scholarly journals Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords

2016 ◽  
Vol 73 (2) ◽  
pp. 165-168
Author(s):  
Mila Bunijevac ◽  
Mirjana Petrovic-Lazic ◽  
Nadica Jovanovic-Simic ◽  
Mile Vukovic
Keyword(s):  
Open Surgery ◽  
Life Quality ◽  
Control Group ◽  
Outpatient Basis ◽  
Acoustic Parameters ◽  
Voice Analysis ◽  
Vocal Cords ◽  
Vocal Rehabilitation ◽  
Before And After ◽  
The Voice

Background/Aim. The major role of larynx in speech, respiration and swallowing makes carcinomas of this region and their treatment very influential for patients? life quality. The aim of this study was to assess the importance of voice therapy in patients after open surgery on vocal cords. Methods. This study included 21 male patients and the control group of 19 subjects. The vowel (A) was recorded and analyzed for each examinee. All the patients were recorded twice: firstly, when they contacted the clinic and secondly, after a three-month vocal therapy, which was held twice per week on an outpatient basis. The voice analysis was carried out in the Ear, Nose and Throat (ENT) Clinic, Clinical Hospital Center ?Zvezdara? in Belgrade. Results. The values of the acoustic parameters in the patients submitted to open surgery on the vocal cords before vocal rehabilitation and the control group subjects were significantly different in all specified parameters. These results suggest that the voice of the patients was damaged before vocal rehabilitation. The results of the acoustic parameters of the vowel (A) before and after vocal rehabilitation of the patients with open surgery on vocal cords were statistically significantly different. Among the parameters - Jitter (%), Shimmer (%) - the observed difference was highly statistically significant (p < 0.01). The voice turbulence index and the noise/harmonic ratio were also notably improved, and the observed difference was statistically significant (p < 0.05). The analysis of the tremor intensity index showed no significant improvement and the observed difference was not statistically significant (p > 0.05 ). Conclusion. There was a significant improvement of the acoustic parameters of the vowel (A) in the study subjects three months following vocal therapy. Only one out of five representative parameters showed no significant improvement.

scholarly journals Multidimensional acoustic analysis of pathological voice

2009 ◽  
Vol 137 (5-6) ◽  
pp. 234-238
Author(s):  
Mirjana Petrovic-Lazic ◽  
Snezana Babac ◽  
Zoran Ivankovic ◽  
Rade Kosanovic
Keyword(s):  
Vocal Fold ◽  
Acoustic Analysis ◽  
Control Group ◽  
Acoustic Parameters ◽  
Vocal Rehabilitation ◽  
Voice Treatment ◽  
Before And After ◽  
The Voice ◽  
Vocal Fold Nodules ◽  
Pathological Voice

Introduction. There are subjective and objective ways to examine the effects of vocal therapy in voice disorders. The most precise and objective check-up is the use of computer voice analysis. Objective. The aim of the research was to perform a detailed analysis of acoustic structure of the vowel A before and after voice treatment in patients with vocal fold nodules in order to obtain objective verification of the vocal rehabilitation success. Methods. We examined 30 female patients, aged 34.6?6.69 years, with vocal fold nodules. Acoustic parameters of voice were compared with the control group consisting of 21 subjects without voice pathology. In all persons the vowel A was recorded and analyzed before and after a month of vocal therapy. The success of the vocal therapy was tracked using computer analysis of vocal structure. Signal, noise and tremor parameters were processed. Results. Of the analyzed vowel A parameters: STD, PER, JITA, JITT, RAP, vFO, ShdB, SHIM, APQ, VTI, SPI, F0, NHR, FTRI, eleven improved (p<0.05 and p<0.01). Three parameters (F0, NHR, FTRI) changed showing improvement, but the obtained differences were not statistically significant (p>0.05). Conclusion. Based on the obtained results it was concluded that vocal therapy gave satisfactory results, but that it should be continually applied until full stabilization of the voice.

scholarly journals Dynamics of acoustic voice parameters in patients after antireflux surgery

