Quality of Life in Dysphonic Patients

Krischke, S.; Weigelt, S.; Hoppe, Ulrich; Köllner, Volker; Klotz, Michael; Eysholdt, Ulrich; Rosanowski, F.

doi:10.1016/j.jvoice.2004.01.007

Cited by 145 publications

(101 citation statements)

References 19 publications

(29 reference statements)

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“…The emotional score of the self-assessment protocols highlights the emotional responses of the patient in relation to his voice problem, assuming that this may result from physical, functional and emotional consequences for the individual (1,2,25) . Thus, this study observed that most reference negative feelings associated with voice production in patients with dysphonia seems to be one of the main factors associated with readiness to change in vocal therapy.…”

Section: Discussionmentioning

confidence: 99%

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Autoavaliação e prontidão para mudança em pacientes disfônicos

Lopes

Vilela

2016

CoDAS

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RESUMO Objetivo Analisar se existe associação entre a autoavaliação vocal e a prontidão para mudança em pacientes disfônicos. Método Participaram 151 pacientes com queixa vocal e diagnóstico de disfonia, entre 18 e 65 anos de idade, 47 homens e 104 mulheres, atendidos no ambulatório de voz de uma instituição pública. Foram aplicados quatro instrumentos de autoavaliação, incluindo o Questionário de Qualidade de Vida em Voz (QVV), o Índice de Desvantagem Vocal (IDV) e a Escala de Sintomas Vocais (ESV), além da utilização do instrumento URICA-VOZ, para verificação do estágio de prontidão para mudança dos pacientes. Todos os instrumentos foram aplicados imediatamente antes do início da terapia vocal. As variáveis foram correlacionadas e comparadas por meio de estatística inferencial. Resultados A maioria dos pacientes encontrava-se no estágio de contemplação (76,2%, n = 115), 22 (14,6%), no estágio de pré-contemplação e 14 (9,3%), no estágio de ação. Houve correlação negativa entre o escore no URICA-VOZ e o domínio socioemocional e escore total do QVV. Ocorreu correlação positiva entre o escore do URICA-VOZ e os domínios total, emocional e funcional do IDV, assim como entre o escore do URICA-VOZ e os domínios total, de limitação e emocional da ESV. Apenas os valores do domínio socioemocional do QVV e emocional no ESV apresentaram diferenças estatisticamente significantes entre os estágios motivacionais. Conclusões Existe associação entre a autoavaliação vocal e a prontidão para mudança em pacientes disfônicos. Pacientes com maior impacto na qualidade de vida em voz no QVV e maior frequência de sintomas vocais referida na ESV apresentam maior prontidão para mudança.

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Section: Discussionmentioning

confidence: 99%

“…It can cause psycho-emotional stress, depression and frustration, negatively affecting social functioning and causing significant impact on the individual's quality of life (2) .…”

Section: Introductionmentioning

confidence: 99%

Autoavaliação e prontidão para mudança em pacientes disfônicos

Lopes

Vilela

2016

CoDAS

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“…A number of previous studies have also shown a positive relationship between voice disorders and various psychological problems [32][33][34][35][36][37] . However, because most of these studies used crosssectional designs, the causal relationship between the voice disorders and psychological conditions could not be determined.…”

Section: Discussionmentioning

confidence: 99%

“…However, because most of these studies used crosssectional designs, the causal relationship between the voice disorders and psychological conditions could not be determined. As voice disorders can adversely affect quality of life, they have been suggested as a cause of psychological symptoms such as stress, depression, and anxiety 32) . On the other hand, psychogenic factors might cause voice disorders by increasing tension in the laryngeal muscles, especially for muscle tension dysphonia [34][35][36] .…”

