Table 1.
Vibratory features were rated on the basis of feature definitions and scale levels.
| Feature | Definition | Rating scale | Range |
|---|---|---|---|
| Mucosal wave | Vocal fold deformation along the lateral plane during the opening phase | 75-point visual analog scale in % with six anchoring points | 15 percentage points |
| Absent 20% 35% 50% 65% ≥80% | |||
| Amplitude | Maximum lateral excursion of each vocal fold from most medial position | 75-point visual analog scale in % with six anchoring points | 15 percentage points |
| Absent 20% 35% 50% 65% ≥80% | |||
| Left-Right phase asymmetry | Phase difference between left and right vocal fold vibration | 100-point visual analog scale with four anchoring points | 33 points |
| Absent: Left and right vocal folds reach both maximal amplitude and the midline at the same time. | |||
| Mild: One vocal fold lags slightly behind the other either during the lateral-to-medial or medial-to-lateral transition. | |||
| Moderate: One vocal fold has already transitioned and begun to move medially before the other vocal fold has hit maximal amplitude. | |||
| Severe: One vocal fold has hit midline while the other vocal fold is at maximal amplitude. | |||
| Synchronicity | Continuity of the images within the simulated cycle | 3-point scale | 1 point |
| Completely synchronous: Continuous movement showing the expected phases of vocal fold vibration is present for the entire recording. | |||
| Intermittently asynchronous: Continuous movement is appreciable at times, but there are one or more instances of asynchronicity noted. | |||
| Completely asynchronous: Continuous movement is not appreciable. | |||
| Vocal fold edge | Irregularity of the vibrating vocal fold edges | 100-point visual analog scale with four anchoring points | 33 points |
| Regular: Vocal fold edge is straight with a sharp superior edge. | |||
| Mildly irregular: Vocal fold edge may be rounded or a mild swelling may be present. A sulcus may be present on the medial edge of the fold. Glottal closure may still be complete or a small anterior or posterior gap may be present. | |||
| Moderately irregular: Vocal fold edge is clearly nonlinear, but does not impede the vibratory function of the contralateral fold. Glottal closure may form an hourglass configuration. | |||
| Severely irregular: Vocal fold edge is nonlinear with a large protrusion or multiple areas of irregularity. The lesion may impede the vibratory function of the contralateral fold. |