Pub Date : 2025-04-16DOI: 10.1016/j.rlfa.2025.100528
Núria Molins-Macau
This literature review examines the interrelation between bodywork and the singing voice, offering a foundation for future research and for the design of bodywork interventions to improve vocal performance. The inclusion criteria were full-text journal articles or doctoral theses exploring the use of various body-mind methods and interventions designed to optimize vocal quality. The exclusion criteria involved articles exploring the relation posture-voice, interventions based exclusively on breathing exercises, voice pathologies, methods to treat stage fright, speaking voice, or opinion articles on the benefits of body-mind methods in the singing voice without any intervention or research instrument involved. Twelve papers met the inclusion criteria. Results show that body-mind methods appear to have a positive effect on reducing tension and balancing the body, and thus enhancing singing. However, most of the studies do not have significant results. Further research with larger samples and more significant results could be crucial to support bodywork as part of the voice education curriculum at different levels.
{"title":"Body-mind methods and the singing voice: A literature review","authors":"Núria Molins-Macau","doi":"10.1016/j.rlfa.2025.100528","DOIUrl":"10.1016/j.rlfa.2025.100528","url":null,"abstract":"<div><div>This literature review examines the interrelation between bodywork and the singing voice, offering a foundation for future research and for the design of bodywork interventions to improve vocal performance. The inclusion criteria were full-text journal articles or doctoral theses exploring the use of various body-mind methods and interventions designed to optimize vocal quality. The exclusion criteria involved articles exploring the relation posture-voice, interventions based exclusively on breathing exercises, voice pathologies, methods to treat stage fright, speaking voice, or opinion articles on the benefits of body-mind methods in the singing voice without any intervention or research instrument involved. Twelve papers met the inclusion criteria. Results show that body-mind methods appear to have a positive effect on reducing tension and balancing the body, and thus enhancing singing. However, most of the studies do not have significant results. Further research with larger samples and more significant results could be crucial to support bodywork as part of the voice education curriculum at different levels.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 4","pages":"Article 100528"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-12DOI: 10.1016/j.rlfa.2025.100529
Jimena Muratore , Sara Gaetán , María Hinalaf
The purpose of the study was to analyze the medial olivocochlear system (MOCS) through the suppression of transient evoked otoacoustic emissions (TEOAEs) in humans with tinnitus. A search across five databases identified 182 articles, of which 25 were selected for full-text analysis based on inclusion and exclusion criteria. Most articles included patients with unilateral and bilateral tinnitus, but few reported tinnitus etiology or classification. The common stimulus for TEOAE suppression was a 60 dB linear click with 260 sweeps, and only a few articles noted a signal-to-noise ratio (SNR) ≥6 dB. MOCS stimulation was contralateral, mainly using 50 dB white noise. Suppression was estimated by comparing conditions with and without MOCS stimulation, showing a lower suppressive effect in tinnitus patients compared to controls. MOCS assessment in tinnitus has varied paradigms, making comparison difficult. A standardized method is needed, though challenging due to the lack of consensus on the MOCS test itself.
{"title":"Medial olivocochlear system and tinnitus: A systematic review","authors":"Jimena Muratore , Sara Gaetán , María Hinalaf","doi":"10.1016/j.rlfa.2025.100529","DOIUrl":"10.1016/j.rlfa.2025.100529","url":null,"abstract":"<div><div>The purpose of the study was to analyze the medial olivocochlear system (MOCS) through the suppression of transient evoked otoacoustic emissions (TEOAEs) in humans with tinnitus. A search across five databases identified 182 articles, of which 25 were selected for full-text analysis based on inclusion and exclusion criteria. Most articles included patients with unilateral and bilateral tinnitus, but few reported tinnitus etiology or classification. The common stimulus for TEOAE suppression was a 60<!--> <!-->dB linear click with 260 sweeps, and only a few articles noted a signal-to-noise ratio (SNR) ≥6<!--> <!-->dB. MOCS stimulation was contralateral, mainly using 50<!--> <!-->dB white noise. Suppression was estimated by comparing conditions with and without MOCS stimulation, showing a lower suppressive effect in tinnitus patients compared to controls. MOCS assessment in tinnitus has varied paradigms, making comparison difficult. A standardized method is needed, though challenging due to the lack of consensus on the MOCS test itself.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100529"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-05DOI: 10.1016/j.rlfa.2025.100524
Johanna Josephina Geytenbeek
Objectives
Implementation of the Computer-Based instrument for Low motor Language Testing (C-BiLLT), a tailored language assessment for persons with complex communication needs (CCN). The assessment makes it possible to tailor the communication interventions for persons individually, thereby ensuring that they have access to Augmented and Alternative Communication (AAC) to express themselves in a form and format that mirrors their comprehension and enhance their participation with their family and other communication partners. Being able to express oneself is fundamental for mental health, participation and learning.
