Revista de Logopedia, Foniatria y Audiologia最新文献

英文中文

Una aplicación mHealth para autoinforme de síntomas de disfonía: e-VoiSS

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-24 DOI: 10.1016/j.rlfa.2025.100516

Antonio Velandrino Nicolás , María Parra Villazala , María José Sánchez Roca , Elena Nieto Garrido , Francisco Cabello Luque , Judit Álvarez Gómez

Introduction

The global assessment of voice requires not only objective measures but also self-reported information. Numerous self-report scales have been developed in paper-and-pencil format to measure different aspects of voice-related quality of life. Currently, the mHealth approach advocates for the use of new technologies at all stages of healthcare intervention. This study has developed an Android application for the Voice Symtomps Scale (VoiSS) scale. It is intended for voice professionals and aims to facilitate its application in clinical contexts for the assessment of potential symptoms of dysphonia. Additionally, the application has been evaluated by experts to ensure its proper utility and suitability for the evaluative purpose.

Method

The MIT App Inventor 2 tool was used for programming and images were designed using the online platform Canva, employing the Design Science Research Methodology (DSRM) criteria. Furthermore, a group of experts evaluated the application's feasibility and usability using a questionnaire based on the criteria proposed in the MARS and Enlight usability scales, specifically tailored for this study.

Results

The initial version of the e-VoiSS application was developed, including the psychometrically validated version of the VoiSS scale for Spanish. The experts rated various aspects of the application above 4 points on average (out of 5). Some of their suggested proposals were incorporated.

Conclusions

The e-Voiss app provides voice professionals with a tool for assessing vocal symptoms. Developed from the validated paper-and-pencil version of the VoiSS scale in Spanish and evaluated by a group of experts, it is an easy and quick-to-use application for clinical and research contexts.

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引用次数: 0

Self-perception of oropharyngeal cancer patients regarding the impacts of chemoradiotherapy treatments on swallowing and voice functions

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-19 DOI: 10.1016/j.rlfa.2025.100518

Daniela Vieira , Sérgio Barreira , Mário Dinis-Ribeiro , Eurico Monteiro

Objective

Understanding the effects of chemoradiotherapy (CRT) on the swallowing and voice functions of oropharyngeal cancer patients based on their reported perceptions, and how these are related to clinical and sociodemographic variables.

Methods

Thirty-eight oropharyngeal cancer patients treated exclusively with CRT were included. Patients’ perceptions were assessed using the EORTC QLQ-C30, H&N43, VHI-9i, and SWAL-QOL questionnaires. Descriptive, correlational, and inferential analyses were performed.

Results

The results from the QLQ-H&N43, SWAL-QOL, and VHI-9i revealed the existence of functional changes after CRT treatments that agreed with the results of clinical evaluations. Patients’ perceptions were associated with clinical variables such as FOIS, feeding route, solid-food consistency, and liquid consistency. Having undergone tracheostomy or having dysphagia or dysphonia was associated with poorer QLQ-C30, QLQ-H&N43, SWAL-QOL, and VHI-9i scores. In contrast, having undergone speech therapy was associated with having a better QoL as assessed by the QLQ-C30, QLQ-H&N43, and SWAL-QOL. Statistical analysis revealed correlations between scores from the QLQ-H&N43, SWAL-QOL, and VHI-9i, and scores from the QLQ-C30 with QLQ-H&N43 and SWAL-QOL. Statistically significant associations were found between the questionnaires scores and some sociodemographic variables (age, sex, and educational level).

Conclusion

Scores from generic QoL and specific symptom questionnaires were correlated with swallowing and voice function in oropharyngeal cancer patients. In cases with unfavourable scores, patients could benefit from early referral for the assessment of swallowing and voice functions to improve their QoL. The results of this study further indicate that there are certain clinical characteristics that, when present, should initiate this same course of action.

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引用次数: 0

Speech-in-noise recognition using a hearing test in Spanish: Data from a normal-hearing population

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-17 DOI: 10.1016/j.rlfa.2025.100515

Marlene Rodríguez-Ferreiro , Victoria Marrero-Aguiar , Montserrat Durán-Bouza

Background and objective

The Speech in Noise Test in Spanish (Prueba Auditiva de Habla en Ruido en Español, PAHRE) is a recently developed test not only measures speech reception thresholds in noise but also assesses the decline in intelligibility across various signal-to-noise ratio values.

