Purpose: The purpose of this study was to develop a novel teacher-reported pediatric voice outcome measure and to investigate its psychometric properties. Method: In the first stage, a new instrument, the Teacher-Reported Pediatric Voice Handicap Index (TRPVHI), was developed. After item generation, a panel of experts evaluated the items to assess…

This article presents an overview of the normal anatomy and physiology of the pediatric larynx, followed by some examples of pediatric voice disorders that were chosen to exemplify the alterations to the laryngeal anatomy and the subsequent modifications to laryngeal function. Vocal fold nodules are primarily reviewed due to their high incidence…

Discussion of supplemental speech sampling for in-depth phonological analysis in the assessment of children with phonological disorders focuses on how to evaluate a given word list in terms of a set of criteria for a detailed phonological analysis. Suggestions are provided for sample supplementation for two frequent areas of difficulty. (Contains…

Discussion of speech sampling in the assessment of children with phonological disorders focuses on the use of nonlinear phonological analysis, a method whereby multiple aspects or levels of a child's phonological system are examined. Principles and suggestions offer general guidance for adequate sample elicitation. (Contains references.)…

Children with voice disorders do respond to treatment, with vocal hyperfunction being the predominant disorder on the caseload of the pediatric voice clinician. This article reviews the literature in describing what is known about these children and typical disorders, prevention of voice disorders, the need for treatment, the referral patterns of…

Paradoxical vocal fold motion (PVFM) is a complex adductory disorder of the vocal folds that frequently is mistaken for asthma. PVFM typically requires behavioral intervention by a trained speech-language pathologist for complete resolution of the symptoms. Once thought to be limited to adults, PVFM has been increasingly documented and…

This study compared the phonological awareness ability of 11 children (ages 6-8) with persistent phonological impairment to that of 11 phonologically normal children. Phonologically normal children scored higher on three of the four phonological awareness measures, with no differences on word recognition. Speech intelligibility was a significant…