Monitoring the Outcome of Phonosurgery and Vocal Exercises with Established and New Diagnostic Tools

Autor:	Matthias Seipelt, Philipp P. Caffier, Felix Caffier, Tadeus Nawka, Ute Gonnermann, Andreas Möller
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty Adolescent Article Subject Vocal Cords Audiology Diagnostic tools Severity of Illness Index General Biochemistry Genetics and Molecular Biology Young Adult 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Humans Medicine Voice Handicap Index 030223 otorhinolaryngology Diagnostic Techniques and Procedures Aged Monitoring Physiologic General Immunology and Microbiology business.industry Group assessment Acoustics General Medicine Gold standard (test) Middle Aged Dysphonia Treatment Outcome Voice Clinical Study Vocal exercises Dysphonia severity index Female Larynx 0305 other medical science business
Zdroj:	BioMed Research International, Vol 2020 (2020) BioMed Research International
ISSN:	2314-6141 2314-6133
Popis:	Instrument-assisted measuring procedures expand the options within phoniatric diagnostics by quantifying the condition of the voice. The aim of this study was to examine objective treatment-associated changes of the recently developed vocal extent measure (VEM) and the established dysphonia severity index (DSI) in relation to subjective tools, i.e., self-evaluation via voice handicap index (VHI-12) and external evaluation via auditory-perceptual assessment of hoarseness (H). The findings for H (3 raters’ group assessment), VHI-12, DSI, and VEM in 152 patients of both sexes (age range 16–75 years), taken before and 3 months after phonosurgery or vocal exercises, were compared and correlated. Posttherapeutically, all of the recorded parameters improved (p<0.001). The degree of H reduced on average by 0.5, the VHI-12 score sank by 5 points, while DSI and VEM rose by 1.5 and 19, respectively. The correlations of these changes were significant but showed gradual differences between H and VHI-12 (r = 0.3), H and DSI (r = −0.3), and H and VEM (r = −0.4). We conclude that all investigated parameters are adequate to verify therapeutic outcomes but represent different dimensions of the voice. However, changes in the degree of H as gold standard were best recognized with the new VEM.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7b0208e5da210c42635c3fc4c38779b https://doi.org/10.1155/2020/4208189 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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