The primary objective of this study was to evaluate the speech-in-noise recognition ability of normal-hearing subjects using this speech-in-noise test in Spanish. The relationship between age and speech recognition in environments with background is assessed, as well as the possible benefits of the Lombard effect for rehabilitation.

Material and methods

A total of 143 normal-hearing participants were categorized into five age groups (18–39, 40–49, 50–59, 60–69, >70 years). The participants underwent a comprehensive 30-min hearing assessment, which included a battery of audiological tests, with a particular focus on the Speech in Noise Test in Spanish.

Results

The results enabled the establishment of psychometric functions illustrating decreases in intelligibility across various signal-to-noise ratio values. Furthermore, reference values for speech-in-noise recognition thresholds were delineated for each age group.

Conclusion

The findings underscored the efficacy of test in assessing signal-to-noise ratio loss within the Spanish-speaking population, facilitating the comparison of age-related declines in speech-in-noise recognition. The results also highlight the potential advantages of incorporating the Lombard effect into speech-in-noise tests.

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引用次数: 0

Encuesta sobre salud vocal en cantantes. Síntomas, hábitos y conocimiento de higiene vocal

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-13 DOI: 10.1016/j.rlfa.2025.100514

Mercedes Llorente Santiago, Irene Sánchez Gómez

Backgrounds and objective

Singers depend greatly on their voice and any impairment of the phonatory system can harm their vocal health, well-being and professional performance. The main objective of this study is to analyze differences between singers with and without vocal pathology in terms of vocal symptoms, vocal hygiene-related behaviors, and knowledge of factors involved in vocal health.

Materials and method

To carry out this research, a sample of 43 singers has been collected and different aspects have been analyzed through an ad-hoc survey.

Results

The results show that vocal symptoms such as “difficulty reaching high notes” (62.8%), “loss of vocal flexibility” (58.1%) and “dryness in the throat” (55.8%) were those most frequently experienced by singers. Respondents with vocal pathology (VP) presented the symptoms “dryness in the throat”, “loss of flexibility” and “vocal fatigue” with a significantly higher frequency than singers without vocal pathology (NVP). A high percentage of participants with VP identified aspects such as emotional stress (83.3%) and speaking during laryngitis (87.5%) as harmful to their voice, but more than half were unaware of the negative effect of throat clearing, whispering and reflux.

Conclusions

It can be concluded that the vocal health of singers is characterized by a high prevalence of vocal symptoms and limited knowledge about vocal hygiene.

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引用次数: 0

Análisis comparativo de los modos y funciones comunicativas en personas con enfermedades minoritarias: los casos de Syngap1 y de X frágil

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-02-13 DOI: 10.1016/j.rlfa.2024.100512

Marina Calleja Reina , Antonio Javier Zurita Díaz , María Sotillo Méndez

Background and aim

Rare or minority diseases, with a prevalence of 1 per 2,000 inhabitants, can often cause complex communication needs and intellectual disabilities. The aim of this study is to compare the expressive communicative profiles in 2 groups of people with 2 rare disease diagnoses: Syngap1 syndrome and Fragile X syndrome.

Participants and method

Information was collected from 13 participants (7 with Syngap1: 2 boys and 5 girls, mean age 10.27 years; 6 with fragile minority.

Results

No significant differences were found in communicative modes or functions, except in non-verbal communication, where people with a Syngap1 diagnosis made greater use of vocalizations and gestures. The only difference in communicative functions was affirmation or denial, which was more frequent in the fragile X group.

Conclusion

Both groups have complex communication needs, although the fragile X group shows greater ability in the use of language.

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引用次数: 0

La voz en la atrofia muscular espinal. Una revisión no sistemática

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100513

Celia Alba de la Torre

Spinal muscular atrophy is a recessive autosomal neuromuscular disease that causes degeneration of alpha motor neurons in the spinal cord and dysfunction of the neuromuscular junction, which causes a progressive muscular weakness and hypotonia affecting the limbs, axial musculature, and respiratory musculature. It can also concur with bulbar dysfunction, which affects the glossopharyngeal, vagus, accessory and hypoglossal nerves. In such cases, it can cause dysphagia, dysarthria, flaccid paralysis, atrophy and fasciculation of the muscles innervated by said cranial nerves. Regarding vocal function, there are few works that describe it thoroughly. The goal of this work is to put forward a state of the art about what is known about voice in SMA. A non-systematic review of works mentioning voice in SMA has been carried out against the databases of PubMed, ScienceDirect and Google Scholar. The features of voice in SMA found in the articles are: vocal weakness, low intensity, velar and pharyngeal hypotonia, nasality, wet voice, and bilateral cordal palsy. It is necessary to carry over a more detailed assessment of vocal conditions in SMA patients in order to complete current knowledge about the natural history of the disease, and in order to objectify the progress of said patients in clinical trials.

