International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 8 , ISSUE 2 ( July-December, 2018 ) > List of Articles

RESEARCH ARTICLE

Voice Handicap Index Severity Grading: Do We Need to Recalibrate it for the Indian Population?

Unnikrishnan K Menon, Shreya Venugopal, Deepu Chirayil, Renjitha Bhaskaran

Keywords : Statistical analysis, Voice handicap index, Voice analysis

Citation Information : Menon UK, Venugopal S, Chirayil D, Bhaskaran R. Voice Handicap Index Severity Grading: Do We Need to Recalibrate it for the Indian Population?. Int J Phonosurg Laryngol 2018; 8 (2):71-73.

DOI: 10.5005/jp-journals-10023-1160

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The voice handicap index (VHI 30), used to assess patients’ perception of the severity of their voice disorder, is a standard evaluation parameter in dysphonia cases. The score has conventionally set cut-offs to grade the severity. The latter will be effective only if there are appropriate responses from the patient. If not, then there may be a need to re-set the cut-offs. Objective: The objective of this study is to compare and correlate laryngeal findings and voice analysis parameters with the VHI scores, to see if there is a need to recalibrate the normatives. Materials and methods: Document analysis of VHI forms of patients who have visited and undergone treatment at the voice clinic at Amrita Institute of Medical Sciences. The VHI scores were correlated with the laryngeal findings and voice analysis parameters. Results: As much as 64% of patients were in the normal and mild grades of the VHI score. No statistically significant correlation could be found between VHI scores and Jitter and Shimmer, by any of the attempted methods, although there was a clinical correlation in some cases. The validity of the present cut-offs of VHI severity could not be assessed. Conclusion: There is a need to look at VHI scoring patterns in other population groups in India, as also to consider better statistical methods to approach the problem.


PDF Share
  1. Jacobson BH, Johnson A, et al. The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 1997 Aug 1;6(3):66–70. DOI: 10.1044/1058-0360.0603.66.
  2. Joshi AA, Singh V, et al. A prospective study to evaluate the etiologies and parameters of voice assessment in patients of vocal cord paralysis. Otolaryngol Head Neck Surg 2017 Sep 22;3(4):962–967. DOI: 10.18203/issn.2454-5929.ijohns20174315.
  3. Hsiung MW, Pai L, et al. Correlation between voice handicap index and voice laboratory measurements in dysphonic patients. Eur Arch Otorhinolaryngol 2002 Feb 1;259(2):97–99. DOI: 10.1007/s004050100405.
  4. Woisard V, Bodin S, et al. The voice handicap index: correlation between subjective patient response and quantitative assessment of voice. J Voice 2007 Sep 1;21(5):623–631. DOI: 10.1016/j.jvoice.2006.04.005.
  5. Niebudek-Bogusz E, Woznicka E, et al. Correlation between acoustic parameters and Voice Handicap Index in dysphonic teachers. Folia Phoniatr Logop 2010;62(1–2):55–60. DOI: 10.1159/000239064.
  6. Rosen CA, Murry T. Voice handicap index in singers. J Voice 2000 Sep 1;14(3):370–377. DOI: 10.1016/S0892-1997(00)80082-X.
  7. Amir O, Ashkenazi O, et al. Applying the Voice Handicap Index (VHI) to dysphonic and nondysphonic Hebrew speakers. J Voice 2006 Jun 1;20(2):318–324. DOI: 10.1016/j.jvoice.2005.08.006.
  8. Karlsen T, Sandvik L, et al. Acoustic Voice Analysis and Maximum Phonation Time in Relation to Voice Handicap Index Score and Larynx Disease. J Voice 2018 Aug 6. DOI: 10.1016/j.jvoice.2018.07.002.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.