Section: Discussionmentioning

confidence: 99%

A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

Lee

Lao

2010

Journal of Occupational Health

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A Cross-sectional Survey of Voice Disorders among Primary School Teachers in HongKong: Sophie Yick-yu Lee, et al. Tseung Kwan O Hospital, China-Objective: The purpose of the study was to investigate the prevalence of voice disorders and associated risk factors among primary school teachers in Hong Kong. Methods: A cross-sectional survey was conducted based on a random sample of 20 primary schools in Hong Kong. A total of 714 fulltime primary school teachers were invited to participate in the survey. Data were collected through a selfadministered questionnaire addressing the prevalence of voice disorders and potential risk factors. Stepwise logistic regression was used to assess the associations between voice disorders and the different risk factors. Results: The response rate for the questionnaire was 69.7% (498/714). Among the teachers who responded, 348 (69.9%) had suffered from a voice disorder in the past 12 mo. Thirty-one teachers (8.9%) rated their voice disorders as minimal, 124 (35.6%) as mild, 151 (43.4%) as moderate, and 42 (12.1%) as severe. Of the 348 teachers reporting voice disorders, 215 (61.8%) had sought professional help for their voice problems. The univariate analyses showed that the factors significantly associated with voice disorders included talking quietly (p=0.018), using a microphone (p=0.002), speaking against background noise (p<0.001), consuming alcohol (p=0.027), and having a history of asthma (p=0.001), colds (p=0.012), sinusitis (p=0.039), or laryngitis (p<0.001). After adjusting for potential confounds, the significant risk factors included speaking against background noise (adjusted OR=1.8), alcohol consumption (adjusted OR=0.40), history of asthma (adjusted OR=3.3), or laryngitis (adjusted OR=4.2). Conclusions: Approximately 70% of the sampled primary school teachers were affected by voice disorders. A substantial proportion of the effected teachers suffered both functional and psychological adverse effects. The findings indicate an urgent need for further investigation to identify the risk factors for voice disorders and to develop preventive strategies for primary school teachers. (J Occup Health 2010; 52: 344-352)

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“…1,2 These impact stresses lead to a variety of benign vocal fold lesions that pose significant impediments to communication, and may lead to a compromised quality of life. 3,4 In severe cases, medical/surgical intervention of such lesion(s) is necessary. As the current standard of care, patients typically undergo behavioral voice therapy to reduce the acute inflammatory response associated with injury and to allow for optimal assessment and categorization of the underlying pathologic condition.…”

Section: Introductionmentioning

confidence: 99%

Dynamic Biomechanical Strain Inhibits IL-1β–induced Inflammation in Vocal Fold Fibroblasts

et al. 2007

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SummaryDespite the fact that vocal folds are subjected to extensive mechanical forces, the role of mechanical strain in vocal fold wound healing has been overlooked. Recent studies on other tissues have demonstrated that low physiological levels of mechanical forces are beneficial to injured tissues, reduce inflammation, and induce synthesis of matrix-associated proteins essential for enhanced wound healing. In this study, we speculated that mechanical strain of low magnitudes also attenuates the production of inflammatory mediators and alters the extracellular matrix synthesis to augment wound healing in cultured vocal fold fibroblasts. To test this hypothesis, fibroblasts from rabbit vocal folds were isolated and exposed to various magnitudes of cyclic tensile strain (CTS) in the presence or absence of interleukin-1β (IL-1β). Results suggest that IL-1β activates proinflammatory gene transcription in vocal fold fibroblasts. Furthermore, CTS abrogates the IL-1β-induced proinflammatory gene induction in a magnitude-dependent manner. In addition, CTS blocks IL-1β-mediated inhibition of collagen type I synthesis, and thereby upregulates collagen synthesis in the presence of IL-1β. These findings are the first to reveal the potential utility of low levels of mechanical signals in vocal fold wound healing, and support the emerging on vivo data suggesting beneficial effects of vocal exercise on acute phonotrauma.

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Quality of Life in Dysphonic Patients

Cited by 145 publications

References 19 publications

Autoavaliação e prontidão para mudança em pacientes disfônicos

Autoavaliação e prontidão para mudança em pacientes disfônicos

A Cross‐sectional Survey of Voice Disorders among Primary School Teachers in Hong Kong

Dynamic Biomechanical Strain Inhibits IL-1β–induced Inflammation in Vocal Fold Fibroblasts

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