Voice therapy practices and techniques: A survey of voice clinicians

Mueller, Peter B.; Larson, George W.

doi:10.1016/0021-9924(92)90019-s

Cited by 21 publications

(8 citation statements)

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“…Similar results were found with two complimentary articles based on the survey questionnaires given to practicing SLPs. 1 The authors found that the most preferred voice therapy approaches for adults were (1) counseling, (2) vocal abuse (ie, phonotrauma) elimination (eg, a ''do/do not'' list), and (3) relaxation, which could be represented as indirect voice therapy. A related prospective study by Sellars et al 3 on the application of indirect and direct voice therapy by a single therapist showed that indirect voice therapy comprised two-thirds of therapy time in a caseload of 74 voice patients.…”

Section: And Behrman Andmentioning

confidence: 99%

“…Speech-language pathologists (SLPs) have an array of different behavioral means from which to choose. 1 Measuring the effectiveness and efficacy of these behavioral means is becoming a basic requirement of health care delivery in evidence-based medicine. 2,3 Currently, there is a paucity of information on how to quantify the multifaceted process of voice therapy.…”

Section: Introductionmentioning

confidence: 99%

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Quantifying Component Parts of Indirect and Direct Voice Therapy Related to Different Voice Disorders

et al. 2013

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Section: And Behrman Andmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quantifying Component Parts of Indirect and Direct Voice Therapy Related to Different Voice Disorders

et al. 2013

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“…Voice therapy consists of a series of techniques applied to the mitigation of voice disorders, which include enhancing the patient's awareness of his or her dysphonia, application of vocal health guidelines, hearing training, muscle relaxation and psychodynamic vocal training [33], [34]. This form of therapy has been shown to be an effective treatment in reducing dysphonic symptoms in several diseases, including respiratory disorders, and is capable of at least partially restoring quality of life to affected patients [35]–[37].…”

Section: Discussionmentioning

confidence: 99%

Voice Disorder in Cystic Fibrosis Patients

2014

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Cystic fibrosis is a common autosomal recessive disorder with drastic respiratory symptoms, including shortness of breath and chronic cough. While most of cystic fibrosis treatment is dedicated to mitigating the effects of respiratory dysfunction, the potential effects of this disease on vocal parameters have not been systematically studied. We hypothesized that cystic fibrosis patients, given their characteristic respiratory disorders, would also present dysphonic symptoms. Given that voice disorders can severely impair quality of life, the identification of a potential cystic fibrosis-related dysphonia could be of great value for the clinical evaluation and treatment of this disease. We tested our hypothesis by measuring vocal parameters, using both objective physical measures and the GRBAS subjective evaluation method, in male and female cystic fibrosis patients undergoing conventional treatment and compared them to age and sex matched controls. We found that cystic fibrosis patients had a significantly lower vocal intensity and harmonic to noise ratio, as well as increased levels of jitter and shimmer. In addition, cystic fibrosis patients also showed higher scores of roughness, breathiness and asthenia, as well as a significantly altered general grade of dysphonia. When we segregated the results according to sex, we observed that, as a group, only female cystic fibrosis patients had significantly lower values of harmonic to noise ratio and an abnormal general grade of dysphonia in relation to matched controls, suggesting that cystic fibrosis exerts a more pronounced effect on vocal parameters of women in relation to men. Overall, the dysphonic characteristics of CF patients can be explained by dysfunctions in vocal fold movement and partial upper airway obstruction, potentially caused by the accumulation of mucus and chronic cough characteristic of CF symptomatology. Our results show that CF patients exhibit significant dysphonia and suggest they may potentially benefit from voice therapy as a parallel treatment strategy.

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“…, Roy ). The exact frequency and duration used today depends on several factors, such as the medical prescription, rules of reimbursement, the specific vocal pathology and its severity, the type of therapy or training, the client's limitations and expectations, and upcoming vocal performances (Mueller and Larson , De Bodt et al . , Van Lierde et al .…”

Section: Introductionmentioning

confidence: 99%