{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:58:25Z","timestamp":1791968305078,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T00:00:00Z","timestamp":1539302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To establish the validity of the OMNI Vocal Effort Scale (OMNI\u2010VES) for resistance exercise, a single\u2010question pictorial scale, in voice\u2010related perceived exertion. Additionally, the study aimed to assess the role of the OMNI\u2010VES as an outcome measurement in the treatment of adductor spasmodic dysphonia (ADSD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective validation study was conducted on 226 participants. The case group was comprised of 178 patients receiving botulinum toxin (BTX) injections for ADSD and 48 controls without a voice disorder. Prior to a planned injection, the participants were asked to complete the OMNI\u2010VES and the Voice\u2010Related Quality\u2010of\u2010Life (V\u2010RQOL) questionnaires, and the clinician completed the Consensus Auditory\u2010Perceptual Evaluation of Voice (CAPE\u2010V). A subgroup of 17 patients were administered a repeat assessment 1 month after injection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a weak correlation between the OMNI\u2010VES and the V\u2010RQOL score (Tau\u2010b\u2009=\u2009\u22120.252, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and no significant correlation with the CAPE\u2010V. Participants with ADSD had significantly higher OMNI\u2010VES scores compared with normal controls, 5.07\u2009\u00b1\u20092.18 and 1.47\u2009\u00b1\u20092.28, respectively (<jats:italic>P<\/jats:italic> value\u2009&lt;\u20090.0001). The average OMNI\u2010VES score significantly improved 1 month following a BTX injection, from 6\u2009\u00b1\u20092.4 to 3.4\u2009\u00b1\u20092.8 (<jats:italic>P<\/jats:italic> value\u2009=\u20090.0003). Eighty\u2010eight percent of the patients demonstrated a decrease in the OMNI\u2010VES score following injection, whereas only 47% demonstrated an improvement in the V\u2010RQOL score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The OMNI\u2010VES is a validated tool for rating perceived voice\u2010related exertion in people with ADSD and can be used for evaluating response to BTX injection treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2b <jats:italic>Laryngoscope<\/jats:italic>, 129:448\u2013453, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27430","type":"journal-article","created":{"date-parts":[[2018,10,13]],"date-time":"2018-10-13T02:44:31Z","timestamp":1539398671000},"page":"448-453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Validation of the <scp>OMNI<\/scp> vocal effort scale in the treatment of adductor spasmodic dysphonia"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4704-2940","authenticated-orcid":false,"given":"Hagit","family":"Shoffel\u2010Havakuk","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petach Tikva; Sackler Faculty of Medicine Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Marks","sequence":"additional","affiliation":[{"name":"Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariah","family":"Morton","sequence":"additional","affiliation":[{"name":"Division of Communication Sciences and Disorders, College of Health Sciences University of Kentucky  Lexington Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Michael M.","family":"Johns","sequence":"additional","affiliation":[{"name":"USC Voice Center, Department of Otolaryngology Head and Neck Surgery University of Southern California  Los Angeles California U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edie R.","family":"Hapner","sequence":"additional","affiliation":[{"name":"USC Voice Center, Department of Otolaryngology Head and Neck Surgery University of Southern California  Los Angeles California U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.8.1220"},{"key":"e_1_2_6_3_1","first-page":"493","volume-title":"Diagnosis and Treatment of Voice Disorders","author":"Kearney PR","year":"2006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199810000-00003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2014.03.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.09.022"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.9.1083"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.08.003"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2002\/037)"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.4.389"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.4.415"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2010.07.011"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700301"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80020-9"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199401000-00003"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20572"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312200305"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80347-9"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80023-X"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.11.005"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2005.03.003"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.01.007"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000708"},{"key":"e_1_2_6_24_1","unstructured":"MarksK HapnerER RomskiMA Effort scaling in ADSD.In Proceedings: American Speech Language and Hearing Association Annual Convention. 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