Journal of Voice最新文献

{"title":"Acoustic Analysis for Predicting Voice Recovery Following Injection Laryngoplasty in Patients With Unilateral Vocal Fold Paralysis.","authors":"Geun-Hyo Kim, Dong-Won Lim, Yong-Il Cheon, Sung-Chan Shin, Byung-Joo Lee, Yeon-Woo Lee","doi":"10.1016/j.jvoice.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.007","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the efficacy of injection laryngoplasty (IL) in improving voice quality in patients with unilateral vocal fold paralysis (UVFP), as measured by acoustic parameters.</p><p><strong>Methods: </strong>A cohort of 177 patients with UVFP underwent preIL and postIL assessment using maximum phonation time (MPT), Acoustic Voice Quality Index (AVQI), and Acoustic Breathiness Index (ABI), in conjunction with auditory-perceptual (A-P) ratings and the Voice Handicap Index-10 (VHI-10).</p><p><strong>Results: </strong>Significant improvements were observed across all acoustic and perceptual measures following IL. MPT, AVQI, and ABI, as analyzed using Praat, provided comprehensive quantification of voice recovery. All three measures showed high diagnostic accuracy, with area under the curve values of ≥ 0.73. Receiver-operating characteristic analysis identified effective cutoff values for MPT, AVQI, and ABI, confirming their predictive value for voice recovery.</p><p><strong>Conclusion: </strong>The findings of this study support the integration of MPT, AVQI, and ABI in clinical practice for a more precise assessment of IL outcomes in patients with UVFP. Future research should involve larger sample sizes to investigate cause-specific recovery rates and the role of postIL voice therapy.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Psychosocial Work Factors and Psychological Distress With Voice Disorders Among Secondary School Teachers.","authors":"Patrick Wee Yao Peng, Victor Chee Wai Hoe, Foong Ming Moy","doi":"10.1016/j.jvoice.2025.01.023","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.023","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the prevalence, lifetime prevalence of voice disorders, and its association with psychosocial work factors and psychological distress among secondary school teachers.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Secondary data from the CLUSTer study were analyzed, which included sociodemographics, psychosocial work factors (Job Content Questionnaire-22), psychological distress (Depression Anxiety and Stress Scale-21), and outcome measure of voice (Voice Handicap Index-10).</p><p><strong>Results: </strong>A total of 1216 teachers were included in this study. Majority of them were females (81.0%), of Malays ethnicity (63.9%), and were married (83.3%). Almost one-third of the participants experienced high occupational stress. Less than one-third of them were having depression (27.9%) and stress (21.8%). More than half had anxiety (53.9%). The prevalence of voice disorders was 11.2% [95% confidence interval (CI): 8.9, 14.1], and the lifetime prevalence of voice disorders was 52.4% (95% CI: 48.8, 56.0). Participants with depression (aOR = 2.50, 95% CI: 1.48, 4.22), anxiety (aOR = 2.08, 95% CI: 1.05, 4.13), and stress (aOR = 1.94, 95% CI: 1.11, 3.40) were associated with voice disorders. Psychosocial work factors such as occupational stress, supervisor support, and coworker support were not associated with voice disorders.</p><p><strong>Conclusion: </strong>Psychological distress is associated with the prevalence of voice disorders among secondary school teachers. These findings can be utilized in developing, designing, and implementing interventions or programs to reduce voice disorders for school teachers.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidimensional Comparison of Immediate Effect of Semi-Occluded Vocal Tract Exercises and Vocal Facilitating Techniques on Vocal Function of Speech-Language Pathologists With Vocal Fatigue: A Randomized Clinical Trial.","authors":"Rezvane Nayebian, Arezoo Hasanvand, Akbar Darouie, Mohsen Vahedi","doi":"10.1016/j.jvoice.2025.01.026","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.026","url":null,"abstract":"<p><strong>Objectives: </strong>Vocal fatigue is a common hyperfunctional voice condition, particularly among speech-language pathologists (SLPs), due to their high vocal demands. This study compared the immediate effects of semi-occluded vocal tract (SOVT) exercises and vocal facilitating techniques (VFTs) on the vocal function of SLPs with vocal fatigue, emphasizing multidimensional voice assessments.</p><p><strong>Study design: </strong>Single-blind randomized clinical trial.