Impact Of Voice Disorders Research Articles

Voice Disorders Among Teachers in Taif City, Kingdom of Saudi Arabia.

Background Voice disorders (VD) pose significant challenges for teachers as they impact their professional and personal lives. Teaching requires extensive use of the voice, making teachers particularly susceptible to vocal health issues.VD can hinder the quality of education. Objectives This study aimed to comprehensively explore the prevalence, associated factors, and impact of VD among teachers and their health-seeking behavior regarding VD. Methodology A cross-sectional observational study was conducted in Taif City, Kingdom of Saudi Arabia (KSA), between November and December 2023. The data were collected through a questionnaire covering demographic variables, occupational factors, voice-related symptoms, associated health conditions, and the impact of VD. The statistical analysis was performed using SPSS Statistics version 26 (IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.), and chi-squared tests were used to assess associations. Results The study involved 568 teachers, 61.8% of whom had VD. The study identified significant associations between VD and demographic characteristics, habits, and teaching-related variables. Age, gender, teaching subject, class size, and weekly teaching load were associated with the prevalence of VD. Hoarseness, throat pain, and throat dryness were prevalent symptoms among teachers with VD. The impact of VD on teachers was evident, with a considerable proportion reporting work absenteeism (28.7%) and even contemplating retirement due to voice problems (6.3%). Conclusion This study offers a nuanced understanding of VD among teachers in the Taif region, emphasizing the complex interplay of demographic, symptomatic, and behavioral factors. The findings underscore the need for targeted interventions, including awareness campaigns, preventive strategies, and streamlined healthcare access, to address the unique challenges that different subgroups of teachers face. Future research should further explore longitudinal trajectories and objective measures to enhance our understanding of VD in educational settings.

Etiopathogenetic grounding of the treatment of voice-speech professions with functional dysphonia on the background of subclinical psycho-emotional disorders during the COVID-2019 pandemic

The aim of the research: Improvement of the traditional complex treatment of voice-speaking professions during the COVID-2019 pandemic with functional dysphonia on the background of subclinical psycho-emotional disorders by appointment neurotransmitter drugs. Materials and methods: The study involved 49 people of voice-speech professions with functional disorders of the voice function of the hypotonic type, who were diagnosed with subclinical disorders of the psychoemotional state by questioning on the hospital anxiety and depression scale (HADS). Before and after treatment, voice disorders were diagnosed using perceptual evaluation of the GRBAS voice scale and video stroboscopy of the larynx. The impact of voice disorders on quality of life during the pandemic was assessed using the Voice COVID-19 (VC-19) questionnaire. All patients received standardized treatment, which consisted of the use of metabolic, stimulant drugs, physiotherapy and instillation of drugs into the larynx. In 26 patients of the main group (MG), in addition to treatment, a neurotransmitterotropic drug ("Beresh Magnesium plus B6") was prescribed. The comparison group (CG) consisted of 23 people who received traditional therapy. Descriptive statistics were used for statistical analysis of the effectiveness of treatment, comparison of the difference in quantitative indicators by the method of nonparametric statistics using the Mann-Whitney-U-test. Results: The use of the neurotransmitter correction agent "Beresh Magnesium plus B6" by the patients with MG contributed to the suppression of their susceptibility to anxiety, stress and, as a result of these processes, made it possible to obtain, in comparison with the control group, a significant improvement in such indicators of acoustic parameters as voice strength by 5.78%, integral stroboscopy index - 13.34% and improvement of the quality of life by 34.03%, which indicates the effectiveness of the use of magnesium compounds with vitamin B6 in the complex treatment of patients with hypotonic dysphonia against the background of subclinical psychoemotional disorders. Conclusions: Addit ional appointment of magnesium citrate and magnesium oxide compounds with vitamin B6, which has a modulating effect on neurotransmitters that affect depression and anxiety, to basic therapy for patients of main group, made it possible to obtain a significant improvement in the main perceptual and functional indicators of the voice and quality of life.

