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Muscle Tension Dysphonia

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https://www.readbyqxmd.com/read/28739333/comparison-of-two-multiparameter-acoustic-indices-of-dysphonia-severity-the-acoustic-voice-quality-index-and-cepstral-spectral-index-of-dysphonia
#1
Jeong Min Lee, Nelson Roy, Elizabeth Peterson, Ray M Merrill
OBJECTIVES: The Acoustic Voice Quality Index (AVQI) and the Cepstral Spectral Index of Dysphonia (CSID) are two multiparameter acoustic indices designed to objectively estimate dysphonia severity and track treatment outcomes. This study compared the performance of these two indices using a common corpus of dysphonic speakers. METHOD: Pre- and posttreatment samples of sustained vowel and connected speech were elicited from 112 patients across six diagnostic categories: unilateral vocal fold paralysis (n = 12), adductor spasmodic dysphonia (n = 12), primary muscle tension dysphonia (n = 12), benign vocal fold lesions (n = 12), presbylaryngis (n = 12), and mutational falsetto (n = 12)...
July 21, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28739332/effects-of-voice-therapy-on-muscle-tension-dysphonia-a-systematic-literature-review
#2
REVIEW
Gabriela da Cunha Pereira, Isadora de Oliveira Lemos, Camila Dalbosco Gadenz, Mauriceia Cassol
The present study aimed to carry out a systematic review of the effects of voice therapy on individuals diagnosed with muscle tension dysphonia (MTD) or hyperfunctional dysphonia. This is a systematic literature review on the databases Medline (via PubMed), Cochrane Library, Scopus, and Lilacs using a search strategy related to the theme of the study. The selection included clinical trials that assessed the effects of speech therapy intervention on patients diagnosed with MTD or hyperfunctional dysphonia published over the last 10 years in Portuguese, English, or Spanish...
July 21, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28688672/an-examination-of-pre-and-posttreatment-acoustic-versus-auditory-perceptual-analyses-of-voice-across-four-common-voice-disorders
#3
Amanda I Gillespie, Jackie Gartner-Schmidt, Ali Lewandowski, Shaheen N Awan
OBJECTIVE: The objective, instrumental acoustic measure of Cepstral Spectral Index of Dysphonia (CSID) correlates with audio-perceptual measures, is sensitive in detecting voice abnormalities, and tracks change following treatment. The goals of the current study were to (1) test the agreement between CSID versus auditory perceptual measures of pre- versus posttreatment voice change, and (2) investigate whether change in scores is based on voice disorder or phonemic structure of sentence stimuli...
July 5, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28669450/pressure-and-flow-comparisons-across-vocal-pathologies
#4
Linda Carroll, Ann Rooney, Thomas J Ow, Melin Tan
OBJECTIVE: The aim of this study was to aid in the distinction among hyperadductive dysphonias by evaluating peak glottal pressure, release burst, and mid and final airflow values across repeated /pa/ syllable trains. METHODS: Sixty subjects were assessed for aerodynamic patterns during onset-offset for the /papapapapa/ task in modal voice. Subject groups included adductory spasmodic dysphonia (AdSD), benign vocal fold lesion, primary muscle tension dysphonia (MTD-1), secondary muscle tension dysphonia with an identifiable primary benign vocal fold lesion (MTD-2), vocal fold paresis or paralysis, and normal controls...
June 29, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28596100/aerodynamic-patterns-in-patients-with-voice-disorders-a-retrospective-study
#5
Marina Gilman, Brian Petty, Carissa Maira, Madeleine Pethan, Lijia Wang, Edie R Hapner, Michael M Johns
OBJECTIVE: A recently published retrospective chart review of aerodynamic profiles of women with primary muscle tension dysphonia by Gillespie et al (2013) identified various relationships between mean airflow rate (MFR) and estimated subglottal pressure (est-Psub). The current retrospective study expanded the diagnostic categories to include all voice disorders referred for voice therapy. Three research questions were proposed: (1) Are there differences in the MFR and the est-Psub compared with the normal control group? (2) Within the disordered population, are there different variations in the pairing of MFR and est-Psub? (3) If these variations exist, are they diagnosis specific? METHODS: A retrospective chart review of patients seen for acoustic and aerodynamic voice assessment at the Emory Voice Center between January 1, 2013 and December 31, 2014, were examined for aerodynamic measures of est-Psub and MFR; of these, 192 met the inclusion criteria...
