scholarly journals Effects of a conservative in-patient voice treatment on the voice-related self-concept

2021 ◽  
Author(s):  
Bernhard Lehnert ◽  
Manfred Nusseck ◽  
Fei Lu ◽  
Annerose Keilmann
Keyword(s):  
Short Form ◽  
Voice Therapy ◽  
Self Concept ◽  
Voice Rehabilitation ◽  
Voice Treatment ◽  
Patient Voice ◽  
Male Patients ◽  
Missing Items ◽  
The Relationship ◽  
The Voice

Abstract Purpose Observational study to determine if the voice-related self-concept as measured via the Fragebogen zur Erfassung des Stimmlichen Selbstkonzepts FESS (questionnaire for the assessment of the voice self-concept) can be improved through in-patient voice therapy. Methods 234 female and 80 male patients that underwent an intensive 3- to 4-week in-patient voice treatment due to varying types of dysphonia. After imputation of missing items but not missing questionnaires, 255 patients were eligible for FESS evaluation, 313 for VHI-12 evaluation. The German questionnaire for the assessment of the voice self-concept (FESS) and the German 12-item short-form of the Voice Handicap Index (VHI-12) were administered at the beginning and at the end of the hospital stay. Before–after comparisons are made visually and via t test. Results The Voice Handicap was significantly reduced, demonstrating the effectiveness of the administered therapy. Of the three scales of the FESS, the relationship with one's own voice and the awareness of the use of one's own voice was increased and thus improved. The connection between voice and emotional changes decreased significantly but only slightly. Conclusion Conservative voice rehabilitation can not only reduce the voice handicap, but also improve the voice self-concept and the results can be measured.

Voice Therapy Telepractice; Voice Care For The 21 st Century

2013 ◽  
Vol 23 (3) ◽  
pp. 74-81 ◽  
Author(s):  
Michael Towey
Keyword(s):  
Insurance Coverage ◽  
Voice Therapy ◽  
Accountable Care ◽  
Significant Cost ◽  
Service Delivery Models ◽  
Voice Treatment ◽  
Bill Gates ◽  
The Voice ◽  
Delivery Models ◽  
Therapy Treatment

“America’s high schools are obsolete […] designed 50 years ago to meet the needs of another age.” – Bill Gates, National Governors’ Conference, 2005. Obsolete and designed for another time—the same could be said for our existing health care system, treatment approaches, and service delivery models. The emergence of outcome-based payment by Accountable Care Organizations, severe restrictions in funding, and limited or absent insurance coverage for voice treatment are powerful drivers for more effective voice therapy treatment. Findings reported from the Voice and Swallowing Center of Maine support significant cost reductions to payers when telepractice is used in voice treatment (Towey, 2012a). This article describes three distinct applications of voice telepractice that expands conventional thinking about voice therapy and voice therapy telepractice. It is believed these presented cases are the first published examples that demonstrate the efficacy of voice telepractice to: (1) assess and fit a device for a laryngectomee; (2) complete virtual musculoskeletal assessment of a voice patient; and (3) provide virtual simultaneous co-treatment in voice therapy.

scholarly journals Role of Voice Therapy in Patients with Mutational Falsetto

2015 ◽  
Vol 5 (1) ◽  
pp. 25-27 ◽  
Author(s):  
Raj Kumar ◽  
Alok Kumar Agrahari
Keyword(s):  
Acoustic Analysis ◽  
Voice Therapy ◽  
Voice Disorder ◽  
P Value ◽  
Perceptual Analysis ◽  
Emotional Component ◽  
Male Patients ◽  
The Voice ◽  
Post Therapy

