Unilateral vocal fold paralysis: A systematic review of speech-language pathology management

Journal article


Chloe, Walton, Conway, Erin, Blackshaw, Helen and Carding, Paul. (2017) Unilateral vocal fold paralysis: A systematic review of speech-language pathology management. Journal of Voice. 31(4), pp. 7 - 22. https://doi.org/10.1016/j.jvoice.2016.11.002
AuthorsChloe, Walton, Conway, Erin, Blackshaw, Helen and Carding, Paul
Abstract

Summary: Objectives. Dysphonia due to unilateral vocal fold paralysis (UVFP) can be characterized by hoarseness and weakness, resulting in a significant impact on patients’ activity and participation. Voice therapy provided by a speech-language pathologist is designed to maximize vocal function and improve quality of life. The purpose of this paper is to systematically review literature surrounding the effectiveness of speech-language pathology intervention for the management of UVFP in adults. Study Design. This is a systematic review. Methods. Electronic databases were searched using a range of key terms including dysphonia, vocal fold paralysis, and speech-language pathology. Eligible articles were extracted and reviewed by the authors for risk of bias, methodology, treatment efficacy, and clinical outcomes. Results. Of the 3311 articles identified, 12 met the inclusion criteria: seven case series and five comparative studies. All 12 studies subjectively reported positive effects following the implementation of voice therapy for UVFP; however, the heterogeneity of participant characteristics, voice therapy, and voice outcome resulted in a low level of evidence. Conclusions. There is presently a lack of methodological rigor and clinical efficacy in the speech-language pathology management of dysphonia arising from UVFP in adults. Reasons for this reduced efficacy can be attributed to the following: (1) no standardized speech-language pathology intervention; (2) no consistency of assessment battery; (3) the variable etiology and clinical presentation of UVFP; and (4) inconsistent timing, frequency, and intensity of treatment. Further research is required to develop the evidence for the management of UVFP incorporating controlled treatment protocols and more rigorous clinical methodology. Key Words: Unilateral vocal fold paralysis–Voice therapy–Speech pathology.

Year2017
JournalJournal of Voice
Journal citation31 (4), pp. 7 - 22
PublisherMosby Inc.
ISSN0892-1997
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jvoice.2016.11.002
Scopus EID2-s2.0-85008391894
Page range7 - 22
Research GroupSchool of Allied Health
Place of publicationUnited States
Permalink -

https://acuresearchbank.acu.edu.au/item/8783y/unilateral-vocal-fold-paralysis-a-systematic-review-of-speech-language-pathology-management

Restricted files

Publisher's version

  • 3
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Communication changes with laryngectomy and impact on quality of life: A review
Sharpe, Gabriella, Costa, Vera Camoes, Doubé, Wendy, Sita, Jodi, McCarthy, Christopher and Carding, Paul. (2019) Communication changes with laryngectomy and impact on quality of life: A review. Quality of Life Research. 28, pp. 863 - 877. https://doi.org/10.1007/s11136-018-2033-y
Voice outcome measures for adult patients with Unilateral Vocal Fold Paralysis: A Systematic Review
Walton, Chloe, Carding, Paul, Conway, Erin, Flanagan, Kieran and Blackshaw, Helen. (2019) Voice outcome measures for adult patients with Unilateral Vocal Fold Paralysis: A Systematic Review. The Laryngoscope. 129, pp. 187 - 197. https://doi.org/10.1002/lary.27434
