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Related Experiment Video

Updated: Jan 18, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

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Published on: January 23, 2017

Instrumental Voice Evaluation in Children: What Are We Getting?

Robert Brinton Fujiki¹, Anumitha Venkatraman², Rachel A Godbout²

¹Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis.

American Journal of Speech-Language Pathology

|September 10, 2025

Summary

Children aged 10 and above can better tolerate videostroboscopy, acoustic, and aerodynamic voice assessments. The ability to perform voice range profile and aerodynamic tasks predicts tolerance for videostroboscopy in pediatric voice disorder patients.

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Area of Science:

Otolaryngology
Speech-Language Pathology
Pediatric Voice Disorders

Background:

Pediatric voice disorders require accurate diagnosis through instrumental assessments.
Videostroboscopy, acoustic, and aerodynamic assessments are crucial for evaluating vocal fold function.
Determining the minimum age for reliable completion of these assessments in children is essential for clinical practice.

Purpose of the Study:

To establish the age at which children with voice disorders can successfully complete videostroboscopy, acoustic, and aerodynamic voice assessments.
To identify factors that predict successful completion of videostroboscopy in pediatric patients.

Main Methods:

Retrospective observational cohort study of 312 children with voice disorders.
Children categorized into age groups: 3-4, 5-6, 7-9, 10-12, and 13-17 years.
Data collected included demographics, diagnoses, symptoms, vocal fold oscillation ratings, clinician experience, and instrumental voice measures.

Main Results:

Videostroboscopy completion rates significantly increased with age, from 17% in 3-4 year olds to 93.1% in those 13 years and older.
Age and the ability to perform voice range profile and aerodynamic tasks were significant predictors of videostroboscopy tolerance.
Children aged 5 and above showed improved ability to complete acoustic and aerodynamic assessments.

Conclusions:

Videostroboscopy is a viable assessment tool for young children with voice disorders, particularly those aged 10 and above.
Successful completion of aerodynamic and voice range profile tasks may indicate a child's ability to tolerate videostroboscopy.
Further research is needed to optimize methods for improving children's tolerance of instrumental voice assessments.