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引用次数: 0

User profiles and auditory-perceptual evaluations upon the launch of the All-Voiced app for voice evaluation: Initial insights and training potential

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2024.100511

Neus Calaf

Introduction

Auditory-perceptual evaluation is key for diagnosing voice disorders, but variability in judgments underscores the need for improved training materials. The All-Voiced app was developed to enhance consistency in evaluations through real-time feedback and data-driven training.

Objective

To present preliminary findings from the first 75 days following the launch of the latest version of the app (September 2024), focusing on user profiles and voice evaluations, exploring the app's potential for deeper insights as more data is gathered.

Method

The latest version of the All-Voiced app, launched in September 2024, includes a fully integrated backend for data collection from users who provide consent. The app enables users to practice voice evaluations, receive feedback, and contribute to research. Descriptive statistics were used to analyze user profiles and evaluations from the first 75 days post-launch of this latest version. Box plots and scatter plots were used to compare the evaluations of All-Voiced users with PVQD ratings (Walden, 2022) across different competence levels.

Results

A total of 264 participants registered in the app, with daily registration patterns showing consistent activity. Most participants were aged 21–30 (49%), identified with “she/her” pronouns (88%), and were from the United States (51%). The majority were speech-language pathologists (78%), and 40% were beginners in terms of competence level. A total of 557 evaluations were collected across 112 voice samples. Analysis of the three most frequently evaluated voice samples revealed distinct patterns of consensus among evaluators with varying levels of expertise, hinting at trends that could have significant implications as more data is collected.

Conclusion

The All-Voiced app has been well received, particularly by speech-language pathologists, highlighting its promise as a tool for auditory-perceptual training. By collecting and analyzing large-scale data, the app holds potential to address limitations in the subjective nature of evaluations, enhance reliability, and support evidence-based practices in voice disorders management.

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引用次数: 0

1. Recopilatorio de estrategias tempranas comunicativas realizadas por los padres para niños con diagnóstico de Autismo

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100521

María Teresa Rodríguez Fernández, Tutora: María Consuelo Martín Huguet

引用次数: 0

Validación y precisión diagnóstica del Índice Acústico Calidad Vocal v03.01 en las lenguas catalana y española para su uso clínico en población bilingüe

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2024.100510

Josep Vila-Rovira

Objective

To determine the validity and diagnostic accuracy of the AVQI in Catalan and Spanish, to define a cut-off point and to assess the equivalence of the Catalan and Spanish versions in a bilingual population.

Methodology

The study was carried out with a sample of 214 participants with normal and dysphonic voices. All of them were native speakers of Catalan and Spanish and residents of Catalonia. AVQI scores were calculated. Four speech-language pathologists, native speakers of Catalan and Spanish, were in charge of scoring the voice samples based on the CAPE-V index. Inter-rater reliability, concurrent validity, diagnostic accuracy and cut-off points were assessed.

Results

AVQI and CAPE-V scores showed significant correlations (r = 0.724 and r = 0.737, in Catalan and Spanish, respectively). Areas under the curve (AUC) for the AVQI-C were 0.829 (95% CI: 0.775-0.882) and an AUC of 0.856 (95% CI: 0.807-0.905) for the AVQI-E. Mean AVQI scores in Catalan and Spanish were significantly different.

Conclusions

The Catalan and Spanish adaptations of the AVQI are valid for clinical use for the acoustic assessment of general voice quality in a bilingual context.

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2. Diferencias de Género en Comunicación en Personas con Trastorno del Espectro Autista en la Etapa Adulta: Una Revisión Sistemática

Q3 Nursing

Revista de Logopedia, Foniatria y Audiologia

Pub Date : 2025-01-01 DOI: 10.1016/j.rlfa.2025.100522

María Teresa Rodríguez Fernández, Tutoras: Rocío García-Retamero, Dunia Garrido

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