Prevalence, Risk Factors and Impact of Voice Disorders among Primary School Teachers in Cairo, Egypt

Prevalence, Risk Factors and Impact of Voice Disorders among Primary School Teachers in Cairo, Egypt

Impactul tulburărilor de voce asupra calității vieții în rândul profesorilor din învățământul preuniversitar și universitar

Impactul tulburărilor de voce asupra calității vieții în rândul profesorilor din învățământul preuniversitar și universitar

Impact of voice disorders and microlaryngeal surgery on psychological profiles of Arabic-speaking professional and nonprofessional voice users

IntroductionVoice disorders that impair normal social communication may cause subsequent emotional distress and are significantly associated with greater risk of anxiety and depression. The occurrence of vocal symptoms and voice disorders in professions where voice is an essential tool may cause stress and anxiety to the professionals suffering from them. Voice disorders in professionals have a major psychoemotional and social impact because they can threaten, shorten, or even end teachers’ and singers’ careers.Aim of the workPsychological impact of various voice disorders of professional and nonprofessional voice users has not yet been adequately studied according to the authors’ knowledge in the Egyptian population. It is therefore of great importance to shed light on the psychological impact of voice disorders on patients in an attempt to improve the quality of life of those patients.Patients and methodsDuring the period of 6 months from June 2014 to December 2014, 40 patients were included prospectively in this work.Results and conclusionProfessional voice users are more susceptible to psychological diseases than nonprofessional voice users. The degree of improvement postoperatively in professional voice users was statistically significant in all assessments of this study when compared with the nonprofessional voice users except in self-confidence and worth (Rosenberg self-esteem test). The best degree of improvement postoperatively was detected in the professional voice physically according to Jacobson scoring guidelines. There was a moderate relation between dysphonia and anxiety and depression according to the Voice Handicap Index and Kessler psychological distress scale results in this study.

Assess the Impact of Puberphonia in the Society

Puberphonia is a voice disorder which is distinguished by the habitual and continuous use of prepubertal high-pitched voice of a child even after puberty. It is not a rare disorder; it is followed by a synopsis of current approaches to treat puberphonia in males. The impact of voice disorder varies greatly from person to person, environment, occupation, family members and overall personality. These are all the variables that can affect the way voice disorder affect a particular person. In general, people with puberphonia tend to encounter problems that include emotional, psychological, social and professional difficulty. To assess the impact of puberphonia in levels of society, the study was carried out as a descriptive simple purposive sampling technique used and was able to treat 476 cases in our puberphonia clinic by using self-administered questionnaire. As investigators, we found out the impact of puberphonia. Puberphonia treatments are discussed in terms of pharyngeal resonance manipulation, fire breathing techniques and habituation. The study was analyzed for the social impact of puberphonia on marriage and job opportunity. The study was concluded that, other problems of puberphonia includes depression, loneliness, cowardice, low self-esteem and inferiority complex and thinking of suicide which would be the take home message from our long experience of 29 years in treating puberphonia. We discussed thoroughly further knowledge about puberphonia among the society and health professionals.

Prevalence, Characterization, and Impact of Voice Disorders in Fado Singers

Fado is a genre of urban folk music from Portugal characterized by some particularities. Some indictions in the study point this population of singers to be at higher risk of developing voice disorders. This study aims to provide estimates of the prevalence of voice disorders in Fado singers, and to characterize the professional practice and the impact of voice disorders on their careers. This is a cross sectional study based on a self-administered questionnaire split into six parts and 55 questions. A gender-balanced sample of 111 singers was achieved. Most of them recorded at least once. Winter and spring were found to be the most difficult seasons in which to sing. The overall prevalence of self-reported voice disorders was 39.6%, significantly higher in females. Almost all sought clinical guidance. Vocal fold nodules, functional dysphonia, and vocal fold polyp were the most common diagnoses. Vocal fatigue and hoarseness were the main symptoms reported. Nearly half of the singers had to cancel shows due to voice disorders. Fado singers reveal both a relative high prevalence of voice disorders and related concerns, even though some discrepancies were found regarding other apparently similar singer populations. These results lead support the need for further investigation regarding the risk or protective factors influencing voice disorders.

