Assessment of the Voice Handicap Index 1 Flore

8/12/2019 Assessment of the Voice Handicap Index 1 Flore

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Original Paper

Folia Phoniatr Logop 2011;63:269272DOI: 10.1159/000324214

P!li"h#$ onlin#: %ar&h 3' 2011

Assessment of the Voice Handicap Indexas a Screening Tool in Dysphonic Patients

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D#part#nt o $iolog an$ Phoniatri&"' *o#r In"titt# o O&&pational %#$i&in#' Lo$' an$D#part#nt o Otolarngolog' Proin 8o"pital gi#r' gi#r' Polan$

Key Words!#&ti# a""#""#nt o oi patholog &r##ning toolor oi $"n&tion

l##l o 12 point" in th# 8I t#"t "hol$ !# &on"i$#r#$ to!# a thr#"hol$ or rating th# !iop"&ho"o&ial ipa&t o $",phonia.' -a"#l

AbstractObecti!e" ?h# ai o th# "t$ )a" to a""#"" th# appli&a!il,it o th# oi 8an$i&ap In$#@ A8IB in th# "&r##ning $iag,no"ti&" o oi $"n&tion an$ in th# #alation o th# l#,#l o han$i&ap $# to $"phonia. Patients and #ethods" total o 165 pati#nt" )ith oi $i"or$#r" Ao&al par#"i"' !#,nign o&al ol$ a""#"' an$ n&tional $"phoniaB an$ 65h#alth &ontrol" &opl#t#$ th# 8I C#"tionnair#. ll th#parti&ipant" )#r# "!#&t#$ to a@i phonation ti#A%P?B a""#""#nt' th# pati#nt" al"o to larngoi$#o"tro!o",&op. $es%lts" ?h# 8I "&or#" or th# pati#nt" an$ &ontrol"

$i#r#$ "ignii&antl Ap ! 0.001B. "ignii&ant &orr#lation

Ap ! 0.05B )a" on$ )h#n %P? an$ 8I )#r# &opar#$.?h# &to point' at )hi&h 8I "#n"itiit Aor $i"tingi"hing!#t)##n "!#&t" )ith oi $"n&tion an$ )ith o&al

h#althB r#a&h#$ it" a@ial al# A9EB at th# high#"t l##lo "p#&ii&it A95EB' )a" a""#$ to !# 12. &oncl%sions" ?h#"t$ r##al#$ that th# 8I i" a r#lia!l# tool or i$#ntiingpati#nt" )ho #@p#ri#n o&al $"n&tion an$ "hol$ !#"#$ in lti$i#n"ional $iagno"ti&" o oi $i"or$#r". ?h#

Introd%ction

Diagno"ing larn@ pathologi#" "all r#Cir#" a l,ti$i#n"ional approa&h. &&or$ing to th# &rr#nt r#&,o#n$ation" o th# (rop#an Larngologi&al o&i#t'a &opl#@ a""#""#nt o oi $"n&tion" "hol$ &o#rlarngoi$#o"tro!o"&op' o!#&ti# oi #a"r##nt)ith a&o"ti& anal"i" an$/or a#ro$nai& para#t#r"'p#rptal #@aination o oi' an$ "#l,a""#""#nt oth# inl#n o oi,r#lat#$ pro!l#" on th# pati#nt"Calit o li# G1H. oi $i"or$#r" ha# !##n "ho)n to #@,#rt a "ignii&ant ipa&t on th# pati#nt" &oni&ation

a!iliti#"' th" haing n#ro" p"&hologi&al' "o&ial'ph"i&al an$ o&&pational ipli&ation". &&or$ingl' th#&lini&al larng#al #@aination" alon# )#r# on$ to !#ina$#Cat# or a""#""ing th# l##l o han$i&ap o a $",phoni& pati#nt G2' 3H. On# o th# o"t &oon in"tr,#nt" "#$ to #alat# "#l,p#ri#$ oi pro!l#" i"a&o!"on" oi 8an$i&ap In$#@ A8IB G4H' th# Poli"h

