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Voice disorders

Deborah Theodoros, Danielle Aldridge, Anne J Hill, Trevor Russell
BACKGROUND: Communication and swallowing disorders are highly prevalent in people with Parkinson's disease (PD). Maintenance of functional communication and swallowing over time is challenging for the person with PD and their families and may lead to social isolation and reduced quality of life if not addressed. Speech and language therapists (SLTs) face the conundrum of providing sustainable and flexible services to meet the changing needs of people with PD. Motor, cognitive and psychological issues associated with PD, medication regimens and dependency on others often impede attendance at a centre-based service...
June 19, 2018: International Journal of Language & Communication Disorders
Leah B Helou, Clark A Rosen, Wei Wang, Katherine Verdolini Abbott
Purpose: Research suggests that abnormal levels of intrinsic laryngeal muscle (ILM) contraction is a potential causal factor in stress-induced voice disorders. This study seeks to characterize the ILM stress response in a cohort of vocally healthy women. Method: The authors used an unblinded, nonrandomized, repeated-measures design. Forty vocally healthy female adults were subjected to a stressful speech preparation task. Measurements of heart rate, blood pressure, trapezius muscle (positive control) activation, and tibialis muscle (negative control) activation were obtained from 37 participants before and during stressor exposure, in a nonvoice and nonspeaking task paradigm, to confirm physiological stress response compared to baseline...
June 19, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
Boquan Liu, Evan Polce, Jack Jiang
PURPOSE: The overall aim of this study was to apply local intrinsic dimension ( Di ) estimation to quantify high-dimensional, disordered voice and discriminate between the 4 types of voice signals. It was predicted that continuous Di analysis throughout the entire time-series would generate comprehensive descriptions of voice signal components, called voice type component profiles (VTCP), that effectively distinguish between the 4 voice types. METHOD: One hundred thirty-five voice recording samples of the sustained vowel /a/ were obtained from the Disordered Voice Database Model 4337 and spectrographically classified into the voice type paradigm...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Nelson Roy, Kristine M Tanner, Ray M Merrill, Charisse Wright, Jenny L Pierce, Karla L Miller
OBJECTIVE: This investigation examined the prevalence, symptoms, risk factors, and quality-of-life burden of swallowing disorders in rheumatoid arthritis (RA), a chronic, progressive autoimmune inflammatory disease. METHODS: One hundred individuals with RA (84 women, 16 men; mean age = 61.1 years, SD = 13.1) were interviewed regarding the presence, nature, and impact of swallowing symptoms and disorders. Associations between swallowing disorders, medical factors, RA disease severity, and quality of life were examined...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Rosa M Bermúdez-de-Alvear, Pablo Gálvez-Ruiz, A Ginés Martínez-Arquero, Sara Rando-Márquez, Elena Fernández-Contreras
OBJECTIVES: This study aimed to analyze the psychometric properties of the Spanish version of the Voice Activity and Participation Profile (SVAPP) questionnaire. STUDY DESIGN: A randomized, cross-sectional sampling strategy with controls was used. METHODS: Two samples with a total of 169 participants were analyzed, specifically 61 men (mean age 37.02) and 108 women (mean age 37.78). Of these participants, 112 were patients and 57 were controls...
June 11, 2018: Journal of Voice: Official Journal of the Voice Foundation
Mario Manto
More than a century after the description of its cardinal components, the cerebellar motor syndrome (CMS) remains a cornerstone of daily clinical ataxiology, in both children and adults. Anatomically, motor cerebellum involves lobules I-V, VI, and VIII. CMS is typically associated with errors in the metrics of voluntary movements and a lack of coordination. Symptoms and motor signs consist of speech deficits, impairments of limb movements, and abnormalities of posture/gait. Ataxic dysarthria has a typical scanning (explosive with staccato) feature, voice has a nasal character, and speech is slurred...
