Journal of Neuromuscular Diseases · 2023 · 16 citations · 54 references
Weaker individuals with SMA experience bulbar problems including difficulties with voice and swallowing. Further refinement and assessment of functional bulbar scales will help determine their relevance and responsiveness to changes in SMA. Additional study is needed to quantify bulbar changes caused by SMA and their response to disease-modifying treatments.
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The Voice Handicap Index (VHI)
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