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The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis

Year 2022, Volume: 32 Issue: 4, 75 - 80, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1168741

Abstract

Objective: The aim of this study is to examine voice characteristics by perceptual assessment of voices of patients with vocal cord paralysis before and after vocal rehabilitation. Materials and Methods: 80 subjects participated in the study, of which 40 belonged to the experimental group and 40 to the control group. A subjective assessment of the voice using the GRBAS scale was performed. This instrument assesses the quality of the voice, that is, it determines the degree and severity of the disorder. Measures of central tendency, measures of variability, one-factor analysis of variance, t-test for independent samples, chi-square test and interclass correlation coefficient were applied in statistical data processing. Results: Before vocal rehabilitation, severe (S) and moderate (G, R, B and A) voice changes were present in patients with vocal cord paralysis. After the vocal rehabilitation was completed, there was an improvement in voice quality on all subscales, i.e. in moderate (G, R, B and A) there was a noticeable absence of changes in the voice and in severe (S) there was a slight change in the voice. Conclusion: Vocal rehabilitation aims to improve glottic occlusion without causing hyperkinesia, which is assisted by the abdominal breathing technique and improving the function of the internal muscles of the larynx. Vocal therapy is an indispensable part of the treatment of patients with paralysis of the vocal cords, and very often it is sufficient for a complete cure.

