Role of Voice Therapy in Patients with Mutational Falsetto

JOURNAL TITLE: International Journal of Phonosurgery & Laryngology

Author
1. Alok Kumar Agrahari
2. Raj Kumar
ISSN
2230-7508
DOI
10.5005/jp-journals-10023-1098
Volume
5
Issue
1
Publishing Year
2015
Pages
3
Author Affiliations
    1. Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
    2. Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
    3. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibarielly, Lucknow, Uttar Pradesh, India
    4. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
    5. Vallabhbhai Patel Chest Institute, University of Delhi, Delhi
    6. Trauma Center, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
    7. National Center of Respiratory Allergy, Asthma, and Immunology, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
    8. All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
    9. Kanchi Kamakoti CHILDS Trust Hospital and CHILDS Trust Medical Research Foundation, Chennai, Tamil Nadu, India
    10. Max Superspecialty Hospital, Saket, New Delhi, India
    11. Asthma and Immunology (NCRAAI); Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
    12. Max Super Specialty Hospital, New Delhi, India
    1. Department of Otorhinolaryngology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Article keywords

    Abstract

    Background

    Mutational falsetto is the most common mutational voice disorder, found in all ages. Clinicians often miss this diagnosis due to unfamiliarity with the condition. The voice of a person with mutational falsetto is high pitched, weak, thin, breathy, hoarse and monopitched.

    Objective

    This study was carried out to evaluate the efficacy of voice therapy in persons with mutational falsetto.

    Methods

    Eleven male patients with ages between 18 and 26 years (mean age 22.18 years, SD 2.52) diagnosed with mutational falsetto underwent acoustical analysis using Praat Software, perceptual analysis using grade, roughness, breathiness, asthenia and strain (GRBAS) scale and psychosocial analysis using emotional component of voice handicap index (VHI). All the components were analyzed pre- and postvoice therapy.

    Results

    Improvement in acoustic analysis parameters was statistically significant with p-value less than 0.0001(pretherapy mean of fundamental frequency (F0) was 217.45 with SD 8.68, whereas post-therapy mean of F0 was 127.50 with SD 5.32). Significant improvement in perceptual analysis was seen post-therapy on GRBAS scale. Improvement in psychosocial aspect was also statistically significant with p-value less than 0.0001 (pre-therapy mean 26.18, SD 1.72 post-therapy mean 7, SD 1.15).

    Conclusion

    Voice therapy plays an important role in lowering F0 and alleviation mental agony of the patients with mutational falsetto.

    How to cite this article

    Varma A, Agrahari AK, Kumar R, Kumar V. Role of Voice Therapy in Patients with Mutational Falsetto. Int J Phonosurg Laryngol 2015;5(1):25-27

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