A Taxonomy of Voice Therapy

Stan, Jarrad H. Van; Roy, Nelson; Awan, Shaheen N.; Stemple, Joseph C.; Hillman, Robert E.

doi:10.1044/2015_ajslp-14-0030

Cited by 119 publications

(96 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Voice therapy may assume many forms, but basic components usually include patient education as well as direct modification of voice production through a variety of techniques. 4 The overarching aim of voice therapy is to restore the best possible voice, one that meets the social, vocational, and avocational needs of the patient. Using the CHEER network, 5 we previously examined diagnoses that were commonly reported by patients seeking care for voice disorders, as well as the self-reported likelihood of attending voice therapy by a speech-language pathologist.…”

mentioning

confidence: 99%

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Misono

Marmor

Roy

et al. 2016

Otolaryngol.--head neck surg.

Self Cite

View full text Add to dashboard Cite

Objective To identify factors associated with the likelihood of attending voice therapy among patients referred for it in the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. Study Design Prospectively enrolled cross-sectional study. Setting CHEER network of community and academic sites. Methods Data were collected on patient-reported demographics, voice-related diagnoses, voice-related handicap (Voice Handicap Index–10), likelihood of attending voice therapy (VT), and opinions on factors influencing likelihood of attending VT. The relationships between patient characteristics/opinions and likelihood of attending VT were investigated. Results A total of 170 patients with various voice-related diagnoses reported receiving a recommendation for VT. Of those, 85% indicated that they were likely to attend it, regardless of voice-related handicap severity. The most common factors influencing likelihood of VT attendance were insurance/copay, relief that it was not cancer, and travel. Those who were not likely to attend VT identified, as important factors, unclear potential improvement, not understanding the purpose of therapy, and concern that it would be too hard. In multivariate analysis, factors associated with greater likelihood of attending VT included shorter travel distance, age (40-59 years), and being seen in an academic practice. Conclusions Most patients reported plans to attend VT as recommended. Patients who intended to attend VT reported different considerations in their decision making from those who did not plan to attend. These findings may inform patient counseling and efforts to increase access to voice care.

show abstract

mentioning

confidence: 99%

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Misono

Marmor

Roy

et al. 2016

Otolaryngol.--head neck surg.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The direct therapy involved carrying out exercises using various techniques involving phonation, lasting 30 minutes on average. All of the therapeutic groups followed the same sequence and therapeutic approach described below (Figure 1), in accordance with a taxonomy/terminology recently proposed in the literature 23 .…”

Section: Study Population and Samplementioning

confidence: 82%

Sintomas vocais auditivos e proprioceptivos pré e pós-terapia de grupo de pacientes com disfonia

et al. 2016

View full text Add to dashboard Cite

Purpose: to compare auditory, proprioceptive and total symptoms in dysphonia patients pre-and postgroup therapy, and associate the number of vocal symptoms with gender, age, professional use of voice, and laryngeal diagnosis variables. Methods: the sample included 27 patients enrolled in therapeutic groups. All had auditory, proprioceptive, and total vocal symptoms from the Vocal Screening Protocol (VSP), pre-and post-group therapy, which consisted of eight meetings, with the first and last being for the implementation of the VSP; in the second to seventh, speech therapy sessions were performed using an eclectic approach. Results: the participants were adults, mostly female, and predominantly with laryngeal diagnoses involving lesions in the membranous portion of the vocal folds. There was a significant reduction in proprioceptive and total vocal symptoms when pre-and post-therapy was compared. The following vocal symptoms were significantly minimized post-therapy: vocal fatigue, dry throat, lumps in the throat, effort and discomfort when speaking. There was a connection between post group therapy (proprioceptive, auditory, and total) vocal symptoms and the female and laryngeal diagnosis involving mass lesions in the membranous portion of the vocal folds variables. There was no connection between post-therapy vocal symptoms and age or professional use of voice. Conclusion: there was a reduction in total and proprioceptive vocal symptoms reported by patients, comparing pre-and post-therapy. There was a connection between females and diagnoses of mass lesions in the membranous portion of the vocal folds and total, proprioceptive, and auditory symptoms post-voice therapy. Age and professional use of voice were not associated with reduced vocal symptoms. Keywords: Voice; Dysphonia; Signs and Symptoms; Speech Therapy; Voice Training; Group Processes RESUMO Objetivo: comparar os sintomas auditivos, proprioceptivos e os totais pré e pós-terapia de grupo de pacientes com disfonia, além de associar o número de sintomas vocais às variáveis sexo, faixa etária, uso profissional da voz e diagnóstico laríngeo. Métodos: participaram 27 pacientes inseridos em grupos terapêuticos. Todos responderam aos sintomas vocais auditivos, proprioceptivos e totais do Protocolo de Triagem Vocal (PTV) pré e pós-terapia de grupo, que constou de oito encontros, sendo o primeiro e último para aplicação do PTV; do segundo ao sétimo foram realizadas sessões terapêuticas fonoaudiológicas de abordagem eclética. Resultados: os participantes eram adultos, maioria do sexo feminino e diagnóstico laríngeo predominante de lesão na porção membranosa das pregas vocais. Pôde-se perceber que houve redução significante dos sintomas vocais proprioceptivos e totais quando se comparou pré e pós-terapia. Minimizaram significantemente pós-terapia os sintomas vocais: fadiga vocal, garganta seca, bolo na garganta, esforço e desconforto ao falar. Houve associação entre sintomas vocais (proprioceptivos, auditivos e totais) pós--terapia de grupo com as variávei...

