Voice Deviations and Coexisting Communication Disorders

1992 ◽  
Vol 23 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Kenneth O. St. Louis ◽  
Gregory G. R. Hansen ◽  
Janice L. Buch ◽  
Tonia L. Oliver
Keyword(s):  
School Children ◽  
Pure Tone ◽  
Voice Disorders ◽  
Communication Disorders ◽  
Voice Disorder ◽  
Control Group ◽  
Hearing Thresholds ◽  
Communicative Disorders ◽  
Language Measures ◽  
The Voice

The purpose of this study was to determine the extent to which other communicative disorders coexist with voice disorders in school children. The authors randomly selected two voice deviant groups and a control group from a database of nearly 39,000 school children in grades 1–12. Hoarseness was the most commonly occurring voice disorder in both groups. The majority of voice disordered children had coexisting articulation deviations. In addition, the voice disordered samples differed significantly from controls on two language measures and mean pure-tone hearing thresholds. This study supports other research indicating that different communication disorders frequently coexist.

THE INVESTIGATION OF VOICE HANDICAP INDEX IN TEACHERS WITH AND WITHOUT SELF-RATED VOICE DISORDERS

2018 ◽  
Vol 3 ◽  
pp. 169-178
Author(s):  
Baiba Trinite
Keyword(s):  
Daily Activity ◽  
Voice Disorders ◽  
Voice Handicap Index ◽  
Voice Disorder ◽  
Control Group ◽  
Physical Comfort ◽  
The Impact ◽  
The Voice ◽  
Emotional Condition

Voice disorders restrict daily activity and impact the quality of life. The purpose of the study was to find out the impact of voice disorders on  functional, physical and emotional condition of teachers with and without self-reported voice disorders. Two hundred thirty-five teachers with self-reported voice problems (Voice disorder group) and 174 teachers with no voice problems (Control group) in anamnesis completed Latvian version of Voice Handicap Index-30 (VHI-30). Teachers with voice disorders demonstrated higher median scores in VHI-30 total scale and functional, physical, and emotional subscales (P<0.001). In teachers, voice disorders have a more significant impact on their physical comfort and have a smaller impact on their emotional sphere. 76.4% of the voice disorder group respondents acquired the total score within 12 to 33 points. In the control group, 75.3% of teachers had the VHI score of up to 17 points. Conclusions: In teacher population of Latvia mild voice disorders are encountered more often. Activity and participation in everyday life situations are limited in teachers with voice disorders. Voice disorders mostly impact physical comfort in teachers.

Evaluation of Hearing and Balance Functions of Patients with Sickle Cell Anemia

2018 ◽  
Vol 23 (2) ◽  
pp. 122-125 ◽  
Author(s):  
Elif Tugba Sarac ◽  
Bilgehan Boke ◽  
Semsettin Okuyucu
Keyword(s):  
Hearing Loss ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Pure Tone ◽  
Mixed Type ◽  
Normal Hearing ◽  
Spontaneous Nystagmus ◽  
Control Group ◽  
Hearing Thresholds ◽  
Significant Difference

Introduction: Sickle cell anemia is a disease characterized by a wide vaso-occlusive incident from micro-vascular incident to muscularactivity. The cochlear function can also get affected by this vaso-occlusion. Objective: It is aimed at determining what kind of effects sickle cell anemia has on hearing and balance system. Methods: This study has been conducted on 46 patients with sickle cell anemia and 45 healthy individuals. For all participants, their pure tone hearing thresholds and videonystagmography (VNG) findings have been determined in 17 frequencies between 125–16.000 Hz. Results: All hearing thresholds between 125 and 16,000 Hz, pure tone averages of patients with sickle cell anemia have been found statistically significant to be higher than the corresponding values in the control group(p < 0.05). The normal hearing rate of patients with sickle cell anemia has been determined to be 71.1% conductive hearing loss (CHL) to be 4.4%, sensorineural hearing loss (SNHL) to be 22.2%, and mixed type hearing loss to be 2.2% in right ear; the normal hearing rate has been determined to be 71.1%, CHL to be 2.2%, SNHL to be 22.2%, and mixed type hearing loss to be 4.4% in left ear. Statistically significant difference has not been found between head shake, spontaneous nystagmus, optokinetic, tracking test batteries, static and dynamic positional tests used in VNG, saccade accuracy and saccade peak velocity, which are saccadic test findings of 2 groups. However, saccadic latency, which is a saccadic test finding, has been determined to be longer in patients with sickle cell anemia in comparison to the control group. Conclusion: While sickle cell anemia causes hearing deficits, it does not have any effect on the central or peripheral vestibular system.