June 5, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28533075/transcutaneous-electrical-nerve-stimulation-tens-and-laryngeal-manual-therapy-lmt-immediate-effects-in-women-with-dysphonia
#6
Mariana de Cásisa Macedo Conde, Larissa Thaís Donalonso Siqueira, José Eduardo Vendramini, Alcione Ghedini Brasolotto, Rinaldo Roberto de Jesus Guirro, Kelly Cristina Alves Silverio
PURPOSE: This study aimed to verify the immediate effect of low-frequency transcutaneous electrical nerve stimulation (TENS) and laryngeal manual therapy (LMT) in musculoskeletal pain, voice quality, and self-reported signs in women with dysphonia. METHOD: Thirty women with behavioral dysphonia were randomly divided into the TENS group and the LMT group. All participants fulfilled the pain survey and had their voices recorded to posterior perceptual and acoustic analysis before and after intervention...
May 19, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28528786/acoustic-perturbation-measures-improve-with-increasing-vocal-intensity-in-individuals-with-and-without-voice-disorders
#7
M Brockmann-Bauser, J E Bohlender, D D Mehta
OBJECTIVE: In vocally healthy children and adults, speaking voice loudness differences can significantly confound acoustic perturbation measurements. This study examines the effects of voice sound pressure level (SPL) on jitter, shimmer, and harmonics-to-noise ratio (HNR) in adults with voice disorders and a control group with normal vocal status. STUDY DESIGN: This is a matched case-control study. METHODS: We assessed 58 adult female voice patients matched according to approximate age and occupation with 58 vocally healthy women...
May 18, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28499735/turkish-standardized-reading-passage-for-the-evaluation-of-hard-glottal-attack-occurrence-frequency
#8
Melek Nur Uygun, Fatma Esen Aydınlı, Songül Aksoy, Esra Özcebe
OBJECTIVE: This study aimed to develop a Turkish reading passage that can be used in evaluating the frequency of hard glottal attack (HGA) and to assess its reliability. STUDY DESIGN: This is a prospective case-control study. METHODS: The Towne-Heuer reading passage is a valuable tool that can be used for the auditory-perceptual assessment of voice. The characteristics of the first four paragraphs of the reading passage were analyzed by a linguist...
May 9, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28410773/brain-activity-during-phonation-in-women-with-muscle-tension-dysphonia-an-fmri-study
#9
Maryna Kryshtopava, Kristiane Van Lierde, Iris Meerschman, Evelien D'Haeseleer, Pieter Vandemaele, Guy Vingerhoets, Sofie Claeys
OBJECTIVES: The main objectives of this functional magnetic resonance imaging (fMRI) study are (1) to investigate brain activity during phonation in women with muscle tension dysphonia (MTD) in comparison with healthy controls; and (2) to explain the neurophysiological mechanism of laryngeal hyperfunction/tension during phonation in patients with MTD. METHODS: Ten women with MTD and fifteen healthy women participated in this study. The fMRI experiment was carried out using a block design paradigm...
April 11, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28396220/does-even-low-grade-dysphonia-warrant-voice-center-referral
#10
Resha S Soni, Barbara Ebersole, Nausheen Jamal
OBJECTIVE: Data regarding the referral of dysphonic patients to specialty voice clinics are limited. The objective of this study is to examine the relationship between low perceptual dysphonia severity and subtle laryngeal findings to discern if this can help guide referral. STUDY DESIGN: This is a retrospective chart review. METHODS: The charts of 94 patients presenting with a primary complaint of hoarseness to a single laryngologist over a 1-year period at a tertiary care, interdisciplinary voice center were analyzed...
