorders [45,[47][48][49]. Of note, the pathological settings of these other studies were functional or organic dysphonias, settings different from the present cases of velopharyngeal insufficiency.…”

Section: The Voice Handicap Index: Vocal Qolmentioning

confidence: 99%

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Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

Thouvenin

Soupre

CAILLAUD

et al. 2021

Preprint

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We assessed the phonatory and morphological outcome of 72 cognitively unimpaired adolescents with Pierre Robin Sequence (PRS), studied their generic (Kidscreen-52), oral (COHIP-SF19) and vocal (VHI-9i) qualities of life (QoL), and sought to identify determinants of these outcomes. Two-thirds of our adolescents retained low or moderate phonation difficulties but risk factors for them were not identified. For 14%, esthetic results were considered disharmonious with no link to neonatal retrognathia severity. Only two-stage surgery appeared to have a role in improving esthetic results. The generic QoL of these adolescents was slightly lower than that of control patients, especially in dimensions concerning physical well-being, relationships and autonomy. Patients with non-isolated PRS had lower results than those with isolated PRS. Phonatory and morphological sequelae had no impact on generic QoL. Only non-isolated PRS and a low oral QoL had an impact on generic QoL. The oral QoL of these adolescents was comparable to that of control patients and significantly better than that of children with craniofacial malformations. The oral QoL of the adolescents with non-isolated PRS, was significantly worse than that of control patients and close to that of children with craniofacial malformations. The vocal QoL of our subjects was better than that of patients with other voice pathologies and better when phonation was good.

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Do Standard Instrumental Acoustic, Perceptual, and Subjective Voice Outcomes Indicate Therapy Success in Patients With Functional Dysphonia?

Cited by 19 publications

References 52 publications

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Voice Component Relationships with High Reflux Symptom Index Scores in Muscle Tension Dysphonia

Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

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Do Standard Instrumental Acoustic, Perceptual, and Subjective Voice Outcomes Indicate Therapy Success in Patients With Functional Dysphonia?

Cited by 19 publications

References 52 publications

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Voice Component Relationships with High Reflux Symptom Index Scores in Muscle Tension Dysphonia

Quality of Life &amp; Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

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Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series