Supporting Institution

Public Hospital Institution “Sveti Vračevi”, Bijeljina, Bosnia and Herzegovina

References

  • 1. Cheetham J, Witte TH, Rawlinson JJ, Soderholm LV, Mohammed HO, Ducharme NG. Intra-articular stabilisation of the equine cricoarytenoid joint. Equine Vet J 2008;40(6):584-8. google scholar
  • 2. Kardogan T, Seifert E. Influence of Aging and Sex on Voice Parameters in Patients With Unilateral Vocal Cord Paralysis. Laryngoscope 2005;115(4):655-60. google scholar
  • 3. Milutinovic Z. Klinicki atlas poremecaja glasa, teorija i praksa. Beograd: Zavod za udzbenike i nastavna sredstva, 1997. google scholar
  • 4. Bumber Z, Katic V, Niksic-Ivancic M, Pegan B, Petric V, Sprem N. Otorinolaringologija. Zagreb: Ljevak, 2004. google scholar
  • 5. Katic V, Prgomet D. Otorinolaringologija i kirurgija glave i vrata: prirucnik. Zagreb: Ljevak, 2009. google scholar
  • 6. Bothe C, Lopez M, Quer M, Leon X, Garcia J, Lop J. Aetiology and treatment of vocal fold paralysis: retrospective study of 108 patients. Acta Otorinolaringol Esp 2014;65(4):225-30. google scholar
  • 7. Schindler A, Bottero A, Capaccio P, Ginocchio D, Adorni F, Ottaviani F. Vocal improvement after voice therapy in unilateral vocal fold paralysis. J Voice 2008;22(1):113-8. google scholar
  • 8. Brake M, Anderson J. Bilateral vocal fold immobility: a 13 year review of etiologies managment and the utility of the empey index. J Otolaryngol Head Neck Surg 2015;44(1):27. google scholar
  • 9. Ahmed S, Muzamil A, Lateef M. A study of incidence and etiopathology of vocal cord paralysis. Indian J Otolaryngol Head Neck Surg 2002;54(4):294-6. google scholar
  • 10. Finck C. Laryngeal dysfunction after thyroid surgery: diagnosis, evaluation and treatment. Acta Chirurgic Belg 2006;106(4):378-87. google scholar
  • 11. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Keaemer J, et al. Clinicalpractice guideline: Improving voice outcomes after thyroid surgery. Otolaryngol Head Neck Surg 2013;148(6):S1-S37. google scholar
  • 12. Boone DR, McFarlane SC. (2000). The voice and voice therapy, (6th ed). Pearson: Allyn & Bacon, 2000. google scholar
  • 13. Isshiki N, Okamura H, Tanabe M, Morimoto M. Differential diagnosis of hoarseness. Folia Phoniatr 1969;21(1):9-19. google scholar
  • 14. Bunijevac, M., Colic, G., Cvorovic, R. Objective assessment of voice quality in patients with one-sidedvocal paralysis. In V. Ilic (Ed.), Latest developments in speech therapy, occupational therapy and social work: Implementations of theoretical models in practice: possibilities and limitations. Beograd: Visoka skola socijalnog rada. 2020, pp 387-97. google scholar
  • 15. Jakelic A, Bonetti A, Simunjak B. Akusticka procjena i samoprocjena gasa zena s bolestima stitnjace. Logopedija 2015;5(1):9-14. google scholar
  • 16. Blatancic G, Bonetti A, Zivkovic-Ivanovic T. Objektivna i perceptivna procjena kvaliteta glasa kod osoba sa jednostranom paralizom glasnica. Logopedija 2017;7(1):1-5. google scholar
  • 17. Gisselson L. Laryngeal paralysis following in thyreoidectomy. Acta Chir Scand 1949;99:154-62. google scholar
  • 18. Widstrom A. Vocal cord palsies following surgery for benign non toxic boitre. Acta Otolaryngol 1973;75:370-1. google scholar
  • 19. Rubin JS, Sataloff RT, Korovin GS. (Eds.). Diagnosis and treatment of voice disorders. San Diego: Plural publishing, 2014. google scholar
