comd 472 PPT 4 Assessment of Voice Pt.1

Voice Assessment

• Critical clinical questions to answer;

• Parts of an assessment

• Case history/interview: types of questions/rationale for asking

  • Components of voice evaluation

Medical history

• Current medical conditions or diseases 

• Physical disabilities 

• Any prior surgeries

• Allergies

• Current medications, supplements, herbs, etc

Vocal history 

• Prior voice problems or voice therapy

• Prior vocal training for speech or singing

• Current daily vocal demands

• Onset and duration of vocal problem

• Sensory symptoms 

• Changes in voice 

• Coping strategies 

• Vocal hygiene 

• Laryngeal pain 

Voice Surveys - Non-Instrumental Assessment - Behavioral Assessment 

• Recording 

• Emotional behavior

• Observation of other systems 

Voice Surveys - Non-Instrumental Assessment - Perceptual Evaluation - Areas to Address

• Quality, pitch, loudness, register, resonance, and miscellaneous 

• Methods of assessment 

• Factors affecting methods used

Voice Surveys - Non-Instrumental Assessment - Perceptual Evaluation - Types of Tasks

• Automatic speech 

• Spontaneous speech

• Reading sample

Types of Rating Skills - GRBAS SCALE 

Assesses the voice quality and severity of dysphonia 

• 0-1-2-3 rating 

Types of Rating Skills - GRBAS SCALE - Components

• Grade 

• Roughness 

• Breathiness

• Asthenia 

• Strain

Types of Rating Skills - CAPE-V SCALE 

• Assesses the auditory-perceptual severity and the quality of voice disorders (dysphonia)

  • Rating along a line 

    • Mildly Deviant 

    • Moderately Deviant

    • Severely Deviant 

Types of Rating Skills - CAPE-V SCALE - Components

• Overall severity 

• Roughness 

• Strain 

• Pitch 

• Loudness 

Types of Rating Skills - CAPE-V SCALE - Presence of Attributes

• Consistent

• Inconsistent 

Subjective Voice Surveys

• Subjective written description of the vocal quality

• Subjective rating of overall severity