Voice Activity and Participation Profile in Teachers with and without Risk of Voice Disorders in Türkiye
Elife Barmak1, Mariam Kavakci1, Hatice Nilay Kayhan1
1Department of Speech and Language Therapy, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Purpose:
Professional voice users utilize their voices in performing their professional duties. For professional voice users who depend on their voice as a principal professional tool, it is crucial to have a stable, consistent, and perceptually acceptable voice quality. This study aims to investigate the impact of voice-related problems on the activity and participation profiles of teachers at higher risk of developing voice disorders in Türkiye, compared with those of teachers at no risk.
Method:
The study group consisted of 250 teachers, divided into two groups: those at a high risk of developing voice disorders (n = 100) and those at no risk (n = 150). The Voice Disorder Screening Index (SIVD-TR) was administered to determine the risk of voice disorders in the teachers. Teachers were divided into two groups: those scoring SIVD-TR ≥ 4 were classified as the developing voice disorder risk group, and those scoring SIVD-TR < 4 were classified as those at the no risk group. All teachers also completed the Voice Activity and Participation Profile-Turkish Version (VAPP-TR).
Results:
Teachers at risk of developing voice disorders had significantly higher scores on the VAPP subscales of occupation, daily communication, social communication, emotional, and total VAPP, respectively, of 11.33, 35.69, 11.10, 24.10, and 84.41 units (P < 0.001) compared to teachers with no risk. On the VAPP_Activity Limitation Score, teachers at risk of developing voice disorders had significantly higher scores (M = 36.41) than teachers with no risk (M = 1.71); mean difference 34.70 points, t(127,708) = -17.366, P < 0.001. The VAPP_Participation Restriction Score was 28.15 points higher for teachers at risk of developing voice disorder (M = 28.56) than for colleagues with no risk (M = 0.41) (t(125.071) = -12.686, P < 0.001).
Conclusion:
This study revealed that teachers at risk of developing voice disorders experienced negative effects on their VAPPs. Therefore, it is crucial for teachers to recognize voice complaints as soon as they arise and to seek professional voice counseling to improve their voice and psychosocial health.
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...
Physical Assessment of the Respiratory Tract IV: Auscultation
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:

