Massage-Like Sensation and Tissue Mobilization During Phonation With Two Oscillatory Positive Expiratory Pressure Devices.

Purpose: This study primarily aimed at observing whether high-frequency vibration devices generate tissue mobilization on facial, neck, and chest tissues. An additional objective was to inspect resulting self-perceived sensation of massage-like sensation. Method: Fifty-two participants engaged in a...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 68; no. 4; pp. 1758 - 1773
Autores principales: Guzman, Marco, Quezada, Camilo, Castro, Christian, Castillo, Monserrat, Ibarra, Josefina, Vásquez, Melanie
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
      vid: 68
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-24-00597
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        atl: Massage-Like Sensation and Tissue Mobilization During Phonation With Two Oscillatory Positive Expiratory Pressure Devices.
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        au:
          Guzman, Marco
          Quezada, Camilo
          Castro, Christian
          Castillo, Monserrat
          Ibarra, Josefina
          Vásquez, Melanie
        affil:
          Department of Communication Sciences and Disorders, Universidad de los Andes, Santiago, Chile
          Departamento de Fonoaudiologica, Facultad de Medecina, Universidad de Chile, Santiago
          Exercise and Rehabilitation Sciences Institute, School of Speech Therapy, Faculty of Rehabilitation Sciences, Universidad Andrés Bello, Santiago, Chile
          PhD Program in Health Science and Engineering, Department of Speech-Language Pathology, Universidad de Valparaíso, Chile
      su:
        Senses
        Self-evaluation
        Task performance
        Analysis of variance
        Face
        Neck
        Positive end-expiratory pressure
        Research funding
        Vibration (Mechanics)
        Accelerometry
        Descriptive statistics
        Chest (Anatomy)
        Human voice
        Comparative studies
      sug:
        subj:
          Senses
          Self-evaluation
          Task performance
          Analysis of variance
          Face
          Neck
          Positive end-expiratory pressure
          Research funding
          Vibration (Mechanics)
          Accelerometry
          Descriptive statistics
          Chest (Anatomy)
          Human voice
          Comparative studies
      ab: Purpose: This study primarily aimed at observing whether high-frequency vibration devices generate tissue mobilization on facial, neck, and chest tissues. An additional objective was to inspect resulting self-perceived sensation of massage-like sensation. Method: Fifty-two participants engaged in a set of three phonatory tasks: (a) phonation with Shaker Medic Plus device, (b) phonation with Acapella Choice device, and (c) sustained vowel [a:] (control task). Self-perceived massage-like sensation was also assessed. All exercises were performed at three loudness levels. Tissue mobilization was captured by four accelerometers placed in four different locations: (a) over the cheek, (b) over the neck, (c) over the thyroid cartilage, and (d) over the suprasternal notch. Frequency, amplitude, and regularity of tissue oscillation were measured. Results: Analyses of variance showed significant second-order interactions for vibration amplitude and frequency. A two-way interaction (Task x Location) was observed for jitter, and no significant interactions were found for shimmer. Selfperceived massage-like sensation results showed that Acapella and Shaker generate almost identical effects, both being significantly higher to the one delivered by vowel [a:]. Conclusion: Both Acapella and Shaker devices are able to mobilize tissues. Tasks, loudness level, and location could produce an effect on tissue oscillation variables. The Acapella device tends to produce a larger amplitude of vibration than the Shaker does. However, self-reported sensation of massage is virtually the same for both devices. Control of dependent variables of tissue oscillation (frequency, amplitude, and regularity) is apparently relevant to obtain the greatest massage-like effect in patients.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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