Differences in Daily Voice Use Measures Between Female Patients With Nonphonotraumatic Vocal Hyperfunction and Matched Controls.
Purpose: The purpose of this study was to obtain a more comprehensive understanding of the pathophysiology and impact on daily voice use of nonphonotraumatic vocal hyperfunction (NPVH). Method: An ambulatory voice monitor collected 1 week of data from 36 patients with NPVH and 36 vocally healthy mat...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 64; no. 5; pp. 1457 - 1471 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
May2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=150312631&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 150312631 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: May2021 vid: 64 iid: 5 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 150312631 10.1044/2021_JSLHR-20-00538 ppf: 1457 ppct: 14 formats: fmt: @attributes: type: P size: 1.1MB tig: atl: Differences in Daily Voice Use Measures Between Female Patients With Nonphonotraumatic Vocal Hyperfunction and Matched Controls. aug: au: Van Stan, Jarrad H. Ortiz, Andrew J. Cortes, Juan P. Marks, Katherine L. Toles, Laura E. Mehta, Daryush D. Burns, James A. Hron, Tiffiny Stadelman-Cohen, Tara Krusemark, Carol Muise, Jason Fox-Galalis, Annie B. Nudelman, Charles Zeitels, Steven Hillman, Robert E. affil: Massachusetts General Hospital, Boston Harvard Medical School, Boston, MA MGH Institute of Health Professions, Boston, MA su: Women's health Self-evaluation Hyperfunctions Women patients Vocal cord injuries Voice disorder treatment Muscle tension dysphonia Logistic regression analysis sug: subj: Women's health Self-evaluation Hyperfunctions Women patients Vocal cord injuries Voice disorder treatment Muscle tension dysphonia Logistic regression analysis ab: Purpose: The purpose of this study was to obtain a more comprehensive understanding of the pathophysiology and impact on daily voice use of nonphonotraumatic vocal hyperfunction (NPVH). Method: An ambulatory voice monitor collected 1 week of data from 36 patients with NPVH and 36 vocally healthy matched controls. A subset of 11 patients with NPVH were monitored after voice therapy. Daily voice use measures included neck-skin acceleration magnitude, fundamental frequency (fo), cepstral peak prominence (CPP), and the difference between the first and second harmonic magnitudes (H1-H2). Additional comparisons included 118 patients with phonotraumatic vocal hyperfunction (PVH) and 89 additional vocally healthy controls. Results: The NPVH group, compared to the matched control group, exhibited increased fo (Cohen's d = 0.6), reduced CPP (d = -0.9), and less positive H1-H2 skewness (d = -1.1). Classifiers used CPP mean and H1-H2 mode to maximally differentiate the NPVH and matched control groups (area under the receiver operating characteristic curve of 0.78). Classifiers performed well on unseen data: the logit decreased in patients with NPVH after therapy; = 85% of the control and PVH groups were identified as "normal" or "not NPVH," respectively. Conclusions: The NPVH group's daily voice use is less periodic (CPP), is higher pitched (fo), and has less abrupt vocal fold closure (H1-H2 skew) compared to the matched control group. The combination of CPP mean and H1-H2 mode appears to reflect a pathophysiological continuum in NPVH patients of inefficient phonation with minimal potential for phonotrauma. Further validation of the classification model is needed to better understand potential clinical uses. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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