Subjective and perceptual analysis of voice quality and relationship with neurological disfunction in multiple sclerosis patients
| Autor: | Anita Kacavenda, Vladimir Bauer, Bojana Knezevic, Ervin Jančić, Dubravka Prpic, Zorica Aleric |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Voice Quality media_common.quotation_subject Audiology Disability Evaluation Young Adult Quality of life immune system diseases Surveys and Questionnaires Perception Humans Medicine In patient Patient group Voice Handicap Index Breathy voice Aged media_common Aged 80 and over Voice Disorders Expanded Disability Status Scale business.industry Multiple sclerosis General Medicine Middle Aged medicine.disease nervous system diseases Quality of Life Female Surgery Neurology (clinical) business |
| Zdroj: | Clinical Neurology and Neurosurgery. 115:S17-S20 |
| ISSN: | 0303-8467 |
| Popis: | Objective The aim of the present study was to evaluate subjective voice changes by voice handicap index (VHI) and voice related quality of life questionnaire (VRQL) and perceptual voice changes by Grade Roughness Breathiness Asthenia Strain (GRBAS) scale and to compare these findings with expanded disability status scale (EDSS) in multiple sclerosis (MS) patients. Methods The patient group was composed of 36 MS patients, (mean age 45.2 ± 12.9, 13 male and 23 female) and compared with 32 healthy sex and age match individuals without neurological and voice symptoms. Results The mean VHI was significantly higher in patients group (15.64 to 5.43; p = 0.043). Forty-four percent of MS patients (52% of female patients) report voice problems. According to the GRBAS scale, differences between two groups were significant for Grade, Roughness, Breathiness and Strain items. The mean EDSS was 2.69 ± 1.1, for a male patients 2.54 ± 1.1 and for female 2.78 ± 1.3. There was no correlation between the EDSS and the total VHI score, between the EDSS and each of the three item of VHI, between the EDSS and VRQL, nor between the EDSS and components of GRBAS scale except for EDSS and asthenia item, (r = −0.5213, p = 0.011). Conclusions Significant number of MS patients experienced voice problems. We did not establish any significant correlation between the intensity of the voice disorders and EDSS, except between EDSS and asthenia item of the GRBAS scale. The patients with low EDSS may have serious voice problems and vice versa. |
| Databáze: | OpenAIRE |
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