Normative values for singing voice handicap index – systematic review and meta-analysis

Sobol, Maria; Sielska-Badurek, Ewelina M.; Osuch-Wójcikiewicz, Ewa

doi:10.1016/j.bjorl.2018.12.004

Maria Sobol ^** Corresponding author. maria.sobol@wum.edu.pl

Medical University of Warsaw, Department of Biophysics and Human Physiology, Warsaw, Poland

https://orcid.org/0000-0002-5105-0687

Ewelina M. Sielska-Badurek

Medical University of Warsaw, Department of Otolaryngology, Warsaw, Poland

Ewa Osuch-Wójcikiewicz

Medical University of Warsaw, Department of Otolaryngology, Warsaw, Poland

* Corresponding author. maria.sobol@wum.edu.pl

Conflicts of interest

The authors declare no conflicts of interest.

(1) It takes a lot of effort to sing.	Never	Almost never	Sometimes	Almost always	Always
(2) My voice cracks and breaks	Never	Almost never	Sometimes	Almost always	Always
(3) I am frustrated by my singing.	Never	Almost never	Sometimes	Almost always	Always
(4) People ask "What is wrong with your voice?"	Never	Almost never	Sometimes	Almost always	Always
(5) My ability to sing varies day to day	Never	Almost never	Sometimes	Almost always	Always
(6) My voice "gives out" on me while I am singing.	Never	Almost never	Sometimes	Almost always	Always
(7) My singing voice upsets me.	Never	Almost never	Sometimes	Almost always	Always
(8) My singing problems make me not want to sing/perform.	Never	Almost never	Sometimes	Almost always	Always
(9) I am embarrassed by my singing.	Never	Almost never	Sometimes	Almost always	Always
(10) I am unable to use my "high voice."	Never	Almost never	Sometimes	Almost always	Always
(11) I get nervous before I sing because of my singing problems.	Never	Almost never	Sometimes	Almost always	Always
(12) My speaking voice is not normal.	Never	Almost never	Sometimes	Almost always	Always
(13) My throat is dry when I sing.	Never	Almost never	Sometimes	Almost always	Always
(14) I've had to eliminate certain songs from my singing/performances.	Never	Almost never	Sometimes	Almost always	Always
(15) I have no confidence in my singing voice.	Never	Almost never	Sometimes	Almost always	Always
(16) My singing voice is never normal.	Never	Almost never	Sometimes	Almost always	Always
(17) I have trouble making my voice do what I want it to.	Never	Almost never	Sometimes	Almost always	Always
(18) I have to "push it" to produce my voice when singing.	Never	Almost never	Sometimes	Almost always	Always
(19) I have trouble controlling the breathiness in my voice.	Never	Almost never	Sometimes	Almost always	Always
(20) I have trouble controlling the raspiness in my voice.	Never	Almost never	Sometimes	Almost always	Always
(21) I have trouble singing loudly.	Never	Almost never	Sometimes	Almost always	Always
(22) I have difficulty staying on pitch when I sing.	Never	Almost never	Sometimes	Almost always	Always
(23) I feel anxious about my singing.	Never	Almost never	Sometimes	Almost always	Always
(24) My singing sounds forced.	Never	Almost never	Sometimes	Almost always	Always
(25) My speaking voice is hoarse after I sing.	Never	Almost never	Sometimes	Almost always	Always
(26) My voice quality is inconsistent.	Never	Almost never	Sometimes	Almost always	Always
(27) My singing voice makes it difficult for the audience to hear me	Never	Almost never	Sometimes	Almost always	Always
(28) My singing makes me feel handicapped.	Never	Almost never	Sometimes	Almost always	Always
(29) My singing voice tires easily.	Never	Almost never	Sometimes	Almost always	Always
(30) I feel pain, tickling, or choking when I sing.	Never	Almost never	Sometimes	Almost always	Always
(31) I am unsure of what will come out when I sing.	Never	Almost never	Sometimes	Almost always	Always
(32) I feel something is missing in my life because of my inability to sing.	Never	Almost never	Sometimes	Almost always	Always
(33) I am worried my singing problems will cause me to lose money.	Never	Almost never	Sometimes	Almost always	Always
(34) I feel left out of the music scene because of my voice.	Never	Almost never	Sometimes	Almost always	Always
(35) My singing makes me feel incompetent.	Never	Almost never	Sometimes	Almost always	Always
(36) I have to cancel performances, singing engagements, rehearsals, or practices because of my singing.	Never	Almost never	Sometimes	Almost always	Always

Study	SVHI control group mean (SD)	Numbers of subject
Lorenz et al.¹²12 Lorenz A, Kieber B, Butner M, Fuchs M, Murbe D, Richter B, et al. Validierung des singing voice handicap index in der deuchenFassung. HNO. 2013;61:699-706.	15.0 (12.7)	130
Garcia-Lopez et al.¹³13 Garcia-Lopez I, Nunez-Batalla F, Gavilian Bouzas J, Gorriz-Gil C. Validation of the Spanish version of the voice handicap index for vocal singing (SVHI). Acta Onorrinolaringal Esp. 2010;61:247-254.	28.43 (18.58)	81
Baracca et al.¹⁴14 Baracca G, Cantarella G, Forti S, Pignataro L, Fussi F. Validation of the Italian version of the singing voice handicap index. Eur Arch Otorhinolaryngol. 2014;271:817-823.	29.26 (25.72)	117
Gunjawate et al.¹⁵15 Gunjawate R, Aithal VU, Guddattu V, Bellur R. Adaptation and validation of the Kannada version of the singing voice handicap index. J Voice. 2017;31:507.e7-507.e11.	19.81 (10.74)	84
Lee et al.¹⁶16 Sim HS. The Korean version of the singing voice handicap index. Commun Sci Dis. 2013;18:194-202.	19.84 (12.84)	90
Castelblanco et al.¹⁷17 Castelblanco L, Habib M, Stein DJ, de Quadros A, Cohen SM, Noordzij JP. Singing voice handicap and videostrobolaryngoscopy in healthy professional singers. J Voice. 2014;28:608-613.	22.4 (16.33)	47
Sielska-Badurek et al.¹⁸18 Sielska-Badurek EM, Sobol M, Cioch A, Osuch-Wójcikiewicz E, Rzepakowska AM, Niemczyk K. Adaptation and validation of the Singing Voice Handicap Index into Polish. Clin Otolaryngol. 2017;42:994-999.	19.4 (11.2)	57
Denizoğlu et al.¹⁹19 Denizoğlu İİ, Şahin M, Kazancıoğlu A, Dağdelen Z, Akdeniz S, Oğuz H, et al. Validation and reliability of Turkish Singing Voice Handicap Index. Kulak Burun Bogaz Ihtis Derg. 2016;26:1-6.	21.8 (18.5)	123

[1] * Corresponding author. maria.sobol@wum.edu.pl

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Abstract

Introduction

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Conclusion