DOI QR코드

DOI QR Code

Discussions on Auditory-Perceptual Evaluation Performed in Patients With Voice Disorders

음성장애 환자에서 시행되는 청지각적 평가에 대한 논의

  • Lee, Seung Jin (Division of Speech Pathology and Audiology, Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym University)
  • 이승진 (한림대학교 자연과학대학 언어청각학부 및 청각언어연구소)
  • Received : 2021.06.12
  • Accepted : 2021.07.06
  • Published : 2021.12.31

Abstract

The auditory-perceptual evaluation of speech-language pathologists (SLP) in patients with voice disorders is often regarded as a touchstone in the multi-dimensional voice evaluation procedures and provides important information not available in other assessment modalities. Therefore, it is necessary for the SLPs to conduct a comprehensive and in-depth evaluation of not only voice but also the overall speech production mechanism, and they often encounter various difficulties in the evaluation process. In addition, SLPs should strive to avoid bias during the evaluation process and to maintain a wide and constant spectrum of severity for each parameter of voice quality. Lastly, it is very important for the SLPs to perform a team approach by documenting and delivering important information pertaining to auditory-perceptual characteristics in an appropriate and efficient way through close communication with the laryngologists.

Keywords

Acknowledgement

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2018S1A5A2A03032902). The author thanks Prof. Seong Hee Choi (Daegu Catholic University) and Prof. Jaeock Kim (Kangnam University), SLPs Geun-Hyo Kim, PhD (Pusan National University Hospital), Yeon-Woo Lee, PhD (Pusan National University Hospital), In Hyo Seo, PhD (Dankook University Hospital), and Bo Ram Yun, MS (Hanyang University Seoul Hospital) for sharing their valuable clinical experiences and insightful comments at the panel discussion.

