Comprehensive Index of Vocal Fatigue (CIVF): Development and Clinical Validation.
In this study, we sought to investigate whether auditory-perceptual and acoustic measures change after a passage-reading task and to develop a multidimensional index of performance fatigue in voice disorders. The clinical usefulness and cut-off scores of the newly developed index were also explored....
| Publicado en: | Journal of Voice Vol. 39; no. 5; pp. 14141 - 14142 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188445496&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188445496 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08921997 H24 jtl: Journal of Voice issn: 08921997 maglogo: N pubinfo: dt: Sep2025 vid: 39 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 188445496 188445496 188445496 10.1016/j.jvoice.2023.04.005 188445496 ppf: 14141 ppct: 1 formats: tig: atl: Comprehensive Index of Vocal Fatigue (CIVF): Development and Clinical Validation. aug: au: Lee, Seung Jin Park, Young Min Lim, Jae-Yol affil: Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym University, Chuncheon, Republic of Korea sug: subj: Questionnaires Instrument Construction Instrument Validation Auditory Perception Evaluation Speech Acoustics Evaluation Reading Task Performance and Analysis Voice Disorders Diagnosis Fatigue Diagnosis Human Validation Studies Adult Middle Age Reference Values Severity of Illness Word Lists Pretest-Posttest Design Comparative Studies Prediction Models Sensitivity and Specificity Adult: 19-44 years Middle Aged: 45-64 years ab: In this study, we sought to investigate whether auditory-perceptual and acoustic measures change after a passage-reading task and to develop a multidimensional index of performance fatigue in voice disorders. The clinical usefulness and cut-off scores of the newly developed index were also explored. A total of 150 patients (age = 35.65 ± 11.44 years) with voice disorders and 100 healthy controls (age = 35.04 ± 11.26 years) were enrolled in the study. Overall severity (OS) and acoustic measures of sentence samples were obtained before and after a passage-reading task and compared between the two positions. Acoustic features included cepstral peak prominence (CPP), σCPP, L/H spectral ratio (SR), and σSR. Using the changes (Δ) in those acoustic measures and the scores of the Vocal Fatigue Index (VFI), a predictive model of the ΔOS was established. The clinical cut-off point of the index was also identified. For the patient group, OS was higher, but CPP and σCPP were lower for the rear position (after reading the passage) compared to the front position (before reading the passage). A significant portion (adjusted R2 = 77.7%) of the ΔOS was predicted by ΔCPP, tiredness score of the VFI, ΔσCPP, ΔσSR, and ΔSR. The area under the curve of the newly developed index was.864 (sensitivity, 78.67%; specificity, 78.00%), and the index's criterion was >2.6489. The newly developed Comprehensive Index of Vocal Fatigue (CIVF) can quantify vocal fatigue in voice disorders, reflecting both acoustic and auditory perceptual changes after a passage-reading task. Further studies should explore the responsiveness of the CIVF and the impact of related factors on the CIVF in various voice disorders. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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