2020 ◽  
Vol 19 (4) ◽  
pp. 34-38
Author(s):  
G. A. Dudaity ◽  
◽  
L. V. Georgieva ◽  
Keyword(s):  
Antireflux Surgery ◽  
Respiratory Diseases ◽  
Ph Monitoring ◽  
Control Group ◽  
Acoustic Parameters ◽  
Voice Analysis ◽  
Before And After ◽  
Upper Respiratory ◽  
The Voice ◽  
Late Postoperative Period

The article is devoted to the influence of pharyngolaryngeal reflux on the voice acoustic parameters in patients before and after the antireflux surgery (fundoplication). The study involved 12 patients aged 33 to 64 years with a confirmed impedance–pH monitoring diagnosis of gastroesophageal reflux disease. The control group included 10 patients aged 18 to 33 years. These subjects did not have any upper respiratory diseases (including pharyngolaryngeal reflux) and gastrointestinal tract diseases. Computer voice analysis was used to objectively evaluate the voice acoustic parameters. In patients before fundoplication, a statistically significant increase in Jitter and Shimmer parameters was observed in 100% of cases compared with the control group (p ≤ 0,05). In the late postoperative period, 6 months after surgery, the analysis of acoustic parameters of voice in the study group revealed: Jitter and Shimmer indicators in 100% of cases significantly decreased compared to the preoperative values (p ≤ 0,05), which indicates an improvement in voice function. Jitter and Shimmer were the most diagnostically significant parameters.

scholarly journals 1% ivermectin in combination therapy regimens for rosacea

2020 ◽  
pp. 17-23
Author(s):  
E. A. Khlystova ◽  
A. L. Savastenko
Keyword(s):  
Quality Of Life ◽  
Comparative Analysis ◽  
Combination Therapy ◽  
Combination Treatment ◽  
Clinical Manifestations ◽  
Life Quality ◽  
Clinical Results ◽  
Control Group ◽  
Before And After

Introduction. The article provides latest data on modern methods of treating rosacea. The results of own clinical observations of patients with moderate to severe papulopustular rosacea receiving combination treatment and a comparative analysis of the efficacy of various therapy regimens are presented.Objective of the study. The aim of the study was to conduct a comparative analysis of the therapeutic efficacy of combination therapy using the ivermectin 1% topical drug combined with systemic therapy drugs (doxycycline, minocycline, isotretinoin).Materials and methods. We observed 37 patients with moderate to severe papulo-pustular rosacea subtype. The patients were divided into 4 groups (A, B, C, D). Patients in the control group received monotherapy with 1% ivemectin topical drug, patients in the other groups received combination therapy (1% ivermectin combined with low-dose doxycycline, minocycline and isotretinoin). The efficacy of the therapy was evaluated by measuring rosacea severity on the Scale for Diagnostic Assessment of Rosacea (SDAR), clinical manifestations according to the IGA (Investigator Global Assessment) criteria, and by assessing the patients' quality of life using the DLQI (Dermatology Life Quality Index) questionnaire before and after 3-month treatment.Results. The comparative analysis of changes in severity indicators of the skin process and quality of life in patients with moderate to severe papulopustular rosacea after topical and combination therapy showed that the results of the treatment in patients receiving combination therapy were more significant than those in the group receiving monotherapy.Conclusion. The concomitant use of 1% ivermectin and systemic drugs is most effective in patients with severe papulopustular rosacea subtype. The combination treatment tailored to the clinical forms and severity of rosacea allows to optimize the clinical results of the therapy, which significantly affects the patients' quality of life and opens up potential for an individual approach in the algorithms for the treatment of rosacea.

scholarly journals The Prevalence of Sarcopenia in the Elderly: How the Consumption of Protein Supplement Interacts in Individuals of a Fortaleza Institution

2018 ◽  
Vol 14 (15) ◽  
pp. 37
Author(s):  
Caroline Mesquita da Cruz ◽  
Ivanira Maria Moreira Holanda ◽  
Marco Antonio Pessoa Noronha ◽  
Marcos Paulo Mesquita da Cruz ◽  
Raimunda Marcia Cristina Alves da Silva ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Life Quality ◽  
The Elderly ◽  
Protein Supplementation ◽  
Control Group ◽  
Specific Reference ◽  
Anthropometric Measures ◽  
Before And After ◽  
Inducing Factors

