Document Detail


Factors associated with voice therapy outcomes in the treatment of presbyphonia.
MedLine Citation:
PMID:  20513037     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES/HYPOTHESIS: Age, vocal fold atrophy, glottic closure pattern, and the burden of medical problems are associated with voice therapy outcomes for presbyphonia. STUDY DESIGN: Retrospective. METHODS: Records of patients seen over a 3-year period at a voice center were screened. Inclusion criteria consisted of age over 55 years, primary complaint of hoarseness, presence of vocal fold atrophy on examination, and absence of laryngeal or neurological pathology. Videostroboscopic examinations on initial presentation were reviewed. Voice therapy outcomes were assessed with the American Speech-Language-Hearing Association National Outcomes Measurement System scale. Statistical analysis was performed with Spearman rank correlation and chi(2) tests. RESULTS: Sixty-seven patients were included in the study. Of the patients, 85% demonstrated improvement with voice therapy. The most common type of glottic closure consisted of a slit gap. Gender or age had no effect on voice therapy outcomes. Larger glottic gaps on initial stroboscopy examination and more pronounced vocal fold atrophy were weakly correlated with less improvement from voice therapy. A weak correlation was also found between the number of chronic medical conditions and poorer outcomes from voice therapy. CONCLUSIONS: The degree of clinician-determined improvement in vocal function from voice therapy is independent of patient age but is influenced by the degree of vocal fold atrophy, glottic closure pattern, and the patient's burden of medical problems.
Authors:
Ted Mau; Barbara H Jacobson; C Gaelyn Garrett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  120     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1181-7     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA. ted.mau@utsouthwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aging / physiology
Atrophy
Chi-Square Distribution
Comorbidity
Female
Hoarseness / physiopathology*,  rehabilitation*
Humans
Laryngoscopy
Male
Middle Aged
Retrospective Studies
Stroboscopy
Treatment Outcome
Vocal Cords / physiopathology
Voice Disorders / physiopathology*,  rehabilitation*
Voice Quality
Voice Training

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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