Remote Voice Therapy With an Oscillatory Positive Expiratory Pressure Device in Subjects With Vocal Fatigue: A Randomized Controlled Trial.
Purpose: The present study aimed at assessing the efficacy of remote voice therapy (telepractice) implemented with Shaker Medic Plus device in subjects with vocal fatigue. Method: Thirty-six participants were initially enrolled in this study. Twenty-four participants with vocal fatigue were finally...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 66; no. 12; pp. 4801 - 4812 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Speech-Language-Hearing Association
Dec2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=174209920&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 174209920 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2023 vid: 66 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 174209920 10.1044/2023_JSLHR-23-00357 ppf: 4801 ppct: 11 formats: fmt: @attributes: type: P size: 646KB tig: atl: Remote Voice Therapy With an Oscillatory Positive Expiratory Pressure Device in Subjects With Vocal Fatigue: A Randomized Controlled Trial. aug: au: Acevedo, Karol Guzman, Marco Ortega, Andrés Aguirre, Camila Diaz, Sofía Escudero, Javiera Quezada, Camilo affil: Escuela de Fonoaudiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile Department of Communication Sciences and Disorders, Universidad de los Andes, Santiago, Chile Department of Ear, Nose, and Throat, Clínica las Condes, Santiago, Chile Departamento de Fonoaudiología, Facultad de Medicina, Universidad de Chile, Santiago su: Analysis of variance Randomized controlled trials Telerehabilitation Confidence intervals Vocal cords Hydrotherapy Treatment effectiveness Comparative studies Research funding Voice disorder treatment Fatigue (Physiology) Statistical sampling Laryngoscopy sug: subj: Analysis of variance Randomized controlled trials Marketing Research and Public Opinion Polling Telerehabilitation Confidence intervals Vocal cords Hydrotherapy Treatment effectiveness Comparative studies Research funding Voice disorder treatment Fatigue (Physiology) Statistical sampling Laryngoscopy ab: Purpose: The present study aimed at assessing the efficacy of remote voice therapy (telepractice) implemented with Shaker Medic Plus device in subjects with vocal fatigue. Method: Thirty-six participants were initially enrolled in this study. Twenty-four participants with vocal fatigue were finally randomly assigned to one of two treatment groups: (a) voice treatment with Shaker Medic Plus device plus vocal hygiene program (n = 12) and (b) voice treatment with water resistance therapy (WRT) plus vocal hygiene program (n = 12). Laryngoscopic assessment was conducted on all subjects. Before and after voice therapy, participants underwent (a) self-assessment of voice: Vocal Fatigue Index and Vocal Tract Discomfort Scale and (b) instrumental assessment with aerodynamic, acoustic, and electroglottographic measures. The treatment period included six voice therapy sessions within 6 weeks. Each session lasted 30 min. For both groups, exercises consisted of a sequence of nine phonatory tasks performed with Shaker Medic Plus (experimental group) and WRT (control group). Comparisons for all variables were performed between the experimental group and control group. Results: Significant improvements were found for self-reported variables when comparing pre- and postmeasures for both groups. No significant differences were found when comparing groups. No significant main effects or interactions were observed for any of the observed instrumental variables. Conclusions: Remote physiologic voice therapy with Shaker Medic Plus device and water resistance therapy seem to be both effective to improve voice in subjects diagnosed with vocal fatigue. No differences should be expected between these therapeutic protocols when treating patients with vocal fatigue. Moreover, both are effective at reducing tiredness of voice, voice avoidance, physical discomfort associated with voicing, subjective perception of sensory discomfort in throat, and reduction of physical, emotional, and functional impact of voice problems. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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