</p><p><strong>Methods: </strong>Twenty-six SLPs and senior speech therapy students with vocal fatigue were randomly assigned to SOVT or VFT groups. Participants performed four techniques for approximately 40 minutes. Vocal outcomes, including single-dimension (jitter, shimmer, harmonic-to-noise ratio [HNR], and Cepstral Peak Prominence Smoothed [CPPS]) and multiparametric (Acoustic Voice Quality Index [AVQI], Acoustic Breathiness Index [ABI]) acoustic measures, as well as maximum performance task and auditory-perceptual parameters, were evaluated before and immediately after treatment. Within-group and between-group comparisons were conducted.</p><p><strong>Results: </strong>SOVT exercises significantly improved single-dimension acoustic parameters, including jitter, shimmer, and HNR and auditory-perceptual dysphonia severity within the group (P < 0.05). Between-group analysis showed a greater reduction in jitter and auditory-perceptual severity in the SOVT group compared with the VFT group (P < 0.05). However, multiparametric acoustic indices, including AVQI and ABI, showed no significant changes in either group, suggesting that longer interventions may be necessary to impact connected speech.</p><p><strong>Conclusions: </strong>SOVT exercises showed immediate improvements in acoustic and auditory-perceptual measures for SLPs with vocal fatigue, making them a promising short-term intervention. However, while sustained vowel analysis revealed significant changes, connected speech analysis did not show similar improvements, highlighting the importance of assessing real-world vocal function. In contrast, VFT techniques likely require longer durations to yield significant effects. Future research should explore extended treatments with multiparametric measures to better understand their efficacy for professional voice users.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Newcastle Laryngeal Hypersensitivity Questionnaire: Translation and Cross-Cultural Adaptation to the Arabic Language.","authors":"Mohamed E El-Deeb, Saad Elzayat, Ahmed El-Sobki, Abeer Salamah, Ibrahim Gehad, Mona Ahmed, Amr Maher Shady, Cesare Piazza","doi":"10.1016/j.jvoice.2025.01.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.024","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to validate and assess the reliability of the Arabic version of the Newcastle Laryngeal Hypersensitivity Questionnaire (LHQ) as a self-reported questionnaire for patients with laryngeal hypersensitivity syndrome (LHS).</p><p><strong>Study design: </strong>A prospective, observational, cross-sectional study was conducted in the ear, nose and throat Department of Kafr Elsheikh University Hospitals.</p><p><strong>Methods: </strong>The preliminary Arabic version of the LHQ (LHQ-Ar) was created using a rigorous forward and backward translation method. Native Arabic-speaking patients visiting outpatient pulmonology, speech pathology, and ear, nose and throat clinics in this tertiary referral center were invited to participate. Participants were divided into two groups: group 1, comprising patients with LHS, and group 2, consisting of healthy controls. All participants completed the LHQ-Ar questionnaire twice, with a two-week interval, to assess test-retest reliability. Additionally, LHS patients completed the Arabic Voice Handicap Index-10 to examine correlations with LHQ-Ar scores. The LHQ-Ar underwent rigorous testing for internal consistency, reliability, validity, sensitivity, and specificity to establish it as a validated patient questionnaire.</p><p><strong>Results: </strong>The KMO test (KMO = 0.955) and Bartlett's test (P < 0.001) confirmed the sample's adequacy. The analysis identified only one factor with an eigenvalue greater than one, which explained 63.4% of the total variance. Items 13 (0.372) and 14 (0.306), which had commonalities below 0.5, were excluded. The final model, consisting of 12 items, accounted for 68.7% of the variance. Cronbach's alpha coefficients ranged from 0.933 to 0.988 for individual items and 0.995 for the total score, indicating excellent internal consistency.</p><p><strong>Conclusion: </strong>The Arabic version of the Newcastle LHQ (LHQ-Ar) proves to be a reliable and valid tool for assessing LHS in Arabic-speaking populations. The LHQ-Ar shows strong internal consistency, test-retest reliability, and good sensitivity and specificity in predicting LHS, thus making it a valuable instrument for clinical use and research in Arabic-speaking patients.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Laryngeal Dehydration and Nebulized Osmotic Agents on the Voice.","authors":"Tuğba Kaya, Göksu Yılmaz, Richard I Zraick, Ayşe Buse Saraç, Beyza Özen, Damla Akı, Ahmet Konrot","doi":"10.1016/j.jvoice.