Clinical Investigations of Intermittent Breathy Dysphonia

1981 ◽  
Vol 46 (4) ◽  
pp. 428-432 ◽  
Author(s):  
David E. Hartman ◽  
Arnold E. Aronson
Keyword(s):  
Sex Ratio ◽  
Case History ◽  
Age At Onset ◽  
Voice Disorders ◽  
Voice Disorder ◽  
Connected Speech ◽  
Clinical Investigations ◽  
Voice Data ◽  
The Voice

Case history and voice data for 17 patients who presented with intermittent moments of breathy dysphonia (IBD) in contextual speech were analyzed. From recorded samples of vowel prolongation four variants of phonation were identified. Of 13 patients examined neurologically, 10 (77%) had positive neurologic signs. Psychiatric and physical illnesses were often associated with onset of the voice disorder. Sex ratio of the patients in this study was nearly the same as that for adductor spastic dysphonia. Age at onset was similar to that which has been described for "functional" voice disorders. Different therapies were generally ineffective in alleviating the disorder. Although not conclusive, patients presenting with IBD in connected speech may have an underlying neurologic or psychologic disorders.

scholarly journals Laryngeal and voice disorders in patients with gastroesophageal symptoms. Correlation with pH-monitoring

2012 ◽  
Vol 27 (11) ◽  
pp. 821-828 ◽  
Author(s):  
Regina Helena Garcia Martins ◽  
Anete Branco ◽  
Elaine Lara Mendes Tavares ◽  
Renata Mizusaki Iyomasa ◽  
Lída Raquel de Carvalho ◽  
...  
Keyword(s):  
Ph Monitoring ◽  
Voice Disorders ◽  
Clinical History ◽  
Voice Disorder ◽  
Monitoring Methods ◽  
Acoustic Parameters ◽  
Laryngeal Lesions ◽  
A Prospective Study ◽  
The Voice ◽  
Dual Probe

PURPOSE: To investigate laryngeal and voice disorders in patients with gastroesophageal symptoms and their correlation with pH-monitoring. METHODS: A prospective study was carried out in patients attended at the Voice Disorder Outpatient Clinics of Botucatu Medical School in a five-year period and had vocal and gastroesophagic symptoms. Patients underwent videolaryngoscopy, auditory-perceptual vocal analyses, computerized acoustic vocal analysis and dual probe pH-monitoring for 24 hours. RESULTS: Fifty-seven patients were included (aged between 21 and 65 years; 45 women and 12 men), 18 had normal (31.6%) and 39 had abnormal pH-monitoring results (68.4%). Videolaryngoscopy recorded several laryngeal lesions for both patients with normal and abnormal pH-monitoring, but mostly for the latter group, highlighting posterior pachyderma. Auditory-perceptual vocal assessments identified vocal changes of several intensities for both groups but especially for patients with abnormal pH-monitoring results. All acoustic parameters, except f0, were abnormal for both groups, compared to the control population. CONCLUSION: Acoustic and perceptual vocal changes and laryngeal lesions were recorded for both patients with normal pH-monitoring results and patients with abnormal pH-monitoring results, evidencing the importance of clinical history and videolaryngoscopic findings for diagnosing acid laryngitis.

Treatment Efficacy

1998 ◽  
Vol 41 (1) ◽  
Author(s):  
Lorraine Olson Ramig ◽  
Katherine Verdolini
Keyword(s):  
Medical Treatment ◽  
Voice Disorders ◽  
Voice Disorder ◽  
Future Research ◽  
Vocal Health ◽  
Physical Conditions ◽  
Voice Treatment ◽  
Before And After ◽  
The Voice

This article reviews the literature on the efficacy of treatment for voice disorders primarily using studies published in peer-reviewed journals. Voice disorders are defined, their frequency of occurrence across the life span is reported, and their impact on the lives of individuals with voice disorders is documented. The goal of voice treatment is to maximize vocal effectiveness given the existing disorder and to reduce the handicapping effect of the voice problem. Voice treatment may be (a) the preferred treatment to resolve the voice disorder when medical (surgical or pharmacological) treatments are not indicated; (b) the initial treatment in cases where medical treatment appears indicated; it may obviate the need for medical treatment; (c) completed before and after surgical treatment to maximize long-term post-surgical voice; and (d) a preventative treatment to preserve vocal health. Experimental and clinical data are reviewed that support these roles applied to various disorder types: (a) vocal misuse, hyperfunction and muscular imbalance (frequently resulting in edema, vocal nodules, polyps or contact ulcers); (b) medical or physical conditions (e.g., laryngeal nerve trauma, Parkinson disease); and (c) psychogenic disorders (e.g., conversion reactions, personality disorders). Directions for future research are suggested which maximize clinical outcomes and scientific rigor to enhance knowledge on the efficacy of voice treatment.

