Academic Journal
Rearranging Voice Disorders: Refining the New Two-Dimensional Continuous Model.
| Τίτλος: | Rearranging Voice Disorders: Refining the New Two-Dimensional Continuous Model. |
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| Συγγραφείς: | Amir O; Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: oferamir@tauex.tau.ac.il., Blais R; Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel., Roziner I; Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. |
| Πηγή: | Journal of voice : official journal of the Voice Foundation [J Voice] 2026 Sep; Vol. 40 (5), pp. 1423-1430. Date of Electronic Publication: 2024 May 03. |
| Τύπος έκδοσης: | Journal Article; Validation Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Mosby Country of Publication: United States NLM ID: 8712262 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4588 (Electronic) Linking ISSN: 08921997 NLM ISO Abbreviation: J Voice Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : St. Louis, MO : Mosby Original Publication: [New York, N.Y.] : Raven Press, 1987- |
| Ιατρικοί όροι (MeSH): | Voice Disorders*/physiopathology , Voice Disorders*/diagnosis , Voice Disorders*/classification , Voice Quality* , Terminology as Topic*, Humans ; Reproducibility of Results ; Predictive Value of Tests ; Observer Variation ; Consensus |
| Περίληψη: | Background: Voice and laryngeal pathologies are traditionally arranged in categories. A recent study has suggested an alternative approach, using two continuous scales, Organicity and Tonicity, which form a two-dimensional plane on which all pathologies/conditions can be arranged. Objectives: This study was designed to examine the validity and reliability of the new continuous 2D model and to learn how it is affected by experts' background characteristics. Methods: Ninety-three international experts from 16 countries participated in the study and rated a comprehensive list of 35 laryngeal and voice pathologies/conditions on two continuous scales. On the Organicity scale, 0 represented "nonorganic," and 10 defined "organic." Similarly, on the Tonicity scale, 0 described "hypotonic" and 10 represented "hypertonic." Results: Cronbach's alphas were high for Organicity and Tonicity (0.99), with varied interexpert agreement scores. Pathologies/conditions populated all four quadrants of the constructed two-dimensional plane, with a majority of 21 of the 35 located in the first quadrant (high-Tonicity, high-Organicity). Results showed strong replicability when compared to the preliminary study. In addition, ratings on the two scales were found consistent and statistically unaffected by the experts' background characteristics. Conclusions: The new two-dimensional model is valid and reliable, and it provides a simple yet comprehensive approach for arranging voice disorders using a continuous perspective rather than a categorical one. Furthermore, the new model offers a framework that facilitates examination of the differences in how professional experts view different laryngeal pathologies and conditions. (Copyright © 2024 The Voice Foundation. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of Competing Interest None. |
| Contributed Indexing: | Keywords: Categories; Continuous scales; Laryngeal disorders; Pathology; Voice disorders |
| Entry Date(s): | Date Created: 20240504 Date Completed: 20260907 Latest Revision: 20260907 |
| Update Code: | 20260908 |
| DOI: | 10.1016/j.jvoice.2024.04.011 |
| PMID: | 38704278 |
| Βάση Δεδομένων: | MEDLINE |
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