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J Voice. 2018 May 11. pii: S0892-1997(18)30112-7. doi: 10.1016/j.jvoice.2018.04.016. [Epub ahead of print]

A Comparison of Voice Activity and Participation Profiles Among Etiological Groups.

Author information

1
Department of Otorhinolaryngology, The Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea; Graduate Program in Speech and Language Pathology, Yonsei University, Seoul, Republic of Korea. Electronic address: slplee@yonsei.ac.kr.
2
Department of Otorhinolaryngology, The Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
3
Graduate Program in Speech and Language Pathology, Yonsei University, Seoul, Republic of Korea; Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Abstract

OBJECTIVES:

The purpose of this study was to determine whether patients with functional voice disorders show voice activity and participation profiles different from those of the organic and neurogenic groups.

METHODS:

The Korean Version of the Voice Activity and Participation Profile (K-VAPP) was administered to 200 participants (150 patients with functional, organic, and neurogenic voice disorders, 50 for each etiological group, 50 controls without vocal complaint). The K-VAPP subscale scores of the etiological groups were compared, controlling for age, professional use of voice, and severity of voice disorder measured by overall severity of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V).

RESULTS:

Results of a one-way analysis of variance indicated significant differences in the overall severity across groups (neurogenic > functional = organic > control). Among four groups, the organic group showed higher mean Z-scores of the K-VAPP than the control group, and the functional group showed higher mean Z-scores of the K-VAPP than the organic group. Compared with the neurogenic group, the functional group showed lower mean Z-scores for total score, Activity Limitation Score, SUB3, and SUB5. A comparison among three etiological groups showed that the functional group did not show higher scores than the organic group. On the contrary, the functional group showed a lower total score, Participation Restriction Score, and score for subsection 3 (effect on daily communication) than the neurogenic group.

CONCLUSIONS:

Psychometric assessment of voice disorders using the K-VAPP could provide clinicians with baseline information that is applicable to various voice disorders. Further studies pertaining to the follow-up of voice disorders with various etiologies are needed to extend its clinical usefulness.

KEYWORDS:

Activity limitation; Etiology; Participation restriction; Psychometric assessment; Voice disorders

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