The ageing voice and voice therapy in geriatrics

Çiyiltepe, Müzeyyen; Şenkal, Özgül Akın

doi:10.1007/s40520-016-0597-3

Cited by 11 publications

(14 citation statements)

References 20 publications

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“…The mean age of our study group was 70.73 years, which was comparable with other study populations [3,12]. Symptoms in Ciyiltepe's geriatric study population ranged from 2 months to 1 year as seen in our study [13]. Analysis of age distribution of patients with voice changes in studies by Roy et al and Ciyiltepe et al showed a maximum prevalence of cases aged 65-74 years and 60-69 years respectively, followed by a steep decline thereafter, as seen in our study [3,13].…”

Section: Discussionsupporting

confidence: 86%

Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

Mathew

Shilpa

2018

Indian J Otolaryngol Head Neck Surg

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To establish the prevalence of etiological factors for dysphonia in elderly individuals in rural India. Hundred adults aged C 65 years, who presented with dysphonia for C 4 weeks and underwent detailed clinical evaluation including videolaryngoscopic assessment and other appropriate investigations/evaluation, were included in a retrospective cohort clinical study. Patients were classified into eight groups for further descriptive statistical analysis based on standard diagnostic criteria/guidelines i.e. benign vocal cord lesions, inflammatory disorders of the larynx, laryngeal and hypopharyngeal neoplasms, isolated vocal cord palsy/paresis, presbylaryngis, central neurological disorders affecting laryngeal function, impaired pulmonary function and non specific dysphonia. Mean age was 70.73 ± 4.29 years. 58% were aged between 65 and 69 years. Overall, the common causes for dysphonia were laryngopharyngeal reflux disease (23%), carcinoma larynx (12%) and presbylaryngis (8%). Inflammatory disorders of the larynx, benign vocal cord lesions and laryngeal/hypopharyngeal malignancies were the commonest causes for dysphonia in individuals aged between 65 and 74 years. Presbylaryngis and systemic causes were the commonest among individuals aged 75-89 years. 63 males and 37 females met the inclusion criteria. The most common cause for dysphonia among females was laryngopharyngeal reflux disease (17%), followed by vocal palsy (5%) and spasmodic dysphonia (4%). Carcinoma larynx (12%) was the most common cause for dysphonia among males, followed by laryngopharyngeal reflux (6%) and presbylaryngis (6%). Geriatric dysphonia is an often overlooked symptom of greater underlying disease as evidenced in this study. With its impact on the quality of life in this age group and life expectancy in the rural population, dysphonia requires early detection, prompt evaluation and appropriate management.

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Section: Discussionsupporting

confidence: 86%

Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

Mathew

Shilpa

2018

Indian J Otolaryngol Head Neck Surg

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“…Four and five studies have, respectively, suggested the coexistence of suspected LPR and nodules in patients with nonspecific laryngopharyngeal symptoms and in voice professionals (i.e., singers and teachers) without exhibiting reliable LPR diagnostic methods. One study stated that nodules and LPR‐related symptoms were more prevalent in elderly patients than younger subjects . Recently, Tasli et al evaluated pepsin levels in vocal fold nodule specimens that were removed in patients with long‐term history of dysphonia; using Western blot and enzyme‐linked immunosorbent assay analyses, these authors did not identify pepsin in operated nodule specimens .…”

Section: Resultsmentioning

confidence: 99%

“…Counting articles across several categories when appropriate, 32 of these articles are related to nodules, 29 to polyps, 18 to cysts, 32 to Reinke's edema, and 10 to sulcus vocalis. When filtered through the inclusion and exclusion criteria, a total of 35 articles were kept for analysis: 16 are related to nodules, 5,7,[17][18][19][20][21][22][23][24][25][26][27][28][29][30] eight to polyps, 7,20,[22][23][24]26,31,32 three to cysts, 18,20,30 five to Reinke's edema, 22,24,26,33,34 and three to sulcus vocalis 7,18,35 (Fig. 1).…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…The 28 remaining studies based LPR diagnosis on symptoms AE findings, with a few authors using validated clinical tools. 18,21,32 LPR laryngoscopic findings were not taken into consideration for diagnosis in eight studies, 5,19,20,22,23,27,30,31 and only one author assessed exam findings in a blinded fashion 33 (Table I). Two authors utilized gastroesophageal reflux disease (GERD) criteria for LPR diagnosis.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…One study stated that nodules and LPR-related symptoms were more prevalent in elderly patients than younger subjects. 19 Recently, Tasli et al evaluated pepsin levels in vocal fold nodule specimens that were removed in patients with longterm history of dysphonia; using Western blot and enzymelinked immunosorbent assay analyses, these authors did not identify pepsin in operated nodule specimens. 17 Another article reported that patients with LPR symptoms have poorer response to vocal fold steroid injection for nodule treatment.…”

