Auditory-perceptual Assessment of Healthy and Disordered Voices Using the Voice Deviation Scale

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dc.coverageDOI: 10.1016/j.jvoice.2021.10.017
dc.creatorContreras-Ruston, Francisco
dc.creatorGuzman, Marco
dc.creatorCastillo-Allendes, Adrián
dc.creatorCantor-Cutiva, Lady
dc.creatorBehlau, Mara
dc.date2021
dc.date.accessioned2025-11-18T19:48:19Z
dc.date.available2025-11-18T19:48:19Z
dc.description<p>Objective: This study aims to (1) determine the cut-off values of the Global Severity of vocal deviation on the Visual Analog Scale (VAS) from the numerical scale ratings, and (2) identify the cut-off values according to different degrees of vocal deviation used by Voice-Specialized Speech-Language Pathologists (SLP). Study design: Prospective study. Methods: The auditory-perceptual assessment was performed by four SLPs using two protocols with different scales: the VAS and the 4-point numerical scale. Among the 211 voices analyzed, 147 corresponded to female participants, and 64 corresponded to males, plus 20% repeated voice samples. Participants were between 19 and 60 years. All of them were asked to count from 1 to 10 and were recorded in a sound-proof booth. For both protocols, the judges scored the overall severity. One SLP was excluded from the analysis due to inconsistency during the perceptual assessment. Results: For normal voice and mild deviations, overall severity cut-off score on the VAS was 21. For mild-moderate deviations, the cut-off was 55; and 81 points for moderate and severe deviations. The Area Under the Curve values correspond to 0.725, 0.905 and 0.851, respectively. Conclusions: Our results suggest that the VAS is a good instrument to be used during voice assessment performed by Chilean SLPs. However, it evidences possible differences in voice analysis perception with other cut-off scores performed in other countries, which can be compared to future studies.</p>eng
dc.descriptionObjective: This study aims to (1) determine the cut-off values of the Global Severity of vocal deviation on the Visual Analog Scale (VAS) from the numerical scale ratings, and (2) identify the cut-off values according to different degrees of vocal deviation used by Voice-Specialized Speech-Language Pathologists (SLP). Study design: Prospective study. Methods: The auditory-perceptual assessment was performed by four SLPs using two protocols with different scales: the VAS and the 4-point numerical scale. Among the 211 voices analyzed, 147 corresponded to female participants, and 64 corresponded to males, plus 20% repeated voice samples. Participants were between 19 and 60 years. All of them were asked to count from 1 to 10 and were recorded in a sound-proof booth. For both protocols, the judges scored the overall severity. One SLP was excluded from the analysis due to inconsistency during the perceptual assessment. Results: For normal voice and mild deviations, overall severity cut-off score on the VAS was 21. For mild-moderate deviations, the cut-off was 55; and 81 points for moderate and severe deviations. The Area Under the Curve values correspond to 0.725, 0.905 and 0.851, respectively. Conclusions: Our results suggest that the VAS is a good instrument to be used during voice assessment performed by Chilean SLPs. However, it evidences possible differences in voice analysis perception with other cut-off scores performed in other countries, which can be compared to future studies. © 2021 The Voice Foundationspa
dc.identifierhttps://investigadores.uandes.cl/en/publications/61391187-26a5-4b73-97ca-0ed7836f590d
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/55504
dc.languageeng
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.sourcevol.38 (2021) nr.3 p.654-659
dc.subjectAuditory-perceptual—evaluation-Voice—assessment-Rating—scales-Vocal screening-Dysphonia
dc.titleAuditory-perceptual Assessment of Healthy and Disordered Voices Using the Voice Deviation Scaleeng
dc.typeReview articleeng
dc.typeArtículo de revisiónspa
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