Department of Speech & Language Therapy, University of Ioannina, Ioannina, Greece; Department of Speech & Language Therapy, Faculty of Health Sciences, European University, Nicosia, Cyprus.
Department of Otolaryngology, University of Crete, Crete, Iraklion, Greece.
J Voice. 2022 Nov;36(6):875.e25-875.e33. doi: 10.1016/j.jvoice.2020.09.008. Epub 2020 Oct 2.
The inclusion of subjective methods for evaluating Voice Disorders is proven an essential factor for diagnosis as these methods include self-reported questionnaires (eg, Voice Handicap Index-VHI) for everyday clinical practice. In turn, by obtaining cut-off scores of self-perceived questionnaires intended for assessment procedures of different voice disorders (eg, patients with neurological problems), the clinicians might be helped toward finding their patients' needs leading to better monitoring, and treatment suggestions. Consequently, the purpose of this study was to estimate the cut-off scores for the Greek VHI relevant to patients with neurogenic voice disorders.
Ninety subjects participated in this research. Sixty-six of them served as the control group while the remaining 24 patients exhibited Neurogenic Voice Disorders (eg, spasmodic dysphonia or vocal fold paralysis). They filled in the VHI and the Voice Evaluation Template. All participants were examined with the use of video laryngeal endoscopy and stroboscopy.
The analysis revealed higher medians in all domains (of the VHI) for the patients compared to the control group. The cut-off points were estimated at the values of 24.50 (Total Score-AUC 0.932, P = 0.000), 9.00 (Functional Domain-AUC 0.917, P = 0.000), 10.00 (Physical Domain-AUC 0.948, P = 0.000), and 9.00 (Emotional Domain-AUC 0.830, P = 0.000).
The estimated cut-off scores are in agreement with previous studies. These scores could probably used to enhance therapeutic monitoring of patients who suffer from neurogenic voice disorders. This study underlines the importance of considering different cutoff points for individuals with voice disorders due to diverse neurogenic etiologies.
将主观评估方法纳入嗓音障碍的评估中被证明是诊断的一个重要因素，因为这些方法包括自我报告问卷（例如，嗓音障碍指数-VHI），用于日常临床实践。反过来，通过获得针对不同嗓音障碍评估程序的自我感知问卷的截止分数（例如，患有神经问题的患者），临床医生可能会更好地了解患者的需求，从而进行更好的监测和治疗建议。因此，本研究的目的是估计与神经源性嗓音障碍患者相关的希腊 VHI 的截止分数。
90 名受试者参与了这项研究。其中 66 名作为对照组，其余 24 名患者患有神经源性嗓音障碍（例如，痉挛性发音障碍或声带瘫痪）。他们填写了 VHI 和嗓音评估模板。所有参与者均使用视频喉镜和频闪喉镜进行检查。
分析显示，与对照组相比，患者在所有 VHI 领域（总分）的中位数均较高。截止点估计值为 24.50（总分-AUC 0.932，P=0.000）、9.00（功能域-AUC 0.917，P=0.000）、10.00（生理域-AUC 0.948，P=0.000）和 9.00（情感域-AUC 0.830，P=0.000）。
估计的截止分数与先前的研究一致。这些分数可能用于增强患有神经源性嗓音障碍的患者的治疗监测。这项研究强调了考虑由于不同神经源性病因导致的个体嗓音障碍的不同截止分数的重要性。
