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.

scholarly journals A comparative study of the voice-related quality of life among Egyptian elderly with and without voice complaints

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nesreen Fathi Mahmoud ◽  
Huda Zahran ◽  
Sherif Abdelmonam
Keyword(s):  
Quality Of Life ◽  
Elderly Population ◽  
Life Quality ◽  
Voice Disorders ◽  
The Elderly ◽  
Different Types ◽  
Related Quality ◽  
The Impact ◽  
The Voice

Abstract Background This study focuses on the self-perception of the voice in the elderly as assessed by the Voice-Related Quality of Life (V-RQOL) questionnaire. This work aimed to compare differences in the voice-related quality of life outcomes between (1) elderly with and without voice disorders, (2) female and male elderly with voice disorders, and (3) different types of voice disorders, and to explore the correlation between the V-RQOL and perceptual analysis done by the clinician. Forty-three dysphonic and 44 non-dysphonic elderly filled out the Voice-Related Quality of Life (V-RQOL) protocol that analyzes the impact of dysphonia on life quality. Vocal perceptual assessment of each subject with dysphonia was made by three voice therapists, followed by a flexible nasofibrolaryngoscope. Results A significant statistical difference was found between the means of total V-RQOL scores and its subdomains for each group (dysphonic and non-dysphonic). No significant differences were found between male and female elderly with dysphonia. The statistical analysis showed a significant correlation with the vocal assessment made by the clinicians and the V-RQOL self-assessment made by the subjects. Conclusions This study provides valuable information regarding the risk factors that contribute to vocal quality in the elderly population. Our results revealed that different types of voice disorders are common among the elderly population with significant negative effects on quality of life. It was observed that the poorest score on the V-RQOL was for functional voice disorders, followed by neoplastic lesions, whereas MAPLs had the best score on the V-RQOL.

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.

scholarly journals A Comparison of Quality of Life in Adults With Voice Disorders Before and After Voice Therapy

2019 ◽  
Vol 42 (2) ◽  
pp. 30-37
Author(s):  
Tipwaree Aueworakhunanan ◽  
Kalyanee Makarabhirom ◽  
Dechavudh Nityasuddhi
Keyword(s):  
Quality Of Life ◽  
Acoustic Analysis ◽  
Voice Quality ◽  
Voice Disorders ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Therapy Program ◽  
Before And After ◽  
The Voice

Background: Previous studies have documented the effectiveness of voice therapy in terms of voice quality outcomes rather than quality of life outcomes. Objective: To compare the quality of life among patients with voice disorders, before and after voice therapy. Methods: Thirty-six patients with voice disorders who visited the Speech Clinic at Ramathibodi Hospital from March 2013 to January 2015 were enrolled. Thirty minutes per session within 10 weeks period of voice therapy program were used. The voice therapy approaches included direct and indirect therapy. The outcomes of this study were measured using Dr. Speech software version 5 for acoustic analysis and the Voice Handicap Index in Thai version for quality of life. Data was analyzed by descriptive and inferential statistics (Paired t test). Results: The total participants were 36 patients with a mean age of 51.31 years. They were divided to 4 groups according to the causes of voice disorders that were 18 patients for structural cause, 8 patients for functional cause, 6 patients for neurological cause, and 4 patients for inflammatory cause. The results for both voice quality and quality of life after voice therapy improved and showed statistically significant differences (P < .05). The patients with all causes of voice disorders were statistically significant differences in total the Voice Handicap Index scores (P < .05). Moreover the structural causes group exhibited statistically significant differences in all subscales (P < .05) but the others causes groups were not statistically significant differences in emotional subscale for functional causes, physical subscale for neurological causes, and functional subscale for inflammatory cause (P > .05) Conclusions: Voice therapy might be an effective treatment to decrease the severity of voice disorders in role of voice quality and quality of life, especially voice disorders from structural causes.

scholarly journals Characteristics of Speech and Voice as Predictors of the Quality of Communication in Adults with Hypokinetic Dysarthria

