{"title":"频闪镜检查时游离边缘粘膜波动态评估量表:临床验证研究和结果分析。","authors":"Walter Tenesaca Pintado, Roberto Fernández Baillo, Isabel Cardoso Lopez, Ángel Rodriguez Paramas, Alfredo Martínez Martínez","doi":"10.1007/s00405-024-08975-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Identifying the mucosal wave (MW) is essential when studying the voice; however, its characterization and perceived measurement during laryngeal stroboscopy (LS) are not well defined or standardized because of the subjectivity of its interpretation. This article proposed and validated a scale that characterized and approximated MW measurement during LS, applied it to participants divided into a healthy group and groups with free edge conditions, and identified differences between them.</p><p><strong>Methods: </strong>This is a descriptive and clinical validation study of the \"VASQ (Vertical axis, Anteroposterior axis, Symmetry and Quantity) mucosal wave score\" scale based on stroboscopy images of 137 adult men and women divided into a control group and functional and organic pathology groups. The images were analyzed by three evaluators according to an established protocol. Measurements dictating the reproducibility and validity criteria as well as the MW score in each group were obtained.</p><p><strong>Results: </strong>The reliability of the scale was α = 0.90, internal consistency success rate was 91%, intra-observer reliability was 0.83, inter-observer reliability was 0.83, content validity coefficient was 0.92, and factor loading was 0.37-0.53. The MW total score values between 5 and 6 were established as a reference for normality (P < 0.05). Organic pathology showed lower MW score values (P < 0.05), and functional pathology to a lesser extent (P > 0.05).</p><p><strong>Conclusions: </strong>The proposed scale is a consistent, valid, and reliable tool. Its widespread application would favor commonly used terminology and facilitate quantitative comparisons in future studies.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6565-6577"},"PeriodicalIF":1.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564220/pdf/","citationCount":"0","resultStr":"{\"title\":\"Scale for the assessment of mucosal wave dynamics of the free edges during stroboscopic examination: clinical validation study and analysis of results.\",\"authors\":\"Walter Tenesaca Pintado, Roberto Fernández Baillo, Isabel Cardoso Lopez, Ángel Rodriguez Paramas, Alfredo Martínez Martínez\",\"doi\":\"10.1007/s00405-024-08975-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Identifying the mucosal wave (MW) is essential when studying the voice; however, its characterization and perceived measurement during laryngeal stroboscopy (LS) are not well defined or standardized because of the subjectivity of its interpretation. This article proposed and validated a scale that characterized and approximated MW measurement during LS, applied it to participants divided into a healthy group and groups with free edge conditions, and identified differences between them.</p><p><strong>Methods: </strong>This is a descriptive and clinical validation study of the \\\"VASQ (Vertical axis, Anteroposterior axis, Symmetry and Quantity) mucosal wave score\\\" scale based on stroboscopy images of 137 adult men and women divided into a control group and functional and organic pathology groups. The images were analyzed by three evaluators according to an established protocol. Measurements dictating the reproducibility and validity criteria as well as the MW score in each group were obtained.</p><p><strong>Results: </strong>The reliability of the scale was α = 0.90, internal consistency success rate was 91%, intra-observer reliability was 0.83, inter-observer reliability was 0.83, content validity coefficient was 0.92, and factor loading was 0.37-0.53. The MW total score values between 5 and 6 were established as a reference for normality (P < 0.05). Organic pathology showed lower MW score values (P < 0.05), and functional pathology to a lesser extent (P > 0.05).</p><p><strong>Conclusions: </strong>The proposed scale is a consistent, valid, and reliable tool. Its widespread application would favor commonly used terminology and facilitate quantitative comparisons in future studies.</p>\",\"PeriodicalId\":11952,\"journal\":{\"name\":\"European Archives of Oto-Rhino-Laryngology\",\"volume\":\" \",\"pages\":\"6565-6577\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564220/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Archives of Oto-Rhino-Laryngology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00405-024-08975-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Archives of Oto-Rhino-Laryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00405-024-08975-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/16 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Scale for the assessment of mucosal wave dynamics of the free edges during stroboscopic examination: clinical validation study and analysis of results.
Introduction: Identifying the mucosal wave (MW) is essential when studying the voice; however, its characterization and perceived measurement during laryngeal stroboscopy (LS) are not well defined or standardized because of the subjectivity of its interpretation. This article proposed and validated a scale that characterized and approximated MW measurement during LS, applied it to participants divided into a healthy group and groups with free edge conditions, and identified differences between them.
Methods: This is a descriptive and clinical validation study of the "VASQ (Vertical axis, Anteroposterior axis, Symmetry and Quantity) mucosal wave score" scale based on stroboscopy images of 137 adult men and women divided into a control group and functional and organic pathology groups. The images were analyzed by three evaluators according to an established protocol. Measurements dictating the reproducibility and validity criteria as well as the MW score in each group were obtained.
Results: The reliability of the scale was α = 0.90, internal consistency success rate was 91%, intra-observer reliability was 0.83, inter-observer reliability was 0.83, content validity coefficient was 0.92, and factor loading was 0.37-0.53. The MW total score values between 5 and 6 were established as a reference for normality (P < 0.05). Organic pathology showed lower MW score values (P < 0.05), and functional pathology to a lesser extent (P > 0.05).
Conclusions: The proposed scale is a consistent, valid, and reliable tool. Its widespread application would favor commonly used terminology and facilitate quantitative comparisons in future studies.
期刊介绍:
Official Journal of
European Union of Medical Specialists – ORL Section and Board
Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery
"European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level.
European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.