Comparing Voice Self-Assessment with Auditory Perceptual Analysis in Patients with Multiple Sclerosis

Bauer, Vladimir; Alerić, Zorica; Jančić, Ervin

doi:10.1055/s-0034-1397332

Cited by 10 publications

(10 citation statements)

References 16 publications

(35 reference statements)

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“…32 This condition may lead to diet restrictions (bolus consistency or volume), associated risks (e.g., bronchoaspiration), and exclusive use of alternative feeding routes. 33 Our study showed significantly lower SWAL-QOL scores (for individual items-burden, eating desire, duration, symptom frequency, food selection, communication, mental health, and fear-and total score) in the CG at the 3-month assessment. When eating is considered a burden, it may reflect a patient's fear of immobility or muscle fatigue.…”

Section: Discussionsupporting

confidence: 43%

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3

et al. 2022

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Background Individuals with spinocerebellar ataxia type 3 (SCA3) present communication and swallowing disorders, and consequent deterioration in quality of life (QOL). Objective To evaluate the impact of a speech therapy rehabilitation program on the QOL of patients with SCA3. Methods All participants were randomly assigned to two groups, an intervention group receiving speech therapy (STG) and a control group (CG). The International Cooperative Ataxia Rating Scale scores were 32.4 ± 20.2, and the Scale for the Assessment and Rating of Ataxia scores were 11.8 ± 8.0. The intervention consisted of a 12-session speech therapy rehabilitation program with oral, pharyngeal, and laryngeal strengthening exercises—the so-called ATAXIA–Myofunctional Orofacial and Vocal Therapy (A-MOVT). They all were submitted to pre- and postintervention evaluations using the World Health Organization's Quality of Life (WHOQOL-BREF) assessment, as well as the Living with Dysarthria (LwD), Quality of Life in Swallowing Disorders (SWAL-QOL), and Food Assessment Tool (EAT-10). Results The study sample consisted of 48 patients with SCA3 (STG = 25; CG = 23), mean age was 47.1 ± 11.4 years; mean age at symptom onset was 36.9 ± 11.3 years; disease duration was 11.9 ± 13.3 years. After the 3-month intervention, there were significant changes in the QOL in the STG compared with the CG, when assessed by the LwD (179.12 ± 62.55 vs. 129.88 ± 51.42, p < 0.001), SWAL-QOL (869.43 ± 153.63 vs. 911.60 ± 130.90, p = 0.010), and EAT-10 (5.16 ± 7.55 vs. 2.08 ± 3.85, p = 0.018). Conclusions Patients with SCA3 should receive continuous speech therapy as part of the A-MOVT program, because therapy helps to improve difficulty swallowing and dysarthria.

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Section: Discussionsupporting

confidence: 43%

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3

et al. 2022

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“…Comparing the results obtained in this study with other studies, it can be noticed that in all studies the mean values of VHI are relatively low, indicating only a slight degree of self-reported voice disorder. The results are for instance: 15.64 and 16.68 in studies conducted by Bauer et al (n=36 and n=38 respectively), (Bauer et al, 2013, Bauer et al, 2015 and 5.92 in a study by Hamdan et al (n=59) (Hamdan et al, 2012). The higher value obtained in our study, indicating worse voice quality reported by the patients may result from the fact that the study was conducted on a much bigger group of patients (n=107) with a formal neurological MS diagnosis.…”

Section: Discussionsupporting

confidence: 39%

Speech Pathology-Specific Questionnaire for Persons with Multiple Sclerosis (SMS): adaptation, validation and preliminary assessment of the diagnostic potential.

