Table 1:
Vocal fold vibratory features were rated based on feature definitions and scale levels.
| Feature | Definition | Rating Scale | Range of Scalar Level |
|---|---|---|---|
| Mucosal Wave | Vocal fold deformation along the lateral plane during the opening phase |
75-pt visual-analog scale
in % with 6 anchoring
points Absent---20%---35%---50%---65%---≥80% |
15 percentage points |
| Amplitude | Maximum lateral excursion of each vocal fold from the most medial position |
75-pt visual-analog scale
in % with 6 anchoring
points Absent---20%---35%---50%---65%--->80% |
15 percentage points |
|
Left-Right Phase Asymmetry |
Phase difference between left and right vocal fold vibration |
100-pt visual-analog scale
with 4 anchoring
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 |
33 points |
| Vocal Fold Edge | Irregularity of the vibrating vocal fold edges |
100-pt visual-analog scale
with 4 anchoring
points Regular: Vocal fold edge is straight with a sharp superior edge Mildly irregular: Vocal fold edge may be rounded and/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 hour-glass configuration. Severely irregular: Vocal fold edge is non-linear with a large protrusion, or multiple areas of irregularity. The lesion may impede the vibratory function of the contralateral fold. |
33 points |
| Vertical Phase Difference | Vocal fold deformation along the vertical plane during the closing phase |
Dichotic
choice Present: inferior edge of the vocal fold is visible during closing Absent: inferior edge of the vocal fold is not visible during closing |
1 point |