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.012","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the effects of dehydration induced by dry air breathing and the nebulization of various osmotic agents on vocal parameters, including perceptual, acoustic, and electroglottographic measures.</p><p><strong>Methods: </strong>Thirty normophonic females (age x̅ = 26, SD = 1.67) participated over three consecutive days. On the first day, the baseline data were meticulously collected before the participants underwent a 22-minute session of transoral dry air breathing. Immediately after this desiccation protocol, measurements were taken to establish the initial effects. Subsequently, one of three osmotic agents was randomly selected for each participant. These agents included hypotonic distilled water, 0.9% isotonic saline, and 3% hypertonic saline. Each participant then underwent a 10-minute nebulization session with 5 mL of the assigned osmotic agent. The process was repeated on the second and third days. Each day, the participants again experienced the 22-minute transoral dry air breathing session. The evaluations were performed by Borg CR-10 (perceived vocal effort), electroglottography (EGG), voice onset time (VOT), nasalance score (NS), and cepstral peak prominence analyses with CAPE-V sentences (s).</p><p><strong>Results: </strong>No statistically significant differences were found in the EGG parameters between the preliminary recordings, post transoral medical-grade dry air protocol, and after each of task-hypotonic, task-isotonic, and task-hypertonic. Following the transoral medical-grade dry air protocol, both /s1/-CPP and /s5/-CPP values decreased compared with the preliminary recordings. Only /s1/-CPP values increased after the 0.9% isotonic saline nebulization. NS from preliminary measurements was higher for both oronasal and nasal texts compared with scores after the dry air protocol and nebulization. Voiceless plosive VOT values decreased solely after the 0.9% isotonic saline nebulization. Participants' Borg CR-10 scores increased after transoral medical-grade dry air protocol and decreased after nebulization with distilled water and 0.9% isotonic saline.</p><p><strong>Conclusions: </strong>Isotonic saline and distilled water nebulization protocols demonstrated a trend toward mitigating the adverse effects of the transoral medical-grade dry air inhalation protocol on vocal parameters.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Effects of Vocal Training Programs on the Skills and Development of Chorus Performers.","authors":"Zhen Chen, Jieyu Tao","doi":"10.1016/j.jvoice.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.016","url":null,"abstract":"<p><p>Vocal training is a crucial component in developing a singer's vocal capabilities. It enhances the vocal quality and improves the overall vocal health. Through consistent practice and well-structured exercises, singers can achieve high control, clarity, and expressiveness. In this research, we aim to investigate the impact of a structured vocal training program on older choristers. This research includes 18 older choral singers (with ages above 50 years), randomly assigned to either the study group or control group. Data were gathered through pretest and post test assessments of vocal function using perceptual voice analysis, self-assessments, and acoustic evaluation. The vocal training program was exclusively performed for the study group. Additionally, participant feedback and program effectiveness were collected through structured interviews. Respondents in the study group indicated substantial improvements in perceptual roughness, vocal clarity, jitter, shimmer, and pitch accuracy following the training session. However, assessments of subjective breathiness and effort, as well as phonational frequency range, revealed no significant differences. The participants also reported that the training program had a favorable impact on their voices. Overall, the findings suggest that structured vocal training can significantly enhance certain aspects of vocal performance in choristers. This research highlights the potential benefits of vocal training programs for improving vocal health and performance quality for older choristers.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-Dimensional Features Extraction for Voice Pathology Detection Based on Deep Learning Methods.","authors":"Sozan Abdullah Mahmood","doi":"10.1016/j.jvoice.2024.12.048","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.12.048","url":null,"abstract":"<p><strong>Purpose: </strong>Voice pathology detection is a rapidly evolving field of scientific research focused on the identification and diagnosis of voice disorders. Early detection and diagnosis of these disorders is critical, as it increases the likelihood of effective treatment and reduces the burden on medical professionals.