Research population
Persons with speech and motor disorders.
Outcome measures
Implementation of the C-BiLLT, a newly developed and innovative instrument to assess spoken language comprehension skills in persons with CCN.
Relevance
The use of the C-BiLLT will empower speech and language therapists, psychologist, other professionals and parents to plan and evaluate the best practice to enhance the communication and mental health in persons with complex communication needs.
{"title":"Assessment of spoken language comprehension in persons with complex communication needs","authors":"Johanna Josephina Geytenbeek","doi":"10.1016/j.rlfa.2025.100524","DOIUrl":"10.1016/j.rlfa.2025.100524","url":null,"abstract":"<div><h3>Objectives</h3><div>Implementation of the Computer-Based instrument for Low motor Language Testing (C-BiLLT), a tailored language assessment for persons with complex communication needs (CCN). The assessment makes it possible to tailor the communication interventions for persons individually, thereby ensuring that they have access to Augmented and Alternative Communication (AAC) to express themselves in a form and format that mirrors their comprehension and enhance their participation with their family and other communication partners. Being able to express oneself is fundamental for mental health, participation and learning.</div></div><div><h3>Research population</h3><div>Persons with speech and motor disorders.</div></div><div><h3>Outcome measures</h3><div>Implementation of the C-BiLLT, a newly developed and innovative instrument to assess spoken language comprehension skills in persons with CCN.</div></div><div><h3>Relevance</h3><div>The use of the C-BiLLT will empower speech and language therapists, psychologist, other professionals and parents to plan and evaluate <em>the best practice</em> to enhance the communication and mental health in persons with complex communication needs.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100524"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-03DOI: 10.1016/j.rlfa.2025.100527
Ruth Candela Ramírez
This systematic review aims to analyze the effects of peer-mediated interventions on the communication of children with Complex Communication Needs (CCN) using Augmentative and Alternative Communication (AAC), assess the strengths and weaknesses of the evidence, and reflect on the implications for practice. All studies published between 1980 and 2024 involving peers of children using AAC published in different databases were analyzed, and 37 papers (162 participants) were identified. All studies established benefits for some of the participants. The most frequent components of the interventions were peer-centered strategies and included both high-tech and low-tech AAC. The results help plan AAC instruction for children with NCC. However, more research is needed to help clarify both the efficacy and components of these interventions.
{"title":"Efectos de las intervenciones mediadas por los pares en la comunicación de los menores que usan Comunicación Aumentativa y Alternativa asistida: una revisión sistemática","authors":"Ruth Candela Ramírez","doi":"10.1016/j.rlfa.2025.100527","DOIUrl":"10.1016/j.rlfa.2025.100527","url":null,"abstract":"<div><div>This systematic review aims to analyze the effects of peer-mediated interventions on the communication of children with Complex Communication Needs (CCN) using Augmentative and Alternative Communication (AAC), assess the strengths and weaknesses of the evidence, and reflect on the implications for practice. All studies published between 1980 and 2024 involving peers of children using AAC published in different databases were analyzed, and 37 papers (162 participants) were identified. All studies established benefits for some of the participants. The most frequent components of the interventions were peer-centered strategies and included both high-tech and low-tech AAC. The results help plan AAC instruction for children with NCC. However, more research is needed to help clarify both the efficacy and components of these interventions.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.rlfa.2025.100530
Marina Calleja Reina , María Sotillo Méndez
This article analyses the implications of various psychological processes in the field of augmentative and alternative communication, pointing out key aspects for the implementation of intervention programmes which, by their nature, have to be individualised. Relevant aspects of novel intervention strategies using visual scenes as units of communication are analysed. Finally, some elements are suggested for professionals’ reflection on assessment and intervention using augmentative and alternative communication from the perspective of the psychological processes involved.