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Ivana Arsenic ◽  
Nadica Jovanovic Simic ◽  
Mirjana Petrovic Lazic ◽  
Ivana Sehovic ◽  
Bojana Drljan
Keyword(s):  
Spectral Analysis ◽  
Regression Analysis ◽  
Significant Contribution ◽  
Voice Disorder ◽  
Self Assessment ◽  
Acoustic Characteristics ◽  
Hypokinetic Dysarthria ◽  
The Impact ◽  
The Voice

Abstract Hypokinetic dysarthria is characterized by a speech that gradually becomes monotonous, poorly modulated, quiet and ultimately unintelligible. The goal of this research is to determine the acoustic characteristics of voice and speech in adults with hypokinetic dysarthria and the impact of the altered voice on the quality of communication. The sample consisted of 30 elderly respondents of both genders with Parkinson’s disease and hypokinetic dysarthria. In order to conduct a spectral analysis, the voice of patients was recorded while they were reading phonetically balanced text. The respondents conducted a self-assessment of the degree of their own handicap caused by voice disorder and impact of the voice handicap by completing the Voice Handicap Index (VHI). Statistically significant differences were determined in the position of some formants in respondents compared to the values of formants in typical speakers for the following vowels: F1 of the vowel /I/ and F2 of the vowels /E/, /I/, /O/ and /U/. By examining the relation between the score achieved on the VHI instrument and the value of formants, the only statistically significant correlation was achieved between the formant F1 of the vowel /A/ and functional and emotional subscale. By regression analysis used to determine the predictor of the quality of communication, it was confirmed that F1 of the vowel /A/ has a statistically significant contribution to the explanation of the score achieved on functional and emotional subscale, by explaining 15% of the functional subscale (Beta=−0,393 (11,30 – 47,37)) and 10% of the emotional subscale (Beta=−0,363 (−0,052 – 0,000)).

Voice Activity and Participation Profile

2001 ◽  
Vol 44 (3) ◽  
pp. 511-524 ◽  
Author(s):  
Estella P-M. Ma ◽  
Edwin M-L. Yiu
Keyword(s):  
Quality Of Life ◽  
Voice Disorders ◽  
Activity Limitation ◽  
World Health ◽  
Control Group ◽  
Participation Restriction ◽  
Restricted Participation ◽  
The Impact ◽  
Voice Problem

Traditional clinical voice evaluation focuses primarily on the severity of voice impairment, with little emphasis on the impact of voice disorders on the individual’s quality of life. This study reports the development of a 28-item assessment tool that evaluates the perception of voice problem, activity limitation, and participation restriction using the International Classification of Impairments, Disabilities and Handicaps-2 Beta-1 concept (World Health Organization, 1997). The questionnaire was administered to 40 subjects with dysphonia and 40 control subjects with normal voices. Results showed that the dysphonic group reported significantly more severe voice problems, limitation in daily voice activities, and restricted participation in these activities than the control group. The study also showed that the perception of a voice problem by the dysphonic subjects correlated positively with the perception of limitation in voice activities and restricted participation. However, the self-perceived voice problem had little correlation with the degree of voice-quality impairment measured acoustically and perceptually by speech pathologists. The data also showed that the aggregate scores of activity limitation and participation restriction were positively correlated, and the extent of activity limitation and participation restriction was similar in all except the job area. These findings highlight the importance of identifying and quantifying the impact of dysphonia on the individual’s quality of life in the clinical management of voice disorders.

scholarly journals Psychosocial impact on puberphonic and effectiveness of voice therapy: A case report

1970 ◽  
Vol 6 (1) ◽  
pp. 57-62 ◽  
Author(s):  
B Bhattarai ◽  
A Shrestha ◽  
Sunil Kumar Shah
Keyword(s):  
Voice Quality ◽  
Voice Therapy ◽  
Treatment Modalities ◽  
Voice Disorder ◽  
Social Aspect ◽  
Medical Sciences ◽  
The Past ◽  
The Impact ◽  
The Voice

