Evidence-based clinical voice assessment: A systematic review

Nelson Roy, Julie Barkmeier-Kraemer, Tanya Eadie, M. Preeti Sivasankar, Daryush Mehta, Diane Paul, Robert Hillman

Research output: Contribution to journalArticle

113 Scopus citations

Abstract

Purpose: To determine what research evidence exists to support the use of voice measures in the clinical assessment of patients with voice disorders. Method: The American Speech-Language-Hearing Association (ASHA) National Center for Evidence-Based Practice in Communication Disorders staff searched 29 databases for peer-reviewed English-language articles between January 1930 and April 2009 that included key words pertaining to objective and subjective voice measures, voice disorders, and diagnostic accuracy. The identified articles were systematically assessed by an ASHA-appointed committee employing a modification of the critical appraisal of diagnostic evidence rating system. Results: One hundred articles met the search criteria. The majority of studies investigated acoustic measures (60%) and focused on how well a test method identified the presence or absence of a voice disorder (78%). Only 17 of the 100 articles were judged to contain adequate evidence for the measures studied to be formally considered for inclusion in clinical voice assessment. Conclusion: Results provide evidence for selected acoustic, laryngeal imaging-based, auditory-perceptual, functional, and aerodynamic measures to be used as effective components in a clinical voice evaluation. However, there is clearly a pressing need for further high-quality research to produce sufficient evidence on which to recommend a comprehensive set of methods for a standard clinical voice evaluation.

Original languageEnglish (US)
Pages (from-to)212-226
Number of pages15
JournalAmerican Journal of Speech-Language Pathology
Volume22
Issue number2
DOIs
StatePublished - May 1 2013

Keywords

  • Assessment
  • Diagnostics
  • Technology
  • Voice disorders

ASJC Scopus subject areas

  • Speech and Hearing
  • Developmental and Educational Psychology
  • Linguistics and Language
  • Otorhinolaryngology

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    Roy, N., Barkmeier-Kraemer, J., Eadie, T., Sivasankar, M. P., Mehta, D., Paul, D., & Hillman, R. (2013). Evidence-based clinical voice assessment: A systematic review. American Journal of Speech-Language Pathology, 22(2), 212-226. https://doi.org/10.1044/1058-0360(2012/12-0014)