()a *i#!$#+,-og"' %D' PhDD#part#nt o $iolog an$ Phoniatri&"*o#r In"titt# o O&&pational %#$i&in#' l. ?#r#"

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#r"ion o )hi&h )a" $##lop#$ ! Pr"#)i& #t al. G5H in2004. M#nt int#rnational pro#&t" ha# $#on"trat#$that 8I r#"lt" o!tain#$ ro "t$i#" &on$&t#$ in $i,#r#nt &ontri#" ar# &opara!l# G6H. It i" !#li##$ that 8I "&or#" ar# not $iagno"i",!on$'!t r#l#&t th# "!#&ti# a""#""#nt o a han$i&ap $# tooi $i"or$#r" p#ri#$ ! th# "!#&t. 8o)##r' "o#"t$i#" ha# $#on"trat#$ not onl that 8I "&or#" #al,at# th# !iop"&ho"o&ial ipa&t o $"phonia' !t al"othat th# &ol$ !# &on"i$#r#$ a" a "&r##ning tool or $i",tingi"hing !#t)##n in$ii$al" )ith o&al h#alth an$o&al $"n&tion G7' H. ?h# pr#"#nt "t$ i" o&"#$ on th# appli&ation o th#Poli"h #r"ion o th# 8I in th# a""#""#nt o oi n&,tion in "!#&t" )ith an$ )ithot oi $i"or$#r".

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p N 0.00

p N 0.05 p N 0.01

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Fn&tional (otional

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Ph"i&al ?otal

'ig( )( ?otal an$ "!"&al# An&tional' #otional an$ ph"i&alB

8I "&or#" aong al# an$ #al# pati#nt" )ith oi $i"or$#r".

Patients and #ethods

?h# "t$ grop &opri"#$ 165 pati#nt" )ith !#nign larn@pathologi#"' in&l$ing 147 #al#" an$ 1 al#"' )ith a #an ag#

o 45.4 8 10 #ar". ?h# &ontrol" Aolnt##r"B )#r# 65 p#r"on" )ithnoral oi an$ no larn@ pathologi#" A54 #al#" an$ 11 al#"'

#an ag# 43.3 8 10.6 #ar"B. ?h# "t$ proto&ol in&l$#$ a$in,i"tration o th# Poli"h #r"ion o th# 8I C#"tionnair# G5H' p#r,ptal oi #alation' a""#""#nt o th# o!#&ti#l #a"r#$a#ro$nai& oi para#t#r' a@i phonation ti# A%P?Ba" )#ll a" larngologi&al #@aination' ollo)#$ ! larngoi$#o,"tro!o"&op Ain th# "t$ grop onlB. On th# !a"i" o th# larn,goi$#o"tro!o"&opi& r#"lt"' th# pati#nt" )#r# &la""ii#$ intothr## "!grop": pati#nt" )ith !#nign o&al ol$ a""#"' #.g.no$l#"' polp"' &"t" A"!grop IB' 25 pati#nt" )ith nilat#ral or!ilat#ral o&al par#"i" A"!grop IIB' an$ 52 pati#nt" )ith n&,tional Anonorgani&B $"phonia A"!grop IIIB.

?h# "#l,a$ini"t#r#$ 8I C#"tionnair# &on"i"t" o 30 C#",tion" an$ #a"r#" th# ph"i&al' #otional an$ n&tional a",p#&t" o oi pro!l#" on r#"p#&ti# "!"&al#". ?h# total 8I"&or# rang#" ro 0 to 120' )ith a lo) 8I al#' i.#. o 030point" $#noting th# a!"#n o oi pro!l#" or onl "light oipro!l#"' a "&or# o 3060 point" in$i&ating a o$#rat# han$i,&ap l##l' )hil# that o 61120 point" in$i&at#" "##r# oi $i",or$#r" G4H. tati"ti&al anal"i" )a" p#ror#$ "ing P A#r"ion 12.0B"ot)ar#.


