Selection of Voice Therapy Methods. Results of an Online Survey

Burg, Iris; Meier, Birte; Nolte, Katharina; Oppermann, Tina; Rogg, Verena; Beushausen, Ulla

doi:10.1016/j.jvoice.2014.12.011

Cited by 12 publications

(3 citation statements)

References 12 publications

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“…It is model of care, which relates to a consolidation of experiences from the Brazilian Larynx Institute facilitating exercises, resonation, articulation and the combination of all these subsystems). 58 This kind of holistic concept is very common in voice therapy without a specific therapy method known from clinical practice 59 and research 36 being identifiable.…”

Section: Discussionmentioning

confidence: 99%

“…Main aspects of the programme are voice orientation (eg vocal hygiene and habits), vocal psychodynamics (eg analysis of the impact of altered voices from professional, social and emotional viewpoints) and vocal training (eg body posture, physiological voice techniques such as various semi‐occluded vocal tract and vocal facilitating exercises, resonation, articulation and the combination of all these subsystems) 58 . This kind of holistic concept is very common in voice therapy without a specific therapy method known from clinical practice 59 and research 36 being identifiable.…”

Section: Discussionmentioning

confidence: 99%

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The effectiveness of voice therapy on voice‐related handicap: A network meta‐analysis

Latoszek

Neumann

2020

Clinical Otolaryngology

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Background Treatment approaches for voice therapy are diverse, yet their differential effects are not well understood. Evaluations of treatment effects across approaches are important for clinical guidance and evidence‐based practice. Objective of review To quantify the evidence of treatment effectiveness on the outcome measure Voice Handicap Index with the 30‐items (VHI‐30) from existing randomised controlled/clinical trials (RCT) of voice therapy using the statistical approach of a network meta‐analysis (NMA) with a random effects model. Type of review Meta‐analysis. Search strategy We searched in MEDLINE (PubMed, 1950 to 2019), Embase (1974 to 2019) and Science Citation Index (1994 to 2019) using five key terms. The inclusion criteria were reports of randomised controlled/clinical trials (RCTs) published in English or German which evaluated the effectiveness of a specific voice therapy treatment using VHI‐30 as an outcome measure in adult participants with non‐organic or organic voice disorders. Studies were excluded if participants had been diagnosed with neurological motor speech disorders or who were vocally healthy. Furthermore, no medical, pharmacological or instrumental (eg voice amplification) treatments were considered. Evaluation method The primary outcome variable was VHI‐30 with a score from 0 to 120. The pre‐post treatment change in VHI‐30 scores was an average score of 13 points related to various VHI‐30 test‐retest results. Results We retrieved 464 publications (ie with duplicates) and included 13 RCTs, which evaluated nine interventions, in the final analysis. The most effective intervention with a significant and clinically relevant effect was Stretch‐and‐Flow Phonation (SFP) (mean pre‐post difference −28.37, 95% confidence interval [CI], −43.05 to‐13.68). Resonant Voice (RV), the Comprehensive Voice Rehabilitation Program (CVRP) and Vocal Function Exercises (VFE) also demonstrated significant improvements. Conclusions Of the nine voice interventions identified with the present NMA, SFP, RVT, CVRP, and VFE effectively improved VHI‐30 scores from pre‐ to post‐treatment. SFP proved to be the most significant and clinically relevant treatment. Further contributions of high‐quality intervention studies are needed to support evidence‐based practice in vocology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effectiveness of voice therapy on voice‐related handicap: A network meta‐analysis

Latoszek

Neumann

2020

Clinical Otolaryngology

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“…Modifications in techniques based on client needs, cultural sensitivities, and literacy levels should be considered due to the influence of language and cultural values in the therapeutic process [44]. Burg et al (2015) conducted an online survey regarding the selection of voice therapy approaches among SLPs in three German-speaking countries and reported that the majority of SLPs used a combination of direct voice therapy methods [45]. Auditory feedback is used more frequently as it is easier for selfmonitoring and understanding, and needs very little/no investment in monetary terms.…”

Section: Discussionmentioning

confidence: 99%

An E-Survey of Current Voice Therapy Practices Amongst Speech Language Pathologists (SLPs) in India

Venkatraman

Ganesan

Mahalingam

et al. 2020

Indian J Otolaryngol Head Neck Surg

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In India, Speech Language Pathologists (SLPs) generally work with ENT surgeons and use a variety of treatment approaches, service delivery methods, feedback modes, and outcome measures in clinical practice while dealing with voice disorders. The practice preferences of the SLPs are based on theoretical and practical exposure during their graduate course, guidance from professional bodies, evidence-based practices, etc. The facilities in the work setting also determine the practice style of the SLP. This study reports information on demographics of the SLPs, nature of patients served, intervention methods, and evidence-based practices followed by the SLPs via an E-survey. Analysis of the survey from 55 SLPs in India, who work in the area of voice revealed that most SLPs had postgraduate (67.27%; n = 37) and doctorate degree (23.63%; n = 13) and worked in medical-related settings (81.81%; n = 45). Therapeutic approaches were practiced as stated in literature by 43.64% (n = 24) of SLPs. Although 56.36% (n = 31) of SLPs modified therapeutic approaches based on the client's needs (75%), literacy (16.66%) and cultural variations (8.33%). Attending Continuing Education Programs and training workshops were required to practice voice. Voice therapy methods (protocols) used by the SLPs were not uniform across India. The development of an indigenous protocol/method for voice therapy is the need of the hour.

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

Lin

Chien

Kao

et al. 2022

Journal of the Formosan Medical Association

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Selection of Voice Therapy Methods. Results of an Online Survey

Cited by 12 publications

References 12 publications

The effectiveness of voice therapy on voice‐related handicap: A network meta‐analysis

The effectiveness of voice therapy on voice‐related handicap: A network meta‐analysis

An E-Survey of Current Voice Therapy Practices Amongst Speech Language Pathologists (SLPs) in India

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

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