Document Detail


Reliability of speaking and maximum voice range measures in screening for dysphonia.
MedLine Citation:
PMID:  16678387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Speech range profile (SRP) is a graphical display of frequency-intensity occurring interactions during functional speech activity. Few studies have suggested the potential clinical applications of SRP. However, these studies are limited to qualitative case comparisons and vocally healthy participants. The present study aimed to examine the effects of voice disorders on speaking and maximum voice ranges in a group of vocally untrained women. It also aimed to examine whether voice limit measures derived from SRP were as sensitive as those derived from voice range profile (VRP) in distinguishing dysphonic from healthy voices. Ninety dysphonic women with laryngeal pathologies and 35 women with normal voices, who served as controls, participated in this study. Each subject recorded a VRP for her physiological vocal limits. In addition, each subject read aloud the "North Wind and the Sun" passage to record SRP. All the recordings were captured and analyzed by Soundswell's computerized real-time phonetogram Phog 1.0 (Hitech Development AB, Täby, Sweden). The SRPs and the VRPs were compared between the two groups of subjects. Univariate analysis results demonstrated that individual SRP measures were less sensitive than the corresponding VRP measures in discriminating dysphonic from normal voices. However, stepwise logistic regression analyses revealed that the combination of only two SRP measures was almost as effective as a combination of three VRP measures in predicting the presence of dysphonia (overall prediction accuracy: 93.6% for SRP vs 96.0% for VRP). These results suggest that in a busy clinic where quick voice screening results are desirable, SRP can be an acceptable alternate procedure to VRP.
Authors:
Estella Ma; Jennie Robertson; Claire Radford; Sarah Vagne; Ruba El-Halabi; Edwin Yiu
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Publication Detail:
Type:  Journal Article     Date:  2006-05-05
Journal Detail:
Title:  Journal of voice : official journal of the Voice Foundation     Volume:  21     ISSN:  0892-1997     ISO Abbreviation:  J Voice     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-02     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  397-406     Citation Subset:  IM    
Affiliation:
Voice Research Laboratory & Centre of Communication Disorders, Division of Speech & Hearing Sciences, The University of Hong Kong, Hong Kong, China. estella.ma@hku.hk
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Female
Humans
Larynx / physiopathology
Mass Screening / methods*
Middle Aged
Phonetics
Reference Values
Reproducibility of Results
Sound Spectrography
Speech-Language Pathology / methods,  standards*
Verbal Behavior
Voice Disorders / diagnosis*,  epidemiology*,  physiopathology
Voice Quality*

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


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