Background: Teachers are the greatest group of professional voice users. Prolonged, continuous speaking in a loud voice at school may entail a bad vocal health. It seems that their occupational circumstances make them more likely to develop voice disorders in comparison with other groups. Objectives: The purposes of this study are 1) to compare teachers with and without voice complaint on the Dysphonia Severity Index and 2) to compare component measures that establish Dysphonia Severity Index. Materials and Methods: This study included 40 female teachers with voice complaint and 40 female teachers without voice complaint between the ages of 30 and 50 years who were teaching in elementary schools of Tehran city. Simple non-random sampling was done for selected teachers in two groups. The examinees were asked to produce the vowel /a/ three times for calculating any variables, then measures of maximum phonation time, jitter, highest phonational frequency, and lowest intensity were obtained for each subject with Praat and Phonetogram softwares and incorporated into multivariate Dysphonia Severity Index formula. Kolmogoro-Smirnov one sample test and independent sample T-Test was used, the significance level was set at P < 0.05. Results: Results indicate that female teachers without voice complaint have significantly higher Dysphonia Severity Index scores than female teachers with voice complaint (mean Dysphonia Severity Index: 3.58 vs. 1.05, respectively), also significant differences are observed between groups of with and without complaint for four of components of the DSI (F0 high, I low, jitter and maximum phonation time) (P value = 0.001). Conclusions: The findings of this study indicate that there is a significant difference in Vocal Quality between teachers with and without voice complaint. This finding may indicate teachers with voice complaint have worse vocal quality that means they are at risk for voice problems. This information may be very important for voice professionals and, speech and language pathology to advice teachers with voice complaint and manage to advocate "good vocal health".
Objectives: The purpose of this study was to assess and compare the total score and subscale scores of the Voice Handicap Index (VHI) in speakers with and without hearing loss. A further aim was to determine if a correlation exists between severities of hearing loss with total scores and VHI subscale scores. Patients and Methods: In this cross-sectional, descriptive analytical study, 100 participants, divided in 2 groups of participants with and without hearing loss, were studied. Background information was gathered by interview, and VHI questionnaires were filled in by all participants. Results: For all variables, including mean total score and VHI subscale scores, there was a considerable difference in speakers with and without hearing loss (p < 0.05). The correlation between severity of hearing loss with total score and VHI subscale scores was significant. Conclusion: Speakers with hearing loss were found to have higher mean VHI scores than speakers with normal hearing. This indicates a high voice handicap related to voice in speakers with hearing loss. In addition, increased severity of hearing loss leads to more severe voice handicap. This finding emphasizes the need for a multilateral assessment and treatment of voice disorders in speakers with hearing loss.
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