Related Experiment Video
Updated: Apr 18, 2026

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS
Published on: February 21, 2011
[Description of dysphonia cases assisted in a mutua in 2013]
M Jesús Rodríguez Bayarri1, Joan Oliveres Verges, Carlos Linares Salas
1Departamento de Enfermedades Profesionales de Cataluña, Mutua ASEPEYO, Barcelona, 08006, Spain. mrodriguezbayarri@asepeyo.es.
Objective:
To describe a case series of patients with dysphonia evaluated in a national Spanish mutua.
Methods:
Computerized medical records of 2013 were reviewed and 129 patients with diagnoses compatible with dysphonia were identified.
Results:
Eighty-six (67%) of the 129 cases were recognized as occupational diseases, three cases were considered as occupational injuries (two with a diagnosis of Reinke's edema) and the remaining 40 cases were considered to not be work-related. Most of the cases (90%) occurred in women between the ages of 30 and 49 years. Ninety-three percent of the cases diagnosed as occupational diseases underwent speech therapy and, of these, 72% were cured. The majority of the cases (61%) occurred in teachers. Average duration of sickness absence, among those patients who took it, was 113.5 days.
Conclusions:
All cases reported as occupational disease met the criteria set by the Spanish legislation (RD 1299/2006). Non-occupational diseases were referred to the national health service. Customized speech therapy was effective for most of the patients. The average duration of sick leave in our series was high.
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Respiratory System Abnormal Finding II: Palpation and Auscultation
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Bystander Effect