THE INVESTIGATION OF VOICE HANDICAP INDEX IN TEACHERS WITH AND WITHOUT SELF-RATED VOICE DISORDERS

Voice disorders restrict daily activity and impact the quality of life. The purpose of the study was to find out the impact of voice disorders on functional, physical and emotional condition of teachers with and without self-reported voice disorders. Two hundred thirty-five teachers with self-reported voice problems (Voice disorder group) and 174 teachers with no voice problems (Control group) in anamnesis completed Latvian version of Voice Handicap Index-30 (VHI-30). Teachers with voice disorders demonstrated higher median scores in VHI-30 total scale and functional, physical, and emotional subscales (P0.001). In teachers, voice disorders have a more significant impact on their physical comfort and have a smaller impact on their emotional sphere. 76.4% of the voice disorder group respondents acquired the total score within 12 to 33 points. In the control group, 75.3% of teachers had the VHI score of up to 17 points. Conclusions: In teacher population of Latvia mild voice disorders are encountered more often. Activity and participation in everyday life situations are limited in teachers with voice disorders. Voice disorders mostly impact physical comfort in teachers.

Qualidade de Vida em Voz: estudo na doença de Parkinson idiopática e na disfonia espasmódica adutora

OBJETIVO: avaliar o impacto causado pela alteração vocal na qualidade de vida (QV) dos pacientes com doença de Parkinson (DP) idiopática e com disfonia espasmódica adutora (DEA). MÉTODO: o estudo foi realizado com 56 indivíduos do sexo feminino, dos quais 28 compunham o grupo controle; 14, o grupo de DEA, no período anterior ao tratamento com toxina botulínica; e 14, o grupo de DP idiopática. Os participantes preencheram o questionário de Qualidade de Vida em Voz (QVV) validado para o português brasileiro. Para verificar a diferença entre as médias dos grupos foi utilizado o método de análise de variância por postos de Kruskal-Wallis e o teste de Tamhane para comparações múltiplas, com significância <0,05. RESULTADOS: as médias de idade dos grupos foram 66,18 para o grupo controle, 67,21 DP e 59,7 DEA, não havendo diferença estatística entre as médias. No protocolo QVV as médias dos domínios sócio-emocional, físico e escore total foram maiores para o grupo controle, seguido pelo grupo de DP idiopática e por fim o grupo da DEA, sendo a diferença entre elas estatisticamente significante. Além disso, houve diferença estatística para cada par de grupos, referente aos domínios do protocolo QVV, exceto no que se refere ao par controle e DP idiopática, no domínio sócio emocional (p=0,076). CONCLUSÃO: o maior impacto negativo na QV relacionado à voz está nos indivíduos com DEA, seguido por aqueles com DP idiopática e por fim os indivíduos do grupo controle.

The Impact of Voice Disorders Among Teachers: Vocal Complaints, Treatment-Seeking Behavior, Knowledge of Vocal Care, and Voice-Related Absenteeism

Teachers are at increased risk for developing voice disorders. Occupational risk factors have been extensively examined; however, little attention has been paid to the consequences of the vocal complaints. The objective of this study was to investigate the knowledge that teachers have about vocal care, treatment-seeking behavior, and voice-related absenteeism. The study group comprised 994 teachers and 290 controls whose jobs did not involve vocal effort. All participants completed a questionnaire inquiring about vocal complaints, treatment-seeking behavior, voice-related absenteeism, and knowledge about vocal care. Comparisons were made between teachers with and without vocal complaints and with the control group. Teachers reported significantly more voice problems than the control population (51.2% vs. 27.4%) (χ2=50.45, df=1, P<0.001). Female teachers reported significantly higher levels of voice disorders than their male colleagues (38% vs 13.2%, χ2=22.34, df=1, P<0.001). Teachers (25.4%) sought medical care and eventually 20.6% had missed at least 1 day of work because of voice problems. Female teachers were significantly more likely to seek medical help (χ2=7.24, df=1, P=0.007) and to stay at home (χ2=7.10, df=1, P=0.008) in comparison with their male colleagues. Only 13.5% of all teachers received information during their education. Voice disorders have an impact on teachers' personal and professional life and imply a major financial burden for society. A substantial number of teachers needed medical help and was obligated to stay at home because of voice problems. This study strongly recommends the implementation of vocal education during the training of teacher students to prepare the vocal professional user.

