Voice Activity and Participation Profile (VAPP) in assessing the effects of voice disorders on patients’ quality of life: Validity and reliability of the Finnish version of VAPP

Sukanen, Outi; Sihvo, Marketta; Rorarius, Eija; Lehtihalmes, Matti; Autio, Ville; Kleemola, Leenamaija

doi:10.1080/14015430600784386

Cited by 33 publications

(17 citation statements)

References 22 publications

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“…Literature data confirms the feasibility of that tool for analyzing the reliability and validity of the new-developed subjective scales [27,28]. The high reliability of the LMTPE scale has been confirmed by the values of Cronbach's α coefficient -in the control group this coefficient was 0.965, and in the study group it was 0.934.…”

Section: Discussionsupporting

confidence: 51%

Laryngeal manual therapy palpatory evaluation scale: A preliminary study to examine its usefulness in diagnosis of occupational dysphonia

Woźnicka

Niebudek-Bogusz

Morawska

et al. 2017

Med Pr

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Background: The aim of this study has been to assess the larynx and soft tissue around the vocal tract in a group of people with healthy voice, and in a group of patients with occupational dysphonia using the new laryngeal manual therapy palpatory evaluation scale (LMTPE). Material and Methods: The examinations were performed in a study (dysphonic) group of professional voice users who had developed voice disorders (N = 51) and in the control group of normophonic subjects (N = 50). All the participants underwent perceptual voice assessment and examination by means of the LMTPE scale. Additionally, phoniatric examination including VHI (Voice Handicap Index) questionnaire, GRBAS (the Grade of hoarseness, Roughness, Breathiness, Asthenic, Strained) perceptual evaluation, maximum phonation time (MPT) measurement and videostroboscopy was performed in the study group. Results: The comparison of the LMTPE total score showed that the results of the study group were significantly poorer than those of controls (p < 0.001). In the study group, correlations were found between the LMTPE results and the VHI scores (p < 0.05), perceptual evaluation by the GRBAS (p < 0.05) and the objective parameter MPT (p < 0.05). Conclusions: The study has proven that the LMTPE scale is characterized by the high score of Cronbach's α ratio estimating the reliability of the test. The results have confirmed that the LMTPE scale seems to be a valuable tool, useful in diagnostics of occupational dysphonia, particularly of hyperfunction origin. Med Pr 2017;68(2):179-188

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Section: Discussionsupporting

confidence: 51%

Laryngeal manual therapy palpatory evaluation scale: A preliminary study to examine its usefulness in diagnosis of occupational dysphonia

Woźnicka

Niebudek-Bogusz

Morawska

et al. 2017

Med Pr

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“…The questions are answered using a 10-cm VAS, where the left end represents 'not affected' and the right end 'always affected'. The Finnish translation of VAPP, which was used in the present study, has been validated [27] .…”

Section: Validitymentioning

confidence: 99%

Self-Evaluation of Voice as a Treatment Outcome Measure

Laukkanen

Leppänen

Ilomäki³

2009

Folia Phoniatr Logop

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This study addressed two self-evaluation questionnaires in investigating the effects of voice hygiene lecture (VHL, 3 h) and additional voice training (VT) or Voice Massage™ (VM; both 5 h) in 90 female teachers. The subjects assessed their voice quality, ease of phonation and tiredness of throat before and after a working day at the beginning and end of the school term using a visual analogue scale (VAS) (Questionnaire 1). At the end of the term, the degree of positive influence of the interventions was reported on VAS, and the type of influence was indicated by choosing one or more of three alternatives (voice quality, audibility and endurance) or by writing a free comment (Questionnaire 2). Questionnaire 1 was pretested and found to be reliable and valid for self-evaluation of voice. At the end of term, the VM and VT groups reported more positive influence of the interventions than did the VHL group. The reported influence did not correlate with working-day-related changes in sensations. Increased difficulty of phonation and tiredness of throat was found in the VHL group at the end of the term. However, the groups did not differ significantly from each other. The challenges of self-evaluations as outcome measures are discussed.

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“…), vocal symptoms after voice use, teaching experience, group size in the classroom, hours taught per week and a self-evaluation of the person's voice (quality, endurance and audibility). They also filled in the Finnish translation [26] of the Voice Activity and Participation Profile [27] .…”

mentioning

confidence: 99%

A Comparison of the Effects of Voice Massage™ and Voice Hygiene Lecture on Self-Reported Vocal Well-Being and Acoustic and Perceptual Speech Parameters in Female Teachers

Leppänen

Laukkanen

Ilomäki

et al. 2009

Folia Phoniatr Logop

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This study compared the effects of Voice Massage™ (VM) and a voice hygiene lecture (VHL) on 60 female teachers. VM is a Finnish massage method which treats muscles related to voice production. All subjects attended the VHL (3 h). Half of them were randomly assigned to the VM group, the other half received only VHL. VM was given 5 times in 1-hour sessions at intervals of 1–2 weeks. At the beginning and end of the autumn school term, before and after a working day, (1) a 1-min reading sample was recorded at both the subject’s habitual loudness and loudly, (2) a prolonged phonation on [a:] was recorded at habitual speaking pitch and (3) a questionnaire on voice quality, ease or difficulty of phonation, and tiredness of the throat was completed. The reading samples were analysed for the fundamental frequency (F₀), equivalent sound level (Leq) and α-ratio [Leq (1–5 kHz) – Leq (50–1,000 Hz)]. The vowel samples were analysed for the F₀ and Leq, as well as for jitter and shimmer. The reading samples were also evaluated perceptually by 3 speech trainers. The mean F₀ and difficulty of phonation increased from the beginning to the end of the term in the VHL group (p = 0.026, p = 0.007, respectively). In the VM group, the perceived firmness of loud reading decreased (p = 0.026). The results suggest that VM may help in sustaining vocal well-being during a school term.

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Voice Activity and Participation Profile (VAPP) in assessing the effects of voice disorders on patients’ quality of life: Validity and reliability of the Finnish version of VAPP

Cited by 33 publications

References 22 publications

Laryngeal manual therapy palpatory evaluation scale: A preliminary study to examine its usefulness in diagnosis of occupational dysphonia

Laryngeal manual therapy palpatory evaluation scale: A preliminary study to examine its usefulness in diagnosis of occupational dysphonia

Self-Evaluation of Voice as a Treatment Outcome Measure

A Comparison of the Effects of Voice Massage™ and Voice Hygiene Lecture on Self-Reported Vocal Well-Being and Acoustic and Perceptual Speech Parameters in Female Teachers

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