SUMMARY
Objectives
Muscle tension dysphonia (MTD) is a common voice disorder in teachers in which subjective
and objective dimensions of quality of voice can be impaired. The study aimed to compare
voice handicap index (VHI) and dysphonia severity index (DSI) in teachers with and
without MTD as well as study correlation between them.
Study design
Cross-sectional survey.
Method
Fifty female teachers were enrolled in the study in two different groups (1) twenty-five
teachers with MTD (with mean age of 42.62 ± 3.58 years) and (2) 25 teachers without
MTD (with mean age of 44.50 ± 3.49 years). All participants completed the Persian
version of VHI and underwent multiparametric measurement of voice by the DSI; these
subjective and objective voice measures were compared between two groups and their
relation was studied.
Results
There was significant difference in the VHI, DSI, and their components in teachers
with and without MTD (P < 0.05). No significant correlation was found between the total score of VHI and
DSI score in the teachers with MTD (rPearson: 0.04, p: 0.82), although there was significant correlation between them in the teachers without
MTD (rPearson: −0.75, p: 0.001).
Conclusion
Teachers with MTD demonstrated higher voice handicap and lower voice quality compared
to the teachers without MTD. Moreover, dysphonia interrupted relation between the
results of self-perceived evaluation and multiparametric measurement of voice in the
teachers with MTD in while these assessments were parallel in the healthy teachers.
Further studies are recommended to transparent relation between objective and subjective
voice assessments in healthy population.
Key Words
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REFERENCES
- Prevalence of voice disorders in teachers and the general population.J Speech Lang Hear Res. 2004; 47: 281-293
- Frequency of voice problems among teachers and other occupations.J Voice. 1998; 12: 480-488
- Voice complaints, risk factors for voice problems and history of voice problems in relation to puberty in female student teachers.Folia Phoniatr Logop. 2006; 58: 305-322
- The prevalence and risk factors for occupational voice disorders in teachers.Folia PhoniatrLogop. 2006; 58: 85-101
- Occupational safety and health aspects of voice and speech professions.Folia PhoniatrLogop. 2004; 56: 220-253
- Psychosocial impact of the teacher's voice throughout the career.J Voice. 2007; 21: 316-324
- Comparison of voice-use profiles between elementary classroom and music teachers.J Voice. 2011; 25: 367-372
- Acoustic measures andself-reports of vocal fatigue by female teachers.J Voice. 2008; 22: 283-289
- Muscle tension dysphonia in Vietnamese female teachers.J Voice. 2009; 23: 195-208
- Classification Manual for Voice Disorders-I.Psychology Press, 2014
- Muscle tension dysphonia.Curr Opin Otolaryngol Head Neck Surg. 2000; 8: 169-173
- Combining voice therapy and physical therapy: a novel approach to treating muscle tension dysphonia.J Commun Disord. 2015; 58: 169-178
- Is there an effect of dysphonic teachers' voices on children's processing of spoken language?.J Voice. 2005; 19: 47-60
- A comparison of dysphonia severity index in female teachers with and without voice complaints in elementary schools of Tehran, Iran.Nurs Midwifery Stud. 2013; 1: 133-138
- Effect of voice disorders on quality of life.J Med Speech Lang Pathol. 1996; 4: 223-244
- Treatment efficacy: voice disorders.J Speech Lang Hear Res. 1998; 41: S101-SS16
- Cross-cultural adaptation and validation of the voice-related quality of life into Persian.J Voice. 2014; 28 (e1-. e9): 842
- Laryngeal manual therapy: a preliminary study to examine its treatment effects in the management of muscle tension dysphonia.J Voice. 2009; 23: 353-366
- Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge.J Voice. 2011; 25: 202-207
HakkesteegtM. Evaluation of voice disorders: dysphonia severity index and voice handicap index 2009.
