Related Experiment Video
Updated: May 20, 2026

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis (ALS)
Published on: February 21, 2011
Perceived dysphonia by the clinician's and patient's viewpoint
Ana Celiane Ugulino1, Gisele Oliveira, Mara Behlau
1Centro de Estudos da Voz, São Paulo, SP, Brazil.
Clinician vocal evaluation aligns with patient self-perception and voice-related quality of life, though not directly. Patient perception of vocal quality complements clinical assessment of voice deviation.
Area of Science:
- Speech-Language Pathology
- Otolaryngology
- Quality of Life Research
Background:
- Vocal complaints significantly impact an individual's quality of life.
- Objective vocal assessment by clinicians may not fully capture the patient's subjective experience.
Purpose of the Study:
- To investigate the correlation between clinician's vocal evaluation, patient's vocal self-assessment, and voice-related quality of life (V-RQOL).
Main Methods:
- 96 participants (48 with vocal complaints, 48 healthy) completed the V-RQOL questionnaire.
- Vocal self-assessment and auditory-perceptual analysis of voice were performed for all participants.
Main Results:
- Significant differences in V-RQOL and self-assessment scores were observed between groups.
- Strong correlations were found between V-RQOL domains and self-assessment.
- Auditory-perceptual analysis showed weak correlation with self-assessment, except for sustained vowel evaluation.
Conclusions:
- Clinician perception generally corresponds with patient self-perception and V-RQOL, but not always directly.
- Patient's subjective vocal quality perception complements the clinician's assessment of voice deviation severity.
More Related Videos
Related Concept Videos
Larynx
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Respiratory System Abnormal Finding II: Palpation and Auscultation
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Physical Assessment of the Respiratory Tract III: Percussion
Percussion in Respiratory Assessment
Percussion evaluates underlying tissue composition with audible and tactile vibrations,...
Perception of Sound Waves
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...
Physical Assessment of the Respiratory Tract IV: Auscultation
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...