Morawska

Niebudek-Bogusz

Stasiołek

et al. 2021

Multiple Sclerosis and Related Disorders

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Speech and voice disorders are among the least well-described clinical manifestations of Multiple Sclerosis (MS) although their estimated prevalence reaches 40-50%. The aim of the present study was adaptation and validation of the Speech Pathology-Specific Questionnaire for Persons with Multiple Sclerosis (SMS) into the Polish language to be used as part of the diagnostic procedure to quantify important speech-related changes and to improve individual tailoring of therapeutic activities. Material and Methods:The study included a total number of 178 participants. The study group consisted of 107 patients diagnosed with Multiple Sclerosis, mean age 42.8±11.6 years and the Control Group were 71 healthy sex and age matched normophonic subjects, mean age 44.2±12.5 years with no neurological symptoms. Translated version of SMS was administered to all participants of the study. Voice Handicap Index (VHI) questionnaire was used for comparison purposes. Test-retest reproducibility, internal consistency, floor and ceiling effects, discriminant validity and construct validity of the Polish SMS were investigated. Preliminary assessment of diagnostic value of SMS was conducted on the basis of the results recorded in duration-related quartiles of the Study Group. Results: High value of Intraclass Correlation Coefficient (ICC= 0 .930) obtained for the test-retest indicates a good level of reproducibility of the Polish SMS. High Cronbach's alpha (α=0.94) proves the test's good internal consistency. There were no floor and ceiling effects for the SMS test score in the Study Group and they were negligible in the Control Group. A significant difference in mean SMS total scores between patients and controls (14.22 points vs. 6.06 points) shows discriminant validity of SMS. Similar differences were observed for all the subscales of the test (in t test: p<0.001). A statistically significant correlation was found for the SMS score and its all subscales, as well as between all the subscales of the test proving good construct validity of the test. Similarly, statistically significant correlations were observed for the total score of SMS and VHI (r=.817, p <0.001) as well as between the particular subscales of SMS test and the subscales of VHI. There was a statistically significant difference in the mean total score of SMS in the distinguished quartiles of the Study Group with the highest values (20 points) recorded in the group of patients suffering from MS for over 15 years. Conclusion: The psychometric properties of the Polish version of Speech Pathology-Specific Questionnaire indicate that it is a valid patient-reported outcome measure suitable for the assessment of speech-language pathology aspects on the population of Multiple Sclerosis patients and can be used as an complementary diagnostic tool in clinical practice.

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“…The correlation between V-RQOL and D ( Table 3 ) clearly provides evidence of the impact of dysphonia on patient quality of life 25 , 26 , 27 , even when these scores were not especially high. The impact of dysphonia on different populations should also be considered.…”

Section: Discussionmentioning

confidence: 94%

Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses

Nemr¹,

Cota²,

Tsuji³

et al. 2018

Clinics

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OBJECTIVES:To characterize the voice quality of individuals with dysphonia and to investigate possible correlations between the degree of voice deviation (D) and scores on the Dysphonia Risk Screening Protocol-General (DRSP), the Voice-Related Quality of Life (V-RQOL) measure and the Voice Handicap Index, short version (VHI-10).METHODS:The sample included 200 individuals with dysphonia. Following laryngoscopy, the participants completed the DRSP, the V-RQOL measure, and the VHI-10; subsequently, voice samples were recorded for auditory-perceptual and acoustic analyses. The correlation between the score for each questionnaire and the overall degree of vocal deviation was analyzed, as was the correlation among the scores for the three questionnaires.RESULTS:Most of the participants (62%) were female, and the mean age of the sample was 49 years. The most common laryngeal diagnosis was organic dysphonia (79.5%). The mean D was 59.54, and the predominance of roughness had a mean of 54.74. All the participants exhibited at least one abnormal acoustic aspect. The mean questionnaire scores were DRSP, 44.7; V-RQOL, 57.1; and VHI-10, 16. An inverse correlation was found between the V-RQOL score and D; however, a positive correlation was found between both the VHI-10 and DRSP scores and D.CONCLUSION:A predominance of adult women, organic dysphonia, moderate voice deviation, high dysphonia risk, and low to moderate quality of life impact characterized our sample. There were correlations between the scores of each of the three questionnaires and the degree of voice deviation. It should be noted that the DRSP monitored the degree of dysphonia severity, which reinforces its applicability for patients with different laryngeal diagnoses.

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Comparing Voice Self-Assessment with Auditory Perceptual Analysis in Patients with Multiple Sclerosis

Cited by 10 publications

References 16 publications

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3

Speech Pathology-Specific Questionnaire for Persons with Multiple Sclerosis (SMS): adaptation, validation and preliminary assessment of the diagnostic potential.

Voice deviation, dysphonia risk screening and quality of life in individuals with various laryngeal diagnoses

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