Description and quantification of the symptoms of adductor spasmodic d
ysphonia often reflect the clinician's knowledge of the disorder, idea
s about the cause of the disorder, and personal experience. No reliabl
e instrument that identifies and quantifies the spectrum of perceptual
symptoms has been available. Therefore, we developed a standardized m
easure called the Unified Spasmodic Dysphonia Rating Scale (USDRS) in
cooperation with a team of 118 experienced voice judges. Consensual va
lidations of content validity guided the incremental development of th
e scale. Using the USDRS allows more consistent and complete data coll
ection, both clinically and in research clinical trials.