Abstract
Objective
To correlate change in Voice Handicap Index (VHI)-10 scores with corresponding voice
laboratory measures across five voice disorders.
Study Design
Retrospective study.
Methods
One hundred fifty patients aged >18 years with primary diagnosis of vocal fold lesions,
primary muscle tension dysphonia-1, atrophy, unilateral vocal fold paralysis (UVFP),
and scar. For each group, participants with the largest change in VHI-10 between two
periods (TA and TB) were selected. The dates of the VHI-10 values were linked to corresponding acoustic/aerodynamic
and audio-perceptual measures. Change in voice laboratory values were analyzed for
correlation with each other and with VHI-10.
Results
VHI-10 scores were greater for patients with UVFP than other disorders. The only disorder-specific
correlation between voice laboratory measure and VHI-10 was average phonatory airflow
in speech for patients with UVFP. Average airflow in repeated phonemes was strongly
correlated with average airflow in speech (r = 0.75). Acoustic measures did not significantly change between time points.
Conclusions
The lack of correlations between the VHI-10 change scores and voice laboratory measures
may be due to differing constructs of each measure; namely, handicap versus physiological
function. Presuming corroboration between these measures may be faulty. Average airflow
in speech may be the most ecologically valid measure for patients with UVFP. Although
aerodynamic measures changed between the time points, acoustic measures did not. Correlations
to VHI-10 and change between time points may be found with other acoustic measures.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of VoiceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Voice disorders.in: Medical Speech-Language Pathology. Vol 2. Thieme Medical Publishers, Inc., New York, NY2007: 158-181
- Common practices of voice therapists in the evaluation of patients.J Voice. 2005; 19: 454-469
- The reliability and sensitivity to change of acoustic measures of voice quality.Clin Otolaryngol Allied Sci. 2004; 29: 538-544
- Measuring voice outcomes: state of the science review.J Laryngol Otol. 2009; 123: 823-829
- Suitability of acoustic perturbation measures in analysing periodic and nearly periodic voice signals.Folia Phoniatr Logop. 2005; 57: 38-47
- Evidence-based clinical voice assessment: a systematic review.Am J Speech Lang Pathol. 2013; 22: 212-226
- Multiparametric evaluation of dysphonic severity.J Voice. 2006; 20: 380-390
- Objective assessment of vocal hyperfunction: an experimental framework and initial results.J Speech Hear Res. 1989; 32: 373-392
- Aerodynamic profiles of females with muscle tension dysphonia.J Speech Lang Hear Res. 2013; 56: 481-488
- Review: occupational risks for voice problems.Logoped Phoniatr Vocol. 2001; 26: 37-46
- Differences in temporal variables between voice therapy completers and dropouts.J Voice. 2011; 25: 62-66
- The influence of clinical terminology on self-efficacy for voice.Logoped Phoniatr Vocol. 2011; 36: 91-99
- Optimising outcome assessment of voice interventions, II: sensitivity to change of self-reported and observer-rated measures.J Laryngol Otol. 2008; 122: 46-51
- Optimising outcome assessment of voice interventions, I: reliability and validity of three self-reported scales.J Laryngol Otol. 2007; 121: 763-767
- Voice handicap index change following treatment of voice disorders.J Voice. 2000; 14: 619-623
- The Voice Handicap Index (VHI): development and validation.Am J Speech Lang Pathol. 1997; 6: 66-70
- Development and validation of the voice handicap index-10.Laryngoscope. 2004; 114: 1549-1556
- An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomized clinical trial.J Speech Lang Hear Res. 2001; 44: 286-296
- Three treatments for teachers with voice disorders: a randomized clinical trial.J Speech Lang Hear Res. 2003; 46: 670-688
- The effectiveness of a voice treatment approach for teachers with self-reported voice problems.J Voice. 2006; 20: 423-431
- Correlation between the Voice Handicap Index and voice measurements in four groups of patients with dysphonia.Otolaryngol Head Neck Surg. 2009; 141: 762-769
- The relation of vocal fold lesions and voice quality to voice handicap and psychosomatic well-being.J Voice. 2012; 26: 466-470
- Translational systems biology and voice pathophysiology.Laryngoscope. 2010; 120: 511-515
- Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol.Am J Speech Lang Pathol. 2009; 18: 124-132
- Establishing validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V).Am J Speech Lang Pathol. 2011; 20: 14-22
- Workshop on Acoustic Voice Analysis: Summary Statement.National Center for Voice and Speech, Iowa City, IA1995
- Clinical Measurement of Speech & Voice.2nd ed. Singular, San Diego, CA2000
- Helou L.B. Solomon N.P. Aerodynamic assessment of phonation: Avoiding common mistakes. National Center for Voice and Speech, Salt Lake City, UT2013 (Scherer RC, Verdolini Abbott K, eds. Tribute book for Ingo R. Titze)
- A clinical method for estimating laryngeal airway resistance during vowel production.J Speech Hear Disord. 1981; 46: 138-146
- Glottal airflow and transglottal air pressure measurements for male and female speakers in soft, normal, and loud voice.J Acoust Soc Am. 1988; 84: 511-529
- CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials.Lancet. 2001; 357: 1191
- Normative values for the Voice Handicap Index-10.J Voice. 2012; 26: 462-465
- Comparison of subjective assessment of voice disorders and objective voice measurement.Folia Phoniatr Logop. 2011; 63: 83-87
- Aerodynamic changes as a result of vocal function exercises in elderly men.Laryngoscope. 2008; 118: 1900-1903
- Novel approach of medialization thyroplasty with arytenoid adduction performed under general anesthesia with a laryngeal mask.Otolaryngol Head Neck Surg. 2012; 146: 266-271
- Prospective multi-arm evaluation of surgical treatments for vocal fold scar and pathologic sulcus vocalis.Laryngoscope. 2011; 121: 1252-1260
- Correlation between the Voice Handicap Index and voice laboratory measurements after phonosurgery.Ear Nose Throat J. 2010; 89: 183-188
- Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence.J Vasc Surg. 2012; 56: 1634-1641
- Health-related quality of life is associated with diabetic complications, but not with short-term diabetic control in primary care.Ann Acad Med Singapore. 2011; 40: 276-286
- Does the BODE index correlate with quality of life in patients with COPD?.J Bras Pneumol. 2010; 36: 447-452
- Does the upward migration index predict function and quality of life in arthroscopic rotator cuff repair?.Clin Orthop Relat Res. 2010; 468: 3063-3069
- A comparison of objective and subjective measures of cough in asthma.J Allergy Clin Immunol. 2008; 122: 903-907
- Correlation of prostate volume with international prostate symptom score and quality of life in men with benign prostatic hyperplasia.Nepal Med Coll J. 2008; 10: 104-107
- Reduced cardiac functional reserve and quality of life in adults with GH deficiency.Clin Endocrinol (Oxf). 2009; 71: 543-548
- The Acoustic Voice Quality Index: toward improved treatment outcomes assessment in voice disorders.J Commun Disord. 2010; 43: 161-174
- Outcomes measurement in voice disorders: application of an acoustic index of dysphonia severity.J Speech Lang Hear Res. 2009; 52: 482-499
Article info
Publication history
Published online: April 02, 2014
Accepted:
October 30,
2013
Identification
Copyright
© 2014 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