Introduction: Sarcopenia is a natural disturb that usually affects older people consisting in strength and muscle mass loss. Sedentary lifestyle and nutritional habits are some inducing factors. Supplementation may contribute to improvements on life quality in elders predisposed to sarcopenia. Objectives: verify the relevance of protein supplementation on life quality of elders predisposed to sarcopenia. Assess the individual's evolution along the study. Methods: protein supplementation application during 45 days on 13 elders, comparing them with 13 elders in control group without supplementation. Anthropometric measurements were performed before and after the 45 days period and evaluated for each participant, as well as their nutrition, individually. Results: We observed a improvement in some anthropometric measures, and a reduction in others, that might be explained by previous pathologies already diagnosed. Muscle mass changes were positive, according with specific reference measures. Some elders reported motor strength improvements, disposition and energy. Physical active participants showed more significant results and sedentary ones. Conclusion: positive outcomes were obtained from protein supplementation in older people, and more correlated studies are still necessary, considering the field's relevancy to longevity and overall life quality.

Impact of Tonsillectomy on the Life Quality of Parents to Children With Obstructive Sleep-Disordered Breathing

2021 ◽  
pp. 019459982110641
Author(s):  
Yair Heskiau Shteinberg ◽  
Netanel Eisenbach ◽  
Maayan Gruber ◽  
Ohad Ronen
Keyword(s):  
Sleep Disordered Breathing ◽  
Life Quality ◽  
Control Group ◽  
Healthy Children ◽  
Academic Center ◽  
Obstructive Sleep ◽  
Before And After ◽  
Obstructive Sleep Disordered Breathing ◽  
Disordered Breathing

Objective Parents of children with any chronic illness may experience increased anxiety and reduced health-related quality of life (QoL). Our objective was to evaluate the change in parental QoL before vs after tonsillectomy. Our hypothesis was that pediatric tonsil surgery with or without adenoidectomy would improve parental QoL. Study Design A prospective cohort study. Setting An otolaryngology department in a tertiary academic center. Methods We enrolled parents of 79 children <5 years old. Adenotonsillectomy due to an obstructive airway indication was performed in 45 children. A group of 34 parents to healthy children served as a control group. Initially, we validated a modified version of the PAR-ENT-QoL questionnaire; then, we analyzed QoL parameters among parents of children with obstructive sleep-disordered breathing before and after surgical treatment. Results We found significant differences between the QoL score before and after surgery ( P = .003). The QoL score after surgery significantly improved and was even lower than that of the control group ( P < .001). Conclusions These results highlight the importance of timely diagnosis and treatment of children with obstructive sleep-disordered breathing, as this condition may affect not only the children themselves but also their caregivers.

scholarly journals Support Group as a Management Modality for Burning Mouth Syndrome: A Randomized Prospective Study

2021 ◽  
Vol 11 (16) ◽  
pp. 7207
Author(s):  
Talia Becker ◽  
Yafit Hamzani ◽  
Gavriel Chaushu ◽  
Shlomit Perry ◽  
Bahaa Haj Yahya
Keyword(s):  
Support Group ◽  
Clinical Symptoms ◽  
Medical Center ◽  
Life Quality ◽  
Burning Mouth Syndrome ◽  
Rank Test ◽  
Control Group ◽  
Before And After ◽  
Burning Mouth ◽  
Group Sessions

We aimed to investigate the effectiveness of a support group in the management of burning mouth syndrome (BMS). The cohort included 22 adult patients with BMS who attended the oral and maxillofacial department of a tertiary medical center in 2014–2019 and agreed to participate in the study. Eleven patients were assigned to a support group and took part in 90 min sessions held once weekly for 4 weeks (a total of 4 sessions), and the remainder continued their previous individual BMS management routine (control group). All patients completed a life-quality questionnaire before and 3 months after the group sessions. Scores for each group were compared between the two time points with a Wilcoxon signed-rank test. There was a significant decrease in scores for malaise (p = 0.041), total pain (p = 0.046), and difficulty enjoying food (p = 0.026) before and after the group sessions in the study group. No significant changes were found in the control group in any of the parameters examined. A group support can alleviate pain and other clinical symptoms of BMS. Further longer-term prospective studies are needed to corroborate our findings.

