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Journal of Voice

YeonWoo Lee, GeunHyo Kim, SoonBok Kwon
OBJECTIVE: The aims of this study were to (1) to determine the cut-off values of parameters related to auditory perceptual assessment (visual analog scale) and acoustic analysis (cepstral peak prominence, low frequency/high frequency ratio, cepstral peak prominence standard deviation, low frequency/high frequency ratio standard deviation, acoustic voice quality index, and cepstral spectral index of dysphonia) for predicting the voice severity within a Korean population; and (2) to verify the discriminative power of these cut-off values...
May 17, 2019: Journal of Voice
Katharina Feige, Anne Strauss, Gero Strauss
The Voice Handicap Index (VHI) is today regarded as the gold standard for measuring the subjective impairment of a voice disorder. The aim of our study is to present how the VHI in our version with 18 questions (VHI-18) can be evaluated with other patient collectives (practice visitors or everyday patients). The previous publications have shown that most patient groups were stationary or clinical. A total of 100 adult patients (72 female, 28 male) in our medical practice KOPFZENTRUM were examined. The reliability of the VHI-18 results from a Cronbach's Alpha (0...
May 17, 2019: Journal of Voice
Thayze M Marques Torbes, Kariny Zencke da Silva, Camila Dalbosco Gadenz, Mauriceia Cassol
Adherence expresses the patient's degree of commitment to the therapeutic process. It's necessary for professionals to know how to evaluate it in order to plan more effective conducts. This study aims to perform a systematic review of the adherence of patients with a dysphonia setting to voice therapy programs. This review was carried out on the PubMed, Lilacs, Scopus, and Cochrane Library databases, using a search strategy related to the subject of the study. The selection included studies that assessed the adherence of patients with dysphonia to voice therapy using an instrument created for the study or previously validated...
May 10, 2019: Journal of Voice
Banafshe Mansuri, Farhad Torabinezhad, Ali Ashraf Jamshidi, Payman Dabirmoghadam, Behnoosh Vasaghi-Gharamaleki, Leila Ghelichi
INTRODUCTION: The aim of the present study was to investigate the immediate effect of the application of high-frequency Transcutaneous electrical nerve stimulation (TENS) in muscle tension dysphonia (MTD) patients with the pain complaint. MATERIALS AND METHODS: Thirty patients with MTD, 10 men and 20 women with a mean age of 36.40 ± 5.76 years, participated in the study. The patients were randomized into two groups: (1) Treatment group (TENS) (10 women and 5 men) and (2) Sham TENS group (10 women and 5 men)...
May 8, 2019: Journal of Voice
Lori Lombard, Nancy Pearl Solomon
OBJECTIVE: Diadochokinetic tasks provide valuable clinical information regarding neuromuscular control and coordination. Laryngeal diadochokinesis (LDDK) has the potential to provide insight into the neuromotor functioning of the larynx, but interpretation is limited because of sparse normative data. This study provides normative data for LDDK tasks across the adult lifespan in men and women. METHOD: Neurologically and vocally normal women (n = 216) and men (n = 188), ages 20-89 years, produced rapid repetitions of /ʔʌ/ and /hʌ/ to assess adductory and abductory laryngeal articulatory coordination, respectively...
May 8, 2019: Journal of Voice
Bülent Öcal, Emel Ç Tatar, Gökhan Toptaş, Elife Barmak, Güleser Saylam, Mehmet H Korkmaz
OBJECTIVE: This study aimed to investigate the correlation between morphological features of vocal fold polyps (VFPs) and subjective/objective voice parameters. METHODS: Perceptual evaluations, aerodynamic and acoustic tests were performed on 47 patients with VFPs. Still images were captured from video and the morphological features associated with the size of VFP were quantified. To reveal the correlation between size-related morphological features (length of polyp base, the ratio of polyp base to vocal fold length, glottal gap area) and objective/subjective parameters of voice, Pearson's and Spearman's tests were carried out...
May 3, 2019: Journal of Voice
Catherine Madill, Anna McIlwaine, Rosanne Russell, Nicola J Hodges, Patricia McCabe
PURPOSE: We studied whether concepts in motor skill learning could be operationalized to identify clinical interactions and behaviors in a voice therapy setting. Our aim was to test the feasibility of measuring these behaviors in the prepractice phase so that we could eventually evaluate and apply principles of motor learning and skill acquisition to Speech-Language Pathology. Four general categories of behaviors that have been identified in the client-clinician prepractice phase were identified: motivation, modeling, verbal information, and feedback...