</p><p><strong>Methods: </strong>The objective of this scientific paper is to develop a comprehensive model that utilizes various deep learning techniques to improve the detection of voice pathology. To achieve this, the paper employs several techniques to extract a set of sensitive features from the original voice signal by analyzing the time-frequency characteristics of the signal. In this regard, as a means of extracting these features, a state-of-the-art approach combining Gammatonegram features with Scalogram Teager_Kaiser Energy Operator (TKEO) features is proposed, and the proposed feature extraction scheme is named Combine Gammatonegram with (TKEO) Scalogram (CGT Scalogram). In this study, ResNet deep learning is used to recognize healthy voices from pathological voices. To evaluate the performance of the proposed model, it is trained and tested using the Saarbrucken voice database.</p><p><strong>Results: </strong>In the end, the proposed system yielded impressive results with an accuracy of 96%, a precision of 96.3%, and a recall of 96.1% for binary classification and an accuracy of 94.4%, a precision of 94.5%, and a recall of 94% for multi-class.</p><p><strong>Conclusion: </strong>The results of the experiments demonstrate the effectiveness of the feature selection technique in maximizing the prediction accuracy in both binary and multi-class classifications.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity Cut-Off Ranges for Auditory-Perceptual Evaluation Using Visual Analog Scales.","authors":"Patrick R Walden","doi":"10.1016/j.jvoice.2025.01.018","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.01.018","url":null,"abstract":"<p><strong>Objectives: </strong>This retrospective, observational analytic, cross-sectional research study aimed to establish cut-off scores for categorizing the severity of voice qualities on a 100-unit visual analog scale (VAS). The study investigated the VAS cut-off ranges corresponding to auditory-perceptual ratings of normal, mild, moderate, and severe severities from the GRBAS scale for overall severity, breathiness, roughness, and strain.</p><p><strong>Methods: </strong>The study utilized voice samples and ratings from the Perceptual Voice Qualities Database (PVQD). The database contains 296 audio samples, including sustained vowels and sentences, rated by 19 experienced voice clinicians. The raters used a 100-point VAS and the GRBAS scale to evaluate voice qualities. Receiver operator curves (ROC) were calculated to determine cut-off scores for each severity category, balancing a 90% sensitivity with a 10% allowable false-positive categorization.</p><p><strong>Results: </strong>Cut-off ranges were established for overall severity, breathiness, and roughness, demonstrating similar values across severities. The ranges were: Overall severity: normal (0-15), mild (16-39), moderate (40-69), severe (70-100). Breathiness: normal (0-14), mild (15-34), moderate (35-68), severe (69-100). Roughness: normal (0-13), mild (14-37), moderate (38-65), severe (66-100). For strain, only the normal range (0-15) could be determined with statistical significance.</p><p><strong>Conclusions: </strong>This study provided clinically relevant cut-off values for severity categories on a VAS, enhancing communication with patients and facilitating the use of both sensitive and specific categorical measures in voice evaluation. The findings contribute to a more standardized and objective assessment of voice quality.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Presentation and Voice Satisfaction: Self-Perception of Voice Versus External Perception.","authors":"Diego Henrique da Cruz Martinho, Ana Carolina Constantini","doi":"10.1016/j.jvoice.2024.11.043","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.043","url":null,"abstract":"<p><strong>Objective: </strong>To verify the self-assessment of gender in voice, the concept of an ideal voice, and voice satisfaction among people of different genders; and to compare these factors with the Auditory-Perceptual Assessment (APA) of gender in voice conducted by cisgender, transgender, and non-binary judges, as well as speech-language pathologists (SLPs) specializing in voice.</p><p><strong>Methods: </strong>A cross-sectional study. In total, 47 individuals of different genders conducted a self-assessment of their voice's gender presentation (using a 100-point visual analog scale (VAS) ranging from very masculine to very feminine) based on two items: \"My voice is\" and \"My ideal voice should sound.