2018: Handbook of Clinical Neurology
Luis F Tintinago, William Victoria, Estephania Candelo, Juan Camilo Diaz, Juan Carlos Arce, Luis Miguel Aristizabal, Claudia Sanz, Maria Claudia Montes, Maria A Velez-Esquivia
INTRODUCTION: Bilateral vocal folds' immobility is a challenge in laryngology. Multiple procedures have been proposed to improve breathing by statically enlarging the glottal airway, what also results in loss of voice and aspiration. We proposed a technique to enlarge the posterior glottis by rotating the arytenoids on its axis, imitating the function of the posterior cricoarytenoid muscle, with the objective of evaluating the results regarding decannulation, voice quality, and bronchoaspiration...
June 5, 2018: American Journal of Otolaryngology
Maryam Faham, Farhad Torabinezhad, Thomas Murry, Payman Dabirmoghaddam, Jamileh Abolghasemi, Mohammad Kamali, Meysam Asgari
INTRODUCTION: Adductor spasmodic dysphonia (ADSD) is one of the most disabling voice disorders with no permanent cure. Patients with ADSD suffer from poor voice quality and repeated interruption of phonation that leads to limitations in daily communication. Botox (BT) injection, considered the gold standard treatment for ADSD, reduces the amount of voice breaks and improves voice quality for a limited period. In this study, patients with ADSD were followed after a single BT injection to track the changes in QOL and perceptual voice quality over a 6-month period...
June 5, 2018: Journal of Voice: Official Journal of the Voice Foundation
Abdul-Latif Hamdan, Elie Khalifee, Hussein Jaffal, Anthony Ghanem, Samer Abou Rizk, Aya El Hage
OBJECTIVES: To examine the prevalence of dysphagia in patients presenting with dysphonia and diagnosed with non-neoplastic vocal fold pathology. METHODS: A total of 45 patients presenting with dysphonia and diagnosed with non-neoplastic vocal fold pathology and a control group matched according to age and gender were included. Patients with recent history of respiratory tract infection, laryngeal surgery or manipulation, neurologic disorders, head and neck tumors, or history of chemotherapy/radiotherapy were excluded...
June 5, 2018: Journal of Voice: Official Journal of the Voice Foundation
Emma Hormoz, Matthew Pugh, Glenn Waller
Individuals with anorexia nervosa often describe experiencing an internal "voice" of their disorder, which previous research has associated with multiple dimensions of eating pathology. This pilot study examined whether eating disorder measures use invoice characteristics at the outset of outpatient therapy predicted changes in disordered eating over the course of treatment. Participants were 14 individuals meeting ICD-10 criteria for anorexia nervosa. Participants completed measures relating to the severity of disordered eating and voice-related characteristics (perceived voice power and metacognitive appraisals about its nature) at the start and end of therapy...
June 8, 2018: Cognitive Behaviour Therapy
Charles R Doarn, Stephanie Zacharias, Casey Stewart Keck, Meredith Tabangin, Alessandro DeAlarcon, Lisa Kelchner
PURPOSE: This article describes the design and implementation of a web-based portal developed to provide supported home practice between weekly voice therapy sessions delivered through telehealth to children with voice disorders. This in-between care consisted of supported home practice that was remotely monitored by speech-language pathologists (SLPs). METHODS: A web-based voice therapy portal (VTP) was developed as a platform so participants could complete voice therapy home practice by an interdisciplinary team of SLPs (specialized in pediatric voice therapy), telehealth specialists, biomedical informaticians, and interface designers...
June 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Yu Saito, Kazuhiro Nakamura, Shigeto Itani, Kiyoaki Tsukahara
Objective: In most cases, about the voice of the patient with female-to-male/gender identity disorder (FTM/GID), hormone therapy makes the voice low-pitched. In success cases, there is no need for phonosurgery. However, hormone therapy is not effective in some cases. We perform type 3 thyroplasty in these cases. Method: Hormone therapy was started in 2008 but did not lower the speaking fundamental frequencies (SFFs). We therefore performed TP3 under local anesthesia...
2018: Case Reports in Otolaryngology
Susann Porter, Annika Lexén, Suzanne Johansson, Ulrika Bejerholm
BACKGROUND: Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process. OBJECTIVE: To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences...
