Integration of Motor Learning Principles Into Real-Time Ambulatory Voice Biofeedback and Example Implementation Via a Clinical Case Study With Vocal Fold Nodules

Stan, Jarrad H. Van; Mehta, Daryush D.; Petit, Robert J.; Sternad, Dagmar; Muise, Jason; Burns, James A.; Hillman, Robert E.

doi:10.1044/2016_ajslp-15-0187

Cited by 18 publications

(8 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ambulatory voice monitoring technology can provide estimates of how patients are using their voice in daily life over extended time scales (eg, hours, days, weeks). 4,28,36,37 Additionally, the events or situations associated with disorder onset can be difficult to replicate during a therapy session; for example, artificially evoking a realistic level of stress is hard. Therefore, ambulatory voice monitoring could potentially measure vocal behavior in real-life stressful situations for assessment purposes or to provide biofeedback to assist with maintaining good vocal function during stressful events.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Factors Associated with the Onset of Hyperfunctional Voice Disorders

Kridgen

Hillman

Stadelman-Cohen

et al. 2020

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

Objectives: Prevention, diagnosis, and treatment of hyperfunctional voice disorders would be improved by better understanding their etiological contributing factors. Therefore, this study estimated the prevalence of etiological factors using self-reported data about disorder onset from a large cohort of patients with Phonotraumatic Vocal Hyperfunction (PVH) and Non-Phonotraumatic Vocal Hyperfunction (NPVH). Methods: Retrospective chart review extracted the self-reported rate (gradual, sudden) and events associated (voice use, anxiety/stress, upper respiratory infection [URI]) with disorder onset from 1,577 patients with PVH and 979 patients with NPVH. Results: Both patient groups reported a gradual onset more than a sudden onset. Voice use was the most frequently reported event for PVH and the NPVH group self-reported all three events at equal frequency. The largest PVH subgroups were associated with voice use while the NPVH subgroups were associated with only voice use, only URI, or only anxiety/stress. Conclusion: The results support the general clinical view that PVH is most strongly related to the gradual accumulated effects of phonotrauma, while NPVH has a more heterogeneous etiology. The identified PVH and NPVH subgroups may have clinical relevance and future work could investigate differences in treatment and outcomes among these subgroups.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient-Reported Factors Associated with the Onset of Hyperfunctional Voice Disorders

Kridgen

Hillman

Stadelman-Cohen

et al. 2020

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, other apps provide real-time feedback to the client regarding voice use in the client’s environment (home, school, restaurant, stage, etc. ; Van Stan, Mehta, Petit, et al, 2017; Van Stan, Mehta, Sternad, et al, 2017). That feedback may also be shared with the clinician.…”

Section: Methodsmentioning

confidence: 99%

“…Asynchronous methods involve the storage of information that is accessed by the client and/or the clinician apart from any in real-time interaction. Such information may include client voice recordings, audio or video examples of voice treatment targets, daily practice schedules, vocal hygiene diaries, tele or evoice evaluation of acoustic, aerodynamic and perceptual measures (Grillo, 2017a), and telebiofeedback of voice performance through remote monitoring (Van Stan, Mehta, Petit, et al, 2017; Van Stan, Mehta, Sternad, Petit, & Hillman, 2017). Hybrid methods may include a combination of synchronous and asynchronous approaches.…”

mentioning

confidence: 99%

Building a Successful Voice Telepractice Program

Grillo

2019

Perspect ASHA SIGs

View full text Add to dashboard Cite

Purpose: Telepractice offers prevention, assessment, treatment, and consultation at a distance. This article provides an overview of telepractice with specific considerations and examples related to voice across licensure requirements, state and federal laws, reimbursement, documentation, and telepractice methods. Conclusion: As technology continues to advance and as client demand for telepractice services increases, practitioners need to create successful telepractice programs.

show abstract

“…The Delphi technique entails a systematic, interactive process to predict future perspectives of proposed methods and strategies; it assesses the potential impact of these, if implemented [ 106 ]. The basic aim of this particular method is to utilise expert opinion on the developed strategy and implementation plans to predict their likely impact of achieving the set goals and objectives and their relevance or appropriateness [ 107 ].…”

Section: Phase Iii: Validation Of the Developed Intervention Stramentioning

confidence: 99%

Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

Okafor

Goon

2020

IJERPH

View full text Add to dashboard Cite

Despite global awareness about the importance and health benefits of physical activity (PA) during pregnancy, several studies have reported a low prevalence of PA participation among pregnant women in both developed and developing countries. This means that most pregnant women do not meet the current PA recommended guideline of 150 min of moderate intensity PA per week. The global call to prioritise PA participation levels in the general population necessitates evaluating the factors affecting PA practice. Seemingly, pregnant women mostly from low-to-middle income countries like South Africa are often predisposed to adverse pregnancy outcomes, possibly because of limited access to, and knowledge of, improved pregnancy and health outcomes as a result of PA participation. Physical activity has been sparsely studied among pregnant South African women, and specifically, there is no known study that assesses the PA levels, patterns, beliefs, sources of information, perceived benefits, barriers, attitudes of pregnant women concerning PA and exercise participation; nor one that explores the perspectives of healthcare providers regarding prenatal PA in the Eastern Cape Province. In addition, no PA intervention strategy exists to promote PA participation in the region. This study, in attempting to fill these gaps in knowledge, adopts two phases. In Phase I, a concurrent mixed-method (quantitative and qualitative) approach assesses the following factors related to PA participation in pregnant women: participation levels, beliefs, attitudes, perceived benefits, barriers to uptake and sources of information. It further ascertains if healthcare professionals are sufficiently informed about PA and if they are advising pregnant women about the need for PA participation during pregnancy. Data will be collected through a structured questionnaire, interviews and focus group discussions. Information on socio-demographic and maternal characteristics will be obtained, and the Pregnancy Physical Activity Questionnaire (PPAQ) will assess PA during pregnancy. A sample size of 384 pregnant women is the required minimum sample for an infinite population at a confidence level of 95%, a precision level of ± 5% and at a prevalence of PA or exercise during pregnancy of 50% (p < 0.05); however, a sample size larger than the minimum number necessary will be recruited to account for possible attrition and to protect against possible data loss. Data will be analysed using a multiple logistic regression to determine the factors that predict sedentary or moderate PA levels and chi-squared analysis to determine the associations between the PA levels of the participants and socio-demographic and clinical variables. The study will assess the data collected on the above-mentioned variables and draw conclusions based on patterns and themes that emerge during analysis. Phase II of the study focuses on strategy development and validation to facilitate the promotion of PA during pregnancy. The developed strategy will be validated through the application of the Delphi technique and the administration of a checklist to selected key stakeholders through organised workshops. Understanding the level and correlates of PA participation among this special population is fundamental to designing intervention strategies to enhance their understanding of, and participation in, PA and exercise. Furthermore, this study’s findings will inform facility-based healthcare providers about the need to integrate health education on PA and pregnancy into antenatal and postnatal care visits in the setting.

show abstract

Integration of Motor Learning Principles Into Real-Time Ambulatory Voice Biofeedback and Example Implementation Via a Clinical Case Study With Vocal Fold Nodules

Cited by 18 publications

References 54 publications

Patient-Reported Factors Associated with the Onset of Hyperfunctional Voice Disorders

Patient-Reported Factors Associated with the Onset of Hyperfunctional Voice Disorders

Building a Successful Voice Telepractice Program

Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

Contact Info

Product

Resources

About