The Effect of Phoniatric and Logopedic Rehabilitation on the Voice of Patients with Puberphonia
Abstract
1. Introduction
2. Materials and Methods
2.1. Phoniatric and Logopedic Rehabilitation Program
- phoniatric and logopedic examination before voice rehabilitation,
- voice rehabilitation,
- phoniatric and logopedic examination after voice rehabilitation.
2.2. Voice Therapy Protocol
3. Results
3.1. Subjective Assessment of Voice Impairment on the VHI Scale
3.2. Assessment of Vocal Tract Discomfort on the VTD Scale
3.3. Assessment of Voice-Related Quality of Life on the V-RQOL Scale
3.4. Acoustic Analysis of Subjects’ Voices
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
PMVI | Post-mutationalvoiceinstability |
MF | Mutationalfalsetto |
PFV | Persistent fistulous voice |
VTD | Vocal tract discomfort |
VHI | Voice Handicap Index |
FF | Functional falsetto |
V-RQOL | Voice-RelatedQuality of Life |
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Values of the VHI Questionnaire Before and After Rehabilitation | Wilcoxon Signed-Rank Test, p < 0.05 | |||
---|---|---|---|---|
n | T | Z | p | |
VHI total | 18 | 0.00 | 3.72 | 0.00 |
VHI functional | 18 | 0.00 | 3.72 | 0.00 |
VHI emotional | 18 | 0.00 | 3.72 | 0.00 |
VHI physical | 18 | 0.00 | 3.72 | 0.00 |
VTD Questionnaire Values Before and After Rehabilitation | Wilcoxon Signed-Rank Test, p < 0.05 | |||
---|---|---|---|---|
n | T | Z | p | |
VTD total | 18 | 0.00 | 3.72 | 0.00 |
VTD frequency of complaints | 18 | 0.00 | 3.62 | 0.00 |
VTD severity of symptoms | 18 | 0.00 | 3.72 | 0.00 |
Values of the V-RQOL Questionnaire and Likert Scale Before and After Rehabilitation | Wilcoxon Signed-Rank Test, p < 0.05 | |||
---|---|---|---|---|
n | T | Z | p | |
V-RQOL | 18 | 0.00 | 3.72 | 0.00 |
Likert Scale | 18 | 0.00 | 3.72 | 0.00 |
Laryngeal Tone and Formants | Before Rehabilitation n = 9 | After Rehabilitation n = 9 | ||||||
---|---|---|---|---|---|---|---|---|
Average Hz | Minimum Hz | Maximum Hz | Standard Deviation | Average Hz | Minimum Hz | Maximum Hz | Standard Deviation | |
F0 | 200.49 | 151.94 | 267.74 | 42.00 | 110.97 | 90.29 | 127.64 | 12.52 |
F1 | 521.01 | 351.45 | 621.54 | 82.86 | 507.48 | 425.72 | 594.26 | 52.51 |
F2 | 1650.67 | 1503.92 | 1771.82 | 85.60 | 1617.53 | 1448.82 | 1723.56 | 88.61 |
F3 | 2739.88 | 2599.16 | 2885.49 | 92.87 | 2676.23 | 2461.32 | 2795.20 | 110.43 |
Fundamental Tone Frequencies (F0) Before and After Rehabilitation | Wilcoxon Signed-Rank Test, p < 0.05 | |||
---|---|---|---|---|
n | T | Z | p | |
F0—median | 9 | 0.00 | 2.66 | 0.00 |
F0—minimum | 9 | 0.00 | 2.66 | 0.00 |
F0—maximum | 9 | 1.00 | 2.54 | 0.01 |
Acoustic Analysis Parameters | Before Rehabilitation n = 9 | After Rehabilitation n = 9 | Results of Comparison Before and After Rehabilitation n = 9 | ||||||
---|---|---|---|---|---|---|---|---|---|
Average | Minimum | Maximum | Standard Deviation | Average | Minimum | Maximum | Standard Deviation | Average | |
Jitter | 14.75 | 0.11 | 103.68 | 21.11 | 11.50 | 0.11 | 68.88 | 16.15 | 0.84 |
Shimmer | 8.12 | 0.50 | 48.89 | 30.94 | 5.88 | 0.41 | 30.82 | 9.61 | 0.77 |
NHR | 2.60 | 0.36 | 10.62 | 2.12 | 1.35 | 0.27 | 4.68 | 0.89 | 0.65 |
RAP | 13.74 | 0.57 | 91.21 | 17.96 | 10.20 | 0.52 | 48.91 | 10.72 | 0.76 |
PPQ | 16.65 | 0.80 | 89.12 | 18.33 | 13.65 | 0.64 | 57.97 | 13.25 | 0.84 |
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Nawrocka, L.; Garstecka, A.; Sinkiewicz, A. The Effect of Phoniatric and Logopedic Rehabilitation on the Voice of Patients with Puberphonia. J. Clin. Med. 2025, 14, 5350. https://doi.org/10.3390/jcm14155350
Nawrocka L, Garstecka A, Sinkiewicz A. The Effect of Phoniatric and Logopedic Rehabilitation on the Voice of Patients with Puberphonia. Journal of Clinical Medicine. 2025; 14(15):5350. https://doi.org/10.3390/jcm14155350
Chicago/Turabian StyleNawrocka, Lidia, Agnieszka Garstecka, and Anna Sinkiewicz. 2025. "The Effect of Phoniatric and Logopedic Rehabilitation on the Voice of Patients with Puberphonia" Journal of Clinical Medicine 14, no. 15: 5350. https://doi.org/10.3390/jcm14155350
APA StyleNawrocka, L., Garstecka, A., & Sinkiewicz, A. (2025). The Effect of Phoniatric and Logopedic Rehabilitation on the Voice of Patients with Puberphonia. Journal of Clinical Medicine, 14(15), 5350. https://doi.org/10.3390/jcm14155350