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At least 109 records · Page 6Linked to original sources
PubMed2002

A review of outcome measurements for voice disorders.

There has been great interest in the medical and associated communities in the development and use of patient-based outcome measures such as quality-of-life and handicap indexes. This area of assessment of initial disability and response to subsequent treatment is especially applicable to the field of laryngology and voice disorders given the limitations of perceptual analysis and objective vocal function studies. In this review, we outline the development and importance of patient-based outcome measures in general, and their application for voice disorders specifically. In addition, several voice-specific instruments are discussed in detail and provided. One of the primary goals of this review is to educate and facilitate the future use of these simple but important patient-based outcome instruments for otolaryngologists who care for patients with voice disorders.

Humans↗
PubMed2004

Voice disorders in teachers and the general population: effects on work performance, attendance, and future career choices.

To examine the frequency and adverse effects of voice disorders on job performance and attendance in teachers and the general population, 2,401 participants from Iowa and Utah (n1 = 1,243 teachers and n2 = 1,279 nonteachers) were randomly selected and were interviewed by telephone using a voice disorder questionnaire. Teachers were significantly more likely than nonteachers to have experienced multiple voice symptoms and signs including hoarseness, discomfort, and increased effort while using their voice, tiring or experiencing a change in voice quality after short use, difficulty projecting their voice, trouble speaking or singing softly, and a loss of their singing range (all odds ratios [ORs] p <.05). Furthermore, teachers consistently attributed these voice symptoms to their occupation and were significantly more likely to indicate that their voice limited their ability to perform certain tasks at work, and had reduced activities or interactions as a result. Teachers, as compared with nonteachers, had missed more workdays over the preceding year because of voice problems and were more likely to consider changing occupations because of their voice (all comparisons p <.05). These findings strongly suggest that occupationally related voice dysfunction in teachers can have significant adverse effects on job performance, attendance, and future career choices.

Absenteeism↗
PubMed1999

Technology in the treatment of voice disorders.

Currently there are several instruments that provide technological support for the treatment of patients with voice disorders. In this article, specific disorders are discussed along with the technologies that can be utilized to augment treatment. Not all forms of voice disorder can be covered, but representative samples from the major categories should provide sufficient information to encourage generalization to types that are not discussed.

Adolescent↗
PubMedDate not supplied

[Voice disorders caused by neurological diseases].

OBJECTIVE: To review voice disorders in neurological diseases, with special emphasis to acoustic analysis. DEVELOPMENT: In the first part of this article we describe data regarding neural control of voice, physiology of phonation, and examination of the patient with voice disturbances, including the use of voice laboratory, acoustic analysis fundamentals, phonetometric measures and aerodynamic measures. In the second part, we review the voice disturbances associated to neurological diseases, emphasizing into movement disorders (specially Parkinson s disease, essential tremor, and spasmodic dysphonia). CONCLUSIONS: A number of neurological diseases causing alterations of corticospinal pathway, cerebellum, basal ganglia and upper and/or lower motoneurons can induce voice disturbances. Voice examination using ear, nose & throat examination, endoscopy and videorecording of laryngeal movements, acoustic analysis, elecroglottography, laryngeal electromyography, and aerodynamic measures, could be useful in the clinical examination of some neurological diseases.

Articulation Disorders↗
PubMed2000

Outcome measurements and quality of life in voice disorders.

Although outcome research in the area of voice is truly in its beginning stages, the clinician who treats voice disorders should be aware of its potential usefulness. It is possible to identify a patient's perception of severity using one of several voice-specific outcome measures. Using these measures may also direct treatment in a more specific manner. For example, although a patient may have a vocal fold polyp or cyst, a low Voice Handicap Index may indicate that immediate surgery is unnecessary. A more conservative treatment approach or observation only may be appropriate. In this way, medical resources and time can be used most appropriately. Certainly one must never compromise treatment when significant disease is suspected. In the absence of significant disease, however, the patient's perceived severity and need to recover vocal function may determine treatment.

Disability Evaluation↗
PubMed1985

[Voice disorder following parathyroidectomy].

We report two patients with voice disorders after parathyroidectomy without thyroidectomy and paresis of the recurrent nerve. The connection between hypoparathyroidismus and laryngeal tetany is discussed.

Female↗
PubMed2004

Vocal risk factors for occupational voice disorders in female teaching students.

