The Voice Problem Impact Scales (VPIS)

2021 ◽  
Author(s):  
Maria Eugenia Castro ◽  
Lauren Timmons Sund ◽  
Matthew R. Hoffman ◽  
Edie R. Hapner
Keyword(s):  
The Voice ◽  
Voice Problem

Public School Voice Clinics, Part I

1984 ◽  
Vol 15 (1) ◽  
pp. 51-57
Author(s):  
Sandra Q. Miller ◽  
Charles L. Madison
Keyword(s):  
Public School ◽  
School District ◽  
Voice Disorders ◽  
Urban School ◽  
Urban School District ◽  
Local School District ◽  
Local School ◽  
Perceived Need ◽  
The Voice ◽  
Voice Problem

The purpose of this article is to show how one urban school district dealt with a perceived need to improve its effectiveness in diagnosing and treating voice disorders. The local school district established semiannual voice clinics. Students aged 5-18 were referred, screened, and selected for the clinics if they appeared to have a chronic voice problem. The specific procedures used in setting up the voice clinics and the subsequent changes made over a 10-year period are presented.

scholarly journals Voice problem in a patient with chronic renal failure

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Effat Ahmed Zaky ◽  
Haytham Mamdouh ◽  
Olivia Esmat ◽  
Zeinab Khalaf
Keyword(s):  
Kidney Failure ◽  
Medical Condition ◽  
Chronic Kidney Failure ◽  
Statistical Correlation ◽  
The Body ◽  
Voice Disorder ◽  
Acoustic Measures ◽  
And Control ◽  
The Voice ◽  
Voice Problem

Abstract Background Chronic kidney failure is an irreversible medical condition that impairs the kidney’s ability to function. When CRF reaches a sophisticated stage, dangerous levels of fluid, electrolytes, and wastes can accumulate within the body. Dysphonia detected within the CRF patients was due to affection of the chronic kidney failure on the system and phonatory system. Patients with CRF treated by hemodialysis are exposed to continuous pulmonary insults of multifactorial origin: Fluid retention predisposes them to pulmonary edema which occurs more frequently within the presence of concomitant cardiovascular disease. Also, the spirit of the kidney failure patients can induce psychogenic dysphonia. The aim of this work is to see and analyzed voice problems in patients with chronic kidney failure to ascertain baseline data about the scale and distribution of the probable voice disorder in these patients for early detection and proper management. Results The results obtained from this study showed that there have been statistically significant differences between chronic kidney failure patients G1 and control G2 regarding first harmonic, jitter %, shimmer dB and noise harmonic ratio dB, presence of dysphonia, and also the total score of VHI. The results of the study revealed statistical correlation between the quantity of years of hemodialysis and total acoustic measures. Conclusion The results of our study revealed that subjects with chronic failure exhibit a clinical evidence of voice disorders and proving that there is interplay of different body systems and the larynx. The voice problems can vary between CRF patients depending on duration of hemodialysis and leading causes of chronic kidney failure.

scholarly journals Perceived vocal morbidity in a problem asthma clinic

2008 ◽  
Vol 123 (1) ◽  
pp. 96-102 ◽  
Author(s):  
A E Stanton ◽  
C Sellars ◽  
K MacKenzie ◽  
A McConnachie ◽  
C E Bucknall
Keyword(s):  
Symptom Score ◽  
Objective Assessment ◽  
Language Therapy ◽  
Predictive Tool ◽  
Experienced Observer ◽  
Positive Correlations ◽  
Function Range ◽  
And Function ◽  
The Voice ◽  
Voice Problem

AbstractAims:Asthma treatment has the potential to affect patients' voices. We undertook detailed characterisation of voice morbidity in patients attending a problem asthma clinic, and we determined how patients' perceptions related to objective assessment by an experienced observer.Methods:Forty-three patients took part in the study. Subjects completed the self-administered voice symptom score (VoiSS) questionnaire and underwent digital voice recording. These voice recordings were scored using the grade–roughness–breathiness–asthenicity–strain system (GRBAS). Laryngoscopy was also performed.Results:The median VoiSS was 26 (range three to 83). VoiSS were significantly lower in the 17 patients with normal laryngeal structure and function (range four to 46; median 22), compared with the 26 patients with functional or structural laryngeal abnormality (range three to 83; median 33) (95 per cent confidence intervals for difference 0.0–21.0; p = 0.044). The overall grade score for the GRBAS scale did not differ between these two groups, and only 13 patients had a GRBAS score of one or more, recognised as indicating a voice problem. There were positive correlations between related GRBAS score and voice symptom score subscales. Although voice symptom scores were significantly more abnormal in patients with structural and functional abnormalities, this score performed only moderately well as a predictive tool (sensitivity 54 per cent; specificity 71 per cent). Nevertheless, the voice symptom score performed as well as the more labour-intensive GRBAS score (sensitivity 57 per cent; specificity 60 per cent). Patients' inhaled corticosteroid dose (median dose 1000 µg beclomethasone dipropionate or equivalent) had a statistically significant relationship with their overall grade score for the GRBAS scale (r = 0.56; p < 0.001), but not with their VoiSS. Only one patient had evidence of laryngeal candidiasis, and only two had any evidence of abnormality suggesting steroid-induced myopathy.Conclusions:Vocal morbidity is common in patients with asthma, and should not be immediately attributed to steroid-related candidiasis. The VoiSS merits further, prospective validation as a screening tool for ENT and/or speech and language therapy referral in patients with asthma.

