Long-term outcome of hyperfunctional voice disorders based on a multiparameter approach

Journal of Voice : Official Journal of the Voice Foundation
K M Van LierdeP van Cauwenberge

Abstract

The purpose of this study is to determine the long-term voice outcome (6.1 years after a well-defined voice treatment program) of hyperfunctional voice disorders in 27 subjects. All patients showed a muscle tension pattern type I (MTP I). Perceptual ratings, aerodynamic and acoustical analyses, Voice Handicap Index (VHI) value, and a determination of the Dysphonia Severity Index (DSI) were performed. The laryngovideostroboscopic images indicated that 51% of the subjects still show pathological laryngological findings. The negative evolution of the DSI from -1 to -3.2 is in agreement with this finding. Analysis of the components of the DSI shows that the main responsible variable for this negative change is the lowest intensity (I-low) that increased with 8.1 dB, indicating that subjects generally speak too loud, which is a typical problem for vocal hyperfunction. The VHI-score indicates an unimportant psychosocial impact of the voice disorder. The more objective and laryngostroboscopic findings indicate a chronic situation for a substantial part of the subjects and even a worse situation for some of them. Whether the long-term voice outcome results can be changed with the insertion of several follow-up voice rehabilitation sess...Continue Reading

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Citations

Feb 19, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery·Marianne Bos-Clark, Paul Carding
Feb 1, 2008·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Marieke M HakkesteegtLouw Feenstra
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May 9, 2015·International Journal of Speech-language Pathology·Clare EastwoodPatricia Mccabe
Jan 1, 2008·International Journal of Speech-language Pathology·Nelson Roy
Jan 19, 2016·Journal of Voice : Official Journal of the Voice Foundation·Jürg Kollbrunner, Eberhard Seifert
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Feb 3, 2009·Journal of Voice : Official Journal of the Voice Foundation·D MorsommeM Remacle
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May 16, 2018·Journal of Voice : Official Journal of the Voice Foundation·Seung Jin LeeHyangHee Kim
Jan 22, 2021·American Journal of Speech-language Pathology·Eva van LeerNick Porcaro
Jun 2, 2020·American Journal of Otolaryngology·Andrea LovatoCosimo de Filippis
May 26, 2021·Journal of Communication Disorders·Evelien D'haeseleerKristiane Van Lierde
Jul 16, 2021·Journal of Voice : Official Journal of the Voice Foundation·Prakash BoominathanLakshmi Venkatesh
Nov 8, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery

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