  • 20. Little MA, Costello DAE, Harries MN. Objective dysphonia quantification in vocal fold paralysis: comparing nonlinear with classical measures. J Voice 2011;25(1):21-31. google scholar
  • 21. Bielamowicz S, Stager SV. Diagnosis of unilateral recurrent laryngeal nerve paralysis: laryngeal electromyography, subjective rating scales, acoustic and aerodynamic measures. Laryngoscope 2006;116(3):359-64. google scholar
  • 22. Rosenthal AL, Lowell SY, Colton RH. Aerodynamic and acoustic features of vocal effort. J Voice 2014;28(2):144-53. google scholar
  • 23. Baylor CR, Yorkston KM, Eadie TL, Strand EA, Duffy J. (2006). A systematic review of outcome measurement in unilateral vocal fold paralysis. J Med Speech Lang Pathol 2006;14(1):1-33. google scholar
  • 24. Sulica L, Blitzer A. Vocal Fold Paralysis. Eur Arch Otorhinolaryngol 2006;968-9. google scholar
  • 25. Blitzer A, Brin MF, Ramig LO. Neurologic disorders of the larynx. New York: Thieme, 2009. google scholar
  • 26. Hartl DM, Hans S, Vaissiere J, Riquet M, Brasnu DF. Objective voice quality analysis before and after onset of unilateral vocal fold paralysis. J Voice 2001;15(3):351-61. google scholar
  • 27. Pinho CMR, Jesus LMT, Barney A. (2013). Aerodynamic measures of speech in unilateral vocal fold paralysis (UVFP) patients. Logoped Phoniatr Vocol 2013;38(1):19-34. google scholar
  • 28. Takahashi H. Assessment of auditory impression of dysphonia. In: The Japan Society of Logopedics and Phoniatrics, editor. Voice Examination Methods. Tokyo: Interna, 1979. google scholar
  • 29. Hirano M, Hibi S, Terasawa R, Fujiu M. Relationship between aerodynamic, vibratory, acoustic and psychoacoustic correlates in dysphonia. J Phonet 1986;14(3-4):445-56. google scholar
  • 30. Yu P, Garrel R, Nicollas R, Ouaknine M, Giovanni A. Objective voice analysis in dysphonic patients: new data including nonlinear measurements. Folia Phoniatr Logop 2007;59(1):20-30. google scholar
  • 31. Jesus LM, Martinez J, Hall A, Ferreira A. Acoustic Correlates of Compensatory Adjustments to the Glottic and Supraglottic Structures in Patients with Unilateral Vocal Fold Paralysis. Phoniatr 2015, 704121. google scholar
  • 32. Lu QY, Zhang B, Jin KX, Jiang WL, Li X, Gao CY. Rehabilitation Therapy for Vocal Fold Paralysis Caused by Lung Cancer: A Case Report. Phys Ther 2020;100(12):2198-204. google scholar
  • 33. Santos M, Vaz Freitas S, Santos P, Carvalho I, Coutinho M, Moreira da Silva A, et al. Unilateral Vocal Fold Paralysis and Voice Therapy: Does Age Matter? A Prospective Study With 100 Consecutive Patients. Ear Nose Throat J 2021;100(5_suppl):489S-494S. google scholar
  • 34. Kaneko M, Hitomi T, Takekawa T, Tsuji T, Kishimoto Y, Hirano S. Effects of Voice Therapy on Laryngeal motor units during phonation in chronic superior laryngeal nerve paresis dysphonia. J Voice 2018;32(6):729-33. google scholar
  • 35. Cafador M, Papoila AL, Bras-Geraldes C, Garcia CS, Constantino T, Almeida M, et al. Is Computerized Dynamic Posturography Analysis in Dysphonic patients different after vocal rehabilitation treatment? A Longitudinal Study. J Phonosurg Laryngol 2019;9(2):30-5. google scholar
  • 36. Heikkinen M, Penttila E, Qvarnstrom M, Makinen K, Lopponen H, Karkkainen JM. Perceptual Assessment and Acoustic Voice Analysis as Screening Tests for Vocal Fold Paresis After Thyroid or Parathyroid Surgery. Scand J Surger 2021;45(3):767-73. google scholar
Year 2022, Volume: 32 Issue: 4, 75 - 80, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1168741

