Objectives: Previous research has shown that instructed manipulation of the false vocal fold activity (FVFA), true vocal fold mass (TVFM), and larynx height (LH) impacted on voice quality. It is not known whether these manipulations have any effect on voice onset. Vocal Rise Time (VRT) is an objective acoustic measure of voice onset, which has potential as an assessment tool in clinical settings.
View Article and Find Full Text PDFBackground: Published best-practice guidelines and standardized protocols for voice assessment recommend multidisciplinary evaluation utilizing a comprehensive range of clinical measures. Previous studies report variations in assessment practices when compared with these guidelines.
Aims: To provide an up-to-date evaluation of current global multidisciplinary practice patterns and the opinions of otolaryngologist, ear, nose and throat (ENT) and speech-language pathology (SLP) clinicians on initial assessment and differential diagnosis of adults with voice disorders (VDs).
Objective: To systematically evaluate the evidence for the reliability, sensitivity and specificity of existing measures of vowel-initial voice onset.
Methods: A literature search was conducted across electronic databases for published studies (MEDLINE, EMBASE, Scopus, Web of Science, CINAHL, PubMed Central, IEEE Xplore) and grey literature (ProQuest for unpublished dissertations) measuring vowel onset. Eligibility criteria included research of any study design type or context focused on measuring human voice onset on an initial vowel.
Background: A challenge for clinicians and researchers in laryngology is a lack of international consensus for an agreed framework to classify homogenous groups of voice disorders. Consistency in terminology and agreement in how conditions are classified will provide greater clarity for clinicians and researchers.
Objective: This scoping review aimed to examine the published literature on frameworks, terminology, and criteria for the classification of voice disorders.
Introduction: SARS-CoV-2, a highly contagious severe acute respiratory syndrome, has spread to most countries in the world and resulted in a change to practice patterns for the assessment and diagnosis of people with voice disorders. Many services are transitioning to telehealth models to maintain physical distancing measures and conserve personal protective equipment used by healthcare workers during laryngoscopy examinations. The speech-language pathology primary contact (SLPPC) assessment for patients referred to ear, nose and throat (ENT) services in Australia has been shown to reduce waiting times for assessment while streamlining access to ENT assessment and allied health practitioner treatment pathways.
View Article and Find Full Text PDFObjective: This review aims to examine the literature on the terminology and descriptions for the broad classification of voice disorders, and outline the criteria described to guide clinicians in differential classification.
Introduction: The process of classifying the etiology of voice disorders is complex. A key challenge for clinicians and researchers is a lack of consensus on agreed terminology to define umbrella terms commonly used in the published literature.
Background: Traditionally, patients are seen by an ear, nose and throat (ENT) surgeon prior to allied health referral for treatment of swallowing, voice, hearing and dizziness. Wait-times for ENT consultations often exceed those clinically recommended. We evaluated the service impact of five allied health primary contact clinics (AHPC-ENT) on wait-times and access to treatment.
View Article and Find Full Text PDFPurpose: Modeling and instruction are frequent components of both traditional and technology-assisted voice therapy. This study investigated the value of video modeling and instruction in the early acquisition and short-term retention of a complex voice task without external feedback.
Method: Thirty participants were randomized to two conditions and trained to produce a vocal siren over 40 trials.
Objectives/hypothesis: This preliminary study investigated whether auditory-perceptual judgments of voice quality by experienced speech language pathologists were associated with instructions given to speakers to manipulate specific laryngeal postures.
Study Design: Experimental, within-subject design.
Methods: Nine speakers were instructed and trained to manipulate three vocal parameters implicated in functional voice disorders-false vocal fold constriction, vocal fold mass, and larynx height-while reading a standard passage.
Objectives/hypothesis: The study systematically reviews evidence-based frameworks for teaching and learning of classical singing training.
Study Design: This is a systematic review.
Methods: A systematic literature search of 15 electronic databases following the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines was conducted.
Objective: To compare the effects of different types of clinician feedback (auditory knowledge of performance, KP, kinaesthetic KP and knowledge of results, KR) on the production of a voice task during acquisition. KP conditions directed attention to auditory or kinaesthetic cues. KR feedback was provided as to how close the speaker's production was to a model.
View Article and Find Full Text PDFThis study examined Australian speech-language pathologists' (SLPs) use of evidence-based practice (E(3)BP) when treating adults with functional voice disorders (FVDs). It was hypothesized that SLPs would report using the available evidence to care for their clients but may be limited by time and skills. Fifty-eight SLPs completed a 26-item survey.
View Article and Find Full Text PDFThe purpose of this study was to determine the management options and voice therapy techniques currently being used by practicing speech-language pathologists (SLPs) to treat vocal fold nodules (VFNs) in children. The sources used by SLPs to inform and guide their clinical decisions when managing VFNs in children were also explored. Sixty-two SLPs completed a 23-item web-based survey.
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