show abstract

“…In the remainder of this article, the Task will indicate a combination of the selected Direct Intervention Method, Tool, Stimuli Level , and Intervention Delivery Method . All Direct Intervention Methods, Tools, and Intervention Delivery Methods are consistent with the terminology and definitions proposed by Van Stan et al (2015). However, at all points in the documentation system, there is always an option to choose Other , allowing full autonomy on the part of the clinician.…”

Section: Direct Interventionmentioning

confidence: 98%

“…Therefore this article discusses the development of a new electronic documentation system for voice therapy. The goals of this documentation system are to create a user-friendly, flexible system, which implements the standard terminology and structure proposed in the recent voice therapy taxonomy (Van Stan, Roy, Awan, Stemple, & Hillman, 2015). This documentation system stores all the information from the therapy session in a local database, which is accessible for analysis within or between patients.…”

mentioning

confidence: 99%

“…After initial development, the documentation system terminology was adjusted to be consistent with the recently proposed taxonomy and unification of the voice therapy nomenclature (Van Stan, Roy, Awan, Stemple, & Hillman, 2015). All items listed below in italics ( sample) are consistent with the definitions in the proposed voice taxonomy (see Van Stan et al, 2015 for all definitions). Portions of the documentation system that were not related to the voice taxonomy or not discussed in the voice taxonomy paper are clearly indicated with text that is italicized and underlined ( sample ).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Development of an Electronic Documentation System for Voice Therapy: A New Teaching and Clinical Research Tool

Murray

Girouard²,

Cler

et al. 2016

Perspect ASHA SIGs

View full text Add to dashboard Cite

Although research on the outcomes of the treatment of voice disorders is widely discussed, there is a lack of information regarding the specifics of the methods and tasks undertaken during the therapy sessions. One reason may be a lack of a clear, standardized method of documentation for the voice therapy. Therefore this article discusses the development of a new electronic documentation system for voice therapy. The goals of this documentation system are to create a user-friendly, flexible system, which implements the standard terminology and structure proposed in the recent voice therapy taxonomy (Van Stan, Roy, Awan, Stemple, & Hillman, 2015). This documentation system stores all the information from the therapy session in a local database, which is accessible for analysis within or between patients. This allows large-scale datasets to be compiled for future clinical research. This documentation system includes definitions for all terminology, and includes hierarchies, which are not required, but can be followed for additional structure. This documentation system can be used as a teaching tool, with the ability to accommodate the needs of both the novice and expert clinician.

show abstract

A Taxonomy of Voice Therapy

Abstract: The proposed taxonomy represents an important initial step toward a standardized voice therapy classification system expected to facilitate outcomes research and communication among clinical stakeholders.

Cited by 119 publications

References 82 publications

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Factors Influencing Likelihood of Voice Therapy Attendance: Report from the CHEER Network

Sintomas vocais auditivos e proprioceptivos pré e pós-terapia de grupo de pacientes com disfonia

Development of an Electronic Documentation System for Voice Therapy: A New Teaching and Clinical Research Tool

Contact Info

Product

Resources

About