Behavioural interventions to treat drooling in children with neurodisability: A systematic review
McInerney, Michelle, Reddihough, Dinah, Carding, Paul, Swanton, Ruth, Walton, Chloe and Imms, Christine. (2018) Behavioural interventions to treat drooling in children with neurodisability: A systematic review. Developmental Medicine and Child Neurology. 61(1), pp. 39 - 48. https://doi.org/10.1111/dmcn.14048
Speech-language pathologist interventions for communication in moderate–severe dementia: A systematic review
Swan, Katina, Hopper, Marie, Wenke, Rachel, Jackson, Claire, Till, Tracy and Conway, Erin. (2018) Speech-language pathologist interventions for communication in moderate–severe dementia: A systematic review. American Journal of Speech-Language Pathology. 27(2), pp. 836 - 852. https://doi.org/10.1044/2017_AJSLP-17-0043
A psychosocial intervention for the management of functional dysphonia: Complex intervention development and pilot randomised trial
Deary, Vincent, McColl, Elaine, Carding, Paul, Miller, Tracy and Wilson, Janet. (2018) A psychosocial intervention for the management of functional dysphonia: Complex intervention development and pilot randomised trial. Pilot and Feasibility Studies. 4(1), pp. 1 - 12. https://doi.org/10.1186/s40814-018-0240-5
Is it all bleak? A systematic review of factors contributing to relationship change in dementia
Conway, Erin, Watson, Brittany Elise, Tatangelo, Gemma and McCabe, Marita. (2018) Is it all bleak? A systematic review of factors contributing to relationship change in dementia. International Psychogeriatrics. 30(11), pp. 1619 - 1637. https://doi.org/10.1017/S1041610218000303
Perspectives on voice treatment for unilateral vocal fold paralysis
Walton, Chloe, Carding, Paul and Flanagan, Kieran. (2018) Perspectives on voice treatment for unilateral vocal fold paralysis. Current Opinion in Otolaryngology and Head and Neck Surgery. 26(3), pp. 157 - 161. https://doi.org/10.1097/MOO.0000000000000450
Toward the development of SMART communication technology: Automating the analysis of communicative trouble and repair in dementia
Whelan, Brooke-Mai, Angus, Daniel, Wiles, Janet, Chenery, Helen J., Conway, Erin R., Copland, David A., Atay, Christina and Angwin, Anthony J.. (2018) Toward the development of SMART communication technology: Automating the analysis of communicative trouble and repair in dementia. Innovation in Ageing. 2(3), pp. 1 - 15. https://doi.org/10.1093/geroni/igy034
Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders
Carding, Paul, Bos-Clark, M., Fu, S., Gillivan-Murphy, Patricia, Jones, S. M. and Walton, Chloe. (2017) Evaluating the efficacy of voice therapy for functional, organic and neurological voice disorders. Clinical Otolaryngology. 42(2), pp. 201 - 217. https://doi.org/10.1111/coa.12765
Vocal tract characteristics in Parkinson's disease
Gillivan-Murphy, Patricia, Carding, Paul Nicholas and Miller, Nick. (2016) Vocal tract characteristics in Parkinson's disease. Current Opinion in Otolaryngology and Head and Neck Surgery. https://doi.org/10.1097/MOO.0000000000000252
Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer
Carding, Paul Nicholas, Roe, Justin W., Drinnan, Michael J., Harrington, Kevin J. and Nutting, Christopher M.. (2016) Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer. Head and Neck. 38, pp. 1 - 9. https://doi.org/10.1002/hed.24255
Swallowing outcome measures in head and neck cancer - How do they compare?
