KMID : 0921420090140020223
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Korean Journal of Communication Disorders 2009 Volume.14 No. 2 p.223 ~ p.235
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Comparison of Clinicians¡¯ Perceptual Evaluations and Patients¡¯ Subjective Evaluations of Voice Disorders
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Kim Jae-Ok
Choi Hong-Shik
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Abstract
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Background & Objectives: Among the different types of voice evaluations, objective quantitative evaluations and clinicians¡¯ perceptual evaluations are commonly used. However, patients¡¯ subjective evaluations must be considered to accomplish a more accurate and total assessment of voice disorders. The purpose of this study was to examine the relationship between clinicians¡¯ perceptual evaluations and patients¡¯ subjective evaluations of voice disorders.
Methods: We enrolled 120 people with voice disorders and 120 people without voice disorders and asked them to fill out Korean Voice Handicap Index (K-VHI) and Korean Voice Related Quality of Life (K-VRQOL) forms. The patients¡¯ voices were perceptually evaluated by an experienced speechlanguage pathologist and an otolaryngologist using GRBAS scales.
Results: There was a low degree of correlation between the G scale on the GRBAS scales and the K-VHI and K-VRQOL self-reports. However, mean scores on both total and subscales in K-VHI and K-VRQOL decreased as the severity of voice disorders on the G scale Increased. In particular, G3 differed significantly from G0, G1, and G2 in the results of both K-VHI and K-VRQOL. In addition, patients who were diagnosed differently had significantly different total and subscale scores on the K-VHI and K-VRQOL, with the exception of the physical score on the K-VHI.
Discussion & Conclusion: There was no significant relationship between clinicians¡¯ perceptual evaluations and patients¡¯ subjective evaluations of voice disorders. The severity of voice disorders assessed by clinicians differed from the voice handicap and voice-related quality of life perceptions of patients. Therefore, there is a need to use various assessment methods when evaluating voice disorders, including patients¡¯ subjective evaluations.
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KEYWORD
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voice disorders, perceptual voice evaluation, patient¡¯s subjective evaluation, GRBAS
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