{"title":"Escenas visuales en comunicación aumentativa y alternativa: análisis desde los procesos psicológicos","authors":"Marina Calleja Reina , María Sotillo Méndez","doi":"10.1016/j.rlfa.2025.100530","DOIUrl":"10.1016/j.rlfa.2025.100530","url":null,"abstract":"<div><div>This article analyses the implications of various psychological processes in the field of augmentative and alternative communication, pointing out key aspects for the implementation of intervention programmes which, by their nature, have to be individualised. Relevant aspects of novel intervention strategies using visual scenes as units of communication are analysed. Finally, some elements are suggested for professionals’ reflection on assessment and intervention using augmentative and alternative communication from the perspective of the psychological processes involved.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100530"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.rlfa.2025.100538
María Luisa Gómez Taibo
{"title":"Avances en Comunicación Aumentativa","authors":"María Luisa Gómez Taibo","doi":"10.1016/j.rlfa.2025.100538","DOIUrl":"10.1016/j.rlfa.2025.100538","url":null,"abstract":"","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100538"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-27DOI: 10.1016/j.rlfa.2025.100526
Antonio Javier Zurita Díaz, Marina Calleja Reina
Introduction
Autism spectrum disorder (ASD) is a neurological condition that impacts receptive and expressive communication as well as behavior. In this context, augmentative and alternative communication (AAC) strategies are increasingly integrated with information and communication technologies (ICT). ICT supports have significantly advanced AAC interventions, incorporating tools, software, and digital apps to facilitate information processing in educational and therapeutic settings. Despite the benefits, the wide range of these supports raises concerns about proper usage and optimal alignment with specific needs.
Method
This pilot study evaluated the impact of an intervention with two different AAC with assistance (AAC+a) on 40 participants with ASD Level 3 within a Spanish-speaking context: communication board from the SymboTalk platform and list-form from the multimodal EC+ app. These supports were implemented using the aided augmented input strategy, an intervention methodology that utilizes these supports to facilitate functional communication by combining visual and oral input.
Results
After 16 weeks, significant improvements in expressive and receptive communication were observed using the communication board support, although the other resource also proved to be a favorable support for the intervention. No differences were found between groups in behavioral outcomes and modes of communication.
Conclusions
The results highlight the effectiveness of these supports, emphasizing the importance of teaching communication skills and implementing this strategy in a Spanish-speaking context. This consideration is crucial given the unique characteristics of this context and its potential impact on children with ASD and complex communication needs.
{"title":"Enhancing communication and behavioral skills in Spanish-speaking children with autism spectrum disorder using SymboTalk and EC+: A pilot study","authors":"Antonio Javier Zurita Díaz, Marina Calleja Reina","doi":"10.1016/j.rlfa.2025.100526","DOIUrl":"10.1016/j.rlfa.2025.100526","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism spectrum disorder (ASD) is a neurological condition that impacts receptive and expressive communication as well as behavior. In this context, augmentative and alternative communication (AAC) strategies are increasingly integrated with information and communication technologies (ICT). ICT supports have significantly advanced AAC interventions, incorporating tools, software, and digital apps to facilitate information processing in educational and therapeutic settings. Despite the benefits, the wide range of these supports raises concerns about proper usage and optimal alignment with specific needs.</div></div><div><h3>Method</h3><div>This pilot study evaluated the impact of an intervention with two different AAC with assistance (AAC+a) on 40 participants with ASD Level 3 within a Spanish-speaking context: communication board from the SymboTalk platform and list-form from the multimodal EC+ app. These supports were implemented using the aided augmented input strategy, an intervention methodology that utilizes these supports to facilitate functional communication by combining visual and oral input.</div></div><div><h3>Results</h3><div>After 16 weeks, significant improvements in expressive and receptive communication were observed using the communication board support, although the other resource also proved to be a favorable support for the intervention. No differences were found between groups in behavioral outcomes and modes of communication.</div></div><div><h3>Conclusions</h3><div>The results highlight the effectiveness of these supports, emphasizing the importance of teaching communication skills and implementing this strategy in a Spanish-speaking context. This consideration is crucial given the unique characteristics of this context and its potential impact on children with ASD and complex communication needs.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 3","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-17DOI: 10.1016/j.rlfa.2025.100523
Marc Coronas Puig-Pallarols
Background and objectives
Augmentative communication (AC) is a field that has experienced significant advances in recent decades, although practices and concepts not always aligned with scientific evidence persist. This study aims to review key concepts, emerging paradigms, and the most innovative practices in AC, identifying their strengths and limitations. It also examines the challenges posed by the proliferation of poorly rigorous information and emphasizes the need to implement Evidence-Based Practice (EBP) to enhance the quality of interventions.