Carding, Paul Nicholas, Pederson, A., Wilson, Janet, McColl, Elaine and Patterson, Jo M.. (2016) Swallowing outcome measures in head and neck cancer - How do they compare? Oral Oncology. 52, pp. 104 - 108. https://doi.org/10.1016/j.oraloncology.2015.10.015
TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial
Watson, Gillian, O'Hara, James, Carding, Paul Nicholas, Lecouturier, Jan, Stocken, Deborah, Fouweather, Tony and Wilson, Janet. (2016) TOPPITS: Trial Of Proton Pump Inhibitors in Throat Symptoms. Study protocol for a randomised controlled trial. Trials. https://doi.org/10.1186/s13063-016-1267-7
Contemporary management of voice and swallowing disorders in patients with advanced lung cancer
Carding, Paul, Brady, Grainne C., Bhosle, Jaishree and Roe, J. W.. (2015) Contemporary management of voice and swallowing disorders in patients with advanced lung cancer. Current Opinion in Otolaryngology and Head and Neck Surgery. 23(3), pp. 191 - 196. https://doi.org/10.1097/MOO.0000000000000155
An automated approach to examining conversational dynamics between people with dementia and their carers
Atay, Christina, Conway, Erin R., Angus, Daniel, Wiles, Janet, Baker, Rosemary and Chenery, Helen J.. (2015) An automated approach to examining conversational dynamics between people with dementia and their carers. PLoS ONE. 10(12), pp. 1 - 27. https://doi.org/10.1371/journal.pone.0144327
Head and neck cancer patients perceptions of swallowing following chemoradiotherapy
Patterson, Joanne M., McColl, Elaine, Wilson, Janet, Carding, Paul Nicholas and Rapley, Tim. (2015) Head and neck cancer patients perceptions of swallowing following chemoradiotherapy. Supportive Care in Cancer. 23(12), pp. 3531 - 3538. https://doi.org/10.1007/s00520-015-2715-8
Visualising conversations between care home staff and residents with dementia
Baker, Rosemary, Angus, Daniel, Conway, Erin Renee, Baker, Katharine S., Gallois, Cindy, Smith, Andrew, Wiles, Janet and Chenery, Helen J.. (2015) Visualising conversations between care home staff and residents with dementia. Ageing and Society. 35(2), pp. 270 - 297. https://doi.org/10.1017/S0144686X13000640
Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients
Powell, Jason, Carding, Paul Nicholas, Birdi, R. and Wilson, Janet. (2014) Injection laryngoplasty in the outpatient clinic under local anaesthetic: A case series of sixty-eight patients. Clinical Otolaryngology. 39(4), pp. 224 - 227. https://doi.org/10.1111/coa.12274
Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia?
Roe, Justin W. G., Drinnan, Michael J., Carding, Paul N., Harrington, Kevin J. and Nutting, Christopher M.. (2014) Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia? Oral Oncology. 50(12), pp. 1182 - 1187. https://doi.org/10.1016/j.oraloncology.2014.09.009
Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes
Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2014) Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. 36(3), pp. 352 - 358. https://doi.org/10.1002/hed.23306
Head and neck cancer and dysphagia : Caring for carers
Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013) Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226
Current issues in voice assessment and intervention in the United Kingdom
Carding, Paul. (2013) Current issues in voice assessment and intervention in the United Kingdom. In In E. M-L. Yiu (Ed.). International perspectives on voice disorders pp. 83 - 89 Multilingual Matters.
Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes
Patterson, J, McColl, E, Carding, Paul, Hildreth, A, Kelly, Charles and Wilson, Janet. (2013) Swallowing in the first year after chemoradiotherapy for head and neck cancer : Clinician-and patient-reported outcomes. Head and Neck: journal for the sciences and specialities of the head and neck. https://doi.org/10.1002/hed.23306
Head and neck cancer and dysphagia : Caring for carers
Patterson, J, Rapley, T, Carding, Paul, Wilson, Janet and McColl, E. (2013) Head and neck cancer and dysphagia : Caring for carers. Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. https://doi.org/10.1002/pon.3226
Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study
Paleri, V, Carding, Paul, Chatterjee, S, Kelly, Charles, Wilson, Janet, Welch, Andrew and Drinnan, M. (2012) Voice outcomes after concurrent chemoradiotherapy for advanced nonlaryngeal head and neck cancer : A prospective study. Head and Neck: journal for the sciences and specialities of the head and neck. 34(12), pp. 1747 - 1752. https://doi.org/10.1002/hed.22003
A new voice rating tool for clinical practice
Gould, James, Waugh, J, Carding, Paul and Drinnan, M. (2012) A new voice rating tool for clinical practice. Journal of Voice. 26(4), pp. 163 - 170. https://doi.org/10.1016/j.jvoice.2011.07.011
Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey
Roe, J, Carding, Paul, Rhys-Evans, P, Newbold, K, Harrington, K and Nutting, C. (2012) Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom : A web-based survey. Oral Oncology. 48(4), pp. 343 - 348. https://doi.org/10.1016/j.oraloncology.2011.11.003
What other journals tell us. Laryngeal transplantation: Working party final report, June 2011
Narula, Tony, Bradley, Patrick, Carding, Paul Nicholas, Hakim, Nadey, Rumsey, Nichola, Sokol, Daniel and Edwards, Simon. (2012) What other journals tell us. Laryngeal transplantation: Working party final report, June 2011. Clinical Otolaryngology. 37(1), pp. 53 - 55. https://doi.org/10.1111/j.1749-4486.2012.02439.x
Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives
Wilson, Janet, Carding, Paul and Patterson, J. (2011) Dysphagia after nonsurgical head and neck cancer treatment :Patients' perspectives. Otolaryngology. 145(5), pp. 767 - 771. https://doi.org/10.1177/0194599811414506
Effectiveness of voice therapy in functional dysphonia :Where are we now?
