The objective of this study was to evaluate a Swedish version of the voice handicap index questionnaire (Sw-VHI). A total of 57 adult, dysphonic patients and 15 healthy controls completed the Sw-VHI and rated the degree of vocal fatigue and hoarseness on visual analogue scales. A perceptual voice evaluation was also performed. Test-retest reliability was analyzed in 38 subjects without voice complaints. Sw-VHI distinguished between dysphonic subjects and controls (P<0.001). The internal consistency (Cronbach's alpha > 0.84) and test-retest reliability (intraclass correlation coefficient >0.75) were good. Only moderate or weak correlations were found between Sw-VHI and the subjective and perceptual voice ratings. The data indicate that a difference above 13 points for the total Sw-VHI score and above 6 points for the Sw-VHI subscales is significant for an individual when comparing two different occasions. In conclusion, the Sw-VHI appears to be a robust instrument for assessment of the psycho-social impact of a voice disorder. However, Sw-VHI seems to, at least partly, capture different aspects of voice function to the subjective voice ratings and the perceptual voice evaluation.

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Studies of vocal behavior under natural conditions require suitable techniques for obtaining records of voice use. We describe the operation of a newly designed voice accumulator that allows registration of fundamental frequency and phonation time during a 12-hour period. The device is based on microprocessors and allows accumulation of the voice fundamental frequency within 60–600 Hz. The voice signal is picked up by a contact microphone attached to the front part of the neck. Analysis of fundamental frequency distribution and phonation time is made on a personal computer. Validation of the device shows it to provide accurate measurements of fundamental frequency, although it tends to underestimate phonation time. In a field test, the accumulator was used to analyze vocal behavior during two work-days in a group of nurses and a group of speech pathologists. Overall, the speech pathologists had a lower fundamental frequency level and higher values of phonation time than the nurses. These field results confirm the validation of the voice accumulator.

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