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At least 73 records · Page 4Linked to original sources
PubMed1993

An interdisciplinary approach to the treatment of a hyperfunctional voice disorder.

The purpose of this article is to describe the treatment of a 45-year-old male with a hyperfunctional voice disorder by a biofeedback therapist and a speech-language pathologist. The interdisciplinary approach to the treatment of this voice disorder involved the combined use of traditional voice therapy techniques and EMG biofeedback procedures together with cognitive behavioral therapy. Voice therapy was facilitated through the use of a computer-based, speech-monitoring system. The remediation of this voice disorder was attributed to the collaborative efforts of two professionals representing diverse professional training and treatment protocols. The results showed reductions in muscle activity in the infrahyoid and laryngeal areas as well as improved use of proper breathing and voicing onset behaviors. Follow-up at 10 and 15 months posttreatment intervals indicated that the client had retained all target voice skills and the tension reduction/biofeedback skills. Results suggest that interdisciplinary, collaborative efforts using biofeedback and voice therapy can prove beneficial in the treatment of hyperfunctional voice disorders.

Behavior Therapy↗
PubMed2003

[Assessment of rehabilitation of teachers' voice disorders].

Results of treatment of teacher's voice disorders were presented. Patients except pharmacological treatment and physiotherapy realised the course of voice emission exercises under speech therapist supervision. Ninety teachers were examined before and after treatment. Laryngological, phoniatric and laryngostroboscopic studies were carried out. In most patients phoniatric assessment revealed elongation of phonation time, changing of breathing route from cleidocostal to phrenocostal and voice creation without neck muscle tension after completing of treatment. 6 weeks lasting period of exercises was determined to be sufficient in most patients to learn correct breathing and phonation but to establish normal voice emission patient strong motivation, discipline and regularity during several months lasting exercises is needed.

Adult↗
PubMed2005

[Frequency and risk factors of voice disorders among teaching staff of La Rioja, Spain. Clinical study: questionnaire, function vocal examination, acoustic analysis and videolaryngostroboscopy].

OBJECTIVE: To the analyse the risk factors of voice disorders among teaching staff of La Rioja, Spain. DESIGN: We carried out a transversal study of voice disorders in teaching staff of La Rioja (a random sample of 931 of 3.113 teachers). PATIENTS: 527 teachers of random sample took part of study: 332 female (63%) and 195 male (37%). METHODS: All teachers filled in a standard questionnaire and posteriorly they underwent an, ENT and functional vocal cord examination, videolaryngostroboscopy and acoustic analysis with MDVP. RESULTS: The prevalence of voice disorders among La Rioja Teachers was 57%: 20% for organic lesions, 8% for chronic laryngitis and 29% for functional disorders. Women compared with men did not have a higher prevalence of voice disorders (p > 0.05) (OR: 1.138). Professional and personal factors as well as classroom atmosphere were studied. The most relevant factors in the pathological group were previous vocal pathology, laryngeal surgery, gastroesophageal reflux and, classroom dryness and smoking habits. CONCLUSIONS: The most relevant factor of voice disorders in teaching professional is the vocal overwork during their job. It is advisable to carry out a clinical evaluation of all the future teachers in their educational programs.

Acoustics↗
PubMed1993

Muscle misuse voice disorders: description and classification.

It is apparent that voice disorders frequently labelled "functional" are associated with laryngeal muscle misuse. This use of the word "functional" is, however, intrinsically ambiguous, and so we propose an alternative term based on descriptive features of dysfunction: "muscle misuse voice disorders". Persistent phonation with an abnormal laryngeal posture can lead to organic changes such as nodules or polyps, particularly in females with posterior glottic chink. We hypothesized that the chink was related to an overall increase in laryngeal muscle tension, and more directly due to inadequate relaxation of the posterior crico-arytenoid muscle during phonation. We employed the term "muscular tension dysphonia" (MTD) to note this condition, but it may be that the term "laryngeal isometric" is superior since there are other misuses of the larynx that obviously are manifestations of abnormalities of muscular tension. With this in mind we have evolved a new classification based on the laryngeal isometric, glottic and supraglottic lateral contraction states, antero-posterior contraction states, conversion aphonia, psychogenic bowing, and adolescent transitional dysphonia.

Female↗
PubMed1985

[Differential diagnostic considerations in functional voice disorders].

It is very difficult to give a valid classification of functional voice disorders. Many patients with voice disorder initially consult an ENT specialist. Important aspects of differential diagnosis are presented based on a study of the literature which should help the ENT specialist discriminate between hyperfunctional and hypofunctional dysphonia, which is very important for therapy. An early tentative diagnosis should be followed by a phoniatric examination.

Diagnosis, Differential↗
PubMed1993

[Symptom-centered psychotherapy in patients with functional voice disorders].