Bos-Clark, M and Carding, Paul. (2011) Effectiveness of voice therapy in functional dysphonia :Where are we now? Current Opinion in Otolaryngology and Head and Neck Surgery. 19(3), pp. 160 - 164. https://doi.org/10.1097/MOO.0b013e3283448f85
Relationship between fatigue, perfectionism, and functional dysphonia
O'Hara, J, Miller, T, Carding, Paul, Wilson, Janet and Deary, V. (2011) Relationship between fatigue, perfectionism, and functional dysphonia. Otolaryngology. 144(6), pp. 921 - 926. https://doi.org/10.1177/0194599811401236
The clinical application of the 100 mL water swallow test in head and neck cancer
Patterson, J, Hildreth, A, McColl, E, Carding, Paul, Hamilton, D and Wilson, Janet. (2011) The clinical application of the 100 mL water swallow test in head and neck cancer. Oral Oncology. 47(3), pp. 180 - 184. https://doi.org/10.1016/j.oraloncology.2010.11.020
Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task
Brockmann, M, Drinnan, M, Storck, C and Carding, Paul. (2011) Reliable jitter and shimmer measurements in voice clinics :The relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task. Journal of Voice. 25(1), pp. 44 - 53. https://doi.org/10.1016/j.jvoice.2009.07.002
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010) From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Memory and communication support in dementia: Research-based strategies for caregivers
Conway, Erin, Broughton, Megan, Baker, Rosemary, Pachana, Nancy A., Angwin, Anthony, Humphreys, Michael, Mitchell, Leander, Byrne, Gerard J.A., Copland, David, Gallois, Cindy, Hegney, Desley and Chenery, Helen. (2010) Memory and communication support in dementia: Research-based strategies for caregivers. International Psychogeriatrics. 23(2), pp. 256 - 263. https://doi.org/10.1017/S1041610210001845
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010) Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire
Deary, Ian, Wilson, Janet, Carding, Paul, MacKenzie, K and Watson, Roger. (2010) From dysphonia to dysphoria : Mokken scaling shows a strong, reliable hierarchy of voice symptoms in the Voice Symptom Scale questionnaire. Journal of Psychosomatic Research. 68(1), pp. 67 - 71. https://doi.org/10.1016/j.jpsychores.2009.06.008
Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review
Roe, J, Carding, Paul, Dwivedi, R, Kazi, R, Rhys-Evans, P, Harrington, K and Nutting, C. (2010) Swallowing outcomes following intensity Modulated Radiation Therapy (IMRT) for head & neck cancer : A systematic review. Oral Oncology. 46(10), pp. 727 - 733. https://doi.org/10.1016/j.oraloncology.2010.07.012
Hemispheric contributions to semantic activation: A divided visual field and event-related potential investigation of time-course
Conway, Erin, Chenery, Helen, Angwin, Anthony and Copland, David. (2009) Hemispheric contributions to semantic activation: A divided visual field and event-related potential investigation of time-course. Brain Research. 1284, pp. 125 - 144. https://doi.org/10.1016/j.brainres.2009.05.053
Swallowing performance in patients with head and neck cancer: A simple clinical test
Patterson, Joanne M., McColl, Elaine, Carding, Paul Nicholas, Kelly, Charles G. and Wilson, Janet A.. (2009) Swallowing performance in patients with head and neck cancer: A simple clinical test. Oral Oncology. 45(10), pp. 904 - 907. https://doi.org/10.1016/j.oraloncology.2009.03.012