May 2, 2019: Journal of Voice
Laura L O Froeschke
INTRODUCTION: Adductor Spasmodic Dysphonia (ADSD), a form of focal dystonia, has been defined as a neurogenic, task-specific disorder characterized by abrupt spasms of intrinsic laryngeal muscles that result in phonatory breaks. Voice breaks are typically isolated to propositional speech, and reported to increase in severity as speaking demand or complexity increases. Research to date has focused on variations in phonologic contexts and their influence on voice breaks. The influences of variables at lexical and syntactic levels of analysis have been less well-researched and yet may provide insight into observed variability of symptom manifestation in this rare voice disorder...
April 29, 2019: Journal of Voice
Amanda Flynn
PURPOSE: Vocal health is taught in multiple formats and to varying degrees across undergraduate training programs. The aim of the study is to identify what methods of instruction lead to a better self-perception of vocal health in order to more adequately prepare graduates for the extreme demands of the performing arts industry. METHOD: A survey investigating how vocal health and vocal injury are being taught was administered to students within 5 years of graduation...
April 29, 2019: Journal of Voice
Maria Sobol, Ewelina M Sielska-Badurek, Anna Rzepakowska, Ewa Osuch-Wójcikiewicz
OBJECTIVE: The study aimed to determine the normative value of SVHI-10. STUDY DESIGN: The study is a systematic review and a meta-analysis. METHODS: A systematic literature search was performed using PubMed and ScienceDirect to access relevant databases and to locate outcome studies. Eligibility criteria included type of publication, participant characteristics, and report of outcomes. Data analysis was conducted using the meta-analysis method...
April 25, 2019: Journal of Voice
Connie K Porcaro, Paul M Evitts, Nicole King, Cassandra Hood, Erin Campbell, Layla White, Jacqueline Veraguas
There is a high prevalence of dysphonia among professional voice users and the impact of the disordered voice on the speaker is well documented. However, there is minimal research on the impact of the disordered voice on the listener. Considering that professional voice users include teachers and air-traffic controllers, among others, it is imperative to determine the impact of a disordered voice on the listener. To address this, the objectives of the current study included: (1) determine whether there are differences in speech intelligibility between individuals with healthy voices and those with dysphonia; (2) understand whether cognitive-perceptual strategies increase speech intelligibility for dysphonic speakers; and (3) determine the relationship between subjective voice quality ratings and speech intelligibility...
April 25, 2019: Journal of Voice
Fran Pomaville, Kristi Tekerlek, Anthony Radford
This study examined the knowledge gained and behavioral changes made by vocal performers after attending a vocal hygiene education program. A single-group, pretest-posttest research design was utilized to examine the improvement of voice care knowledge and decrease of phonotraumatic behaviors in vocal performers. Data analysis involved a comparison of pretest and posttest responses from an online questionnaire. A paired sample t test revealed a statistically significant improvement in the participants' knowledge regarding the larynx, voice production, and vocal hygiene...
April 24, 2019: Journal of Voice
Anna Rzepakowska, Maria Sobol, Ewelina Sielska-Badurek, Kazimierz Niemczyk, Ewa Osuch-Wójcikiewicz
BACKGROUND: The study evaluates clinical features of vocal fold (VF) leukoplakia in predicting its benign or malignant nature. MATERIALS: 57 patients with 84 lesions were evaluated before undergoing laryngeal microsurgery. The texture, color, thickness and size of the leukoplakia, along with an assessment of the surrounding mucosa vascularization using narrow-band imaging (NBI), and VF vibratory function were analyzed. Receiver-operating characteristic curves were constructed to determine the predictive value of each feature and area under the curve (AUC) was calculated...
