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Multi parametric voice assessment: sri ramachandra university protocol.

Prakash Boominathan1, John Samuel2, Ravikumar Arunachalam2

  • 1Department of Speech, Language and Hearing Sciences, Sri Ramachandra University, Porur, Chennai, 116 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|February 18, 2014
PubMed
Summary

A new voice assessment protocol was adapted for Indian patients, proving feasible for voice disorder management. Patient self-assessment and objective measures were complementary, aiding diagnosis and treatment planning.

Keywords:
Clinical decisionsMulti-parametric analysisSelf assessmentVoice protocol

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Voice specialty clinics are emerging in India.
  • Standardized voice assessment and management protocols are needed.

Purpose of the Study:

  • To adapt and verify the face validity and feasibility of a comprehensive voice assessment protocol for the Indian population.
  • To assess the utility of the protocol in a tertiary care hospital setting.

Main Methods:

  • A protocol including history, clinical examination, visual, perceptual, aerodynamic, and acoustic analyses, plus patient self-assessment was developed.
  • The protocol was administered to 200 patients with voice concerns.
  • Correlation between self-assessment and professional assessment was analyzed.

Main Results:

  • The developed protocol was found to be feasible for use in a multi-specialty tertiary care hospital.
  • Patient self-assessment scores did not significantly correlate with acoustic measures.
  • Differences between objective findings and patient self-perception highlighted their complementary roles in assessment.

Conclusions:

  • The comprehensive voice assessment protocol is feasible and effective for documentation, review, and treatment planning in India.
  • Consensus-based decision-making involving ENT surgeons, SLPs, and patients improved diagnosis and management.
  • Vocal hygiene, conservation, therapy, and/or surgery recommendations were tailored based on protocol findings.