Department of Audiology and Phoniatrics, Charité-University Medicine Berlin, Campus Charité Mitte, Chariteplatz 1, D-10117 Berlin, Germany.
Max-Planck Institute for Plasma Physics, Wendelsteinstraße 1, D-17491 Greifswald, Germany.
Biomed Res Int. 2020 Jan 23;2020:4208189. doi: 10.1155/2020/4208189. eCollection 2020.
Instrument-assisted measuring procedures expand the options within phoniatric diagnostics by quantifying the condition of the voice. The aim of this study was to examine objective treatment-associated changes of the recently developed vocal extent measure (VEM) and the established dysphonia severity index (DSI) in relation to subjective tools, i.e., self-evaluation via voice handicap index (VHI-12) and external evaluation via auditory-perceptual assessment of hoarseness (). The findings for (3 raters' group assessment), VHI-12, DSI, and VEM in 152 patients of both sexes (age range 16-75 years), taken before and 3 months after phonosurgery or vocal exercises, were compared and correlated. Posttherapeutically, all of the recorded parameters improved ( < 0.001). The degree of reduced on average by 0.5, the VHI-12 score sank by 5 points, while DSI and VEM rose by 1.5 and 19, respectively. The correlations of these changes were significant but showed gradual differences between and VHI-12 ( = 0.3), and DSI ( = -0.3), and and VEM ( = -0.4). We conclude that all investigated parameters are adequate to verify therapeutic outcomes but represent different dimensions of the voice. However, changes in the degree of as gold standard were best recognized with the new VEM.
仪器辅助测量程序通过量化声音状况扩展了语音学诊断的选择。本研究旨在检查新开发的声音范围测量仪（VEM）和已建立的嗓音障碍严重程度指数（DSI）与主观工具的客观治疗相关变化，即通过嗓音障碍指数（VHI-12）进行自我评估和通过声音嘶哑的听觉感知评估（）进行外部评估。对 152 名男女患者（年龄 16-75 岁）的术前和术后 3 个月的 （3 名评估者组评估）、VHI-12、DSI 和 VEM 进行了比较和相关性分析。治疗后，所有记录的参数均得到改善（ < 0.001）。平均减少了 0.5 ，VHI-12 评分下降了 5 分，而 DSI 和 VEM 分别上升了 1.5 和 19 。这些变化的相关性是显著的，但在 与 VHI-12（ = 0.3）、 与 DSI（ = -0.3）和 与 VEM（ = -0.4）之间存在逐渐的差异。我们得出结论，所有调查的参数都足以验证治疗效果，但代表了声音的不同维度。然而，作为金标准的 程度的变化与新的 VEM 最能识别。