May 22, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
John C Fortney, Jeffrey M Pyne, Susan Ward-Jones, Ian M Bennett, Joan Diehl, Kellee Farris, Joseph M Cerimele, Geoffrey M Curran
INTRODUCTION: Use quality improvement methods to implement evidence-based practices for bipolar depression and treatment-resistant depression in 6 Federally Qualified Health Centers. METHOD: Following qualitative needs assessments, implementation teams comprised of front-line providers, patients, and content experts identified, adapted, and adopted evidence-based practices. With external facilitation, onsite clinical champions led the deployment of the evidence-based practices...
May 28, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Claire Ligon, Carrie Rountrey, Noopur Vaidya Rank, Michael Hull, Aliaa Khidr
Twenty-three female Speech Communication Disorders (SCD) graduate students rated the desirability of 25 adjectives used to describe perceived speaker's affect (including attitude, emotion, etc). A three-point weighted scale-desirable = 3, in-between = 2, and undesirable = 1-was used and a "desirability score" was calculated for each of these adjectives. Afterward, students were asked to use these adjectives to describe the perceived communication affect of female speakers with voices characterized by "vocal fry" as well as seven other vocal qualities (rough, breathy, strained, loud, high pitch, low pitch, and soft/weak)...
May 23, 2018: Journal of Voice: Official Journal of the Voice Foundation
Songpoom Benyakorn, Catrina A Calub, Steven J Riley, Andrea Schneider, Ana-Maria Iosif, Marjorie Solomon, David Hessl, Julie B Schweitzer
BACKGROUND: Researchers are increasingly interested in testing and developing computerized cognitive training interventions for individuals with autism spectrum disorder due to the limited accessibility of treatments for this disorder. Understanding the feasibility of testing cognitive interventions for this population is critical, especially for individuals with ASD who have low to moderate intellectual ability. OBJECTIVE: The aim of the study was to evaluate the feasibility of computerized cognitive training as measured by attrition rate and a parent satisfaction survey...
May 25, 2018: JMIR Mental Health
J Zheng, X Wei, J B Zhan, H Y Jiang
Objective: To investigate the expression of miR 34a in epithelial cells of nasal polyps (NPs) and to determine its effects on hypoxia induced epithelial mesenchymal transition (EMT). method: Nasal epithelial cells (NECs) were collected from NPs and normal inferior turbinates. miR-34a expression was detected by means of quantitative reverse transcriptase polymerase chain reaction. In addition, normal NECs were cultured under normoxia/hypoxia conditons. The effects of miR-34a mimics on hypoxia induced EMT were investigated...
July 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
X Y Zhang, D Lv, R Yu, Q Zhou, X Y Zhang, H Yang, J Zou, H Y Wang, J Ren, Y T Zheng
Objective: To investigatethe effect of voice therapy on anxious and depressive in patients with voice disorders. Method: The patients who received voicee therapy in our department from May 2014 to July 2016 were enrolled in our study and evaluated by self-rating anxiety scale (SAS) and self rating depression scale (SDS), before and after voice therapy. result: Before voicee therapy, the score of SAS and SDS were 47.52±11.15 and 48.63±8.70 respectively, which were higher than domestic norm (37.23±12.59 and 41...
July 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
W J Guo, W Y Yu, B Q Wang
Vocal nodules in children is one of the common diseases in children, characterized as the hoarse voice of the children, which is mainly due to improper use of sound long-term or excessive use of the voice. The hoarseness of children's voice undermine not only the physical and mental health of children, but also the quality of life of children and their families. In recent years, the incidence of vocal nodules in children has been increasing. There are considerable differences between the children's own characteristics and adults such as bronchial lumen and cognitive and cooperate aspects, which lead to a large number of difficulties for clinical diagnosis and intervention...
July 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Luther Elliott, Alexander S Bennett, Kelly Szott, Andrew Golub
Posttraumatic stress disorder (PTSD) stands as a form of psychopathology that straddles moral and psychiatric domains. Grounded in discrete instances of trauma, PTSD represents an etiological outlier in an era of increased attention to the genetics of mental illness and a prime location for social constructivist analyses of mental illness. This examination of PTSD narratives-as voiced in qualitative interviews and focus groups with 50 veterans of the recent Iraq and Afghanistan wars living in New York City-attends to the processes through which veterans conceive and navigate PTSD symptoms and diagnoses...
May 23, 2018: Culture, Medicine and Psychiatry
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