Summary
Objectives
The purpose of this study was to determine whether patients with functional voice
disorders show voice activity and participation profiles different from those of the
organic and neurogenic groups.
Methods
The Korean Version of the Voice Activity and Participation Profile (K-VAPP) was administered
to 200 participants (150 patients with functional, organic, and neurogenic voice disorders,
50 for each etiological group, 50 controls without vocal complaint). The K-VAPP subscale
scores of the etiological groups were compared, controlling for age, professional
use of voice, and severity of voice disorder measured by overall severity of the Consensus
Auditory-Perceptual Evaluation of Voice (CAPE-V).
Results
Results of a one-way analysis of variance indicated significant differences in the
overall severity across groups (neurogenic > functional = organic > control). Among
four groups, the organic group showed higher mean Z-scores of the K-VAPP than the
control group, and the functional group showed higher mean Z-scores of the K-VAPP
than the organic group. Compared with the neurogenic group, the functional group showed
lower mean Z-scores for total score, Activity Limitation Score, SUB3, and SUB5. A
comparison among three etiological groups showed that the functional group did not
show higher scores than the organic group. On the contrary, the functional group showed
a lower total score, Participation Restriction Score, and score for subsection 3 (effect
on daily communication) than the neurogenic group.
Conclusions
Psychometric assessment of voice disorders using the K-VAPP could provide clinicians
with baseline information that is applicable to various voice disorders. Further studies
pertaining to the follow-up of voice disorders with various etiologies are needed
to extend its clinical usefulness.
Key Words
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Article info
Publication history
Published online: May 11, 2018
Accepted:
April 26,
2018
Identification
Copyright
© 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
