#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Subjective evaluation of voice in people over 60 years


Authors: Votrubová Helena 1;  Frajková Žofia 2,3,4
Authors‘ workplace: Súkromné centrum poradenstva a prevencie, Bratislava 1;  Katedra logopédie, Pedagogická fakulta Univerzity Komenského v Bratislave 2;  Klinika otorinolaryngológie a chirurgie hlavy a krku Lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice, Bratislava 3;  Neurologická klinika SZU a Fakultnej nemocnice Trnava 4
Published in: Geriatrie a Gerontologie 2024, 13, č. 4: 194-198
Category: Original Article
doi: https://doi.org/10.61568/geri/50-6431/20241226/139523

Overview

Introduction: Changes in the voice are a part of the aging process in humans. With the increasing number of older individuals in the population, the incidence of voice disorders also rises. However, to date, data addressing the issue of subjective voice evaluation have not been processed in Slovakia. The aim of the study is to determine the prevalence of voice disorders in older individuals based on subjective voice evaluation and to analyze variables influencing the voice.

Materials and methods: The data analyzed were prospectively collected from individuals aged 60 and above without voice disorders, spanning from 2019 to 2022. The primary method employed is the validated Voice Handicap Index questionnaire (VHI-30) and subjective evaluation of individuals. Statistical analysis includes the utilization of the Kolmogorov-Smirnov test of normality, Mann-Whitney U-test for two independent samples, Kruskall-Wallis test, and Spearman correlation test.

Results: Analysis of the results revealed that 28.7 % of respondents perceive changes in their voice. Gender (p = 0.92), smoking (p = 0.09), and age (p = 0.19) do not significantly influence the scores in the VHI-30 questionnaire. Respondents who subjectively reported a deterioration in their voice over the last 10 years achieved significantly higher scores in the overall VHI-30 questionnaire compared to those whose voice remained unchanged/improved over the last
10 years (p = 0.00).

Conclusion: The results suggest that the majority of participants consider the quality of their life related to their voice to be acceptable and have not noticed any changes in their voice over the last 10 years. In conclusion, while the results do not indicate significant changes in the Slovak population of individuals over 60 years of age, it is necessary to raise awareness about voice changes and reduce the manifestations of presbyphonia.

Keywords:

quality of life, presbyphonia, subjective evaluation of voice, VHI-30


Sources

Korespondenčná adresa:

Mgr. Helena Votrubová

Súkromné centrum poradenstva a prevencie

Tomášikova 64

831 04 Bratislava

e-mail: helenavotruba@gmail.com

1.           Hirano S. Overview. In: Makiyama K, Hirano S, eds. Aging voice. Springer 2017: 1–8.

2.           Vydrová J. Hlasová typologie. In: Vydrová J, Bendová O, Brandtl P, et al. Hlasová terapie. Havlíčkův Brod: Tobiáš 2017: 48.

3.           Pontes P, Brasolotto A, Behlau M. Glottic characteristics and voice complaint in the elderly. J Voice 2005; 19(1): 84–94.

4.           Dejonckere PH, et al. Committee on Phoniatrics of the European Laryngological Society (ELS). A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch Otorhinolaryngol 2001; 258(2): 77–82.

5.           Gregory ND, et al. Voice disorders in the elderly. J Voice 2012; 26(2): 254–258.

6.           Kosztyła-Hojna B, Zdrojkowski M, Duchnowska E. The application of High-Speed camera (HS), acoustic analysis and Voice Handicap Index (VHI) questionnaire in diagnosis of voice disorders in elderly men. Otolaryngol Pol 2019; 73(5): 25–30.

7.           Frajková Ž, Križeková A, Miššíková V, et al. Vplyv veku a pohlavia na skóre v dotazníku VHI-30 a VHI-10. Otorinolaryngol Foniatr 2020; 69(2): 74–80.

8.           Wang LH, et al. Prevalence of voice disorders in older adults: a systematic review and meta-analysis. Am J Speech Lang Pathol 2023; 1–12.

9.           Santos M, et al. Presbylarynx: Is it possible to predict glottal gap by cut-off points in auto-assessment questionnaires? J Voice J 2023; 37(2): 268–274. 

10.        Maertens K, De Jong FICRS. The voice handicap index as a tool for assessment of the biopsychosocial impact of voice problems. B ENT 2007; 3(2): 61–66.

11.        Crawley BK, Dehom S, Thiel C, et al. Assessment of clinical and social characteristics that distin-
guish presbylaryngis from pathologic presbyphonia in elderly individuals. JAMA Otolaryngol Head Neck Surg 2018; 144(7): 566–571.

12.        Bruzzi C, Salsi D, Minghetti D et al. Presbyphonia. Acta Bio Medica Atenei Parmensis 2017; 88(1): 6.

13.        Tafiadis D, Kosma EI, Chronopoulos SK, et al. Voice handicap index and interpretation of the cutoff points using receiver operating characteristic curve as screening for young adult female smokers. J Voice 2018; 32(1): 64–69.

14.        Tafiadis D, Chronopoulos SK, Kosma EI, et al. Using receiver operating characteristic curve to define the cutoff points of voice handicap index applied to young adult male smokers. J Voice 2018; 32(4): 443–448.

15.        Frajková Ž, Križeková A, Miššíková V, et al. Vplyv veku a pohlavia na skóre v dotazníku VHI-30 a VHI-10. Otorinolaryngol Foniatr 2020; 69(2): 74–80.

16.        Wong HYK, Ma EPM. Self-Perceived voice problems in a nontreatment seeking older population in Hong Kong. J Voice 2021; 35(4): 597–603.

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#