The Singing Voice Handicap Index-10 (SVHI-10): A Systematic Review
Voice Research Center, Central Conservatory of Music, Beijing 100031, China
| Abstract: | To systematically synthesize the literature on the Singing Voice Handicap Index-10 (SVHI-10), a concise patient-reported outcome measure designed specifically for singers, this study followed PRISMA 2020 guidelines. Databases including PubMed, Scopus, Web of Science, and Embase were searched from inception to March 2026. Peer-reviewed studies reporting development, validation, reliability, validity, normative values, minimal clinically important difference (MCID), or clinical applications were included. Quality was assessed using the COSMIN checklist. Of 152 records screened, 22 studies were included. The original SVHI and abbreviated SVHI-10 showed excellent psychometrics (Cronbach’s α ≥ 0.94). Validated adaptations exist in at least eight languages, including Mandarin, Italian, Turkish, Kannada, Persian, and Hindi. Normative data yielded pooled means of 8.38–9.13 in healthy singers, with scores ≥20 considered abnormal. The MCID was established as 9.5–10 points. The SVHI-10 demonstrates superior singer-specific sensitivity and responsiveness compared with the VHI-10. The SVHI-10 is a reliable, valid, and clinically actionable PROM. Its Mandarin version (MSVHI-10) is particularly relevant for Chinese populations. Future research should focus on longitudinal responsiveness and non-Western singing styles. |
| Keywords: | Singing Voice Handicap Index-10; SVHI-10; Voice Disorder; Singers; Patient-reported Outcome Measure; Psychometrics; Normative Data; MCID |
| DOI: | 10.57237/j.wjcm.2026.02.001 |
View:
Downloads:
收稿日期: 2026-05-20
接受日期: 2026-06-11
在线出版日期: 2026-06-13
基金
| 1. | The Central Conservatory of Music Scientific Research Funding Program, General Project (Grant No. 22YB05) |
参考文献
| [1] | Cohen SM, et al. Creation and validation of the Singing Voice Handicap Index. Ann Otol Rhinol Laryngol. 2007 Jun; 116(6): 402-6. https://doi.org/10.1177/000348940711600602 |
| [2] | Cohen SM, Statham M, Rosen CA, et al. Development and validation of the Singing Voice Handicap-10. Laryngoscope. 2009; 119(9): 1864-1869. https://doi.org/10.1002/lary.20580 |
| [3] | Nacci A, Barillari MR, Capobianco S, et al. Adaptation and validation of the Italian Singing Voice Handicap Index-10 (SVHI-10-IT). Acta Otorhinolaryngol Ital. 2023; 43(2): 114-122. https://doi.org/10.14639/0392-100X-N2311 |
| [4] | Gunjawate DR, Aithal U V, Bellur R, et al. Adaptation and Validation of the Kannada Singing Voice Handicap Index-10. J Voice. 2019 Jul; 33(4): 582.e1-582.e4. https://doi.org/10.1016/j.jvoice.2018.02.005 |
| [5] | Ghaemi H, Dehqan A, Mahmoodi-Bakhtiari B, et al. The Singing Voice Handicap Index (SVHI): validation and adaptation into Persian. J Voice. 2019; 33(1): 126.e15-126.e21. https://doi.org/10.1016/j.jvoice.2018.07.025 |
| [6] | Castelblanco L, Habib M, Stein DJ, et al. Singing Voice Handicap and videostrobolaryngoscopy in healthy professional singers. J Voice. 2014; 28(5): 605-611. https://doi.org/10.1016/j.jvoice.2014.03.003 |
| [7] | Aydinli FE, Akbulut S, Ozcebe E, et al. Validity and reliability of the Turkish Singing Voice Handicap Index-10. J Voice. 2019; 33(5): 703.e1-703.e7. https://doi.org/10.1016/j.jvoice.2018.11.011 |
