Gender-specific reference ranges of the vocal extent measure in young and healthy adults

Freymann, Marie-Louise; Mathmann, Philipp; Rummich, Julius; Müller, Constanze; Neumann, Konrad; Nawka, Tadeus; Caffier, Philipp P.

doi:10.1080/14015439.2019.1617894

Cited by 4 publications

(7 citation statements)

References 17 publications

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“…Similar to previous studies, healthy subjects (VII) reached the highest VEM and DSI values while assessing their voices being not impaired [ 7 , 16 ]. They could be clearly separated from patients with voice disorders by VEM and all other examined parameters.…”

Section: Discussionsupporting

confidence: 85%

“…The first investigation [ 8 ] presented a rough VEM classification deduced from 564 patients with different types of voice disorders, based on the quartiles of the VEM data (≥106: normal vocal capacity; <106 to ≥89: mildly reduced; <89 to ≥64: moderately reduced; <64: severely reduced vocal capacity). The second study [ 16 ] introduced gender-specific VEM means (M ± SD) and reference ranges (RR = M ± 1.96 × SD) for young and healthy males (124 ± 13; RR: 99-148) and females (114 ± 13; RR: 88-141). Even though it would simplify the interpretation of vocal complaints in different pathologies and allow for better evaluation of expectable treatment success, more precise and comprehensive data regarding different types of voice disorders as well as healthy voices are not yet available.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the VEM should also be investigated with regard to voice usage, gender, and age differences. Based on the findings of the literature, we hypothesized that professional voice use, male gender, and younger age are associated with higher VEM values [ 7 , 8 , 14 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Müller

Caffier

Nawka

et al. 2020

BioMed Research International

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The vocal extent measure (VEM) represents a new diagnostic tool to express vocal capacity by quantifying the dynamic performance and frequency range of voice range profiles (VRPs). For VEM calculation, the VRP area is multiplied by the quotient of the theoretical perimeter of a circle with equal VRP area and the actual VRP perimeter. Since different diseases affect voice function to varying degrees, pathology-related influences on the VEM should be investigated more detailed in this retrospective study, three years after VEM implementation. Data was obtained in a standardized voice assessment comprising videolaryngostroboscopy, voice handicap index (VHI-9i), and acoustic-aerodynamic analysis with automatic calculation of VEM and dysphonia severity index (DSI). The complete dataset comprised 1030 subjects, from which 994 adults (376 male, 618 female; 18-86 years) were analyzed more detailed. The VEM differed significantly between pathology subgroups ( p < 0.001 ) and correlated with the corresponding DSI values. Regarding VHI-9i, the VEM reflected the subjective impairment better than the DSI. We conclude that the VEM proved to be a comprehensible and easy-to-use interval-scaled parameter for objective VRP evaluation in all pathology subgroups. As expected, exclusive consideration of the measured pathology-related influences on the VEM does not allow conclusions regarding the specific underlying diagnosis.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Müller

Caffier

Nawka

et al. 2020

BioMed Research International

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“…The VHI-9i responses from the present series indicate a better vocal QoL than those reported in the literature do for patients with voice-affecting pathologies (Table VI) [45,46,48,56]. It is interesting-and logical-to note that the adolescents assessed by the speech therapist as having no phonation impairment had a mean total VHI-9i score less than six (5.8 ± 4.7), indicating a normal voice, whereas those assessed with low or moderate impairment were above that threshold (7.9 ± 5.1) indicating a mild phonation disorder.…”

Section: Vocal-specific Quality Of Lifesupporting

confidence: 48%

“…Responses to the nine questions are noted on a scale from 0 (never) to 4 (always) and the total score ranges from 0 to 36 [44]. Scores from 0 to 5, from 6 to 10, from 11 to 16 and from 17 to 36, indicate respectively no, mild, moderate and severe vocal disorders [45,46]. Those thresholds were used to interpret the VHI-9i results of the present cohort and compare them to results reported in four other series on adult patients with voice disorders [45,[47][48][49].…”

