The Management of Voice Disorders

Morrison, Murray; Rammage, Linda; Nichol, Hamish; Pullan, Bruce; May, Philip A.; Salkeld, Lesley

doi:10.1007/978-1-4899-2903-7

Cited by 79 publications

(75 citation statements)

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“…Difficulty in being heard was the vocal symptom that had the strongest association to cortisol levels. An unbalanced voice production may cause an ineffective and uneconomical voice production which may result in various vocal symptoms (Morrison, Rammage & Nichol, 2001) including vocal fatigue and difficulty in being heard. Symptoms of hoarseness and vocal fatigue have been shown to be associated with stress (Verdolini et al, 2006).…”

Section: Associations Between Cortisol and Voice Symptomsmentioning

confidence: 99%

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Holmqvist-Jämsén

Johansson

Santtila

et al. 2017

J Speech Lang Hear Res

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Purpose: We investigated whether participants who reported more often occurring vocal symptoms showed higher salivary cortisol levels and if such possible associations were different for men and women. Method:The participants (N = 170; men n = 49, women n = 121) consisted of a populationbased sample of Finnish twins born between 1961 and 1989. The participants submitted saliva samples for hormone analysis and completed a web-questionnaire including questions regarding the occurrence of six vocal symptoms during the past 12 months. The data were analyzed using the Generalized Estimated Equations (GEE) method.Results: A composite variable of the vocal symptoms showed a significant positive association with salivary cortisol levels (p < .001). Three of the six vocal symptoms were significantly associated with the level of cortisol when analyzed separately (p-values below .05). The results showed no gender difference regarding the effect of salivary cortisol on vocal symptoms. Conclusions:There was a positive association between the occurrence of vocal symptoms and salivary cortisol levels. Participants with higher cortisol levels reported more often occurring vocal symptoms. This could have a connection to the influence of stress on vocal symptoms since stress is a known risk factor of vocal symptoms and salivary cortisol can be seen as a biomarker for stress.

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Section: Associations Between Cortisol and Voice Symptomsmentioning

confidence: 99%

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Holmqvist-Jämsén

Johansson

Santtila

et al. 2017

J Speech Lang Hear Res

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“…15 Voice change, also named transitional dysphonia or altered voice change, is most evident in male adolescents, resulting from increased hormone levels. 21,14 The pitch of a boy's voice becomes deeper (masculinized) as the adolescent grows into adulthood, becoming an important aspect of personality. 15 Although NB usually initiates in adolescence or early adulthood, studies on NB have investigated mostly adult samples, possibly because medical help tends to be sought at this time.…”

Section: Voice and Bulimiamentioning

confidence: 99%

A bulimia nervosa como fator de risco para distúrbios da voz: artigo de revisão

Balata¹,

Colares²,

Petribú³

et al. 2008

Rev. Bras. Otorrinolaringol.

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Bul imia nervosa (BN) is a type of feeding disorder that starts in adolescence and presents a variety of symptoms, recurrent vomiting in the oral cavity that may reach down to the larynx -similarly to gastro-esophageal reflux, causing laryngeal and voice disorder alterations. Aim: These studies aimed at surveying the literature and investigate the studies that considered BN a risk factor for voice disorders. Results: of the ninety three papers we found, twenty-three were used as a basis for this review, among them, only three discuss BN as an etiology factor associated with voice changes in adult women, and we did not find any paper associating this with bulimic teenagers. Conclusion: It is necessary to observe laryngeal and vocal signs and symptoms associated with BN, especially in teenagers whose voices are going through a period of change.

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“…This quantitative evidence is in accordance with the suggestions of some researchers. [14][15][16]19,23,39,40 A deviant posture, such as posterior or anterior weight bearing, excessive lordosis, kyphosis, and/or a deviant head position, will be compensated by the neck and the laryngeal area. 16,41 When we consider thoracic kyphosis, the shoulders are in a rounded forward position.…”

Section: Discussionmentioning

confidence: 99%

Is the Sagittal Postural Alignment Different in Normal and Dysphonic Adult Speakers?

et al. 2014

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Summary: Objective. Clinical research in the field of voice disorders, in particular functional dysphonia, has suggested abnormal laryngeal posture due to muscle adaptive changes, although specific evidence regarding body posture has been lacking. The aim of our study was to verify if there were significant differences in sagittal spine alignment between normal (41 subjects) and dysphonic speakers (33 subjects). Study Design. Cross-sectional study. Methods. Seventy-four adults, 35 males and 39 females, were submitted to sagittal plane photographs so that spine alignment could be analyzed through the Digimizer-MedCalc Software Ltd program. Perceptual and acoustic evaluation and nasoendoscopy were used for dysphonic judgments: normal and dysphonic speakers. Results. For thoracic length curvature (TL) and for the kyphosis index (KI), a significant effect of dysphonia was observed with mean TL and KI significantly higher for the dysphonic speakers than for the normal speakers. Concerning the TL variable, a significant effect of sex was found, in which the mean of the TL was higher for males than females. The interaction between dysphonia and sex did not have a significant effect on TL and KI variables. For the lumbar length curvature variable, a significant main effect of sex was demonstrated; there was no significant main effect of dysphonia or significant sex 3 dysphonia interaction. Conclusions. Findings indicated significant differences in some sagittal spine posture measures between normal and dysphonic speakers. Postural measures can add useful information to voice assessment protocols and should be taken into account when considering particular treatment strategies.

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The Management of Voice Disorders

Cited by 79 publications

References 0 publications

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Investigating the Role of Salivary Cortisol on Vocal Symptoms

A bulimia nervosa como fator de risco para distúrbios da voz: artigo de revisão

Is the Sagittal Postural Alignment Different in Normal and Dysphonic Adult Speakers?

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