Using Semi-Occluded Vocal Tract Exercises in Voice Therapy: The Clinician's Primer

Rosenberg, Marci Daniels

doi:10.1044/vvd24.2.71

Cited by 16 publications

(7 citation statements)

References 19 publications

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“… Clinicians should avoid exercises that trigger cough or excess droplets such as tongue and lip vibrations. Optional exercises, such as hand-over-mouth, 104 cup phonation technique, 105 or the semi-occluded face mask, may be good alternatives to avoid the spreading of particles. Clinicians must provide vocal hygiene habits to patients.…”

Section: Early Approach After Invasive Mechanical Ventilationmentioning

confidence: 99%

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

et al. 2021

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Summary Introduction Since the beginning of the new pandemic, COVID-19 health services have had to face a new scenario. Voice therapy faces a double challenge, interventions using telepractice, and delivering rehabilitation services to a growing population of patients at risk of functional impairment related to the COVID-19 disease. Moreover, as COVID-19 is transmitted through droplets, it is critical to understand how to mitigate these risks during assessment and treatment. Objective To promote safety, and effective clinical practice to voice assessment and rehabilitation in the pandemic COVID-19 context for speech-language pathologists. Methods A group of 11 experts in voice and swallowing disorders from five different countries conducted a consensus recommendation following the American Academy of Otolaryngology-Head and Neck Surgery rules building a clinical guide for speech-language pathologists during this pandemic context. Results The clinical guide provides 65 recommendations for clinicians in the management of voice disorders during the pandemic and includes advice from assessment, direct treatment, telepractice, and teamwork. The consensus was reached 95% for all topics. Conclusion This guideline should be taken only as recommendation; each clinician must attempt to mitigate the risk of infection and achieve the best therapeutic results taking into account the patient's particular reality.

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Section: Early Approach After Invasive Mechanical Ventilationmentioning

confidence: 99%

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

et al. 2021

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“…8, 12 Although there is limited research regarding the effectiveness of SOFM therapies, early studies have shown promise. 18, 19, 20 For example, Fouquet et al used a hands-over-mouth technique to evaluate vocal quality and found that this semi-occlusion strategy could be used to promote vocal fold adduction and reduce phonatory effort. 19 Also, Rosenberg used a cup phonation method, in which a small occlusion was made at the bottom of a cup, which allowed for continuous phonation tasks to be performed through the open side.…”

Section: Introductionmentioning

confidence: 99%

“…19 Also, Rosenberg used a cup phonation method, in which a small occlusion was made at the bottom of a cup, which allowed for continuous phonation tasks to be performed through the open side. 20 Although these studies are promising, these methods did not allow for the simple attachment of various resonance tubes and also for the addition of oppositional airflow.…”

Section: Introductionmentioning

confidence: 99%

Validation and Evaluation of the Effects of Semi-Occluded Face Mask Straw Phonation Therapy Methods on Aerodynamic Parameters in Comparison to Traditional Methods

et al. 2017

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Objectives/Hypothesis Traditional semi-occluded vocal tract (SOVT) therapies have the benefit of improving vocal economy but, do not allow for connected speech during rehabilitation. In this study, we introduce a semi-occluded face mask (SOFM) as an improvement upon current methods. This novel technique allows for normal speech production, and will make the transition to everyday speech more natural. We hypothesize that use of a SOFM will lead to the same gains in vocal economy seen in traditional methods. Study Design Repeated measures excised canine larynx bench experiment with each larynx subject to controls and a randomized series of experimental conditions. Methods Aerodynamic data were collected for 30 excised canine larynges. The larynges were subjected to conditions including a control, two tube extensions (15 and 30 cm), and two tube diameters (6.5 and 17 mm) both with and without the SOFM. Results were compared between groups and between conditions within each group. Results No significant differences were found between the phonation threshold pressure (PTP) and phonation threshold flow (PTF) measurements obtained with or without the SOFM throughout all extension and constriction levels. Significant differences in PTP and PTF were observed when varying the tube diameter while the same comparison for varying the tube length at least trended towards significance. Conclusions This study suggests that a SOFM can be used to elicit the same gains in vocal economy as what has been seen with traditional SOVT methods. Future studies should test this novel technique in human subjects to validate its use in a clinical setting.

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“…O clínico deverá ser sempre cuidadoso para que não cause qualquer trauma adicional ou hiperfunção mal adaptativa. Deve-se evitar exercícios que estimulem tosse ou excesso de gotículas como a vibração de lábios; alternativas como a técnica de firmeza glótica ( hand-over-mouth ), 104 fonação em copos, 105 ou máscaras de resistência, podem ser boas opções para evitar que as partículas se espalhem. Explicar e incentivar hábitos adequados para a saúde vocal dos pacientes.…”

Section: Abordagem Inicial Após Ventilação Mecânica Invasivaunclassified

Terapia Vocal No Contexto Da Pandemia Do Covid-19; Orientações Para A Prática Clínica

et al. 2021

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Introduction. Since the beginning of the new pandemic, Corona Virus Disease 2019 (COVID-19) health services have had to face a new scenario. Voice therapy faces a double challenge, interventions using telepractice, and delivering rehabilitation services to a growing population of patients at risk of functional impairment related to the COVID-19 disease. Moreover, as COVID-19 is transmitted through droplets, it is critical to understand how to mitigate these risks during assessment and treatment. Objective. To promote safety, and effective clinical practice to voice assessment and rehabilitation in the pandemic COVID-19 context for speech-language pathologists. Methods. A group of 11 experts in voice and swallowing disorders from five different countries conducted a consensus recommendation following the American Academy of Otolaryngology-Head and Neck Surgery rules building a clinical guide for speech-language pathologists during this pandemic context. Result. The clinical guide provides 79 recommendations for clinicians in the management of voice disorders during the pandemic and includes advice from assessment, direct treatment, telepractice, and teamwork. The consensus was reached 95% for all topics. Conclusion. This guideline should be taken only as recommendation; each clinician must attempt to mitigate the risk of infection and achieve the best therapeutic results taking into account the patient's particular reality.

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Using Semi-Occluded Vocal Tract Exercises in Voice Therapy: The Clinician's Primer

Cited by 16 publications

References 19 publications

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice

Validation and Evaluation of the Effects of Semi-Occluded Face Mask Straw Phonation Therapy Methods on Aerodynamic Parameters in Comparison to Traditional Methods

Terapia Vocal No Contexto Da Pandemia Do Covid-19; Orientações Para A Prática Clínica

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