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Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2.
J Voice. 2017 Jul; 31(4):518.e1-518.e5.JV

Abstract

OBJECTIVES

Paradoxical vocal fold motion (PVFM) consists of intermittent adduction of the vocal folds during inspiration, resulting in stridor and worsened by anxiety and stress. The purpose of this study was to assess the impact of PVFM on quality of life in our pediatric patient population.

STUDY DESIGN

This is a prospective, descriptive survey study.

METHODS

Thirty-nine consecutive patients (ages 12-17 years) presenting with a PVFM diagnosis for respiratory retraining sessions with speech-language pathology were recruited. Patients completed a brief demographic questionnaire and the Short Form 36, version 2, a validated tool for measuring health-related quality of life.

RESULTS

There were 31 (79%) girls and 8 (21%) boys with a mean age of 15.5 years. Subjects reported regular participation in competitive extracurricular activities, including track or cross country (30.8%), swimming (17.9%), and cheerleading or dancing (15.4%). Of the patients in the study, 46.2% were straight-A students. On the SF-36 (population averages normalized to a score of 50), the general health of patients with PVFM was better than that of the general population (53.27); however, their physical health limited their role activities more severely (42.82). In addition, a greater proportion of the group with PVFM was at risk for first-stage depression screening when compared with the general population (28% versus 18%).

CONCLUSIONS

We demonstrate a measurable detrimental impact of PVFM on health-related quality of life. This is consistent with previously published literature showing a preponderance of females with PVFM, most of whom are high achievers academically and athletically.

Authors+Show Affiliations

Baylor College of Medicine, Houston, Texas.Division of Laryngeal Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.Division of Speech Pathology, Texas Children's Hospital, Houston, Texas.Division of Speech Pathology, Texas Children's Hospital, Houston, Texas.Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas. Electronic address: julinao@bcm.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28148461

Citation

Liao, Kershena S., et al. "Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2." Journal of Voice : Official Journal of the Voice Foundation, vol. 31, no. 4, 2017, pp. 518.e1-518.e5.
Liao KS, Kwak PE, Hewitt H, et al. Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2. J Voice. 2017;31(4):518.e1-518.e5.
Liao, K. S., Kwak, P. E., Hewitt, H., Hollas, S., & Ongkasuwan, J. (2017). Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2. Journal of Voice : Official Journal of the Voice Foundation, 31(4), e1-e5. https://doi.org/10.1016/j.jvoice.2016.12.020
Liao KS, et al. Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2. J Voice. 2017;31(4):518.e1-518.e5. PubMed PMID: 28148461.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Measuring Quality of Life in Pediatric Paradoxical Vocal Fold Motion Using the SF-36v2. AU - Liao,Kershena S, AU - Kwak,Paul E, AU - Hewitt,Hazel, AU - Hollas,Sarah, AU - Ongkasuwan,Julina, Y1 - 2017/01/30/ PY - 2016/08/19/received PY - 2016/12/29/revised PY - 2016/12/29/accepted PY - 2017/2/6/pubmed PY - 2018/4/24/medline PY - 2017/2/3/entrez KW - Adolescent health KW - Health surveys KW - Paradoxical vocal fold (SF-36) motion KW - Pediatric airway KW - Quality of life SP - 518.e1 EP - 518.e5 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 31 IS - 4 N2 - OBJECTIVES: Paradoxical vocal fold motion (PVFM) consists of intermittent adduction of the vocal folds during inspiration, resulting in stridor and worsened by anxiety and stress. The purpose of this study was to assess the impact of PVFM on quality of life in our pediatric patient population. STUDY DESIGN: This is a prospective, descriptive survey study. METHODS: Thirty-nine consecutive patients (ages 12-17 years) presenting with a PVFM diagnosis for respiratory retraining sessions with speech-language pathology were recruited. Patients completed a brief demographic questionnaire and the Short Form 36, version 2, a validated tool for measuring health-related quality of life. RESULTS: There were 31 (79%) girls and 8 (21%) boys with a mean age of 15.5 years. Subjects reported regular participation in competitive extracurricular activities, including track or cross country (30.8%), swimming (17.9%), and cheerleading or dancing (15.4%). Of the patients in the study, 46.2% were straight-A students. On the SF-36 (population averages normalized to a score of 50), the general health of patients with PVFM was better than that of the general population (53.27); however, their physical health limited their role activities more severely (42.82). In addition, a greater proportion of the group with PVFM was at risk for first-stage depression screening when compared with the general population (28% versus 18%). CONCLUSIONS: We demonstrate a measurable detrimental impact of PVFM on health-related quality of life. This is consistent with previously published literature showing a preponderance of females with PVFM, most of whom are high achievers academically and athletically. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/28148461/Measuring_Quality_of_Life_in_Pediatric_Paradoxical_Vocal_Fold_Motion_Using_the_SF_36v2_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(16)30326-5 DB - PRIME DP - Unbound Medicine ER -