An Interdisciplinary Approach to Teachers’ Voice Disorders and Psychosocial Working Conditions

Objectives: The goals of this epidemiological paper are focused on studying teachers’ vocal complaints, their voice pattern, and the impact of voice disorders on psychosocial working conditions. Patients: A representative stratified random sample of 282 teachers from kindergartens and elementary schools was studied. Two types of self-report questionnaires were applied: an inquiry about teachers’ occupational voice profile, and the adapted Spanish version of the Copenhagen Psychosocial Questionnaire (ISTAS-21). Pearson’s χ² test was performed to search for statistical associations. Results: 62.7% of subjects were experiencing occupational voice disorders; these teachers showed significantly worse psychosocial conditions than their healthy voice colleagues. Conclusions: Occupational voice disorders affect more than 60% of teachers and have an impact on their psychosocial working conditions. Interdisciplinary work is essential to shed light on these multifactor mechanisms and effects.

The Relationship Between Chronic Cough and Paradoxical Vocal Fold Movement: A Review of the Literature

Chronic cough (CC) and paradoxical vocal fold movement (PVFM) are debilitating conditions. PVFM has been given many labels, including vocal cord dysfunction, Munchausen's stridor, functional inspiratory stridor, nonorganic functional or psychogenic upper airway obstruction, factitious asthma, psychogenic stridor, emotional laryngeal wheezing, and episodic laryngeal dyskinesia. Although CC and PVFM have been considered separate entities in many reports, there is preliminary support for the notion that there may be an underlying link between these two conditions. Speech pathologists have become increasingly involved in the treatment of these patients and therefore need to understand the theoretical background of these disorders, the pathophysiological links between the two, and the impact of voice disorders on these populations. The aim of this article is to review the current literature on CC and PVFM from a speech pathology perspective to provide a model for defining and conceptualizing the disorders and to provide a framework for management and future research.

Voice Activity and Participation Profile

Traditional clinical voice evaluation focuses primarily on the severity of voice impairment, with little emphasis on the impact of voice disorders on the individual's quality of life. This study reports the development of a 28-item assessment tool that evaluates the perception of voice problem, activity limitation, and participation restriction using the International Classification of Impairments, Disabilities and Handicaps-2 Beta-1 concept (World Health Organization, 1997). The questionnaire was administered to 40 subjects with dysphonia and 40 control subjects with normal voices. Results showed that the dysphonic group reported significantly more severe voice problems, limitation in daily voice activities, and restricted participation in these activities than the control group. The study also showed that the perception of a voice problem by the dysphonic subjects correlated positively with the perception of limitation in voice activities and restricted participation. However, the self-perceived voice problem had little correlation with the degree of voice-quality impairment measured acoustically and perceptually by speech pathologists. The data also showed that the aggregate scores of activity limitation and participation restriction were positively correlated, and the extent of activity limitation and participation restriction was similar in all except the job area. These findings highlight the importance of identifying and quantifying the impact of dysphonia on the individual's quality of life in the clinical management of voice disorders.

Psychosocial impact on puberphonic and effectiveness of voice therapy: A case report

Puberphonia is a rare disorder, in which the patient manifests higher register voice than others of their same age group. Manifestation is less in women than men. The prevalence is 1 in 900,000. Apart from impact on voice of patient, puberphonia also has impact on the psycho-social aspect. Different treatment modalities have been put forward in the past, many of which lack validity and EBP. Voice therapy has proven to be the most effective in the management of puberphonia. Voice Handicap Index (VHI) is a tool for assessing the perceived handicap by the patient. VHI has 3 parts and overall score of 120 and individual subset has score of 40 each. Result: Patient who received voice therapy obtained better score on the overall scale as well as on each subsets of the VHI. Conclusion: The study concludes that the voice therapy not only improves the voice quality of the patient, but also improves the quality of life of the patient. The impact of voice disorder (puberphonia) is most prominent on the emotional section. Keywords: Puberphonia; voice therapy; VHI. DOI: 10.3126/jcmsn.v6i1.3605 Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 1, 57-62