As a disorder of an ego-function, functional voice disorders display a remarkable sensitivity and variability towards psychosocial factors and an often immediate connection with the underlying psychic conflict constellation. Being concentrated on their symptomatics, patients with functional voice disorders command a good capacity of observing their complaints and factors affecting them. Symptom-centered short-term psychotherapy makes use of the particular character of the voice symptom and of the patient's capacity in a focal treatment of the symptom. First, a symptom-focus is established on the basis of an analysis of speech conflict situations which contains essential psychosocial factors and is structured by a psychic conflict constellation. In the further course of psychotherapy, the symptom focus is used as a heuristic device in the treatment of material of the voice symptomatics. In working through present and past speech conflict constellations patients reach an understanding of the psychosocial conflict contained in the voice symptomatics and are enabled to develop alternatives for changing the maladaptive speech interaction patterns.

Aged↗
PubMed2006

Perception of individuals with voice disorders by monolingual English, bilingual Cantonese-English, and bilingual Russian-English women.

PURPOSE: The purpose of this study was to examine the attitudes of monolingual English, bilingual Cantonese-English, and bilingual Russian-English speakers toward individuals with voice disorders. METHOD: In a mixed experimental design, a total of 30 older and 29 younger female listeners from the 3 language groups rated the voices of 10 females, each with a mild, moderate, or severe voice disorder or with no voice disorder. A semantic differential scale was used to rate the speakers on 21 attributes. RESULTS: Results indicate that the perception of individuals became increasingly negative as the severity of the disorder increased. Results also indicate that Cantonese-English bilinguals rated the individuals with severe voice disorders more negatively than did English monolinguals and that the language groups differed in their ratings for the attributes of beautiful, lovable, clean, and young. There was no overall effect of age of listener. CONCLUSION: The study demonstrates that although the language groups were uniform in ascribing more negative attributes to individuals as severity of the disorder increased, there were also significant differences between the groups. Exploration of these issues provides information useful to clinicians in setting priorities for intervention that take into account individuals' backgrounds as well as clinical factors.

Adolescent↗
PubMed2005

[Assessment of voice acoustic parameters in female teachers with diagnosed occupational voice disorders].

BACKGROUND: Laryngovideostroboscopy is the method most frequently used in the assessment of voice disorders. However, the employment of quantitative methods, such as voice acoustic analysis, is essential for evaluating the effectiveness of prophylactic and therapeutic activities as well as for objective medical certification of larynx pathologies. The aim of this study was to examine voice acoustic parameters in female teachers with occupational voice diseases. MATERIALS AND METHODS: Acoustic analysis (IRIS software) was performed in 66 female teachers, including 35 teachers with occupational voice diseases and 31 with functional dysphonia. RESULTS: The teachers with occupational voice diseases presented the lower average fundamental frequency (193 Hz) compared to the group with functional dysphonia (209 Hz) and to the normative value (236 Hz), whereas other acoustic parameters did not differ significantly in both groups. CONCLUSIONS: Voice acoustic analysis, when applied separately from vocal loading, cannot be used as a testing method to verify the diagnosis of occupational voice disorders.

Adult↗
PubMed1996

Voice disorders in children.

Pediatric patients with voice or speech problems usually should receive a team assessment in which communication between the pediatrician or primary care physician, the otolaryngologist, and speech pathologist occurs. Although speech or voice problems may prompt an otolaryngologic evaluation, the voice or speech problem simply may be the manifestation or symptom of a larger or more complex disease process. Whether that is the case of hypernasal speech, eventually leading to the diagnosis of velocardiofacial syndrome, or bilateral vocal fold paralysis, eventually leading to the diagnosis of hydrocephalus, it is apparent that patients with speech or voice disorders may eventually require multidisciplinary evaluation. The outlook for children with speech and voice difficulties is better than ever. Recent equipment advances, such as flexible laryngoscopy, video stroboscopy, and nasometry, for detection, evaluation, and management of speech problems have created a better environment than ever existed for care of these problems. Much research is being performed in the area of pediatric voice and speech problems. The National Institute of Deafness and Communicative Disorders and the National Institute of Dental Research have funded and currently fund many projects in these areas. Many pediatric hospitals now have voice or speech disorder clinics in which multiple disciplines are brought together to evaluate children with these problems. Children benefit best when speech and voice problems are managed in an interdisciplinary setting when necessary and by professionals who have experience and training in these specialized pediatric problems. Given the local, professional, and national resources that are expended toward recognition and treatment of speech disorders in children, it is truly a tragedy when those resources cannot be brought to assist children with voice and speech problems. Although voice and speech problems usually are recognized by parents or concerned family members, this task may rest on the pediatrician or other primary caregiver.

Child↗
PubMed1998

[Prevalence of voice disorders among educational professionals. Factors contributing to their appearance or their persistence].

