Voice-related quality of life in organic and functional voice disorders

Rasch, Thorsten; Günther, Susanne; Hoppe, Ulrich; Eysholdt, Ulrich; Rosanowski, F.

doi:10.1080/14015430510006640

Cited by 28 publications

(20 citation statements)

References 22 publications

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“…Concerning the ORL diagnosis (21) , published literature shows that this aspect does not influence the perception of quality of life in relation to voice.…”

Section: Discussionmentioning

confidence: 99%

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Ferreira

Campos

Bassi

et al. 2013

CoDAS

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DescritoresTo evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. Methods: This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speechlanguage therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. Results: At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. Conclusion: Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average. RESUMOObjetivo: Avaliar os efeitos em longo prazo da fonoterapia na qualidade de vida de professoras que receberam alta ou abandonaram o tratamento fonoaudiológico para disfonia. Métodos: Tratou-se de um estudo longitudinal baseado na análise das avaliações realizadas com docentes da rede municipal de ensino de Belo Horizonte, encaminhados para fonoterapia, que tiveram alta ou abandonaram o tratamento fonoaudiológico há mais de seis meses. Participaram 33 professoras no grupo alta e 20 no grupo abandono que foram contatadas, por meio de ligações telefônicas, e convidadas a responder ao protocolo Perfil de participação em atividades vocais, enviado e reencaminhado às pesquisadoras por meio de carta. Resultados: No momento pré-fonoterapia, os grupos alta e abandono eram homogêneos, exceto em relação ao parâmetro comunicação diária. Na comparação do grupo alta nos momentos pré e pós-fonoterapia observou-se melhora no parâmetro comunicação social e no escore total. O grupo alta apresentou piora no parâmetro autopercepção na comparação das médias nos momentos pós-fonoterapia e atual, e no grupo abandono houve piora nos parâmetros trabalho, comunicação social e no escore total na comparação das médias pré-fonoterapia e atual. Os grupos alta e abandono apresentara...

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“…Concerning the ORL diagnosis (21) , published literature shows that this aspect does not influence the perception of quality of life in relation to voice.…”

Section: Discussionmentioning

confidence: 99%

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Ferreira

Campos

Bassi

et al. 2013

CoDAS

View full text Add to dashboard Cite

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“…Yet, in contrast to former studies, there is a difference in the self-perception of patients suffering from different types of voice disorders. Former opinion that functional dysphonia constitutes an overemphasis of psychological burden [35] in questionnaires is obsolete by now [5,6,16,21,26,36,37] . It is not justified to classify functional dysphonia as a somatoform disorder.…”

Section: Discussionmentioning

confidence: 99%

Objective Voice Parameters and Self-Perceived Handicap in Dysphonia

Hummel¹,

Scharf²,

Schuetzenberger³

et al. 2010

Folia Phoniatr Logop

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Objective: This study focuses on the relation between objective voice quality and the self-perception of a voice handicap. Patients and Methods: The study group consisted of 86 German-speaking patients (51 women, 35 men) suffering from benign dysphonia. The test persons completed the German version of the Voice-Related Quality of Life (V-RQOL) Questionnaire without prior information about their diagnosis and underwent voice analysis with the Dysphonia Severity Index (DSI) being the parameter of this study. Results: No correlation between V-RQOL and DSI could be found (p > 0.05). On the V-RQOL, women scored worse than men, but not at a significant level. Patients with dysphonia of organic origin scored significantly worse than patients with functional dysphonia (p = 0.026). On the DSI, men’s values were significantly lower than women’s (p = 0.001). Organic dysphonia caused significantly lower DSI values than functional dysphonia (p = 0.011). Conclusion: Objective voice quality and the individual perception of voice quality by the patient are independent parameters. Both need to be assessed in clinical practice.

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“…1,2 These impact stresses lead to a variety of benign vocal fold lesions that pose significant impediments to communication, and may lead to a compromised quality of life. 3,4 In severe cases, medical/surgical intervention of such lesion(s) is necessary. As the current standard of care, patients typically undergo behavioral voice therapy to reduce the acute inflammatory response associated with injury and to allow for optimal assessment and categorization of the underlying pathologic condition.…”

Section: Introductionmentioning

confidence: 99%

Dynamic Biomechanical Strain Inhibits IL-1β–induced Inflammation in Vocal Fold Fibroblasts

et al. 2007

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SummaryDespite the fact that vocal folds are subjected to extensive mechanical forces, the role of mechanical strain in vocal fold wound healing has been overlooked. Recent studies on other tissues have demonstrated that low physiological levels of mechanical forces are beneficial to injured tissues, reduce inflammation, and induce synthesis of matrix-associated proteins essential for enhanced wound healing. In this study, we speculated that mechanical strain of low magnitudes also attenuates the production of inflammatory mediators and alters the extracellular matrix synthesis to augment wound healing in cultured vocal fold fibroblasts. To test this hypothesis, fibroblasts from rabbit vocal folds were isolated and exposed to various magnitudes of cyclic tensile strain (CTS) in the presence or absence of interleukin-1β (IL-1β). Results suggest that IL-1β activates proinflammatory gene transcription in vocal fold fibroblasts. Furthermore, CTS abrogates the IL-1β-induced proinflammatory gene induction in a magnitude-dependent manner. In addition, CTS blocks IL-1β-mediated inhibition of collagen type I synthesis, and thereby upregulates collagen synthesis in the presence of IL-1β. These findings are the first to reveal the potential utility of low levels of mechanical signals in vocal fold wound healing, and support the emerging on vivo data suggesting beneficial effects of vocal exercise on acute phonotrauma.

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Voice-related quality of life in organic and functional voice disorders

Cited by 28 publications

References 22 publications

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study

Objective Voice Parameters and Self-Perceived Handicap in Dysphonia

Dynamic Biomechanical Strain Inhibits IL-1β–induced Inflammation in Vocal Fold Fibroblasts

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