Section: Laryngopharyngeal Reflux and Nodulesmentioning

confidence: 99%

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Association between laryngopharyngeal reflux and benign vocal folds lesions: A systematic review.

et al. 2019

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Objectives To investigate the role of laryngopharyngeal reflux (LPR) in the development of benign lesions of the vocal folds (BLVF). Methods PubMed, Cochrane Library, and Scopus were searched by three independent investigators for articles published between January 1990 and November 2018 providing substantial information about the role of LPR in the development of nodules, polyps, cysts, Reinke's edema, and sulcus vocalis. Inclusion, exclusion, diagnostic criteria and clinical outcome evaluation of included studies were analyzed using Preferred Reporting Items for Systematic Reviews and Meta‐Analyses criteria. Results Of the 155 relevant publications, 42 studies were included. Thirty‐five were clinical studies and seven were experimental research studying the impact of reflux on vocal fold tissue. Only seven clinical studies utilized objective LPR diagnoses (pH monitoring), suggesting an association between LPR and the development of nodules, polyps, and Reinke's edema. These studies were characterized by a substantial heterogeneity due to discrepancies in inclusion/exclusion criteria, diagnostic methods, and clinical outcome evaluation. The few basic science studies on this topic support that LPR creates an environment that may predispose to BLVF through changes in defense mechanisms of the vocal folds, cell‐to‐cell dehiscence, inflammatory reaction of the vocal folds, and reaction to phonotrauma. Conclusions Caustic mucosal injury from LPR could cause increased susceptibility of the vocal fold mucosa to injury and subsequent formation of nodules, polyps, or Reinke's edema. However, the heterogeneity and the low number of high‐quality studies limit the ability to draw definitive conclusions. Future clinical and experimental studies are needed to better identify the role of reflux in development of BLVF. Laryngoscope, 129:E329–E341, 2019

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Voice analysis results in individuals with Alzheimer's disease: How do age and cognitive status affect voice parameters?

Parlak,

Saylam,

Babademez

et al. 2023

Brain and Behavior

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BackgroundReports of acoustic changes in the voice in individuals with Alzheimer's disease (AD) and the relationship of acoustic changes with age and cognitive status are still limited.ObjectiveThis study aims to determine the changes in voice analysis results in AD, as well as the effects of age and cognitive status on voice parameters.MethodsThe study included 47 (AD: 30; healthy: 17) women with a mean age of 76.13 years. The acoustic voice parameters mean fundamental frequency (F0), relative average perturbation (RAP), jitter percent (Jitt), shimmer percent (Shim), and noise‐to‐harmonic ratio were detected. The mini‐mental state examination (MMSE) was utilized.ResultsF0, Shim, Jitt, and RAP values were found to be statistically significantly higher in individuals with AD compared to healthy individuals. There was a significant negative correlation between MMSE and F0, Jitt, RAP and Shim, and the MMSE score had a significant negative effect on F0, Jitt, and RAP (p < .05).ConclusionCognitive status was discovered to significantly impact the voice, with fundamental frequency and frequency and amplitude perturbations increasing as cognitive level decreases. In order to contribute to the therapy process for voice disorders, cognitive functions can be focused on in addition to voice therapy.

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The ageing voice and voice therapy in geriatrics

Abstract: Additional research is needed to determine normative values for multidimensional voice program scores and other assessments in the elderly population.

Cited by 11 publications

References 20 publications

Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

Association between laryngopharyngeal reflux and benign vocal folds lesions: A systematic review.

Voice analysis results in individuals with Alzheimer's disease: How do age and cognitive status affect voice parameters?

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