A study was made of the prevalence of voice disorders and their risk factors in teaching professionals of Logroño, Spain. A prevalence and case-control study was made, including interviews, ENT examination, videostrobolaryngoscopy, perceptual evaluation of hoarseness, basic aerodynamic tests, the physical range of phonation, and a physical analysis of the acoustic signal. The prevalence of voice disorders among Logroño teachers was 17.7% (confidence interval: 12.1-25%). Nodular lesions (8.1%) were the most frequent pathology, followed by hyperfunctional dysphonia (4.1%), chronic laryngitis (2.7%), polyps (1.4%), hypofunctional dysphonia (0.7%), and submucous suffusion (0.7%). Voice disorders were more prevalent in women (19.3%) than in men (15.6%), and among teachers of the lowest grades: 36.4% in nursery schools, 25% in elementary school, and 20.8% in junior school. The width and depth of classrooms, larger number of students, longer classroom hours, and noise level were related with the frequency of voice disorders.

Adult↗
PubMed2004

Quick screen for voice and supplementary documents for identifying pediatric voice disorders.

Three documents are provided to help the speech-language pathologist (SLP) identify children with voice disorders and educate family members. The first is a quickly administered screening test that covers multiple aspects of voice, respiration, and resonance. It was tested on 3000 children in kindergarten and first and fifth grades, and on 47 preschoolers. The second document is a checklist of functional indicators of voice disorders that could be given to parents, teachers, or other caregivers to increase their attention to potential causes of voice problems and to provide the SLP with information pertinent to identification. The final document is a brochure with basic information about voice disorders and the need for medical examination. It may be used to help the SLP educate parents, particularly about the need for laryngeal examination for children who have been identified as having a voice problem.

Adolescent↗
PubMed1991

[Definition of psychogenic voice disorders].

The clinical designation of the psychogenic voice disorder is discussed. "Psychogenic" is aetiologically by no means an apposite, or adjective, to organic diseases, for the occurrence of factors that can be defined as psychopathological (either primary or secondary) is always practically and clinically important--especially if these factors are of general psychosocial relevance, or of a latent depressive and neurotic nature. Hence, biographical anamnesis can be obligatory, supplying information that is essential for a therapeutic approach.

Affective Symptoms↗
PubMed2000

Personality and voice disorders: a multitrait-multidisorder analysis.

To examine whether personality has causal, concomitant, or outcome status in common voice disorders, a vocally normal control group and 4 groups with voice disorders--functional dysphonia (FD), vocal nodules (VN), spasmodic dysphonia (SD), and unilateral vocal fold paralysis (UVFP)--were compared using the Multidimensional Personality Questionnaire (MPQ). Univariate and discriminant analyses confirmed that the FD and VN groups differed significantly from each other, the controls, and the other voice-disordered groups at both a superfactor and lower-trait level of personality description. The FD group was introverted, stress reactive, alienated, and unhappy. The VN group was described as socially dominant, stress reactive, aggressive, and impulsive. Comparisons involving the SD, UVFP, and the control subjects did not identify consistent personality differences. While group trends supported the central tenets of a trait theory outlining the dispositional bases of FD and VN, further research is needed to elucidate the specific causal mechanism(s) in individual cases. The disability hypothesis, which suggests that personality features represent the negative effects of vocal disability, was not strongly supported.

Adult↗
PubMed2000

Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders.

OBJECTIVES: The goal was to estimate the prevalence of laryngopharyngeal reflux (LPR) in patients with laryngeal and voice disorders. STUDY DESIGN AND SETTING: This was a prospective study of 113 unselected, new patients with laryngeal and voice disorders. Patients completed an extensive medical history form including a reflux symptom profile. A comprehensive otolaryngologic examination was performed with photographic transnasal fiberoptic laryngoscopy. Patients with both symptoms and findings of LPR (78/133, 69%) underwent ambulatory 24-hour double-probe pH monitoring. RESULTS: Seventy-three percent (57/78) of patients undergoing pH testing had abnormal studies. Thus 50% (57/113) of the entire the study population had pH-documented reflux. Of the diagnostic sub-groups studied, the highest incidence of reflux was found in patients with vocal cord neoplastic lesions (88%) and patients with muscle tension dysphonias (70%). LPR was infrequently found in patients with neuromuscular disorders. CONCLUSION: LPR occurs in at least 50% of all patients at our center with laryngeal and voice disorders at presentation.

Adult↗
PubMed1991

Voice disorders.

Explore the source record for details and available documents.

Humans↗
PubMed1980

[Technical analyses of voice disorders (author's transl)].

Ideally, the technical analysis of voice should be expected to supercede subjective analysis by listening. This paper discusses why today this is still not so and further presents the various methods of voice analysis and the difficulties experienced in their use. Experience of use in our clinic of a voice analyzer in a common voice disorder is described.

Humans↗
PubMed2000

Prevalence of voice disorders among future teachers.

An epidemiological study was conducted in order to find out the prevalence of voice disorders among students studying to be teachers. Vocal symptoms were inquired of 226 students. Their voices were assessed perceptually by a speech therapist and those who had abnormal voice quality or reported several vocal symptoms were referred to a clinical examination by a laryngologist. The results showed that 20% of this population reported two or more vocal symptoms during the previous year and that 19% had an organic voice disorder. This reinforces the need for clinical evaluation of students with vocal symptoms and more vocal training in the teacher education programs.

Adult↗