Voice rehabilitation for laryngeal cancer patients: Functional outcomes and patient perceptions

Bergstrom, Liza, Ward, Elizabeth C. and Finizia, Caterina (2016) Voice rehabilitation for laryngeal cancer patients: Functional outcomes and patient perceptions. Laryngoscope, 126 9: 2029-2035. doi:10.1002/lary.25919


Author Bergstrom, Liza
Ward, Elizabeth C.
Finizia, Caterina
Title Voice rehabilitation for laryngeal cancer patients: Functional outcomes and patient perceptions
Journal name Laryngoscope   Check publisher's open access policy
ISSN 1531-4995
0023-852X
Publication date 2016-03-24
Year available 2016
Sub-type Article (original research)
DOI 10.1002/lary.25919
Open Access Status Not Open Access
Volume 126
Issue 9
Start page 2029
End page 2035
Total pages 7
Place of publication Hoboken, United States
Publisher John Wiley & Sons
Collection year 2017
Language eng
Formatted abstract
Objectives/Hypothesis
Laryngeal cancer and its treatment, despite management with organ-preservation treatments, is known to negatively affect voice and functional outcomes. The aim of this study was to determine whether functional outcomes and patient perceptions were improved by combining organ preservation with post treatment function rehabilitation.

Study Design

Randomized controlled trial.

Method
Sixty-one patients with carcinoma in situ (Tis) to T4 size laryngeal cancers treated with radiotherapy were prospectively recruited. Thirty patients were randomized into the voice rehabilitation (VR) group and 31 received no VR (control group). The VR group underwent 10 speech pathology sessions postradiotherapy. Voice function was evaluated pre-VR and at 6 and 12 months follow-up using the auditory-perceptual Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale and patient perception measures.

Results
The control group demonstrated significant deterioration in vocal roughness (P = 0.02) between 6 to 12 months, whilst the VR group did not, resulting in a significant difference (P < 0.01) between the two groups at 12 months. A between-group significant difference (P = 0.02) was also observed for breathiness at 12 months. Patient perceptions of improved vocal quality, acceptability, hoarseness, vocal fatigue, and ashamed (of voice) pre- to post-VR improved significantly (P < 0.02) in the VR group, although significant difference (P = 0.03) between groups was observed post-VR for hoarseness only.

Conclusion
For this study group representing Tis to T4-size laryngeal cancers, patients receiving voice rehabilitation post radiotherapy demonstrated no functional decline in vocal roughness and perceived their voice to improve to a greater extent post-VR than the control group.
Keyword Radiotherapy
Randomized control trial
Speech-language pathology
Voice therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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