Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life

Wendy Cohen, Susan Lloyd, David M Wynne, Richard B Townsley

Research output: Contribution to conferenceAbstract

Abstract

Voice evaluation includes laryngoscopy, perceptual judgement of voice quality, evaluation of respiratory function, acoustic analysis of the voice signal and patient reported subjective impact of voice on quality of life. This is recommended in adults (Dejonkere et al 2001) and children (Cohen et al 2012). Perceptual evaluation of voice often follows the CAPE-V (ASHA 2002) or GRBAS (Hirano 1981). Children requiring laryngotracheal reconstruction (LTR) surgery tend to have this procedure during infancy, where subglottic stenosis forms following intubation in medically fragile or premature infants. Clinicians require reliable measures, particularly where there is a degree of subjectivity. Aspects of the CAPE-V show a high degree of reliability in rating of severity, pitch, breathiness and roughness (Krival et al 2007, Kelchner et al 2008). UK clinicians favour the GRBAS though there is little published information about reliability in a paediatric population. Comparison of clinician perceptual evaluation with patient report shows weak agreement in adults (Karnell et al 2006) reinforcing the need for both measurements. The extent to which the same is the case in children needs further exploration.

Conference

ConferenceRoyal College of Speech and Language Therapists Conference 2017
Abbreviated titleRCSLT 2017
CountryUnited Kingdom
CityGlasgow
Period27/09/1728/09/17
Internet address

Fingerprint

Voice Quality
Quality of Life
Laryngoscopy
Acoustics
Intubation
Premature Infants
Pathologic Constriction
Pediatrics
Population

Keywords

  • voice-quality
  • paediatric ENT
  • SLT
  • speech and language therapy

Cite this

Cohen, W., Lloyd, S., Wynne, D. M., & Townsley, R. B. (2017). Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life. Abstract from Royal College of Speech and Language Therapists Conference 2017, Glasgow, United Kingdom.
Cohen, Wendy ; Lloyd, Susan ; Wynne, David M ; Townsley, Richard B. / Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life. Abstract from Royal College of Speech and Language Therapists Conference 2017, Glasgow, United Kingdom.
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Cohen, W, Lloyd, S, Wynne, DM & Townsley, RB 2017, 'Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life' Royal College of Speech and Language Therapists Conference 2017, Glasgow, United Kingdom, 27/09/17 - 28/09/17, .

Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life. / Cohen, Wendy; Lloyd, Susan; Wynne, David M; Townsley, Richard B.

2017. Abstract from Royal College of Speech and Language Therapists Conference 2017, Glasgow, United Kingdom.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life

AU - Cohen, Wendy

AU - Lloyd, Susan

AU - Wynne, David M

AU - Townsley, Richard B

PY - 2017/9/27

Y1 - 2017/9/27

N2 - Voice evaluation includes laryngoscopy, perceptual judgement of voice quality, evaluation of respiratory function, acoustic analysis of the voice signal and patient reported subjective impact of voice on quality of life. This is recommended in adults (Dejonkere et al 2001) and children (Cohen et al 2012). Perceptual evaluation of voice often follows the CAPE-V (ASHA 2002) or GRBAS (Hirano 1981). Children requiring laryngotracheal reconstruction (LTR) surgery tend to have this procedure during infancy, where subglottic stenosis forms following intubation in medically fragile or premature infants. Clinicians require reliable measures, particularly where there is a degree of subjectivity. Aspects of the CAPE-V show a high degree of reliability in rating of severity, pitch, breathiness and roughness (Krival et al 2007, Kelchner et al 2008). UK clinicians favour the GRBAS though there is little published information about reliability in a paediatric population. Comparison of clinician perceptual evaluation with patient report shows weak agreement in adults (Karnell et al 2006) reinforcing the need for both measurements. The extent to which the same is the case in children needs further exploration.

AB - Voice evaluation includes laryngoscopy, perceptual judgement of voice quality, evaluation of respiratory function, acoustic analysis of the voice signal and patient reported subjective impact of voice on quality of life. This is recommended in adults (Dejonkere et al 2001) and children (Cohen et al 2012). Perceptual evaluation of voice often follows the CAPE-V (ASHA 2002) or GRBAS (Hirano 1981). Children requiring laryngotracheal reconstruction (LTR) surgery tend to have this procedure during infancy, where subglottic stenosis forms following intubation in medically fragile or premature infants. Clinicians require reliable measures, particularly where there is a degree of subjectivity. Aspects of the CAPE-V show a high degree of reliability in rating of severity, pitch, breathiness and roughness (Krival et al 2007, Kelchner et al 2008). UK clinicians favour the GRBAS though there is little published information about reliability in a paediatric population. Comparison of clinician perceptual evaluation with patient report shows weak agreement in adults (Karnell et al 2006) reinforcing the need for both measurements. The extent to which the same is the case in children needs further exploration.

KW - voice-quality

KW - paediatric ENT

KW - SLT

KW - speech and language therapy

M3 - Abstract

ER -

Cohen W, Lloyd S, Wynne DM, Townsley RB. Reliability of GRBAS evaluation of voice quality in children who have a history of airway reconstruction surgery and how this compares to parental report of voice-related quality of life. 2017. Abstract from Royal College of Speech and Language Therapists Conference 2017, Glasgow, United Kingdom.