Implementation of the autoperceptual questionnaire and perceptual scale as instruments of subjective evaluation of voice in children
Abstract
Introduction: children dysphonia is often the beginning of the natural evolution of a chronic problem. Child voice evaluation is a subjective assessment of the child's voice by the physician, in which are used as instruments questionnaires and scales that allow perceptual awareness of vocal problems in infants and teach them with hearing their own voice, to control the voice, at the same time that prevent future complications and relapses.
Objective: to implement the auto perceptual questionnaire and perceptual scale as subjective evaluation instruments of voice to children's ages.
Method: a cross-sectional study was carried out from January 2010 to December 2011 in Majagua municipality, with a child population of 1 886 patients from four to six years of age, of which a stratified random sample of 699 patients was selected.
Results: 263 children had some speech problem and 436 children have no problems in their voices. The sensitivity of the questionnaire was 0,72, specificity of 0,91 and internal consistency was 0,99; the scale had a sensitivity of 0,84, specificity of 0,97 and an internal consistency of 0,86.
Conclusions: the reliability and effectiveness of the auto perceptual questionnaire and perceptual scale as instruments of subjective evaluation of voice in children's ages were demonstrated. The positive likelihood ratio of the scale was greater than the questionnaire, so that the scale has the greatest potential for diagnosing the presence of vocal problems.
Downloads
References
Núñez Batalla F, Morato Galán M. Disfonía infantil. En: Cobeta Marco I, Nuñez Batalla F, Fernández González S, editores. Patología de la voz. Ponencia oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial 2013 [Internet]. Barcelona: Marge Médica Books; 2013. p. 295-304. [citado 9 Feb 2014]. Disponible en: http://seorl.net/PDF/ponencias%20oficiales/2013%20Patolog%C3%ADa%20de%20la%20voz.pdf
Núñez Batalla F, Mate Bayón MA. Historia clínica y valoración subjetiva de la voz (calidad de vida en relación con la voz). En: Cobeta Marco I, Nuñez Batalla F, Fernández González S, editores. Patología de la voz. Ponencia oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial 2013 [Internet]. Barcelona: Marge Médica Books; 2013. p. 111-8. [citado 9 Feb 2014]. Disponible en: http://seorl.net/PDF/ponencias%20oficiales/2013%20Patolog%C3%ADa%20de%20la%20voz.pdf
Johnson W, Brown SF, Curtis JF, Edney C, Keaster J. Speech handicapped school children. New York: Harper & Row; 1967.
Cobeta Marco I, Núñez Batalla F, Fernández González S. Voz normal y clasificación de las disfonías. En: Cobeta Marco I, Nuñez Batalla F, Fernández González S, editores. Patología de la voz. Ponencia oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial 2013 [Internet]. Barcelona: Marge Médica Books; 2013. p. 237-41. [citado 9 Feb 2014]. Disponible en: http://seorl.net/PDF/ponencias%20oficiales/2013%20Patolog%C3%ADa%20de%20la%20voz.pdf
Lousada M, Mendes AP, Valente AR, Hall A. Standardization of a phonetic-phonological test for European-Portuguese children. Folia Phoniatr Logop [Internet]. 2012 [citado 9 Feb 2014]; 64(3):151-6. Disponible en: http://www.karger.com/Article/Pdf/264712
Schindler A, Tiddia C, Ghidelli, CH, Nerone V, Albera R, Ottaviani F. Adaptation and validation of the Italian Pediatric Voice Handicap Index. Folia Phoniatr Logop [Internet]. 2011 [citado 9 Feb 2014];63:9-14. Disponible en: http://www.karger.com/Article/Pdf/319730
Wanderley Lopes L, Barbosa Lima IL, Alves Almeida LN, Pontes Cavalcante D, Figueiredo de Almeida AA. Severity of voice disorders in children: correlations between perceptual and acoustic data. J Voice [Internet]. 2012 [citado 9 Feb 2014];26(6):819.e7-12. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S089219971200077X.pdf?locale=es_ES
Uloza V, Verikas A, Bacauskiene M, Gelzinis A, Pribuisiene R, Kaseta M, Saferis V. Categorizing normal and pathological voices: automated and perceptual categorization. J Voice [Internet]. 2011 [citado 9 Feb 2014];25(6):700-8. Disponible en: https://www.researchgate.net/profile/Antanas_Verikas/publication/44801765_Categorizing_Normal_and_Pathological_Voices_Automated_and_Perceptual_Categorization/links/00b7d53bea70a6b921000000.pdf
Wanderley Lopes LW, Barbosa Lima IL, Mares Azevedo EH, Bonfim de Lima-Silva MF, Pontes Cavalcante D, Alves de Almeida LN, et al. Characteristics during child development: perceptual-auditory and acoustic data. Folia Phoniatr Logop [Internet]. 2013 [citado 9 Feb 2014];65(3):143-7. Disponible en: http://www.karger.com/Article/Pdf/355913
Olavarría Leiva C, Cortez Villagrán P. Evaluación y diagnóstico de la disfonía en niños. Neumol. pediatr. [Internet]. Sep 2014 [citado 9 Feb 2014];9(3):75-9. Disponible en: http://www.neumologia-pediatrica.cl/PDF/201493/evaluacion-diagnostico-disfonia-ninos.pdf
Señaris González B, Núñez Batalla F, Corte Santos P, Suárez Nieto C. Índice de incapacidad vocal: factores predictivos. Acta Otorrinolaringol Esp [Internet]. 2006 [citado 9 Feb 2014];57(2):101-8. Disponible en: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13096843&pident_usuario=0&pcontactid=&pident_revista=102&ty=124&accion=L&origen=zonadelectura&web=www.elsevier.es&lan=es&fichero=102v57n2a13096843pdf001.pdf
Núñez Batalla F, Corte Santos P, Sequeiros Santiago G, Señaris González B, Suárez Nieto C. Evaluación perceptual de la disfonía: correlación con los parámetros acústicos y fiabilidad. Acta Otorrinolaringol Esp [Internet]. 2004 [citado 9 Feb 2014];55(6):282-7. Disponible en: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13097067&pident_usuario=0&pcontactid=&pident_revista=102&ty=6&accion=L&origen=zonadelectura&web=www.elsevier.es&lan=es&fichero=102v55n6a13097067pdf001.pdf
How to Cite
Issue
Section
License
MediCiego does not apply publication charges. The journal is available in open access without restrictions, in compliance with the international policy on open access to information for the exchange of global knowledge.
The authors will retain their copyright and guarantee the journal the right of first publication of their work. MediCiego is licensed under the Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES), so it is allowed to copy, reproduce, distribute, publicly communicate the work and generate derivative works, as long as the original author is cited and acknowledged. However, it is not allowed to use the original work for commercial or lucrative purposes.
Authors must sign a copyright agreement through an affidavit of authorship and originality, before publishing.
The authors authorize the publication of their writings; they retain the copyright, and assign to the journal all the rights protected by the Copyright Law that governs Cuba, and implies the edition to disseminate the work.
Likewise, they may establish additional agreements for the non-exclusive distribution of the version of the work published in the journal (for example, placing it in an institutional repository or publishing it in a book), with the recognition of having been first published in this journal.
Declaration of authorship: download here the Affidavit