April 19, 2019: Journal of Voice
Maria E Powell, Dimitar D Deliyski, Steven M Zeitels, James A Burns, Robert E Hillman, Terri Treman Gerlach, Daryush D Mehta
OBJECTIVES: A major limitation of comparing the efficacy of videostroboscopy (VS) and high-speed videoendoscopy (HSV) is the lack of an objective reference by which to compare the functional assessment ratings of the two techniques. For patients with vocal fold mass lesions, intraoperative measures of lesion size and depth may serve as this objective reference. This study compared the relationships between the pre- to postoperative change in VS and HSV visual-perceptual ratings to intraoperative measures of lesion size and depth...
April 17, 2019: Journal of Voice
Marina Englert, Livia Lima, Mara Behlau
OBJECTIVE: To analyze the Acoustic Voice Quality Index (AVQI) and the Acoustic Breathiness Index (ABI) concurrent validity and diagnostic accuracy with different speech materials. METHODS: Voices of 53 subjects (40 dysphonic; 13 vocally health) were recorded: vowel /a/ + counting numbers 1-20 (42 syllables) + reading text (138 syllables). Numbers and text were edited in order to achieve 3 seconds of voiced segments, such as the vowel /a/ (average of 18.81 and 32...
April 17, 2019: Journal of Voice
Necati Enver, Orhan Asya, Ghazi Abuzaid, Ece Gürol
Hyaluronic acid injection for medialization laryngoplasty is a safe procedure performed on patients with glottic incompetence. Laryngeal abscess formation as a complication of injection laryngoplasty is a very rare complication, and, as we know from the literature, there has been only one case of laryngeal abscess after injection laryngoplasty in a patient with a type-I laryngeal cleft. We document for the first time a laryngeal abscess resulting from hyaluronic acid injection laryngoplasty for unilateral vocal fold paralysis...
April 17, 2019: Journal of Voice
Adrián Castillo, Javiera Castillo, Alvaro Reyes
INTRODUCTION: In individuals with Parkinson's disease (PD), pulmonary complication such as weakness and rigidity of respiratory muscles and reduced cough airflow may be associated with reduced voice production due to limited pulmonary capacity and reduced airflow needed to vibrate the vocal folds. It is not clear, however, which pulmonary function parameter is determinant in the association with peak subglottic pressure (SGP). Therefore, the purpose of this study was to determine the association between peak SGP and pulmonary function parameters in individuals with PD...
April 15, 2019: Journal of Voice
Gabriel J Cler, Victoria S McKenna, Kimberly L Dahl, Cara E Stepp
The purpose of this study was to comprehensively evaluate voice and speech changes in one healthy 30-year-old transgender male undergoing testosterone therapy for transition. Testing occurred at three timepoints before cross-sex hormone therapy and every 2 weeks thereafter for 1 year. Data collected included measures of acoustics, aerodynamics, and laryngeal structure and function via flexible laryngoscopy. Analysis included acoustic correlates of pitch, loudness, voice quality, and vocal tract length, as well as perceptual measures of voice quality and gender...
April 13, 2019: Journal of Voice
Ismail Kocak, Zeynep Alkan, Okan Ovunc
OBJECTIVES/HYPOTHESIS: The goal of this study was to introduce two novel techniques in phonomicrosurgery, air injection (AIR), and transillumination (TI), to improve the diagnosis and surgical excision of pathological tissue in vocal folds during suspension laryngoscopy while preserving the healthy tissue as much as possible. STUDY DESIGN: Prospective clinical case series. METHODS: Thirty-four patients with benign vocal cord lesions who underwent phonomicrosurgery between January 2016 and May 2017 were evaluated...
April 12, 2019: Journal of Voice
Abdul-Latif Hamdan, Elie Khalifee, Nader Al Souky, Bakr Saridar, Pierre Richard Abi Akl, Anthony Ghanem, Sami Azar
OBJECTIVE: To investigate the prevalence of phonatory and swallowing symptoms in patients with hypovitaminosis D. METHODS/DESIGN: All patients presenting to the endocrinology clinic and investigated for vitamin D deficiency between January 2018 and April 2018 were asked to participate in this study. Demographic data included age, gender, allergy, and history of smoking. Patients filled Voice handicap Index (VHI-10) and Eating Assessment Tool (EAT-10). RESULTS: A total of 136 consecutive subjects presenting to the endocrinology clinic for vitamin D testing were included: 60 with hypovitaminosis D and 76 with no hypovitaminosis D...
April 11, 2019: Journal of Voice
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