Behavioural rehabilitation of radiation induced unilateral vocal fold palsy after breast cancer treatment using the Lee Silverman Voice Treatment Program: a case study

Gilbert, Jocelyn, Gadsby, Nicole and Ward, Elizabeth C. (2012) Behavioural rehabilitation of radiation induced unilateral vocal fold palsy after breast cancer treatment using the Lee Silverman Voice Treatment Program: a case study. Journal of Medical Speech Language Pathology, 20 2: 1-9.

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Author Gilbert, Jocelyn
Gadsby, Nicole
Ward, Elizabeth C.
Title Behavioural rehabilitation of radiation induced unilateral vocal fold palsy after breast cancer treatment using the Lee Silverman Voice Treatment Program: a case study
Journal name Journal of Medical Speech Language Pathology   Check publisher's open access policy
ISSN 1065-1438
Publication date 2012-12-03
Sub-type Article (original research)
Open Access Status
Volume 20
Issue 2
Start page 1
End page 9
Total pages 9
Place of publication Florence, KY, United States
Publisher Delmar Cengage Learning
Collection year 2013
Language eng
Abstract Vocal fold paralysis is a rare but functionally limiting side effect of radiation treatment for breast cancer. The current case study documents the management of a 79-year-old woman who presented with vocal fold palsy after radiation treatment for breast cancer more than 10 years previously. Treatment before the current case report involved a failed attempt of surgical intervention which was followed by a period of traditional behavioral voice therapy that had no discernable impact on either vocal fold function or voice quality. The Lee Silverman Voice Treatment (LSVT) was subsequently conducted to determine if intensive behavioral voice treatment could achieve a behavioral change. Endoscopic evaluation of laryngeal function as well as acoustic and perceptual voice assessments were conducted before, after, and at 6 months after the LSVT. After treatment, there was increased compensatory movement of the unaffected vocal fold, improving approximation to the paralyzed vocal fold. Acoustic and perceptual assessments also revealed small but clinically significant increases in perceptual voice quality, vocal loudness, and overall intelligibility. Despite the chronic nature of the vocal fold paralysis in this case, the case study demonstrates that intensive voice treatment using the LSVT helped to achieve a small but positive impact on both vocal fold function and voice quality.
Keyword Breast cancer
Unilateral vocal fold palsy
Behavioral voice therapy
Lee Silverman Voice Treatment (LSVT)
Voice Handicap Index (VHI)
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Wed, 06 Mar 2013, 16:11:12 EST by Professor Elizabeth Ward on behalf of School of Health & Rehabilitation Sciences