A Pilot Study Assessing the Therapeutic Potential of a Vibratory Positive Expiratory Pressure Device (Acapella Choice) in the Treatment of Voice Disorders

Saccente-Kennedy, Brian; Andrade, Pedro Amarante; Epstein, Ruth

doi:10.1016/j.jvoice.2018.09.019

Cited by 13 publications

(11 citation statements)

References 31 publications

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“…Thus, its contribution is specific, and its information is nonredundant in comparison with other procedures commonly used in vocal clinical practice. In this context, this review identified the different acoustic measures that have been used in interventions in vocally healthy individuals, including fundamental frequency (f0) measures , intensity measures (18,22,23,25,(29)(30)(31)37,39,40,(43)(44)(45)(46)49,53,(56)(57)(58)61,63,66,67,(69)(70)(71)(72)(73) , cepstral/ spectral measures (25,(39)(40)(41)66,70,(73)(74)(75)(76)(77) , perturbation and noise measures (16,18,22,23,26,27,35,36,38-46,49-52,54-56,60-62,64,65,72,78-85) , acoustic indices (16,…”

Section: Effect Measures Most Used Before and After Voice Trainingmentioning

confidence: 99%

Measurements of the effect of interventions on heathly voices: a scope review

Moura,

Silva,

Santana

et al. 2023

Audiol., Commun. Res.

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Purpose to map the vocal assessment measures used to verify the effect of the intervention in vocally healthy individuals. Research strategy This is a scope review based on the research question: What vocal assessment measures are used to verify the effect of the intervention in vocally healthy individuals? The search was carried out electronically in MEDLINE (PubMed), LILACS (BVS), Scopus (Elsevier), Web of Science (Clarivate), Embase and Cochrane databases. Selection criteria The selection of studies was based on reading the titles, abstracts, keywords and full texts, applying the eligibility criteria. Data related to the publication’s bibliographic information, sample and intervention characteristics, the effects of the intervention on self-assessment, auditory-perceptual, acoustic, aerodynamic, electroglottographic measures, laryngeal examination results, among others, were extracted. The data were summarized and presented in a quantitative and descriptive way. Results 97 articles were selected, among the 979 studies mapped in this review. Acoustic analysis was the most used measure (n=70, 72.3%) to verify the effects of vocal training in the selected studies, followed by electroglottography (n= 55, 56.7%), self-assessment (n= 38, 39 .2%), aerodynamics (n= 33, 34.0%), auditory-perceptual judgment (n= 22, 22.7%) and laryngeal examination (n= 16, 16.5%). Conclusion Acoustic analysis is the measure used in most studies to verify the effect of the intervention in vocally healthy individuals.

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Section: Effect Measures Most Used Before and After Voice Trainingmentioning

confidence: 99%

Measurements of the effect of interventions on heathly voices: a scope review

Moura,

Silva,

Santana

et al. 2023

Audiol., Commun. Res.

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“…32 Research teams began comparing SOVTEs to one another and categorizing them with respect to back pressure created, single or dual source exercises, intraoral pressures, and flow resistance. 19,24,25,[35][36][37][38][39][40] Interest in SOVTEs and aerodynamic principles was also prominent. [41][42][43][44] During this time several different studies addressed the significance of variability between the SOVTE and executor.…”

Section: Limitationsmentioning

confidence: 99%

“…Studies emerged on the use of new SOVTE devices such as the LaxVox tube, a semi-occluded face mask (SOFM), a ventilation mask, and an expiratory pressure device (Acapella Choice) with favorable results. 37,43,48,49 Interest has also been shown towards the impact of SOVTEs and singers with dysphonia. 50 Additional research focused on the length, diameter, and flow rate of tube or straw phonation.…”

Section: Limitationsmentioning

confidence: 99%

“…22,93 Several studies exist that have explored the differences in intra oral pressure created by different SOVTEs. 24,25,[35][36][37][38][39][40]48 Study participants mentioned using SOVTEs for purposes of offloading, reducing subglottic pressure, evenning of supra-, intra-, and subglottic pressure, and backing off vocal pressure. All of these uses are reinforced by published voice research.…”

Section: How Are Sovtes Appearing In Practicementioning

confidence: 99%

“…Several of the initial codes that comprised this category are supported in voice science literature, such as warm-up, airflow, and respiratory function. 14,48,24,25,29,32,[35][36][37][38][39][40]43,[45][46][47][48][49]51,52 The remaining codes suggest a more performanceminded approach to the science of SOVTEs in partnership with mental health awareness and "vocal athlete" training. The data collected and analyzed in this portion of the study reveal a significant finding regarding the hybrid purposes of SOVTEs within collegiate voice studios.…”

Section: Angelika Nair's Bookmentioning

confidence: 99%

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Semi-Occluded Vocal Tract Exercises: Understanding the Prevalence and Purposes within the Collegiate Voice Instructor Population

Sullivan

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Semi-occluded vocal tract exercises (SOVTEs) have been a topic of research and interest among voice specialists for over three decades. An SOVTE is "any exercise in which the vocal tract is made partially closed at or near the lips." When this kind of occlusion occurs there are numerous consequences that follow, but of primary interest is a beneficial change of impedance. These beneficial changes are still being studied, but efficiency in phonation, as well as a shift in the configuration of the vocal folds during phonation are two significant findings thus far. Efficiency in vocal production is paramount to a performer's vocal health. Therefore, a dissipating impedance or a hindering reactance would be undesirable. Research over the last three decades has largely addressed the degree of reactive inertance possible through such impedance and its health benefits on the speaking and singing voice. The performing arts health aspects of these benefits are increasingly relevant to professional voice users. Although research on SOVTEs has become plentiful and widely available to voice teachers, it is unknown how or if this population is digesting the current performing arts health research and implementing it within their vocal instruction. Understanding the extent to which SOVTE science is known and implemented by the current voice-teaching population could inform the current and future voice-science community on how to best alter the dissemination of upcoming research.

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