scholarly journals Acoustic Analysis Before and After Voice Therapy for Laryngeal Pathology

2017 ◽  
Vol 13 (4) ◽  
pp. 323-327 ◽  
Author(s):  
S.S. Chhetri ◽  
R. Gautam
Keyword(s):  
Acoustic Analysis ◽  
Alternative Therapy ◽  
Vocal Folds ◽  
Objective Evaluation ◽  
Voice Therapy ◽  
Good Effect ◽  
Acoustic Parameters ◽  
Significant Difference ◽  
Before And After ◽  
The Voice

Background Voice problems caused by pathologies in vocal folds are well known. Some types of laryngeal pathologies have certain acoustic characteristics. Objective evaluation helps characterize the voice and voice problems providing supporting evidences, severity of disorders. It helps assess the response to the treatment and measures the outcomes.Objective The objective of the study is to determine the effectiveness of the voice therapy and quantify the results objectively by voice parameters.Method Study includes 61 patients who presented with different types of laryngeal pathologies. Acoustic analyses and voice assessment was done with Dr. Speech ver 4 (Tiger DRS Inc.). Acoustic parameters including fundamental frequency, jitters, shimmers, Harmonic to noise ratio (HNR), Normalized noise energy (NNE) were analyzed before and after voice therapy.Result Bilateral vocal nodules were the most common pathologies comprising 44.26%. All acoustic parameters showed a significant difference after the therapy (p<0.05) except for NNE. Dysphonia due to vocal fold polyp showed no improvement even after voice therapy (p>0.05).Conclusion Acoustic analysis provides an objective, recordable data regarding the voice parameters and its pathologies. Though, few pathology require alternative therapy rather than voice therapy, overall it has a good effect on glottic closure. As the voice therapy can improve the different indices of voice, it can be viewed as imperative part of treatment and to monitor progression.

scholarly journals WeChat as a Platform for Baduanjin Intervention in Patients With Stable Chronic Obstructive Pulmonary Disease in China: Retrospective Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Junjie Bi ◽  
Wei Yang ◽  
Ping Hao ◽  
Yongmei Zhao ◽  
Dan Wei ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Lung Function ◽  
Pulmonary Rehabilitation ◽  
Life Quality ◽  
Satisfaction Survey ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Significant Difference ◽  
Before And After

BACKGROUND Pulmonary rehabilitation is a crucial part of the nonpharmacological treatment of stable chronic obstructive pulmonary disease (COPD), but management remains problematic. WeChat could serve as a useful tool in patient management. Baduanjin is a popular exercise in China that is usually applied in pulmonary rehabilitation, which has been confirmed to be effective in improving lung function and life quality. OBJECTIVE This study aimed to explore the efficiency of WeChat in the management of Baduanjin exercise in COPD patients. METHODS A total of 200 patients from the respiratory department of Putuo Hospital participated in the Baduanjin rehabilitation project from September 2018 to October 2019, and were randomly assigned to the WeChat and control groups and followed up using the WeChat platform or telephone for 12 weeks. The frequency of Baduanjin exercise, lung function (percentage of forced expiratory volume in 1 second predicted, FEV1% predicted), and COPD assessment test (CAT) scores were collected and compared between the two groups. The number of message exchanges and a satisfaction survey on the WeChat platform were used to assess the feasibility of WeChat management outside the hospital. RESULTS The Baduanjin exercise frequency significantly differed between the control group and WeChat group (<i>F</i>=33.82, <i>P&lt;</i>.001) and across various time points (<i>F</i>=214.87, <i>P&lt;</i>.001). After the follow-up on WeChat, there were fewer patients not performing Baduanjin exercise. The FEV1% predicted value significantly differed before and after Baduanjin exercise in the control group (<i>Z</i>=−3.686, <i>P</i>&lt;.001) and the WeChat group (<i>Z</i>=−6.985, <i>P&lt;</i>.001). A significant difference in the FEV1% predicted value was observed after Baduanjin exercise between the two groups (<i>Z</i>=−3.679, <i>P</i>&lt;.001). The CAT score significantly differed before and after Baduanjin exercise in the control group (<i>Z</i>=−4.937, <i>P&lt;</i>.001) and the WeChat group (<i>Z</i>=−5.246, <i>P</i>&lt;.001). A significant difference in the CAT score was observed after Baduanjin exercise between the two groups (<i>Z</i>=−5.246, <i>P&lt;</i>.001). The number of completed Baduanjin exercises, lung function, and CAT scores in active patients were higher than those in nonactive patients. All satisfaction survey items were scored with more than 4 points. Among the items, the highest score (mean 4.54, SD 0.77) was for continued WeChat management, followed by the effective management of Baduanjin exercise (mean 4.46, SD 0.87). The patients in the WeChat group showed much higher enthusiasm for and compliance with Baduanjin exercise, resulting in better life quality and lung function. The patients were very satisfied with the WeChat management because of the obvious curative effect and home feeling. CONCLUSIONS The WeChat platform provided a feasible, effective, and sustainable management plan for Baduanjin rehabilitation. CLINICALTRIAL Chinese Clinical Trial Registry ChiCTR1900028248; http://www.chictr.org.cn/showprojen.aspx?proj=46995

