Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19

The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The result...

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Main Authors: Ylenia Longobardi, Vezio Savoia, Rosa Libero, Maria Elisabetta Marenda, Ilaria Proietti, Pasqualina Maria Picciotti, Giorgia Mari, Claudio Parrilla, Lucia D'Alatri
Format: Article
Language:English
Published: Hawaii Pacific University Library 2023-05-01
Series:International Journal of Telerehabilitation
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Online Access:http://telerehab.pitt.edu/ojs/Telerehab/article/view/6548
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author Ylenia Longobardi
Vezio Savoia
Rosa Libero
Maria Elisabetta Marenda
Ilaria Proietti
Pasqualina Maria Picciotti
Giorgia Mari
Claudio Parrilla
Lucia D'Alatri
author_facet Ylenia Longobardi
Vezio Savoia
Rosa Libero
Maria Elisabetta Marenda
Ilaria Proietti
Pasqualina Maria Picciotti
Giorgia Mari
Claudio Parrilla
Lucia D'Alatri
author_sort Ylenia Longobardi
collection DOAJ
description The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The "In-Person Group" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL.
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publisher Hawaii Pacific University Library
record_format Article
series International Journal of Telerehabilitation
spelling doaj-art-14d8d09c3f8f43aa8286caa3f021b2a52025-08-20T01:55:38ZengHawaii Pacific University LibraryInternational Journal of Telerehabilitation1945-20202023-05-0115110.5195/ijt.2023.6548Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19Ylenia Longobardi0Vezio Savoia1Rosa Libero2Maria Elisabetta Marenda3Ilaria Proietti4Pasqualina Maria Picciotti5Giorgia Mari6Claudio Parrilla7Lucia D'Alatri8Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Semplice di Psicologia Clinica- Governo Clinico, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia; Sezione di Otorinolaringoiatria, Dipartimento Testa-Collo e Organi di Senso, Università Cattolica del Sacro Cuore, Rome, ItalyUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, ItaliaUnità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell’Invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma, Italia; Sezione di Otorinolaringoiatria, Dipartimento Testa-Collo e Organi di Senso, Università Cattolica del Sacro Cuore, Rome, Italy The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied. The two groups obtained comparable results on all parameters of the INFVo perceptual rating scale, in the DEP, ANX, PHO and HOS areas of the Symptom Check List-90-Revised questionnaire, and in the areas investigated by the WHOQOL-B questionnaire. The "In-Person Group" obtained statistically better results on the Italian Self-Evaluation of Communication Experiences after Laryngeal Cancer questionnaire. Although the in-person treatment favored the acceptance of the new voice and the development of conversational skills, telerehabilitation guaranteed an adequate level of assistance in terms of voice acquisition, prevention of anxiety and depression, and recovery of a good QoL. http://telerehab.pitt.edu/ojs/Telerehab/article/view/6548COVID-19Psycho-OncologyTelerehabilitationTotal LaryngectomyTracheoesophageal Speech
spellingShingle Ylenia Longobardi
Vezio Savoia
Rosa Libero
Maria Elisabetta Marenda
Ilaria Proietti
Pasqualina Maria Picciotti
Giorgia Mari
Claudio Parrilla
Lucia D'Alatri
Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
International Journal of Telerehabilitation
COVID-19
Psycho-Oncology
Telerehabilitation
Total Laryngectomy
Tracheoesophageal Speech
title Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
title_full Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
title_fullStr Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
title_full_unstemmed Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
title_short Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19
title_sort rehabilitation after total laryngectomy an integrated protocol remotely delivered during covid 19
topic COVID-19
Psycho-Oncology
Telerehabilitation
Total Laryngectomy
Tracheoesophageal Speech
url http://telerehab.pitt.edu/ojs/Telerehab/article/view/6548
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