The Voice Handicap Index (VHI)

Abstract

To date, no instruments exist to quantify the psychosocial consequences of voice disorders. The aim of the present investigation was the development of a statistically robust Voice Handicap Index (VHI). An 85-item version of this instrument was administered to 65 consecutive patients seen in the Voice Clinic at Henry Ford Hospital. The data were subjected to measures of internal consistency reliability and the initial 85-item version was reduced to a 30-item final version. This final version was administered to 63 consecutive patients on two occasions in an attempt to assess test-retest stability, which proved to be strong. The findings of the latter analysis demonstrated that a change between two administrations of 18 points represents a significant shift in psychosocial function.

Índice de Desvantagem Vocal pré e pós-intervenção vocal em pacientes disfônicos

“…The impact the individuals with voice issues suffer in several areas of their lives is evident. Therefore, it is key that protocols to measure these impacts be widely used scientifically and clinically to more specifically approach emotional and functional aspects (28)(29)(30) .…”

Allograft (Alloderm) and Autograft (Temporalis Fascia) Implantation for Glottic Insufficiency: A Novel Approach

“…Preoperative and postoperative Voice Handicap Index (VHI) scores were noted, where available. 6 Preoperative and postoperative videostroboscopic examinations in short-and long-term follow-up were reviewed. Glottic closure was evidenced by observation of glottal gap, decrease in open phase, and increased phonation time.…”

Long-Term Follow-Up of Patients with Spasmodic Dysphonia and Improved Voice despite Discontinuation of Treatment

“…VHI-10 scoring varies between 0 and 40, with higher scoring signifying a greater voice handicap [20]. The VHI-30 scoring system is different, with a range of 0-120 and with higher scoring indicating a greater voice handicap [21]. Taking this into consideration, the VHI-30 was used in the present study, and the VHI scores of our patients were 25.5 ± 22.8 and 44.2 ± 8.6 in the last follow-up for groups A and B, respectively.…”