References

  1. Ma EP, Yiu EM. Multiparametric evaluation of dysphonic severity. J Voice 2006;20(3):380-90. https://doi.org/10.1016/j.jvoice.2005.04.007
  2. Lee SJ, Choi HS, Kim H. A comparison of voice activity and participation profiles among etiological groups. J Voice 2019;33(5):804.e5-12. https://doi.org/10.1016/j.jvoice.2018.04.016
  3. Kim J. Auditory-perceptual evaluation. In: Korean Society of Laryngology, Phoniatrics and Logopedics, editors. Hu doo eum sung eon eo ui hak [Laryngology, Phoniatrics and Logopedics]. 2nd ed. Seoul: Panmun Education;2016. p.111-21.
  4. Vance D, Heyd C, Pier M, Alnouri G, Sataloff RT. Paradoxical vocal fold movement: a retrospective analysis. J Voice 2020;35(6):927-9.
  5. Ivancic R, Matrka L, Wiet G, Puckett A, Haney J, deSilva B. Reduced asthma medication use after treatment of pediatric paradoxical vocal fold motion disorder. Laryngoscope 2021;131(7):1639-46. https://doi.org/10.1002/lary.29283
  6. Gallena SK, Johnson AT, Vossoughi J. Short-term intensive therapy and outcomes for athletes with paradoxical vocal fold motion disorder. Am J Speech Lang Pathol 2019;28(1):83-95. https://doi.org/10.1044/2018_AJSLP-17-0223
  7. Schindler A, Bottero A, Capaccio P, Ginocchio D, Adorni F, Ottaviani F. Vocal improvement after voice therapy in unilateral vocal fold paralysis. J Voice 2008;22(1):113-8. https://doi.org/10.1016/j.jvoice.2006.08.004
  8. Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force; Ryu CH, Lee SJ, Cho JG, Choi IJ, Choi YS, Hong YT, et al. Care and management of voice change for thyroid surgery: Korean Society of Laryngology, Phoniatrics and Logopedics clinical practice guideline. Clin Exp Otorhinolaryngol 2021 Jun 1 [Epub]. Available from: https://doi.org/10.21053/ceo.2021.00633.
  9. Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force; Ryu CH, Kwon TK, Kim H, Kim HS, Park IS, Woo JH, et al. Guidelines for the management of unilateral vocal fold paralysis from the Korean Society of Laryngology, Phoniatrics and Logopedics. Clin Exp Otorhinolaryngol 2020;13(4):340-60. https://doi.org/10.21053/ceo.2020.00409
  10. Bothe C, Lopez M, Quer M, Leon X, Garcia J, Lop J. Aetiology and treatment of vocal fold paralysis: Retrospective study of 108 patients. Acta Otorrinolaringol Esp 2014;65(4):225-30. https://doi.org/10.1016/j.otorri.2014.02.003
  11. Misono S, Merati AL. Evidence-based practice: Evaluation and management of unilateral vocal fold paralysis. Otolaryngol Clin North Am 2012;45(5):1083-108. https://doi.org/10.1016/j.otc.2012.06.011
  12. Walton C, Conway E, Blackshaw H, Carding P. Unilateral vocal fold paralysis: A systematic review of speech-language pathology management. J Voice 2017;31(4):509.e7-22. https://doi.org/10.1016/j.jvoice.2016.11.002
  13. Hirano M. Clinical examination of voice. Wien; New York: Springer-Verlag;1981.
  14. Kempster GB, Gerratt BR, Verdolini Abbott K, Barkmeier-Kraemer J, Hillman RE. Consensus auditory-perceptual evaluation of voice: Development of a standardized clinical protocol. Am J Speech Lang Pathol 2009;18(2):124-32. https://doi.org/10.1044/1058-0360(2008/08-0017)
  15. Kim GH, von Latoszek BB, Lee YW. Validation of Acoustic Voice Quality Index version 3.01 and Acoustic Breathiness Index in Korean population. J Voice 2021;35(4):660.e9-18. https://doi.org/10.1016/j.jvoice.2019.10.005
  16. Choi SH, Yu M, Choi CH. Comparisons of 4-point GRBAS, 7-point-GRBAS, and CAPE-V for auditory perceptual evaluation of dysphonia. Audiol Speech Res 2021;17(2):206-19. https://doi.org/10.21848/asr.200086
  17. Karnell MP, Melton SD, Childes JM, Coleman TC, Dailey SA, Hoffman HT. Reliability of clinician-based (GRBAS and CAPE-V) and patient-based (V-RQOL and IPVI) documentation of voice disorders. J Voice 2007;21(5):576-90. https://doi.org/10.1016/j.jvoice.2006.05.001
  18. Bhuta T, Patrick L, Garnett JD. Perceptual evaluation of voice quality and its correlation with acoustic measurements. J Voice 2004;18(3):299-304. https://doi.org/10.1016/j.jvoice.2003.12.004
  19. Dogan M, Eryuksel E, Kocak I, Celikel T, Sehitoglu MA. Subjective and objective evaluation of voice quality in patients with asthma. J Voice 2007;21(2):224-30. https://doi.org/10.1016/j.jvoice.2005.11.003
  20. Uloza V, Saferis V, Uloziene I. Perceptual and acoustic assessment of voice pathology and the efficacy of endolaryngeal phonomicrosurgery. J Voice 2005;19(1):138-45. https://doi.org/10.1016/j.jvoice.2004.01.009
  21. Sahin M, Gode S, Dogan M, Kirazli T, Ogut F. Effect of voice therapy on vocal fold polyp treatment. Eur Arch Otorhinolaryngol 2018;275(6):1533-40. https://doi.org/10.1007/s00405-018-4962-z
  22. Seo IH, Moon JH, Chung PS, Lee SJ. Role and effectiveness of postoperative voice therapy in laryngeal microsurgery. Korean J Otorhinolaryngol-Head Neck Surg 2018;61(4):200-7. https://doi.org/10.3342/kjorl-hns.2017.00892
