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      Voice Handicap Index Results for Older Patients with Adductor Spasmodic Dysphonia

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          Abstract

          Adductor spasmodic dysphonia (ADSD) adversely affects a speaker's ability to effectively communicate. For many individuals suffering with ADSD, botulinum toxin (Botox) is the chosen treatment to remediate the symptoms. Although Botox's effects on symptom remediation have been examined before, patient perception of improvement post-Botox has been examined less frequently. Further, no studies have addressed the symptomatic changes in older adults that occur after Botox treatment. The Voice Handicap Index (VHI) was used as the instrument to assess older patient's (>65 years) perception of how ADSD impacts certain areas of their life pre- and post-Botox injection. The outcome of the VHI was related to a clinical judgment of voice severity. Participants also completed the Social Readjustment Rating Scale (SRRS) to examine overall stress level, and the outcome of the SRRS was correlated to postinjection VHI scores. Results indicated no significant correlation between VHI scores and voice severity or SRRS ratings. The current study suggests further study of voice outcomes with older adults with ADSD is needed.

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          Author and article information

          Journal
          Journal of Voice
          Journal of Voice
          Elsevier BV
          08921997
          March 2005
          March 2005
          : 19
          : 1
          : 124-131
          Article
          10.1016/j.jvoice.2004.03.006
          15766857
          ec04813c-f54d-4981-a723-7b7acced9841
          © 2005

          https://www.elsevier.com/tdm/userlicense/1.0/


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