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Spasmodic dysphonia and vocal fold paralysis:Outcomes of voice problems on work-related functioning
Authors:Elaine Smith  Margaretta Taylor  Maria Mendoza  Julie Barkmeier  Jon Lemke  Henry Hoffman
Institution:*Department of Preventive Medicine, College of Medicine, University of Iowa, Iowa City, Iowa, U.S.A.;AlleghenyUniversity Hospitals, Speech/Language Pathology, Pittsburgh, Pennsylvania, U.S.A.;Speech and Hearing Science,University ofArizona; Tucson, Arizona, U.S.A.;**Department of Otolaryngology, University of Iowa, College ofMedicine, Iowa City, Iowa, U.S.A.
Abstract:Patients at a university voice disorder clinic diagnosed with spasmodicdysphonia (SD, n = 68) or vocal fold paralysis (VFP, n = 57) reported vocal symptoms and adverse work outcomes in contrast to a nondisordered group (ND, n = 68). Patients with SD most frequently cited symptoms of effortfulness (57%) and weakness (54%), VFP cited hoarseness (70%) and weakness (60%), while the nondisordered reported hoarseness (28%). SD and VFP produced greater (p<.05) adverse work outcomes than the nondisordered in the past (SD: 65%, VFP: 41%, ND: 3%), potential future (SD: 78%, VFP: 65%, ND: 19%), and current job performance (SD: 64%, VFP: 46%, ND: 2%). These disorders significantly disrupt socioeconomic outcomes and research is needed to improve functional ability and quality of life.
Keywords:Voice disorders  Outcomes  Symptomatology
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