scholarly journals Effectuation of Acoustic Characterisics in Young Adults

2019 ◽  
Vol 8 (3) ◽  
pp. 7002-7009
Keyword(s):  
User Interface ◽  
Vital Role ◽  
Acoustic Parameters ◽  
Voice Analysis ◽  
Test Analysis ◽  
Novel Approach ◽  
Significant Difference ◽  
Basic Parameters ◽  
Analysis Application ◽  
The Voice

Each human being has a voice that is distinct and unique. Extraction and analysis of the features of a person’s voice plays a vital role in diagnosis of diseases in the recent years. The basic parameters used for the voice analysis are Fundamental Frequency (F0), Jitter, Shimmer and Harmonics-to-Noise Ratio. Most of the prevailing Voice Analysis Software are highly commercial with complicated User Interface, requiring expertise to operate them. Hence the proposed study is carried out, which led to the development of a Voice Analysis Application called ‘Ephphatha’. A novel algorithm with improvised measures for voice analysis is used in Ephphatha. The acoustic parameters of duly collected voice samples were analyzed by Ephphatha and compared with the existing algorithms like PRAAT and Multi-Dimensional Voice Program (MDVP) of CSL(Computerized Speech Lab), with F-test analysis. The result showed no significant difference in F0 (p>0.05), except for its Standard Deviation values (p<0.001). The Ratio Of Variance (ROV) is less than or equal to 1 for F0. The other parameters are not significantly correlated. Also it showed that the shimmer values are moderately correlated (p<0.05), when Ephphatha is compared with CSL. It was also seen that all the parameters of PRAAT and Ephphatha have no significance difference (P > 0.05), except for the Shimmer values (p<0.001). Thus Ephphatha would undoubtedly equip the experienced clinicians with its novel approach and better User Interface.

scholarly journals The Influence of Posture and Balance on Voice: A Review

2018 ◽  
Author(s):  
Maria Caçador
Keyword(s):  
Vocal Performance ◽  
Dynamic Posturography ◽  
Vocal Rehabilitation ◽  
Voice Production ◽  
Postural Changes ◽  
Before And After ◽  
Vocal Effort ◽  
Vocal Quality ◽  
The Voice

The role of posture in vocal performance is recognized for many years. Speech therapists and singing teachers use this knowledge to correct bad postures to improve vocal quality with good results, although most of that knowledge is empirical. This review evaluates the influence of posture and balance on voice. Modification in posture secondary to exogenous stimulation can affect voice, while alterations to the voice production mechanism can cause modifications in posture. Vocal effort results in segmental alterations of posture, accompanied by global postural changes. Dysphonic individuals demonstrate a greater displacement of the centre of gravity forward, which results in postural instability, increasing muscular work to maintain the posture and balance. After vocal rehabilitation, dysphonic patients presented an improvement in posture parameters in static and dynamic posturography. Posturography evaluation of patients before and after vocal treatment may represent a clinically useful variable in evaluating the efficacy of vocal therapy.

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