Puberphonia is a rare disorder, in which the patient manifests higher register voice than others of their same age group. Manifestation is less in women than men. The prevalence is 1 in 900,000. Apart from impact on voice of patient, puberphonia also has impact on the psycho-social aspect. Different treatment modalities have been put forward in the past, many of which lack validity and EBP. Voice therapy has proven to be the most effective in the management of puberphonia. Voice Handicap Index (VHI) is a tool for assessing the perceived handicap by the patient. VHI has 3 parts and overall score of 120 and individual subset has score of 40 each. Result: Patient who received voice therapy obtained better score on the overall scale as well as on each subsets of the VHI. Conclusion: The study concludes that the voice therapy not only improves the voice quality of the patient, but also improves the quality of life of the patient. The impact of voice disorder (puberphonia) is most prominent on the emotional section. Keywords: Puberphonia; voice therapy; VHI. DOI: 10.3126/jcmsn.v6i1.3605 Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 1, 57-62

scholarly journals Impact and cost-effectiveness evaluation of a community-based rehabilitation intervention on quality of life among Chinese adults with hearing loss: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xin Ye ◽  
Dawei Zhu ◽  
Siyuan Chen ◽  
Xuefeng Shi ◽  
Rui Gong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Cost Effectiveness ◽  
Treatment Group ◽  
Hearing Aids ◽  
Control Group ◽  
Chinese Adults ◽  
Community Based ◽  
The Impact

Abstract Background Hearing loss is quite prevalent and can be related to people’s quality of life. To our knowledge, there are limited studies assessing the efficacy of hearing interventions on quality of life in adults. Therefore, we aim to conduct a randomized controlled trial (RCT) to determine the impact and cost-effectiveness of community-based hearing rehabilitation on quality of life among Chinese adults with hearing loss. Methods/design In this two-arm feasibility study, participants aged 16 and above with some degree of hearing loss (n = 464) will be recruited from Linyi City, Shandong Province. They are randomly assigned to the treatment group or the control group. Those in the treatment group are prescribed with hearing aids, while those in the control group receive no intervention. Reinstruction in use of devices is provided for the treatment group during booster visits held 12 months post-randomization or unscheduled interim visits when necessary. Data are collected at baseline and the follow-up 20 months later. The primary outcome is changes in quality of life over a 20-month study period. Secondary outcomes include sub-dimensions in quality of life, physical functioning, chronic diseases, cognitive function, depression, social support, hospitalizations, falls, and healthcare costs. Finally, we will evaluate whether hearing aids intervention is cost-effective to apply in a large scale. Discussion The trial is designed to evaluate the impact and cost-effectiveness of a community-based rehabilitation intervention on quality of life among Chinese adults with hearing loss. We hope that it would help improve the well-being for Chinese adults and provide references in policy and practice for China and other countries. Trial registration Chinese Clinical Trial Registry ChiCTR1900024739. Registered on 26 July 2019.

scholarly journals A Randomized Controlled Trial of Two Semi-Occluded Vocal Tract Voice Therapy Protocols

2015 ◽  
Vol 58 (3) ◽  
pp. 535-549 ◽  
Author(s):  
Mara R. Kapsner-Smith ◽  
Eric J. Hunter ◽  
Kimberly Kirkham ◽  
Karin Cox ◽  
Ingo R. Titze
Keyword(s):  
Quality Of Life ◽  
Vocal Tract ◽  
Controlled Trial ◽  
Voice Quality ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Control Group ◽  
Perceptual Evaluation ◽  
Therapy Program

PurposeAlthough there is a long history of use of semi-occluded vocal tract gestures in voice therapy, including phonation through thin tubes or straws, the efficacy of phonation through tubes has not been established. This study compares results from a therapy program on the basis of phonation through a flow-resistant tube (FRT) with Vocal Function Exercises (VFE), an established set of exercises that utilize oral semi-occlusions.MethodTwenty subjects (16 women, 4 men) with dysphonia and/or vocal fatigue were randomly assigned to 1 of 4 treatment conditions: (a) immediate FRT therapy, (b) immediate VFE therapy, (c) delayed FRT therapy, or (d) delayed VFE therapy. Subjects receiving delayed therapy served as a no-treatment control group.ResultsVoice Handicap Index (Jacobson et al., 1997) scores showed significant improvement for both treatment groups relative to the no-treatment group. Comparison of the effect sizes suggests FRT therapy is noninferior to VFE in terms of reduction in Voice Handicap Index scores. Significant reductions in Roughness on the Consensus Auditory-Perceptual Evaluation of Voice (Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kraemer, & Hillman, 2009) were found for the FRT subjects, with no other significant voice quality findings.ConclusionsVFE and FRT therapy may improve voice quality of life in some individuals with dysphonia. FRT therapy was noninferior to VFE in improving voice quality of life in this study.