April 7, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28392086/correlation-of-iranian-voice-quality-of-life-profile-ivqlp-to-vhi-30-and-vrqol-construct-validity-evidence
#11
Ali Dehqan, Ronald C Scherer, Fariba Yadegari
OBJECTIVES: An important domain in health-related quality of life evaluations is quality of life perceptions due to having a voice disorder. The purpose of the current study was (1) to examine the correlation of the Iranian Voice Quality of Life Profile (IVQLP) with the Voice-Related Quality of Life (VRQOL) and Voice Handicap Index-30 (VHI-30) for establishing the construct convergent validity of the IVQLP, and (2) to examine the correlation between VRQOL and VHI-30. METHODS: Study sample consisted of 150 patients, 91 male and 59 female, diagnosed with muscle tension dysphonia, benign organic disorders such as polyps and nodules, and unilateral vocal fold paralysis...
April 6, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28318967/pitch-strength-as-an-outcome-measure-for-treatment-of-dysphonia
#12
Lisa M Kopf, Cristina Jackson-Menaldi, Adam D Rubin, Jean Skeffington, Eric J Hunter, Mark D Skowronski, Rahul Shrivastav
BACKGROUND: Measurement of treatment outcomes is critical for the spectrum of voice treatments (ie, surgical, behavioral, or pharmacological). Outcome measures typically include visual (eg, stroboscopic data), auditory (eg, Consensus Auditory-Perceptual Evaluation of Voice; Grade, Roughness, Breathiness, Asthenia, Strain), and objective correlates of vocal fold vibratory characteristics, such as acoustic signals (eg, harmonics-to-noise ratio, cepstral peak prominence) or patient self-reported questionnaires (eg, Voice Handicap Index, Voice-Related Quality of Life)...
March 16, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28107611/adaptation-and-validation-of-the-singing-voice-handicap-index-into-polish
#13
E M Sielska-Badurek, M Sobol, A Cioch, E Osuch-Wójcikiewicz, A M Rzepakowska, K Niemczyk
OBJECTIVE: To translate and adapt the original Singing Voice Handicap Index (SVHI) for the Polish population and to evaluate the psychometric properties of the Polish SVHI version, such as internal consistency, reliability and construct validity in different groups of dysphonic singers. STUDY DESIGN: Prospective case-control study. SETTING: Patients treated at a single institute. PARTICIPANTS: Sixty singers with voice disorders and 57 healthy singers completed the SVHI and the Voice Handicap Index (VHI)...
October 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27993500/vocal-function-exercises-for-muscle-tension-dysphonia-auditory-perceptual-evaluation-and-self-assessment-rating
#14
Narges Jafari, Abolfazl Salehi, Farzad Izadi, Saeed Talebian Moghadam, Abbas Ebadi, Payman Dabirmoghadam, Maryam Faham, Mehdi Shahbazi
OBJECTIVE: Muscle tension dysphonia (MTD) is a functional dysphonia, which appears with an excessive tension in the intrinsic and extrinsic laryngeal musculatures. MTD can affect voice quality and quality of life. The purpose of the present study was to assess the effectiveness of vocal function exercises (VFEs) on perceptual and self-assessment ratings in a group of 15 subjects with MTD. METHODS: The study comprised 15 subjects with MTD (8 men and 7 women, mean age 39...
December 16, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27989394/combined-functional-voice-therapy-in-singers-with-muscle-tension-dysphonia-in-singing
#15
Ewelina Sielska-Badurek, Ewa Osuch-Wójcikiewicz, Maria Sobol, Ewa Kazanecka, Anna Rzepakowska, Kazimierz Niemczyk
OBJECTIVES: The purpose of this study was to evaluate vocal tract function and the voice quality in singers with muscle tension dysphonia (MTD) after undergoing combined functional voice therapy of the singing voice. DESIGN: This is a prospective, randomized study. METHODS: Forty singers (29 females and 11 males, mean age: 24.6 ± 8.8 years) with MTD were enrolled in the study. The study group consisted of 20 singers who underwent combined functional voice therapy (10-15 individual sessions, 30-40 minutes each)...