Section: The Voice Handicap Index: Vocal Qolmentioning

confidence: 99%

Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

Thouvenin

Soupre

CAILLAUD

et al. 2021

Preprint

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We assessed the phonatory and morphological outcome of 72 cognitively unimpaired adolescents with Pierre Robin Sequence (PRS), studied their generic (Kidscreen-52), oral (COHIP-SF19) and vocal (VHI-9i) qualities of life (QoL), and sought to identify determinants of these outcomes. Two-thirds of our adolescents retained low or moderate phonation difficulties but risk factors for them were not identified. For 14%, esthetic results were considered disharmonious with no link to neonatal retrognathia severity. Only two-stage surgery appeared to have a role in improving esthetic results. The generic QoL of these adolescents was slightly lower than that of control patients, especially in dimensions concerning physical well-being, relationships and autonomy. Patients with non-isolated PRS had lower results than those with isolated PRS. Phonatory and morphological sequelae had no impact on generic QoL. Only non-isolated PRS and a low oral QoL had an impact on generic QoL. The oral QoL of these adolescents was comparable to that of control patients and significantly better than that of children with craniofacial malformations. The oral QoL of the adolescents with non-isolated PRS, was significantly worse than that of control patients and close to that of children with craniofacial malformations. The vocal QoL of our subjects was better than that of patients with other voice pathologies and better when phonation was good.

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Quality of life and phonatory and morphological outcomes in cognitively unimpaired adolescents with Pierre Robin sequence: a cross-sectional study of 72 patients

Thouvenin

Soupre

CAILLAUD

et al. 2021

Orphanet J Rare Dis

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Background Pierre Robin sequence (PRS) is a heterogeneous condition involving retro(micro)gnathia, glossoptosis and upper airway obstruction, very often with posterior cleft palate. Patients with PRS, either isolated or associated with Stickler syndrome have good intellectual prognosis. Nevertheless, the quality of life in adolescence and the phonatory and morphological outcomes are rarely analysed. We assessed the phonatory and morphological outcomes of 72 cognitively unimpaired adolescents with PRS, studied their oral (COHIP-SF19), vocal (VHI-9i) and generic quality of life (QoL; KIDSCREEN-52), and searched for determinants of these outcomes. Results Two-thirds of our adolescents retained low or moderate phonation difficulties, but risk factors were not identified. For 14%, morphological results were considered disharmonious, with no link to neonatal retrognathia severity. Only one vs two-stage surgery seemed to affect final aesthetic results. The oral QoL of these adolescents was comparable to that of control patients and was significantly better than that of children with other craniofacial malformations (COHIP-SF19 = 17.5, 15.4 and 25.7, respectively). The oral QoL of the adolescents with non-isolated PRS was significantly worse (COHIP-SF19 = 24.2) than that of control patients and close to that of children with other craniofacial malformations. The vocal QoL of the adolescents (mean [SD] VHI-9i = 7.5 [5.4]) was better than that of patients with other voice pathologies and better when phonation was good. The generic QoL of the adolescents was satisfactory but slightly lower than that of controls, especially in dimensions concerning physical well-being, relationships and autonomy. QoL results were lower for adolescents with non-isolated than isolated PRS. Only non-isolated PRS and low oral QoL affected generic QoL. Conclusion Morphological or phonatory impairments remain non-rare in adolescents with PRS but do not seem to be directly responsible for altered QoL. These adolescents, especially those with non-isolated PRS, show self-confidence and social-relation fragility. We must focus on long-term functional and psychological results for PRS patients and improve therapy protocols and follow-up, notably those affecting the oral aspects of the disease.

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Gender-specific reference ranges of the vocal extent measure in young and healthy adults

Cited by 4 publications

References 17 publications

Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

Quality of life and phonatory and morphological outcomes in cognitively unimpaired adolescents with Pierre Robin sequence: a cross-sectional study of 72 patients

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Gender-specific reference ranges of the vocal extent measure in young and healthy adults

Cited by 4 publications

References 17 publications

Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics

Quality of Life &amp; Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series

Quality of life and phonatory and morphological outcomes in cognitively unimpaired adolescents with Pierre Robin sequence: a cross-sectional study of 72 patients

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Product

Resources

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Quality of Life & Phonatory and Morphological Outcomes in Cognitively Unimpaired Adolescents With Pierre Robin Sequence – A Cross-sectional Study in a 72-patient Series