Speech Range Profile (SRP) Findings Before and After Mutational Falsetto (Puberphonia)

Manual laryngeal reposturing as a primary approach for mutational falsetto

“…The literature is characterized by single‐case studies and/or small samples wherein inclusion criteria are often deficient and treatment is seldom described adequately to permit replication or to identify the active ingredient(s) responsible for any improvements. The evidence to support treatment effects is typically based on single clinician judgment of improvement rather than more objective data analysis techniques . Instead, the extant literature is replete with descriptions of medical and/or surgical interventions for individuals with MF who failed traditional voice therapy.…”

“…The evidence to support treatment effects is typically based on single clinician judgment of improvement rather than more objective data analysis techniques. [7][8][9][10][11][12] Instead, the extant literature is replete with descriptions of medical and/or surgical interventions for individuals with MF who failed traditional voice therapy. These interventions consist of relaxation thyroplasty (including several modifications), bilateral botulinum toxin injection into the suprahyoid or cricothyroid muscles, bilateral injection laryngoplasty, and use of a laryngoscope to "stretch" the vocal folds.…”

The Relationship Between Relative Fundamental Frequency and a Kinematic Estimate of Laryngeal Stiffness in Healthy Adults

“…Further research is needed in individuals with voice disorders. L aryngeal tension has been implicated in a variety of voice disorders, both functional (e.g., vocal hyperfunction, puberphonia; Gökdoğan, Gökdoğan, Tutar, Aydil, & Yilmaz, 2015;Hillman, Holmberg, Perkell, Walsh, & Vaughan, 1989) and neurological (e.g., spasmodic dysphonia, Parkinson's disease; Gallena, Smith, Zeffiro, & Ludlow, 2001;Ludlow, 2009). Laryngeal tension and muscular stiffness, a biomechanical correlate of tension, can result in a strained vocal quality and, often, increased vocal effort (Roy, Mazin, & Awan, 2014).…”

Perfil vocal de indivíduos 46,XX com hiperplasia adrenal congênita

“…Na prática clínica, a análise perceptivo-auditiva é considerada o padrão-ouro, portanto soberana em relação às outras (1,25) . Por meio de um fenômeno essencialmente auditivo, é possível identificar e diferenciar uma voz normal de uma extremamente comprometida, fato que colabora para os achados deste estudo.…”