Evaluation of vocal changes after vestibular rehabilitation in patients with balance disorders.
Posture
posturography
vestibular rehabilitation
voice
Journal
Journal of vestibular research : equilibrium & orientation
ISSN: 1878-6464
Titre abrégé: J Vestib Res
Pays: Netherlands
ID NLM: 9104163
Informations de publication
Date de publication:
2020
2020
Historique:
pubmed:
21
4
2020
medline:
30
6
2021
entrez:
21
4
2020
Statut:
ppublish
Résumé
Although there are articles and studies that associate postural changes with changes in vocal quality, to the best of our knowledge, this was the first study investigating the association between balance disorders and voice. This study aimed to determine whether patients with balance disorders present any clinical, acoustic, or endoscopic vocal changes, and if the correction of balance impairments, such as through vestibular rehabilitation, lead to improvement in vocal quality. This was a prospective cohort study that analyzed vocal differences (clinical, videoendostroboscopic, audio-perceptual, and acoustic vocal parameters) in a sample of 43 patients with vestibular dysfunction at three different time points (pre-treatment, post-treatment, and 3 months' post-treatment) diagnosed by videonystagmography with changes in computerized dynamic posturography who were treated with vestibular rehabilitation. In pre-treatment, all of the patients presented supraglottic hyperfunction during videoendoscopic examination and abnormal values in the audio-perceptual scale. After treatment for balance disorders, there was a statistically significant improvement in some parameters of the videoendoscopic and audio-perceptual measures. These improvements were detected immediately after treatment and remained present until at least three months after treatment. The results suggested that the treatment for balance disorders results in changes in posture and consequently in voice quality.
Sections du résumé
BACKGROUND
Although there are articles and studies that associate postural changes with changes in vocal quality, to the best of our knowledge, this was the first study investigating the association between balance disorders and voice.
OBJECTIVE
This study aimed to determine whether patients with balance disorders present any clinical, acoustic, or endoscopic vocal changes, and if the correction of balance impairments, such as through vestibular rehabilitation, lead to improvement in vocal quality.
METHODS
This was a prospective cohort study that analyzed vocal differences (clinical, videoendostroboscopic, audio-perceptual, and acoustic vocal parameters) in a sample of 43 patients with vestibular dysfunction at three different time points (pre-treatment, post-treatment, and 3 months' post-treatment) diagnosed by videonystagmography with changes in computerized dynamic posturography who were treated with vestibular rehabilitation.
RESULTS
In pre-treatment, all of the patients presented supraglottic hyperfunction during videoendoscopic examination and abnormal values in the audio-perceptual scale. After treatment for balance disorders, there was a statistically significant improvement in some parameters of the videoendoscopic and audio-perceptual measures. These improvements were detected immediately after treatment and remained present until at least three months after treatment.
CONCLUSIONS
The results suggested that the treatment for balance disorders results in changes in posture and consequently in voice quality.
Identifiants
pubmed: 32310201
pii: VES200697
doi: 10.3233/VES-200697
pmc: PMC9249301
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
109-120Références
Laryngoscope. 2001 Mar;111(3):458-63
pubmed: 11224776
Laryngoscope. 2002 Oct;112(10):1785-90
pubmed: 12368616
Laryngoscope. 1991 Apr;101(4 Pt 2 Suppl 53):1-78
pubmed: 1895864
J Voice. 2017 May;31(3):382.e15-382.e26
pubmed: 27742492
Laryngoscope. 2007 Aug;117(8):1482-7
pubmed: 17592393
Am J Otol. 1996 Jul;17(4):581-94
pubmed: 8841704
Clin Rehabil. 2004 Feb;18(1):76-83
pubmed: 14763722
J Acoust Soc Am. 1998 Sep;104(3 Pt 1):1598-608
pubmed: 9745743
J Voice. 2015 Nov;29(6):776.e7-14
pubmed: 25795348
J Speech Lang Hear Res. 2000 Feb;43(1):229-38
pubmed: 10668665
J Speech Hear Res. 1992 Jun;35(3):512-20
pubmed: 1608242
J Voice. 1997 Sep;11(3):332-7
pubmed: 9297678
Acta Otorhinolaryngol Ital. 2012 Apr;32(2):115-21
pubmed: 22767973
Rev Laryngol Otol Rhinol (Bord). 2000;121(5):319-23
pubmed: 11387657
J Voice. 2003 Sep;17(3):403-10
pubmed: 14513963
J Voice. 2011 May;25(3):e91-101
pubmed: 20207108
ScientificWorldJournal. 2013 Nov 04;2013:507397
pubmed: 24319372
Folia Phoniatr Logop. 2003 May-Jun;55(3):147-57
pubmed: 12771466
Codas. 2016 Apr;28(2):163-7
pubmed: 27191880
J Voice. 2002 Sep;16(3):333-43
pubmed: 12395986
Folia Phoniatr (Basel). 1971;23(4):211-24
pubmed: 5133058
Auris Nasus Larynx. 2015 Jun;42(3):183-8
pubmed: 25440411
Otolaryngol Head Neck Surg. 2003 Feb;128(2):240-50
pubmed: 12601321
Laryngoscope. 2001 Oct;111(10):1812-7
pubmed: 11801950
Eur Arch Otorhinolaryngol. 2011 Nov;268(11):1569-74
pubmed: 21340557
Acta Otorrinolaringol Esp. 2012 May-Jun;63(3):200-5
pubmed: 22436600
J Voice. 2009 Jan;23(1):71-5
pubmed: 17981012
Laryngoscope. 2001 Aug;111(8):1313-7
pubmed: 11568561
Otolaryngol Head Neck Surg. 1995 Jan;112(1):173-82
pubmed: 7816453
Sci Am. 2003 Aug;289(2):50-7
pubmed: 12884538
Disabil Rehabil. 2009;31(23):1907-16
pubmed: 19479494
Rev Laryngol Otol Rhinol (Bord). 2010;131(1):69-72
pubmed: 21086662
Eur Arch Otorhinolaryngol. 2012 Nov;269(11):2309-16
pubmed: 22526580
Rev Laryngol Otol Rhinol (Bord). 2006;127(5):285-91
pubmed: 17425002
J Voice. 2012 Nov;26(6):812.e17-22
pubmed: 23026732
Rev Laryngol Otol Rhinol (Bord). 2009;130(1):11-6
pubmed: 19530518
Folia Phoniatr Logop. 2008;60(2):80-5
pubmed: 18235195
Logoped Phoniatr Vocol. 2000;25(3):133-8
pubmed: 11086805
J Voice. 2008 Jan;22(1):90-9
pubmed: 16978836