Vocal function exercises for normal voice: With and without semi-occlusion

Bane, Maria; Brown, Megan; Angadi, Vrushali; Croake, Daniel J.; Andreatta, Richard D.; Stemple, Joseph C.

doi:10.1080/17549507.2017.1416176

Cited by 15 publications

(9 citation statements)

References 41 publications

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“…-----41-60 minutes (83,93,94) 1 to 2 hours (19,22,28,53,55,67,69,75,80,81,99,100) 2 to 5 hours (24,47) More than 5 hours (59,68,102,107) Information not available (17, 18, 21, 30, 31, 33, 34, 36-39, 49, 57, 58, 62, 64, 65, 70-72, 74, 76, 77, 79, 84-86, 98, 101, 104, 108-110)…”

Section: -40 Minutesmentioning

confidence: 99%

“…In SLH clinical practice, APE and acoustic analysis are the most used voice assessment procedures (3) . Of the 97 investigated studies, 12 reported changes in the participants' APE after the voice training (17,31,39,46,52,63,71,72,78,85,100,101) . In general, the degrees of hoarseness (56,57,62) and breathiness (31,52,56) decreased after the voice intervention.…”

Section: Tasks Sustained Vowel In Habitual Tonementioning

confidence: 99%

See 1 more Smart Citation

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: -40 Minutesmentioning

confidence: 99%

Section: Tasks Sustained Vowel In Habitual Tonementioning

confidence: 99%

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

Moura,

Silva,

Santana

et al. 2023

Audiol., Commun. Res.

View full text Add to dashboard Cite

show abstract

“…All have demonstrated efficacy with a range of effect sizes demonstrated across a variety of voice outcome measures; however, none have systematically evaluated the effect of each component or 'ingredient' in the treatment provided. Preliminary research investigating individual effects of components of VFE has isolated the therapeutic effects of practise dosage and the use of a semi-occluded vocal tract (nasal sound) [28,29]; however, this research was conducted in controlled experimental conditions with non-voice-disordered volunteers.…”

Section: What Is An Active Ingredient In Voice Therapy?mentioning

confidence: 99%

“…As it is described, it is the 'sound we make when we say yes', ergo, it is cueing a habitual phonatory task, while cueing only subtle muscular or physiological improvements in phonation. The use of features that prime improved vocal function, including a semi-occluded vocal tract [29], voice onset at resting expiratory level [91], and cueing for a clear and effortless voice [19], may not be sufficient in this technique as gross changes in voice quality and increased activation of muscles not usually activated in habitual phonation (e.g., low larynx and cricothyroid activation) are not cued. These features are, however, repeated in SVQ in which increased muscle activation and re-posturing of the larynx is also cued.…”

Section: Effects Of Optmentioning

confidence: 99%

Active Ingredients of Voice Therapy for Muscle Tension Voice Disorders: A Retrospective Data Audit

Madill

Chacon

Kirby

et al. 2021

JCM

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Background: Although voice therapy is the first line treatment for muscle-tension voice disorders (MTVD), no clinical research has investigated the role of specific active ingredients. This study aimed to evaluate the efficacy of active ingredients in the treatment of MTVD. A retrospective review of a clinical voice database was conducted on 68 MTVD patients who were treated using the optimal phonation task (OPT) and sob voice quality (SVQ), as well as two different processes: task variation and negative practice (NP). Mixed-model analysis was performed on auditory–perceptual and acoustic data from voice recordings at baseline and after each technique. Active ingredients were evaluated using effect sizes. Significant overall treatment effects were observed for the treatment program. Effect sizes ranged from 0.34 (post-NP) to 0.387 (post-SVQ) for overall severity ratings. Effect sizes ranged from 0.237 (post-SVQ) to 0.445 (post-NP) for a smoothed cepstral peak prominence measure. The treatment effects did not depend upon the MTVD type (primary or secondary), treating clinicians, nor the number of sessions and days between sessions. Implementation of individual techniques that promote improved voice quality and processes that support learning resulted in improved habitual voice quality. Both voice techniques and processes can be considered as active ingredients in voice therapy.

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“…), and resonant voice and conversation therapy for generalization of improved voice function to conversational speech or to address concomitant diagnoses such as muscle tension dysphonia. [22][23][24][25]…”

Section: Therapymentioning

confidence: 99%

Does Voice Therapy Improve Vocal Outcomes in Vocal Fold Atrophy?

Bick

Dumberger

Farquhar

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: Vocal fold atrophy is increasingly identified in the geriatric population. Current literature shows varying outcomes with voice therapy. Our goal was to analyze multidimensional vocal outcomes of these patients who underwent voice therapy. Secondary aims included determining compliance and analyzing differences in patients who undergo surgery. Methods: 197 patients with vocal fold atrophy were included and reviewed. Patients were categorized by treatment received. Patient-reported, perceptual, aerodynamic, and acoustic voice outcomes were analyzed before and after therapeutic intervention. Changes were calculated and significance determined using Wilcoxon signed-rank and rank-sum tests. Results: 89(45%) received no therapy, 43(22%) incomplete therapy, 51(26%) complete therapy, 8(4%) surgery only, and 6(3%) therapy followed by surgery. Those who completed voice therapy showed significant improvement in voice related quality of life (VRQOL) ( P = .0225), glottal function index (GFI) ( P < .001), grade, roughness, breathiness, asthenia, strain (GRBAS) ( P < .001), maximum phonation time (MPT) ( P = .0081), and fundamental frequency in women ( P = .0024). No significant changes were found in mean airflow. When comparing patients who underwent surgery versus voice therapy, statistically significant differences were present between pre-treatment VRQOL ( P = .0269) and GFI ( P = .0166). Conclusions: Only 29% of patients with vocal atrophy completed voice therapy when recommended. Within this patient cohort, voice therapy results in significant improvement in multidimensional voice outcomes. Patients with vocal atrophy that undergo surgical treatment differ from those treated with voice therapy alone in their pre-treatment patient-reported measures.

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Vocal function exercises for normal voice: With and without semi-occlusion

Abstract: The SOVT posture used during VFEs is modifiable to a small extent without significantly undermining efficacy. Changes in MPT are less robust with reduced VT occlusion. Research in a clinical population is warranted.

Cited by 15 publications

References 41 publications

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

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

Active Ingredients of Voice Therapy for Muscle Tension Voice Disorders: A Retrospective Data Audit

Does Voice Therapy Improve Vocal Outcomes in Vocal Fold Atrophy?

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