  23. Bauer V, Aleric Z, Jancic E, Knezevic B, Prpic D, Kacavenda A. Subjective and perceptual analysis of voice quality and relationship with neurological disfunction in multiple sclerosis patients. Clin Neurol Neurosurg 2013;115 Suppl 1:S17-20. https://doi.org/10.1016/j.clineuro.2013.09.015
  24. Zraick RI, Kempster GB, Connor NP, Thibeault S, Klaben BK, Bursac Z, et al. Establishing validity of the consensus auditory-perceptual evaluation of voice (CAPE-V). Am J Speech Lang Pathol 2011;20(1):14-22. https://doi.org/10.1044/1058-0360(2010/09-0105)
  25. Awan SN, Roy N, Zhang D, Cohen SM. Validation of the Cepstral Spectral Index of Dysphonia (CSID) as a screening tool for voice disorders: Development of clinical cutoff scores. J Voice 2016;30(2):130-44. https://doi.org/10.1016/j.jvoice.2015.04.009
  26. Awan SN, Solomon NP, Helou LB, Stojadinovic A. Spectral-cepstral estimation of dysphonia severity: External validation. Ann Otol Rhinol Laryngol 2013;122(1):40-8. https://doi.org/10.1177/000348941312200108
  27. Lee SJ, Choi HS, Kim H. Acoustic Psychometric Severity Index of Dysphonia (APSID): Development and clinical application. J Voice 2021;35(4):660.e19-25. https://doi.org/10.1016/j.jvoice.2019.11.006
  28. Lee Y, Park H, Bae I, Kim G. The usefulness of multi voice evaluation: Development of a model for predicting a degree of dysphonia. J Voice 2020 Nov 13 [Epub]. Available from: https://doi.org/10.1016/j.jvoice.2020.10.020.
  29. Helou LB, Solomon NP, Henry LR, Coppit GL, Howard RS, Stojadinovic A. The role of listener experience on Consensus Auditory-perceptual Evaluation of Voice (CAPE-V) ratings of postthyroidectomy voice. Am J Speech Lang Pathol 2010;19(3):248-58. https://doi.org/10.1044/1058-0360(2010/09-0012)
  30. Lee Y, Kim G, Kwon S. The usefulness of auditory perceptual assessment and acoustic analysis for classifying the voice severity. J Voice 2020;34(6):884-93. https://doi.org/10.1016/j.jvoice.2019.04.013
  31. Ma E, Yiu E. Handbook of voice assessments. San Diego: Plural Publishing, Inc.;2011.
  32. Chen Z, Fang R, Zhang Y, Ge P, Zhuang P, Chou A, et al. The Mandarin version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) and its reliability. J Speech Lang Hear Res 2018;61(10):2451-7. https://doi.org/10.1044/2018_JSLHR-S-17-0386
  33. de Almeida SC, Mendes AP, Kempster GB. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) psychometric characteristics: II European Portuguese version (II EP CAPE-V). J Voice 2019;33(4):582.e5-13. https://doi.org/10.1016/j.jvoice.2018.02.013
  34. Ertan-Schluter E, Demirhan E, unsal EM, Tadihan-Ozkan E. The Turkish version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V): A reliability and validity study. J Voice 2020;34(6):965.e13-22. https://doi.org/10.1016/j.jvoice.2019.05.014
  35. Brinca L, Batista AP, Tavares AI, Pinto PN, Araujo L. The effect of anchors and training on the reliability of voice quality ratings for different types of speech stimuli. J Voice 2015;29(6):776.e7-14. https://doi.org/10.1016/j.jvoice.2015.01.007
  36. Dos Santos PCM, Vieira MN, Sansao JPH, Gama ACC. Effect of auditory-perceptual training with natural voice anchors on vocal quality evaluation. J Voice 2019;33(2):220-5. https://doi.org/10.1016/j.jvoice.2017.10.020
  37. Mozzanica F, Ginocchio D, Borghi E, Bachmann C, Schindler A. Reliability and validity of the Italian version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Folia Phoniatr Logop 2013;65(5):257-65. https://doi.org/10.1159/000356479
  38. Nunez-Batalla F, Morato-Galan M, Garcia-Lopez I, Avila-Menendez A. Validation of the Spanish adaptation of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Acta Otorrinolaringol Esp (Engl Ed) 2015;66(5):249-57. https://doi.org/10.1016/j.otorri.2014.07.007
  39. Khoramshahi H, Khatoonabadi AR, Khoddami SM, Dabirmoghaddam P, Ansari NN. Responsiveness of Persian version of Consensus Auditory Perceptual Evaluation of Voice (CAPE-V), Persian version of voice handicap index (VHI), and Praat in vocal mass lesions with muscle tension dysphonia. J Voice 2018;32(6):770.e21-30. https://doi.org/10.1016/j.jvoice.2017.08.008
  40. Choi SH. Speech-language pathologists' voice assessment and voice therapy practices: A survey for standard clinical guideline and evidence-based practice. Commun Sci Disord 2013;18(4):473-85. https://doi.org/10.12963/csd.13082
  41. Lee SJ, Lim SE, Choi HS. A comparison of cepstral and spectral measures according to measurement position in a reading passage. Commun Sci Disord 2017;22(4):818-26. https://doi.org/10.12963/csd.17433
  42. Lee SJ, Pyo HY, Choi HS. Normative data of cepstral and spectral measures in Korean adults using vowel phonation and passage reading tasks. Commun Sci Disord 2018;23(1):208-16. https://doi.org/10.12963/csd.18474
