Assessment of Dysphonia Using the Japanese Version of the Voice Handicap Index and Determination of Cutoff Points for Screening
| Autor: | Ujimoto Konomi, Takeharu Kanazawa, Kiyoshi Misawa, Yosuke Nakayama, Mayu Hirosaki, Taisuke Sotome, Yusuke Watanabe, Takumi Omae, Nahoko Tashiro, Ayane Sato, Ayumi Yamamoto, Miyuki Kurihara, Yu Sakaguchi, Ayako Okui |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Audiology Severity of Illness Index Disability Evaluation 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Japan Initial visit Surveys and Questionnaires Humans Medicine Cutoff Voice Handicap Index 030223 otorhinolaryngology Voice Disorders Receiver operating characteristic business.industry Maximum phonation time Reproducibility of Results Dysphonia LPN and LVN Pitch range Otorhinolaryngology Assessment methods Cutoff point 0305 other medical science business |
| Zdroj: | Journal of Voice. 36:144.e1-144.e9 |
| ISSN: | 0892-1997 |
| DOI: | 10.1016/j.jvoice.2020.04.031 |
| Popis: | Summary Introduction The Voice Handicap Index (VHI) is recognized as a useful subjective assessment method for dysphonia. The original VHI has been translated into numerous other languages, including Japanese (J-VHI). Although the reliability and validity of the J-VHI have already been established, the cutoff point has not been determined. The aims of this study were to investigate the relationship between the J-VHI and other voice laboratory measurements, and determine the cutoff point. Method This study included 167 dysphonic patients and 55 healthy volunteers. All patients and volunteers completed the J-VHI at the initial visit, and the following outcomes were determined: VHI scores of patients with dysphonia and healthy volunteers, VHI scores according to disease, cutoff point, and correlations between VHI scores and other voice laboratory measurements. Results Both the total VHI (VHI-T) and individual domain (functional domain [VHI-F], emotional domain [VHI-E], physical domain [VHI-P]) scores were significantly higher in the dysphonia group compared to the healthy volunteer group. VHI-T, VHI-F, and VHI-E scores were significantly lower in the benign mucosal lesion subgroup, compared to the other disease subgroups. The G scale and B scale of the grade-roughness-breathiness-asthenia-strain scale showed a significant association with VHI-T, VHI-F, and VHI-P scores. Similarly, the A scale showed a significant association with VHI-T, VHI-F, and VHI-E scores. The cutoff point (12) for VHI-T was chosen from the receiver operating characteristic curve to maximize sensitivity and specificity. Similarly, the cutoff points for VHI-F (5), VHI-P (5), and VHI-E (3) were also obtained. Significant differences in maximum phonation time, pitch range, G scale, and B scale were observed between the VHI-T negative (VHI ≤ 12) and positive (VHI-T > 13) groups. Conclusion These findings suggest that self-evaluation using the VHI could serve as an independent assessment and screening tool for patients with dysphonia. |
| Databáze: | OpenAIRE |
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