Characterizing the Impact of Presbyphonia on Social Interaction

Speech therapy program guided by a speech language pathologist. This program includes in person or virtual visits and at home exercises.

A questionnaire measuring levels of loneliness.

A questionnaire that asks about social network size and the frequency of social activities attended.

A questionnaire measuring levels of depression.

A questionnaire of patient-reported voice outcome measures designed to capture the quality of life impact of dysphonia in older adults.

A questionnaire that measures frailty levels.

A picture based questionnaire scale that asks the subject to rate their perceived effort when using their voice.

A screening tool used to test for cognitive impairment.

A questionnaire used to measure quality of life impact of dysphonia.

A 4 question survey that captures impact of voice on four domains - work/daily activities, social life, home, and overall quality of life.

A 10 question survey asking to rate severity of cough.

Nose is anesthetized and a flexible endoscope is passed to visualize the larynx at rest and during sustained vowel production (/i/) for 3-5 seconds. This will be used to measure bowing index and normalized glottal gap of the vocal folds.

Participants will complete voice recording tasks including sustained vowel production, six standard sentences, and 20 seconds of natural conversational speech. This will be used to measure CAPE-V rating, Cepstral peak prominence, fundamental frequency, signal-to-noise ratio, voice type components, mean flow rate, subglottal pressure, and vocal efficiency.