ABSTRACT Background Mutational falsetto is the most common mutational voice disorder, found in all ages. Clinicians often miss this diagnosis due to unfamiliarity with the condition. The voice of a person with mutational falsetto is high pitched, weak, thin, breathy, hoarse and monopitched. Objective This study was carried out to evaluate the efficacy of voice therapy in persons with mutational falsetto. Methods Eleven male patients with ages between 18 and 26 years (mean age 22.18 years, SD 2.52) diagnosed with mutational falsetto underwent acoustical analysis using Praat Software, perceptual analysis using grade, roughness, breathiness, asthenia and strain (GRBAS) scale and psychosocial analysis using emotional component of voice handicap index (VHI). All the components were analyzed pre- and postvoice therapy. Results Improvement in acoustic analysis parameters was statistically significant with p-value less than 0.0001(pretherapy mean of fundamental frequency (F0) was 217.45 with SD 8.68, whereas post-therapy mean of F0 was 127.50 with SD 5.32). Significant improvement in perceptual analysis was seen post-therapy on GRBAS scale. Improvement in psychosocial aspect was also statistically significant with p-value less than 0.0001 (pre-therapy mean 26.18, SD 1.72 post-therapy mean 7, SD 1.15). Conclusion Voice therapy plays an important role in lowering F0 and alleviation mental agony of the patients with mutational falsetto. How to cite this article Varma A, Agrahari AK, Kumar R, Kumar V. Role of Voice Therapy in Patients with Mutational Falsetto. Int J Phonosurg Laryngol 2015;5(1):25-27

Health Plan Denials and Appeals

2008 ◽  
Vol 18 (1) ◽  
pp. 27-32
Author(s):  
Sandra Schwartz ◽  
Janet McCarty
Keyword(s):  
Health Plan ◽  
Voice Therapy ◽  
Voice Treatment ◽  
Independent Review

Abstract Challenging health plan denials for voice treatment through appeals or advocacy efforts can pay off. This article describes the process of obtaining authorization for voice therapy, filing claims, establishing goals, preparing needed documentation, appealing claims through various levels including independent review, and developing an advocacy campaign if coverage is not offered or is very limited.

The relationship between social short-form videos and youth’s well-being: It depends on usage types and content categories.

2021 ◽  
Author(s):  
Yiling Wu ◽  
Xiaonan Wang ◽  
Skylar Hong ◽  
Min Hong ◽  
Meng Pei ◽  
...  
Keyword(s):  
Short Form ◽  
Well Being ◽  
The Relationship

Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation

2014 ◽  
Vol 6 (4) ◽  
Author(s):  
Janusz Kocjan ◽  
Andrzej Knapik
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Short Form ◽  
Social Activity ◽  
Self Assessment ◽  
Rehabilitation Process ◽  
Sf 36 ◽  
Polish Version ◽  
High Level ◽  
The Relationship

AbstractBackground: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined.Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) - patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey.Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant.Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process

scholarly journals The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety

2020 ◽  
Vol 18 (1) ◽  
pp. 236
Author(s):  
E-Jin Park ◽  
Shin-Young Kim ◽  
Yeeun Kim ◽  
Dajung Sung ◽  
Bora Kim ◽  
...  
Keyword(s):  
Adverse Childhood Experiences ◽  
Sleep Problems ◽  
Short Form ◽  
Community Sample ◽  
Mediating Effect ◽  
Self Report ◽  
Depression And Anxiety ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Relationship

Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.

scholarly journals Sociometric types, behavioral categories and intellectual abilities in adolescents

2017 ◽  
Vol 7 (2) ◽  
pp. 69-85
Author(s):  
Cándido Inglés ◽  
David Aparisi ◽  
José García-Fernández ◽  
Juan Luis Castejón ◽  
María Martínez-Monteagudo
Keyword(s):  
Predictor Variable ◽  
Self Concept ◽  
Intellectual Abilities ◽  
Mental Abilities ◽  
Intellectual Skills ◽  
The Relationship

The aim of this study was to analyze the relationship between sociometric types, behavioral categories, and intellectual abilities in a sample of 1349 (51.7% boys) Spanish adolescents, ranging in age from 12 to 16 years. The students' sociometric nomination was performed by the Programa Socio and academic self-concept was measured by the Primary Mental Abilities Test (PMA; Thurstone, 1938; TEA, 1996). The hypotheses of the study suggest, firstly, that students positively nominated by their peers will present significantly higher scores on different scales of the PMA than students negatively nominated by their peers and, secondly, that intellectual skills will be a predictor variable statistically significant of sociometric types and behavioral categories. Results show that students nominated positively obtained significantly higher scores on the different intellectual abilities that nominees negatively. Intellectual abilities were a significant predictor of sociometric types because with increasing the score on the different intellectual abilities students were more likely to be nominated by their peers positively.

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