Document Detail


Subjective evaluation of the long-term efficacy of speech therapy on dysfunctional dysphonia.
MedLine Citation:
PMID:  19185457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of the study was to measure the subjective long-term effects of vocal therapy (more than 6 months) in 29 patients suffering from dysfunctional dysphonia. Four subjective measurements were used: one visual analog scale ranging from 0 (not efficient at all) to 100 (very efficient); one question "Is the speech therapy still efficient?," answered by yes or no; the GRB parameters of the GRBAS scale (evaluated by the patient); and the VHI-10. The results show that 76% of the patients consider that the vocal therapy they received is still efficient. On the vocal quality (G), roughness (R), and breathiness (B) parameters, we observe a high degree of satisfaction on the G parameter (median=77). The scores on the R and B parameters are lower (median R=12, S=5). Roughness is significantly correlated to the Grade (Spearman coefficient r=0.516, P=0.004), whereas breathiness is not (P=0.251, NS). The comparison of the results on the VHI-10 pre and post treatment shows a significant decrease in the grade of perceived handicap (medians 15 vs 11, P=0.017). The correlations between the judgment of the treatment's efficacy and the vocal quality is significant (r=0.623, P<0.001) as well as the correlation between the VHI-10 and the length of the treatment (r=0.416, P=0.035). The conclusion can be made that speech therapy plays an important role in long-term treatment of dysfunctional dysphonias.
Authors:
D Morsomme; M Faurichon de la Bardonnie; I Verduyckt; J Jamart; M Remacle
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Publication Detail:
Type:  Journal Article     Date:  2009-01-29
Journal Detail:
Title:  Journal of voice : official journal of the Voice Foundation     Volume:  24     ISSN:  1873-4588     ISO Abbreviation:  J Voice     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-17     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  178-82     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 The Voice Foundation. Published by Mosby, Inc. All rights reserved.
Affiliation:
Center for Audiology and Phonology, Saint Luc Hospital, University of Louvain, Bruxelles, Belgium. dominique.morsomme@uclouvain.be
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MeSH Terms
Descriptor/Qualifier:
Adult
Dysphonia / therapy*
Female
Humans
Judgment
Male
Middle Aged
Patient Satisfaction*
Questionnaires
Severity of Illness Index
Speech Therapy / methods*
Time Factors
Treatment Outcome
Voice Quality
Young Adult

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


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