{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:02:47Z","timestamp":1781143367937,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The Unified Spasmodic Dysphonia Rating Scale (USDRS) was developed in 1997 to standardize evaluation of adductor\u2010type laryngeal dystonia (AdLD) but has been sparsely utilized since then. The goal of this study was to explore the descriptive value and contemporary relevance of the USDRS in characterizing AdLD by examining its relationships with established patient\u2010reported, clinician\u2010perceptual, and acoustic measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with stable\u2010dose, botulinum toxin\u2010A (BtxA)\u2010responsive AdLD presented to a tertiary laryngology center for follow\u2010up BtxA injections. USDRS, PROMs (Voice Handicap Index\u201010, Dyspnea Index, OMNI\u2010Vocal Effort Scale, and Communicative Participation Item Bank\u201010), and voice recordings were obtained. Acoustic analysis was completed, and voice\u2010specialized speech\u2010language pathologists blindly rated voices using the Consensus Auditory Perceptual Evaluation\u2013Voice (CAPE\u2010V). Descriptive statistics compared each measurement with USDRS results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010four patients (mean age 58.4\u2009years) were evaluated in this study. The USDRS demonstrated significantly lower variance than all other clinician\u2010 and patient\u2010reported outcomes as well as acoustic analysis. Comparison of overall USDRS score to other outcome measures demonstrated statistically significant, positive correlations: USDRS versus VHI\u201010 (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u20090.451,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), Overall Severity (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u20090.482,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and Strain (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u20090.487,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The USDRS exhibited restricted variability relative to VHI\u201010, CAPE\u2010V, and CPP\u2010S and did not appear to add information beyond these measures; therefore, it may be limited for monitoring treatment response in AdLD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70471","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:08:53Z","timestamp":1772996933000},"page":"3046-3052","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of Unified Spasmodic Dysphonia Rating Scale for Adductor Type Laryngeal Dystonia (\n                    <scp>AdLD<\/scp>\n                    )"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4151-2638","authenticated-orcid":false,"given":"Camryn R.","family":"Marshall","sequence":"first","affiliation":[{"name":"UCSF Voice and Swallowing Center, Department of Otolaryngology\u2014Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Schneider","sequence":"additional","affiliation":[{"name":"UCSF Voice and Swallowing Center, Department of Otolaryngology\u2014Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sky T.","family":"Yang","sequence":"additional","affiliation":[{"name":"UCSF Voice and Swallowing Center, Department of Otolaryngology\u2014Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1571-1086","authenticated-orcid":false,"given":"Clark A.","family":"Rosen","sequence":"additional","affiliation":[{"name":"UCSF Voice and Swallowing Center, Department of Otolaryngology\u2014Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-8290","authenticated-orcid":false,"given":"VyVy N.","family":"Young","sequence":"additional","affiliation":[{"name":"UCSF Voice and Swallowing Center, Department of Otolaryngology\u2014Head and Neck Surgery University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000011922"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817728521"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30462"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0892\u20101997(97)80029\u2010x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJSLP\u201017\u20100009"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_JSLHR\u201022\u201000053"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1016"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010200409000\u201000009"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2023.03.019"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28897"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27430"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058\u20100360(2010\/09\u20100105)"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201020\u201000001"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2021.10.001"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.5334\/tohm.575"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1067\/s0892\u20101997(03)00075\u20104"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3171\/2016.10.JNS161025"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40734\u2010017\u20100066\u2010y"},{"key":"e_1_2_10_20_1","first-page":"1273","volume-title":"Clinical 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