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Dysphonia risk screening protocol
Katia Nemr1, Marcia Simões-Zenari1, João Marcos da Trindade Duarte1
1Physiotherapy, Speech-Language and Hearing Sciences, and Occupational Therapy, Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil.
A new dysphonia screening protocol effectively identifies voice disorders in various age groups. This validated tool demonstrates high accuracy in distinguishing between individuals with and without dysphonia, aiding clinical assessment.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Vocal Health
Background:
- Dysphonia, a voice disorder, requires accurate screening tools for timely diagnosis and intervention.
- Existing screening methods may lack comprehensive assessment across diverse populations.
- A validated protocol is needed to assess dysphonia risk efficiently in clinical settings.
Purpose of the Study:
- To propose and evaluate a novel dysphonia risk screening protocol with a scoring system.
- To determine the protocol's applicability and diagnostic accuracy in individuals with and without dysphonia across different age demographics.
Main Methods:
- A descriptive cross-sectional study involving 365 participants (children, adult women, adult men, seniors) divided into dysphonic and non-dysphonic groups.
- A 18-question protocol with a 10-cm visual analog scale for score calculation, incorporating partial and total scores.
- Vocal deviation assessment via speech samples and acoustic analysis for group confirmation at baseline and six months.
Main Results:
- Significant differences in mean total scores were observed between dysphonic (mean 46.09) and non-dysphonic (mean 15.55) groups.
- The protocol exhibited high sensitivity and specificity, with established cut-off points for children (22.50), adult women (29.25), adult men (22.75), and seniors (27.10).
Conclusions:
- The proposed dysphonia risk screening protocol is an effective instrument for voice clinics.
- The protocol demonstrates high sensitivity and specificity in differentiating individuals with and without dysphonia across various demographic groups.
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