Multi-dimensional investigation of the clinical effectiveness and prognostic factors of voice therapy for benign voice disorders

Lin, Feng‐Chuan; Chien, Hsin-Yu; Kao, Yih-Chia; Wang, Chi‐Te

doi:10.1016/j.jfma.2021.05.004

Cited by 3 publications

(5 citation statements)

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“…The quality of the studies was evaluated using the PEDro scale [13]. Various voice therapy procedures have been proposed in the current literature (e.g., vocal function exercises, resonant voice therapy, and manual circumlaryngeal therapy) [5,6]. In addition, to improve the evidence regarding the effectiveness of the technique used, it is recommended that further research is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Dysphonia can be treated using indirect and direct vocal therapy methods, including practices that promote healthy vocal habits and vocal techniques with proven efficacy [4]. Numerous voice therapy strategies have been suggested, including vocal function exercises (VFEs), resonant voice therapy (RVT), and manual circumlaryngeal therapy (MCT) [5,6]. Vocal function exercises (VFEs) encompass a set of methodical vocal manipulations aimed at enhancing the power and endurance of the muscles of the larynx [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Numerous voice therapy strategies have been suggested, including vocal function exercises (VFEs), resonant voice therapy (RVT), and manual circumlaryngeal therapy (MCT) [5,6]. Vocal function exercises (VFEs) encompass a set of methodical vocal manipulations aimed at enhancing the power and endurance of the muscles of the larynx [5,6]. These exercises also aid in the facilitation of laryngeal valving, control over phonation, and expansion of the vocal range.…”

Section: Introductionmentioning

confidence: 99%

“…Resonant voice therapy (RVT) is a therapeutic approach that aims to assist individuals in attaining a targeted vocal fold configuration by educating them to perceive facial vibrations. This technique has demonstrated notable efficacy, particularly among individuals who rely on their voices professionally, such as teachers and singers [5,6]. The modified circumlaryngeal massage technique (MCT) is a frequently employed method in voice therapy that aims to alleviate laryngeal tension and mitigate the symptoms of dysphonia [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…This technique has demonstrated notable efficacy, particularly among individuals who rely on their voices professionally, such as teachers and singers [5,6]. The modified circumlaryngeal massage technique (MCT) is a frequently employed method in voice therapy that aims to alleviate laryngeal tension and mitigate the symptoms of dysphonia [5,6]. Additionally, techniques that focus on muscle relaxation, such as manual laryngeal therapy and transcutaneous electrical nerve stimulation (TENS), have been shown to be effective in speech therapy for individuals with dysphonic voice disorders [7].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Transcutaneous Electrical Nervous Stimulation (TENS) on Dysphonic Patients: A Systematic Review Study

Plotas,

Papadopoulos,

Tsiamaki

et al. 2023

Medicina

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Background and Objectives: Transcutaneous electrical nerve stimulation (TENS), a pain-alleviating and muscle-relaxing treatment used in physio-therapeutic clinical practice, has recently appeared to be just as effective in dysphonia. This review aimed at clarifying whether TENS can be an effective practice in dysphonia therapy and/or management on its own or combined with other types of interventions and, hence, whether its practice can be a useful, more widespread establishment to speech and language therapy intervention methods. Materials and Methods: A search was conducted on the PubMed database using specific terms based on the PICO search strategy. Eventually, four randomized controlled studies and four clinical trials were included. The methodological quality of the included studies was evaluated using the physiotherapy evidence-based database (PEDro) assessment tool, and this indicated high-quality research with an average score of 8.43. Results: The studies utilized various TENS devices, predominantly the Dualpex 961 device (frequency of 10 Hz, phase of 200 ms). The assessment methods varied, including auditory perception, vocal therapy, electrostimulation, audio and video perceptual assessments, and laryngeal evaluations. The clinical outcomes of TENS showed a reduction in musculoskeletal pain in various areas, while the acoustic analysis results were significant in only one study. TENS was compared to manual laryngeal therapy (LMT), placebo TENS, and vocal therapy in different studies with mixed results. Conclusions: This review supports the idea that a multidimensional approach, incorporating various therapeutic modalities (TENS, LMT, speech therapy, and vocal training) can yield positive outcomes for patients with voice disorders. Further research is needed to explore the specific mechanisms of action and optimal treatment protocols for TENS in voice therapy.

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Section: Discussionmentioning

confidence: 99%