Analysis of the Impact of Personalized Nursing Service and Hospice Care on the Quality of Life of Elderly Cancer Patients

2021 ◽  
Vol 7 (4) ◽  
pp. 469-473
Author(s):  
Ting Fang ◽  
Nian Wang ◽  
Meng Chen ◽  
Hongmei Ma
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Hospice Care ◽  
Pain Treatment ◽  
Control Group ◽  
Study Group ◽  
The Difference ◽  
The Impact

Objective Explore the impact of personalized nursing services and hospice care on the quality of life of elderly patients with advanced cancer. Method We selected 80 elderly cancer patients admitted to our hospital from September 2020 to May 2021, and divided these patients into a study group and a control group using a random number table method. The patients in the control group used conventional nursing methods to treat and care for the patients, and the patients in the study group used hospice care measures and combined personalized nursing measures. The quality of life and pain treatment effects of the two groups of patients before and after treatment were compared. Result Before treatment, the quality-of-life scores of the two groups of patients were low, and there was no statistical difference (P>0.05); After treatment, the quality of life of the two groups of patients improved, but compared with the control group, the improvement was more obvious in the study group, and the difference was statistically significant (P<0.05). In terms of pain treatment effect, the total effective rate of pain treatment in the study group was 87.5%, which was significantly better than the 62.5% in the control group. The difference was statistically significant (P<0.05). Conclusion Personalized nursing services and hospice care are conducive to improving the survival and treatment of elderly patients with advanced cancer, and can be used as a clinical application program for the care of advanced cancer patients.

Optimizing patient adherence to stroke rehabilitation: A mixed method telerehabilitation trial (Preprint)

2021 ◽  
Author(s):  
Isabelle Gaboury ◽  
Michel Tousignant ◽  
Hélène Corriveau ◽  
Matthew Menear ◽  
Guylaine Le Dorze ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Stroke Rehabilitation ◽  
Patient Adherence ◽  
Interprofessional Collaboration ◽  
Interdisciplinary Collaboration ◽  
Control Group ◽  
Shared Decision ◽  
The Impact

BACKGROUND Strong evidence supports beginning stroke rehabilitation as soon as the patient’s medical status has stabilized and continuing following discharge from acute care. However, adherence to rehabilitation treatments over the rehabilitation phase has been shown to be suboptimal. OBJECTIVE Objective: The aim of this study is to assess the impact of a telerehabilitation platform on stroke patients’ adherence to a rehabilitation plan and on their level of reintegration to normal social activities, in comparison with usual care. The primary outcome is patient adherence to stroke rehabilitation (up to 12 weeks), which is hypothesized to influence reintegration to normal living. Secondary outcomes for patients include functional recovery and independence, depression, adverse events related to telerehabilitation, use of services (up to 6 months), perception of interprofessional shared decision making, and quality of services received. Interprofessional collaboration as well as quality of interprofessional shared decision making will be measured on clinicians. METHODS In this interrupted time series with a convergent qualitative component, rehabilitation teams will be trained to develop rehabilitation treatment plans that engage the patient and family, while taking advantage of a telerehabilitation platform to deliver the treatment. The intervention will entail 220 patients to receive stroke telerehabilitation with an interdisciplinary group of clinicians (telerehabilitation) versus face-to-face, standard of care (n = 110 patients). RESULTS Results: Our Research Ethics Board has approved the study in June 2020. Data collection for the control group is underway, with another year planned before we begin the intervention phase. CONCLUSIONS This study will contribute to minimize both knowledge and practice gaps, while producing robust, in-depth data on the factors related to the effectiveness of telerehabilitation in a stroke rehabilitation continuum. Findings will inform best practices guidelines regarding telecare services and the provision of telerehabilitation, including recommendations regarding effective interdisciplinary collaboration regarding stroke rehabilitation. CLINICALTRIAL ClinicalTrials.gov NCT04440215

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