Document Detail


Vocal improvement after voice therapy in unilateral vocal fold paralysis.
MedLine Citation:
PMID:  17014987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Unilateral vocal fold paralysis (UVFP) is associated with changes in acoustic and aerodynamic voice measurements and can have a significant impact on a patient's quality of life. Few objective data regarding the efficacy of voice therapy for UVFP exist. The aim of this study was to retrospectively analyze voice modifications in a group of patients with UVFP before and after voice therapy. Forty patients with UVFP of different etiology were included in the study. Each subject had voice therapy with an experienced speech/language pathologist twice a week; the mean number of sessions was 12.6. A multidimensional assessment protocol was used; it included videoendoscopy, the maximum phonation time (MPT), the GIRBAS scale, spectrograms and a perturbation analysis, and the Voice Handicap Index (VHI). Pre- and posttreatment data were compared by means of the Wilcoxon and Student's t tests. A complete glottal closure was seen in 8 patients before voice therapy and in 14 afterward. Mean MPT increased significantly. In the perceptual assessment, the difference was significant for five out of six parameters. A significant improvement was found on spectrographic analysis; as for perturbation analysis, the differences in jitter, shimmer, and noise-to-harmonic ratio values were significant. VHI values showed a clear and significant improvement. A significant improvement of voice quality and quality of life after voice therapy is an often reached and reasonable goal in patients with UVFP.
Authors:
Antonio Schindler; Alessandro Bottero; Pasquale Capaccio; Daniela Ginocchio; Fulvio Adorni; Francesco Ottaviani
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Publication Detail:
Type:  Journal Article     Date:  2006-10-02
Journal Detail:
Title:  Journal of voice : official journal of the Voice Foundation     Volume:  22     ISSN:  0892-1997     ISO Abbreviation:  J Voice     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-01     Completed Date:  2008-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8712262     Medline TA:  J Voice     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-8     Citation Subset:  IM    
Affiliation:
Dipartimento di Scienze Cliniche L. Sacco, L. Sacco Hospital, University of Milan, Milan, Italy. antonio.schindler@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Male
Middle Aged
Severity of Illness Index
Speech Acoustics
Time Factors
Vocal Cord Paralysis / complications,  physiopathology,  therapy*
Voice Disorders / etiology,  physiopathology,  therapy
Voice Quality*
Voice Training*

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


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