Evaluation of Dysphonia in a Children’s Choir

Bonet, Montserrat; Casán, Pere

doi:10.1159/000266288

Cited by 20 publications

(9 citation statements)

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“…31,[35][36][37][38] The lack of consistency across different studies in diagnoses, study group characteristics, or definitions of voice disorders might explain the wide ranges (6% to 38%) reported in some studies. 11,39,40 The prevalence of dysphonia in our study was 11.2%, which varied significantly with the results of Carding et al (6%) 39 and Bonet and Casan (20.2%) 41 but corresponded well with the results of Tavares et al (11.4%). 25 In our research, the most frequent pathologic finding of the vocal folds was MTD (prevalence of 12.8%).…”

Section: Discussionsupporting

confidence: 90%

Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Clarós¹,

Porebska²,

Clarós-Pujol³

et al. 2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Pediatric vocal fold pathology is important because having a healthy voice free from disorders is crucial in a child's emotional and educational development. OBJECTIVE To determine whether there is an association between singing in a children's choir and the development of voice disorders. DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study of children (aged 8 to 14 years) singers selected from local children's choirs and nonsingers selected from local schools evaluated at Clarós Otorhinolaryngology Clinic in Barcelona, Spain, from October 2016 through April 2018. EXPOSURES Singing for a mean time of 7.5 hours per week for 2.5 years. MAIN OUTCOMES AND MEASURES The primary outcome of the study was the prevalence of voice disorders measured using videostroboscopy. The obtained values were analyzed statistically and used to compare the characteristics of the children and the frequency of voice disorders between the groups. RESULTS Of 1495 enrolled children (745 male [49.8%]; median age, 9.3 years [range, 8-14 years]), 752 were singers and 743 were nonsingers. No differences in baseline characteristics were observed between the groups. Voice disorders were more frequent in the nonsinging group than in the singing group (32.4% vs 15.6%; difference, 16.8%; 95% CI, 12.3%-21.4%). Of 12 voice disorders considered in this study, all 12 were more frequent in the nonsinging group. Functional voice disorders were more frequent in the nonsinging group than in the singing group (20.2% vs 9.4%; difference, 10.8%; 95% CI, 7.2%-14.3%), as were organic voice disorders (12.2% vs 6.1%; difference, 6.1%; 95% CI, 2.6%-9.6%). CONCLUSIONS AND RELEVANCE Voice disorders were less common among children in the cohort who sing in choirs, possibly because of voice training and the commonly observed habit of attending regular ear, nose, and throat examination. Voice disorders may be prevented in nonsinging children if the same solicitude for voice is observed.

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Section: Discussionsupporting

confidence: 90%

Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Clarós¹,

Porebska²,

Clarós-Pujol³

et al. 2019

JAMA Otolaryngol Head Neck Surg

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“…6 Bonet and Casan proposed perceptual screening for dysphonia as a means of identifying a population (child choristers) at risk of vocal pathology. 7 Perceptual analysis remains an important feature of vocal assessment, both in research and clinical practice, and is endorsed by some as a necessary counterpart to other measures of voice, such as acoustic analysis. 8 -13 However, there continues to be an issue regarding variability in listener perception in relation to normal and pathological voices.…”

Section: Introductionmentioning

confidence: 99%

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

et al. 2009

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Introduction: Methods of perceptual voice evaluation have yet to achieve satisfactory consistency; complete acceptance of a recognised clinical protocol is still some way off.Materials and methods: Three speech and language therapists rated the voices of 43 patients attending the problem asthma clinic of a teaching hospital, according to the grade-roughness-breathinessasthenicity-strain (GRBAS) scale and other perceptual categories.Results and analysis: Use of the GRBAS scale achieved only a 64.7 per cent inter-rater reliability and a 69.6 per cent intra-rater reliability for the grade component. One rater achieved a higher degree of consistency. Improved concordance on the GRBAS scale was observed for subjects with laryngeal abnormalities. Raters failed to reach any useful level of agreement in the other categories employed, except for perceived gender.Discussion: These results should sound a note of caution regarding routine adoption of the GRBAS scale for characterising voice quality for clinical purposes. The importance of training and the use of perceptual anchors for reliable perceptual rating need to be further investigated.

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“…As an example, singing can perform an emotionally expressive function (Baars & Gabrielsson, 1997;Baroni et al, 1997). Therefore, it may help a speech or voice disorder sufferer to release negative emotions potentially causing one's voice to be distorted (Bonet & Cason, 1993;Welch, 2005). More specifically, a child may find it stressful to speak when (s)he has a tendency to stutter, subsequently creating emotional blocks.…”

Section: S I N G I N G a N D I T S P S Y C H O L O G I C A L I M P A C Tmentioning

confidence: 99%

Potential use of singing in educational settings with pre-pubertal children possessing speech and voice disorders: a psychological perspective

Rinta

2008

Brit. J. Music. Ed.

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Evaluation of Dysphonia in a Children’s Choir

Cited by 20 publications

References 8 publications

Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Reliability of perceptions of voice quality: evidence from a problem asthma clinic population

Potential use of singing in educational settings with pre-pubertal children possessing speech and voice disorders: a psychological perspective

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