Voice Therapy Methods in Dysphonia

Respiratory Retraining Therapy in Long-Term Treatment of Paradoxical Vocal Fold Dysfunction

“…We believe, and agree with other authors, that speech retraining might be an effective treatment for a good number of the subjects affected with PVFD [3,10,12,13] . While the efficacy of short-term speech therapy has been demonstrated [3,10,12,13,15] , there are no reports in the literature of long-term treatment being efficacious. In this article, we give the results of 2 years of speech retraining in a group of 20 patients affected with PVFD.…”

“…The clinical features of PVFD are many and it is often associated with breathing disorders (asthma, exercise-induced asthma, chronic rhinosinusitis, gastroesophageal reflux disorder, GERD), making diagnosis and differential diagnosis sometimes difficult. Moreover, from a therapeutic point of view there does not seem to be any universally acknowledged treatment; throughout the years, pharmacological and psychotherapeutic therapies have been proposed, as well as botulin injections, hypnosis and so on [3,[11][12][13][14] . We believe, and agree with other authors, that speech retraining might be an effective treatment for a good number of the subjects affected with PVFD [3,10,12,13] .…”

“…Moreover, from a therapeutic point of view there does not seem to be any universally acknowledged treatment; throughout the years, pharmacological and psychotherapeutic therapies have been proposed, as well as botulin injections, hypnosis and so on [3,[11][12][13][14] . We believe, and agree with other authors, that speech retraining might be an effective treatment for a good number of the subjects affected with PVFD [3,10,12,13] . While the efficacy of short-term speech therapy has been demonstrated [3,10,12,13,15] , there are no reports in the literature of long-term treatment being efficacious.…”

Voice Therapy Used to Test a Basic Protocol for Multidimensional Assessment of Dysphonia

“…Also approaches some aspects of emotional factors of the patient via information, training, and treatment (eg, education, problem solving, relaxation, posture, voice initiation, and resonance). 8,9 Nevertheless, both methodological orientations are often mixed in clinical practice, as clinicians usually opt for eclectic treatment, involving elements of both intervention approaches.…”

A Taxonomy of Voice Therapy

“…As an initial demonstration of the taxonomy's ability to provide a framework to classify voice therapy approaches, seven established therapy programs were classified in Table 1 using only direct interventions. The seven programs were Lee Silverman Voice Treatment (LSVT; El , VFE , Manual Circumlaryngeal Therapy (MCT; Dromey, Nissen, Roy, & Merrill, 2008;Roy & Leeper, 1993;Roy, Nissen, Dromey, & Sapir, 2009), Laryngeal Manual Therapy (LMT; Mathieson et al, 2009;, Resonant Voice Therapy (RVT; S. H. Roy et al, 2003;Verdolini Abbott et al, 2012;Yiu et al, 2012), Accent Method Kotby, Shiromoto, & Hirano, 1993), and Confidential Voice (Casper & Murry, 2000;VerdoliniMarston et al, 1995). Indirect interventions and intervention delivery methods were not detailed in this table because general consensus is that therapy programs do not differ significantly in these areas or are not described in detail for most peer-reviewed publications (cf.…”