Establishing Validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)

Zraick, Richard I.; Kempster, Gail B.; Connor, Nadine P.; Thibeault, Susan L.; Klaben, Bernice K.; Bursac, Zoran; Thrush, Carol R.; Glaze, Leslie E.

doi:10.1044/1058-0360(2010/09-0105)

Cited by 225 publications

(137 citation statements)

References 31 publications

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“…Assessment procedures were carried out within 2 weeks of an established diagnosis. Auditory-perceptual assessment was conducted using the Consensus Auditory Perceptual Evaluation of Voice (CAPE-V; Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kramer, & Hillman, 2009;Zraick et al, 2011). This assessment provides a measure of the clinician's perceptual ratings of a patient's voice on a variety of parameters, including breathiness, roughness, strain, pitch, loudness, and overall severity.…”

Section: Assessmentmentioning

confidence: 99%

Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia

Rangarathnam

McCullough

Pickett

et al. 2015

Am J Speech Lang Pathol

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Purpose: The purpose of this study was to investigate the utility of telepractice for delivering flow phonation exercises to persons with primary muscle tension dysphonia (MTD). Method: Fourteen participants with a diagnosis of primary MTD participated, 7 on site and 7 at remote locations. Each participant received 12 treatment sessions across 6 weeks. Treatment consisted of flow phonation voice therapy exercises. Auditory-perceptual, acoustic, aerodynamic, and quality-of-life measures were taken before and after treatment. Results: Perceptual and qualityof-life measures were significantly better posttreatment and were statistically equivalent across groups. Acoustic and aerodynamic measures improved in both groups, but changes did not reach statistical significance. Results for the 2 service delivery groups were comparable, with no significant differences observed for perceptual and quality-of-life measures. Conclusions: Although the American Speech-Language-Hearing Association supports the use of telepractice for speech-language pathology services, evidence for the use of telepractice for providing behavioral treatment to patients with MTD has been lacking. The results of this study indicate that flow phonation exercises can be successfully used for patients with MTD using telepractice.

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Section: Assessmentmentioning

confidence: 99%

Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia

Rangarathnam

McCullough

Pickett

et al. 2015

Am J Speech Lang Pathol

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“…A high score on the VHI indicates important voice difficulties. We translated and modified the Consensus AuditoryPerceptual Evaluation of Voice (CAPE-V) (Zraick et al 2011) in order to perform perceptual self-assessment of dysphonia in 6 points (i.e., voice strain, roughness, breathiness, etc.) on a 100 mm visual analog scale (0= not at all, 100=extremely).…”

Section: Voice and Communication Quality Assessmentmentioning

confidence: 99%

Effects of age on the amplitude, frequency and perceived quality of voice

Lortie

Thibeault

Guitton

et al. 2015

AGE

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The manner and extent to which voice amplitude and frequency control mechanisms change with age is not well understood. The related question of whether the assessment of one's own voice evolves with age, concomitant with the acoustical changes that the voice undergoes, also remains unanswered. In the present study, we characterized the aging of voice production mechanisms (amplitude, frequency), compared the aging voice in different experimental contexts (vowel utterance, connected speech) and examined the relationship between voice self-assessment and age-related voice acoustical changes. Eighty healthy adults (20 to 75 years old) participated in the study, which involved computation of several acoustical measures of voice (including measures of fundamental frequency, voice amplitude, and stability) as well as self-assessments of voice. Because depression is frequent in older adults, depression and anxiety scores were also measured. As was expected, analyses revealed age effects on most acoustical measures. However, there was no interaction between age and the ability to produce high/low voice amplitude/frequency, suggesting that voice amplitude and frequency control mechanisms are preserved in aging. Multiple mediation analyses demonstrated that the relationship between age and voice self-assessment was moderated by depression and anxiety scores. Taken together, these results reveal that while voice production undergoes important changes throughout aging, the ability to increase/decrease the amplitude and frequency of voice are preserved, at least within the age range studied, and that depression and anxiety scores have a stronger impact on perceived voice quality than acoustical changes themselves.

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“…The CAPE-V was also shown to have concurrent validity. 89 These instruments were designed for use by professionals with expertise and training in audio-perceptual aspects of voice. For individuals without such training and expertise, a simple method for acquiring preoperative auditory-perceptual judgments of the patient's voice can be achieved by completing an audio recording of the patient's voice while they sustain a vowel sound such as "ah" or "ee" for 3 to 5 seconds and then while they read standard sentences or spontaneously converse for 30 seconds to 1 minute.…”

Section: No Recommendationmentioning

confidence: 99%

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Chandrasekhar

Randolph

Seidman³

et al. 2013

Otolaryngol.--head neck surg.

353

100

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Objective. Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems in up to 1 in 25. Reduced quality of life after thyroid surgery is multifactorial and may include the need for lifelong medication, thyroid suppression, radioactive scanning/treatment, temporary and permanent hypoparathyroidism, temporary or permanent dysphonia postoperatively, and dysphagia. This clinical practice guideline provides evidence-based recommendations for management of the patient's voice when undergoing thyroid surgery during the preoperative, intraoperative, and postoperative period.Purpose. The purpose of this guideline is to optimize voice outcomes for adult patients aged 18 years or older after thyroid surgery. The target audience is any clinician involved in managing such patients, which includes but may not be limited to otolaryngologists, general surgeons, endocrinologists, internists, speech-language pathologists, family physicians and other primary care providers, anesthesiologists, nurses, and others who manage patients with thyroid/voice issues. The guideline applies to any setting in which clinicians may interact with patients before, during, or after thyroid surgery. Children under age 18 years are specifically excluded from the target population; however, the panel understands that many of the findings may be applicable to this population. Also excluded are patients undergoing concurrent laryngectomy. Although this guideline is limited to thyroidectomy, some of the recommendations may extrapolate to parathyroidectomy as well.Results. The guideline development group made a strong recommendation that the surgeon should identify the recurrent laryngeal nerve(s) during thyroid surgery. The group made recommendations that the clinician or surgeon should (1) document assessment of the patient's voice once a decision has been made to proceed with thyroid surgery; (2) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, if the patient's voice is impaired and a decision has been made to proceed with thyroid surgery; (3) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, once a decision has been made to proceed with thyroid surgery if the patient's voice is normal and the patient has (a) thyroid cancer with suspected extrathyroidal extension, or (b) prior neck surgery that increases the risk of laryngeal nerve injury (carotid endarterectomy, anterior approach to the cervical spine, cervical esophagectomy, and prior thyroid or parathyroid surgery), or (c) both; (4) educate the patient about the potential impact of thyroid surgery on voice once a decision has been made to proceed with thyroid surgery; (5) inform the anesthesi...

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Establishing Validity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)

Cited by 225 publications

References 31 publications

Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia

Telepractice Versus In-Person Delivery of Voice Therapy for Primary Muscle Tension Dysphonia

Effects of age on the amplitude, frequency and perceived quality of voice

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

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