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Objective Laryngoscopic Measures from Older Patients with Voice Complaints and Signs of Aging

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Title: Objective Laryngoscopic Measures from Older Patients with Voice Complaints and Signs of Aging
Language: English
Authors: Stager, Sheila V. (ORCID 0000-0002-4294-2114), Gupta, Simran, Amdur, Richard (ORCID 0000-0002-4900-653X), Bielamowicz, Steven A.
Source: Journal of Speech, Language, and Hearing Research. Dec 2021 64(12):4705-4717.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 13
Publication Date: 2021
Document Type: Journal Articles
Reports - Research
Descriptors: Older Adults, Patients, Aging (Individuals), Voice Disorders, Human Body, Severity (of Disability), Diagnostic Tests, Correlation, Therapy, Outcomes of Treatment, Records (Forms), Medical Evaluation, Clinical Diagnosis, Interrater Reliability
DOI: 10.1044/2021_JSLHR-21-00095
ISSN: 1092-4388
Abstract: Purpose: The purpose of this study was to use objective measures of glottal gap, bowing, and supraglottic compression from selected images of laryngoscopic examinations from adults over 60 years of age with voice complaints and signs of aging to test current hypotheses on whether degree of severity impacts treatment recommendations and potential follow-through with treatment. Method: Records from 108 individuals 60 years or older with voice complaints and signs of aging were reviewed. Three objective measures (normalized glottal gap area [NGGA], total bowing index, and normalized true vocal fold width) were derived. Each measure was subsequently divided into three categories by severity: absence, small degree, or large degree. Nonparametric statistics tested associations between severity and treatment recommendations as well as potential follow-through. Results: Noninvasive treatments (observation/voice therapy) were marginally associated with no glottal gap (p = 0.09). More invasive treatments (injection/bilateral thyroplasty) were associated with glottal gaps being present (p = 0.026), but bilateral thyroplasty recommendations were not significantly associated with the largest gaps. Treatment modalities were not characterized by specific severity categories for any of the objective measures. No significant differences were found for any of the three objective measures between those who followed through with recommended treatment and those who did not. Discussion: Results demonstrated some support for current hypotheses on how degrees of severity of objective measures relate to treatment recommendations. Of the three measures, NGGA appears to be more informative regarding treatment recommendations and follow-through, but due to low power, larger sample sizes are needed to confirm clinical relevance.
Abstractor: As Provided
Entry Date: 2022
Accession Number: EJ1325205
Database: ERIC
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  Data: Objective Laryngoscopic Measures from Older Patients with Voice Complaints and Signs of Aging
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Stager%2C+Sheila+V%2E%22">Stager, Sheila V.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-4294-2114">0000-0002-4294-2114</externalLink>)<br /><searchLink fieldCode="AR" term="%22Gupta%2C+Simran%22">Gupta, Simran</searchLink><br /><searchLink fieldCode="AR" term="%22Amdur%2C+Richard%22">Amdur, Richard</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-4900-653X">0000-0002-4900-653X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Bielamowicz%2C+Steven+A%2E%22">Bielamowicz, Steven A.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Dec 2021 64(12):4705-4717.
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
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  Data: 13
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  Data: <searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Aging+%28Individuals%29%22">Aging (Individuals)</searchLink><br /><searchLink fieldCode="DE" term="%22Voice+Disorders%22">Voice Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Human+Body%22">Human Body</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+%28of+Disability%29%22">Severity (of Disability)</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+Tests%22">Diagnostic Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Therapy%22">Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Records+%28Forms%29%22">Records (Forms)</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Evaluation%22">Medical Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+Diagnosis%22">Clinical Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Interrater+Reliability%22">Interrater Reliability</searchLink>
– Name: DOI
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  Data: 10.1044/2021_JSLHR-21-00095
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1092-4388
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The purpose of this study was to use objective measures of glottal gap, bowing, and supraglottic compression from selected images of laryngoscopic examinations from adults over 60 years of age with voice complaints and signs of aging to test current hypotheses on whether degree of severity impacts treatment recommendations and potential follow-through with treatment. Method: Records from 108 individuals 60 years or older with voice complaints and signs of aging were reviewed. Three objective measures (normalized glottal gap area [NGGA], total bowing index, and normalized true vocal fold width) were derived. Each measure was subsequently divided into three categories by severity: absence, small degree, or large degree. Nonparametric statistics tested associations between severity and treatment recommendations as well as potential follow-through. Results: Noninvasive treatments (observation/voice therapy) were marginally associated with no glottal gap (p = 0.09). More invasive treatments (injection/bilateral thyroplasty) were associated with glottal gaps being present (p = 0.026), but bilateral thyroplasty recommendations were not significantly associated with the largest gaps. Treatment modalities were not characterized by specific severity categories for any of the objective measures. No significant differences were found for any of the three objective measures between those who followed through with recommended treatment and those who did not. Discussion: Results demonstrated some support for current hypotheses on how degrees of severity of objective measures relate to treatment recommendations. Of the three measures, NGGA appears to be more informative regarding treatment recommendations and follow-through, but due to low power, larger sample sizes are needed to confirm clinical relevance.
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  Data: EJ1325205
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        Value: 10.1044/2021_JSLHR-21-00095
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      – Text: English
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        PageCount: 13
        StartPage: 4705
    Subjects:
      – SubjectFull: Older Adults
        Type: general
      – SubjectFull: Patients
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      – SubjectFull: Aging (Individuals)
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      – SubjectFull: Clinical Diagnosis
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      – SubjectFull: Interrater Reliability
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      – TitleFull: Objective Laryngoscopic Measures from Older Patients with Voice Complaints and Signs of Aging
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