Voice Handicap Index 日本語版による音声障害の自覚度評価 Japanese Version of Voice Handicap Index (VHI) for Subjective Evaluation of Voice Disorders




    • 田口 亜紀 TAGUCHI Aki
    • 愛媛大学医学部耳鼻咽喉科学教室 Department of Otolaryngology, Ehime University School of Medicine
    • 三瀬 和代 MISE Kazuyo
    • 愛媛大学医学部耳鼻咽喉科学教室 Department of Otolaryngology, Ehime University School of Medicine
    • 城本 修 SHIROMOTO Osamu
    • 広島県立保健福祉大学コミュニケーション障害学科 Department of Communication Sciences and Disorders, Faculty of Health Sciences, Hiroshima Prefectural College of Health Sciences


近年, 音声障害の自覚的評価方法として, アメリカで提唱されたVoice Handicap Index (VHI) が注目されている.われわれは, VHIの日本語版を作成して音声障害患者に対して使用し, その有用性について検討を行った.対象とした音声障害症例は163例で男性79例, 女性84例であった.VHIスコアの平均は男性34.5, 女性41.6で女性のほうが高い傾向を示した.男性では40歳代以下のスコアが50歳代, 60歳代のスコアより低い傾向を示したが, 女性では年齢による差があまりなかった.疾患別では機能性発声障害, 反回神経麻痺, 声帯萎縮・声帯溝症の症例でスコアが高い傾向を示した.大部分の疾患では, 機能的側面および身体的側面のスコアが感情的側面のスコアより高かった.音声障害の治療後には, 多くの例でスコアが減少し, VHIは患者自身の音声障害に対する自覚度の把握, 適切な治療法の選択, および治療効果の評価を行ううえで有用と考えられた.

Recently, the Voice Handicap Index (VHI) developed in the US is garnering attention as a means to assess a patient's perception of the severity of his or her voice disorder. VHI consists of a self-administered questionnaire that quantifies the degree of a patient's handicap related to voice disorders. We have translated it into Japanese and applied our version to Japanese patients with various kinds of disordered voice or dysphonia. The results were analyzed and the usefulness of our VHI was discussed. In our study, 163 patients (79 males and 84 females) were included. Mean VHI scores were 34.5/120 in males and 41.6/120 in females. In the male patients, VHI scores of those younger than 50 years old were lower than those of patients in their 50's and 60's. On the other hand, VHI scores were invariable chronologically in the female patients. Patients with functional dysphonia, vocal fold paralysis, vocal fold atrophy, or sulcus vocalis showed relatively high VHI scores. In the majority of diseases, functional and physiological scores were higher than emotional scores. In the tested patients, especially those with recurrent laryngeal nerve paralysis, vocal polyp or polypoid vocal fold, VHI scores decreased following therapeutic intervention. These findings suggest that VHI is a useful tool to monitor a patient's psychological status, to choose appropriate methods of treatment, and to assess the therapeutic outcome.


  • 音声言語医学 = The Japan Journal of Logopedics and Phoniatrics

    音声言語医学 = The Japan Journal of Logopedics and Phoniatrics 47(4), 372-378, 2006-10-20

    The Japan Society of Logopedics and Phoniatrics

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