Summary
Voice is a complex and multidimensional phenomenon of interest to different disciplines.
Divergent terminologies and, consequently, classification systems constitute, historically,
a difficulty in this field of knowledge, which limits communication between professionals
from different countries, backgrounds, and clinical experiences, and well as limiting
clinical management and discussion of scientific research findings. This article aims
to map and analyze the different diagnostic classifications in voice by describing
the findings of a scoping review, consisting of both electronic and manual searches.
The results are presented in two parts. In Part A of this article, we explore propositions for comprehensive diagnostic classifications,
which involve theoretical frameworks for the constitution of each proposal. The included
studies were classified as either articles with theoretical propositions, called G1,
or articles using automated computerized classification systems called G2. A total
of 44 articles were included: 27 in G1 and 17 in G2. In G1, we found studies from
1947 to 2021, most of which were from the USA, the authors having created theoretical
propositions on the subject, considering mainly the etiology of vocal disorder. In
G2, we found studies from 2009 onwards, emphasizing automated extraction of acoustic
measurements and machine learning to create classification systems. G1 shows the propositions
of classifications ranging from two to 11 main groups, each with possible subgroups.
In G2, the classifications ranged from four to seven groups, showing preference to
distinguish them by descriptions of laryngeal conditions. Conclusion: There is limited
convergence between the different theoretical classifications, which is highlighted
by the need to create different subgroups, or categories, to include different vocal
disorders. The studies with a computerized approach reduce this variability to a certain
extent; however, although promising, they should consider theoretical foundations
in the proposition of classifications to be applicable to clinical setting.
Key words
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Article info
Publication history
Published online: December 03, 2022
Accepted:
November 10,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