Abstract

References

  • 1. Cheetham J, Witte TH, Rawlinson JJ, Soderholm LV, Mohammed HO, Ducharme NG. Intra-articular stabilisation of the equine cricoarytenoid joint. Equine Vet J 2008;40(6):584-8. google scholar
  • 2. Kardogan T, Seifert E. Influence of Aging and Sex on Voice Parameters in Patients With Unilateral Vocal Cord Paralysis. Laryngoscope 2005;115(4):655-60. google scholar
  • 3. Milutinovic Z. Klinicki atlas poremecaja glasa, teorija i praksa. Beograd: Zavod za udzbenike i nastavna sredstva, 1997. google scholar
  • 4. Bumber Z, Katic V, Niksic-Ivancic M, Pegan B, Petric V, Sprem N. Otorinolaringologija. Zagreb: Ljevak, 2004. google scholar
  • 5. Katic V, Prgomet D. Otorinolaringologija i kirurgija glave i vrata: prirucnik. Zagreb: Ljevak, 2009. google scholar
  • 6. Bothe C, Lopez M, Quer M, Leon X, Garcia J, Lop J. Aetiology and treatment of vocal fold paralysis: retrospective study of 108 patients. Acta Otorinolaringol Esp 2014;65(4):225-30. google scholar
  • 7. Schindler A, Bottero A, Capaccio P, Ginocchio D, Adorni F, Ottaviani F. Vocal improvement after voice therapy in unilateral vocal fold paralysis. J Voice 2008;22(1):113-8. google scholar
  • 8. Brake M, Anderson J. Bilateral vocal fold immobility: a 13 year review of etiologies managment and the utility of the empey index. J Otolaryngol Head Neck Surg 2015;44(1):27. google scholar
  • 9. Ahmed S, Muzamil A, Lateef M. A study of incidence and etiopathology of vocal cord paralysis. Indian J Otolaryngol Head Neck Surg 2002;54(4):294-6. google scholar
  • 10. Finck C. Laryngeal dysfunction after thyroid surgery: diagnosis, evaluation and treatment. Acta Chirurgic Belg 2006;106(4):378-87. google scholar
  • 11. Chandrasekhar SS, Randolph GW, Seidman MD, Rosenfeld RM, Angelos P, Barkmeier-Keaemer J, et al. Clinicalpractice guideline: Improving voice outcomes after thyroid surgery. Otolaryngol Head Neck Surg 2013;148(6):S1-S37. google scholar
  • 12. Boone DR, McFarlane SC. (2000). The voice and voice therapy, (6th ed). Pearson: Allyn & Bacon, 2000. google scholar
  • 13. Isshiki N, Okamura H, Tanabe M, Morimoto M. Differential diagnosis of hoarseness. Folia Phoniatr 1969;21(1):9-19. google scholar
  • 14. Bunijevac, M., Colic, G., Cvorovic, R. Objective assessment of voice quality in patients with one-sidedvocal paralysis. In V. Ilic (Ed.), Latest developments in speech therapy, occupational therapy and social work: Implementations of theoretical models in practice: possibilities and limitations. Beograd: Visoka skola socijalnog rada. 2020, pp 387-97. google scholar
  • 15. Jakelic A, Bonetti A, Simunjak B. Akusticka procjena i samoprocjena gasa zena s bolestima stitnjace. Logopedija 2015;5(1):9-14. google scholar
  • 16. Blatancic G, Bonetti A, Zivkovic-Ivanovic T. Objektivna i perceptivna procjena kvaliteta glasa kod osoba sa jednostranom paralizom glasnica. Logopedija 2017;7(1):1-5. google scholar
  • 17. Gisselson L. Laryngeal paralysis following in thyreoidectomy. Acta Chir Scand 1949;99:154-62. google scholar
  • 18. Widstrom A. Vocal cord palsies following surgery for benign non toxic boitre. Acta Otolaryngol 1973;75:370-1. google scholar
  • 19. Rubin JS, Sataloff RT, Korovin GS. (Eds.). Diagnosis and treatment of voice disorders. San Diego: Plural publishing, 2014. google scholar
  • 20. Little MA, Costello DAE, Harries MN. Objective dysphonia quantification in vocal fold paralysis: comparing nonlinear with classical measures. J Voice 2011;25(1):21-31. google scholar
  • 21. Bielamowicz S, Stager SV. Diagnosis of unilateral recurrent laryngeal nerve paralysis: laryngeal electromyography, subjective rating scales, acoustic and aerodynamic measures. Laryngoscope 2006;116(3):359-64. google scholar
  • 22. Rosenthal AL, Lowell SY, Colton RH. Aerodynamic and acoustic features of vocal effort. J Voice 2014;28(2):144-53. google scholar
  • 23. Baylor CR, Yorkston KM, Eadie TL, Strand EA, Duffy J. (2006). A systematic review of outcome measurement in unilateral vocal fold paralysis. J Med Speech Lang Pathol 2006;14(1):1-33. google scholar
  • 24. Sulica L, Blitzer A. Vocal Fold Paralysis. Eur Arch Otorhinolaryngol 2006;968-9. google scholar
  • 25. Blitzer A, Brin MF, Ramig LO. Neurologic disorders of the larynx. New York: Thieme, 2009. google scholar
  • 26. Hartl DM, Hans S, Vaissiere J, Riquet M, Brasnu DF. Objective voice quality analysis before and after onset of unilateral vocal fold paralysis. J Voice 2001;15(3):351-61. google scholar
  • 27. Pinho CMR, Jesus LMT, Barney A. (2013). Aerodynamic measures of speech in unilateral vocal fold paralysis (UVFP) patients. Logoped Phoniatr Vocol 2013;38(1):19-34. google scholar
  • 28. Takahashi H. Assessment of auditory impression of dysphonia. In: The Japan Society of Logopedics and Phoniatrics, editor. Voice Examination Methods. Tokyo: Interna, 1979. google scholar
  • 29. Hirano M, Hibi S, Terasawa R, Fujiu M. Relationship between aerodynamic, vibratory, acoustic and psychoacoustic correlates in dysphonia. J Phonet 1986;14(3-4):445-56. google scholar
  • 30. Yu P, Garrel R, Nicollas R, Ouaknine M, Giovanni A. Objective voice analysis in dysphonic patients: new data including nonlinear measurements. Folia Phoniatr Logop 2007;59(1):20-30. google scholar
  • 31. Jesus LM, Martinez J, Hall A, Ferreira A. Acoustic Correlates of Compensatory Adjustments to the Glottic and Supraglottic Structures in Patients with Unilateral Vocal Fold Paralysis. Phoniatr 2015, 704121. google scholar
  • 32. Lu QY, Zhang B, Jin KX, Jiang WL, Li X, Gao CY. Rehabilitation Therapy for Vocal Fold Paralysis Caused by Lung Cancer: A Case Report. Phys Ther 2020;100(12):2198-204. google scholar
  • 33. Santos M, Vaz Freitas S, Santos P, Carvalho I, Coutinho M, Moreira da Silva A, et al. Unilateral Vocal Fold Paralysis and Voice Therapy: Does Age Matter? A Prospective Study With 100 Consecutive Patients. Ear Nose Throat J 2021;100(5_suppl):489S-494S. google scholar
  • 34. Kaneko M, Hitomi T, Takekawa T, Tsuji T, Kishimoto Y, Hirano S. Effects of Voice Therapy on Laryngeal motor units during phonation in chronic superior laryngeal nerve paresis dysphonia. J Voice 2018;32(6):729-33. google scholar
  • 35. Cafador M, Papoila AL, Bras-Geraldes C, Garcia CS, Constantino T, Almeida M, et al. Is Computerized Dynamic Posturography Analysis in Dysphonic patients different after vocal rehabilitation treatment? A Longitudinal Study. J Phonosurg Laryngol 2019;9(2):30-5. google scholar
  • 36. Heikkinen M, Penttila E, Qvarnstrom M, Makinen K, Lopponen H, Karkkainen JM. Perceptual Assessment and Acoustic Voice Analysis as Screening Tests for Vocal Fold Paresis After Thyroid or Parathyroid Surgery. Scand J Surger 2021;45(3):767-73. google scholar
There are 36 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Research Article
Authors