| [8] | Sobol M, Sielska-Badurek EM, Rzepakowska A, et al. Normative value of SVHI-10. Systematic review and meta-analysis. J Voice. 2019; 33(5): 807.e1-807.e5. https://doi.org/10.1016/j.jvoice.2019.04.002 |
| [9] | Fu S, Chen YC, Wang CT, et al. Reliability and Validity of the Mandarin Version of Singing Voice Handicap Index - 10 (MSVHI-10). J Voice. 2025 Jan; 39(1): 279.e1-279.e5. https://doi.org/10.1016/j.jvoice.2022.06.022 |
| [10] | Gochman GE, Young VN, Schneider SL, et al. Prospective Determination of Normative Value of the Singing Voice Handicap Index-10 (SVHI-10). J Voice. 2025 Jul; 39(4): 1114-1117. https://doi.org/10.1016/j.jvoice.2023.02.013. |
| [11] | Perrin CE, Young VN, Ma Y, et al. Singing Voice Handicap Index-10 Minimal Clinically Important Difference: A Prospective Determination. Laryngoscope. 2025 Feb; 135(2): 752-757. https://doi.org/10.1002/lary.31808 |
| [12] | Renk E, Sulica L, Grossman C, et al. VHI-10 and SVHI-10 Differences in Singers' Self-perception of Dysphonia Severity. J Voice. 2017 May; 31(3): 383.e1-383.e4. https://doi.org/10.1016/j.jvoice.2016.08.017 |
| [13] | Jaswal D, Khemka S. Adaptation and Validation of the Hindi Singing Voice Handicap Index-10. J Voice. 2025 Dec 16: S0892-1997(25)00522-3. https://doi.org/10.1016/j.jvoice.2025.11.041 |
| [14] | Nazari MA, Seifpanahi MS, Saeedi S, et al. Adaptation and validation of the Persian Version of the Singing Voice Handicap Index-10 (SVHI-10). J Voice. 2026 Mar; 40(2): 520.e1-520.e7. https://doi.org/10.1016/j.jvoice.2023.10.004 |
| [15] | Harati O, Martineau S, Paquin A, et al. Quebec French Translation, Cultural Adaptation, and Validation of the Singing Voice Handicap Index-10 Questionnaire for Singers with Dysphonia. J Voice. 2024 Apr 27: S0892-1997(24)00122-X. https://doi.org/10.1016/j.jvoice.2024.04.005 |
| [16] | Sielska-Badurek EM, Sobol M, Cioch A, et al. Adaptation and validation of the Singing Voice Handicap Index into Polish. Clin Otolaryngol. 2017 Oct; 42(5): 994-999. https://doi.org/10.1111/coa.12833 Epub 2017 Feb 9. |
| [17] | Gorges JC, Matos MDAC, Costa IMD, et al. Singing Voice Handicap Index Across Research and Clinical Context: A Systematic Review. J Voice. 2025 Jul 11: S0892-1997(25)00246-2. https://doi.org/10.1016/j.jvoice.2025.06.021 |
| [18] | Lorenz A, Kleber B, Büttner M, et al. Validation of the German version of the Singing Voice Handicap Index. HNO. 2013 Aug; 61(8): 699-706. German. https://doi.org/10.1007/s00106-013-2721-4 |
| [19] | García-López I, Núñez-Batalla F, Gavilán Bouzas J, et al. Validation of the Spanish version of the voice handicap index for vocal singing (SVHI). Acta Otorrinolaringol Esp. 2010 Jul-Aug; 61(4): 247-54. Spanish. https://doi.org/10.1016/j.otorri.2010.01.012 |
| [20] | Kim GH, Lee SH, Kim Y S, et al. Development and validation of the Korean version of the Singing Voice Handicap Index-10 (K-SVHI-10). J Voice. 2023; 37(2): 301.e1-301.e7. https://doi.org/10.1016/j.jvoice.2021.05.012 |
| [21] | Maria Clara Capucho, Carlos Ruah, José Madeira da Silva, et al. Validation of the SVHI into Portuguese from Portugal. Otolaryngol Head Neck Surg. 2011; 145(2 Suppl): P145. https://doi.org/10.1177/0194599811415823a216 |