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t$ grop" r 0.15' p N 0.05;


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&on"i"t#nt )ith oth#r in$ing"' )hi&h in$i&at# that r#,$$ r#"pirator &apa&it an$ $#&r#a"#$ %P? ha# an#gati# ipa&t on oi Calit an$ it" #i&i#n&' a" )#lla" on th# 8I "&or# G16H. In th# pr#"#nt "t$' an #alation o th# appli&a!ilito th# 8I C#"tionnair# to th# "&r##ning o oi $i"or,$#r" )a" n$#rta+#n. ?h# "t$ in$i&at#" that a 8I &t,o point o 12 "hol$ !# "#$ to i$#nti pati#nt" )ithoi pro!l#" in $ail li#. t thi" al#' th# !#"t "#n"i,tiit o 9E along )ith th# !#"t "p#&ii&it o 95E )#r#r#a&h#$. ?h#"# in$ing" ar# in agr###nt )ith th# r#"lt"o!tain#$ ! >ra""#l #t al. G7H' )ho"# "t$ &onrning th#gra$ing o th# 8I in$i&at#" that a "hit #@#$ing 12point" r#l#&t" notia!l# "#l,p#ri#$ pro!l#" &a"#$! $"phonia. ?h# &to point al# o 12 i" "iilar toth# 13 point" propo"#$ ! Ohl""on an$ Dot#all GH in th#)#$i"h #r"ion o th# 8I. ?h#"# athor" &on"i$#r#$thi" l##l to !# &lini&all r#l#ant an$ "#l or $i"tin,gi"hing pati#nt" )ith oi $i"or$#r" ro &ontrol".?h#ir &on&l"ion $i#r" onl "lightl ro th# on# $ra)n

! an >ogh #t al. G17H' )ho po"tlat#$ that th# l##l o15 point" "hol$ in$i&at# th# !or$#rlin# o th# 8I t#"t.

?h# athor" o th# latt#r "t$ o!tain#$ a high "#n"itiitA97EB an$ goo$ "p#&ii&it A6EB ro th# 8I t#"t')hi&h ar# &opara!l# to or in$ing". It "hol$ !# n,$#rlin#$ that th# &to l##l" o 12' 13' or 15 point" $i#r&on"i$#ra!l ro th# al# o 30' )hi&h i" th# pp#r li,it o th# rang# a""#$ &lini&all to !# &orr#"pon$ing toRil$ oi ipair#nt G4H. ?o &on&l$#' th# ot&o#" o th# pr#"#nt "t$ in$i,&at# not onl that 8I i" a r#lia!l# tool to a""#"" th# !io,p"&ho"o&ial ipa&t o oi $i"or$#r"' !t al"o that it &an!# "#$ a" a "&r##ning tool to $i"tingi"h !#t)##n "!,#&t" )ith an$ )ithot oi $"n&tion. ?h# al# o 12point" in th# 8I t#"t "hol$ !# ta+#n into &on"i$#rationa" a thr#"hol$ or rating th# han$i&ap $# to oi $i"or,$#r".

Ac,no-ledgment

Part o thi" "t$ )a" "pport#$ ! th# pro#&t o th# Poli"htat# r)al"+i iara#" I' 8ol!#rg (-' *a)+a ?' Mo"#n ino&,

&hio D' $orni F' Ottaiani F: o&al i, pro##nt at#r oi th#rap in nilat#ral o&al ol$ paral"i". oi 200;22:11311.12 ?ag&hi ' %a"ait" 8' ao %' O"a : apan#"# #r"ion o oi 8an$i&ap In$#@ A8IB or "!#&ti# #alation o oi $i", or$#r". pn Logop#$ Phoniatr 2006;47:372 37.

13 ?aar#" (L' %artin" M8: o&al #alation in t#a&h#r" )ith or )ithot "pto". oi 2007;21:407414.14 -tl#r (' 8aon$ ?8' >ra D: >#n$#r, r#lat#$ $i#r#n" o halroni& a&i$ $i"tri,

!tion in th# han o&al ol$. Larngo, "&op# 2001;111:907911.15 $# ong F' %i&hi#l ' Or# ' D#&o"t#r : >#n$#r an$ ln#ra!ilit to oi pro!l#"; in O!rS!o)"+i A#$B: Pro#$ing" o th#


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Assessment of the Voice Handicap Index 1 Flore

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