The Effect of Aging and the High-Frequency Auditory Threshold on Speech-Evoked Mismatch Negativity in a Noisy Background

2015 ◽  
Vol 21 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Junming Chen ◽  
Suijun Chen ◽  
Yiqing Zheng ◽  
Yongkang Ou
Keyword(s):  
Auditory Processing ◽  
High Frequency ◽  
Mismatch Negativity ◽  
Pure Tone ◽  
The Elderly ◽  
Elderly Subjects ◽  
Control Group ◽  
Central Auditory Processing ◽  
Hearing Thresholds ◽  
Noisy Background

Mismatch negativity (MMN) has been widely used to study the function of central auditory processing in the elderly. However, current research has not yet considered the effect of noise and high-frequency hearing threshold on MMN in the elderly. The aim of this study was to evaluate the effect of aging and high-frequency hearing loss on speech-related MMN in noisy backgrounds. Additionally, the possible mechanisms of central auditory processing dysfunction in the elderly were investigated. Fifty people aged 61-80 (70 ± 5.8) years were recruited for this study. They were divided into a 61- to 70-year-old group and a 71- to 80-year-old group. Fifty younger adults aged 21-40 (31 ± 5.3) years were recruited as healthy controls. Pure-tone hearing thresholds were recorded. A speech discrimination score (SDS) and a speech-evoked MMN under white noise with a bandwidth from 125 to 8,000 Hz background condition were recorded. The relationships between SDS and MMN latency and amplitude were analyzed. The effects of age and binaural 2,000-, 4,000- and 8,000-Hz pure-tone hearing thresholds on MMN latency and amplitude were analyzed. We found that the hearing thresholds of 2,000, 4,000 and 8,000 Hz in the 61- to 70-year-old and 71- to 80-year-old groups were higher than those in the control group. The SDS in a noisy background in the 61- to 70-year-old and 71- to 80-year-old groups were lower than those in the control group. Speech-evoked MMN latency was longer in the 61- to 70-year-old and in the 71- to 80-year-old groups than in the control group (215.8 ± 14.2 ms). SDS and speech-evoked MMN latency were negatively correlated. Age and speech-evoked MMN latency were positively correlated, as were the binaural 4,000- to 8,000-Hz pure-tone hearing thresholds and speech-evoked MMN. This study suggests that in elderly subjects, the function of preattentive central auditory processing changes. Additionally, increasing age and high-frequency hearing thresholds create a synergy in neurons that is weakened in the MMN time window, which may be a cause of central auditory processing disorders in elderly subjects in noisy background conditions.

scholarly journals Development of the Arabic Voice Pathology Database and Its Evaluation by Using Speech Features and Machine Learning Algorithms

2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Tamer A. Mesallam ◽  
Mohamed Farahat ◽  
Khalid H. Malki ◽  
Mansour Alsulaiman ◽  
Zulfiqar Ali ◽  
...  
Keyword(s):  
Machine Learning ◽  
English Language ◽  
Language Disorder ◽  
Learning Algorithms ◽  
Voice Disorders ◽  
Essential Element ◽  
Machine Learning Algorithms ◽  
Voice Disorder ◽  
Speech Features ◽  
The Voice

A voice disorder database is an essential element in doing research on automatic voice disorder detection and classification. Ethnicity affects the voice characteristics of a person, and so it is necessary to develop a database by collecting the voice samples of the targeted ethnic group. This will enhance the chances of arriving at a global solution for the accurate and reliable diagnosis of voice disorders by understanding the characteristics of a local group. Motivated by such idea, an Arabic voice pathology database (AVPD) is designed and developed in this study by recording three vowels, running speech, and isolated words. For each recorded samples, the perceptual severity is also provided which is a unique aspect of the AVPD. During the development of the AVPD, the shortcomings of different voice disorder databases were identified so that they could be avoided in the AVPD. In addition, the AVPD is evaluated by using six different types of speech features and four types of machine learning algorithms. The results of detection and classification of voice disorders obtained with the sustained vowel and the running speech are also compared with the results of an English-language disorder database, the Massachusetts Eye and Ear Infirmary (MEEI) database.

scholarly journals PENGARUH PAPARAN BISING TERHADAP AMBANG PENDENGARAN SISWA SMK NEGERI 2 MANADO JURUSAN TEKNIK KONSTRUKSI BATU BETON

