A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques - Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS)

A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques - Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS)
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DOI:
10.1007/s004050000299
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发表时间:
2001-02-01
影响因子:
2.6
通讯作者:
Woisard, V
Woisard, V
中科院分区:
医学3区
文献类型:
--
作者:
Dejonckere, PH;Bradley, P;Woisard, V

文献摘要

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这个基本协议的建议是试图达成更好的协议和统一的方法,病理声音的功能评估。其目的是在介绍/发表语音治疗的结果时,允许与文献进行相关比较,例如,声音外科技术,或新的/改进的仪器:或用于调查病理语音的程序,语音治疗结果的荟萃分析通常是有限的,甚至可能是不可能的,因为功能结果评估的方式存在很大的差异。一个多维的最低限度的基本测量适合于所有“常见”的发音困难的前提。它包括五种不同的方法:感知(等级,粗糙度,呼吸),视频频闪镜检查(闭合,规则性,粘膜波和对称性),声学(抖动,闪烁,Fo范围和最软强度),空气动力学(发声商)和患者的主观评级。该方案是在详尽审查文献、委员会成员经验和欧洲喉学会全体讨论的基础上制定的。仪器保持在最低限度,但它被认为是必不可少的专业人士进行phonosurgery。
The proposal of this basic protocol is an attempt to reach better agreement and uniformity concerning the methodology for functional assessment of pathologic voices. The purpose is to allow relevant comparisons with the literature when presenting / publishing the results of voice treatment, e.g. a phonosurgical technique, or a new / improved instrument: or procedure for investigating the pathological voice, Meta-analyses of the results of voice treatments are generally limited and may even be impossible owing to the major diversity in the ways functional outcomes are assessed. A multidimensional set of minimal basic measurements suitable for all "common" dysphonias is preposed. It includes five different approaches: perception (grade, roughness, breathiness), videostroboscopy (closure, regularity, mucosal wave and symmetry), acoustics (jitter, shimmer, Fo-range and softest intensity), aerodynamics (phonation quotient), and subjective rating by the patient. The protocol is elaborated on the basis of an exhaustive review of the literature, of the experience of the Committee members, and of plenary discussions within the European Laryngological Society. Instrumentation is kept to a minimum, but it is considered essential for professionals performing phonosurgery.