Materials and methods
A narrative review of recent scientific literature was conducted, complemented by reflections based on professional experience, to analyze relevant concepts, methods, and approaches in AC. The topics reviewed include Assisted Natural Language, Core Vocabularies, Robust Systems, Motor Planning, Presumption of Competence, and Gestalt Language Processing.
Results
The analysis shows that some current trends in AC lack solid empirical support, which may affect the quality of interventions. However, evidence-based strategies, such as Assisted Language Modeling, have proven effective in enhancing users’ linguistic development.
Conclusions
The findings highlight that EBP is essential to ensure ethical and effective interventions. Strengthening professional training and supporting families are recommended as key pillars to optimize AC practices.
{"title":"Revisión de conceptos, prácticas, paradigmas y evidencias en comunicación aumentativa","authors":"Marc Coronas Puig-Pallarols","doi":"10.1016/j.rlfa.2025.100523","DOIUrl":"10.1016/j.rlfa.2025.100523","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Augmentative communication (AC) is a field that has experienced significant advances in recent decades, although practices and concepts not always aligned with scientific evidence persist. This study aims to review key concepts, emerging paradigms, and the most innovative practices in AC, identifying their strengths and limitations. It also examines the challenges posed by the proliferation of poorly rigorous information and emphasizes the need to implement Evidence-Based Practice (EBP) to enhance the quality of interventions.</div></div><div><h3>Materials and methods</h3><div>A narrative review of recent scientific literature was conducted, complemented by reflections based on professional experience, to analyze relevant concepts, methods, and approaches in AC. The topics reviewed include Assisted Natural Language, Core Vocabularies, Robust Systems, Motor Planning, Presumption of Competence, and Gestalt Language Processing.</div></div><div><h3>Results</h3><div>The analysis shows that some current trends in AC lack solid empirical support, which may affect the quality of interventions. However, evidence-based strategies, such as Assisted Language Modeling, have proven effective in enhancing users’ linguistic development.</div></div><div><h3>Conclusions</h3><div>The findings highlight that EBP is essential to ensure ethical and effective interventions. Strengthening professional training and supporting families are recommended as key pillars to optimize AC practices.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100523"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-24DOI: 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.
{"title":"Una aplicación mHealth para autoinforme de síntomas de disfonía: e-VoiSS","authors":"Antonio Velandrino Nicolás , María Parra Villazala , María José Sánchez Roca , Elena Nieto Garrido , Francisco Cabello Luque , Judit Álvarez Gómez","doi":"10.1016/j.rlfa.2025.100516","DOIUrl":"10.1016/j.rlfa.2025.100516","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100516"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Self-perception of oropharyngeal cancer patients regarding the impacts of chemoradiotherapy treatments on swallowing and voice functions","authors":"Daniela Vieira , Sérgio Barreira , Mário Dinis-Ribeiro , Eurico Monteiro","doi":"10.1016/j.rlfa.2025.100518","DOIUrl":"10.1016/j.rlfa.2025.100518","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56174,"journal":{"name":"Revista de Logopedia, Foniatria y Audiologia","volume":"45 2","pages":"Article 100518"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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