  43. Choi SH. Development of Korean standardized sentences on voice quality evaluation for dysphonia. Audiol Speech Res 2018;14(2):128-42. https://doi.org/10.21848/asr.2018.14.2.128
  44. Kim Y, Shin M, Kim S, Ha J. Urimal Test of Articulation and Phonology 2 (UTAP2). Seoul, Korea: Hakjisa;2020.
  45. Kim M, Pae S, Park C. Assessment of phonology & articulation for children (APAC). Incheon, Korea: Human Brain Research & Consulting Co.;2007.
  46. Boersma P, Weenink D. Praat: Doing phonetics by computer (version 6.1.48) [Computer program]. Amsterdam, the Netherlands: University of Amsterdam, Phonetic Sciences Department: [updated 2021 June 12; cited 2021 June 12]. Available from: http://www.praat.org/.
  47. Zraick RI, Wendel K, Smith-Olinde L. The effect of speaking task on perceptual judgment of the severity of dysphonic voice. J Voice 2005;19(4):574-81. https://doi.org/10.1016/j.jvoice.2004.08.009
  48. Fairbanks G. Voice and articulation drillbook. 2nd ed. New York: Harper & Row;1960.
  49. Patel R, Connaghan K, Franco D, Edsall E, Forgit D, Olsen L, et al. "The Caterpillar": A novel reading passage for assessment of motor speech disorders. Am J Speech Lang Pathol 2013;22(1):1-9. https://doi.org/10.1044/1058-0360(2012/11-0134)
  50. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, et al. The voice handicap index (VHI): Development and validation. Am J Speech Lang Pathol 1997;6(3):66-70. https://doi.org/10.1044/1058-0360.0603.66
  51. Xu W, Han D, Li H, Hu R, Zhang L. Application of the Mandarin Chinese version of the voice handicap index. J Voice 2010;24(6):702-7. https://doi.org/10.1016/j.jvoice.2009.05.007
  52. Taguchi A, Mise K, Nishikubo K, Hyodo M, Shiromoto O. Japanese version of voice handicap index for subjective evaluation of voice disorder. J Voice 2012;26(5):668.e15-9. https://doi.org/10.1016/j.jvoice.2011.11.005
  53. Nawka T, Wiesmann U, Gonnermann U. Validation of the German version of the voice handicap index. HNO 2003;51(11):921-30. https://doi.org/10.1007/s00106-003-0909-8
  54. Behlau M, Alves Dos Santos Lde M, Oliveira G. Cross-cultural adaptation and validation of the voice handicap index into Brazilian Portuguese. J Voice 2011;25(3):354-9. https://doi.org/10.1016/j.jvoice.2009.09.007
  55. Schindler A, Ottaviani F, Mozzanica F, Bachmann C, Favero E, Schettino I, et al. Cross-cultural adaptation and validation of the Voice Handicap Index into Italian. J Voice 2010;24(6):708-14. https://doi.org/10.1016/j.jvoice.2009.05.006
  56. Kim J, Lee SJ. Development and validation of Speech Range Profile task. Phon Speech Sci 2019;11(3):77-87. https://doi.org/10.13064/KSSS.2019.11.3.077
  57. Ludlow CL, Adler CH, Berke GS, Bielamowicz SA, Blitzer A, Bressman SB, et al. Research priorities in spasmodic dysphonia. Otolaryngol Head Neck Surg 2008;139(4):495-505. https://doi.org/10.1016/j.otohns.2008.05.624
  58. Rojas GVE, Ricz H, Tumas V, Rodrigues GR, Toscano P, Aguiar-Ricz L. Vocal parameters and self-perception in individuals with adductor spasmodic dysphonia. J Voice 2017;31(3):391.e7-18. https://doi.org/10.1016/j.jvoice.2016.09.029
  59. Hintze JM, Ludlow CL, Bansberg SF, Adler CH, Lott DG. Spasmodic dysphonia: A review. Part 2: Characterization of pathophysiology. Otolaryngol Head Neck Surg 2017;157(4):558-64. https://doi.org/10.1177/0194599817728465
  60. Ludlow CL, Domangue R, Sharma D, Jinnah HA, Perlmutter JS, Berke G, et al. Consensus-based attributes for identifying patients with spasmodic dysphonia and other voice disorders. JAMA Otolaryngol Head Neck Surg 2018;144(8):657-65. https://doi.org/10.1001/jamaoto.2018.0644
  61. Hamdan AL, Sibai A, Youssef M, Deeb R, Zaitoun F. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg 2006;132(5):547-9. https://doi.org/10.1001/archotol.132.5.547
  62. Ohlsson AC, Drevsater A, Brynnel M, Johansson I. Allergic rhinitis and voice change. Logoped Phoniatr Vocol 2016;41(4):143-8. https://doi.org/10.3109/14015439.2015.1049288
  63. Green JR, Yunusova Y, Kuruvilla MS, Wang J, Pattee GL, Synhorst L, et al. Bulbar and speech motor assessment in ALS: Challenges and future directions. Amyotroph Lateral Scler Frontotemporal Degener 2013;14(7-8):494-500. https://doi.org/10.3109/21678421.2013.817585
  64. Nemr NK, Simoes-Zenari M, Ferreira TS, Fernandes HR, Mansur LL. Dysphonia as the primary complaint in a case of myasthenia gravis: Diagnosis and speech therapy. Codas 2013;25(3):297-300. https://doi.org/10.1590/S2317-17822013000300017
  65. Wenke RJ, Goozee JV, Murdoch BE, LaPointe LL. Dynamic assessment of articulation during lingual fatigue in myasthenia gravis. J Med Speech Lang Pathol 2006;14(1):13-32.
  66. Stewart C, Winfield L, Hunt A, Bressman SB, Fahn S, Blitzer A, et al. Speech dysfunction in early Parkinson's disease. Mov Disord 1995;10(5):562-5. https://doi.org/10.1002/mds.870100506