A5040845650- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Phonetics and Phonology Research
- Head and Neck Cancer Studies
- Stuttering Research and Treatment
- Respiratory and Cough-Related Research
- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Speech Recognition and Synthesis
- Cerebral Palsy and Movement Disorders
- Oral health in cancer treatment
- Language Development and Disorders
- Health, psychology, and well-being
- Delphi Technique in Research
- Diverse Musicological Studies
- Neurological disorders and treatments
- COVID-19 and Mental Health
- Airway Management and Intubation Techniques
- Family and Disability Support Research
- Interpreting and Communication in Healthcare
- Assistive Technology in Communication and Mobility
- Botulinum Toxin and Related Neurological Disorders
- Eosinophilic Esophagitis
- Interprofessional Education and Collaboration
Oxford Brookes University
2020-2025
Oxford Applied Research (United Kingdom)
2024
Oxford Health NHS Foundation Trust
2019-2024
Australian Catholic University
2014-2023
RELX Group (Netherlands)
2023
University of Nottingham
2023
Speech Pathology Australia
2016-2018
Newcastle University
2003-2016
University of Newcastle Australia
2001-2016
Mater Misericordiae University Hospital
2016
Objective Assess patients’ perspectives on the severity, time course, and relative importance of swallowing deficit before after (chemo)radiotherapy for head neck cancer. Study Design Before‐and‐after cohort study. Setting Head cancer UK multidisciplinary clinic. Subjects Methods A total 167 patients with a primary cancer, mostly laryngopharyngeal, completed MD Anderson Dysphagia Index (MDADI) University Washington Quality Life Questionnaire (UWQOL) treatment at 3, 6, 12 months. Pretreatment...
Self report measures of voice function are in frequent use, but have had inadequate psychometric evaluation. We aimed to perform a substantial factor analysis two impairment, the Voice Symptom Scale (VoiSS) and Handicap Index (VHI). Both 30-item questionnaires were completed by 319 dysphonic clinic attenders (99M, 220F). Principal components confirmed that both instruments reflected general abnormality. The VoiSS comprised three factors - impairment (15 items), emotional (8 items) related...
This study aimed to evaluate the reliability and sensitivity change of three commonly used acoustic parameters as measured by Multi-Dimensional Voice Programme (MDVP); jitter, shimmer noise-to-harmonic ratio. A total 231 subjects' voices were recorded analysed. The sample comprised 145 dysphonic patients who received intervention (surgery or voice therapy), 36 no intervention, 50 non-dysphonic (normal) subjects. All analysed on two occasions (before after treatment, test–retest assessment)...
Purpose The aim of this study was to investigate voice loudness and gender effects on jitter shimmer in healthy young adults because previous descriptions have been inconsistent. Method Fifty-seven (28 women, 29 men) aged 20–40 years were included cross-sectional single-cohort study. Three phonations /a/ at soft, medium, loud individual recorded analyzed using PRAAT software (P. Boersma & D. Weeninkk, 2006). Voice measured sound pressure level, fundamental frequency, jitter, assessed...
Abstract Objectives A diagnosis of head and neck cancer (HNC) is a profound event for patients family members who play crucial role in their care. Eating drinking difficulties affect patients' quality life (QOL), but the impact on carers' QOL has not been explored. This preliminary mixed method study reports carer over time investigates relationship with dysphagia. Methods Two hundred eight HNC referred (chemo)radiotherapy were asked to identify complete health‐related swallowing...
This prospective study evaluated swallowing outcomes prechemoradiotherapy (pre-CRT) up to 1 year post-CRT, in a substantial cohort of patients with head and neck cancer explored factors predicting outcome.One hundred twelve were assessed pretreatment at 3, 6, 12 months posttreatment using questionnaire, endoscopic assessment, water swallow test, diet score.Seventy-one retained, the majority had oropharyngeal (53%) or hypopharyngeal (20%). A marked deterioration occurred between 3 (p ≤ .01)....
Abstract Objective To assess the use of proton pump inhibitors (PPIs) to treat persistent throat symptoms. Design Pragmatic, double blind, placebo controlled, randomised trial. Setting Eight ear, nose, and outpatient clinics, United Kingdom. Participants 346 patients aged 18 years or older with symptoms who were according recruiting centre baseline severity (mild severe): 172 lansoprazole 174 placebo. Intervention Random blinded allocation (1:1) either 30 mg twice daily matched for 16 weeks....
Abstract Objective This report aims to study the prevalence of features laryngeal muscle tension in a population patients with functional dysphonia (FD) and nondysphonic control subjects. Study Design Prospective control‐blinded, cross‐sectional study. Methods We reported on prospective six described by Van Lawrence incorporated Morrison‐Rammage classification. A senior laryngologist speech pathologist independently rated sound‐free, random‐sequence video laryngoscopies 51 FD 52 Assessments...
OBJECTIVE Short, self‐report symptom questionnaires are useful in routine clinical situations for assessing the progress of disorders and influence interventions. The Voice Handicap Index‐10 (VHI‐10) Vocal Performance Questionnaire (VPQ) brief self‐reported assessments voice pathology, apparently general clinic population. Little is known structure or internal consistency either tool, nor whether they correlate. This study carried out a substantial, systematic evaluation their performance...