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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: J Voice. 2019 Apr 17;34(5):769–782. doi: 10.1016/j.jvoice.2019.03.012

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