- point at voice handicap index used to screen voice disorders among Persian speakers.J Voice. 2013; 27 (e1–. e5): 130
- Voice assessment: updates on perceptual, acoustic, aerodynamic, and endoscopic imaging methods.Curr Opin Otolaryngol Head Neck Surg. 2008; 16: 211
- Effects of two interventions in teachers with voice complaints.Audiol Commun Res. 2014; 19: 186-193
- The voice handicap index (VHI) development and validation.Am J Speech Lang Pathol. 1997; 6: 66-70
- An investigation of the voice handicap index with speakers of Portuguese: preliminary data.J Voice. 2004; 18: 71-82
- The dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach.J Speech Lang Hear Res. 2000; 43: 796-809
- The applicability of the dysphonia severity index and the voice handicap index in evaluating effects of voice therapy and phonosurgery.J Voice. 2010; 24: 199-205
- he voice handicap index: correlation between subjective patient response and quantitative assessment of voice.J Voice. 2007; 21: 623-631
- Correlation between voice handicap index and voice laboratory measurements in dysphonic patients.Eur Arch Otorhinolaryngol. 2002; 259: 97-99
- Objective voice parameters and self-perceived handicap in dysphonia.Folia Phoniatr Logop. 2010; 62: 303-307
- Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints.Folia PhoniatrLogop. 2005; 57: 134-147
- Jordanian teachers’ perceptions of voice handicap.Logop Phoniatr Vocol. 2014; 39: 81-86
- Voice disorders in female teachers assessed by voice handicap index.Med Pr. 2007; 58: 393-402
- The voice handicap of student-teachers and risk factors perceived to have a negative influence on the voice.J Voice. 2007; 21: 325-336
- ?>The Investigation of Voice Handicap Index in Teachers with and without Self-Rated Voice Disorders.in: Proceedings of the International Scientific Conference Volume III May 25-26. 2018
- Vocal and emotional features of teachers and non-teachers with low and high anxiety.Audiol Commun Res. 2014; 19: 179-185
- Vocal quality in university teachers: a pilot study.B-ENT. 2009; 5: 101-109
- The relationship between VHI scores and specific acoustic measures of mildly disordered voice production.J Voice. 2006; 20: 308-317
- Correlation of VHI-30 to acoustic measurements across three common voice disorders.J Voice. 2017; 31: 34-40
- Correlation between acoustic parameters and Voice Handicap Index in dysphonic teachers.Folia Phoniatr Logop. 2010; 62: 55-60
- Relationship between voice complaints and subjective and objective measures of vocal function in Iranian female teachers.J Voice. 2017; 31 (e1–e6): 507
- Effect of teacher's working conditions on voice disorder in Korea: a nationwide survey.Ann Occup Environ Med. 2018; 30: 43
- Voice problems among teachers: differences by gender and teaching characteristics.J Voice. 1998; 12: 328-334
- Validity and rater reliability of Persian version of the Consensus Auditory Perceptual Evaluation of Voice.Audiology. 2014; 23
- Extrinsic laryngeal muscular tension in patients with voice disorders.J Voice. 2002; 16: 333-343
- Voice-vibratory assessment with laryngeal imaging (VALI) form: Reliability of rating stroboscopy and high-speed videoendoscopy.J Voice. 2017; 31 (e1– e14): 513
- Objective dysphonia measures in the program Praat: smoothed cepstral peak prominence and acoustic voice quality index.J Voice. 2015; 29: 35-43
- The dysphonia severity index: an objective measure of vocal quality based on a multiparameter approach.J Speech Lang Hear Res. 2000; 43: 796-809
- Outcomes measurement in voice disorders: application of an acoustic index of dysphonia severity.J Speech Lang Hear Res. 2009; 52: 482-499
- Pediatric Voice Handicap Index (pVHI): a new tool for evaluating pediatric dysphonia.Int J Pediatr Otorhinolaryngol. 2007; 71: 77-82
- Prevalence of voice symptoms and risk factors in teacher students.J Voice. 2012; 26: 629-634
- The treatment of muscle tension dysphonia: a comparison of two treatment techniques by means of an objective multiparameter approach.J Voice. 2010; 24: 294-301
- Correlation of the Dysphonia Severity Index (DSI), Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V), and gender in Brazilians with and without voice disorders.J Voice. 2016; 30 (e7–e11): 765
- The relationship between voice quality and pitch descrimination ability in a population with features of mild vocal hyperfunction [Abstract].in: Paper presented at the the Voice Foundation's 47th Annual Symposium, Philadelphia, PA2018
- Relative fundamental frequency distinguishes between phonotraumatic and non-phonotraumatic vocal hyperfunction.J Speech Lang Hear Res. 2017; 60: 1507-1515
Article info
Publication history
Published online: May 25, 2020
Accepted:
April 6,
2020
Footnotes
Author contributions: S.A.: Designing the project, sampling, writing the article, and interpreting the results; S.J.: Statistical analysis and interpreting the results; P.D.: Diagnosis of MTD. S.M.K.: Designing the project, writing the article, and interpreting the results.
Place of the research application: Tehran University of Medical Sciences.
Identification
Copyright
© 2020 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
