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Targeted Training of Ultrasonic Vocalizations in Aged and Parkinsonian Rats
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Published on: August 8, 2011

Voice disorders in the elderly.

Naomi D Gregory1, Swapna Chandran, Deborah Lurie

  • 1Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, 1721 Pine Street, Philadelphia, PA 19103, USA.

Journal of Voice : Official Journal of the Voice Foundation
|May 3, 2011
PubMed
Summary
This summary is machine-generated.

Dysphonia is common in older adults, with laryngopharyngeal reflux and muscle tension being frequent causes. Geriatric voice complaints significantly impact quality of life, necessitating further research into age-specific voice assessment norms.

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Area of Science:

  • Otolaryngology
  • Geriatric Medicine
  • Speech-Language Pathology

Background:

  • Voice disorders are prevalent, yet data on dysphonia in the aging larynx is limited.
  • Aging affects laryngeal physiology and function, increasing susceptibility to voice problems.

Purpose of the Study:

  • To investigate the characteristics and causes of dysphonia in the geriatric population.
  • To analyze voice complaints, diagnoses, and patient-reported outcomes in elderly individuals.

Main Methods:

  • Retrospective chart review of 175 patients aged 65-89 with voice complaints.
  • Utilized strobovideolaryngoscopy, laryngeal electromyography (LEMG), Voice Handicap Index (VHI) questionnaires, and objective voice measures (OVMs).

Main Results:

  • Laryngopharyngeal reflux (91%), muscle tension dysphonia (73%), and paresis (72%) were the most common diagnoses.
  • Significant laryngeal nerve weakness was detected in 93% of patients via LEMG.
  • High average VHI scores (43.9) indicated significant patient-reported voice handicap.

Conclusions:

  • All elderly patients presenting with voice complaints had at least one identifiable pathologic factor.
  • Geriatric dysphonia causes substantial dissatisfaction and often leads to treatment.
  • Further research is needed to establish age-appropriate normative values for OVMs and other voice assessments.