Mila Bunijevac 0000-0002-0549-9467

Andrijana Mikić This is me 0000-0002-6711-1210

Maša đurišić This is me 0000-0002-5686-4575

Publication Date January 24, 2023
Submission Date August 30, 2022
Published in Issue Year 2022 Volume: 32 Issue: 4

Cite

APA Bunijevac, M., Mikić, A., & đurišić, M. (2023). The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis. The Turkish Journal of Ear Nose and Throat, 32(4), 75-80. https://doi.org/10.26650/Tr-ENT.2022.1168741
AMA Bunijevac M, Mikić A, đurišić M. The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis. Tr-ENT. January 2023;32(4):75-80. doi:10.26650/Tr-ENT.2022.1168741
Chicago Bunijevac, Mila, Andrijana Mikić, and Maša đurišić. “The Effect of Vocal Rehabilitation on Patients With Vocal Cord Paralysis”. The Turkish Journal of Ear Nose and Throat 32, no. 4 (January 2023): 75-80. https://doi.org/10.26650/Tr-ENT.2022.1168741.
EndNote Bunijevac M, Mikić A, đurišić M (January 1, 2023) The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis. The Turkish Journal of Ear Nose and Throat 32 4 75–80.
IEEE M. Bunijevac, A. Mikić, and M. đurišić, “The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis”, Tr-ENT, vol. 32, no. 4, pp. 75–80, 2023, doi: 10.26650/Tr-ENT.2022.1168741.
ISNAD Bunijevac, Mila et al. “The Effect of Vocal Rehabilitation on Patients With Vocal Cord Paralysis”. The Turkish Journal of Ear Nose and Throat 32/4 (January 2023), 75-80. https://doi.org/10.26650/Tr-ENT.2022.1168741.
JAMA Bunijevac M, Mikić A, đurišić M. The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis. Tr-ENT. 2023;32:75–80.
MLA Bunijevac, Mila et al. “The Effect of Vocal Rehabilitation on Patients With Vocal Cord Paralysis”. The Turkish Journal of Ear Nose and Throat, vol. 32, no. 4, 2023, pp. 75-80, doi:10.26650/Tr-ENT.2022.1168741.
Vancouver Bunijevac M, Mikić A, đurišić M. The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis. Tr-ENT. 2023;32(4):75-80.