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A Comparison of Voice Activity and Participation Profiles Among Etiological Groups

Authors
 Seung Jin Lee  ;  Hong-Shik Choi  ;  HyangHee Kim 
Citation
 Journal of Voice, Vol.33(5) : 804.e5-804.e12, 2019 
Journal Title
 Journal of Voice 
ISSN
 0892-1997 
Issue Date
2019
Keywords
Activity limitation ; Etiology ; Participation restriction ; Psychometric assessment ; Voice disorders
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.
Full Text
https://www.sciencedirect.com/science/article/pii/S0892199718301127
DOI
10.1016/j.jvoice.2018.04.016
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyang Hee(김향희) ORCID logo https://orcid.org/0000-0003-4949-2512
Lee, Seung Jin(이승진) ORCID logo https://orcid.org/0000-0001-6200-0004
Choi, Hong Shik(최홍식)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170845
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