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Monica Paskawita Haurissa
Keyword(s):  
Hearing Impairment ◽  
Pure Tone ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Communication Disorders ◽  
Cross Sectional ◽  
Hearing Thresholds ◽  
Cross Sectional Design ◽  
Stone Concrete ◽  
Microsoft Office

Abstract: Noise is unwanted sound, in this case the sound from wood smoothing machine. Noise can cause various health problems such as physiological disorders, psychological disorders, communication disorders, and deafness. Indonesia based on survey data Senses Sight and Hearing Health in 1994-1996 showed the prevalence of hearing loss ( 16.8 % ) and highest in the school age group ( 7-18 ) years . The purpose of this study is to determine the effect of noise exposure on hearing threshold. This study is an observational survey description with a cross-sectional design. The research sample of 20 students of SMK Negeri 2 Manado Stone Concrete Construction Engineering class XI and XII who met the inclusion criteria. The data was collected using a Pure Tone Audiometer examination. The data is processed using Microsoft Office Excel 2007. The results showed that students with exposure to 100-105 dB noise, as much as 4 students with hearing impairment percentage (20%) and 16 students with a percentage (80%) did not hearing impairment. Conclusion: there is the effect of noise exposure on hearing thresholds. Keywords: hearing thresholds, noise exposure   Abstrak: Kebisingan adalah suara yang tidak dikehendaki, dalam hal ini adalah bising mesin penghalus kayu. Bising dapat menyebabkan berbagai gangguan kesehatan seperti gangguan fisiologis, gangguan psikologis, gangguan komunikasi, dan ketulian. Data Indonesia berdasarkan survei Kesehatan Indera Penglihatan dan Pendengaran tahun 1994-1996 menunjukan prevalensi gangguan pendengaran (16,8 %) dan paling tinggi pada kelompok usia sekolah (7-18) tahun. Tujuan dari penelitian ini yaitu mengetahui pengaruh paparan bising terhadap ambang pendengaran. Penelitian ini bersifat survei deskripsi observasional dengan desain potong lintang. Sampel penelitian yaitu 20 siswa SMK Negeri 2 Manado Jurusan Teknik Konstruksi Batu Beton kelas XI dan XII yang memenuhi kriteria inklusi. Pengumpulan data dilakukan dengan pemeriksaan menggunakan Pure Tone Audiometer. Data diolah menggunakan Microsoft Office Excel 2007. Hasil penelitian menujukan bahwa siswa dengan paparan bising 100 – 105 dB, sebanyak 4 siswa mengalami gangguan pendengaran dengan persentase (20 %) dan 16 siswa dengan persentase (80 %) tidak mengalami gangguan pendengaran. Simpulan: terdapat pengaruh paparan bising terhadap ambang pendengaran. Kata kunci: ambang pendengaran; paparan bising.

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.

Evidence-Based Clinical Voice Assessment: A Systematic Review

2013 ◽  
Vol 22 (2) ◽  
pp. 212-226 ◽  
Author(s):  
Nelson Roy ◽  
Julie Barkmeier-Kraemer ◽  
Tanya Eadie ◽  
M. Preeti Sivasankar ◽  
Daryush Mehta ◽  
...  
Keyword(s):  
English Language ◽  
Voice Disorders ◽  
Communication Disorders ◽  
Test Method ◽  
Voice Disorder ◽  
Sufficient Evidence ◽  
Evidence Based ◽  
High Quality Research ◽  
Voice Assessment ◽  
Acoustic Measures

Purpose To determine what research evidence exists to support the use of voice measures in the clinical assessment of patients with voice disorders. Method The American Speech-Language-Hearing Association (ASHA) National Center for Evidence-Based Practice in Communication Disorders staff searched 29 databases for peer-reviewed English-language articles between January 1930 and April 2009 that included key words pertaining to objective and subjective voice measures, voice disorders, and diagnostic accuracy. The identified articles were systematically assessed by an ASHA-appointed committee employing a modification of the critical appraisal of diagnostic evidence rating system. Results One hundred articles met the search criteria. The majority of studies investigated acoustic measures (60%) and focused on how well a test method identified the presence or absence of a voice disorder (78%). Only 17 of the 100 articles were judged to contain adequate evidence for the measures studied to be formally considered for inclusion in clinical voice assessment. Conclusion Results provide evidence for selected acoustic, laryngeal imaging–based, auditory–perceptual, functional, and aerodynamic measures to be used as effective components in a clinical voice evaluation. However, there is clearly a pressing need for further high-quality research to produce sufficient evidence on which to recommend a comprehensive set of methods for a standard clinical voice evaluation.

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