December 15, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27836428/high-speed-imaging-of-vocal-fold-vibration-onset-delay-normal-versus-abnormal
#16
Peak Woo
OBJECTIVES: Vocal fold vibration onset delay (VFVOD) is heard frequently in spasmodic dysphonia and in muscle tension dysphonia. VFVOD changes due to other vocal pathologies have not been investigated. VFVOD during sustained vowel production was estimated with high-speed video in 10 normal and 40 pathologic subjects (scars, vocal fold paralysis, vocal fold nodules, and polyps). Analysis of high-speed video was done using digital kymography. RESULTS: VFVOD can be divided into two portions...
November 8, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27823576/exploring-the-effect-of-laryngeal-neuromuscular-electrical-stimulation-on-voice
#17
M Gorham-Rowan, R Morris
OBJECTIVE: This study was conducted to explore the potential use of neuromuscular electrical stimulation as an adjunctive treatment for muscle tension dysphonia. METHODS: Voice data and ratings of fatigue and soreness were obtained for two experiments. Experiment one examined the vocal effects of neuromuscular electrical stimulation applied to the neck for 15 minutes. Experiment two examined the recovery effect of laryngeal neuromuscular electrical stimulation following a vocal loading task among normophonic women...
November 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27811476/factors-involved-in-vocal-fatigue-a-pilot-study
#18
Evelien D'haeseleer, Mara Behlau, Laura Bruneel, Iris Meerschman, Anke Luyten, Stien Lambrecht, Mauriceia Cassol, Paul Corthals, Maryna Kryshtopava, Floris L Wuyts, Sofie Claeys, Kristiane Van Lierde
OBJECTIVE: The purpose of this retrospective study was to determine the vocal characteristics of a treatment-seeking population with the primary complaint of vocal fatigue (VF). METHODS: Forty-three men (mean age 42 years, range 19-69) and 145 women (mean age 34 years, range 18-68) were included. None of the subjects had received voice therapy or previous laryngeal surgery. A questionnaire, laryngeal and perceptual evaluations, aerodynamic and acoustic parameters, and the Dysphonia Severity Index (DSI) were used to determine vocal characteristics...
2016: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/27768175/exploring-the-clinical-utility-of-relative-fundamental-frequency-as-an-objective-measure-of-vocal-hyperfunction
#19
Nelson Roy, Rebecca A Fetrow, Ray M Merrill, Christopher Dromey
Purpose: Vocal hyperfunction, related to abnormal laryngeal muscle activity, is considered the proximal cause of primary muscle tension dysphonia (pMTD). Relative fundamental frequency (RFF) has been proposed as an objective acoustic marker of vocal hyperfunction. This study examined (a) the ability of RFF to track changes in vocal hyperfunction after treatment for pMTD and (b) the influence of dysphonia severity, among other factors, on the feasibility of RFF computation. Method: RFF calculations and dysphonia severity ratings were derived from pre- and posttreatment recordings from 111 women with pMTD and 20 healthy controls...
October 20, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/27742497/validity-and-reliability-of-surface-electromyography-in-the-assessment-of-primary-muscle-tension-dysphonia
#20
Seyyedeh Maryam Khoddami, Saeed Talebian, Farzad Izadi, Noureddin Nakhostin Ansari
OBJECTIVE: The study aims to evaluate the reliability and the discriminative validity of surface electromyography (sEMG) in the assessment of patients with primary muscle tension dysphonia (MTD). STUDY DESIGN: The study design is cross-sectional. METHODS: Fifteen patients with primary MTD (mean age: 34.07 ± 10.99 years) and 15 healthy volunteers (mean age: 34.53 ± 10.63 years) were included. All participants underwent evaluation of sEMG to record the electrical activity of the thyrohyoid and cricothyroid muscles...
October 11, 2016: Journal of Voice: Official Journal of the Voice Foundation
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