The voice handicap index with post-laryngectomy male voices research report
Evans, Eryl, Carding, Paul Nicholas and Drinnan, Michael. (2009) The voice handicap index with post-laryngectomy male voices research report. International Journal of Language and Communication Disorders. 44(5), pp. 575 - 586. https://doi.org/10.1080/13682820902928729
Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia
Haselden, Karen, Powell, Theresa, Drinnan, Mike and Carding, Paul Nicholas. (2009) Comparing health locus of control in patients with" "spasmodic dysphonia, functional dysphonia and nonlaryngeal dystonia. Journal of Voice. 23(6), pp. 699 - 706. https://doi.org/10.1016/j.jvoice.2008.03.011
Measuring voice outcomes: State of the science review
Carding, Paul Nicholas, Wilson, Janet A., MacKenzie, K. and Deary, Ian J.. (2009) Measuring voice outcomes: State of the science review. Journal of Laryngology and Otology. 123(8), pp. 823 - 829. https://doi.org/10.1017/S0022215109005398
Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale
Hurren, A., Hildreth, A. J. and Carding, Paul Nicholas. (2009) Can we perceptually rate alaryngeal voice? Developing the Sunderland Tracheoesophageal Voice Perceptual Scale. Clinical Otolaryngology. 34(6), pp. 533 - 538. https://doi.org/10.1111/j.1749-4486.2009.02034.x
Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain
Thomas, Lois H., Jones, Tony M., Tandon, S., Carding, Paul Nicholas, Lowe, Derek G. and Rogers, Sarah. (2009) Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain. Clinical Otolaryngology. 34(1), pp. 34 - 42. https://doi.org/10.1111/j.1749-4486.2008.01830.x
The nature and severity of voice disorders in lung cancer patients
Lee, Clare F., Carding, Paul Nicholas and Fletcher, Mike. (2008) The nature and severity of voice disorders in lung cancer patients. Logopedics Phoniatrics Vocology. 33(2), pp. 93 - 103. https://doi.org/10.1080/14015430701745997
Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it
Karagama, Y., Hurren, A., Carding, Paul Nicholas and Lindsey, L.. (2008) Short-term voice quality results following percutaneous medialisation of the paralysed vocal cord under local anaesthesia using calcium hydroxyapatite gel: How we do it. Clinical Otolaryngology. 33(4), pp. 362 - 366. https://doi.org/10.1111/j.1749-4486.2008.01690.x
Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures
Steen, I. N., MacKenzie, K., Carding, Paul Nicholas, Webb, A., Deary, Ian J. and Wilson, Janet A.. (2008) Optimising outcome assessment of voice interventions, ii: Sensitivity to change of self-reported and observer-rated measures. Journal of Laryngology and Otology. 122(1), pp. 46 - 51. https://doi.org/10.1017/S0022215107007839
Voice change following thyroid and parathyroid surgery
Meek, Pauline, Carding, Paul Nicholas, Howard, D. H. and Lennard, T. W.J.. (2008) Voice change following thyroid and parathyroid surgery. Journal of Voice. 22(6), pp. 765 - 772. https://doi.org/10.1016/j.jvoice.2007.02.002
Voice loudness and gender effects on jitter and shimmer in healthy adults
Brockmann, Meike, Storck, Claudio, Carding, Paul Nicholas and Drinnan, Michael J.. (2008) Voice loudness and gender effects on jitter and shimmer in healthy adults. Journal of Speech, Language, and Hearing Research. 51(5), pp. 1152 - 1160. https://doi.org/10.1044/1092-4388(2008/06-0208)