The objective of the study was to assess voice capabilities and laryngeal abnormalities in female teaching students in order to evaluate risk factors of future occupational voice disorders. One hundred forty-four women (aged 17 to 41 years) were examined using videostroboscopy and voice range profile measurements. Stroboscopically, the subjects were classified into three groups depending on the shape of the glottal closure. Thirty-five phonation-associated alterations and six organic alterations of the vocal folds were found. Subjects with an insufficient glottal closure showed a higher percentage of phonation-associated vocal fold alterations (i.e. vocal nodules) and reached lower maximum sound pressure levels. The results underline the necessity to execute vocal examinations and vocal assessment analyses for candidates of voice intensive professions in order to avoid profession-related dysphonias at a later stage.

Adolescent↗
PubMed1997

[The electrophysiological indices of the state of the different sections of the auditory analyzer in persons with a normal voice and with functional voice disorders].

Individuals with normal voice and patients with voice functional impairments undergone electrophysiological investigation of various parts of the hearing system, using tone audiometry, including the extended frequency band (10, 12, 14 and 16 kHz), as well as short- and long-latency acoustic evoked potentials (SLAEP and LLAEP). It was found out, that individuals with voice functional impairments had all of their hearing system's parts impaired to various extent, with more marked impairments in the central, rather than in the peripheral part of the hearing system. It was shown, that hearing at 4-8 kHz, as well as with the extended frequency band, especially at 14-16 kHz, time patterns of acoustic evoked potentials (latencies of waves III and V of SLAEP, the interpeak interval I-V, as well as the latency periods of the LLAEP components P2 and N2) could be useful in professional selection of individuals of voice and speech professions and for solving labor expertise matters. Of those individuals with normal voice but systematic vocal stress, 17.5% had impaired hearing at 14 and 16 kHz, as well as significant latency prolongation of the LLAEP wave N2 with tone stimulation at 1 and 4 kHz. Apparently, individuals of voice and speech professions should be referred to as the "risk" group. It may well be, that extended band audiometry and acoustic evoked potentials time patterns could be useful in determining the thresholds between the normality and pathology in voice dysfunctions.

Adolescent↗
PubMed1991

Psychogenic voice disorders: literature review and case report.

This paper explores some of the similarities and differences between hysteria and hypochondriasis and suggests that voice disorders are a prototype of disorders which reflect the intricate interplay of emotional, cognitive and physiological functions. Speech production requires the involvement of various systems of the body, including the central nervous system, respiratory and vocal systems. Voice disorders can take many different forms and can be caused by a variety of factors. A review of the relevant literature is presented along with a clinical case record of a woman with hysterical dysarthria.

Dysarthria↗
PubMed2003

Voice disorders in children with oral motor dysfunction: perceptual evaluation pre and post oral motor therapy.

A few clinical investigations of children's voices have suggested a relation between voice deviation and oral motor and sensory dysfunction. This motivated the present retrospective study of the occurrence of voice disorders in a group of children with oral motor problems. A further aim was to evaluate the effect of an oral motor and articulatory treatment programme upon voice function in this patient group. Subjects were 38 children with oral motor deficits who had received and finished therapy at the clinic. The recordings of a picture naming task, before onset of therapy and at therapy ending, were selected. The voices were presented in random order on a test tape and perceptually evaluated by an expert panel of speech pathologists. Eleven perceptual parameters were selected, based on previous investigations of children's voices. Ten of these parameters were represented by a 100 mm visual analogue scale. Register was represented by a categorical scale with the options chest, falsetto, and child voice register. The results were compared with previous investigations of child voice function. Results indicated: 1) The occurrence of voice disorders in the present group of children with oral motor difficulties was somewhat lower than in children with normal articulation. 2) Oral motor treatment also influenced and improved the perceptual impression of voice quality in this group.

Apraxias↗
PubMed1995

Alternative medicine: does it play a role in the management of voice disorders?

Alternative medicine has begun to receive the attention of the legitimate medical community. Recent evidence reveals that 34% of American adults interviewed reported using at least one unconventional therapy during 1994. A 3-month survey of patient inquiries, conducted at The Voice Center, Beth Israel Hospital, Boston, MA, U.S.A. revealed that 41% of patients made inquiries about the potential use of "unconventional approaches" in the management of their voice disorders. Alternative medicine, while largely unproven for efficacy, represents a rapidly growing approach. The present article defines several alternative medical practices, describes their theories and potential impact on the management of voice disorders, and calls for empirical studies to follow. The alternative practices discussed are limited to behavioral therapies such as massage therapy, creative visualization, Alexander, mindfulness, and mediatation.

Complementary Therapies↗
PubMed2006

[Voice disorders in recurrent laryngeal granuloma dependend on GERD].

The voice disorders in a case of recurrent laryngeal granuloma with chronic gastroesophageal reflux was described. There was emphasized necessity of complex treatment pharmacological and phoniatric, as well as there were pointed out some indications of microsurgery.

Combined Modality Therapy↗