\" The same scale was used to measure voice satisfaction, ranging from \"very dissatisfied\" to \"very satisfied.\" Subsequently, samples of connected speech (counting numbers) and expressive reading of a poem from these individuals were recorded and subjected to APA using the same VAS to evaluate gender presentation in voice. The APA was conducted by 101 cisgender judges (CJ), 70 transgender and non-binary judges (TNB), and 65 voice-specialized SLP. Descriptive and inferential analyses were performed (Friedman test, Durbin-Conover post hoc test, and Spearman correlation), considering P < 0.05 to compare the difference between the mean scores of the judges and the speakers' self-assessment and the correlation of APA with voice satisfaction.</p><p><strong>Results: </strong>For the first item, \"My voice is,\" there was a significant difference between the speakers' self-assessment and evaluations by all three groups of judges: CJ vs self-assessment (P = 0.013), SLP vs self-assessment (P = 0.016), and TNB vs self-assessment (P =< 0.001). Regarding the item \"My ideal voice should sound,\" a significant difference was observed only between TNB vs Ideal voice (P = 0.032); CJ and SLP vs Self-assessment did not show statistically significant differences (P = 0.262 and P = 0.298, respectively). In terms of voice satisfaction, cisgender men showed a strong negative and significant correlation with self-perception (R = -0.761, P = 0.006).</p><p><strong>Conclusion: </strong>The perceptions of cisgender, transgender, non-binary judges, and voice-specialized SLPs differed significantly from the speakers' self-perception regarding gender in voice. In the conception of an ideal voice, the perceptions of cisgender and SLP judges aligned with the speakers' expectations, possibly reflecting cultural influences that reinforce traditional gender norms. The correlation of voice satisfaction indicates that more satisfied cisgender men perceive their own voice as more masculine.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Perception of Voice at Different Moments and Hospitalization for COVID-19: The Influence of Sociodemographic and Clinical Variables.","authors":"Amanda Cristina Fukunari, Marcia Simões-Zenari, Katia Nemr","doi":"10.1016/j.jvoice.2024.12.023","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.12.023","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the self-perception of voice at different times and the influence of age, number of infections, underlying diseases, and occupational voice use among individuals with Coronavirus Disease 2019 (COVID-19), with or without a history of hospitalization.</p><p><strong>Methods: </strong>Data were collected from adults and older adults with COVID-19, treated at a Brazilian Military Hospital between April 2020 and May 2023. The questionnaire was sent by email and a messaging application. The data were analyzed by comparing self-perception of voice at different times and the study variables in the hospitalized and nonhospitalized groups.</p><p><strong>Results: </strong>The sample comprised 101 individuals. Self-perception of voice quality worsened during COVID-19 in all three age groups, regardless of hospitalization history. Individuals with more than one infection had worse vocal self-perception during COVID-19, regardless of hospitalization. The worsening was greater among individuals with allergies and hearing loss. Arterial hypertension was associated with worsening after COVID-19 in the nonhospitalized group and with better self-perception before COVID-19 in hospitalized patients. Reflux was associated with hospitalized patients and worse self-perception of vocal quality at all times. Hospitalized occupational voice users had greater vocal quality improvement after COVID-19.</p><p><strong>Conclusions: </strong>Regardless of hospitalization and age group, participants self-perceived voice worsening during COVID-19, with a greater decline among hospitalized patients, and a slower recovery among hospitalized older people. More than one infection negatively impacted voice self-perception during COVID-19, and having one infection and no hospitalization was more promising for the voice. Allergies, hearing loss, hypertension, and reflux had an impact on voice self-perception during and/or after COVID-19. Hospitalized occupational voice users had greater vocal quality improvement, whereas nonhospitalized occupational voice users improved more slowly.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}