A randomized controlled trial of the effects of flow phonation voice treatment for primary muscle tension dysphonia

Rangarathnam, Balaji; Paramby, Towino; McCullough, Gary H.; Pickett, Hylan; Tulunay‐Ugur, Ozlem E.; Zraick, Richard I.

doi:10.1016/j.jcomdis.2022.106290

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Findings of a present study by Başer and Denizoğlu highlighted the efficacy of voice therapy in the management of dysphonia as patients experienced significant improvements in VHI-10 values, with mean scores decreasing from 30.91 before treatment to 3.36 in the final follow-up examination [ 29 ]. Additionally, Rangarathnam et al suggested that flow phonation exercises can be beneficial for individuals with muscle tension dysphonia, particularly in alleviating vocal hyperfunction and improving auditory-perceptual measures [ 30 ]. Guzman et al observed in their study that physiologic voice therapy based on semi-occluded vocal tract exercises effectively enhances voice outcomes in individuals with behavioral dysphonia, particularly in physical and functional aspects, with subglottic pressure and phonation threshold pressure serving as sensitive indicators of phonatory effort reduction post-therapy [ 31 ].…”

Section: Reviewmentioning

confidence: 99%

Assessing the Effectiveness of Voice Therapy Techniques in Treating Dysphonia: An Otolaryngological Review

Al-Hussain

2024

Cureus

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Dysphonia is a prevalent condition that can impact individuals across all age groups. It occurs when normal voice quality is altered, caused by structural and/or functional issues. Evaluation and assessment from clinicians are warranted if dysphonia persists for more than four weeks and/or is coupled with risk factors or other concerning clinical manifestations. Additionally, voice disorders can increase the risk of depression and anxiety disorders, as well as raise stress levels and lower self-reported health indicators. Dysphonia can have a substantial influence on interpersonal interactions and lower overall quality of life since effective communication relies significantly on spoken language. Hence, managing dysphonia is essential for enhancing communication abilities, improving quality of life, maintaining vocational functioning, promoting psychological well-being, and addressing underlying health concerns. Speech and language therapy, medical management, surgery, or a combination of the aforementioned are all possible treatments for dysphonia. Speech and language therapy is often the first-line treatment option for dysphonia patients who do not meet the criteria for surgical intervention. Voice therapy is often beneficial and remains the first line of treatment, even when patients approach with benign vocal fold nodules. A well-designed voice therapy program improves both the quality of life and vocal performance. The majority of the studies in the existing literature advocate for and report beneficial outcomes associated with voice therapy; however, more research is needed to provide evidence-based findings to guide clinical practice and achieve optimal outcomes. This comprehensive review elaborately highlights the utilization and efficacy of various voice therapeutic modalities utilized for the management of dysphonia in light of current literature.

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Section: Reviewmentioning

confidence: 99%

Assessing the Effectiveness of Voice Therapy Techniques in Treating Dysphonia: An Otolaryngological Review

Al-Hussain

2024

Cureus

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Preliminary Perceptual Findings of Singing After Flow Phonation Voice Exercises for Singers in Training

Diaz,

Rangarathnam,

Medina

et al. 2023

Journal of Voice

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A comparative study of stretch-and-flow voice therapy versus Smith accent method in rehabilitation of hyperfunctional dysphonia: a randomized controlled trial

Mohamed,

Shoeib,

Elfiky

et al. 2023

Egypt J Otolaryngol

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Background This work aims to compare between stretch-and-flow voice therapy and Smith accent method of voice therapy in treatment of hyperfunctional dysphonia in order to assess the benefit of using this new technique in its management. A randomized controlled trial was conducted at the Unit of Phoniatrics, Otorhinolaryngology Department, in the period from November 2020 to February 2023. A sample of 60 patients with hyperfunctional dysphonia was randomly divided into two groups; each group consisted of 30 patients: “group A” who received stretch-and-flow voice therapy (SnF) and “group B” who received Smith accent (SA) method of voice therapy. Assessment included auditory perceptual assessment (APA) using modified GRBAS scale and Arabic-voice handicap index (Arabic-VHI). Results The study revealed significant improvement in grade of dysphonia, voice quality, and Arabic-VHI post-therapy for both groups. There was a significant improvement regarding voice pitch in SnF group only and in loudness of voice in SA group only. Conclusion SnF can be considered as an alternative approach for treating hyperfunctional dysphonia, offering a shorter duration, and potentially being a simpler alternative for patients who struggle with the more intricate rhythms of the Smith Aaccent voice therapy method.

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A randomized controlled trial of the effects of flow phonation voice treatment for primary muscle tension dysphonia

Cited by 3 publications

References 16 publications

Assessing the Effectiveness of Voice Therapy Techniques in Treating Dysphonia: An Otolaryngological Review

Assessing the Effectiveness of Voice Therapy Techniques in Treating Dysphonia: An Otolaryngological Review

Preliminary Perceptual Findings of Singing After Flow Phonation Voice Exercises for Singers in Training

A comparative study of stretch-and-flow voice therapy versus Smith accent method in rehabilitation of hyperfunctional dysphonia: a randomized controlled trial

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