COVID-19; Consensus; Guidelines; Head–neck surgery; Laryngeal; Larynx; Otolaryngology; Pandemic; Rehabilitation; Swallowing; Voice; Otorhinolaryngology; General Medicine
Abstract :
[en] ("[en] OBJECTIVES: To establish a consensus protocol for telerehabilitation in speech therapy for voice disorders.
METHODS: The study was conducted according to a modified Delphi method. Twenty speech therapist or laryngologist experts of the French Society of Phoniatrics and Laryngology assessed 24 statements of voice telerehabilitation with a 10-point visual analog scale ranging from 1 (totally disagree) to 10 (totally agree). The statements were accepted if more than 80% of the experts rated the item with a score of ≥ 8/10. The statements with ≥ 8/10 score by 60-80% of experts were improved and resubmitted to voting until they were validated or rejected.
RESULTS: The French Society of Phoniatrics and Laryngology experts validated 10, 6, and 2 statements after the first, second and third voting round, respectively. Seven statements did not reach agreement threshold and were rejected. The validated statements included recommendations for setting (N = 4), medical/speech history (N = 2), subjective voice evaluations (N = 3), objective voice quality measurements (N = 3), and voice rehabilitation (N = 5). The experts agreed for a follow-up consisting of combined telerehabilitation and in-office rehabilitation. The final protocol may be applied in context of pandemic but could be assessed out of pandemic period for patients located in rural regions.
CONCLUSIONS: This Delphi study established the first telerehabilitation protocol of the French Society of Phoniatrics and Laryngology for patients with voice disorders. Future controlled studies are needed to assess its feasibility, reliability, and the patient perception about telerehabilitation versus in-office rehabilitation.","[en] ","")
Disciplines :
Otolaryngology
Author, co-author :
Baudouin, Robin ; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
Hans, Stephane; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France ; Phonetics and Phonology Lab, CNRS UMR7018, Univ. Sorbonne University, Paris, France
Circiu, Marta P; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
Crevier-Buchman, Lise; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France ; Phonetics and Phonology Lab, CNRS UMR7018, Univ. Sorbonne University, Paris, France
Morsomme, Dominique ; Université de Liège - ULiège > Unités de recherche interfacultaires > Research Unit for a life-Course perspective on Health and Education (RUCHE)
Finck, Camille ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Rodriguez, Alexandra; Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium
Louvet, Nina-Sophie; Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium
Allouche, Johan; Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium
Julien-Laferriere, Aude; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
Vialatte de Pemille, Gregoire; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
Bousard, Laura; Haute Ecole Condorcet, Saint-Ghislain, Belgium ; Voice and Deglutition Unit, Department of Otorhinolaryngology and Head and Neck Surgery, EpiCURA Hospital, Baudour, Belgium
de Mones, Erwan; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bordeaux, Bordeaux, France
Crestani, Sabine; Voice and Deglutition Unit, Department of Otorhinolaryngology and Head and Neck Surgery, Larrey Hospital, University Hospital of Toulouse, Toulouse, France
Giovanni, Antoine; Voice Unit, AP-HM, La Conception Hospital, Aix University, Marseille, France
Lechien, Jérôme R; Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France. Jerome.Lechien@umons.ac.be ; Phonetics and Phonology Lab, CNRS UMR7018, Univ. Sorbonne University, Paris, France. Jerome.Lechien@umons.ac.be ; Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium. Jerome.Lechien@umons.ac.be ; Department of Otolaryngology, Elsan Polyclinic of Poitiers, Poitiers, France. Jerome.Lechien@umons.ac.be ; Voice and Deglutition Unit, Department of Otorhinolaryngology and Head and Neck Surgery, EpiCURA Hospital, Baudour, Belgium. Jerome.Lechien@umons.ac.be
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