Preliminary Findings on Self-Reported Voice Disorders in Urban Ghana: A Qualitative Description Study

2020 ◽  
Vol 42 (1) ◽  
pp. 40-49
Author(s):  
Clement Amponsah ◽  
Godwin Tettevi ◽  
Leticia Gomado ◽  
Alicia Heitzman ◽  
Aaron Ziegler
Keyword(s):  
Early Identification ◽  
Voice Disorders ◽  
Structured Interview ◽  
Qualitative Description ◽  
Financial Resources ◽  
Voice Disorder ◽  
Language Therapist ◽  
Care Access ◽  
The Voice ◽  
Voice Problem

This preliminary qualitative description study explored knowledge from urban Ghanaians about the nature and impact of their self-reported voice problem. Ten Ghanaians were screened for a self-reported voice disorder using the Voice Handicap Index–10 (VHI-10), and they also completed a structured interview with a speech-language therapist. Content analysis was completed from interview responses using quantification of data. Four out of 10 adult Ghanaians demonstrated high VHI-10 scores that indicated a self-reported voice disorder. Themes that emerged included a recurring problem with voice, multiple vocal impairments, limitations with participating in vocal activities, and other health problems. Lack of financial resources and little knowledge about voice disorders were barriers to accessing care. In summary, four adult Ghanaians with a self-reported voice disorder described multiple problems with their voice, limiting their participation in vocal activities. Implications of these preliminary findings include early identification and improving voice care access to avoid handicapping voice problems.

Psychotherapy versus Voice Therapy for a Child with a Deviant Voice, a Case Study

1970 ◽  
Vol 30 (3) ◽  
pp. 887-891 ◽  
Author(s):  
Doris P. Mosby
Keyword(s):  
Social Interactions ◽  
Vocal Cord ◽  
Voice Therapy ◽  
Voice Change ◽  
Personality Functioning ◽  
The Voice ◽  
Voice Problem ◽  
Insight Into

A case study is presented of a boy, age 10–11, who had a “severe voice problem” characterized by hoarseness, stridency, tension, low pitch and the presence of vocal cord nodules. He proved resistive to traditional voice therapy techniques in two separate blocks of voice therapy. Only minimal changes were made initially in psychotherapy alone. Nodules continued to recur. However, the modest gains initiated in psychotherapy became more marked in a second block of psychotherapy. The voice therapy alone did not produce such consistent gains. A discernible voice change in the range of normal quality was noted. Behavior became characterized by less manifest tension and diminished aggression in overt acts. Self-insight into how the voice was used aggressively in social interactions was developed. At an ENT examination 4 mo. after termination of psychotherapy, no vocal-cord nodules were found. At an interview follow-up 13 mo. after psychotherapy, personality functioning appeared to be adequate. It is suggested that (1) psychotherapy may be the preferred method of treatment for functional voice deviations which are resistive to the “usually successful” voice therapy and (2) voice therapy in conjunction with psychotherapy seems to yield lasting improvement in both the voice and the behavior of a client.

Hormone Replacement Therapy and Voice

2019 ◽  
Vol 4 (4) ◽  
pp. 607-614
Author(s):  
Jean Abitbol
Keyword(s):  
Replacement Therapy ◽  
Symptom Severity ◽  
Low Dose ◽  
Hormone Replacement ◽  
Clinical Signs ◽  
Female Voice ◽  
Fat Cells ◽  
High Pitch ◽  
Endocrine Effects ◽  
The Voice

The purpose of this article is to update the management of the treatment of the female voice at perimenopause and menopause. Voice and hormones—these are 2 words that clash, meet, and harmonize. If we are to solve this inquiry, we shall inevitably have to understand the hormones, their impact, and the scars of time. The endocrine effects on laryngeal structures are numerous: The actions of estrogens and progesterone produce modification of glandular secretions. Low dose of androgens are secreted principally by the adrenal cortex, but they are also secreted by the ovaries. Their effect may increase the low pitch and decease the high pitch of the voice at menopause due to important diminution of estrogens and the privation of progesterone. The menopausal voice syndrome presents clinical signs, which we will describe. I consider menopausal patients to fit into 2 broad types: the “Modigliani” types, rather thin and slender with little adipose tissue, and the “Rubens” types, with a rounded figure with more fat cells. Androgen derivatives are transformed to estrogens in fat cells. Hormonal replacement therapy should be carefully considered in the context of premenopausal symptom severity as alternative medicine. Hippocrates: “Your diet is your first medicine.”

In the Limelight: The Voice Virtuoso

ASHA Leader ◽  
2014 ◽  
Vol 19 (2) ◽  
pp. 22-23
Author(s):  
Kellie Rowden-Racette
Keyword(s):  
The Voice
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