[Proposals of rational procedures for certifying occupational voice disorders].

Katedry i Kliniki Foniatrii i Audiologii Akademii Medycznej, Poznaniu.
Medycyna pracy (Impact Factor: 0.4). 02/2001; 52(1):35-8.
Source: PubMed


Following a long period of experience acquired in assessing occupation-related voice disorders, the proposals of objective measures, facilitating the certification of occupational disease of the voice organ in accordance with the binding legal regulations, are presented. The importance of documentary evidence of at least two years of treatment and phoniatric rehabilitation is stressed. A need to prevent occupation-related voice disorders through phoniatric diagnostic procedures is highlighted.

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    • "In Poland some academic teachers are registered with certified compensable occupational disease. In general, teachers have no voice training, that is why a comprehensive diagnosis of their speech organs, including the objectivity of the research outcome in the form of voice acoustic analysis, is essential [2] [3] [4]. "
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    ABSTRACT: Objectives: The aim of the study was to assess the acoustic and capacity analyses of voice in academic teachers with hyperfunctional dysphonia using DiagnoScope Specialist software. Material and methods: The study covered 46 female academic teachers aged 34-48 years. The women were diagnosed with hyperfunctional dysphonia (with absence of organic pathologies). Having obtained the informed consent, a primary medical history was taken, videolaryngoscopic and stroboscopic examinations were performed and diagnostic voice acoustic and capacity analyses were carried out using DiagnoScope Specialist software. Results: The acoustic analysis carried out of academic teachers with diagnosed hyperfunctional dysphonia showed enhancement in the following parameters: fundamental frequency (FO) by 1.2%; relative average perturbation (Jitter by 100.0% and RAP by 81.8%); relative amplitude perturbation quotient (APQ) by 2.9%; non-harmonic to harmonic ratio (U2H) by 16.0%; and noise to harmonic ratio (NHR) by 13.4%. A decrease of 2.5% from normal values was noted in relative amplitude perturbation (Shimmer). Formant frequencies also showed reduction (F1 by 10.7%, F2 by 5.1%, F3 by 2.2%, and F4 by 3.5%). The harmonic perturbation quotient (HPQ) was 0.8% lower and the residual harmonic perturbation quotient (RHPQ) 16.8% lower, with the residual to harmonic (R2H) decreasing by 35.1 per cent; the sub-harmonic to harmonic (S2H) by 2.4%; and the Yanagihara coefficient by 20.2%. Conclusions: The capacity analysis with the DiagnoScope Specialist software showed figures significantly lower than normal values of the following parameters: phonation time, true phonation time, phonation break coefficients, vocal capacity coefficient and mean vocal capacity.
    Preview · Article · May 2013 · Otolaryngologia polska. The Polish otolaryngology
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    ABSTRACT: Laryngovideostroboscopy is the method most frequently used in the assessment of voice disorders. However, the employment of quantitative methods, such as voice acoustic analysis, is essential for evaluating the effectiveness of prophylactic and therapeutic activities as well as for objective medical certification of larynx pathologies. The aim of this study was to examine voice acoustic parameters in female teachers with occupational voice diseases. Acoustic analysis (IRIS software) was performed in 66 female teachers, including 35 teachers with occupational voice diseases and 31 with functional dysphonia. The teachers with occupational voice diseases presented the lower average fundamental frequency (193 Hz) compared to the group with functional dysphonia (209 Hz) and to the normative value (236 Hz), whereas other acoustic parameters did not differ significantly in both groups. Voice acoustic analysis, when applied separately from vocal loading, cannot be used as a testing method to verify the diagnosis of occupational voice disorders.
    Full-text · Article · Feb 2005 · Medycyna pracy
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    ABSTRACT: It has been shown that teachers are at risk of developing occupational dysphonia, which accounts for over 25% of all occupational diseases diagnosed in Poland. The most frequently used method of diagnosing voice diseases is videostroboscopy. However, to facilitate objective evaluation of voice efficiency as well as medical certification of occupational voice disorders, it is crucial to implement quantitative methods of voice assessment, particularly voice acoustic analysis. The aim of the study was to assess the results of acoustic analysis in 66 female teachers (aged 40-64 years), including 35 subjects with occupational voice pathologies (e.g., vocal nodules) and 31 subjects with functional dysphonia. The acoustic analysis was performed using the IRIS software, before and after a 30-minute vocal loading test. All participants were subjected also to laryngological and videostroboscopic examinations. After the vocal effort, the acoustic parameters displayed statistically significant abnormalities, mostly lowered fundamental frequency (Fo) and incorrect values of shimmer and noise to harmonic ratio. To conclude, quantitative voice acoustic analysis using the IRIS software seems to be an effective complement to voice examinations, which is particularly helpful in diagnosing occupational dysphonia.
    No preview · Article · Feb 2006 · Logopedics Phoniatrics Vocology
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